NHSN Reporting: Adverse Drug Events - Glycemic Control
0.1.0 - CI Build

NHSN Reporting: Adverse Drug Events - Glycemic Control, published by HL7 International - Public Health Work Group. This is not an authorized publication; it is the continuous build for version 0.1.0). This version is based on the current content of https://github.com/HL7/fhir-nhsn-ade-ig/ and changes regularly. See the Directory of published versions

## : Bundle - ADE Hypoglycemia example - XML Representation

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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="bundle-document-ade"/>
      <meta>
        <versionId value="5"/>
        <lastUpdated value="2021-09-02T22:43:48.184+00:00"/>
        <source value="#wMqjOpjd8xf3CQsd"/>
      </meta>
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value value="urn:uuid:3183BE72-A852-4A00-A795-56477F9868D8"/>
      </identifier>
      <type value="document"/>
      <timestamp value="2021-02-11T20:09:23.976+10:00"/>
      <entry>
        <fullUrl
                 value="http://example.org/fhir/Composition/composition-ade-hypoglycemia-example"/>
        <resource>
          <Composition>
            <id value="composition-ade-hypoglycemia-example"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "composition-ade-hypoglycemia-example" </p></div><p><b>identifier</b>: id: 2eec4326-bf29-4428-8d02-a334a19cfc17</p><p><b>status</b>: final</p><p><b>type</b>: Adverse event note <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#85893-6)</span></p><p><b>encounter</b>: <a href="#Encounter_encounter-inpatient-example">See above (Encounter/encounter-inpatient-example)</a></p><p><b>date</b>: 2021-01-04T09:10:14Z</p><p><b>author</b>: <a href="#Practitioner_practitioner-ed-endocrinols-example">See above (Practitioner/practitioner-ed-endocrinols-example: Dr. Ed Endocrinols)</a></p><p><b>title</b>: Adverse Event Note</p><p><b>confidentiality</b>: N</p><h3>Attesters</h3><table class="grid"><tr><td>-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td>*</td><td>legal</td><td>2021-01-04T09:10:14Z</td><td><a href="#Practitioner_practitioner-ed-endocrinols-example">See above (Practitioner/practitioner-ed-endocrinols-example: Dr. Ed Endocrinols)</a></td></tr></table><p><b>custodian</b>: <a href="#Organization_organization-hospital-physician-group-example">See above (Organization/organization-hospital-physician-group-example: Hospitalists of the World)</a></p></div>
            </text>
            <identifier>
              <value value="2eec4326-bf29-4428-8d02-a334a19cfc17"/>
            </identifier>
            <status value="final"/>
            <type>
              <coding>
                <system value="http://loinc.org"/>
                <code value="85893-6"/>
                <display value="Adverse event note"/>
              </coding>
            </type>
            <subject>
              <reference value="Patient/patient-harry-hypoglycemic-example"/>
              <display value="Harry Hypoglycemic"/>
            </subject>
            <encounter>
              <reference value="Encounter/encounter-inpatient-example"/>
            </encounter>
            <date value="2021-01-04T09:10:14Z"/>
            <author>
              <reference value="Practitioner/practitioner-ed-endocrinols-example"/>
              <display value="Dr. Ed Endocrinols"/>
            </author>
            <title value="Adverse Event Note"/>
            <confidentiality value="N"/>
            <attester>
              <mode value="legal"/>
              <time value="2021-01-04T09:10:14Z"/>
              <party>
                <reference value="Practitioner/practitioner-ed-endocrinols-example"/>
                <display value="Dr. Ed Endocrinols"/>
              </party>
            </attester>
            <custodian>
              <reference
                         value="Organization/organization-hospital-physician-group-example"/>
              <display value="Hospitalists of the World"/>
            </custodian>
            <section>
              <title value="Results Section"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="30954-2"/>
                  <display
                           value="Relevant diagnostic tests/laboratory data Narrative"/>
                </coding>
              </code>
              <entry>
                <reference value="Observation/observation-lab-ade-hh"/>
                <display
                         value="Observation: Lab Test - Fasting glucose [Mass/volume] in Capillary blood"/>
              </entry>
            </section>
            <section>
              <title value="Medication Section"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="10160-0"/>
                  <display value="History of Medication use Narrative"/>
                </coding>
              </code>
              <entry>
                <reference
                           value="MedicationAdministration/medicationadministration-metformin-example"/>
                <display
                         value="MedicationAdminstration: metformin hydrochloride 100 MG/ML Extended Release Suspension"/>
              </entry>
            </section>
          </Composition>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://example.org/fhir/MedicationAdministration/medicationadministration-metformin-example"/>
        <resource>
          <MedicationAdministration>
            <id value="medicationadministration-metformin-example"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "medicationadministration-metformin-example" </p></div><p><b>status</b>: completed</p><p><b>medication</b>: metformin hydrochloride 100 MG/ML Extended Release Suspension <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.0.0/CodeSystem-v3-rxNorm.html">RxNorm</a>#2200518)</span></p><p><b>subject</b>: <a href="#Patient_patient-harry-hypoglycemic-example">See above (Patient/patient-harry-hypoglycemic-example: Harry Hypoglycemic)</a></p><p><b>context</b>: <a href="#Encounter_encounter-inpatient-example">See above (Encounter/encounter-inpatient-example)</a></p><p><b>effective</b>: 2021-01-04T04:30:00+01:00</p><h3>Performers</h3><table class="grid"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href="#Practitioner_practitioner-ed-endocrinols-example">See above (Practitioner/practitioner-ed-endocrinols-example: Ed Endocrinols)</a></td></tr></table><h3>Dosages</h3><table class="grid"><tr><td>-</td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td>*</td><td>Oral route (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#26643006)</span></td><td>100 mg/mL<span style="background: LightGoldenRodYellow"> (Details: UCUM code mg/mL = 'mg/mL')</span></td></tr></table></div>
