O‘zbekiston Raqamli sog‘liqni saqlash platformasi
0.11.1 - ci-build
O‘zbekiston Raqamli sog‘liqni saqlash platformasi
0.11.1 - ci-build
Uzbekistan Digital Health Platform, Ministry of Health of the Republic of Uzbekistan tomonidan e’lon qilingan. Ushbu qo‘llanma rasmiy nashr emas; u FHIR (HL7® FHIR® Standard) CI Build tomonidan yaratilgan 0.11.1 versiyasi uchun uzluksiz yig‘ma hisoblanadi. Ushbu versiya https://github.com/uzinfocom-org/digital-health-ig/ dagi joriy kontentga asoslangan va muntazam ravishda o‘zgarib turadi. Nashr etilgan versiyalar katalogini ko‘ring
| Rasmiy URL: https://dhp.uz/fhir/core/StructureDefinition/uz-core-adverse-event | Versiya: 0.11.1 | ||||
| Active 2025-08-01 holatiga ko‘ra | Kompyuterda qayta ishlanadigan nom: UZCoreAdverseEvent | ||||
Uzbekistan Core AdverseEvent profile, used to represent an adverse event that may be associated with unintended consequences for a patient or research participant.
UZ Core AdverseEvent Raqamli sog'liqni saqlash platformasida (DHP) nojo'ya hodisani, masalan, vaksinatsiyadan keyingi reaksiyani qayd etadi. U hodisa bilan bog'liq bo'lishi mumkin bo'lgan taxminiy manbaga reference saqlaydi; vaksina reaksiyasi uchun bunday resurs Immunization hisoblanadi. Reaksiyaning o'zini tavsiflovchi Observation yoki Condition ham unga qo'shilishi mumkin. Resurs hodisa ta'sir qilgan Patient va uni qayd etgan Practitioner resurslarini ko'rsatadi. Hodisa amalda zarar yetkazgan bo'lishi yoki zarar yetkazilishining oldi olingan potensial xavfli holat bo'lishi mumkin.
Quyidagi elementlar doimo mavjud bo'lishi (majburiy) yoki tegishli ma'lumot mavjud bo'lganda qo'llab-quvvatlanishi (Must Support) kerak. Ularning barchasi ham majburiy emas, biroq tizim ma'lumotga ega bo'lsa, har bir Must Support elementini to'ldirishi va uni qabul qilganda qayta ishlashi kerak. Quyida inson o'qishi uchun mo'ljallangan qisqacha tavsif berilgan; pastdagi formal ko'rinishlarda aniq karralilik, turlar va terminologik bog'lanishlar keltirilgan.
Ushbu profil o'ziga xos qo'shimcha majburiy karralilik belgilamaydi. Majburiy elementlar bazaviy resursdan meros olinadi: yozuv statusi (1..1), actuality - amalda yetkazilgan zarar yoki zarar yetkazilishining oldi olingan potensial xavfli holat (1..1), shuningdek hodisa sodir bo'lgan subject (1..1). Amalda taxminiy manba ham doimo to'ldiriladi (quyidagi Must Support bo'limiga qarang).
Vaksinatsiyadan keyingi reaksiya uchun taxminiy manbada Immunization resursiga reference ko'rsating,
resultingEffectelementida esa reaksiyani tavsiflovchi Condition yoki Observation resursiga reference bering.
Quyidagi misollar server qabul qiladigan eng kichik nusxadan boshlab, nojo'ya hodisa haqidagi to'liq yozuvgacha boradi. Mos misolni nusxalang va moslashtiring - ko'rsatilgan har bir qiymat ushbu profil bo'yicha validatsiyadan o'tadi. To'liq etalon nusxalarga sahifaning pastki qismida reference berilgan (o'lim bilan yakunlangan anafilaksiya, oldi olingan dori vositasi bilan bog'liq xato).
Bazaviy resurs yozuvning status, actuality (amalda zarar yetkazilganmi yoki zarar yetkazilishining oldi olingan potensial xavfli holat yuz berganmi?) va hodisa sodir bo'lgan subject elementlarini talab qiladi. Nojo'ya hodisa suspectEntity - hodisaning taxminiy manbai - ko'rsatilgandagina amaliy ma'no kasb etadi. E'tibor bering: status va actuality CodeableConcept emas, balki oddiy kodlardir; ularni qo'shimcha tuzilmasiz satr ko'rinishida yuboring. Har bir UZ Core resursi meta.profile elementida qaysi profilga muvofiqligini ham ko'rsatishi kerak:
{
"resourceType": "AdverseEvent",
"meta": { "profile": ["https://dhp.uz/fhir/core/StructureDefinition/uz-core-adverse-event"] },
"status": "in-progress",
"actuality": "potential",
"subject": { "reference": "Patient/example-salim" },
"suspectEntity": [
{ "instanceReference": { "reference": "Medication/example-prednisone" } }
]
}
status (registered, in-progress, completed …) va actuality (actual / potential) uchun majburiy bog'lanish qo'llanadi: qiymat tegishli ValueSet tarkibidan tanlanishi kerak. suspectEntity.instance[x] elementida hodisa bilan bog'liq deb taxmin qilinayotgan nusxa ko'rsatiladi. Ushbu misolda bu Medication; vaksinatsiyadan keyingi reaksiya uchun Immunization ishlatiladi. Shuningdek Procedure, Substance, Device yoki MedicationAdministration ham ko'rsatilishi mumkin. Bu oddiy Reference bo'lgani uchun instanceReference bevosita { "reference": "Type/id" } tuzilmasini saqlaydi.
