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 |
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:AdverseEvent ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "clinicalcareexample2mom"] ; #
fhir:meta [
fhir:versionId [ fhir:v "2" ] ;
fhir:lastUpdated [ fhir:v "2021-12-15T21:05:01.812+00:00"^^xsd:dateTime ] ;
( fhir:profile [
fhir:v "http://hl7.org/fhir/uv/adverseeventclinicalcare/StructureDefinition/AdverseEvent-clinical-care"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/adverseeventclinicalcare/StructureDefinition/AdverseEvent-clinical-care> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: AdverseEvent</b><a name=\"clinicalcareexample2mom\"> </a></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 AdverseEvent "clinicalcareexample2mom" Version "2" Updated "2021-12-15 21:05:01+0000" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-AdverseEvent-clinical-care.html\">Adverse Event Clinical Care</a></p></div><p><b>identifier</b>: id: 002</p><p><b>status</b>: completed</p><p><b>actuality</b>: actual</p><p><b>category</b>: Unsafe Physical Environment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-adverse-event-category.html\">AdverseEventCategory</a>#unsafe-physical-environment)</span></p><p><b>code</b>: Death or significant injury of a patient or staff member resulting from a physical assault (i.e., battery) that occurs within or on the grounds of the healthcare facility (event) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#370927008)</span></p><p><b>subject</b>: <span>: mother</span></p><p><b>encounter</b>: <span>: Inpatient encounter of event that was initiated with ER visit</span></p><p><b>detected</b>: 2021-12-10 13:28:17-0500</p><p><b>recordedDate</b>: 2021-12-15 13:28:17-0500</p><p><b>resultingEffect</b>: <span>: Condition with Diagnosis category, bruises to forehead, neck and both forearms</span></p><p><b>location</b>: <span>: Hospital, Inpatient</span></p><p><b>outcome</b>: Transient abnormality with full recovery (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#398056004)</span></p><p><b>recorder</b>: <span>: The person entering in the information</span></p><blockquote><p><b>suspectEntity</b></p><p><b>instance</b>: <span>: 14 year-old patient had increase in Levetiracetam</span></p><h3>Causalities</h3><table class=\"grid\"><tr><td>-</td><td><b>EntityRelatedness</b></td></tr><tr><td>*</td><td>Probably/Likely <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-adverse-event-causality-assess.html\">AdverseEventCausalityAssessment</a>#probably-likely)</span></td></tr></table></blockquote><h3>MitigatingActions</h3><table class=\"grid\"><tr><td>-</td><td><b>Item[x]</b></td></tr><tr><td>*</td><td><span>: for 14 year-old patient dose reduced to pre-admission dose for the remainder of his hospital stay.</span></td></tr></table><p><b>note</b>: There was no clinical or electrographic seizure episode or recurrence of fever since admission in the 14 year-old patient. (By Practitioner)</p></div>"
] ; #
fhir:identifier ( [
fhir:system [ fhir:v "http://acme.com/ids/patients/risks"^^xsd:anyURI ] ;
fhir:value [ fhir:v "002" ]
] ) ; # an identifier used for this allergic propensity (adverse reaction risk)
fhir:status [ fhir:v "completed"] ; #
fhir:actuality [ fhir:v "actual"] ; # this was an actual adverse event, not just a potential one
fhir:category ( [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adverse-event-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "unsafe-physical-environment" ] ;
fhir:display [ fhir:v "Unsafe Physical Environment" ] ] )
] ) ; # high level categorizion. The "event" below will say more , category>
# <coding>
# <system value="http://terminology.hl7.org/CodeSystem/adverse-event-category"/>
# <code value="medication-mishap"/>
# <display value="Medication Mishap"/>
# </coding>
# </category
fhir:code [
( fhir:coding [
a sct:370927008 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; # example uses SNOMED CT. Other likely possibilities include MedDRA
fhir:code [ fhir:v "370927008" ] ;
fhir:display [ fhir:v "Death or significant injury of a patient or staff member resulting from a physical assault (i.e., battery) that occurs within or on the grounds of the healthcare facility (event)" ] ] )
] ; # more precise details of the event
fhir:subject [
fhir:type [ fhir:v "RelatedPerson"^^xsd:anyURI ] ;
fhir:display [ fhir:v "mother" ]
] ; # the patient that actually had the adverse event , subject>
# <reference value="Patient/example"/>
# </subject>
# <subject>
# <reference value="AdverseEvent/patientSAE1example"/>
# </subject
fhir:encounter [
fhir:display [ fhir:v "Inpatient encounter of event that was initiated with ER visit" ]
] ; #
fhir:detected [ fhir:v "2021-12-10T13:28:17-05:00"^^xsd:dateTime] ; # when the event happened
fhir:recordedDate [ fhir:v "2021-12-15T13:28:17-05:00"^^xsd:dateTime] ; #
fhir:resultingEffect ( [
fhir:display [ fhir:v "Condition with Diagnosis category, bruises to forehead, neck and both forearms" ]
] ) ; #
fhir:location [
fhir:display [ fhir:v "Hospital, Inpatient" ]
] ; #
fhir:outcome ( [
( fhir:coding [
a sct:398056004 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "398056004" ] ;
fhir:display [ fhir:v "Transient abnormality with full recovery (finding)" ] ] )
] ) ; #
fhir:recorder [
fhir:display [ fhir:v "The person entering in the information" ]
] ; # who made the record / last updated it
fhir:suspectEntity ( [
fhir:instance [
a fhir:Reference ;
fhir:type [ fhir:v "MedicationAdministration"^^xsd:anyURI ] ;
fhir:display [ fhir:v "14 year-old patient had increase in Levetiracetam" ] ] ;
fhir:causality [
fhir:entityRelatedness [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adverse-event-causality-assess"^^xsd:anyURI ] ;
fhir:code [ fhir:v "probably-likely" ] ;
fhir:display [ fhir:v "Probably/Likely" ] ] ) ] ]
] ) ; # may have been for cream to treat sunburn on that arm, reference to that medication
fhir:mitigatingAction ( [
fhir:item [
a fhir:Reference ;
fhir:type [ fhir:v "MedicationRequest"^^xsd:anyURI ] ;
fhir:display [ fhir:v "for 14 year-old patient dose reduced to pre-admission dose for the remainder of his hospital stay." ] ]
] ) ; #
fhir:note ( [
fhir:author [ fhir:v "Practitioner" ] ;
fhir:text [ fhir:v "There was no clinical or electrographic seizure episode or recurrence of fever since admission in the 14 year-old patient." ]
] ) . #
IG © 2019+ HL7 International - Patient Care Work Group, Vulcan AdverseEvent groups. Package hl7.fhir.uv.adverseeventclinicalcare#0.2.0 based on FHIR 5.0.0. Generated 2023-05-25
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