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See the Directory of published versions . Page versions: R5 R4B R4 R3

Adverseevent.profile.xml

Example StructureDefinition/AdverseEvent (XML)

Maturity Level : N/A
Responsible Owner: Patient Care Work Group Standards Status : Informative Compartments : Group , Patient , Practitioner , RelatedPerson

Raw XML ( canonical form + also see XML Format Specification )

Jump past Narrative

StructureDefinition for adverseevent

<?xml version="1.0" encoding="UTF-8"?>


  
  
    
  
  
    
    
      
        
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            AABJRU5ErkJggg== 
            AdverseEvent : Actual or  potential/avoided event causing unintended physical injury resulting
             from or contributed to by medical care, a research study or other healthcare setting factors
             that requires additional monitoring, treatment, or hospitalization, or that results in
             death.
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
            padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold; color:
             black; background-color: #fff5e6
          
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           padding:0px 4px 0px 4pxMedical care, research study or other healthcare event causing physical injury
            Elements defined in Ancestors: 
            The logical id of the resource, as used in the URL for the resource. Once assigned, this
             value never changes., 

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="AdverseEvent"/> 
  <meta> 
    <lastUpdated value="2025-11-10T15:17:08.817+00:00"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:
       top;">
        <tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:

         top">
          <th class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a>           </th>           <th class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a>           </th>           <th class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a>           </th>           <th class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px; width: 100px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a>           </th>           <th class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a>             <span style="float: right">              <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format">                <img alt="doco" src="data:(snipped in html view)" style="background-color: inherit"/>               </a>             </span>           </th>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAg
          DsHd9/w4EQIOamFnaBgAA4MMKAACAKwNp30CqZFfFmwAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Resource"/>              <span title="AdverseEvent : An event (i.e. any change to current patient status) that may be

             related to unintended effects on a patient or research participant. The unintended
             effects may require additional monitoring, treatment, hospitalization, or may result
             in death. The AdverseEvent resource also extends to potential or avoided events
             that could have had such effects. There are two major domains where the AdverseEvent
             resource is expected to be used. One is in clinical care reported adverse events
             and the other is in reporting adverse events in clinical  research trial management.
             Adverse events can be reported by healthcare providers, patients, caregivers or
             by medical products manufacturers. Given the differences between these two concepts,
             we recommend consulting the domain specific implementation guides when implementing
             the AdverseEvent Resource. The implementation guides include specific extensions,
             value sets and constraints.">AdverseEvent</span> 
            <a name="AdverseEvent"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold;

             color: black; background-color: #fff5e6; padding-left: 3px; padding-right: 3px;
             border: 1px grey solid; font-weight: bold; color: black; background-color: #fff5e6" title="Standards Status = Trial Use">TU</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

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          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

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            <a href="domainresource.html">DomainResource</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">An event that may be related to unintended effects on a patient or research participant
            <br/>              <br/>  Elements defined in Ancestors:             <a href="resource.html#Resource" title="The logical id of the resource, as used in the URL for the resource. Once assigned,

             this value never changes.">id</a> , 

            <a href="resource.html#Resource" title="The metadata about the resource. This is content that is maintained by the infrastructure.
             Changes to the content might not always be associated with version changes to the resource., 
            A reference to a set of rules that were followed when the resource was constructed, and
             which must be understood when processing the content. Often, this is a reference to an
             implementation guide that defines the special rules along with other profiles etc., 
            , 
            A human-readable narrative that contains a summary of the resource and can be used to
             represent the content of the resource to a human. The narrative need not encode all the
             structured data, but is required to contain sufficient detail to make it &quot;clinically
             safe&quot; for a human to just read the narrative. Resource definitions may define what
             content should be represented in the narrative to ensure clinical safety., 
            These resources do not have an independent existence apart from the resource that contains
             them - they cannot be identified independently, and nor can they have their own independent
             transaction scope., 

             Changes to the content might not always be associated with version changes to the
             resource.">meta</a> , 
            <a href="resource.html#Resource" title="A reference to a set of rules that were followed when the resource was constructed,

             and which must be understood when processing the content. Often, this is a reference
             to an implementation guide that defines the special rules along with other profiles
             etc. For DomainResources, if more than one implicitRules policy applies, additional
             policies may be conveyed using the [additionalImplicitRules](https://build.fhir.org/ig/HL7/fh
            ir-extensions/StructureDefinition-additionalImplicitRules.html) extension.">implicitRules</a> , 
            <a href="resource.html#Resource" title="The base language in which the resource is written.">language</a> ,             <a href="domainresource.html#DomainResource" title="A human-readable narrative that contains a summary of the resource and can be used

             to represent the content of the resource to a human. The narrative need not encode
             all the structured data, but is required to contain sufficient detail to make it
             &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions
             may define what content should be represented in the narrative to ensure clinical
             safety.">text</a> , 
            <a href="domainresource.html#DomainResource" title="These resources do not have an independent existence apart from the resource that

             contains them - they cannot be identified independently, nor can they have their
             own independent transaction scope. This is allowed to be a Parameters resource
             if and only if it is referenced by a resource that provides context/meaning.">contained</a> , 