Bemorga amalda ta'sir qilgan hodisa uchun uning yuz bergan vaqtini (occurrenceDateTime), detected elementida aniqlangan vaqtni, recordedDate, bog'liq encounter va location, resultingEffect - hodisa sababli yuzaga kelgan Condition yoki Observation - seriousness, outcome, recorder va hodisa haqida xabar bergan participant ma'lumotlarini to'ldiring:
{
"resourceType": "AdverseEvent",
"meta": { "profile": [ "https://dhp.uz/fhir/core/StructureDefinition/uz-core-adverse-event" ] },
"status": "completed",
"actuality": "actual",
"subject": { "reference": "Patient/example-david" },
"encounter": { "reference": "Encounter/example-encounter" },
"occurrenceDateTime": "2026-04-30T10:30:00+05:00",
"detected": "2026-04-30T10:45:00+05:00",
"recordedDate": "2026-04-30T11:15:00+05:00",
"resultingEffect": [ { "reference": "Condition/example-anaphylaxis" } ],
"location": { "reference": "Location/example-location" },
"seriousness": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/adverse-event-seriousness",
"code": "serious",
"display": "Serious"
}
]
},
"outcome": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "405535005",
"display": "Adverse incident resulting in death"
}
]
}
],
"recorder": { "reference": "Practitioner/example-practitioner" },
"participant": [
{
"function": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "AUT",
"display": "author (originator)"
}
]
},
"actor": { "reference": "Practitioner/example-practitioner" }
}
],
"suspectEntity": [ { "instanceReference": { "reference": "Medication/example-amoxicillin" } } ],
"note": [
{
"text": "Patient developed anaphylaxis shortly after amoxicillin administration and died despite resuscitation efforts."
}
]
}
CodeableConcept turidagi seriousness va outcome elementlaridan farqli ravishda (ushbu misolda outcome SNOMED CTdan, seriousness esa HL7 jiddiylik kodlari tizimidan foydalanadi), resultingEffect, subject, encounter, location, recorder va participant.actor elementlarining barchasi qo'shimcha ichma-ich tuzilmasiz { "reference": "Type/id" } formatidagi oddiy Reference hisoblanadi. participant.function mazkur shaxs nima sababdan ishtirok etganini ko'rsatadi (bu yerda AUT - hodisani qayd etgan muallif).
Bemorga yetib bormagan, oldi olingan hodisa xuddi shu tarzda qayd etiladi, biroq actuality uchun potential qiymati ko'rsatiladi. resultingEffect bo'lmaydi, chunki bemorga hech qanday ta'sir yuz bermagan, outcome esa ko'rsatilmaydi. Hodisa qanday aniqlanib, oldi olinganini note elementida tushuntiring. suspectEntity baribir zarar yetkazishi mumkin bo'lgan obyektga reference saqlaydi:
{
"resourceType": "AdverseEvent",
"meta": { "profile": [ "https://dhp.uz/fhir/core/StructureDefinition/uz-core-adverse-event" ] },
"status": "in-progress",
"actuality": "potential",
"subject": { "reference": "Patient/example-salim" },
"encounter": { "reference": "Encounter/example-encounter" },
"occurrenceDateTime": "2026-04-30T10:30:00+05:00",
"detected": "2026-04-30T10:35:00+05:00",
"recordedDate": "2026-04-30T11:15:00+05:00",
"location": { "reference": "Location/example-location-1" },
"seriousness": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/adverse-event-seriousness",
"code": "serious",
"display": "Serious"
}
]
},
"recorder": { "reference": "Practitioner/example-practitioner" },
"suspectEntity": [ { "instanceReference": { "reference": "Medication/example-prednisone" } } ],
"note": [
{
"text": "Prednisone ordered despite a documented contraindication; pharmacy intercepted it before it reached the patient."
}
]
}
Zarar yetkazilishining oldi olingan potensial xavfli holatni ham qayd etish muhim: seriousness yuz berishi mumkin bo'lgan oqibatning qanchalik og'irligini, detected esa xavfsizlik mexanizmi hodisani qachon aniqlaganini ko'rsatadi. Elementni qachon qoldirib ketish va qachon ma'lumot yo'qligini belgilash kerakligi Yetishmayotgan va yashirilgan ma'lumotlar bo'limida tushuntirilgan.
API chaqiruvlari misollari va namunaviy payload ushbu sahifaning pastki qismidagi Tezkor boshlash bo'limida keltirilgan.
