{
  "resourceType": "StructureDefinition",
  "url": "https://fhir.ee/StructureDefinition/TAPOHAKAdverseEvent",
  "name": "TAPOHAKAdverseEvent",
  "status": "draft",
  "date": "2024-02-13T10:13:04.2063356+00:00",
  "description": "Patsinediohutuse juhtumi registreerimine",
  "fhirVersion": "5.0.0",
  "kind": "resource",
  "abstract": false,
  "type": "AdverseEvent",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/AdverseEvent",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "AdverseEvent.identifier",
        "path": "AdverseEvent.identifier",
        "short": "Infosüsteemi genereeritud juhtumi unikaalne ID.",
        "definition": "Infosüsteemi genereeritud juhtumi unikaalne ID.\r\n\r\nBusiness identifiers assigned to this adverse event by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
        "min": 1,
        "max": "1"
      },
      {
        "id": "AdverseEvent.status",
        "path": "AdverseEvent.status",
        "definition": "POJ raporteerimise olek. Kui TTO juures menetlus lõpetatud ja info edastatud, siis staatus completed.\r\n\r\nLOEND: Lõpetatud, Lõpetamata; Ekslikult sisestatud; Teadmata\r\n\r\nThe current state of the adverse event or potential adverse event.",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "POJU staatus. Codes identifying the lifecycle stage of an event.",
          "valueSet": "http://hl7.org/fhir/event-status"
        }
      },
      {
        "id": "AdverseEvent.actuality",
        "path": "AdverseEvent.actuality",
        "short": "POJU olemus. actual | potential",
        "definition": "Kas tegelik või potentsiaalne juhtum ehk kahju/kahjuta juhtum või ohujuhtum.\r\n\r\nLOEND: Ohujuhtum; Kahju-/kahjuta juhtum\r\n\r\nWhether the event actually happened or was a near miss. Note that this is independent of whether anyone was affected or harmed or how severely.",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "POJU olemus. Overall nature of the adverse event, e.g. real or potential.",
          "valueSet": "http://fhir.ee/CodeSystem/pohak-adverse-event-actuality"
        }
      },
      {
        "id": "AdverseEvent.category",
        "path": "AdverseEvent.category",
        "definition": "POJU tüübid. Sündmuse üldine tüüp, mis on mõeldud otsimiseks ja filtreerimiseks.\r\n\r\nLOEND: Kategooria\r\n\r\nThe overall type of event, intended for search and filtering purposes.",
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "POJU kategooria. Overall categorization of the event, e.g. product-related or situational.",
          "valueSet": "http://fhir.ee/CodeSystem/pohak-adverse-event-category"
        }
      },
      {
        "id": "AdverseEvent.code",
        "path": "AdverseEvent.code",
        "short": "Patsiendiohutusjuhtumi nimetus. Event or incident that occurred or was averted",
        "definition": "Patsiendiohutusjuhtumi teave. Sündmus või juhtum, mis toimus või mida hoiti ära. \r\nLOEND: Nimetus (code)\r\n\r\nSpecific event that occurred or that was averted, such as patient fall, wrong organ removed, or wrong blood transfused.",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "POJU nimetus. Detailed type of event.",
          "valueSet": "http://fhir.ee/CodeSystem/pohak-adverse-event-type"
        }
      },
      {
        "id": "AdverseEvent.subject",
        "path": "AdverseEvent.subject",
        "short": "Sündmusest mõjutatud isik. Subject impacted by event.",
        "definition": "Tervishoiu osapool isiku rollis; keegi, kes tahab saada, saab või on saanud tervishoiusüsteemis teenust.\r\n\r\nThis subject or group impacted by the event.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.ee/StructureDefinition/TAPOHAKPatient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "AdverseEvent.subject.identifier.period",
        "path": "AdverseEvent.subject.identifier.period",
        "max": "0"
      },
      {
        "id": "AdverseEvent.subject.identifier.assigner",
        "path": "AdverseEvent.subject.identifier.assigner",
        "max": "0"
      },
      {
        "id": "AdverseEvent.encounter",
        "path": "AdverseEvent.encounter",
        "max": "0"
      },
      {
        "id": "AdverseEvent.occurrence[x]",
        "path": "AdverseEvent.occurrence[x]",
        "short": "Kuupäev, millal sündmus aset leidis.. When the event occurred",
        "definition": "Kuupäev, millal sündmus aset leidis.\r\n\r\nThe date (and perhaps time) when the adverse event occurred.",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "AdverseEvent.detected",
        "path": "AdverseEvent.detected",
        "short": "Kuupäev, millal sündmus avastati. When the event was detected",
        "definition": "Kuupäev, millal sündmus avastati. \r\n\r\nEstimated or actual date the AdverseEvent began, in the opinion of the reporter.",
        "mustSupport": true
      },
      {
        "id": "AdverseEvent.recordedDate",
        "path": "AdverseEvent.recordedDate",
        "short": "Kuupäev, millal sündmus registreeriti. When the event was recorded",
        "definition": "Kuupäev, millal sündmus registreeriti.\r\n\r\nThe date on which the existence of the AdverseEvent was first recorded.",
        "mustSupport": true
      },
      {
        "id": "AdverseEvent.resultingEffect",
        "path": "AdverseEvent.resultingEffect",
        "max": "0"
      },
      {
        "id": "AdverseEvent.location",
        "path": "AdverseEvent.location",
        "short": "Patsiendi ohutusjuhtumi toimumise koht. Location where adverse event occurred",
        "definition": "Patsiendi ohutusjuhtumi toimumise koht (sama TTO, mujal, vajadusel lisaväljad TTO infosüsteemi siseselt).\r\n\r\nThe information about where the adverse event occurred.",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.ee/StructureDefinition/TAPOHAKLocation"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "AdverseEvent.seriousness",