            <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition
             of the resource. To make the use of extensions safe and manageable, there is a strict
             set of governance  applied to the definition and use of extensions. Though any implementer
             can define an extension, there is a set of requirements that SHALL be met as part of the
             definition of the extension., 

             of the resource. To make the use of extensions safe and managable, there is a strict
             set of governance applied to the definition and use of extensions. Though any implementer
             can define an extension, there is a set of requirements that SHALL be met as part
             of the definition of the extension.">extension</a> , 

            <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition
             of the resource and that modifies the understanding of the element that contains it and/or
             the understanding of the containing element's descendants. Usually modifier elements provide
             negation or qualification. To make the use of extensions safe and manageable, there is
             a strict set of governance applied to the definition and use of extensions. Though any
             implementer is allowed to define an extension, there is a set of requirements that SHALL
             be met as part of the definition of the extension. Applications processing a resource
             are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
             (including cannot change the meaning of modifierExtension itself).
          
        

        
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            AdverseEvent.identifier : Business 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.
            
          
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            AdverseEvent.actuality : Whether the event actually happened, or just had the potential
             to. Note that this is independent of whether anyone was affected or harmed or how severely.
            
          
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           padding:0px 4px 0px 4pxactual | potential
            
             (
            )
          
        

        
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             | expired-drug | medical-device-use-error | problem-different-manufacturer | unsafe-physical-environ
            ment
            
             (
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             data type allowing, text) may be included instead.)
            
          
        

        
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            AdverseEvent.event : This element defines the specific type of event that occurred or
             that was prevented from occurring.
            
          
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxType of the event itself in relation to the subject
            
             (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)
          
        

        
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            (
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             | 
             | 
            )
          
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           solid; padding:0px 4px 0px 4px
        

        
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            AdverseEvent.encounter : The Encounter during which AdverseEvent was created or to which
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            AdverseEvent.detected : Estimated or actual date the AdverseEvent began, in the opinion
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            AdverseEvent.recordedDate : The date on which the existence of the AdverseEvent was first
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            AdverseEvent.resultingCondition : Includes information about the reaction that occurred
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            (
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           solid; padding:0px 4px 0px 4px
            (
            )
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
        

        
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxSeriousness of the event
            
             (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)
          
        

        
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            AdverseEvent.severity : Describes the severity of the adverse event, in relation to the
             subject. Contrast to AdverseEvent.seriousness - a severe rash might not be serious, but
             a mild heart problem is.
            
          
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           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxmild | moderate | severe
            
             (
            )
          
        

        
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           padding:0px 4px 0px 4px
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxresolved | recovering | ongoing | resolvedWithSequelae | fatal | unknown
            
             (
            )
          
        

        
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            AdverseEvent.recorder : Information on who recorded the adverse event.  May be the patient
             or a practitioner.
            
          
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           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            (
             | 
             | 
             | 
            )
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
        

        
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           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            AdverseEvent.contributor : Parties that may or should contribute or have contributed information
             to the adverse event, which can consist of one or more activities.  Such information includes
             information leading to the decision to perform the activity and how to perform the activity
             (e.g. consultant), information that the activity itself seeks to reveal (e.g. informant
             of clinical history), or information about what activity was performed (e.g. informant
             witness).
            
          
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           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            (
             | 
             | 
            )
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxWho  was involved in the adverse event or the potential adverse event
            
          
        

        
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            AdverseEvent.suspectEntity : Describes the entity that is suspected to have caused the
             adverse event.
            
          
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           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxThe suspected agent causing the adverse event
            
          
        

        
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           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            AdverseEvent.suspectEntity.instance : Identifies the actual instance of what caused the
             adverse event.  May be a substance, medication, medication administration, medication
             statement or a device.
            
          
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           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            (
             | 
             | 
             | 
             | 
             | 
             | 
            )
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
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           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxInformation on the possible cause of the event
            
          
        

        
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            AdverseEvent.suspectEntity.causality.assessment : Assessment of if the entity caused the
             event.
            
          
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           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxAssessment of if the entity caused the event
            
             (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)
          
        

        
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            AdverseEvent.suspectEntity.causality.productRelatedness : AdverseEvent.suspectEntity.causalityProduc
            tRelatedness.
            
