HRSA 2023 Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+) FHIR IG
1.0.1 - STU1 Release 1 - Standard for Trial-Use
This page is part of the HRSA Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+ or uds-plus) FHIR IG (v1.0.1: STU1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
Official URL: http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-adverseevent | Version: 1.0.1 | |||
Standards status: Trial-use | Maturity Level: 2 | Computable Name: UDSPlusAdverseEvent |
The UDS+ profile is based on the AdverseEvent resource and establishes the core elements, extensions, vocabularies and value sets for representing Allergies and Intolerances for UDS+ program.
This profile is used to represent de-identified AdverseEvent information. The de-identification process has to remove all data elements not explicitly identified as “SUPPORTED” in the profile.
The HHS De-identification Guidance is to be followed to ensure appropriate level of de-identification is performed.
According to the HHS guidance, dates should not have a precision of more than the year. This means month and day cannot be included. This includes AdverseEvent.recorded and date elements.
In FHIR Resources, text elements and reference.display elements which provide human readable information to the providers may be generated using programs and tools from the data present within the resource. For e.g a AdverseEvent resource text element may contain information such as the AdverseEvent dates, patient information. This type of information will enable identification of the individuals. In order to avoid inadvertent revealing of PII/PHI, text elements cannot be included in the De-identified FHIR resource and the submission will be rejected when text elements are present by the validation process.
Ids and References
The original AdverseEvent resource id should not be included in the De-identified AdverseEvent instance. Instead a new id should be created and provided as part of the FHIR resource. The Data Submitter should be capable of using the generated id to relink the data to the original AdverseEvent. All resource references to the AdverseEvent submitted as part of the UDS+ report should refer to newly generated id.
Resource references cannot contain text element as it may contain PHI/PII. The text element for following references are not allowed
Date Truncation
The Data Submitter has to truncate the following dates to only have a precision of year
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from AdverseEvent
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
AdverseEvent | 0..* | AdverseEvent | De-Identified UDS Plus AdverseEvent | |
id | S | 0..1 | id | The de-identified AdverseEvent identifier created by the health center to send data to UDS+ Data Receiver |
text | 0..0 | |||
contained | 0..0 | |||
actuality | S | 1..1 | code | actual | potential |
category | S | 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 |
event | S | 1..1 | CodeableConcept | Type of the event itself in relation to the subject |
subject | S | 1..1 | Reference(De-Identified UDS Plus Patient) | Subject impacted by event |
display | 0..0 | |||
date | S | 0..1 | dateTime | When the event occurred |
recordedDate | S | 0..1 | dateTime | When the event was recorded |
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
AdverseEvent | 0..* | AdverseEvent | De-Identified UDS Plus AdverseEvent | |
id | SΣ | 0..1 | id | The de-identified AdverseEvent identifier created by the health center to send data to UDS+ Data Receiver |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
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. |
category | SΣ | 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 | SΣ | 1..1 | CodeableConcept | Type of the event itself in relation to the subject Binding: SNOMEDCTClinicalFindings (example): Detailed type of event. |
subject | SΣ | 1..1 | Reference(De-Identified UDS Plus Patient) | Subject impacted by event |
date | SΣ | 0..1 | dateTime | When the event occurred |
recordedDate | SΣ | 0..1 | dateTime | When the event was recorded |
Documentation for this format |
Path | Conformance | ValueSet |
AdverseEvent.actuality | required | AdverseEventActuality |
AdverseEvent.category | extensible | AdverseEventCategory |
AdverseEvent.event | example | SNOMEDCTClinicalFindings |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | AdverseEvent | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | AdverseEvent | If 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-4 | error | AdverseEvent | If 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-5 | error | AdverseEvent | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | AdverseEvent | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
AdverseEvent | 0..* | AdverseEvent | De-Identified UDS Plus AdverseEvent | |||||
id | SΣ | 0..1 | id | The de-identified AdverseEvent identifier created by the health center to send data to UDS+ Data Receiver | ||||
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.
