QI-Core Implementation Guide
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This page is part of the Quality Improvement Core Framework (v6.0.0-ballot: STU6 (v6.0.0) Ballot 1) based on FHIR R4. The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

: AdverseEvent example - JSON Representation

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{
  "resourceType" : "AdverseEvent",
  "id" : "example",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-adverseevent"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: AdverseEvent</b><a name=\"example\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource AdverseEvent &quot;example&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-qicore-adverseevent.html\">QICore AdverseEvent</a></p></div><p><b>identifier</b>: id:\u00a049476534</p><p><b>actuality</b>: actual</p><p><b>event</b>: O/E - itchy rash <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#304386008)</span></p><p><b>subject</b>: <a href=\"Patient-example.html\">Patient/example</a> &quot; CHALMERS&quot;</p><p><b>date</b>: 2017-01-29 12:34:56+0000</p><p><b>seriousness</b>: Non-serious <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-adverse-event-seriousness.html\">AdverseEventSeriousness</a>#non-serious)</span></p><p><b>recorder</b>: <a href=\"Practitioner-example.html\">Practitioner/example</a> &quot; CAREFUL&quot;</p><h3>SuspectEntities</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Instance</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Medication-example.html\">Medication/example</a></td></tr></table></div>"
  },
  "identifier" : //     an identifier used for this allergic propensity (adverse reaction risk)    
  {
    "system" : "http://acme.com/ids/patients/risks",
    "value" : "49476534"
  },
  "actuality" : "actual",
  "event" : //     this was an actual adverse event, not just a potential one    
  //     more precise details of the event    
  {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "304386008",
        "display" : "O/E - itchy rash"
      }
    ]
  },
  "subject" : //     example uses SNOMED CT. Other likely possibilitues incluide MedDRA    
  //     the patient that actually had the adverse event    
  {
    "reference" : "Patient/example"
  },
  "date" : "2017-01-29T12:34:56+00:00",
  "seriousness" : //     when the event happened    
  //     In overall terms even if it was a severe rash it is a relatively mild event overall
      
  {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/adverse-event-seriousness",
        "code" : "non-serious",
        "display" : "Non-serious"
      }
    ]
  },
  "recorder" : //     who made the record / last updated it    
  {
    "reference" : "Practitioner/example"
  },
  "suspectEntity" : [
    //  Element was removed in R4, not clear where this would be expressed in the R4 resource 
    // description value="This was a mild rash on the left forearm"/
    //     may have been for cream to treat sunburn on that arm, reference to that medication
      
    {
      "instance" : {
        "reference" : "Medication/example"
      }
    }
  ]
}