ChanjoKE Immunization Implementation Guide
0.1.0 - ci-build

ChanjoKE Immunization Implementation Guide, published by Intellisoft Consulting Ltd. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IntelliSOFT-Consulting/ChanjoKe-FHIR-IG/ and changes regularly. See the Directory of published versions

Resource Profile: AdverseEventProfile

Official URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/AdverseEventProfile Version: 0.1.0
Draft as of 2024-11-08 Computable Name: AdverseEventProfile

Profile for Adverse Event

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from AdverseEvent

NameFlagsCard.TypeDescription & Constraintsdoco
.. AdverseEvent 0..* AdverseEvent Medical care, research study or other healthcare event causing physical injury
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... types-of-aefi S 0..1 code Extension for types of AEFI
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/types-of-aefi
Binding: Type of AEFI (required)
.... eventDetails S 0..1 string Extension for Event Details
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/event-details
.... actionTaken S 0..1 code Extension for Action Taken
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/action-taken
Binding: AEFI Action Taken (required)
.... facility-reported S 0..1 string Extension for Facility Reported
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/facility-reported
.... treatmentGiven S 0..1 string Extension for Treatment Given
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/treatment-given
.... treatmentDetails S 0..1 string Extension for Treatment Details
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/treatment-details
.... specimenCollected S 0..1 string Extension for Specimen collected for investigation
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/specimen-collected
.... specimenDetails S 0..1 string Extension for Specimen Details
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/specimen-details
.... reactionSeverity S 1..1 (Complex) ReactionSeverityExtension
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/reaction-severity
..... value[x] 0..1 code Life Threatening | Mild | Moderate | Severe | Fatal
Binding: Reaction Severity (required)
.... aefiOutcome S 1..1 (Complex) AefiOutcomeExtension
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/aefi-outcome
..... value[x] 0..1 code Recovered | Recovering | Not Recovered | Unknown | Died
Binding: AEFI Outcome (required)
... identifier S 1..1 Identifier Business identifier for the event
... actuality S 1..1 code actual | potential
... date S 1..1 dateTime When the event occurred
... recordedDate S 1..1 dateTime When the event was recorded
... suspectEntity S 0..1 BackboneElement The suspected agent causing the adverse event
.... instance S 1..1 Reference(Substance) Refers to the specific entity that caused the adverse event
... subjectMedicalHistory S 1..1 Reference(Condition | Observation | Immunization | DocumentReference) AdverseEvent.subjectMedicalHistory

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
AdverseEvent.extension:reactionSeverity.value[x]requiredIMMZFDE26VS
https://chanjoke.intellisoftkenya.com/fhir/ValueSet/reactionSeverityVS
from this IG
AdverseEvent.extension:aefiOutcome.value[x]requiredIMMZFDE33VS
https://chanjoke.intellisoftkenya.com/fhir/ValueSet/aefiOutcomeVS
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. AdverseEvent 0..* AdverseEvent Medical care, research study or other healthcare event causing physical injury
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... types-of-aefi S 0..1 code Extension for types of AEFI
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/types-of-aefi
Binding: Type of AEFI (required)
.... eventDetails S 0..1 string Extension for Event Details
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/event-details
.... actionTaken S 0..1 code Extension for Action Taken
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/action-taken
Binding: AEFI Action Taken (required)
.... facility-reported S 0..1 string Extension for Facility Reported
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/facility-reported
.... treatmentGiven S 0..1 string Extension for Treatment Given
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/treatment-given
.... treatmentDetails S 0..1 string Extension for Treatment Details
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/treatment-details
.... specimenCollected S 0..1 string Extension for Specimen collected for investigation
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/specimen-collected
.... specimenDetails S 0..1 string Extension for Specimen Details
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/specimen-details
.... reactionSeverity S 1..1 (Complex) ReactionSeverityExtension
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/reaction-severity
..... extension 0..0
..... url 1..1 uri "https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/reaction-severity"
..... value[x] 0..1 code Life Threatening | Mild | Moderate | Severe | Fatal
Binding: Reaction Severity (required)
.... aefiOutcome S 1..1 (Complex) AefiOutcomeExtension
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/aefi-outcome
..... extension 0..0
..... url 1..1 uri "https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/aefi-outcome"
..... value[x] 0..1 code Recovered | Recovering | Not Recovered | Unknown | Died
Binding: AEFI Outcome (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... actuality ?!SΣ 1..1 code actual | potential
Binding: AdverseEventActuality (required): Overall nature of the adverse event, e.g. real or potential.

