US Quality Core Implementation Guide
0.1.0 - cibuild United States of America flag

US Quality Core Implementation Guide, published by ASTP. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/FHIR/us-quality-core/ and changes regularly. See the Directory of published versions

Resource Profile: US Quality Core AdverseEvent

Official URL: http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-adverseevent Version: 0.1.0
Active as of 2026-03-31 Computable Name: USQualityCoreAdverseEvent

An adverse event (AE) is an untoward occurrence during treatment that should be reported, for example, to a clinical study sponsor or safety oversight organization. AEs include reportable serious medical errors such as those defined by National Quality Forum (see http://www.qualityforum.org/Topics/ SREs/List_of_SREs.aspx), and Patient Safety Healthcare Events as defined by AHRQ. Some AEs can involve conditions such as "recurring headaches" but others do not, such as accidental falls, surgical errors, sexual abuse of patient, and sudden death. An adverse event can also be an unsafe condition that increases the probability of a patient safety event, and near-misses. An adverse event can be caused by exposure to some agent (e.g., a medication, immunization, food, or environmental agent). An adverse reaction can range from a mild reaction, such as a harmless rash to a severe and life-threatening condition. They can occur immediately or develop over time. For example, a patient may develop a rash after taking a particular medication.

Usage

See the patterns page for implementation and usage patterns.

Examples

Mild Rash Example

USCDI+ Quality Elements:

  • category: (USCDI+ Quality) 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
  • event: (USCDI+ Quality) Type of the event itself in relation to the subject
  • date: (USCDI+ Quality)
  • detected: (USCDI+ Quality) When the event was detected
  • recordedDate: (USCDI+ Quality) When the event was recorded
  • suspectEntity.instance: (USCDI+ Quality) Refers to the specific entity that caused the adverse event

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AdverseEvent 0..* AdverseEvent 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... actuality ?!Σ 1..1 code actual | potential
Binding: AdverseEventActuality (required): Overall nature of the adverse event, e.g. real or potential.
... event Σ 1..1 CodeableConcept (USCDI+ Quality) Type of the event itself in relation to the subject
Binding: SNOMEDCTClinicalFindings (preferred): Detailed type of event.
... subject Σ 1..1 Reference(US Quality Core Patient | Group | US Quality Core Practitioner | US Quality Core RelatedPerson) Subject impacted by event
... encounter Σ 0..1 Reference(US Quality Core Encounter) Encounter created as part of
... date Σ 0..1 dateTime (USCDI+ Quality)
... detected Σ 0..1 dateTime (USCDI+ Quality) When the event was detected
... recordedDate Σ 0..1 dateTime (USCDI+ Quality) When the event was recorded
... resultingCondition Σ 0..* Reference(US Quality Core Condition Problems Health Concerns | US Quality Core Condition Encounter Diagnosis) Effect on the subject due to this event
... location Σ 0..1 Reference(US Quality Core Location) Location where adverse event occurred
... seriousness Σ 0..1 CodeableConcept Seriousness of the event
Binding: AdverseEventSeriousness (example): Overall seriousness of this event for the patient.
... recorder Σ 0..1 Reference(US Quality Core Patient | US Quality Core RelatedPerson | US Quality Core Practitioner | US Quality Core PractitionerRole) Who recorded the adverse event
... contributor Σ 0..* Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Device | US Core Implantable Device Profile) Who was involved in the adverse event or the potential adverse event
... suspectEntity Σ 0..* BackboneElement The suspected agent causing the adverse event
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... instance Σ 1..1 Reference(US Quality Core Immunization | US Quality Core Procedure | US Quality Core Substance | US Quality Core Medication | US Quality Core MedicationAdministration | US Quality Core MedicationStatement | US Quality Core Device | US Core Implantable Device Profile) (USCDI+ Quality) Refers to the specific entity that caused the adverse event
.... causality Σ 0..1 BackboneElement Information on the possible cause of the event
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... subjectMedicalHistory Σ 0..* Reference(US Quality Core Simple Observation | US Quality Core AllergyIntolerance | US Quality Core FamilyMemberHistory | US Quality Core Immunization | US Quality Core Procedure | US Quality Core Condition Problems Health Concerns | US Quality Core Condition Encounter Diagnosis) AdverseEvent.subjectMedicalHistory

