Adverse Event Clinical Care
0.2.0 - ci-build International flag

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

Example AdverseEvent: AE Clinical Care example 2 - phlebotomist

Page standards status: Informative

Generated Narrative: AdverseEvent

Resource AdverseEvent "clinicalcareexample2phlebotomist" Version "2" Updated "2021-12-15 21:05:01+0000"

Profile: Adverse Event Clinical Care

identifier: id: 001

status: completed

actuality: actual

category: Unsafe Physical Environment (AdverseEventCategory#unsafe-physical-environment)

code: 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) (SNOMED CT#370927008)

subject: : phlebotomist

encounter: : Inpatient encounter of event that was initiated with ER visit

detected: 2021-12-10 13:28:17-0500

recordedDate: 2021-12-15 13:28:17-0500

resultingEffect: : Condition with Diagnosis category, 3.5 cm laceration on left forearm

location: : Hospital, Inpatient

outcome: Transient abnormality with full recovery (finding) (SNOMED CT#398056004)

recorder: : The person entering in the information

suspectEntity

instance: : 14 year-old patient had increase in Levetiracetam

Causalities

-EntityRelatedness
*Probably/Likely (AdverseEventCausalityAssessment#probably-likely)

MitigatingActions

-Item[x]
*: for 14 year-old patient dose reduced to pre-admission dose for the remainder of his hospital stay.

note: There was no clinical or electrographic seizure episode or recurrence of fever since admission in the 14 year-old patient. (By Practitioner)