QI-Core Implementation Guide
4.1.0 - release
This page is part of the Quality Improvement Core Framework (v4.1.0: STU 4) based on FHIR R4. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions
Defining URL: | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-adverseevent |
Version: | 4.1.0 |
Name: | QICoreAdverseEvent |
Status: | Draft as of 8/22/18 |
Definition: | 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. |
Publisher: | http://www.hl7.org/Special/committees/cqi/index.cfm |
Source Resource: | XML / JSON / Turtle |
The official URL for this profile is:
http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-adverseevent
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from AdverseEvent
Summary
Mandatory: 2 elements
Must-Support: 7 elements
Structures
This structure refers to these other structures:
This structure is derived from AdverseEvent
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
AdverseEvent | 0..* | AdverseEvent | Medical care, research study or other healthcare event causing physical injury | |
actuality | S | 1..1 | code | actual | potential |
category | S | 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 |
event | S | 1..1 | CodeableConcept | Type of the event itself in relation to the subject |
subject | S | 1..1 | Reference(QICorePatient | Group | QICorePractitioner | QICoreRelatedPerson) | Subject impacted by event |
encounter | S | 0..1 | Reference(QICoreEncounter) | Encounter created as part of |
date | 0..1 | dateTime | When the event occurred | |
resultingCondition | S | 0..* | Reference(Condition) | Effect on the subject due to this event |
location | 0..1 | Reference(QICoreLocation) | Location where adverse event occurred | |
recorder | 0..1 | Reference(QICorePatient | QICoreRelatedPerson | QICorePractitioner | QICorePractitionerRole) | Who recorded the adverse event | |
suspectEntity | 0..* | BackboneElement | The suspected agent causing the adverse event | |
instance | S | 1..1 | Reference(QICoreImmunization | QICoreProcedure | QICoreSubstance | QICoreMedication | QICoreMedicationAdministration | QICoreMedicationStatement | QICoreDevice) | Refers to the specific entity that caused the adverse event |
causality | 0..1 | BackboneElement | Information on the possible cause of the event | |
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
AdverseEvent | 0..* | AdverseEvent | Medical care, research study or other healthcare event causing physical injury | |
id | Σ | 0..1 | string | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | |
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
contained | 0..* | Resource | Contained, inline Resources | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..1 | Identifier | Business identifier for the event |
actuality | ?!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: 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: SNOMEDCTClinicalFindings (example): Detailed type of event. |
subject | SΣ | 1..1 | Reference(QICorePatient | Group | QICorePractitioner | QICoreRelatedPerson) | Subject impacted by event |
encounter | SΣ | 0..1 | Reference(QICoreEncounter) | Encounter created as part of |
date | Σ | 0..1 | dateTime | When the event occurred |
detected | Σ | 0..1 | dateTime | When the event was detected |
recordedDate | Σ | 0..1 | dateTime | When the event was recorded |
resultingCondition | SΣ | 0..* | Reference(Condition) | Effect on the subject due to this event |
location | Σ | 0..1 | Reference(QICoreLocation) | Location where adverse event occurred |
seriousness | 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: 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: AdverseEventOutcome (required): TODO (and should this be required?). |
recorder | Σ | 0..1 | Reference(QICorePatient | QICoreRelatedPerson | QICorePractitioner | QICorePractitionerRole) | Who recorded the adverse event |
contributor | Σ | 0..* | Reference(Practitioner | PractitionerRole | Device) | Who was involved in the adverse event or the potential adverse event |
suspectEntity | Σ | 0..* | BackboneElement | The suspected agent causing the adverse event |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
instance | SΣ | 1..1 | Reference(QICoreImmunization | QICoreProcedure | QICoreSubstance | QICoreMedication | QICoreMedicationAdministration | QICoreMedicationStatement | QICoreDevice) | Refers to the specific entity that caused the adverse event |
causality | Σ | 0..1 | BackboneElement | Information on the possible cause of the event |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?!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: AdverseEventCausalityAssessment (example): Codes for the assessment of whether the entity caused the event. |
productRelatedness | Σ | 0..1 | string | AdverseEvent.suspectEntity.causalityProductRelatedness |
author | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | AdverseEvent.suspectEntity.causalityAuthor |
method | Σ | 0..1 | CodeableConcept | ProbabilityScale | Bayesian | Checklist Binding: AdverseEventCausalityMethod (example): TODO. |
subjectMedicalHistory | Σ | 0..* | Reference(Condition | Observation | AllergyIntolerance | FamilyMemberHistory | Immunization | Procedure | Media | DocumentReference) | AdverseEvent.subjectMedicalHistory |
referenceDocument | Σ | 0..* | Reference(DocumentReference) | AdverseEvent.referenceDocument |