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
AdverseEvent.actuality Base required AdverseEventActuality 📍4.0.1 FHIR Std.
AdverseEvent.category Base extensible AdverseEventCategory 📍4.0.1 FHIR Std.
AdverseEvent.event Base preferred SNOMED CT Clinical Findings 📦4.0.1 FHIR Std.
AdverseEvent.seriousness Base example AdverseEventSeriousness 📍4.0.1 FHIR Std.

Constraints

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 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(canonical) = '#').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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from AdverseEvent

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AdverseEvent 0..* AdverseEvent Medical care, research study or other healthcare event causing physical injury
... actuality 1..1 code actual | potential
... category 0..* CodeableConcept (USCDI+ Quality) 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
... event 1..1 CodeableConcept (USCDI+ Quality) Type of the event itself in relation to the subject
Binding: SNOMEDCTClinicalFindings (preferred): Detailed type of event.
... encounter 0..1 Reference(US Quality Core Encounter) Encounter created as part of
... date 0..1 dateTime (USCDI+ Quality)
... detected 0..1 dateTime (USCDI+ Quality) When the event was detected
... recordedDate 0..1 dateTime (USCDI+ Quality) When the event was recorded
... resultingCondition 0..* Reference(US Quality Core Condition Problems Health Concerns | US Quality Core Condition Encounter Diagnosis) Effect on the subject due to this event
... location 0..1 Reference(US Quality Core Location) Location where adverse event occurred
... seriousness 0..1 CodeableConcept Seriousness of the event
... recorder 0..1 Reference(US Quality Core Patient | US Quality Core RelatedPerson | US Quality Core Practitioner | US Quality Core PractitionerRole) Who recorded the adverse event
... contributor 0..* Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Device | US Core Implantable Device Profile) Who was involved in the adverse event or the potential adverse event
... suspectEntity 0..* BackboneElement The suspected agent causing the adverse event
.... instance 1..1 Reference(US Quality Core Immunization | US Quality Core Procedure | US Quality Core Substance | US Quality Core Medication | US Quality Core MedicationAdministration | US Quality Core MedicationStatement | US Quality Core Device | US Core Implantable Device Profile) (USCDI+ Quality) Refers to the specific entity that caused the adverse event
.... causality 0..1 BackboneElement Information on the possible cause of the event
... subjectMedicalHistory 0..* Reference(US Quality Core Simple Observation | US Quality Core AllergyIntolerance | US Quality Core FamilyMemberHistory | US Quality Core Immunization | US Quality Core Procedure | US Quality Core Condition Problems Health Concerns | US Quality Core Condition Encounter Diagnosis) AdverseEvent.subjectMedicalHistory

