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

## : AE Clinical Care example 1 stage 2 - Post Physician Review - JSON Representation

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    {
      "resourceType" : "AdverseEvent",
      "id" : "clinicalcareexample1stage2",
      "meta" : {
        "versionId" : "2",
        "lastUpdated" : "2021-12-15T21:05:01.812+00:00",
        "profile" : [
          "http://hl7.org/fhir/uv/adverseeventclinicalcare/StructureDefinition/AdverseEvent-clinical-care"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: AdverseEvent</b><a name=\"clinicalcareexample1stage2\"> </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 &quot;clinicalcareexample1stage2&quot; Version &quot;2&quot; Updated &quot;2021-12-15 21:05:01+0000&quot; </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:\u00a0001</p><p><b>status</b>: completed</p><p><b>actuality</b>: actual</p><p><b>category</b>: Medication mishap <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>#medication-mishap)</span></p><p><b>code</b>: Patient death or serious disability associated with a medication error (event) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#370910000)</span></p><p><b>subject</b>: <span>: 39 year-old male</span></p><p><b>encounter</b>: <span>: encounter where nurse noticed the problem</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>: </p><ul><li><span>: Condition with Diagnosis category, 296393006 | Anticholinergic drug overdose (disorder)</span></li><li><span>: Condition with Diagnosis category, 216468001 | Accidental poisoning caused by morphine (disorder)</span></li></ul><p><b>location</b>: <span>: Palliative Care Agency</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>: Physician reviewer giving diagnosis of morphine toxicity and anticholinergic syndrome caused by drug overdose</span></p><blockquote><p><b>suspectEntity</b></p><p><b>instance</b>: <span>: A pancreatic enzyme capsule (Creon / Nutrizym / Pancrease / Pancrex) is the only other drug that this patient is prescribed and taking.</span></p><h3>Causalities</h3><table class=\"grid\"><tr><td>-</td><td><b>EntityRelatedness</b></td></tr><tr><td>*</td><td>unlikely <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>#unlikely)</span></td></tr></table></blockquote><blockquote><p><b>suspectEntity</b></p><p><b>instance</b>: <span>: 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.</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><blockquote><p><b>mitigatingAction</b></p><p><b>item</b>: <span>: 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.</span></p></blockquote><blockquote><p><b>mitigatingAction</b></p><p><b>item</b>: <span>: The nurse reported the adverse event to the pharmacy for investigation.</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>item</b>: <span>: 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.</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>item</b>: <a href=\"Observation-heartrateobservation.html\">Observation/heartrateobservation: heart rate was 62/min. Patient Base line is 76-82/min. Observation has a referenceRange with type=Patient base-line, this is an additional code, to indicate the base-line range for the patient</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>item</b>: <span>: temperature = 38.7C</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>item</b>: <span>: Signs and Symptoms observation, 123640000 | Mucous membrane dryness (finding)</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>item</b>: <span>: Signs and Symptoms observation, 16386004 | Dry skin (finding)</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>item</b>: <span>: Signs and Symptoms observation, 37125009 | Dilated pupil (finding)</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>item</b>: <span>: Signs and Symptoms observation, 102835006 | Difficulty passing urine (finding)</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>item</b>: <span>: Signs and Symptoms observation, 71782001 | Drowsy (finding)</span></p></blockquote><p><b>note</b>: 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)</p></div>"
      },
      "identifier" : [
        //  an identifier used for this allergic propensity (adverse reaction risk)
        {
          "system" : "http://acme.com/ids/patients/risks",
          "value" : "001"
        }
      ],
      "status" : "completed",
      "actuality" : "actual",
      "category" : [
        //  this was an actual adverse event, not just a potential one
        //  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
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/adverse-event-category",
              "code" : "medication-mishap",
              "display" : "Medication mishap"
            }
          ]
        }
      ],
      "code" : //  more precise details of the event
      {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "370910000",
            "display" : "Patient death or serious disability associated with a medication error (event)"