Foydalanishlar:
You can also check for usages in the FHIR IG Statistics
Profillar, differentsiyalar, snapshotlar va ularning tasvirlari ta’rifi.
| Nomi | Belgilar | Card. | Turi | Tavsif va cheklovlar Filter:  |
|---|---|---|---|---|
  AdverseEvent |
0..* | AdverseEvent(5.0.0) | An event that may be related to unintended effects on a patient or research participant | |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| contained |
0..* | Resource | Contained, inline Resources | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | |
 identifier |
0..* | Identifier | Business identifier for the event | |
| status |
1..1 | code | in-progress | completed | entered-in-error | unknown Bogʻlanish: AdverseEventStatusVS (0.11.1) (required) | |
| actuality |
1..1 | code | actual | potential Bogʻlanish: AdverseEventActualityVS (0.11.1) (required) | |
 subject |
1..1 | Reference(UZ Core Patient(0.11.1) | Group | UZ Core Practitioner(0.11.1) | UZ Core RelatedPerson(0.11.1) | ResearchSubject) | Subject impacted by event | |
| encounter |
0..1 | Reference(UZ Core Encounter(0.11.1)) | The Encounter associated with the start of the AdverseEvent | |
  occurrence[x] |
0..1 | When the event occurred | ||
 occurrenceDateTime |
dateTime | |||
| occurrencePeriod |
Period | |||
 occurrenceTiming |
Timing | |||
| detected |
0..1 | dateTime | When the event was detected | |
| recordedDate |
0..1 | dateTime | When the event was recorded | |
| resultingEffect |
0..* | Reference(UZ Core Condition(0.11.1) | UZ Core Observation(0.11.1)) | Effect on the subject due to this event | |
| location |
0..1 | Reference(UZ Core Location(0.11.1)) | Location where adverse event occurred | |
| seriousness |
0..1 | CodeableConcept | Seriousness or gravity of the event Bogʻlanish: AdverseEventSeriousnessVS (0.11.1) (example) | |
| outcome |
0..* | CodeableConcept | Type of outcome from the adverse event Bogʻlanish: AdverseEventOutcomeVS (0.11.1) (example) | |
| recorder |
0..1 | Reference(UZ Core Patient(0.11.1) | UZ Core Practitioner(0.11.1) | UZ Core PractitionerRole(0.11.1) | UZ Core RelatedPerson(0.11.1) | ResearchSubject) | Who recorded the adverse event | |
| participant |
0..* | BackboneElement | Who was involved in the adverse event or the potential adverse event and what they did | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | |
| function |
0..1 | CodeableConcept | Type of involvement Bogʻlanish: AdverseEventParticipantFunction (example) | |
| actor |
1..1 | Reference(UZ Core Patient(0.11.1) | UZ Core Practitioner(0.11.1) | UZ Core PractitionerRole(0.11.1) | UZ Core RelatedPerson(0.11.1) | ResearchSubject) | Who was involved in the adverse event or the potential adverse event | |
| suspectEntity |
0..* | BackboneElement | The suspected agent causing the adverse event | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | |
| instance[x] |
1..1 | Reference(UZ Core Immunization(0.11.1) | UZ Core Procedure(0.11.1) | Substance | UZ Core Medication(0.11.1) | MedicationAdministration | MedicationStatement | Device | UZ Core BiologicallyDerivedProduct(0.11.1) | ResearchStudy) | Refers to the specific entity that caused the adverse event | |
| note |
0..* | Annotation | Comment on adverse event | |
| Ushbu format bo‘yicha hujjatlar | ||||
| Yoʻl | Holat | Foydalanish | ValueSet | Version | Manba |
| AdverseEvent.status | Base | required | Types of AdverseEvent status | 📍0.11.1 | Ushbu implementatsiya qo'llanmasi |
| AdverseEvent.actuality | Base | required | Types of AdverseEvent actuality | 📍0.11.1 | Ushbu implementatsiya qo'llanmasi |
| AdverseEvent.seriousness | Base | example | Types of AdverseEvent seriousness | 📍0.11.1 | Ushbu implementatsiya qo'llanmasi |
| AdverseEvent.outcome | Base | example | Types of AdverseEvent outcome | 📍0.11.1 | Ushbu implementatsiya qo'llanmasi |
| AdverseEvent.participant.function | Base | example | AdverseEvent Participant Function | 📍5.0.0 | FHIR standarti. |
| Id | Daraja | Yoʻl(lar) | Tavsif | Ifoda |
Ushbu tuzilma AdverseEvent asosida yaratilgan
| Yoʻl | Holat | Foydalanish | ValueSet | Version | Manba |
| AdverseEvent.status | Base | required | Types of AdverseEvent status | 📍0.11.1 | Ushbu implementatsiya qo'llanmasi |
| AdverseEvent.actuality | Base | required | Types of AdverseEvent actuality | 📍0.11.1 | Ushbu implementatsiya qo'llanmasi |
| AdverseEvent.seriousness | Base | example | Types of AdverseEvent seriousness | 📍0.11.1 | Ushbu implementatsiya qo'llanmasi |
| AdverseEvent.outcome | Base | example | Types of AdverseEvent outcome | 📍0.11.1 | Ushbu implementatsiya qo'llanmasi |
| AdverseEvent.participant.function | Base | example | AdverseEvent Participant Function | 📍5.0.0 | FHIR standarti. |
| Nomi | Belgilar | Card. | Turi | Tavsif va cheklovlar Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| AdverseEvent |