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
AdverseEvent.event Base preferred SNOMED CT Clinical Findings 📦4.0.1 FHIR Std.
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AdverseEvent 0..* AdverseEvent 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
... 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): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... 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
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier Business identifier for the event
... 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 (USCDI+ Quality) 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.
... event Σ 1..1 CodeableConcept (USCDI+ Quality) Type of the event itself in relation to the subject
Binding: SNOMEDCTClinicalFindings (preferred): Detailed type of event.
... subject Σ 1..1 Reference(US Quality Core Patient | Group | US Quality Core Practitioner | US Quality Core RelatedPerson) Subject impacted by event
... encounter Σ 0..1 Reference(US Quality Core Encounter) Encounter created as part of
... date Σ 0..1 dateTime (USCDI+ Quality)
... detected Σ 0..1 dateTime (USCDI+ Quality) When the event was detected
... recordedDate Σ 0..1 dateTime (USCDI+ Quality) When the event was recorded
... resultingCondition Σ 0..* Reference(US Quality Core Condition Problems Health Concerns | US Quality Core Condition Encounter Diagnosis) Effect on the subject due to this event
... location Σ 0..1 Reference(US Quality Core Location) Location where adverse event occurred
... 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(US Quality Core Patient | US Quality Core RelatedPerson | US Quality Core Practitioner | US Quality Core PractitionerRole) Who recorded the adverse event
... contributor Σ 0..* Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Device | US Core Implantable Device Profile) Who was involved in the adverse event or the potential adverse event
... suspectEntity Σ 0..* BackboneElement The suspected agent causing the adverse event
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... instance Σ 1..1 Reference(US Quality Core Immunization | US Quality Core Procedure | US Quality Core Substance | US Quality Core Medication | US Quality Core MedicationAdministration | US Quality Core MedicationStatement | US Quality Core Device | US Core Implantable Device Profile) (USCDI+ Quality) Refers to the specific entity that caused the adverse event
.... causality Σ 0..1 BackboneElement Information on the possible cause of the event
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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
..... method Σ 0..1 CodeableConcept ProbabilityScale | Bayesian | Checklist
Binding: AdverseEventCausalityMethod (example): TODO.
... subjectMedicalHistory Σ 0..* Reference(US Quality Core Simple Observation | US Quality Core AllergyIntolerance | US Quality Core FamilyMemberHistory | US Quality Core Immunization | US Quality Core Procedure | US Quality Core Condition Problems Health Concerns | US Quality Core Condition Encounter Diagnosis) AdverseEvent.subjectMedicalHistory
... referenceDocument Σ 0..* Reference(DocumentReference) AdverseEvent.referenceDocument
... study Σ 0..* Reference(ResearchStudy) AdverseEvent.study

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
AdverseEvent.language Base preferred Common Languages 📍4.0.1 FHIR Std.
AdverseEvent.actuality Base required AdverseEventActuality 📍4.0.1 FHIR Std.
AdverseEvent.category Base extensible AdverseEventCategory 📍4.0.1 FHIR Std.
AdverseEvent.event Base preferred SNOMED CT Clinical Findings 📦4.0.1 FHIR Std.
AdverseEvent.seriousness Base example AdverseEventSeriousness 📍4.0.1 FHIR Std.
AdverseEvent.severity Base required AdverseEventSeverity 📍4.0.1 FHIR Std.
AdverseEvent.outcome Base required AdverseEventOutcome 📍4.0.1 FHIR Std.
AdverseEvent.suspectEntity.​causality.assessment Base example AdverseEventCausalityAssessment 📍4.0.1 FHIR Std.
AdverseEvent.suspectEntity.​causality.method Base example AdverseEventCausalityMethod 📍4.0.1 FHIR Std.

Constraints

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 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(canonical) = '#').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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from AdverseEvent