            </text>
            <status value="completed"/>
            <medicationCodeableConcept>
              <coding>
                <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
                <code value="2200518"/>
                <display
                         value="metformin hydrochloride 100 MG/ML Extended Release Suspension"/>
              </coding>
              <text
                    value="metformin hydrochloride 100 MG/ML Extended Release Suspension"/>
            </medicationCodeableConcept>
            <subject>
              <reference value="Patient/patient-harry-hypoglycemic-example"/>
              <display value="Harry Hypoglycemic"/>
            </subject>
            <context>
              <reference value="Encounter/encounter-inpatient-example"/>
            </context>
            <effectiveDateTime value="2021-01-04T04:30:00+01:00"/>
            <performer>
              <actor>
                <reference value="Practitioner/practitioner-ed-endocrinols-example"/>
                <display value="Ed Endocrinols"/>
              </actor>
            </performer>
            <dosage>
              <route>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="26643006"/>
                  <display value="Oral route (qualifier value)"/>
                </coding>
              </route>
              <dose>
                <value value="100"/>
                <unit value="mg/mL"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="mg/mL"/>
              </dose>
            </dosage>
          </MedicationAdministration>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://example.org/fhir/Observation/observation-lab-ade-hh"/>
        <resource>
          <Observation>
            <id value="observation-lab-ade-hh"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "observation-lab-ade-hh" </p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.0.0/CodeSystem-observation-category.html">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Fasting glucose [Mass/volume] in Capillary blood <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#1556-0)</span></p><p><b>subject</b>: <a href="#Patient_patient-harry-hypoglycemic-example">See above (Patient/patient-harry-hypoglycemic-example: Harry Hypoglycemic)</a></p><p><b>effective</b>: 2020-08-04</p><p><b>value</b>: 60 mg/dL</p></div>
            </text>
            <status value="final"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                <code value="laboratory"/>
                <display value="Laboratory"/>
              </coding>
              <text value="Laboratory"/>
            </category>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="1556-0"/>
                <display value="Fasting glucose [Mass/volume] in Capillary blood"/>
              </coding>
              <text value="Fasting glucose [Mass/volume] in Capillary blood"/>
            </code>
            <subject>
              <reference value="Patient/patient-harry-hypoglycemic-example"/>
              <display value="Harry Hypoglycemic"/>
            </subject>
            <effectiveDateTime value="2020-08-04"/>
            <valueQuantity>
              <value value="60"/>
              <unit value="mg/dL"/>
              <system value="http://unitsofmeasure.org"/>
            </valueQuantity>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://example.org/fhir/Patient/patient-harry-hypoglycemic-example"/>
        <resource>
          <Patient>
            <id value="patient-harry-hypoglycemic-example"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml">
                            <div class="hapiHeaderText">Harry
                                <b>HYPOGLYCEMIC </b>
                            </div>
                            <table class="hapiPropertyTable">
                                <tbody>
                                    <tr>
                                        <td>Identifier</td>
                                        <td>1032702</td>
                                    </tr>
                                    <tr>
                                        <td>Address</td>
                                        <td>
                                            <span>123 Main St. </span>
                                            <br/>
                                            <span>Denver </span>
                                            <span>CO </span>
                                            <span>US </span>
                                        </td>
                                    </tr>
                                    <tr>
                                        <td>Date of birth</td>
                                        <td>
                                            <span>09 June 1990</span>
                                        </td>
                                    </tr>
                                </tbody>
                            </table>
                        </div>
            </text>
            <extension
                       url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
              <extension url="ombCategory">
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.6.238"/>
                  <code value="2106-3"/>
                  <display value="White"/>
                </valueCoding>
              </extension>
              <extension url="ombCategory">
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.6.238"/>
                  <code value="1002-5"/>
                  <display value="American Indian or Alaska Native"/>
                </valueCoding>
              </extension>
              <extension url="ombCategory">
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.6.238"/>
                  <code value="2028-9"/>
                  <display value="Asian"/>
                </valueCoding>
              </extension>
              <extension url="detailed">
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.6.238"/>
                  <code value="1586-7"/>
                  <display value="Shoshone"/>
                </valueCoding>
              </extension>
              <extension url="detailed">
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.6.238"/>
                  <code value="2036-2"/>
                  <display value="Filipino"/>
                </valueCoding>
              </extension>
              <extension url="text">