          }
        ]
      },
      "subject" : //  example uses SNOMED CT. Other likely possibilities include MedDRA
      //  the patient that actually had the adverse event
      // subject>
        <reference value="Patient/example"/>
      </subject>
      <subject>
        <reference value="AdverseEvent/patientSAE1example"/>
      </subject
      {
        "display" : "39 year-old male"
      },
      "encounter" : {
        "display" : "encounter where nurse noticed the problem"
      },
      "detected" : "2021-12-10T13:28:17-05:00",
      "recordedDate" : "2021-12-15T13:28:17-05:00",
      "resultingEffect" : [
        //  when the event happened
        {
          "display" : "Condition with Diagnosis category, 296393006 | Anticholinergic drug overdose (disorder)"
        },
        {
          "display" : "Condition with Diagnosis category, 216468001 | Accidental poisoning caused by morphine (disorder)"
        }
      ],
      "location" : {
        "display" : "Palliative Care Agency"
      },
      "outcome" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "398056004",
              "display" : "Transient abnormality with full recovery (finding)"
            }
          ]
        }
      ],
      "recorder" : //  who made the record / last updated it
      {
        "display" : "Physician reviewer giving diagnosis of morphine toxicity and anticholinergic syndrome caused by drug overdose"
      },
      "suspectEntity" : [
        //  may have been for cream to treat sunburn on that arm, reference to that medication
        {
          "instanceReference" : {
            "type" : "MedicationRequest",
            "display" : "A pancreatic enzyme capsule (Creon / Nutrizym / Pancrease / Pancrex) is the only other drug that this patient is prescribed and taking."
          },
          "causality" : {
            "entityRelatedness" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/adverse-event-causality-assess",
                  "code" : "unlikely",
                  "display" : "unlikely"
                }
              ]
            }
          }
        },
        {
          "instanceReference" : {
            "type" : "MedicationAdministration",
            "display" : "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."
          },
          "causality" : {
            "entityRelatedness" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/adverse-event-causality-assess",
                  "code" : "probably-likely",
                  "display" : "Probably/Likely"
                }
              ]
            }
          }
        }
      ],
      "mitigatingAction" : [
        {
          "itemReference" : {
            "type" : "MedicationAdministration",
            "display" : "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."
          }
        },
        {
          "itemReference" : {
            "type" : "DocumentReference",
            "display" : "The nurse reported the adverse event to the pharmacy for investigation."
          }
        }
      ],
      "supportingInfo" : [
        {
          "itemReference" : {
            "type" : "DocumentReference",
            "display" : "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."
          }
        },
        {
          "itemReference" : {
            "reference" : "Observation/heartrateobservation",
            "display" : "heart rate was 62/min. Patient Base line is 76-82/min. Observation has a referenceRange with type=Patient base-line, this is an additional code, to indicate the base-line range for the patient"
          }
        },
        // type value="Observation"/
        {
          "itemReference" : {
            "type" : "Observation",
            "display" : "temperature = 38.7C"
          }
        },
        {
          "itemReference" : {
            "type" : "Observation",
            "display" : "Signs and Symptoms observation, 123640000 | Mucous membrane dryness (finding)"
          }
        },
        {
          "itemReference" : {
            "type" : "Observation",
            "display" : "Signs and Symptoms observation, 16386004 | Dry skin (finding)"
          }
        },
        {
          "itemReference" : {
            "type" : "Observation",
            "display" : "Signs and Symptoms observation, 37125009 | Dilated pupil (finding)"
          }
        },
        {
          "itemReference" : {
            "type" : "Observation",
            "display" : "Signs and Symptoms observation, 102835006 | Difficulty passing urine (finding)"
          }
        },
        {
          "itemReference" : {
            "type" : "Observation",
            "display" : "Signs and Symptoms observation, 71782001 | Drowsy (finding)"
          }
        }
      ],
      "note" : [
        {
          "authorString" : "Nurse",
          "text" : "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)"
        }
      ]
    }