0..* | AdverseEvent(5.0.0) | An event that may be related to unintended effects on a patient or research participant | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Bogʻlanish: AllLanguages (required): IETF language tag for a human language
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | |||||
| identifier |
0..* | Identifier | Business identifier for the event | |||||
| status |
1..1 | code | in-progress | completed | entered-in-error | unknown Bogʻlanish: AdverseEventStatusVS (0.11.1) (required) | |||||
| actuality |
1..1 | code | actual | potential Bogʻlanish: AdverseEventActualityVS (0.11.1) (required) | |||||
| category |
0..* | CodeableConcept | wrong-patient | procedure-mishap | medication-mishap | device | unsafe-physical-environment | hospital-aquired-infection | wrong-body-site Bogʻlanish: AdverseEventCategory (example): Overall categorization of the event, e.g. product-related or situational. | |||||
| code |
0..1 | CodeableConcept | Event or incident that occurred or was averted Bogʻlanish: AdverseEventType (example): Detailed type of event. | |||||
| subject |
1..1 | Reference(UZ Core Patient(0.11.1) | Group | UZ Core Practitioner(0.11.1) | UZ Core RelatedPerson(0.11.1) | ResearchSubject) | Subject impacted by event | |||||
| encounter |
0..1 | Reference(UZ Core Encounter(0.11.1)) | The Encounter associated with the start of the AdverseEvent | |||||
| occurrence[x] |
0..1 | When the event occurred | ||||||
| occurrenceDateTime |
dateTime | |||||||
| occurrencePeriod |
Period | |||||||
| occurrenceTiming |
Timing | |||||||
| detected |
0..1 | dateTime | When the event was detected | |||||
| recordedDate |
0..1 | dateTime | When the event was recorded | |||||
| resultingEffect |
0..* | Reference(UZ Core Condition(0.11.1) | UZ Core Observation(0.11.1)) | Effect on the subject due to this event | |||||
| location |
0..1 | Reference(UZ Core Location(0.11.1)) | Location where adverse event occurred | |||||
| seriousness |
0..1 | CodeableConcept | Seriousness or gravity of the event Bogʻlanish: AdverseEventSeriousnessVS (0.11.1) (example) | |||||
| outcome |
0..* | CodeableConcept | Type of outcome from the adverse event Bogʻlanish: AdverseEventOutcomeVS (0.11.1) (example) | |||||
| recorder |
0..1 | Reference(UZ Core Patient(0.11.1) | UZ Core Practitioner(0.11.1) | UZ Core PractitionerRole(0.11.1) | UZ Core RelatedPerson(0.11.1) | ResearchSubject) | Who recorded the adverse event | |||||
| participant |
0..* | BackboneElement | Who was involved in the adverse event or the potential adverse event and what they did | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | |||||
| function |
0..1 | CodeableConcept | Type of involvement Bogʻlanish: AdverseEventParticipantFunction (example) | |||||
| actor |
1..1 | Reference(UZ Core Patient(0.11.1) | UZ Core Practitioner(0.11.1) | UZ Core PractitionerRole(0.11.1) | UZ Core RelatedPerson(0.11.1) | ResearchSubject) | Who was involved in the adverse event or the potential adverse event | |||||
| study |
0..* | Reference(ResearchStudy) | Research study that the subject is enrolled in | |||||
| expectedInResearchStudy |
0..1 | boolean | Considered likely or probable or anticipated in the research study | |||||
| suspectEntity |
0..* | 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 Constraints: ext-1 | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | |||||
| instance[x] |
1..1 | Reference(UZ Core Immunization(0.11.1) | UZ Core Procedure(0.11.1) | Substance | UZ Core Medication(0.11.1) | MedicationAdministration | MedicationStatement | Device | UZ Core BiologicallyDerivedProduct(0.11.1) | ResearchStudy) | Refers to the specific entity that caused the adverse event | |||||
 causality |
0..1 | 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 Constraints: ext-1 | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | |||||
| assessmentMethod |
0..1 | CodeableConcept | Method of evaluating the relatedness of the suspected entity to the event Bogʻlanish: AdverseEventCausalityMethod (example): TODO. | |||||
| entityRelatedness |
0..1 | CodeableConcept | Result of the assessment regarding the relatedness of the suspected entity to the event Bogʻlanish: AdverseEventCausalityAssessment (example): Codes for the assessment of whether the entity caused the event. | |||||
| author |
0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | ResearchSubject) | Author of the information on the possible cause of the event | |||||
| contributingFactor |
0..* | BackboneElement | Contributing factors suspected to have increased the probability or severity of the adverse event | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | |||||
| item[x] |
1..1 | Item suspected to have increased the probability or severity of the adverse event Bogʻlanish: AdverseEventContributingFactor (example): Codes describing the contributing factors suspected to have increased the probability or severity of the adverse event. | ||||||
| itemReference |