... subject Σ 1..1 Reference(KenyanImmunizationRegistryPatient) Subject impacted by event
... date SΣ 1..1 dateTime When the event occurred
... recordedDate SΣ 1..1 dateTime When the event was recorded
... suspectEntity SΣ 0..1 BackboneElement The suspected agent causing the adverse event
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... instance SΣ 1..1 Reference(Substance) Refers to the specific entity that caused the adverse event
... subjectMedicalHistory SΣ 1..1 Reference(Condition | Observation | Immunization | DocumentReference) AdverseEvent.subjectMedicalHistory

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AdverseEvent.extension:reactionSeverity.value[x]requiredIMMZFDE26VS
https://chanjoke.intellisoftkenya.com/fhir/ValueSet/reactionSeverityVS
from this IG
AdverseEvent.extension:aefiOutcome.value[x]requiredIMMZFDE33VS
https://chanjoke.intellisoftkenya.com/fhir/ValueSet/aefiOutcomeVS
from this IG
AdverseEvent.actualityrequiredAdverseEventActuality
http://hl7.org/fhir/ValueSet/adverse-event-actuality|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorAdverseEventIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAdverseEventIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorAdverseEventIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorAdverseEventIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAdverseEventA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. AdverseEvent 0..* AdverseEvent Medical care, research study or other healthcare event causing physical injury
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... types-of-aefi S 0..1 code Extension for types of AEFI
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/types-of-aefi
Binding: Type of AEFI (required)
.... eventDetails S 0..1 string Extension for Event Details
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/event-details
.... actionTaken S 0..1 code Extension for Action Taken
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/action-taken
Binding: AEFI Action Taken (required)
.... facility-reported S 0..1 string Extension for Facility Reported
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/facility-reported
.... treatmentGiven S 0..1 string Extension for Treatment Given
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/treatment-given
.... treatmentDetails S 0..1 string Extension for Treatment Details
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/treatment-details
.... specimenCollected S 0..1 string Extension for Specimen collected for investigation
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/specimen-collected
.... specimenDetails S 0..1 string Extension for Specimen Details
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/specimen-details
.... reactionSeverity S 1..1 (Complex) ReactionSeverityExtension
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/reaction-severity
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/reaction-severity"
..... value[x] 0..1 code Life Threatening | Mild | Moderate | Severe | Fatal
Binding: Reaction Severity (required)
.... aefiOutcome S 1..1 (Complex) AefiOutcomeExtension
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/aefi-outcome
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/aefi-outcome"
..... value[x] 0..1 code Recovered | Recovering | Not Recovered | Unknown | Died
Binding: AEFI Outcome (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 1..1 Identifier Business identifier for the event
... actuality ?!SΣ 1..1 code actual | potential
Binding: AdverseEventActuality (required): Overall nature of the adverse event, e.g. real or potential.

... category Σ 0..* CodeableConcept product-problem | product-quality | product-use-error | wrong-dose | incorrect-prescribing-information | wrong-technique | wrong-route-of-administration | wrong-rate | wrong-duration | wrong-time | expired-drug | medical-device-use-error | problem-different-manufacturer | unsafe-physical-environment
Binding: AdverseEventCategory (extensible): Overall categorization of the event, e.g. product-related or situational.


... event Σ 0..1 CodeableConcept Type of the event itself in relation to the subject
Binding: SNOMEDCTClinicalFindings (example): Detailed type of event.

