Generated Narrative: StructureDefinition profile-AdverseEvent Name Flags Card. Type Description & Constraints AdverseEvent 0..* AdverseEvent Medical care, research study or other healthcare event causing physical injury #xD; meta #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:meta 0..1 Meta R4B: meta additional types URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-AdverseEvent.meta #xD; text #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:text 0..1 (Complex) R4B: text additional types URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-AdverseEvent.text #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:encounter 0..1 Reference(Cross-version Profile for R4B.Encounter for use in FHIR STU3(0.1.0) | Encounter) R4B: Encounter created as part of (new) URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-AdverseEvent.encounter #xD; extension:detected 0..1 dateTime R4B: When the event was detected (new) URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-AdverseEvent.detected #xD; extension:recordedDate 0..1 dateTime R4B: When the event was recorded (new) URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-AdverseEvent.recordedDate #xD; extension:severity 0..1 CodeableConcept R4B: mild | moderate | severe (new) URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-AdverseEvent.severity Binding: R4BAdverseEventSeverityForR3 (0.1.0) (required): The severity of the adverse event itself, in direct relation to the subject. #xD; identifier #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:identifier 0..1 Identifier R4B: identifier additional types URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-AdverseEvent.identifier #xD; category #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:category 0..* CodeableConcept R4B: 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 additional types URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-AdverseEvent.category Binding: AdverseEventCategory (extensible): Overall categorization of the event, e.g. product-related or situational. #xD; type #xD; Slices for modifierExtension 0..* Slice: Unordered, Open by value:url #xD; modifierExtension:actuality 1..1 code R4B: actuality URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-AdverseEvent.actuality Binding: R4BAdverseEventActualityForR3 (0.1.0) (required): Overall nature of the adverse event, e.g. real or potential. #xD; subject #xD; Slices for extension 1..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:subject 1..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: Subject impacted by event URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; reaction #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:resultingCondition 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: Effect on the subject due to this event additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; location #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:location 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: location additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; recorder #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:recorder 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: recorder URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; eventParticipant #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:contributor 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: contributor URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; suspectEntity #xD; instance #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:instance 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: instance URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; causalityAuthor #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:author 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: author additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; subjectMedicalHistory #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:subjectMedicalHistory 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: subjectMedicalHistory URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; referenceDocument #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:referenceDocument 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: referenceDocument additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; study #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:study 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4B: study additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; Documentation for this format
Cross-version Profile for R4B.AdverseEvent for use in FHIR STU3
This cross-version profile allows R4B AdverseEvent content to be represented via FHIR STU3 AdverseEvent resources.
Medical care, research study or other healthcare event causing physical injury
Actual or potential/avoided event causing unintended physical injury resulting from or contributed to by medical care, a research study or other healthcare setting factors that requires additional monitoring, treatment, or hospitalization, or that results in death.
If the resource is contained in another resource, it SHALL NOT contain nested Resources
not(parent::f:contained and f:contained)
If the resource is contained in another resource, it SHALL NOT contain any narrative
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()
not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
contained.where(('#'+id in %resource.descendants().reference).not()).empty()
not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))
The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.
unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
R4B: `AdverseEvent.meta` additional types (Meta) additional types from child elements (lastUpdated, profile, security, source, tag, versionId)
Element `AdverseEvent.meta` is mapped to FHIR STU3 element `AdverseEvent.meta` as `SourceIsBroaderThanTarget`. The mappings for `AdverseEvent.meta` do not cover the following types: Meta. The mappings for `AdverseEvent.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId.
The version specific identifier, as it appears in the version portion of the URL. This values changes when the resource is created, updated, or deleted.
The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
When the resource last changed - e.g. when the version changed.
This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant.
Profiles this resource claims to conform to
A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/STU3/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/STU3/).
It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
Security Labels applied to this resource
Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
The security labels can be updated without changing the stated version of the resource The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.
Security Labels from the Healthcare Privacy and Security Classification System.
Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
A set of rules under which this content was created
A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.
Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.
The base language in which the resource is written.
Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Text summary of the resource, for human interpretation
A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.
