Extensions for Using Data Elements from FHIR STU3 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR STU3 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR STU3 in FHIR R4B - Downloaded Version null See the Directory of published versions
| Official URL: http://hl7.org/fhir/3.0/StructureDefinition/profile-AdverseEvent | Version: 0.1.0 | |||
| Standards status: Trial-use | Maturity Level: 0 | Computable Name: Profile_R3_AdverseEvent_R4B | ||
This cross-version profile allows STU3 AdverseEvent content to be represented via FHIR R4B AdverseEvent resources.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  AdverseEvent |
0..* | AdverseEvent(4.3.0) | Medical care, research study or other healthcare event causing physical injury | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |
   extension:description |
0..1 | string | STU3: Description of the adverse event (new) URL: http://hl7.org/fhir/3.0/StructureDefinition/extension-AdverseEvent.description Constraints: ext-1 | |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 |
| actuality |
?!Σ | 1..1 | code | actual | potential Binding: AdverseEventActuality (required): Overall nature of the adverse event, e.g. real or potential. |
  subject |
Σ | 1..1 | Reference(Patient | Group | Practitioner | RelatedPerson) | Subject impacted by event |
 Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |
| extension:subject |
0..1 | Reference(Resource) | STU3: Subject or group impacted by event URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| AdverseEvent.actuality | Base | required | AdverseEventActuality | 📍4.3.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 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.exists() and ('#'+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(uri) = '#').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.implicitRules, AdverseEvent.extension, AdverseEvent.extension:description, AdverseEvent.modifierExtension, AdverseEvent.actuality, AdverseEvent.subject, AdverseEvent.subject.extension, AdverseEvent.subject.extension:subject | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | AdverseEvent.extension, AdverseEvent.extension:description, AdverseEvent.modifierExtension, AdverseEvent.subject.extension, AdverseEvent.subject.extension:subject | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from AdverseEvent
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| AdverseEvent |
0..* | AdverseEvent(4.3.0) | Medical care, research study or other healthcare event causing physical injury | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
 meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:meta |
0..1 | (Complex) | STU3: meta additional types URL: http://hl7.org/fhir/3.0/StructureDefinition/extension-AdverseEvent.meta Constraints: ext-1 | |||||
| versionId |
Σ | 0..1 | id | Version specific identifier | ||||
| lastUpdated |
Σ | 0..1 | instant | When the resource version last changed | ||||
| source |
Σ | 0..1 | uri | Identifies where the resource comes from | ||||
| profile |
Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible) | ||||
 tag |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example) | ||||
| 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): IETF language tag
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:text |
0..1 | (Complex) | STU3: text additional types URL: http://hl7.org/fhir/3.0/StructureDefinition/extension-AdverseEvent.text Constraints: ext-1 | |||||
| status |
1..1 | code | generated | extensions | additional | empty Binding: NarrativeStatus (required) | |||||
| div |
C | 1..1 | xhtml | Limited xhtml content Constraints: txt-1, txt-2 | ||||
| contained |
0..* | Resource | Contained, inline Resources Constraints: dom-r4b | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:description |
0..1 | string | STU3: Description of the adverse event (new) URL: http://hl7.org/fhir/3.0/StructureDefinition/extension-AdverseEvent.description Constraints: ext-1 | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||
| identifier |
Σ | 0..1 | Identifier | Business identifier for the event | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:identifier |
0..1 | Identifier | STU3: identifier additional types URL: http://hl7.org/fhir/3.0/StructureDefinition/extension-AdverseEvent.identifier Constraints: ext-1 | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) | ||||
| type |
Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible) | ||||
| system |
Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
| value |
