AdverseReaction - FHIR v0.0.82

This page is part of the FHIR Specification (v0.0.82: DSTU 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

4.1.7 Resource AdverseReaction - Formal Definitions

Formal definitions for the elements in the AdverseReaction resource.

AdverseReaction
Definition	Records an unexpected reaction suspected to be related to the exposure of the reaction subject to a substance.
Control	1..1
Requirements	Used to track reactions when it is unknown the exact cause but there's a desire to flag/track potential causes. Also used to capture reactions that are significant for inclusion in the health record or as evidence for an allergy or intolerance.
AdverseReaction.identifier
Definition	This records identifiers associated with this reaction that are defined by business processed and/ or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).
Control	0..*
Type	Identifier
Requirements	Need to allow connection to a wider workflow.
AdverseReaction.date
Definition	The date (and possibly time) when the reaction began.
Control	0..1
Type	dateTime
AdverseReaction.subject
Definition	The subject of the adverse reaction.
Control	1..1
Type	Resource(Patient)
AdverseReaction.didNotOccurFlag
Definition	If true, indicates that no reaction occurred.
Control	1..1
Type	boolean
Is Modifier	true
Requirements	Generally only useful in conjunction with other positive reaction records. I.e. "Patient reacted to A and B, but did not react when exposed to C, therefore . . .".
Comments	Note that the normal case is false, which is a double negative - it's not true that this reaction did not occur. The normal case is to assert that a reaction did happen.
AdverseReaction.recorder
Definition	Identifies the individual responsible for the information in the reaction record.
Control	0..1
Type	Resource(Practitioner \| Patient)
AdverseReaction.symptom
Definition	The signs and symptoms that were observed as part of the reaction.
Control	0..*
Aliases	Signs; Symptoms; Manifestations
AdverseReaction.symptom.code
Definition	Indicates the specific sign or symptom that was observed.
Control	1..1
Binding	SymptomType: see ICD-10 Reaction codes
Type	CodeableConcept
AdverseReaction.symptom.severity
Definition	The severity of the sign or symptom.
Control	0..1
Binding	ReactionSeverity: The severity of an adverse reaction. (see http://hl7.org/fhir/reactionSeverity for values)
Type	code
AdverseReaction.exposure
Definition	An exposure to a substance that preceded a reaction occurrence.
Control	0..*
Comments	Multiple repetitions are used to indicate multiple potential causes for the reaction.
AdverseReaction.exposure.date
Definition	Identifies the initial date of the exposure that is suspected to be related to the reaction.
Control	0..1
Type	dateTime
AdverseReaction.exposure.type
Definition	The type of exposure: Drug Administration, Immunization, Coincidental.
Control	0..1
Binding	ExposureType: The type of exposure that resulted in an adverse reaction (see http://hl7.org/fhir/exposureType for values)
Type	code
AdverseReaction.exposure.causalityExpectation
Definition	A statement of how confident that the recorder was that this exposure caused the reaction.
Control	0..1
Binding	CausalityExpectation: How likely is it that the given exposure caused a reaction (see http://hl7.org/fhir/causalityExpectation for values)
Type	code
AdverseReaction.exposure.substance
Definition	Substance that is presumed to have caused the adverse reaction.
Control	0..1
Type	Resource(Substance)