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 2 - patient - TTL Representation

Page standards status: Informative

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    @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 "clinicalcareexample2patient"] ; #
      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=\"clinicalcareexample2patient\"> </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;clinicalcareexample2patient&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: 001</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>: 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>: 14 year-old male</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, acute agitation</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 "001" ]
      ] ) ; #  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 "medication-mishap" ] ;
    fhir:display [ fhir:v "Medication Mishap" ]     ] )
      ] ) ; #  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 "Patient"^^xsd:anyURI ] ;
    fhir:display [ fhir:v "14 year-old male" ]
      ] ; #  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, acute agitation" ]
      ] ) ; #
      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." ]
      ] ) . #