                <valueString value="Mixed"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
              <extension url="ombCategory">
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.6.238"/>
                  <code value="2135-2"/>
                  <display value="Hispanic or Latino"/>
                </valueCoding>
              </extension>
              <extension url="detailed">
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.6.238"/>
                  <code value="2184-0"/>
                  <display value="Dominican"/>
                </valueCoding>
              </extension>
              <extension url="detailed">
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.6.238"/>
                  <code value="2148-5"/>
                  <display value="Mexican"/>
                </valueCoding>
              </extension>
              <extension url="text">
                <valueString value="Hispanic or Latino"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
              <valueCode value="F"/>
            </extension>
            <identifier>
              <use value="usual"/>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="MR"/>
                  <display value="Medical Record Number"/>
                </coding>
                <text value="Medical Record Number"/>
              </type>
              <system value="http://hospital.smarthealthit.org"/>
              <value value="1032702"/>
            </identifier>
            <active value="true"/>
            <name>
              <family value="Hypoglycemic"/>
              <given value="Harry"/>
              <period>
                <start value="1990-06-09"/>
              </period>
            </name>
            <telecom>
              <system value="phone"/>
              <value value="555-555-5555"/>
              <use value="home"/>
            </telecom>
            <telecom>
              <system value="email"/>
              <value value="harry.hypoglycemic@example.com"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1990-06-09"/>
            <address>
              <line value="123 Main St."/>
              <city value="Denver"/>
              <state value="CO"/>
              <postalCode value="80204"/>
              <country value="US"/>
              <period>
                <start value="1990-06-09"/>
              </period>
            </address>
          </Patient>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://example.org/fhir/Encounter/encounter-inpatient-example"/>
        <resource>
          <Encounter>
            <id value="encounter-inpatient-example"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "encounter-inpatient-example" </p></div><p><b>status</b>: finished</p><p><b>class</b>: inpatient encounter (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code IMP = 'inpatient encounter', stated as 'inpatient encounter')</p><p><b>type</b>: Medical consultation on hospital inpatient <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#24882007)</span></p><p><b>subject</b>: <a href="#Patient_patient-harry-hypoglycemic-example">See above (Patient/patient-harry-hypoglycemic-example)</a></p><p><b>period</b>: 2021-01-04T17:00:14-05:00 --&gt; (ongoing)</p></div>
            </text>
            <status value="finished"/>
            <class>
              <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
              <code value="IMP"/>
              <display value="inpatient encounter"/>
            </class>
            <type>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="24882007"/>
                <display value="Medical consultation on hospital inpatient"/>
              </coding>
              <text value="Medical consultation on hospital inpatient"/>
            </type>
            <subject>
              <reference value="Patient/patient-harry-hypoglycemic-example"/>
            </subject>
            <period>
              <start value="2021-01-04T17:00:14-05:00"/>
            </period>
          </Encounter>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://example.org/fhir/Practitioner/practitioner-ed-endocrinols-example"/>
        <resource>
          <Practitioner>
            <id value="practitioner-ed-endocrinols-example"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "practitioner-ed-endocrinols-example" </p></div><p><b>identifier</b>: id: 9941339108</p><p><b>name</b>: Edward Endocrinols </p></div>
            </text>
            <identifier>
              <system value="http://hl7.org.fhir/sid/us-npi"/>
              <value value="9941339108"/>
            </identifier>
            <name>
              <family value="Endocrinols"/>
              <given value="Edward"/>
              <prefix value="Dr"/>
            </name>
          </Practitioner>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://example.org/fhir/Organization/organization-hospital-physician-group-example"/>
        <resource>
          <Organization>
            <id value="organization-hospital-physician-group-example"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "organization-hospital-physician-group-example" </p></div><p><b>identifier</b>: id: 1144221847</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.0.0/CodeSystem-organization-type.html">Organization type</a>#prov)</span></p><p><b>name</b>: Hospitalists of the World</p><p><b>telecom</b>: ph: (+1) 734-677-7777, <a href="mailto:hq@hotw.org">hq@hotw.org</a></p><p><b>address</b>: 111 Any St. Denver CO 80204 USA </p></div>
            </text>
            <identifier>
              <system value="http://hl7.org.fhir/sid/us-npi"/>
              <value value="1144221847"/>
            </identifier>
            <active value="true"/>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/organization-type"/>
                <code value="prov"/>
                <display value="Healthcare Provider"/>
              </coding>
            </type>
            <name value="Hospitalists of the World"/>
            <telecom>
              <system value="phone"/>
              <value value="(+1) 734-677-7777"/>
            </telecom>
            <telecom>
              <system value="email"/>
              <value value="hq@hotw.org"/>
            </telecom>
            <address>
              <line value="111 Any St."/>
              <city value="Denver"/>
              <state value="CO"/>
              <postalCode value="80204"/>
              <country value="USA"/>
            </address>
          </Organization>
        </resource>
      </entry>
    </Bundle>