Σ | 0..1 | string | The value that is unique Example General: 123456 | ||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner |
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| 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. | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:category |
0..1 | code | STU3: AE | PAE
An adverse event is an event that caused harm to a patient, an adverse reaction is a something that is a subject-specific event that is a result of an exposure to a medication, food, device or environmental substance, a potential adverse event is something that occurred and that could have caused harm to a patient but did not additional codes URL: http://hl7.org/fhir/3.0/StructureDefinition/extension-AdverseEvent.category Binding: R3AdverseEventCategoryForR4B (0.1.0) (required): Overall categorization of the event, e.g. real or potential Constraints: ext-1 | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| event |
Σ | 0..1 | CodeableConcept | Type of the event itself in relation to the subject Binding: SNOMEDCTClinicalFindings (example): Detailed type of event. | ||||
| subject |
Σ | 1..1 | Reference(Patient | Group | Practitioner | RelatedPerson) | Subject impacted by event | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:subject |
0..1 | Reference(Resource) | STU3: Subject or group impacted by event URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | 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 |
Σ | 0..* | Reference(Condition) | Effect on the subject due to this event | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:reaction |
0..1 | Reference(Resource) | STU3: Adverse Reaction Events linked to exposure to substance additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| location |
Σ | 0..1 | Reference(Location) | Location where adverse event occurred | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:location |
0..1 | Reference(Resource) | STU3: location additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| 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(Patient | Practitioner | PractitionerRole | RelatedPerson) | Who recorded the adverse event | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:recorder |
0..1 | Reference(Resource) | STU3: recorder URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| contributor |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Device) | Who was involved in the adverse event or the potential adverse event | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:eventParticipant |
0..1 | Reference(Resource) | STU3: eventParticipant additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| suspectEntity |
Σ | 0..* | BackboneElement | The suspected agent causing the adverse event | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:causalityResult |
0..1 | CodeableConcept | STU3: result1 | result2 (new) URL: http://hl7.org/fhir/3.0/StructureDefinition/extension-AdverseEvent.suspectEntity.causalityResult Binding: R3AdverseEventCausalityResultForR4B (0.1.0) (example): TODO Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| instance |
Σ | 1..1 | Reference(Immunization | Procedure | Substance | Medication | MedicationAdministration | MedicationStatement | Device) | Refers to the specific entity that caused the adverse event | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:instance |
0..1 | Reference(Resource) | STU3: instance URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| causality |
Σ | 0..* | BackboneElement | Information on the possible cause of the event | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:causality |
0..1 | code | STU3: causality1 | causality2 URL: http://hl7.org/fhir/3.0/StructureDefinition/extension-AdverseEvent.suspectEntity.causality Binding: R3AdverseEventCausalityForR4B (0.1.0) (required): TODO Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| 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 | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:causalityAuthor |
0..1 | Reference(Resource) | STU3: causalityAuthor additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| 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 | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:subjectMedicalHistory |
0..1 | Reference(Resource) | STU3: subjectMedicalHistory URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| referenceDocument |
Σ | 0..* | Reference(DocumentReference) | AdverseEvent.referenceDocument | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:referenceDocument |
0..1 | Reference(Resource) | STU3: referenceDocument additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| study |