R4B: `AdverseEvent.text` additional types (Narrative) additional types from child elements (div, status)
Element `AdverseEvent.text` is mapped to FHIR STU3 element `AdverseEvent.text` as `SourceIsBroaderThanTarget`. The mappings for `AdverseEvent.text` do not cover the following types: Narrative. The mappings for `AdverseEvent.text` do not cover the following types based on type expansion: div, status. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
generated | extensions | additional | empty
The status of the narrative - whether it's entirely generated (from just the defined data or the extensions too), or whether a human authored it and it may contain additional data.
The actual narrative content, a stripped down version of XHTML.
The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content may not contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.
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, elements (either name or href), images and internally contained style attributes
not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])
The narrative SHALL have some non-whitespace content
descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]
These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.
R4B: `AdverseEvent.encounter` (new:Reference(Encounter))
Element `AdverseEvent.encounter` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.encounter` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. For example, if a medication administration was considered an adverse event because it resulted in a rash, then the encounter when the medication administration was given is the context. If the patient reports the AdverseEvent during a second encounter, that second encounter is not the context.
All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
R4B: `AdverseEvent.detected` (new:dateTime)
Element `AdverseEvent.detected` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.detected` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
R4B: `AdverseEvent.recordedDate` (new:dateTime)
Element `AdverseEvent.recordedDate` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.recordedDate` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). The recordedDate represents the date when this particular AdverseEvent record was created in the system, not the date of the most recent update. The date of the last record modification can be retrieved from the resource metadata.
R4B: `AdverseEvent.severity` (new:CodeableConcept)
Element `AdverseEvent.severity` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.severity` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
The identifier(s) of this adverse event that are assigned by business processes and/or used to refer to it when a direct URL reference to the resource itsefl is not appropriate.
R4B: `AdverseEvent.identifier` additional types (Identifier) additional types from child elements (assigner, period, system, type, use, value)
Element `AdverseEvent.identifier` is mapped to FHIR STU3 element `AdverseEvent.identifier` as `SourceIsBroaderThanTarget`. The mappings for `AdverseEvent.identifier` do not cover the following types: Identifier. The mappings for `AdverseEvent.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. This is a business identifier, not a resource identifier (see [discussion](https://hl7.org/fhir/resource.htm#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.
usual | official | temp | secondary (If known)
This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Identifies the purpose for this identifier, if known .
A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Allows users to make use of identifiers when the identifier system is not known.
A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
The portion of the identifier typically relevant to the user and which is unique within the context of the system.
If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/STU3/extension-rendered-value.html).
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
Time period when id is/was valid for use
Time period during which identifier is/was valid for use.
Role.effectiveTime or implied by context
Organization that issued id (may be just text)
Organization that issued/manages the identifier.
The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
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
The type of event which is important to characterize what occurred and caused harm to the subject, or had the potential to cause harm to the subject.
Overall categorization of the event, e.g. real or potential
unique id for the element within a resource (for internal references)
R4B: 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 additional types
R4B: `AdverseEvent.category` additional types (CodeableConcept) additional types from child elements (coding)
Element `AdverseEvent.category` is mapped to FHIR STU3 element `AdverseEvent.category` as `SourceIsBroaderThanTarget`. The mappings for `AdverseEvent.category` do not cover the following types: CodeableConcept. The mappings for `AdverseEvent.category` do not cover the following types based on type expansion: coding.
This element defines the specific type of event that occurred or that was prevented from occurring.
Additional Content defined by implementations
May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
A reference to a code defined by a terminology system.
Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.
fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
Plain text representation of the concept
A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Very often the text is the same as a displayName of one of the codings.
The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
C*E.9. But note many systems use C*E.2 for this
fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
This subject or group impacted by the event. With a prospective adverse event, there will be no subject as the adverse event was prevented.
Element `AdverseEvent.subject` is mapped to FHIR STU3 element `AdverseEvent.subject` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `AdverseEvent.subject` with unmapped reference targets: Group, Patient, Practitioner, RelatedPerson. If AdverseEvent.resultingCondition differs among members of the group, then use Patient as the subject.
Literal reference, Relative, internal or absolute URL
A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Logical reference, when literal reference is not known
An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
Plain text narrative that identifies the resource in addition to the resource reference.
This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
The date (and perhaps time) when the adverse event occurred.
Adverse Reaction Events linked to exposure to substance
Includes information about the reaction that occurred as a result of exposure to a substance (for example, a drug or a chemical).
R4B: Effect on the subject due to this event additional types
R4B: `AdverseEvent.resultingCondition` additional types from child elements (display, identifier, reference, type)
Element `AdverseEvent.resultingCondition` is mapped to FHIR STU3 element `AdverseEvent.reaction` as `SourceIsBroaderThanTarget`. The mappings for `AdverseEvent.resultingCondition` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `AdverseEvent.resultingCondition` with unmapped reference targets: Condition.
The information about where the adverse event occurred.
R4B: `AdverseEvent.location` additional types from child elements (display, identifier, reference, type)
Element `AdverseEvent.location` is mapped to FHIR STU3 element `AdverseEvent.location` as `SourceIsBroaderThanTarget`. The mappings for `AdverseEvent.location` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `AdverseEvent.location` with unmapped reference targets: Location.
Describes the seriousness or severity of the adverse event.
Overall seriousness of this event for the patient
resolved | recovering | ongoing | resolvedWithSequelae | fatal | unknown
Describes the type of outcome from the adverse event.
Information on who recorded the adverse event. May be the patient or a practitioner.
Element `AdverseEvent.recorder` is mapped to FHIR STU3 element `AdverseEvent.recorder` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `AdverseEvent.recorder` with unmapped reference targets: Patient, Practitioner, PractitionerRole, RelatedPerson.
Who was involved in the adverse event or the potential adverse event
Parties that may or should contribute or have contributed information to the Act. Such information includes information leading to the decision to perform the Act and how to perform the Act (e.g. consultant), information that the Act itself seeks to reveal (e.g. informant of clinical history), or information about what Act was performed (e.g. informant witness).
Element `AdverseEvent.contributor` is mapped to FHIR STU3 element `AdverseEvent.eventParticipant` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `AdverseEvent.contributor` with unmapped reference targets: Device, Practitioner, PractitionerRole.
The suspected agent causing the adverse event
Describes the entity that is suspected to have caused the adverse event.
May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Refers to the specific entity that caused the adverse event
Identifies the actual instance of what caused the adverse event. May be a substance, medication, medication administration, medication statement or a device.
R4B: `AdverseEvent.suspectEntity.instance`
Element `AdverseEvent.suspectEntity.instance` is mapped to FHIR STU3 element `AdverseEvent.suspectEntity.instance` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `AdverseEvent.suspectEntity.instance` with unmapped reference targets: Device, Immunization, Medication, MedicationAdministration, MedicationStatement, Procedure, Substance.
R4B: `AdverseEvent.suspectEntity.causality.author` additional types from child elements (display, identifier, reference, type)
Element `AdverseEvent.suspectEntity.causality.author` is mapped to FHIR STU3 element `AdverseEvent.suspectEntity.causalityAuthor` as `SourceIsBroaderThanTarget`. The mappings for `AdverseEvent.suspectEntity.causality.author` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `AdverseEvent.suspectEntity.causality.author` with unmapped reference targets: Practitioner, PractitionerRole.
R4B: `AdverseEvent.subjectMedicalHistory`
Element `AdverseEvent.subjectMedicalHistory` is mapped to FHIR STU3 element `AdverseEvent.subjectMedicalHistory` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `AdverseEvent.subjectMedicalHistory` with unmapped reference targets: AllergyIntolerance, Condition, DocumentReference, FamilyMemberHistory, Immunization, Media, Observation, Procedure.
R4B: `AdverseEvent.referenceDocument` additional types from child elements (display, identifier, reference, type)
Element `AdverseEvent.referenceDocument` is mapped to FHIR STU3 element `AdverseEvent.referenceDocument` as `SourceIsBroaderThanTarget`. The mappings for `AdverseEvent.referenceDocument` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `AdverseEvent.referenceDocument` with unmapped reference targets: DocumentReference.
R4B: `AdverseEvent.study` additional types from child elements (display, identifier, reference, type)
Element `AdverseEvent.study` is mapped to FHIR STU3 element `AdverseEvent.study` as `SourceIsBroaderThanTarget`. The mappings for `AdverseEvent.study` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `AdverseEvent.study` with unmapped reference targets: ResearchStudy.
Element `AdverseEvent.actuality` is mapped to FHIR STU3 element `AdverseEvent.type` as `SourceIsNarrowerThanTarget`.