<status value="draft" /> <date value="2024-06-18" /> <publisher value="openEHR" /> <contact> <telecom> <system value="url" /> <value value="http://www.veratech.es" /> </telecom> </contact> <description value="Information about a specific adverse reaction event caused by exposure to a specific substance." /> <purpose value="To record information about a specific adverse reaction event caused by exposure to a specific substance." /> <fhirVersion value="4.0.0" /> <mapping> <identity value="openEHR" /> <uri value="http://openehr.org" /> <name value="openEHR Mapping" /> </mapping> <mapping> <identity value="openEHR-natural" /> <uri value="http://openehr.org" /> <name value="openEHR natural path" /> </mapping> <kind value="logical" /> <abstract value="false" /> <type value="StructureDefinition" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" /> <snapshot> <element id="Adverse_reaction_event"> <path value="Adverse_reaction_event" /> <short value="Adverse reaction event" /> <definition value="Information about a specific adverse reaction event caused by exposure to a specific substance." /> <min value="1" /> <max value="1" /> <base> <path value="Adverse_reaction_event" /> <min value="1" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Adverse_reaction_event.Specific_substance"> <path value="Adverse_reaction_event.Specific_substance" /> <short value="Specific substance" /> <definition value="The substance considered to be responsible for the specific adverse reaction event." /> <min value="0" /> <max value="1" /> <base> <path value="Adverse_reaction_event.Specific_substance" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Adverse_reaction_event.Specific_substance.value"> <path value="Adverse_reaction_event.Specific_substance.value" /> <short value="Specific substance" /> <definition value="The substance considered to be responsible for the specific adverse reaction event." /> <min value="0" /> <max value="1" /> <base> <path value="Adverse_reaction_event.Specific_substance.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Adverse_reaction_event.Certainty"> <path value="Adverse_reaction_event.Certainty" /> <short value="Certainty" /> <definition value="The degree of clinical certainty that the 'Manifestation' in this reaction event was caused by exposure to the identified 'Specific substance'." /> <min value="0" /> <max value="1" /> <base> <path value="Adverse_reaction_event.Certainty" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Adverse_reaction_event.Certainty.value_DV_CODED_TEXT"> <path value="Adverse_reaction_event.Certainty.value_DV_CODED_TEXT" /> <short value="Certainty" /> <definition value="The degree of clinical certainty that the 'Manifestation' in this reaction event was caused by exposure to the identified 'Specific substance'." /> <min value="0" /> <max value="1" /> <base> <path value="Adverse_reaction_event.Certainty.value_DV_CODED_TEXT" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Adverse_reaction_event.Certainty.value_DV_TEXT"> <path value="Adverse_reaction_event.Certainty.value_DV_TEXT" /> <short value="Certainty" /> <definition value="The degree of clinical certainty that the 'Manifestation' in this reaction event was caused by exposure to the identified 'Specific substance'." /> <min value="0" /> <max value="1" /> <base> <path value="Adverse_reaction_event.Certainty.value_DV_TEXT" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Adverse_reaction_event.Manifestation"> <path value="Adverse_reaction_event.Manifestation" /> <short value="Manifestation" /> <definition value="Clinical symptoms and/or signs that are observed or associated with the adverse reaction." /> <min value="0" /> <max value="*" /> <base> <path value="Adverse_reaction_event.Manifestation" /> <min value="0" /> <max value="*" /> </base> </element> <element id="Adverse_reaction_event.Manifestation.value"> <path value="Adverse_reaction_event.Manifestation.value" /> <short value="Manifestation" /> <definition value="Clinical symptoms and/or signs that are observed or associated with the adverse reaction." /> <min value="0" /> <max value="1" /> <base> <path value="Adverse_reaction_event.Manifestation.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Adverse_reaction_event.Reaction_description"> <path value="Adverse_reaction_event.Reaction_description" /> <short value="Reaction description" /> <definition value="Narrative description about the adverse reaction as a whole, including details of the manifestation if required." /> <min value="0" /> <max value="1" /> <base> <path value="Adverse_reaction_event.Reaction_description" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Adverse_reaction_event.Reaction_description.value"> <path value="Adverse_reaction_event.Reaction_description.value" /> <short value="Reaction description" /> <definition value="Narrative description about the adverse reaction as a whole, including details of the manifestation if required." /> <min value="0" /> <max value="1" /> <base> <path value="Adverse_reaction_event.Reaction_description.