Σ | 0..* | Reference(ResearchStudy) | AdverseEvent.study | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:study |
0..1 | Reference(Resource) | STU3: study additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| AdverseEvent.meta.security | Base | extensible | SecurityLabels | 📍4.3.0 | FHIR Std. |
| AdverseEvent.meta.tag | Base | example | Common Tags | 📍4.3.0 | FHIR Std. |
| AdverseEvent.language | Base | preferred | Common Languages | 📍4.3.0 | FHIR Std. |
| AdverseEvent.text.status | Base | required | NarrativeStatus | 📍4.3.0 | FHIR Std. |
| AdverseEvent.identifier.use | Base | required | IdentifierUse | 📍4.3.0 | FHIR Std. |
| AdverseEvent.identifier.type | Base | extensible | IdentifierType | 📍4.3.0 | FHIR Std. |
| AdverseEvent.actuality | Base | required | AdverseEventActuality | 📍4.3.0 | FHIR Std. |
| AdverseEvent.category | Base | extensible | AdverseEventCategory | 📍4.3.0 | FHIR Std. |
| AdverseEvent.event | Base | example | SNOMED CT Clinical Findings | 📍4.3.0 | FHIR Std. |
| AdverseEvent.subject.type | Base | extensible | ResourceType | 📍4.3.0 | FHIR Std. |
| AdverseEvent.resultingCondition.type | Base | extensible | ResourceType | 📍4.3.0 | FHIR Std. |
| AdverseEvent.location.type | Base | extensible | ResourceType | 📍4.3.0 | FHIR Std. |
| AdverseEvent.seriousness | Base | example | AdverseEventSeriousness | 📍4.3.0 | FHIR Std. |
| AdverseEvent.severity | Base | required | AdverseEventSeverity | 📍4.3.0 | FHIR Std. |
| AdverseEvent.outcome | Base | required | AdverseEventOutcome | 📍4.3.0 | FHIR Std. |
| AdverseEvent.recorder.type | Base | extensible | ResourceType | 📍4.3.0 | FHIR Std. |
| AdverseEvent.contributor.type | Base | extensible | ResourceType | 📍4.3.0 | FHIR Std. |
| AdverseEvent.suspectEntity.instance.type | Base | extensible | ResourceType | 📍4.3.0 | FHIR Std. |
| AdverseEvent.suspectEntity.causality.assessment | Base | example | AdverseEventCausalityAssessment | 📍4.3.0 | FHIR Std. |
| AdverseEvent.suspectEntity.causality.author.type | Base | extensible | ResourceType | 📍4.3.0 | FHIR Std. |
| AdverseEvent.suspectEntity.causality.method | Base | example | AdverseEventCausalityMethod | 📍4.3.0 | FHIR Std. |
| AdverseEvent.subjectMedicalHistory.type | Base | extensible | ResourceType | 📍4.3.0 | FHIR Std. |
| AdverseEvent.referenceDocument.type | Base | extensible | ResourceType | 📍4.3.0 | FHIR Std. |
| AdverseEvent.study.type | Base | extensible | ResourceType | 📍4.3.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 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.exists() and ('#'+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(uri) = '#').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()
|
| dom-r4b | warning | AdverseEvent.contained | Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems |
($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
|
| ele-1 | error | AdverseEvent.meta, AdverseEvent.meta.extension, AdverseEvent.meta.extension:meta, AdverseEvent.meta.versionId, AdverseEvent.meta.lastUpdated, AdverseEvent.meta.source, AdverseEvent.meta.profile, AdverseEvent.meta.security, AdverseEvent.meta.tag, AdverseEvent.implicitRules, AdverseEvent.language, AdverseEvent.text, AdverseEvent.text.extension, AdverseEvent.text.extension:text, AdverseEvent.text.status, AdverseEvent.text.div, AdverseEvent.extension, AdverseEvent.extension:description, AdverseEvent.modifierExtension, AdverseEvent.identifier, AdverseEvent.identifier.extension, AdverseEvent.identifier.extension:identifier, AdverseEvent.identifier.use, AdverseEvent.identifier.type, AdverseEvent.identifier.system, AdverseEvent.identifier.value, AdverseEvent.identifier.period, AdverseEvent.identifier.assigner, AdverseEvent.actuality, AdverseEvent.category, AdverseEvent.category.extension, AdverseEvent.category.extension:category, AdverseEvent.category.coding, AdverseEvent.category.text, AdverseEvent.event, AdverseEvent.subject, AdverseEvent.subject.extension, AdverseEvent.subject.extension:subject, AdverseEvent.subject.reference, AdverseEvent.subject.type, AdverseEvent.subject.identifier, AdverseEvent.subject.display, AdverseEvent.encounter, AdverseEvent.date, AdverseEvent.detected, AdverseEvent.recordedDate, AdverseEvent.resultingCondition, AdverseEvent.resultingCondition.extension, AdverseEvent.resultingCondition.extension:reaction, AdverseEvent.resultingCondition.reference, AdverseEvent.resultingCondition.type, AdverseEvent.resultingCondition.identifier, AdverseEvent.resultingCondition.display, AdverseEvent.location, AdverseEvent.location.extension, AdverseEvent.location