Adverse Event Clinical Care
0.2.0 - ci-build
Adverse Event Clinical Care
0.2.0 - ci-build
Adverse Event Clinical Care, published by HL7 International - Patient Care Work Group, Vulcan AdverseEvent groups. This is not an authorized publication; it is the continuous build for version 0.2.0). This version is based on the current content of https://github.com/HL7/fhir-ae-care-ig/ and changes regularly. See the Directory of published versions
| Page standards status: Informative |
Generated Narrative: AdverseEvent
Resource AdverseEvent "clinicalcareexample1stage2" Version "2" Updated "2021-12-15 21:05:01+0000"
Profile: Adverse Event Clinical Care
identifier: id: 001
status: completed
actuality: actual
category: Medication mishap (AdverseEventCategory#medication-mishap)
code: Patient death or serious disability associated with a medication error (event) (SNOMED CT#370910000)
subject: : 39 year-old male
encounter: : encounter where nurse noticed the problem
detected: 2021-12-10 13:28:17-0500
recordedDate: 2021-12-15 13:28:17-0500
resultingEffect:
location: : Palliative Care Agency
outcome: Transient abnormality with full recovery (finding) (SNOMED CT#398056004)
recorder: : Physician reviewer giving diagnosis of morphine toxicity and anticholinergic syndrome caused by drug overdose
suspectEntity
instance: : A pancreatic enzyme capsule (Creon / Nutrizym / Pancrease / Pancrex) is the only other drug that this patient is prescribed and taking.
Causalities
- EntityRelatedness * unlikely (AdverseEventCausalityAssessment#unlikely)
suspectEntity
instance: : The nurse made an assessment that there was a temporal relationship between the adverse reactions and administration of this new batch of premixed morphine + hyoscine medication supply, recorded the S/S, the assessment.
Causalities
- EntityRelatedness * Probably/Likely (AdverseEventCausalityAssessment#probably-likely)
mitigatingAction
item: : The nurse immediately stopped the syringe driver, initiated review all previous medication administration record to the moment adverse event was identified. There was no evidence of adverse reaction to the medications administration since the start of the morphine + hyoscine therapy.
mitigatingAction
item: : The nurse reported the adverse event to the pharmacy for investigation.
supportingInfo
item: : The pharmacy contacted the supplier to initiate an investigation, which revealed that a software error had occurred resulting in a wrong label (morphine 40 + hyoscine 80) being printed and attached to this batch of pre-mixed morphine + hyoscine with dose strength of 60 + 120.
supportingInfo
supportingInfo
item: : temperature = 38.7C
supportingInfo
item: : Signs and Symptoms observation, 123640000 | Mucous membrane dryness (finding)
supportingInfo
item: : Signs and Symptoms observation, 16386004 | Dry skin (finding)
supportingInfo
item: : Signs and Symptoms observation, 37125009 | Dilated pupil (finding)
supportingInfo
item: : Signs and Symptoms observation, 102835006 | Difficulty passing urine (finding)
supportingInfo
item: : Signs and Symptoms observation, 71782001 | Drowsy (finding)
note: Use Case 8 - Adverse Event resulted from a separate prior breach The case will be reviewed by a physician and the diagnosis of morphine toxicity and anticholinergic syndrome caused by drug overdose will be determined and recorded (See also the Adverse Event and Consequences confluence page for another similar use case Drug overdose scenario) (By Nurse)