        "path": "AdverseEvent.seriousness",
        "short": "Raskusaste. Seriousness or gravity of the event",
        "definition": "Määratakse teatud juhtumite puhul: Velmahose (operatsiooniaegne), Clavien-Dindo (operatsioonijärgne) klassifikaator.\r\n\r\nLOEND!\r\n\r\nAssessment whether this event, or averted event, was of clinical importance.",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "Raskusaste. Overall seriousness of this event for the patient.",
          "valueSet": "http://fhir.ee/CodeSystem/pohak-adverse-event-seriousness"
        }
      },
      {
        "id": "AdverseEvent.outcome",
        "path": "AdverseEvent.outcome",
        "short": "Tagajärg. Type of outcome from the adverse event",
        "definition": "Menetluse järgselt fikseeritav tagajärg.\r\n\r\nLOEND!\r\n\r\nDescribes the type of outcome from the adverse event, such as resolved, recovering, ongoing, resolved-with-sequelae, or fatal.",
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "http://fhir.ee/CodeSystem/pohak-adverse-event-outcome"
        }
      },
      {
        "id": "AdverseEvent.recorder",
        "path": "AdverseEvent.recorder",
        "definition": "POHAK juhtumi raporteerija (TTO).\r\n\r\nInformation on who recorded the adverse event.  May be the patient or a practitioner.",
        "min": 1
      },
      {
        "id": "AdverseEvent.recorder.extension",
        "path": "AdverseEvent.recorder.extension",
        "min": 1
      },
      {
        "id": "AdverseEvent.recorder.extension:TAPOHAKOrganizationReporterExt",
        "path": "AdverseEvent.recorder.extension",
        "sliceName": "TAPOHAKOrganizationReporterExt",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.ee/StructureDefinition/TAPOHAKOrganizationReporterExt"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "AdverseEvent.recorder.extension:TAPOHAKOrganizationReporterExt.value[x]",
        "path": "AdverseEvent.recorder.extension.value[x]",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.ee/StructureDefinition/TAPOHAKOrganizationReporter"
            ]
          }
        ]
      },
      {
        "id": "AdverseEvent.participant",
        "path": "AdverseEvent.participant",
        "max": "0"
      },
      {
        "id": "AdverseEvent.study",
        "path": "AdverseEvent.study",
        "max": "0"
      },
      {
        "id": "AdverseEvent.expectedInResearchStudy",
        "path": "AdverseEvent.expectedInResearchStudy",
        "max": "0"
      },
      {
        "id": "AdverseEvent.suspectEntity",
        "path": "AdverseEvent.suspectEntity",
        "max": "0"
      },
      {
        "id": "AdverseEvent.contributingFactor",
        "path": "AdverseEvent.contributingFactor",
        "max": "0"
      },
      {
        "id": "AdverseEvent.preventiveAction",
        "path": "AdverseEvent.preventiveAction",
        "short": "Välditavus. Preventive actions that contributed to avoiding the adverse event",
        "definition": "Kas POJ potentsiaalselt välditav või mittevälditav.\r\n\r\nLOEND: Potentsiaalselt välditav/mittevälditav\r\n\r\nPreventive actions that contributed to avoiding the adverse event.",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "AdverseEvent.preventiveAction.item[x]",
        "path": "AdverseEvent.preventiveAction.item[x]",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "Välditavus. Codes describing the preventive actions that contributed to avoiding the adverse event.",
          "valueSet": "http://fhir.ee/CodeSystem/pohak-adverse-event-preventive-action"
        }
      },
      {
        "id": "AdverseEvent.mitigatingAction",
        "path": "AdverseEvent.mitigatingAction",
        "short": "Patsiendiohutusjuhtumi kordumise ennetamiseks rakendatavad abinõud asutuses. Ameliorating actions taken after the adverse event occured in order to reduce the extent of harm",
        "definition": "Pärast POJ toimumist kasutusele võetud meetmed kahju ulatuse vähendamiseks.\r\n\r\nLOEND!\r\n\r\nThe ameliorating action taken after the adverse event occured in order to reduce the extent of harm.",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "AdverseEvent.mitigatingAction.item[x]",
        "path": "AdverseEvent.mitigatingAction.item[x]",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "Kordumise ennetamiseks rakendatud tegevused. Codes describing the ameliorating actions taken after the adverse event occured in order to reduce the extent of harm.",
          "valueSet": "http://fhir.ee/CodeSystem/pohak-adverse-event-mitigating-action"
        }
      },
      {
        "id": "AdverseEvent.supportingInfo",
        "path": "AdverseEvent.supportingInfo",
        "short": "Riskiaste. Supporting information relevant to the event",
        "definition": "Riskiaste (SAC).\r\n\r\nLoend: 1 Madal risk, 2 Keskmine risk, 3 Suur risk\r\n\r\nSupporting information relevant to the event.",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "AdverseEvent.supportingInfo.item[x]",
        "path": "AdverseEvent.supportingInfo.item[x]",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://fhir.ee/CodeSystem/pohak-adverse-event-riskiaste"
        }
      },
      {
        "id": "AdverseEvent.supportingInfo.item[x].coding",
        "path": "AdverseEvent.supportingInfo.item[x].coding",
        "max": "1"
      },
      {
        "id": "AdverseEvent.note",
        "path": "AdverseEvent.note",
        "short": "Muu asjakohane teave juhtumi kohta. Comment on adverse event",
        "definition": "Ennetavad tegevused, mis aitasid vältida kõrvaltoimeid/nähtusi.\r\n\r\nComments made about the adverse event by the performer, subject or other participants.",
        "max": "1",
        "mustSupport": true
      }
    ]
  }
}