HL7 FHIR Implementation Guide: Common Terminology Criteria (CTC) Adverse Events Release 1 - DRAFT
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HL7 FHIR Implementation Guide: Common Terminology Criteria (CTC) Adverse Events Release 1 - DRAFT, published by HL7 International Clinical Interoperability Council. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/standardhealth/fsh-ae/ and changes regularly. See the Directory of published versions

: ctc-adverse-event-example-3 - JSON Representation

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{
  "resourceType" : "AdverseEvent",
  "id" : "ctc-adverse-event-example-3",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/ctcae/StructureDefinition/ctc-adverse-event"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: AdverseEvent</b><a name=\"ctc-adverse-event-example-3\"> </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;ctc-adverse-event-example-3&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ctc-adverse-event.html\">CTC Adverse Event</a></p></div><p><b>CTC Adverse Event Grade</b>: Severe Adverse Event <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ctcae-grade-code-system.html\">CTCAE Grade Code System</a>#3)</span></p><p><b>Adverse Event Seriousness Outcome</b>: Adverse Event associated with Hopitalization <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-v3-nciThesaurus.html\">NCI Thesaurus</a>#C83052)</span></p><p><b>Adverse Event Expectation</b>: Expected Adverse Event <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-v3-nciThesaurus.html\">NCI Thesaurus</a>#C41333)</span></p><p><b>Adverse Event Resolved Date</b>: 2021-06-22</p><blockquote><p><b>Adverse Event Participant</b></p><blockquote><p><b>url</b></p><code>function</code></blockquote><p><b>value</b>: authenticator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-v3-ParticipationType.html\">ParticipationType</a>#AUTHEN)</span></p><blockquote><p><b>url</b></p><code>actor</code></blockquote><p><b>value</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Practitioner/us-core-practitioner-owen-oncologist</a> &quot; ONCOLOGIST&quot;</p></blockquote><p><b>actuality</b>: actual</p><p><b>event</b>: DHN IV given <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-MDRAE.html\">MedDRA Am Engl</a>#10012174 &quot;Dehydration&quot;)</span></p><p><b>subject</b>: <a href=\"Patient-PatientPersona2.html\">Patient/PatientPersona2</a> &quot; C.&quot;</p><p><b>date</b>: 2021-06-21</p><p><b>seriousness</b>: Serious Adverse Event <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-v3-nciThesaurus.html\">NCI Thesaurus</a>#C41335)</span></p><p><b>outcome</b>: Resolved <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/codesystem-adverse-event-outcome.html\">AdverseEventOutcome</a>#resolved)</span></p><p><b>recorder</b>: <a href=\"Practitioner-PractitionerExample1.html\">Practitioner/PractitionerExample1</a> &quot; ANYDOC&quot;</p><blockquote><p><b>suspectEntity</b></p><p><b>instance</b>: <a name=\"medication-example-1\"> </a></p><blockquote><p/><p><a name=\"medication-example-1\"> </a></p><p><b>code</b>: gefitinib 250 MG Oral Tablet <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#349472)</span></p></blockquote><h3>Causalities</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Assessment</b></td></tr><tr><td style=\"display: none\">*</td><td>Adverse Event Probably Related to Intervention <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-v3-nciThesaurus.html\">NCI Thesaurus</a>#C53259)</span></td></tr></table></blockquote><hr/><blockquote><p><b>Generated Narrative: Medication #medication-example-1</b><a name=\"medication-example-1\"> </a></p><p><b>code</b>: gefitinib 250 MG Oral Tablet <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#349472)</span></p></blockquote></div>"
  },
  "contained" : [
    {
      "resourceType" : "Medication",
      "id" : "medication-example-1",
      "code" : {
        "coding" : [
          {
            "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code" : "349472",
            "display" : "gefitinib 250 MG Oral Tablet"
          }
        ]
      }
    }
  ],
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/ctcae/StructureDefinition/ctcae-grade",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/ctcae/CodeSystem/ctcae-grade-code-system",
            "code" : "3",
            "display" : "Severe Adverse Event"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/ctcae/StructureDefinition/adverse-event-seriousness-outcome",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
            "code" : "C83052",
            "display" : "Adverse Event associated with Hopitalization"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/ctcae/StructureDefinition/adverse-event-expectation",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
            "code" : "C41333",
            "display" : "Expected Adverse Event"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/ctcae/StructureDefinition/adverse-event-resolved-date",
      "valueDateTime" : "2021-06-22"
    },
    {
      "extension" : [
        {
          "url" : "function",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                "code" : "AUTHEN"
              }
            ]
          }
        },
        {
          "url" : "actor",
          "valueReference" : {
            🔗 "reference" : "Practitioner/us-core-practitioner-owen-oncologist"
          }
        }
      ],
      "url" : "http://hl7.org/fhir/us/ctcae/StructureDefinition/adverse-event-participant"
    }
  ],
  "actuality" : "actual",
  "event" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/MDRAE",
        "code" : "10012174",
        "display" : "Dehydration"
      }
    ],
    "text" : "DHN IV given"
  },
  "subject" : {
    🔗 "reference" : "Patient/PatientPersona2"
  },
  "date" : "2021-06-21",
  "seriousness" : {
    "coding" : [
      {
        "system" : "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
        "code" : "C41335",
        "display" : "Serious Adverse Event"
      }
    ]
  },
  "outcome" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/adverse-event-outcome",
        "code" : "resolved"
      }
    ]
  },
  "recorder" : {
    🔗 "reference" : "Practitioner/PractitionerExample1"
  },
  "suspectEntity" : [
    {
      "instance" : {
        "reference" : "#medication-example-1"
      },
      "causality" : [
        {
          "assessment" : {
            "coding" : [
              {
                "system" : "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
                "code" : "C53259"
              }
            ],
            "text" : "Adverse Event Probably Related to Intervention"
          }
        }
      ]
    }
  ]
}