... subject Σ 1..1 Reference(KenyanImmunizationRegistryPatient) Subject impacted by event
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... date SΣ 1..1 dateTime When the event occurred
... detected Σ 0..1 dateTime When the event was detected
... recordedDate SΣ 1..1 dateTime When the event was recorded
... resultingCondition Σ 0..* Reference(Condition) Effect on the subject due to this event
... location Σ 0..1 Reference(Location) Location where adverse event occurred
... seriousness Σ 0..1 CodeableConcept Seriousness of the event
Binding: AdverseEventSeriousness (example): Overall seriousness of this event for the patient.

... severity Σ 0..1 CodeableConcept mild | moderate | severe
Binding: AdverseEventSeverity (required): The severity of the adverse event itself, in direct relation to the subject.

... outcome Σ 0..1 CodeableConcept resolved | recovering | ongoing | resolvedWithSequelae | fatal | unknown
Binding: AdverseEventOutcome (required): TODO (and should this be required?).

... recorder Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) Who recorded the adverse event
... contributor Σ 0..* Reference(Practitioner | PractitionerRole | Device) Who was involved in the adverse event or the potential adverse event
... suspectEntity SΣ 0..1 BackboneElement The suspected agent causing the adverse event
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... instance SΣ 1..1 Reference(Substance) Refers to the specific entity that caused the adverse event
.... causality Σ 0..* BackboneElement Information on the possible cause of the event
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... assessment Σ 0..1 CodeableConcept Assessment of if the entity caused the event
Binding: AdverseEventCausalityAssessment (example): Codes for the assessment of whether the entity caused the event.

..... productRelatedness Σ 0..1 string AdverseEvent.suspectEntity.causalityProductRelatedness
..... author Σ 0..1 Reference(Practitioner | PractitionerRole) AdverseEvent.suspectEntity.causalityAuthor
..... method Σ 0..1 CodeableConcept ProbabilityScale | Bayesian | Checklist
Binding: AdverseEventCausalityMethod (example): TODO.

... subjectMedicalHistory SΣ 1..1 Reference(Condition | Observation | Immunization | DocumentReference) AdverseEvent.subjectMedicalHistory
... referenceDocument Σ 0..* Reference(DocumentReference) AdverseEvent.referenceDocument
... study Σ 0..* Reference(ResearchStudy) AdverseEvent.study

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AdverseEvent.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
AdverseEvent.extension:reactionSeverity.value[x]requiredIMMZFDE26VS
https://chanjoke.intellisoftkenya.com/fhir/ValueSet/reactionSeverityVS
from this IG
AdverseEvent.extension:aefiOutcome.value[x]requiredIMMZFDE33VS
https://chanjoke.intellisoftkenya.com/fhir/ValueSet/aefiOutcomeVS
from this IG
AdverseEvent.actualityrequiredAdverseEventActuality
http://hl7.org/fhir/ValueSet/adverse-event-actuality|4.0.1
from the FHIR Standard
AdverseEvent.categoryextensibleAdverseEventCategory
http://hl7.org/fhir/ValueSet/adverse-event-category
from the FHIR Standard
AdverseEvent.eventexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/adverse-event-type
from the FHIR Standard
AdverseEvent.seriousnessexampleAdverseEventSeriousness
http://hl7.org/fhir/ValueSet/adverse-event-seriousness
from the FHIR Standard
AdverseEvent.severityrequiredAdverseEventSeverity
http://hl7.org/fhir/ValueSet/adverse-event-severity|4.0.1
from the FHIR Standard
AdverseEvent.outcomerequiredAdverseEventOutcome
http://hl7.org/fhir/ValueSet/adverse-event-outcome|4.0.1
from the FHIR Standard
AdverseEvent.suspectEntity.causality.assessmentexampleAdverseEventCausalityAssessment
http://hl7.org/fhir/ValueSet/adverse-event-causality-assess
from the FHIR Standard
AdverseEvent.suspectEntity.causality.methodexampleAdverseEventCausalityMethod
http://hl7.org/fhir/ValueSet/adverse-event-causality-method
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorAdverseEventIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAdverseEventIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorAdverseEventIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorAdverseEventIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAdverseEventA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from AdverseEvent

