4.1 AdverseReaction リソース

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Resource AdverseReaction - Content4.1

Specific reactions to a substance.

The resource name as it appears in a RESTful URL is [root]/adversereaction/

Adverse Reaction resources are used to provide information about specific reactions to a substance. These are normally associated with an AllergyIntolerance resource, but can be reported on their own when no assumption of further reactions is being made, or when specific events are being described.

An Adverse Reaction normally has a set of signs or symptoms that are reported in the Symptom class. However, it is possible to convey that an adverse reaction occurred without knowing the specific signs or symptoms that occurred, e.g. Some unknown reaction occurred.Similarly, it is possible to convey that an adverse reaction with a set of symptoms occurred but not indicate the substance if it is not known. e.g. A rash occurred for some unknown reason.

The Exposure class is used to indicate a set of exposures that preceded the reaction. There is no assertion of causality, purely a statement of timing. Each exposure can indicate a substance that might be different from the reaction if needed.

Resource Content4.1.1

<AdverseReaction xmlns="http://hl7.org/fhir"> <!-- from Resource: extension, narrative, and contained --> <reactionDate value="[dateTime]"/><!-- 0..1 When the reaction occurred --> <subject><!-- 1..1 Resource(Patient) The subject of the adverse reaction --></subject> <didNotOccurFlag value="[boolean]"/><!-- 1..1 To say that a reaction to substance did not occur --> <recorder><!-- 0..1 Resource(Practitioner|Patient) Who recorded the reaction --></recorder> <symptom> <!-- 0..* The signs and symptoms that were observed as part of the reaction --> <code><!-- 1..1 CodeableConcept Indicates the specific sign or symptom that was observed --></code> <severity value="[code]"/><!-- 0..1 The severity of the sign or symptom --> </symptom> <exposure> <!-- 0..* An exposure to a substance that preceded a reaction occurrence --> <exposureDate value="[dateTime]"/><!-- 0..1 When the exposure occurred --> <exposureType value="[code]"/><!-- 0..1 The type of exposure --> <causalityExpectation value="[code]"/><!-- 0..1 A statement of how confident that the recorder was that this exposure caused the reaction --> <substance><!-- 0..1 Resource(Substance) Substance(s) that is presumed to have caused the adverse reaction --></substance> </exposure> </AdverseReaction>

Alternate definitions: Schema/Schematron, Resource Profile

Terminology Bindings 4.1.1.1

Notes:4.1.2

  • Vocabulary Bindings
    • The vocabulary bindings are tentative at this point. Further guidance is needed on whether the current bindings are reasonable.
    • ExposureType is currently a code, but if a suitable value set was used, it could (should?) be changed to a CodeableConcept.

Search Parameters 4.1.3

Search Parameters for RESTful searches. The standard parameters also apply. See Searching for more information.