| |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..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 | SΣ | 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 | SΣ | 1..1 | CodeableConcept | Type of the event itself in relation to the subject Binding: SNOMEDCTClinicalFindings (example): Detailed type of event. | ||||
subject | SΣ | 1..1 | Reference(De-Identified UDS Plus Patient) | Subject impacted by event | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
date | SΣ | 0..1 | dateTime | When the event occurred | ||||
detected | Σ | 0..1 | dateTime | When the event was detected | ||||
recordedDate | SΣ | 0..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 | Σ | 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 | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
instance | Σ | 1..1 | Reference(Immunization | Procedure | Substance | Medication | MedicationAdministration | MedicationStatement | Device) | 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 | Σ | 0..* | Reference(Condition | Observation | AllergyIntolerance | FamilyMemberHistory | Immunization | Procedure | Media | DocumentReference) | AdverseEvent.subjectMedicalHistory | ||||
referenceDocument | Σ | 0..* | Reference(DocumentReference) | AdverseEvent.referenceDocument | ||||
study | Σ | 0..* | Reference(ResearchStudy) | AdverseEvent.study | ||||
Documentation for this format |
Path | Conformance | ValueSet | ||||
AdverseEvent.language | preferred | CommonLanguages
| ||||
AdverseEvent.actuality | required | AdverseEventActuality | ||||
AdverseEvent.category | extensible | AdverseEventCategory | ||||
AdverseEvent.event | example | SNOMEDCTClinicalFindings | ||||
AdverseEvent.subject.type | extensible | ResourceType | ||||
AdverseEvent.seriousness | example | AdverseEventSeriousness | ||||
AdverseEvent.severity | required | AdverseEventSeverity | ||||
AdverseEvent.outcome | required | AdverseEventOutcome | ||||
AdverseEvent.suspectEntity.causality.assessment | example | AdverseEventCausalityAssessment | ||||
AdverseEvent.suspectEntity.causality.method | example | AdverseEventCausalityMethod |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | AdverseEvent | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | AdverseEvent | If 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-4 | error | AdverseEvent | If 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-5 | error | AdverseEvent | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | AdverseEvent | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from AdverseEvent
Summary
Mandatory: 3 elements
Must-Support: 7 elements
Prohibited: 3 elements
Structures
This structure refers to these other structures:
Maturity: 2
Differential View
This structure is derived from AdverseEvent
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
AdverseEvent | 0..* | AdverseEvent | De-Identified UDS Plus AdverseEvent | |
id | S | 0..1 | id | The de-identified AdverseEvent identifier created by the health center to send data to UDS+ Data Receiver |
text | 0..0 | |||
contained | 0..0 | |||
actuality | S | 1..1 | code | actual | potential |
category | S | 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 |
event | S | 1..1 | CodeableConcept | Type of the event itself in relation to the subject |
subject | S | 1..1 | Reference(De-Identified UDS Plus Patient) | Subject impacted by event |
display | 0..0 | |||
date | S | 0..1 | dateTime | When the event occurred |
recordedDate | S | 0..1 | dateTime | When the event was recorded |
Documentation for this format |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
AdverseEvent | 0..* | AdverseEvent | De-Identified UDS Plus AdverseEvent | |
id | SΣ | 0..1 | id | The de-identified AdverseEvent identifier created by the health center to send data to UDS+ Data Receiver |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
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. |
category | SΣ | 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 | SΣ | 1..1 | CodeableConcept | Type of the event itself in relation to the subject Binding: SNOMEDCTClinicalFindings (example): Detailed type of event. |
subject | SΣ | 1..1 | Reference(De-Identified UDS Plus Patient) | Subject impacted by event |
date | SΣ | 0..1 | dateTime | When the event occurred |
recordedDate | SΣ | 0..1 | dateTime | When the event was recorded |
Documentation for this format |
Path | Conformance | ValueSet |
AdverseEvent.actuality | required | AdverseEventActuality |
AdverseEvent.category | extensible | AdverseEventCategory |
AdverseEvent.event | example | SNOMEDCTClinicalFindings |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | AdverseEvent | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | AdverseEvent | If 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-4 | error | AdverseEvent | If 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-5 | error | AdverseEvent | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | AdverseEvent | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
AdverseEvent | 0..* | AdverseEvent | De-Identified UDS Plus AdverseEvent | |||||
id | SΣ | 0..1 | id | The de-identified AdverseEvent identifier created by the health center to send data to UDS+ Data Receiver | ||||
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.
| |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..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 | SΣ | 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 | SΣ | 1..1 | CodeableConcept | Type of the event itself in relation to the subject Binding: SNOMEDCTClinicalFindings (example): Detailed type of event. | ||||
subject | SΣ | 1..1 | Reference(De-Identified UDS Plus Patient) | Subject impacted by event | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
date | SΣ | 0..1 | dateTime | When the event occurred | ||||
detected | Σ | 0..1 | dateTime | When the event was detected | ||||
recordedDate | SΣ | 0..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 | Σ | 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 | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
instance | Σ | 1..1 | Reference(Immunization | Procedure | Substance | Medication | MedicationAdministration | MedicationStatement | Device) | 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 | Σ | 0..* | Reference(Condition | Observation | AllergyIntolerance | FamilyMemberHistory | Immunization | Procedure | Media | DocumentReference) | AdverseEvent.subjectMedicalHistory | ||||
referenceDocument | Σ | 0..* | Reference(DocumentReference) | AdverseEvent.referenceDocument | ||||
study | Σ | 0..* | Reference(ResearchStudy) | AdverseEvent.study | ||||
Documentation for this format |
Path | Conformance | ValueSet | ||||
AdverseEvent.language | preferred | CommonLanguages
| ||||
AdverseEvent.actuality | required | AdverseEventActuality | ||||
AdverseEvent.category | extensible | AdverseEventCategory | ||||
AdverseEvent.event | example | SNOMEDCTClinicalFindings | ||||
AdverseEvent.subject.type | extensible | ResourceType | ||||
AdverseEvent.seriousness | example | AdverseEventSeriousness | ||||
AdverseEvent.severity | required | AdverseEventSeverity | ||||
AdverseEvent.outcome | required | AdverseEventOutcome | ||||
AdverseEvent.suspectEntity.causality.assessment | example | AdverseEventCausalityAssessment | ||||
AdverseEvent.suspectEntity.causality.method | example | AdverseEventCausalityMethod |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | AdverseEvent | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | AdverseEvent | If 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-4 | error | AdverseEvent | If 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-5 | error | AdverseEvent | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | AdverseEvent | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from AdverseEvent
Summary
Mandatory: 3 elements
Must-Support: 7 elements
Prohibited: 3 elements
Structures
This structure refers to these other structures:
Maturity: 2
Other representations of profile: CSV, Excel, Schematron