Reference(Condition | Observation | AllergyIntolerance | FamilyMemberHistory | Immunization | Procedure | Device | DeviceUsage | DocumentReference | MedicationAdministration | MedicationStatement) | |||||||
| itemCodeableConcept |
CodeableConcept | |||||||
| preventiveAction |
0..* | BackboneElement | Preventive actions that contributed to avoiding the adverse event | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | |||||
| item[x] |
1..1 | Action that contributed to avoiding the adverse event Bogʻlanish: AdverseEventPreventiveAction (example): Codes describing the preventive actions that contributed to avoiding the adverse event. | ||||||
| itemReference |
Reference(Immunization | Procedure | DocumentReference | MedicationAdministration | MedicationRequest) | |||||||
| itemCodeableConcept |
CodeableConcept | |||||||
| mitigatingAction |
0..* | BackboneElement | Ameliorating actions taken after the adverse event occured in order to reduce the extent of harm | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | |||||
| item[x] |
1..1 | Ameliorating action taken after the adverse event occured in order to reduce the extent of harm Bogʻlanish: AdverseEventMitigatingAction (example): Codes describing the ameliorating actions taken after the adverse event occured in order to reduce the extent of harm. | ||||||
| itemReference |
Reference(Procedure | DocumentReference | MedicationAdministration | MedicationRequest) | |||||||
| itemCodeableConcept |
CodeableConcept | |||||||
| supportingInfo |
0..* | BackboneElement | Supporting information relevant to the event | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | |||||
| item[x] |
1..1 | Subject medical history or document relevant to this adverse event Bogʻlanish: AdverseEventSupportingInforation (example): Codes describing the supporting information relevant to the event. | ||||||
| itemReference |
Reference(Condition | Observation | AllergyIntolerance | FamilyMemberHistory | Immunization | Procedure | DocumentReference | MedicationAdministration | MedicationStatement | QuestionnaireResponse) | |||||||
| itemCodeableConcept |
CodeableConcept | |||||||
| note |
0..* | Annotation | Comment on adverse event | |||||
| Ushbu format bo‘yicha hujjatlar | ||||||||
| Yoʻl | Holat | Foydalanish | ValueSet | Version | Manba |
| AdverseEvent.language | Base | required | All Languages | 📍5.0.0 | FHIR standarti. |
| AdverseEvent.status | Base | required | Types of AdverseEvent status | 📍0.11.1 | Ushbu implementatsiya qo'llanmasi |
| AdverseEvent.actuality | Base | required | Types of AdverseEvent actuality | 📍0.11.1 | Ushbu implementatsiya qo'llanmasi |
| AdverseEvent.category | Base | example | Adverse Event Category | 📍5.0.0 | FHIR standarti. |
| AdverseEvent.code | Base | example | AdverseEvent Type | 📍5.0.0 | FHIR standarti. |
| AdverseEvent.seriousness | Base | example | Types of AdverseEvent seriousness | 📍0.11.1 | Ushbu implementatsiya qo'llanmasi |
| AdverseEvent.outcome | Base | example | Types of AdverseEvent outcome | 📍0.11.1 | Ushbu implementatsiya qo'llanmasi |
| AdverseEvent.participant.function | Base | example | AdverseEvent Participant Function | 📍5.0.0 | FHIR standarti. |
| AdverseEvent.suspectEntity.causality.assessmentMethod | Base | example | Adverse Event Causality Method | 📍5.0.0 | FHIR standarti. |
| AdverseEvent.suspectEntity.causality.entityRelatedness | Base | example | Adverse Event Causality Assessment | 📍5.0.0 | FHIR standarti. |
| AdverseEvent.contributingFactor.item[x] | Base | example | AdverseEvent Contributing Factor | 📍5.0.0 | FHIR standarti. |
| AdverseEvent.preventiveAction.item[x] | Base | example | AdverseEvent Preventive Action | 📍5.0.0 | FHIR standarti. |
| AdverseEvent.mitigatingAction.item[x] | Base | example | AdverseEvent Mitigating Action | 📍5.0.0 | FHIR standarti. |
| AdverseEvent.supportingInfo.item[x] | Base | example | AdverseEvent Supporting Information | 📍5.0.0 | FHIR standarti. |
| Id | Daraja | Yoʻl(lar) | Tavsif | Ifoda |
Ushbu tuzilma AdverseEvent asosida yaratilgan
Xulosa
Qo‘llab-quvvatlash majburiy: 19 elements
Tuzilmalar
Ushbu tuzilma quyidagi boshqa tuzilmalarga murojaat qiladi:
Asosiy elementlar ko'rinishi
| Nomi | Belgilar | Card. | Turi | Tavsif va cheklovlar Filter: |
|---|---|---|---|---|
| AdverseEvent |
0..* | AdverseEvent(5.0.0) | An event that may be related to unintended effects on a patient or research participant | |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| contained |
0..* | Resource | Contained, inline Resources | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | |
| identifier |
0..* | Identifier | Business identifier for the event | |
| status |
1..1 | code | in-progress | completed | entered-in-error | unknown Bogʻlanish: AdverseEventStatusVS (0.11.1) (required) | |
| actuality |
1..1 | code | actual | potential Bogʻlanish: AdverseEventActualityVS (0.11.1) (required) | |
| subject |