study | Σ | 0..* | Reference(ResearchStudy) | AdverseEvent.study |
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
AdverseEvent | 0..* | AdverseEvent | Medical care, research study or other healthcare event causing physical injury | |
actuality | ?!Σ | 1..1 | code | actual | potential Binding: AdverseEventActuality (required): Overall nature of the adverse event, e.g. real or potential. |
category | Σ | 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 | Σ | 1..1 | CodeableConcept | Type of the event itself in relation to the subject Binding: SNOMEDCTClinicalFindings (example): Detailed type of event. |
subject | Σ | 1..1 | Reference(QICorePatient | Group | QICorePractitioner | QICoreRelatedPerson) | Subject impacted by event |
encounter | Σ | 0..1 | Reference(QICoreEncounter) | Encounter created as part of |
resultingCondition | Σ | 0..* | Reference(Condition) | Effect on the subject due to this event |
suspectEntity | Σ | 0..* | BackboneElement | The suspected agent causing the adverse event |
instance | Σ | 1..1 | Reference(QICoreImmunization | QICoreProcedure | QICoreSubstance | QICoreMedication | QICoreMedicationAdministration | QICoreMedicationStatement | QICoreDevice) | Refers to the specific entity that caused the adverse event |
Documentation for this format |
This structure is derived from AdverseEvent
Summary
Mandatory: 2 elements
Must-Support: 7 elements
Structures
This structure refers to these other structures:
Differential View
This structure is derived from AdverseEvent
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
AdverseEvent | 0..* | AdverseEvent | Medical care, research study or other healthcare event causing physical injury | |
actuality | S | 1..1 | code | actual | potential |
category | S | 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 |
event | S | 1..1 | CodeableConcept | Type of the event itself in relation to the subject |
subject | S | 1..1 | Reference(QICorePatient | Group | QICorePractitioner | QICoreRelatedPerson) | Subject impacted by event |
encounter | S | 0..1 | Reference(QICoreEncounter) | Encounter created as part of |
date | 0..1 | dateTime | When the event occurred | |
resultingCondition | S | 0..* | Reference(Condition) | Effect on the subject due to this event |
location | 0..1 | Reference(QICoreLocation) | Location where adverse event occurred | |
recorder | 0..1 | Reference(QICorePatient | QICoreRelatedPerson | QICorePractitioner | QICorePractitionerRole) | Who recorded the adverse event | |
suspectEntity | 0..* | BackboneElement | The suspected agent causing the adverse event | |
instance | S | 1..1 | Reference(QICoreImmunization | QICoreProcedure | QICoreSubstance | QICoreMedication | QICoreMedicationAdministration | QICoreMedicationStatement | QICoreDevice) | Refers to the specific entity that caused the adverse event |
causality | 0..1 | BackboneElement | Information on the possible cause of the event | |
Documentation for this format |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
AdverseEvent | 0..* | AdverseEvent | Medical care, research study or other healthcare event causing physical injury | |
id | Σ | 0..1 | string | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | |
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
contained | 0..* | Resource | Contained, inline Resources | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..1 | Identifier | Business identifier for the event |
actuality | ?!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: 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: SNOMEDCTClinicalFindings (example): Detailed type of event. |
subject | SΣ | 1..1 | Reference(QICorePatient | Group | QICorePractitioner | QICoreRelatedPerson) | Subject impacted by event |
encounter | SΣ | 0..1 | Reference(QICoreEncounter) | Encounter created as part of |
date | Σ | 0..1 | dateTime | When the event occurred |
detected | Σ | 0..1 | dateTime | When the event was detected |
recordedDate | Σ | 0..1 | dateTime | When the event was recorded |
resultingCondition | SΣ | 0..* | Reference(Condition) | Effect on the subject due to this event |
location | Σ | 0..1 | Reference(QICoreLocation) | Location where adverse event occurred |
seriousness | 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: 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: AdverseEventOutcome (required): TODO (and should this be required?). |
recorder | Σ | 0..1 | Reference(QICorePatient | QICoreRelatedPerson | QICorePractitioner | QICorePractitionerRole) | Who recorded the adverse event |
contributor | Σ | 0..* | Reference(Practitioner | PractitionerRole | Device) | Who was involved in the adverse event or the potential adverse event |
suspectEntity | Σ | 0..* | BackboneElement | The suspected agent causing the adverse event |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
instance | SΣ | 1..1 | Reference(QICoreImmunization | QICoreProcedure | QICoreSubstance | QICoreMedication | QICoreMedicationAdministration | QICoreMedicationStatement | QICoreDevice) | Refers to the specific entity that caused the adverse event |
causality | Σ | 0..1 | BackboneElement | Information on the possible cause of the event |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?!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: AdverseEventCausalityAssessment (example): Codes for the assessment of whether the entity caused the event. |