.extension:location, AdverseEvent.location.reference, AdverseEvent.location.type, AdverseEvent.location.identifier, AdverseEvent.location.display, AdverseEvent.seriousness, AdverseEvent.severity, AdverseEvent.outcome, AdverseEvent.recorder, AdverseEvent.recorder.extension, AdverseEvent.recorder.extension:recorder, AdverseEvent.recorder.reference, AdverseEvent.recorder.type, AdverseEvent.recorder.identifier, AdverseEvent.recorder.display, AdverseEvent.contributor, AdverseEvent.contributor.extension, AdverseEvent.contributor.extension:eventParticipant, AdverseEvent.contributor.reference, AdverseEvent.contributor.type, AdverseEvent.contributor.identifier, AdverseEvent.contributor.display, AdverseEvent.suspectEntity, AdverseEvent.suspectEntity.extension, AdverseEvent.suspectEntity.extension:causalityResult, AdverseEvent.suspectEntity.modifierExtension, AdverseEvent.suspectEntity.instance, AdverseEvent.suspectEntity.instance.extension, AdverseEvent.suspectEntity.instance.extension:instance, AdverseEvent.suspectEntity.instance.reference, AdverseEvent.suspectEntity.instance.type, AdverseEvent.suspectEntity.instance.identifier, AdverseEvent.suspectEntity.instance.display, AdverseEvent.suspectEntity.causality, AdverseEvent.suspectEntity.causality.extension, AdverseEvent.suspectEntity.causality.extension:causality, AdverseEvent.suspectEntity.causality.modifierExtension, AdverseEvent.suspectEntity.causality.assessment, AdverseEvent.suspectEntity.causality.productRelatedness, AdverseEvent.suspectEntity.causality.author, AdverseEvent.suspectEntity.causality.author.extension, AdverseEvent.suspectEntity.causality.author.extension:causalityAuthor, AdverseEvent.suspectEntity.causality.author.reference, AdverseEvent.suspectEntity.causality.author.type, AdverseEvent.suspectEntity.causality.author.identifier, AdverseEvent.suspectEntity.causality.author.display, AdverseEvent.suspectEntity.causality.method, AdverseEvent.subjectMedicalHistory, AdverseEvent.subjectMedicalHistory.extension, AdverseEvent.subjectMedicalHistory.extension:subjectMedicalHistory, AdverseEvent.subjectMedicalHistory.reference, AdverseEvent.subjectMedicalHistory.type, AdverseEvent.subjectMedicalHistory.identifier, AdverseEvent.subjectMedicalHistory.display, AdverseEvent.referenceDocument, AdverseEvent.referenceDocument.extension, AdverseEvent.referenceDocument.extension:referenceDocument, AdverseEvent.referenceDocument.reference, AdverseEvent.referenceDocument.type, AdverseEvent.referenceDocument.identifier, AdverseEvent.referenceDocument.display, AdverseEvent.study, AdverseEvent.study.extension, AdverseEvent.study.extension:study, AdverseEvent.study.reference, AdverseEvent.study.type, AdverseEvent.study.identifier, AdverseEvent.study.display | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | AdverseEvent.meta.extension, AdverseEvent.meta.extension:meta, AdverseEvent.text.extension, AdverseEvent.text.extension:text, AdverseEvent.extension, AdverseEvent.extension:description, AdverseEvent.modifierExtension, AdverseEvent.identifier.extension, AdverseEvent.identifier.extension:identifier, AdverseEvent.category.extension, AdverseEvent.category.extension:category, AdverseEvent.subject.extension, AdverseEvent.subject.extension:subject, AdverseEvent.resultingCondition.extension, AdverseEvent.resultingCondition.extension:reaction, AdverseEvent.location.extension, AdverseEvent.location.extension:location, AdverseEvent.recorder.extension, AdverseEvent.recorder.extension:recorder, AdverseEvent.contributor.extension, AdverseEvent.contributor.extension:eventParticipant, AdverseEvent.suspectEntity.extension, AdverseEvent.suspectEntity.extension:causalityResult, AdverseEvent.suspectEntity.modifierExtension, AdverseEvent.suspectEntity.instance.extension, AdverseEvent.suspectEntity.instance.extension:instance, AdverseEvent.suspectEntity.causality.extension, AdverseEvent.suspectEntity.causality.extension:causality, AdverseEvent.suspectEntity.causality.modifierExtension, AdverseEvent.suspectEntity.causality.author.extension, AdverseEvent.suspectEntity.causality.author.extension:causalityAuthor, AdverseEvent.subjectMedicalHistory.extension, AdverseEvent.subjectMedicalHistory.extension:subjectMedicalHistory, AdverseEvent.referenceDocument.extension, AdverseEvent.referenceDocument.extension:referenceDocument, AdverseEvent.study.extension, AdverseEvent.study.extension:study | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| txt-1 | error | AdverseEvent.text.div | The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes |
htmlChecks()
|
