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 - JSON Representation

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