Profile Comparison between http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-adverseevent vs http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-adverseevent

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/AdverseEvent
copyright
date	2018-08-22
description	An adverse event is an untoward occurrence during treatment that should be reported, for example, to a clinical study sponsor or safety oversight organization. AEs include reportable serious medical errors such as those defined by National Quality Forum (see http://www.qualityforum.org/Topics/ SREs/List_of_SREs.aspx), and Patient Safety Healthcare Events as defined by AHRQ. Some AEs can involve conditions such as "recurring headaches" but others do not, such as accidental falls, surgical errors, sexual abuse of patient, and sudden death. An adverse event can also be an unsafe condition that increases the probability of a patient safety event, and near-misses. An adverse event can be caused by exposure to some agent (e.g., a medication, immunization, food, or environmental agent). An adverse reaction can range from a mild reaction, such as a harmless rash to a severe and life-threatening condition. They can occur immediately or develop over time. For example, a patient may develop a rash after taking a particular medication.
experimental	false
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	QICoreAdverseEvent
publisher	http://www.hl7.org/Special/committees/cqi/index.cfm
purpose
status	active
title	QICore AdverseEvent
type	AdverseEvent
url	http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-adverseevent
version	5.0.0-ballot

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	L Type	L Description & Constraints	Comments
AdverseEvent		0..*	AdverseEvent	Medical care, research study or other healthcare event causing physical injury		0..*	AdverseEvent	Medical care, research study or other healthcare event causing physical injury
id	Σ	0..1	string	Logical id of this artifact	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: todo (preferred): A human language. Additional Bindings Purpose todo Max Binding		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Business identifier for the event	Σ	0..1	Identifier	Business identifier for the event
actuality	?!SΣ	1..1	code	actual | potential Binding: todo (required): Overall nature of the adverse event, e.g. real or potential.	?!SΣ	1..1	code	actual | potential Binding: AdverseEventActuality (required): Overall nature of the adverse event, e.g. real or potential.
category	SΣ	0..*	CodeableConcept	product-problem | product-quality | product-use-error | wrong-dose | incorrect-prescribing-information | wrong-technique | wrong-route-of-administration | wrong-rate | wrong-duration | wrong-time | expired-drug | medical-device-use-error | problem-different-manufacturer | unsafe-physical-environment Binding: todo (extensible): Overall categorization of the event, e.g. product-related or situational.	SΣ	0..*	CodeableConcept	product-problem | product-quality | product-use-error | wrong-dose | incorrect-prescribing-information | wrong-technique | wrong-route-of-administration | wrong-rate | wrong-duration | wrong-time | expired-drug | medical-device-use-error | problem-different-manufacturer | unsafe-physical-environment Binding: AdverseEventCategory (extensible): Overall categorization of the event, e.g. product-related or situational.
event	SΣ	1..1	CodeableConcept	Type of the event itself in relation to the subject Binding: todo (preferred): Detailed type of event.	SΣ	1..1	CodeableConcept	Type of the event itself in relation to the subject Binding: SNOMEDCTClinicalFindings (preferred): Detailed type of event.
subject	SΣ	1..1	Reference(http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient | Group | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson)	Subject impacted by event	SΣ	1..1	Reference(QICorePatient | Group | QICore Practitioner | QICoreRelatedPerson)	Subject impacted by event	Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Group], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Group], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson]])
encounter	SΣ	0..1	Reference(http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter)	Encounter created as part of	SΣ	0..1	Reference(QICore Encounter)	Encounter created as part of	Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter]])
date	Σ	0..1	dateTime	When the event occurred	Σ	0..1	dateTime	When the event occurred
detected	Σ	0..1	dateTime	When the event was detected	Σ	0..1	dateTime	When the event was detected
recordedDate	Σ	0..1	dateTime	When the event was recorded	Σ	0..1	dateTime	When the event was recorded
resultingCondition	SΣ	0..*	Reference(http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis)	Effect on the subject due to this event	SΣ	0..*	Reference(QICore Condition Problems Health Concerns | QICore Condition Encounter Diagnosis)	Effect on the subject due to this event	Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis]])
location	Σ	0..1	Reference(http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location)	Location where adverse event occurred	Σ	0..1	Reference(QICoreLocation)	Location where adverse event occurred	Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location]])
seriousness	Σ	0..1	CodeableConcept	Seriousness of the event Binding: todo (example): Overall seriousness of this event for the patient.	Σ	0..1	CodeableConcept	Seriousness of the event Binding: AdverseEventSeriousness (example): Overall seriousness of this event for the patient.