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AdverseEvent 0..* AdverseEvent 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... actuality ?!Σ 1..1 code actual | potential
Binding: AdverseEventActuality (required): Overall nature of the adverse event, e.g. real or potential.
... event Σ 1..1 CodeableConcept (USCDI+ Quality) Type of the event itself in relation to the subject
Binding: SNOMEDCTClinicalFindings (preferred): Detailed type of event.
... subject Σ 1..1 Reference(US Quality Core Patient | Group | US Quality Core Practitioner | US Quality Core RelatedPerson) Subject impacted by event
... encounter Σ 0..1 Reference(US Quality Core Encounter) Encounter created as part of
... date Σ 0..1 dateTime (USCDI+ Quality)
... detected Σ 0..1 dateTime (USCDI+ Quality) When the event was detected
... recordedDate Σ 0..1 dateTime (USCDI+ Quality) When the event was recorded
... resultingCondition Σ 0..* Reference(US Quality Core Condition Problems Health Concerns | US Quality Core Condition Encounter Diagnosis) Effect on the subject due to this event
... location Σ 0..1 Reference(US Quality Core Location) Location where adverse event occurred
... seriousness Σ 0..1 CodeableConcept Seriousness of the event
Binding: AdverseEventSeriousness (example): Overall seriousness of this event for the patient.
... recorder Σ 0..1 Reference(US Quality Core Patient | US Quality Core RelatedPerson | US Quality Core Practitioner | US Quality Core PractitionerRole) Who recorded the adverse event
... contributor Σ 0..* Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Device | US Core Implantable Device Profile) Who was involved in the adverse event or the potential adverse event
... suspectEntity Σ 0..* BackboneElement The suspected agent causing the adverse event
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... instance Σ 1..1 Reference(US Quality Core Immunization | US Quality Core Procedure | US Quality Core Substance | US Quality Core Medication | US Quality Core MedicationAdministration | US Quality Core MedicationStatement | US Quality Core Device | US Core Implantable Device Profile) (USCDI+ Quality) Refers to the specific entity that caused the adverse event
.... causality Σ 0..1 BackboneElement Information on the possible cause of the event
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... subjectMedicalHistory Σ 0..* Reference(US Quality Core Simple Observation | US Quality Core AllergyIntolerance | US Quality Core FamilyMemberHistory | US Quality Core Immunization | US Quality Core Procedure | US Quality Core Condition Problems Health Concerns | US Quality Core Condition Encounter Diagnosis) AdverseEvent.subjectMedicalHistory

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
AdverseEvent.actuality Base required AdverseEventActuality 📍4.0.1 FHIR Std.
AdverseEvent.category Base extensible AdverseEventCategory 📍4.0.1 FHIR Std.
AdverseEvent.event Base preferred SNOMED CT Clinical Findings 📦4.0.1 FHIR Std.
AdverseEvent.seriousness Base example AdverseEventSeriousness 📍4.0.1 FHIR Std.

Constraints

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 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(canonical) = '#').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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from AdverseEvent

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AdverseEvent 0..* AdverseEvent Medical care, research study or other healthcare event causing physical injury
... actuality 1..1 code actual | potential
... category 0..* CodeableConcept (USCDI+ Quality) 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
... event 1..1 CodeableConcept (USCDI+ Quality) Type of the event itself in relation to the subject
Binding: SNOMEDCTClinicalFindings (preferred): Detailed type of event.
... encounter 0..1 Reference(US Quality Core Encounter) Encounter created as part of
... date 0..1 dateTime (USCDI+ Quality)
... detected 0..1 dateTime (USCDI+ Quality) When the event was detected
... recordedDate 0..1 dateTime (USCDI+ Quality) When the event was recorded
... resultingCondition 0..* Reference(US Quality Core Condition Problems Health Concerns | US Quality Core Condition Encounter Diagnosis) Effect on the subject due to this event
... location 0..1 Reference(US Quality Core Location) Location where adverse event occurred
... seriousness 0..1 CodeableConcept Seriousness of the event
... recorder 0..1 Reference(US Quality Core Patient | US Quality Core RelatedPerson | US Quality Core Practitioner | US Quality Core PractitionerRole) Who recorded the adverse event
... contributor 0..* Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Device | US Core Implantable Device Profile) Who was involved in the adverse event or the potential adverse event
... suspectEntity 0..* BackboneElement The suspected agent causing the adverse event
.... instance 1..1 Reference(US Quality Core Immunization | US Quality Core Procedure | US Quality Core Substance | US Quality Core Medication | US Quality Core MedicationAdministration | US Quality Core MedicationStatement | US Quality Core Device | US Core Implantable Device Profile) (USCDI+ Quality) Refers to the specific entity that caused the adverse event
.... causality 0..1 BackboneElement Information on the possible cause of the event
... subjectMedicalHistory 0..* Reference(US Quality Core Simple Observation | US Quality Core AllergyIntolerance | US Quality Core FamilyMemberHistory | US Quality Core Immunization | US Quality Core Procedure | US Quality Core Condition Problems Health Concerns | US Quality Core Condition Encounter Diagnosis) AdverseEvent.subjectMedicalHistory

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
AdverseEvent.event Base preferred SNOMED CT Clinical Findings 📦4.0.1 FHIR Std.