productRelatedness | Σ | 0..1 | string | AdverseEvent.suspectEntity.causalityProductRelatedness |
author | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | AdverseEvent.suspectEntity.causalityAuthor |
method | Σ | 0..1 | CodeableConcept | ProbabilityScale | Bayesian | Checklist Binding: AdverseEventCausalityMethod (example): TODO. |
subjectMedicalHistory | Σ | 0..* | Reference(Condition | Observation | AllergyIntolerance | FamilyMemberHistory | Immunization | Procedure | Media | DocumentReference) | AdverseEvent.subjectMedicalHistory |
referenceDocument | Σ | 0..* | Reference(DocumentReference) | AdverseEvent.referenceDocument |
study | Σ | 0..* | Reference(ResearchStudy) | AdverseEvent.study |
Documentation for this format |
Other representations of profile: CSV, Excel, Schematron
Path | Conformance | ValueSet |
AdverseEvent.language | preferred | CommonLanguages Max Binding: AllLanguages |
AdverseEvent.actuality | required | AdverseEventActuality |
AdverseEvent.category | extensible | AdverseEventCategory |
AdverseEvent.event | example | SNOMEDCTClinicalFindings |
AdverseEvent.seriousness | example | AdverseEventSeriousness |
AdverseEvent.severity | required | AdverseEventSeverity |
AdverseEvent.outcome | required | AdverseEventOutcome |
AdverseEvent.suspectEntity.causality.assessment | example | AdverseEventCausalityAssessment |
AdverseEvent.suspectEntity.causality.method | example | AdverseEventCausalityMethod |
Id | Grade | Path | Details | Requirements |
dom-2 | error | AdverseEvent | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | AdverseEvent | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | AdverseEvent | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | AdverseEvent | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | Best Practice | AdverseEvent | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | AdverseEvent.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | AdverseEvent.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | AdverseEvent.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | AdverseEvent.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | AdverseEvent.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | AdverseEvent.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | AdverseEvent.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | AdverseEvent.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | AdverseEvent.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | AdverseEvent.actuality | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | AdverseEvent.category | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | AdverseEvent.event | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | AdverseEvent.subject | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | AdverseEvent.encounter | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | AdverseEvent.date | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | AdverseEvent.detected | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | AdverseEvent.recordedDate | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | AdverseEvent.resultingCondition | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | AdverseEvent.location | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | AdverseEvent.seriousness | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | AdverseEvent.severity | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | AdverseEvent.outcome | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | AdverseEvent.recorder | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | AdverseEvent.contributor | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | AdverseEvent.suspectEntity | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | AdverseEvent.suspectEntity.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | AdverseEvent.suspectEntity.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | AdverseEvent.suspectEntity.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | AdverseEvent.suspectEntity.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | AdverseEvent.suspectEntity.instance | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | AdverseEvent.suspectEntity.causality | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | AdverseEvent.suspectEntity.causality.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | AdverseEvent.suspectEntity.causality.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | AdverseEvent.suspectEntity.causality.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | AdverseEvent.suspectEntity.causality.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | AdverseEvent.suspectEntity.causality.assessment | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | AdverseEvent.suspectEntity.causality.productRelatedness | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | AdverseEvent.suspectEntity.causality.author | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | AdverseEvent.suspectEntity.causality.method | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | AdverseEvent.subjectMedicalHistory | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | AdverseEvent.referenceDocument | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | AdverseEvent.study | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |