Quality Improvement Core Framework (v3.3.0: STU 4 Ballot 1). The current version is 3.2.0 based on FHIR R4. See the Directory of published versions
Formats: Narrative, XML, JSON, Turtle
Raw xml
<AdverseEvent xmlns="http://hl7.org/fhir"> <id value="example"/> <meta> <profile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-adverseevent"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>meta</b>: </p><p><b>identifier</b>: 49476534</p><p><b>actuality</b>: actual</p><p><b>event</b>: O/E - itchy rash <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '304386008' = 'On examination - itchy rash (disorder)', given as 'O/E - itchy rash'})</span></p><p><b>subject</b>: <a href="Patient-example.html">Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: Dec 25, 1974; </a></p><p><b>date</b>: Jan 29, 2017 7:34:56 AM</p><p><b>seriousness</b>: Non-serious <span style="background: LightGoldenRodYellow">(Details : {http://terminology.hl7.org/CodeSystem/adverse-event-seriousness code 'Non-serious' = 'Non-serious', given as 'Non-serious'})</span></p><p><b>recorder</b>: <a href="Practitioner-example.html">Generated Summary: id: example; 23; active; Adam Careful </a></p><h3>SuspectEntities</h3><table class="grid"><tr><td>-</td><td><b>Instance</b></td></tr><tr><td>*</td><td><a href="Medication-example.html">Generated Summary: id: example; <span title="Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 1594660}">Alemtuzumab 10mg/ml (Lemtrada)</span>; <span title="Codes: {http://snomed.info/sct 385219001}">Conventional release solution for injection (dose form)</span></a></td></tr></table></div> </text> <!-- an identifier used for this allergic propensity (adverse reaction risk) --> <identifier> <system value="http://acme.com/ids/patients/risks"/> <value value="49476534"/> </identifier> <!-- this was an actual adverse event, not just a potential one --> <actuality value="actual"/> <!-- more precise details of the event --> <event> <coding> <!-- example uses SNOMED CT. Other likely possibilitues incluide MedDRA --> <system value="http://snomed.info/sct"/> <code value="304386008"/> <display value="O/E - itchy rash"/> </coding> </event> <!-- the patient that actually had the adverse event --> <subject> <reference value="Patient/example"/> </subject> <!-- when the event happened --> <date value="2017-01-29T12:34:56+00:00"/> <!-- In overall terms even if it was a severe rash it is a relatively mild event overall --> <seriousness> <coding> <system value="http://terminology.hl7.org/CodeSystem/adverse-event-seriousness"/> <code value="Non-serious"/> <display value="Non-serious"/> </coding> </seriousness> <!-- who made the record / last updated it --> <recorder> <reference value="Practitioner/example"/> </recorder> <!-- Element was removed in R4, not clear where this would be expressed in the R4 resource --> <!-- description value="This was a mild rash on the left forearm"/ --> <!-- may have been for cream to treat sunburn on that arm, reference to that medication --> <suspectEntity> <instance> <reference value="Medication/example"/> </instance> </suspectEntity> </AdverseEvent>