| txt-2 | error | AdverseEvent.text.div | The narrative SHALL have some non-whitespace content |
htmlChecks()
|
This structure is derived from AdverseEvent
Summary
Extensions
This structure refers to these extensions:
Maturity: 0
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| AdverseEvent |
0..* | AdverseEvent(4.3.0) | Medical care, research study or other healthcare event causing physical injury | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |
| extension:description |
0..1 | string | STU3: Description of the adverse event (new) URL: http://hl7.org/fhir/3.0/StructureDefinition/extension-AdverseEvent.description Constraints: ext-1 | |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 |
| actuality |
?!Σ | 1..1 | code | actual | potential Binding: AdverseEventActuality (required): Overall nature of the adverse event, e.g. real or potential. |
| subject |
Σ | 1..1 | Reference(Patient | Group | Practitioner | RelatedPerson) | Subject impacted by event |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |
| extension:subject |
0..1 | Reference(Resource) | STU3: Subject or group impacted by event URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| AdverseEvent.actuality | Base | required | AdverseEventActuality | 📍4.3.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 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.exists() and ('#'+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(uri) = '#').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.implicitRules, AdverseEvent.extension, AdverseEvent.extension:description, AdverseEvent.modifierExtension, AdverseEvent.actuality, AdverseEvent.subject, AdverseEvent.subject.extension, AdverseEvent.subject.extension:subject | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | AdverseEvent.extension, AdverseEvent.extension:description, AdverseEvent.modifierExtension, AdverseEvent.subject.extension, AdverseEvent.subject.extension:subject | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from AdverseEvent
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| AdverseEvent |
0..* | AdverseEvent(4.3.0) | Medical care, research study or other healthcare event causing physical injury | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:meta |
0..1 | (Complex) | STU3: meta additional types URL: http://hl7.org/fhir/3.0/StructureDefinition/extension-AdverseEvent.meta Constraints: ext-1 | |||||
| versionId |
Σ | 0..1 | id | Version specific identifier | ||||
| lastUpdated |
Σ | 0..1 | instant | When the resource version last changed | ||||
| source |
Σ | 0..1 | uri | Identifies where the resource comes from | ||||
| profile |
Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible) | ||||
| tag |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example) | ||||
| 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): IETF language tag
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:text |
0..1 | (Complex) | STU3: text additional types URL: http://hl7.org/fhir/3.0/StructureDefinition/extension-AdverseEvent.text Constraints: ext-1 | |||||
| status |
1..1 | code | generated | extensions | additional | empty Binding: NarrativeStatus (required) | |||||
| div |
C | 1..1 | xhtml | Limited xhtml content Constraints: txt-1, txt-2 | ||||
| contained |
0..* | Resource | Contained, inline Resources Constraints: dom-r4b | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:description |
0..1 | string | STU3: Description of the adverse event (new) URL: http://hl7.org/fhir/3.0/StructureDefinition/extension-AdverseEvent.description Constraints: ext-1 | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||
| identifier |
Σ | 0..1 | Identifier | Business identifier for the event | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:identifier |
0..1 | Identifier | STU3: identifier additional types URL: http://hl7.org/fhir/3.0/StructureDefinition/extension-AdverseEvent.identifier Constraints: ext-1 | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) | ||||
| type |
Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible) | ||||
| system |
Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
| value |
Σ | 0..1 | string | The value that is unique Example General: 123456 | ||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner |
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| 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. | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:category |
0..1 | code | STU3: AE | PAE
