QI-Core Implementation Guide
7.0.0-ballot - STU7 Ballot United States of America flag

This page is part of the Quality Improvement Core Framework (v7.0.0-ballot: STU7 (v7.0.0) Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 6.0.0. 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 class=\"res-header-id\"><b>Generated Narrative: AdverseEvent example</b></p><a name=\"example\"> </a><a name=\"hcexample\"> </a><a name=\"example-en-US\"> </a><p><b>identifier</b>: <code>http://acme.com/ids/patients/risks</code>/49476534</p><p><b>actuality</b>: Adverse Event</p><p><b>event</b>: <span title=\"Codes:{http://snomed.info/sct 725119006}\">Generalized rash (disorder)</span></p><p><b>subject</b>: <a href=\"Patient-example.html\">Jim Chalmers  Male, DoB: 1974-12-25 ( Medical record number\u00a0(use:\u00a0usual,\u00a0period:\u00a02001-05-06 --&gt; (ongoing)))</a></p><p><b>date</b>: 2017-01-29 12:34:56+0000</p><p><b>seriousness</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adverse-event-seriousness non-serious}\">Non-serious</span></p><p><b>recorder</b>: <a href=\"Practitioner-example.html\">Practitioner Adam Careful </a></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 alemtuzumab 10 MG/ML [Lemtrada]</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" : "725119006",
        "display" : "Generalized rash (disorder)"
      }
    ]
  },
  "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"
      }
    }
  ]
}