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Adverse_reaction_event.Onset_of_reaction"> <path value="Adverse_reaction_event.Onset_of_reaction" /> <short value="Onset of reaction" /> <definition value="The date and/or time of the onset of the reaction." /> <min value="0" /> <max value="1" /> <base> <path value="Adverse_reaction_event.Onset_of_reaction" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Adverse_reaction_event.Onset_of_reaction.value"> <path value="Adverse_reaction_event.Onset_of_reaction.value" /> <short value="Onset of reaction" /> <definition value="The date and/or time of the onset of the reaction." /> <min value="0" /> <max value="1" /> <base> <path value="Adverse_reaction_event.Onset_of_reaction.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="dateTime" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Adverse_reaction_event.Duration_of_reaction"> <path value="Adverse_reaction_event.Duration_of_reaction" /> <short value="Duration of reaction" /> <definition value="The total amount of time that the manifestation of the adverse reaction persisted." /> <min value="0" /> <max value="1" /> <base> <path value="Adverse_reaction_event.Duration_of_reaction" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Adverse_reaction_event.Duration_of_reaction.value"> <path value="Adverse_reaction_event.Duration_of_reaction.value" /> <short value="Duration of reaction" /> <definition value="The total amount of time that the manifestation of the adverse reaction persisted." /> <min value="0" /> <max value="1" /> <base> <path value="Adverse_reaction_event.Duration_of_reaction.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Duration" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Adverse_reaction_event.Severity_of_reaction"> <path value="Adverse_reaction_event.Severity_of_reaction" /> <short value="Severity of reaction" /> <definition value="Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations." /> <min value="0" /> <max value="1" /> <base> <path value="Adverse_reaction_event.Severity_of_reaction" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Adverse_reaction_event.Severity_of_reaction.value_DV_CODED_TEXT"> <path value="Adverse_reaction_event.Severity_of_reaction.value_DV_CODED_TEXT" /> <short value="Severity of reaction" /> <definition value="Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations." /> <min value="0" /> <max value="1" /> <base> <path value="Adverse_reaction_event.Severity_of_reaction.value_DV_CODED_TEXT" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Adverse_reaction_event.Severity_of_reaction.value_DV_TEXT"> <path value="Adverse_reaction_event.Severity_of_reaction.value_DV_TEXT" /> <short value="Severity of reaction" /> <definition value="Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations." /> <min value="0" /> <max value="1" /> <base> <path value="Adverse_reaction_event.Severity_of_reaction.value_DV_TEXT" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Adverse_reaction_event.Reaction_details"> <path value="Adverse_reaction_event.Reaction_details" /> <short value="Reaction details" /> <definition value="Additional details about the adverse reaction." /> <min value="0" /> <max value="*" /> <base> <path value="Adverse_reaction_event.Reaction_details" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Adverse_reaction_event.Initial_exposure"> <path value="Adverse_reaction_event.Initial_exposure" /> <short value="Initial exposure" /> <definition value="The date and/or time of the first exposure to the Substance for this Reaction Event." /> <min value="0" /> <max value="1" /> <base> <path value="Adverse_reaction_event.Initial_exposure" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Adverse_reaction_event.Initial_exposure.value"> <path value="Adverse_reaction_event.Initial_exposure.value" /> <short value="Initial exposure" /> <definition value="The date and/or time of the first exposure to the Substance for this Reaction Event." /> <min value="0" /> <max value="1" /> <base> <path value="Adverse_reaction_event.Initial_exposure.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="dateTime" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Adverse_reaction_event.Duration_of_exposure"> <path value="Adverse_reaction_event.Duration_of_exposure" /> <short value="Duration of exposure" /> <definition value="The total amount of time the individual was exposed to the identified 'Specific substance'." /> <min value="0" /> <max value="1" /> <base> <path value="Adverse_reaction_event.Duration_of_exposure" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Adverse_reaction_event.Duration_of_exposure.value"> <path value="Adverse_reaction_event.Duration_of_exposure.value" /> <short value="Duration of exposure" /> <definition value="The total amount of time the individual was exposed to the identified 'Specific substance'." /> <min value="0" /> <max value="1" /> <base> <path value="Adverse_reaction_event.Duration_of_exposure.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Duration" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Adverse_reaction_event.Route_of_exposure"> <path value="Adverse_reaction_event.Route_of_exposure" /> <short value="Route of exposure" /> <definition value="The route by which the subject was exposed to the identified 'Specific substance'." /> <min value="0" /> <max value="1" /> <base> <path value="Adverse_reaction_event.Route_of_exposure" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Adverse_reaction_event.Route_of_exposure.value"> <path value="Adverse_reaction_event.Route_of_exposure.value" /> <short value="Route of exposure" /> <definition value="The route by which the subject was exposed to the identified 'Specific substance'." /> <min value="0" /> <max value="1" /> <base> <path value="Adverse_reaction_event.Route_of_exposure.