An adverse event is an event that caused harm to a patient, an adverse reaction is a something that is a subject-specific event that is a result of an exposure to a medication, food, device or environmental substance, a potential adverse event is something that occurred and that could have caused harm to a patient but did not additional codes URL: http://hl7.org/fhir/3.0/StructureDefinition/extension-AdverseEvent.category Binding: R3AdverseEventCategoryForR4B (0.1.0) (required): Overall categorization of the event, e.g. real or potential Constraints: ext-1 | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| event |
Σ | 0..1 | CodeableConcept | Type of the event itself in relation to the subject Binding: SNOMEDCTClinicalFindings (example): Detailed type of event. | ||||
| subject |
Σ | 1..1 | Reference(Patient | Group | Practitioner | RelatedPerson) | Subject impacted by event | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:subject |
0..1 | Reference(Resource) | STU3: Subject or group impacted by event URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | 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 |
Σ | 0..* | Reference(Condition) | Effect on the subject due to this event | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:reaction |
0..1 | Reference(Resource) | STU3: Adverse Reaction Events linked to exposure to substance additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| location |
Σ | 0..1 | Reference(Location) | Location where adverse event occurred | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:location |
0..1 | Reference(Resource) | STU3: location additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| 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(Patient | Practitioner | PractitionerRole | RelatedPerson) | Who recorded the adverse event | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:recorder |
0..1 | Reference(Resource) | STU3: recorder URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| contributor |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Device) | Who was involved in the adverse event or the potential adverse event | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:eventParticipant |
0..1 | Reference(Resource) | STU3: eventParticipant additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| suspectEntity |
Σ | 0..* | BackboneElement | The suspected agent causing the adverse event | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:causalityResult |
0..1 | CodeableConcept | STU3: result1 | result2 (new) URL: http://hl7.org/fhir/3.0/StructureDefinition/extension-AdverseEvent.suspectEntity.causalityResult Binding: R3AdverseEventCausalityResultForR4B (0.1.0) (example): TODO Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| instance |
Σ | 1..1 | Reference(Immunization | Procedure | Substance | Medication | MedicationAdministration | MedicationStatement | Device) | Refers to the specific entity that caused the adverse event | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:instance |
0..1 | Reference(Resource) | STU3: instance URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| causality |
Σ | 0..* | BackboneElement | Information on the possible cause of the event | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:causality |
0..1 | code | STU3: causality1 | causality2 URL: http://hl7.org/fhir/3.0/StructureDefinition/extension-AdverseEvent.suspectEntity.causality Binding: R3AdverseEventCausalityForR4B (0.1.0) (required): TODO Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| 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 | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:causalityAuthor |
0..1 | Reference(Resource) | STU3: causalityAuthor additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| 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 | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:subjectMedicalHistory |
0..1 | Reference(Resource) | STU3: subjectMedicalHistory URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| referenceDocument |
Σ | 0..* | Reference(DocumentReference) | AdverseEvent.referenceDocument | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:referenceDocument |
0..1 | Reference(Resource) | STU3: referenceDocument additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| study |
Σ | 0..* | Reference(ResearchStudy) | AdverseEvent.study | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:study |
0..1 | Reference(Resource) | STU3: study additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| AdverseEvent.meta.security | Base | extensible | SecurityLabels | 📍4.3.0 | FHIR Std. |
| AdverseEvent.meta.tag | Base | example | Common Tags | 📍4.3.0 | FHIR Std. |