NameFlagsCard.TypeDescription & Constraintsdoco
.. AdverseEvent 0..* AdverseEvent Medical care, research study or other healthcare event causing physical injury
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... types-of-aefi S 0..1 code Extension for types of AEFI
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/types-of-aefi
Binding: Type of AEFI (required)
.... eventDetails S 0..1 string Extension for Event Details
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/event-details
.... actionTaken S 0..1 code Extension for Action Taken
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/action-taken
Binding: AEFI Action Taken (required)
.... facility-reported S 0..1 string Extension for Facility Reported
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/facility-reported
.... treatmentGiven S 0..1 string Extension for Treatment Given
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/treatment-given
.... treatmentDetails S 0..1 string Extension for Treatment Details
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/treatment-details
.... specimenCollected S 0..1 string Extension for Specimen collected for investigation
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/specimen-collected
.... specimenDetails S 0..1 string Extension for Specimen Details
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/specimen-details
.... reactionSeverity S 1..1 (Complex) ReactionSeverityExtension
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/reaction-severity
..... value[x] 0..1 code Life Threatening | Mild | Moderate | Severe | Fatal
Binding: Reaction Severity (required)
.... aefiOutcome S 1..1 (Complex) AefiOutcomeExtension
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/aefi-outcome
..... value[x] 0..1 code Recovered | Recovering | Not Recovered | Unknown | Died
Binding: AEFI Outcome (required)
... identifier S 1..1 Identifier Business identifier for the event
... actuality S 1..1 code actual | potential
... date S 1..1 dateTime When the event occurred
... recordedDate S 1..1 dateTime When the event was recorded
... suspectEntity S 0..1 BackboneElement The suspected agent causing the adverse event
.... instance S 1..1 Reference(Substance) Refers to the specific entity that caused the adverse event
... subjectMedicalHistory S 1..1 Reference(Condition | Observation | Immunization | DocumentReference) AdverseEvent.subjectMedicalHistory

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
AdverseEvent.extension:reactionSeverity.value[x]requiredIMMZFDE26VS
https://chanjoke.intellisoftkenya.com/fhir/ValueSet/reactionSeverityVS
from this IG
AdverseEvent.extension:aefiOutcome.value[x]requiredIMMZFDE33VS
https://chanjoke.intellisoftkenya.com/fhir/ValueSet/aefiOutcomeVS
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. AdverseEvent 0..* AdverseEvent Medical care, research study or other healthcare event causing physical injury
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... types-of-aefi S 0..1 code Extension for types of AEFI
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/types-of-aefi
Binding: Type of AEFI (required)
.... eventDetails S 0..1 string Extension for Event Details
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/event-details
.... actionTaken S 0..1 code Extension for Action Taken
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/action-taken
Binding: AEFI Action Taken (required)
.... facility-reported S 0..1 string Extension for Facility Reported
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/facility-reported
.... treatmentGiven S 0..1 string Extension for Treatment Given
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/treatment-given
.... treatmentDetails S 0..1 string Extension for Treatment Details
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/treatment-details
.... specimenCollected S 0..1 string Extension for Specimen collected for investigation
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/specimen-collected
.... specimenDetails S 0..1 string Extension for Specimen Details
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/specimen-details
.... reactionSeverity S 1..1 (Complex) ReactionSeverityExtension
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/reaction-severity
..... extension 0..0
..... url 1..1 uri "https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/reaction-severity"
..... value[x] 0..1 code Life Threatening | Mild | Moderate | Severe | Fatal
Binding: Reaction Severity (required)
.... aefiOutcome S 1..1 (Complex) AefiOutcomeExtension
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/aefi-outcome
..... extension 0..0
..... url 1..1 uri "https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/aefi-outcome"
..... value[x] 0..1 code Recovered | Recovering | Not Recovered | Unknown | Died
Binding: AEFI Outcome (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... actuality ?!SΣ 1..1 code actual | potential
Binding: AdverseEventActuality (required): Overall nature of the adverse event, e.g. real or potential.