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Adverse_reaction_event.Exposure_description"> <path value="Adverse_reaction_event.Exposure_description" /> <short value="Exposure description" /> <definition value="Narrative description about the exposure to the identified 'Specific substance'." /> <min value="0" /> <max value="1" /> <base> <path value="Adverse_reaction_event.Exposure_description" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Adverse_reaction_event.Exposure_description.value"> <path value="Adverse_reaction_event.Exposure_description.value" /> <short value="Exposure description" /> <definition value="Narrative description about the exposure to the identified 'Specific substance'." /> <min value="0" /> <max value="1" /> <base> <path value="Adverse_reaction_event.Exposure_description.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Adverse_reaction_event.Exposure_details"> <path value="Adverse_reaction_event.Exposure_details" /> <short value="Exposure details" /> <definition value="Additional details about exposure to the 'Specific substance'." /> <min value="0" /> <max value="*" /> <base> <path value="Adverse_reaction_event.Exposure_details" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Adverse_reaction_event.Clinical_management_description"> <path value="Adverse_reaction_event.Clinical_management_description" /> <short value="Clinical management description" /> <definition value="Narrative description about the clinical management provided." /> <min value="0" /> <max value="1" /> <base> <path value="Adverse_reaction_event.Clinical_management_description" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Adverse_reaction_event.Clinical_management_description.value"> <path value="Adverse_reaction_event.Clinical_management_description.value" /> <short value="Clinical management description" /> <definition value="Narrative description about the clinical management provided." /> <min value="0" /> <max value="1" /> <base> <path value="Adverse_reaction_event.Clinical_management_description.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Adverse_reaction_event.Clinical_management_details"> <path value="Adverse_reaction_event.Clinical_management_details" /> <short value="Clinical management details" /> <definition value="Additional structured details about clinical management for this reaction event." /> <min value="0" /> <max value="*" /> <base> <path value="Adverse_reaction_event.Clinical_management_details" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Adverse_reaction_event.Reporting_details"> <path value="Adverse_reaction_event.Reporting_details" /> <short value="Reporting details" /> <definition value="Additional structured details required for reporting to regulatory bodies." /> <min value="0" /> <max value="*" /> <base> <path value="Adverse_reaction_event.Reporting_details" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Adverse_reaction_event.Information_source"> <path value="Adverse_reaction_event.Information_source" /> <short value="Information source" /> <definition value="Details about the provenance of the information." /> <min value="0" /> <max value="*" /> <base> <path value="Adverse_reaction_event.Information_source" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Adverse_reaction_event.Supporting_clinical_record_information"> <path value="Adverse_reaction_event.Supporting_clinical_record_information" /> <short value="Supporting clinical record information" /> <definition value="Link to further information about the presentation and findings that exist elsewhere in the health record, including allergy test reports." /> <min value="0" /> <max value="*" /> <base> <path value="Adverse_reaction_event.Supporting_clinical_record_information" /> <min value="0" /> <max value="*" /> </base> </element> <element id="Adverse_reaction_event.Supporting_clinical_record_information.value"> <path value="Adverse_reaction_event.Supporting_clinical_record_information.value" /> <short value="Supporting clinical record information" /> <definition value="Link to further information about the presentation and findings that exist elsewhere in the health record, including allergy test reports." /> <min value="0" /> <max value="1" /> <base> <path value="Adverse_reaction_event.Supporting_clinical_record_information.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Adverse_reaction_event.Comment"> <path value="Adverse_reaction_event.Comment" /> <short value="Comment" /> <definition value="Additional narrative about the adverse reaction event not captured in other fields." /> <min value="0" /> <max value="1" /> <base> <path value="Adverse_reaction_event.Comment" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Adverse_reaction_event.Comment.value"> <path value="Adverse_reaction_event.Comment.value" /> <short value="Comment" /> <definition value="Additional narrative about the adverse reaction event not captured in other fields." /> <min value="0" /> <max value="1" /> <base> <path value="Adverse_reaction_event.Comment.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> </snapshot> </StructureDefinition>