| AdverseEvent.language | Base | preferred | Common Languages | 📍4.3.0 | FHIR Std. |
| AdverseEvent.text.status | Base | required | NarrativeStatus | 📍4.3.0 | FHIR Std. |
| AdverseEvent.identifier.use | Base | required | IdentifierUse | 📍4.3.0 | FHIR Std. |
| AdverseEvent.identifier.type | Base | extensible | IdentifierType | 📍4.3.0 | FHIR Std. |
| AdverseEvent.actuality | Base | required | AdverseEventActuality | 📍4.3.0 | FHIR Std. |
| AdverseEvent.category | Base | extensible | AdverseEventCategory | 📍4.3.0 | FHIR Std. |
| AdverseEvent.event | Base | example | SNOMED CT Clinical Findings | 📍4.3.0 | FHIR Std. |
| AdverseEvent.subject.type | Base | extensible | ResourceType | 📍4.3.0 | FHIR Std. |
| AdverseEvent.resultingCondition.type | Base | extensible | ResourceType | 📍4.3.0 | FHIR Std. |
| AdverseEvent.location.type | Base | extensible | ResourceType | 📍4.3.0 | FHIR Std. |
| AdverseEvent.seriousness | Base | example | AdverseEventSeriousness | 📍4.3.0 | FHIR Std. |
| AdverseEvent.severity | Base | required | AdverseEventSeverity | 📍4.3.0 | FHIR Std. |
| AdverseEvent.outcome | Base | required | AdverseEventOutcome | 📍4.3.0 | FHIR Std. |
| AdverseEvent.recorder.type | Base | extensible | ResourceType | 📍4.3.0 | FHIR Std. |
| AdverseEvent.contributor.type | Base | extensible | ResourceType | 📍4.3.0 | FHIR Std. |
| AdverseEvent.suspectEntity.instance.type | Base | extensible | ResourceType | 📍4.3.0 | FHIR Std. |
| AdverseEvent.suspectEntity.causality.assessment | Base | example | AdverseEventCausalityAssessment | 📍4.3.0 | FHIR Std. |
| AdverseEvent.suspectEntity.causality.author.type | Base | extensible | ResourceType | 📍4.3.0 | FHIR Std. |
| AdverseEvent.suspectEntity.causality.method | Base | example | AdverseEventCausalityMethod | 📍4.3.0 | FHIR Std. |
| AdverseEvent.subjectMedicalHistory.type | Base | extensible | ResourceType | 📍4.3.0 | FHIR Std. |
| AdverseEvent.referenceDocument.type | Base | extensible | ResourceType | 📍4.3.0 | FHIR Std. |
| AdverseEvent.study.type | Base | extensible | ResourceType | 📍4.3.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 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.exists() and ('#'+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(uri) = '#').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()
|
| dom-r4b | warning | AdverseEvent.contained | Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems |
($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
|
| ele-1 | error | AdverseEvent.meta, AdverseEvent.meta.extension, AdverseEvent.meta.extension:meta, AdverseEvent.meta.versionId, AdverseEvent.meta.lastUpdated, AdverseEvent.meta.source, AdverseEvent.meta.profile, AdverseEvent.meta.security, AdverseEvent.meta.tag, AdverseEvent.implicitRules, AdverseEvent.language, AdverseEvent.text, AdverseEvent.text.extension, AdverseEvent.text.extension:text, AdverseEvent.text.status, AdverseEvent.text.div, AdverseEvent.extension, AdverseEvent.extension:description, AdverseEvent.modifierExtension, AdverseEvent.identifier, AdverseEvent.identifier.extension, AdverseEvent.identifier.extension:identifier, AdverseEvent.identifier.use, AdverseEvent.identifier.type, AdverseEvent.identifier.system, AdverseEvent.identifier.value, AdverseEvent.identifier.period, AdverseEvent.identifier.assigner, AdverseEvent.actuality, AdverseEvent.category, AdverseEvent.category.extension, AdverseEvent.category.extension:category, AdverseEvent.category.coding, AdverseEvent.category.text, AdverseEvent.event, AdverseEvent.subject, AdverseEvent.subject.extension, AdverseEvent.subject.extension:subject, AdverseEvent.subject.reference, AdverseEvent.subject.type, AdverseEvent.subject.identifier, AdverseEvent.subject.display, AdverseEvent.encounter, AdverseEvent.date, AdverseEvent.detected, AdverseEvent.recordedDate, AdverseEvent.resultingCondition, AdverseEvent.resultingCondition.extension, AdverseEvent.resultingCondition.extension:reaction, AdverseEvent.resultingCondition.reference, AdverseEvent.resultingCondition.type, AdverseEvent.resultingCondition.identifier, AdverseEvent.resultingCondition.display, AdverseEvent.location, AdverseEvent.location.extension, AdverseEvent.location.extension:location, AdverseEvent.location.reference, AdverseEvent.location.type, AdverseEvent.location.identifier, AdverseEvent.location.display, AdverseEvent.seriousness, AdverseEvent.severity, AdverseEvent.outcome, AdverseEvent.recorder, AdverseEvent.recorder.extension, AdverseEvent.recorder.extension:recorder, AdverseEvent.recorder.reference, AdverseEvent.recorder.type, AdverseEvent.recorder.identifier, AdverseEvent.