1..1 | Reference(UZ Core Patient(0.11.1) | Group | UZ Core Practitioner(0.11.1) | UZ Core RelatedPerson(0.11.1) | ResearchSubject) | Subject impacted by event | |
| encounter |
0..1 | Reference(UZ Core Encounter(0.11.1)) | The Encounter associated with the start of the AdverseEvent | |
| occurrence[x] |
0..1 | When the event occurred | ||
| occurrenceDateTime |
dateTime | |||
| occurrencePeriod |
Period | |||
| occurrenceTiming |
Timing | |||
| detected |
0..1 | dateTime | When the event was detected | |
| recordedDate |
0..1 | dateTime | When the event was recorded | |
| resultingEffect |
0..* | Reference(UZ Core Condition(0.11.1) | UZ Core Observation(0.11.1)) | Effect on the subject due to this event | |
| location |
0..1 | Reference(UZ Core Location(0.11.1)) | Location where adverse event occurred | |
| seriousness |
0..1 | CodeableConcept | Seriousness or gravity of the event Bogʻlanish: AdverseEventSeriousnessVS (0.11.1) (example) | |
| outcome |
0..* | CodeableConcept | Type of outcome from the adverse event Bogʻlanish: AdverseEventOutcomeVS (0.11.1) (example) | |
| recorder |
0..1 | Reference(UZ Core Patient(0.11.1) | UZ Core Practitioner(0.11.1) | UZ Core PractitionerRole(0.11.1) | UZ Core RelatedPerson(0.11.1) | ResearchSubject) | Who recorded the adverse event | |
| participant |
0..* | BackboneElement | Who was involved in the adverse event or the potential adverse event and what they did | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | |
| function |
0..1 | CodeableConcept | Type of involvement Bogʻlanish: AdverseEventParticipantFunction (example) | |
| actor |
1..1 | Reference(UZ Core Patient(0.11.1) | UZ Core Practitioner(0.11.1) | UZ Core PractitionerRole(0.11.1) | UZ Core RelatedPerson(0.11.1) | ResearchSubject) | Who was involved in the adverse event or the potential adverse event | |
| suspectEntity |
0..* | BackboneElement | The suspected agent causing the adverse event | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | |
| instance[x] |
1..1 | Reference(UZ Core Immunization(0.11.1) | UZ Core Procedure(0.11.1) | Substance | UZ Core Medication(0.11.1) | MedicationAdministration | MedicationStatement | Device | UZ Core BiologicallyDerivedProduct(0.11.1) | ResearchStudy) | Refers to the specific entity that caused the adverse event | |
| note |
0..* | Annotation | Comment on adverse event | |
| Ushbu format bo‘yicha hujjatlar | ||||
| Yoʻl | Holat | Foydalanish | ValueSet | Version | Manba |
| AdverseEvent.status | Base | required | Types of AdverseEvent status | 📍0.11.1 | Ushbu implementatsiya qo'llanmasi |
| AdverseEvent.actuality | Base | required | Types of AdverseEvent actuality | 📍0.11.1 | Ushbu implementatsiya qo'llanmasi |
| AdverseEvent.seriousness | Base | example | Types of AdverseEvent seriousness | 📍0.11.1 | Ushbu implementatsiya qo'llanmasi |
| AdverseEvent.outcome | Base | example | Types of AdverseEvent outcome | 📍0.11.1 | Ushbu implementatsiya qo'llanmasi |
| AdverseEvent.participant.function | Base | example | AdverseEvent Participant Function | 📍5.0.0 | FHIR standarti. |
| Id | Daraja | Yoʻl(lar) | Tavsif | Ifoda |
Differensial ko‘rinish
Ushbu tuzilma AdverseEvent asosida yaratilgan
| Yoʻl | Holat | Foydalanish | ValueSet | Version | Manba |
| AdverseEvent.status | Base | required | Types of AdverseEvent status | 📍0.11.1 | Ushbu implementatsiya qo'llanmasi |
| AdverseEvent.actuality | Base | required | Types of AdverseEvent actuality | 📍0.11.1 | Ushbu implementatsiya qo'llanmasi |
| AdverseEvent.seriousness | Base | example | Types of AdverseEvent seriousness | 📍0.11.1 | Ushbu implementatsiya qo'llanmasi |
| AdverseEvent.outcome | Base | example | Types of AdverseEvent outcome | 📍0.11.1 | Ushbu implementatsiya qo'llanmasi |
| AdverseEvent.participant.function | Base | example | AdverseEvent Participant Function | 📍5.0.0 | FHIR standarti. |
Snapshot ko‘rinishiView
| Nomi | Belgilar | Card. | Turi | Tavsif va cheklovlar Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| AdverseEvent |
0..* | AdverseEvent(5.0.0) | An event that may be related to unintended effects on a patient or research participant | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Bogʻlanish: AllLanguages (required): IETF language tag for a human language
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | |||||
| identifier |
0..* | Identifier | Business identifier for the event | |||||
| status |
1..1 | code | in-progress | completed | entered-in-error | unknown Bogʻlanish: AdverseEventStatusVS (0.11.1) (required) | |||||
| actuality |
1..1 | code | actual | potential Bogʻlanish: AdverseEventActualityVS (0.11.1) (required) | |||||
| category |
0..* | CodeableConcept | wrong-patient | procedure-mishap | medication-mishap | device | unsafe-physical-environment | hospital-aquired-infection | wrong-body-site Bogʻlanish: AdverseEventCategory (example): Overall categorization of the event, e.g. product-related or situational. | |||||
| code |