... subject Σ 1..1 Reference(KenyanImmunizationRegistryPatient) Subject impacted by event
... date SΣ 1..1 dateTime When the event occurred
... recordedDate SΣ 1..1 dateTime When the event was recorded
... suspectEntity SΣ 0..1 BackboneElement The suspected agent causing the adverse event
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... instance SΣ 1..1 Reference(Substance) Refers to the specific entity that caused the adverse event
... subjectMedicalHistory SΣ 1..1 Reference(Condition | Observation | Immunization | DocumentReference) AdverseEvent.subjectMedicalHistory

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AdverseEvent.extension:reactionSeverity.value[x]requiredIMMZFDE26VS
https://chanjoke.intellisoftkenya.com/fhir/ValueSet/reactionSeverityVS
from this IG
AdverseEvent.extension:aefiOutcome.value[x]requiredIMMZFDE33VS
https://chanjoke.intellisoftkenya.com/fhir/ValueSet/aefiOutcomeVS
from this IG
AdverseEvent.actualityrequiredAdverseEventActuality
http://hl7.org/fhir/ValueSet/adverse-event-actuality|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorAdverseEventIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAdverseEventIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorAdverseEventIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorAdverseEventIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAdverseEventA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. AdverseEvent 0..* AdverseEvent Medical care, research study or other healthcare event causing physical injury
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... types-of-aefi S 0..1 code Extension for types of AEFI
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/types-of-aefi
Binding: Type of AEFI (required)
.... eventDetails S 0..1 string Extension for Event Details
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/event-details
.... actionTaken S 0..1 code Extension for Action Taken
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/action-taken
Binding: AEFI Action Taken (required)
.... facility-reported S 0..1 string Extension for Facility Reported
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/facility-reported
.... treatmentGiven S 0..1 string Extension for Treatment Given
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/treatment-given
.... treatmentDetails S 0..1 string Extension for Treatment Details
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/treatment-details
.... specimenCollected S 0..1 string Extension for Specimen collected for investigation
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/specimen-collected
.... specimenDetails S 0..1 string Extension for Specimen Details
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/specimen-details
.... reactionSeverity S 1..1 (Complex) ReactionSeverityExtension
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/reaction-severity
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/reaction-severity"
..... value[x] 0..1 code Life Threatening | Mild | Moderate | Severe | Fatal
Binding: Reaction Severity (required)
.... aefiOutcome S 1..1 (Complex) AefiOutcomeExtension
URL: https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/aefi-outcome
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "https://chanjoke.intellisoftkenya.com/fhir/StructureDefinition/aefi-outcome"
..... value[x] 0..1 code Recovered | Recovering | Not Recovered | Unknown | Died
Binding: AEFI Outcome (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 1..1 Identifier Business identifier for the event
... actuality ?!SΣ 1..1 code actual | potential
Binding: AdverseEventActuality (required): Overall nature of the adverse event, e.g. real or potential.

... category Σ 0..* CodeableConcept product-problem | product-quality | product-use-error | wrong-dose | incorrect-prescribing-information | wrong-technique | wrong-route-of-administration | wrong-rate | wrong-duration | wrong-time | expired-drug | medical-device-use-error | problem-different-manufacturer | unsafe-physical-environment
Binding: AdverseEventCategory (extensible): Overall categorization of the event, e.g. product-related or situational.


... event Σ 0..1 CodeableConcept Type of the event itself in relation to the subject
Binding: SNOMEDCTClinicalFindings (example): Detailed type of event.