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AdverseEvent 0..* AdverseEvent 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
... 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): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... 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
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier Business identifier for the event
... 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 (USCDI+ Quality) 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.
... event Σ 1..1 CodeableConcept (USCDI+ Quality) Type of the event itself in relation to the subject
Binding: SNOMEDCTClinicalFindings (preferred): Detailed type of event.
... subject Σ 1..1 Reference(US Quality Core Patient | Group | US Quality Core Practitioner | US Quality Core RelatedPerson) Subject impacted by event
... encounter Σ 0..1 Reference(US Quality Core Encounter) Encounter created as part of
... date Σ 0..1 dateTime (USCDI+ Quality)
... detected Σ 0..1 dateTime (USCDI+ Quality) When the event was detected
... recordedDate Σ 0..1 dateTime (USCDI+ Quality) When the event was recorded
... resultingCondition Σ 0..* Reference(US Quality Core Condition Problems Health Concerns | US Quality Core Condition Encounter Diagnosis) Effect on the subject due to this event
... location Σ 0..1 Reference(US Quality Core Location) Location where adverse event occurred
... 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(US Quality Core Patient | US Quality Core RelatedPerson | US Quality Core Practitioner | US Quality Core PractitionerRole) Who recorded the adverse event
... contributor Σ 0..* Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Device | US Core Implantable Device Profile) Who was involved in the adverse event or the potential adverse event
... suspectEntity Σ 0..* BackboneElement The suspected agent causing the adverse event
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... instance Σ 1..1 Reference(US Quality Core Immunization | US Quality Core Procedure | US Quality Core Substance | US Quality Core Medication | US Quality Core MedicationAdministration | US Quality Core MedicationStatement | US Quality Core Device | US Core Implantable Device Profile) (USCDI+ Quality) Refers to the specific entity that caused the adverse event
.... causality Σ 0..1 BackboneElement Information on the possible cause of the event
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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
..... method Σ 0..1 CodeableConcept ProbabilityScale | Bayesian | Checklist
Binding: AdverseEventCausalityMethod (example): TODO.
... subjectMedicalHistory Σ 0..* Reference(US Quality Core Simple Observation | US Quality Core AllergyIntolerance | US Quality Core FamilyMemberHistory | US Quality Core Immunization | US Quality Core Procedure | US Quality Core Condition Problems Health Concerns | US Quality Core Condition Encounter Diagnosis) AdverseEvent.subjectMedicalHistory
... referenceDocument Σ 0..* Reference(DocumentReference) AdverseEvent.referenceDocument
... study Σ 0..* Reference(ResearchStudy) AdverseEvent.study

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
AdverseEvent.language Base preferred Common Languages 📍4.0.1 FHIR Std.
AdverseEvent.actuality Base required AdverseEventActuality 📍4.0.1 FHIR Std.
AdverseEvent.category Base extensible AdverseEventCategory 📍4.0.1 FHIR Std.
AdverseEvent.event Base preferred SNOMED CT Clinical Findings 📦4.0.1 FHIR Std.
AdverseEvent.seriousness Base example AdverseEventSeriousness 📍4.0.1 FHIR Std.
AdverseEvent.severity Base required AdverseEventSeverity 📍4.0.1 FHIR Std.
AdverseEvent.outcome Base required AdverseEventOutcome 📍4.0.1 FHIR Std.
AdverseEvent.suspectEntity.​causality.assessment Base example AdverseEventCausalityAssessment 📍4.0.1 FHIR Std.
AdverseEvent.suspectEntity.​causality.method Base example AdverseEventCausalityMethod 📍4.0.1 FHIR Std.

Constraints

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 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(canonical) = '#').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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from AdverseEvent

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

 

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