0..1 | CodeableConcept | Event or incident that occurred or was averted Bogʻlanish: AdverseEventType (example): Detailed type of event. | |||||
| subject |
1..1 | Reference(UZ Core Patient(0.11.1) | Group | UZ Core Practitioner(0.11.1) | UZ Core RelatedPerson(0.11.1) | ResearchSubject) | Subject impacted by event | |||||
| encounter |
0..1 | Reference(UZ Core Encounter(0.11.1)) | The Encounter associated with the start of the AdverseEvent | |||||
| occurrence[x] |
0..1 | When the event occurred | ||||||
| occurrenceDateTime |
dateTime | |||||||
| occurrencePeriod |
Period | |||||||
| occurrenceTiming |
Timing | |||||||
| detected |
0..1 | dateTime | When the event was detected | |||||
| recordedDate |
0..1 | dateTime | When the event was recorded | |||||
| resultingEffect |
0..* | Reference(UZ Core Condition(0.11.1) | UZ Core Observation(0.11.1)) | Effect on the subject due to this event | |||||
| location |
0..1 | Reference(UZ Core Location(0.11.1)) | Location where adverse event occurred | |||||
| seriousness |
0..1 | CodeableConcept | Seriousness or gravity of the event Bogʻlanish: AdverseEventSeriousnessVS (0.11.1) (example) | |||||
| outcome |
0..* | CodeableConcept | Type of outcome from the adverse event Bogʻlanish: AdverseEventOutcomeVS (0.11.1) (example) | |||||
| recorder |
0..1 | Reference(UZ Core Patient(0.11.1) | UZ Core Practitioner(0.11.1) | UZ Core PractitionerRole(0.11.1) | UZ Core RelatedPerson(0.11.1) | ResearchSubject) | Who recorded the adverse event | |||||
| participant |
0..* | BackboneElement | Who was involved in the adverse event or the potential adverse event and what they did | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | |||||
| function |
0..1 | CodeableConcept | Type of involvement Bogʻlanish: AdverseEventParticipantFunction (example) | |||||
| actor |
1..1 | Reference(UZ Core Patient(0.11.1) | UZ Core Practitioner(0.11.1) | UZ Core PractitionerRole(0.11.1) | UZ Core RelatedPerson(0.11.1) | ResearchSubject) | Who was involved in the adverse event or the potential adverse event | |||||
| study |
0..* | Reference(ResearchStudy) | Research study that the subject is enrolled in | |||||
| expectedInResearchStudy |
0..1 | boolean | Considered likely or probable or anticipated in the research study | |||||
| suspectEntity |
0..* | 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 Constraints: ext-1 | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | |||||
| instance[x] |
1..1 | Reference(UZ Core Immunization(0.11.1) | UZ Core Procedure(0.11.1) | Substance | UZ Core Medication(0.11.1) | MedicationAdministration | MedicationStatement | Device | UZ Core BiologicallyDerivedProduct(0.11.1) | ResearchStudy) | Refers to the specific entity that caused the adverse event | |||||
| causality |
0..1 | 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 Constraints: ext-1 | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | |||||
| assessmentMethod |
0..1 | CodeableConcept | Method of evaluating the relatedness of the suspected entity to the event Bogʻlanish: AdverseEventCausalityMethod (example): TODO. | |||||
| entityRelatedness |
0..1 | CodeableConcept | Result of the assessment regarding the relatedness of the suspected entity to the event Bogʻlanish: AdverseEventCausalityAssessment (example): Codes for the assessment of whether the entity caused the event. | |||||
| author |
0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | ResearchSubject) | Author of the information on the possible cause of the event | |||||
| contributingFactor |
0..* | BackboneElement | Contributing factors suspected to have increased the probability or severity of the adverse event | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | |||||
| item[x] |
1..1 | Item suspected to have increased the probability or severity of the adverse event Bogʻlanish: AdverseEventContributingFactor (example): Codes describing the contributing factors suspected to have increased the probability or severity of the adverse event. | ||||||
| itemReference |
Reference(Condition | Observation | AllergyIntolerance | FamilyMemberHistory | Immunization | Procedure | Device | DeviceUsage | DocumentReference | MedicationAdministration | MedicationStatement) | |||||||
| itemCodeableConcept |
CodeableConcept | |||||||
| preventiveAction |
0..* | BackboneElement | Preventive actions that contributed to avoiding the adverse event | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | |||||
| item[x] |
1..1 | Action that contributed to avoiding the adverse event Bogʻlanish: AdverseEventPreventiveAction (example): Codes describing the preventive actions that contributed to avoiding the adverse event. | ||||||
| itemReference |
Reference(Immunization | Procedure | DocumentReference | MedicationAdministration | MedicationRequest) | |||||||
| itemCodeableConcept |
CodeableConcept | |||||||
| mitigatingAction |