... subject Σ 1..1 Reference(KenyanImmunizationRegistryPatient) Subject impacted by event
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... date SΣ 1..1 dateTime When the event occurred
... detected Σ 0..1 dateTime When the event was detected
... recordedDate SΣ 1..1 dateTime When the event was recorded
... resultingCondition Σ 0..* Reference(Condition) Effect on the subject due to this event
... location Σ 0..1 Reference(Location) Location where adverse event occurred
... seriousness Σ 0..1 CodeableConcept Seriousness of the event
Binding: AdverseEventSeriousness (example): Overall seriousness of this event for the patient.

... severity Σ 0..1 CodeableConcept mild | moderate | severe
Binding: AdverseEventSeverity (required): The severity of the adverse event itself, in direct relation to the subject.

... outcome Σ 0..1 CodeableConcept resolved | recovering | ongoing | resolvedWithSequelae | fatal | unknown
Binding: AdverseEventOutcome (required): TODO (and should this be required?).

... recorder Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) Who recorded the adverse event
... contributor Σ 0..* Reference(Practitioner | PractitionerRole | Device) Who was involved in the adverse event or the potential adverse event
... suspectEntity SΣ 0..1 BackboneElement The suspected agent causing the adverse event
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... instance SΣ 1..1 Reference(Substance) Refers to the specific entity that caused the adverse event
.... causality Σ 0..* BackboneElement Information on the possible cause of the event
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... assessment Σ 0..1 CodeableConcept Assessment of if the entity caused the event
Binding: AdverseEventCausalityAssessment (example): Codes for the assessment of whether the entity caused the event.

..... productRelatedness Σ 0..1 string AdverseEvent.suspectEntity.causalityProductRelatedness
..... author Σ 0..1 Reference(Practitioner | PractitionerRole) AdverseEvent.suspectEntity.causalityAuthor
..... method Σ 0..1 CodeableConcept ProbabilityScale | Bayesian | Checklist
Binding: AdverseEventCausalityMethod (example): TODO.

... subjectMedicalHistory SΣ 1..1 Reference(Condition | Observation | Immunization | DocumentReference) AdverseEvent.subjectMedicalHistory
... referenceDocument Σ 0..* Reference(DocumentReference) AdverseEvent.referenceDocument
... study Σ 0..* Reference(ResearchStudy) AdverseEvent.study

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
AdverseEvent.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
AdverseEvent.extension:reactionSeverity.value[x]requiredIMMZFDE26VS
https://chanjoke.intellisoftkenya.com/fhir/ValueSet/reactionSeverityVS
from this IG
AdverseEvent.extension:aefiOutcome.value[x]requiredIMMZFDE33VS
https://chanjoke.intellisoftkenya.com/fhir/ValueSet/aefiOutcomeVS
from this IG
AdverseEvent.actualityrequiredAdverseEventActuality
http://hl7.org/fhir/ValueSet/adverse-event-actuality|4.0.1
from the FHIR Standard
AdverseEvent.categoryextensibleAdverseEventCategory
http://hl7.org/fhir/ValueSet/adverse-event-category
from the FHIR Standard
AdverseEvent.eventexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/adverse-event-type
from the FHIR Standard
AdverseEvent.seriousnessexampleAdverseEventSeriousness
http://hl7.org/fhir/ValueSet/adverse-event-seriousness
from the FHIR Standard
AdverseEvent.severityrequiredAdverseEventSeverity
http://hl7.org/fhir/ValueSet/adverse-event-severity|4.0.1
from the FHIR Standard
AdverseEvent.outcomerequiredAdverseEventOutcome
http://hl7.org/fhir/ValueSet/adverse-event-outcome|4.0.1
from the FHIR Standard
AdverseEvent.suspectEntity.causality.assessmentexampleAdverseEventCausalityAssessment
http://hl7.org/fhir/ValueSet/adverse-event-causality-assess
from the FHIR Standard
AdverseEvent.suspectEntity.causality.methodexampleAdverseEventCausalityMethod
http://hl7.org/fhir/ValueSet/adverse-event-causality-method
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorAdverseEventIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorAdverseEventIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorAdverseEventIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorAdverseEventIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceAdverseEventA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

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