recorder.display, AdverseEvent.contributor, AdverseEvent.contributor.extension, AdverseEvent.contributor.extension:eventParticipant, AdverseEvent.contributor.reference, AdverseEvent.contributor.type, AdverseEvent.contributor.identifier, AdverseEvent.contributor.display, AdverseEvent.suspectEntity, AdverseEvent.suspectEntity.extension, AdverseEvent.suspectEntity.extension:causalityResult, AdverseEvent.suspectEntity.modifierExtension, AdverseEvent.suspectEntity.instance, AdverseEvent.suspectEntity.instance.extension, AdverseEvent.suspectEntity.instance.extension:instance, AdverseEvent.suspectEntity.instance.reference, AdverseEvent.suspectEntity.instance.type, AdverseEvent.suspectEntity.instance.identifier, AdverseEvent.suspectEntity.instance.display, AdverseEvent.suspectEntity.causality, AdverseEvent.suspectEntity.causality.extension, AdverseEvent.suspectEntity.causality.extension:causality, AdverseEvent.suspectEntity.causality.modifierExtension, AdverseEvent.suspectEntity.causality.assessment, AdverseEvent.suspectEntity.causality.productRelatedness, AdverseEvent.suspectEntity.causality.author, AdverseEvent.suspectEntity.causality.author.extension, AdverseEvent.suspectEntity.causality.author.extension:causalityAuthor, AdverseEvent.suspectEntity.causality.author.reference, AdverseEvent.suspectEntity.causality.author.type, AdverseEvent.suspectEntity.causality.author.identifier, AdverseEvent.suspectEntity.causality.author.display, AdverseEvent.suspectEntity.causality.method, AdverseEvent.subjectMedicalHistory, AdverseEvent.subjectMedicalHistory.extension, AdverseEvent.subjectMedicalHistory.extension:subjectMedicalHistory, AdverseEvent.subjectMedicalHistory.reference, AdverseEvent.subjectMedicalHistory.type, AdverseEvent.subjectMedicalHistory.identifier, AdverseEvent.subjectMedicalHistory.display, AdverseEvent.referenceDocument, AdverseEvent.referenceDocument.extension, AdverseEvent.referenceDocument.extension:referenceDocument, AdverseEvent.referenceDocument.reference, AdverseEvent.referenceDocument.type, AdverseEvent.referenceDocument.identifier, AdverseEvent.referenceDocument.display, AdverseEvent.study, AdverseEvent.study.extension, AdverseEvent.study.extension:study, AdverseEvent.study.reference, AdverseEvent.study.type, AdverseEvent.study.identifier, AdverseEvent.study.display | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | AdverseEvent.meta.extension, AdverseEvent.meta.extension:meta, AdverseEvent.text.extension, AdverseEvent.text.extension:text, AdverseEvent.extension, AdverseEvent.extension:description, AdverseEvent.modifierExtension, AdverseEvent.identifier.extension, AdverseEvent.identifier.extension:identifier, AdverseEvent.category.extension, AdverseEvent.category.extension:category, AdverseEvent.subject.extension, AdverseEvent.subject.extension:subject, AdverseEvent.resultingCondition.extension, AdverseEvent.resultingCondition.extension:reaction, AdverseEvent.location.extension, AdverseEvent.location.extension:location, AdverseEvent.recorder.extension, AdverseEvent.recorder.extension:recorder, AdverseEvent.contributor.extension, AdverseEvent.contributor.extension:eventParticipant, AdverseEvent.suspectEntity.extension, AdverseEvent.suspectEntity.extension:causalityResult, AdverseEvent.suspectEntity.modifierExtension, AdverseEvent.suspectEntity.instance.extension, AdverseEvent.suspectEntity.instance.extension:instance, AdverseEvent.suspectEntity.causality.extension, AdverseEvent.suspectEntity.causality.extension:causality, AdverseEvent.suspectEntity.causality.modifierExtension, AdverseEvent.suspectEntity.causality.author.extension, AdverseEvent.suspectEntity.causality.author.extension:causalityAuthor, AdverseEvent.subjectMedicalHistory.extension, AdverseEvent.subjectMedicalHistory.extension:subjectMedicalHistory, AdverseEvent.referenceDocument.extension, AdverseEvent.referenceDocument.extension:referenceDocument, AdverseEvent.study.extension, AdverseEvent.study.extension:study | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| txt-1 | error | AdverseEvent.text.div | The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes |
htmlChecks()
|
| txt-2 | error | AdverseEvent.text.div | The narrative SHALL have some non-whitespace content |
htmlChecks()
|
This structure is derived from AdverseEvent
Summary
Extensions
This structure refers to these extensions:
Maturity: 0
Other representations of profile: CSV, Excel, Schematron
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r3.r4b#0.1.0 based on FHIR 4.3.0. Generated 2026-03-20
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change