severity	Σ	0..1	CodeableConcept	mild | moderate | severe Binding: todo (required): The severity of the adverse event itself, in direct relation to the subject.	Σ	0..1	CodeableConcept	mild | moderate | severe Binding: AdverseEventSeverity (required): The severity of the adverse event itself, in direct relation to the subject.
outcome	Σ	0..1	CodeableConcept	resolved | recovering | ongoing | resolvedWithSequelae | fatal | unknown Binding: todo (required): TODO (and should this be required?).	Σ	0..1	CodeableConcept	resolved | recovering | ongoing | resolvedWithSequelae | fatal | unknown Binding: AdverseEventOutcome (required): TODO (and should this be required?).
recorder	Σ	0..1	Reference(http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole)	Who recorded the adverse event	Σ	0..1	Reference(QICorePatient | QICoreRelatedPerson | QICore Practitioner | QICorePractitionerRole)	Who recorded the adverse event	Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole]])
contributor	Σ	0..*	Reference(http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device)	Who was involved in the adverse event or the potential adverse event	Σ	0..*	Reference(QICore Practitioner | QICorePractitionerRole | QICoreDevice)	Who was involved in the adverse event or the potential adverse event	Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device]])
suspectEntity	Σ	0..*	BackboneElement	The suspected agent causing the adverse event	Σ	0..*	BackboneElement	The suspected agent causing the adverse event
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
instance	SΣ	1..1	Reference(http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunization | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-substance | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medication | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministration | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationstatement | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device)	Refers to the specific entity that caused the adverse event	SΣ	1..1	Reference(QICore Immunization | QICoreProcedure | QICoreSubstance | QICore Medication | QICoreMedicationAdministration | QICoreMedicationStatement | QICoreDevice)	Refers to the specific entity that caused the adverse event	Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunization], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-substance], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medication], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministration], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationstatement], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunization], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-substance], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medication], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministration], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationstatement], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device]])
causality	Σ	0..1	BackboneElement	Information on the possible cause of the event	Σ	0..1	BackboneElement	Information on the possible cause of the event
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
assessment	Σ	0..1	CodeableConcept	Assessment of if the entity caused the event Binding: todo (example): Codes for the assessment of whether the entity caused the event.	Σ	0..1	CodeableConcept	Assessment of if the entity caused the event Binding: AdverseEventCausalityAssessment (example): Codes for the assessment of whether the entity caused the event.
productRelatedness	Σ	0..1	string	AdverseEvent.suspectEntity.causalityProductRelatedness	Σ	0..1	string	AdverseEvent.suspectEntity.causalityProductRelatedness
author	Σ	0..1	Reference(Practitioner | PractitionerRole)	AdverseEvent.suspectEntity.causalityAuthor	Σ	0..1	Reference(Practitioner | PractitionerRole)	AdverseEvent.suspectEntity.causalityAuthor
method	Σ	0..1	CodeableConcept	ProbabilityScale | Bayesian | Checklist Binding: todo (example): TODO.	Σ	0..1	CodeableConcept	ProbabilityScale | Bayesian | Checklist Binding: AdverseEventCausalityMethod (example): TODO.
subjectMedicalHistory	Σ	0..*	Reference(http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-allergyintolerance | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-familymemberhistory | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunization | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis)	AdverseEvent.subjectMedicalHistory	Σ	0..*	Reference(QICore Observation | QICore Allergy Intolerance | QICoreFamilyMemberHistory | QICore Immunization | QICoreProcedure | QICore Condition Problems Health Concerns | QICore Condition Encounter Diagnosis)	AdverseEvent.subjectMedicalHistory	Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-allergyintolerance], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-familymemberhistory], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunization], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-allergyintolerance], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-familymemberhistory], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunization], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns], CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis]])
referenceDocument	Σ	0..*	Reference(DocumentReference)	AdverseEvent.referenceDocument	Σ	0..*	Reference(DocumentReference)	AdverseEvent.referenceDocument
study	Σ	0..*	Reference(ResearchStudy)	AdverseEvent.study	Σ	0..*	Reference(ResearchStudy)	AdverseEvent.study
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