0..* | BackboneElement | Ameliorating actions taken after the adverse event occured in order to reduce the extent of harm | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | |||||
| item[x] |
1..1 | Ameliorating action taken after the adverse event occured in order to reduce the extent of harm Bogʻlanish: AdverseEventMitigatingAction (example): Codes describing the ameliorating actions taken after the adverse event occured in order to reduce the extent of harm. | ||||||
| itemReference |
Reference(Procedure | DocumentReference | MedicationAdministration | MedicationRequest) | |||||||
| itemCodeableConcept |
CodeableConcept | |||||||
| supportingInfo |
0..* | BackboneElement | Supporting information relevant to the event | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | |||||
| item[x] |
1..1 | Subject medical history or document relevant to this adverse event Bogʻlanish: AdverseEventSupportingInforation (example): Codes describing the supporting information relevant to the event. | ||||||
| itemReference |
Reference(Condition | Observation | AllergyIntolerance | FamilyMemberHistory | Immunization | Procedure | DocumentReference | MedicationAdministration | MedicationStatement | QuestionnaireResponse) | |||||||
| itemCodeableConcept |
CodeableConcept | |||||||
| note |
0..* | Annotation | Comment on adverse event | |||||
| Ushbu format bo‘yicha hujjatlar | ||||||||
| Yoʻl | Holat | Foydalanish | ValueSet | Version | Manba |
| AdverseEvent.language | Base | required | All Languages | 📍5.0.0 | FHIR standarti. |
| AdverseEvent.status | Base | required | Types of AdverseEvent status | 📍0.11.1 | Ushbu implementatsiya qo'llanmasi |
| AdverseEvent.actuality | Base | required | Types of AdverseEvent actuality | 📍0.11.1 | Ushbu implementatsiya qo'llanmasi |
| AdverseEvent.category | Base | example | Adverse Event Category | 📍5.0.0 | FHIR standarti. |
| AdverseEvent.code | Base | example | AdverseEvent Type | 📍5.0.0 | FHIR standarti. |
| AdverseEvent.seriousness | Base | example | Types of AdverseEvent seriousness | 📍0.11.1 | Ushbu implementatsiya qo'llanmasi |
| AdverseEvent.outcome | Base | example | Types of AdverseEvent outcome | 📍0.11.1 | Ushbu implementatsiya qo'llanmasi |
| AdverseEvent.participant.function | Base | example | AdverseEvent Participant Function | 📍5.0.0 | FHIR standarti. |
| AdverseEvent.suspectEntity.causality.assessmentMethod | Base | example | Adverse Event Causality Method | 📍5.0.0 | FHIR standarti. |
| AdverseEvent.suspectEntity.causality.entityRelatedness | Base | example | Adverse Event Causality Assessment | 📍5.0.0 | FHIR standarti. |
| AdverseEvent.contributingFactor.item[x] | Base | example | AdverseEvent Contributing Factor | 📍5.0.0 | FHIR standarti. |
| AdverseEvent.preventiveAction.item[x] | Base | example | AdverseEvent Preventive Action | 📍5.0.0 | FHIR standarti. |
| AdverseEvent.mitigatingAction.item[x] | Base | example | AdverseEvent Mitigating Action | 📍5.0.0 | FHIR standarti. |
| AdverseEvent.supportingInfo.item[x] | Base | example | AdverseEvent Supporting Information | 📍5.0.0 | FHIR standarti. |
| Id | Daraja | Yoʻl(lar) | Tavsif | Ifoda |
Ushbu tuzilma AdverseEvent asosida yaratilgan
Xulosa
Qo‘llab-quvvatlash majburiy: 19 elements
Tuzilmalar
Ushbu tuzilma quyidagi boshqa tuzilmalarga murojaat qiladi:
Profilning boshqa ko‘rinishlari: CSV, Excel, Schematron
Ushbu profil uchun keng tarqalgan API amallari. So'rovlar JWT kirish tokenini talab qiladi - Xavfsizlik va autentifikatsiya bo'limiga qarang. [base] - FHIR-serverning bazaviy URL manzili; | belgisi token tizimini uning qiymatidan ajratadi va %7C ko'rinishida URL-kodlanishi kerak. Ushbu amallarda standart FHIR R5 qidiruv parametrlaridan foydalaniladi; ushbu resurs uchun CapabilityStatement yakuniy holatga keltirilishi davomida uni tekshirib boring.
Nojo'ya hodisani server identifikatori bo'yicha o'qish
GET [base]/AdverseEvent/[id]
Foydali qidiruvlar
# bemorning barcha nojo'ya hodisalari
GET [base]/AdverseEvent?subject=Patient/[id]
# faqat jiddiy hodisalar, eng so'nggilari birinchi
GET [base]/AdverseEvent?subject=Patient/[id]&seriousness=http://terminology.hl7.org/CodeSystem/adverse-event-seriousness%7Cserious&_sort=-date
# sana, status yoki hodisa kodi bo'yicha
GET [base]/AdverseEvent?subject=Patient/[id]&date=ge2026-01-01
GET [base]/AdverseEvent?status=completed
GET [base]/AdverseEvent?code=http://snomed.info/sct%7C39579001
Yangi nojo'ya hodisani qayd etish
POST [base]/AdverseEvent
{
"resourceType": "AdverseEvent",
"meta": { "profile": [ "https://dhp.uz/fhir/core/StructureDefinition/uz-core-adverse-event" ] },
...
}
Nojo'ya hodisani yangilash (masalan, ma'lum bo'lgach oqibat yoki yuzaga kelgan Condition ni qo'shish)
PUT [base]/AdverseEvent/[id]
If-Match: W/"3" # oxirgi o'qishda olingan ETag; o'shandan beri o'zgargan bo'lsa 412
{
"resourceType": "AdverseEvent",
"id": "[id]",
"meta": { "profile": [ "https://dhp.uz/fhir/core/StructureDefinition/uz-core-adverse-event" ] },
...
}