          
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
        

        
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            (
             | 
            )
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxProbabilityScale | Bayesian | Checklist
            
             (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC 
            
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            (
             | 
             | 
             | 
             | 
             | 
             | 
             | 
            )
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxAdverseEvent.subjectMedicalHistory
            
          
        

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
          BORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6
          EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
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            3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav
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            EOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG6TFi6cHULyz8KOjC7OIQ
            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC 
            
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            (
            )
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxAdverseEvent.referenceDocument
            
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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          AASUVORK5CYII=)
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC 
            
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            (
            )
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxAdverseEvent.study
            
          
        

        
          
            
            
               Documentation for this format
            
          
        
      
    
  
  
    
  
  
    
  
  
    
  
  
    
  
  
    
  
  
  
  
  
  
  
  
    
      
      
    
  
  
    
      
      
    
  
  Actual or  potential/avoided event causing unintended physical injury resulting from or
   contributed to by medical care, a research study or other healthcare setting factors that
   requires additional monitoring, treatment, or hospitalization, or that results in death.
  
  
    
    
    
  
  
    
    
    
  
  
  
  
  
  
  
    
      
      
      Actual or  potential/avoided event causing unintended physical injury resulting from or
       contributed to by medical care, a research study or other healthcare setting factors that
       requires additional monitoring, treatment, or hospitalization, or that results in death.
      
      
      
      
        
        
        
      
      
        
        
        
        
        
        
      
      
        
        
        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(canonica
        l) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(refer
        ence = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(c
        anonical) = '#').exists()).not()).trace('unmatched', id).empty()
        not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:refere
        nce/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
        
      
      
        
        
        If a resource is contained in another resource, it SHALL NOT have a meta.versionId or
         a meta.lastUpdated
        
        
        
      
      
        
        
        
        
        
        
      
      
        
          
        
        
          When a resource has no narrative, only systems that fully understand the data can display
           the resource to a human safely. Including a human readable representation in the resource
           makes for a much more robust eco-system and cheaper handling of resources by intermediary
           systems. Some ecosystems restrict distribution of resources to only those systems that
           do fully understand the resources, and as a consequence implementers may believe that
           the narrative is superfluous. However experience shows that such eco-systems often open
           up to new participants over time.
        
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      The logical id of the resource, as used in the URL for the resource. Once assigned, this
       value never changes.
      The only time that a resource does not have an id is when it is being submitted to the
       server using a create operation.
      
      
      
        
        
        
      
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
       (j)  -->
      
        
          
        
        
      
      
      
    
    
      
      

             of the resource and that modifies the understanding of the element that contains
             it and/or the understanding of the containing element's descendants. Usually modifier
             elements provide negation or qualification. To make the use of extensions safe
             and managable, there is a strict set of governance applied to the definition and
             use of extensions. Though any implementer is allowed to define an extension, there
             is a set of requirements that SHALL be met as part of the definition of the extension.
             Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
             DomainResource (including cannot change the meaning of modifierExtension itself).">modifierExtension</a> 
          </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="AdverseEvent.identifier : Business 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.">identifier</span> 
            <a name="AdverseEvent.identifier"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Business identifier for the event
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="AdverseEvent.status : The current state of the adverse event or potential adverse

             event.">status</span> 
            <a name="AdverseEvent.status"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is a modifier element">?!</a> 
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">in-progress | completed | entered-in-error | unknown
            <br/>  Binding:             <a href="valueset-adverse-event-status.html">Adverse Event Status</a>  (            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value

             set.">Required</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="AdverseEvent.actuality : Whether the event actually happened or was a near miss.

             Note that this is independent of whether anyone was affected or harmed or how severely.">actuality</span> 
            <a name="AdverseEvent.actuality"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is a modifier element">?!</a> 
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">actual | potential
            <br/>  Binding:             <a href="valueset-adverse-event-actuality.html">Adverse Event Actuality</a>  (            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value

             set.">Required</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="AdverseEvent.category : The overall type of event, intended for search and filtering

             purposes.">category</span> 
            <a name="AdverseEvent.category"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">wrong-patient | procedure-mishap | medication-mishap | device | unsafe-physical-environment
             | hospital-aquired-infection | wrong-body-site
            <br/>  Binding:             <a href="valueset-adverse-event-category.html">Adverse Event Category</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="AdverseEvent.code : Specific event that occurred or that was averted, such as patient

             fall, wrong organ removed, or wrong blood transfused.">code</span> 
            <a name="AdverseEvent.code"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Event or incident that occurred or was averted
            <br/>  Binding:             <a href="valueset-adverse-event-type.html">AdverseEvent Type</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>              <span title="AdverseEvent.subject : This subject or group impacted by the event.">subject</span>             <a name="AdverseEvent.subject"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="patient.html">Patient</a>  |             <a href="group.html">Group</a>  |             <a href="practitioner.html">Practitioner</a>  |             <a href="relatedperson.html">RelatedPerson</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Subject impacted by event
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>              <span title="AdverseEvent.encounter : The Encounter associated with the start of the AdverseEvent.">encounter</span>             <a name="AdverseEvent.encounter"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="encounter.html">Encounter</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">The Encounter associated with the start of the AdverseEvent
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Choice of Types"/>              <span title="AdverseEvent.effect[x] : The date (and perhaps time) when the effect of the AdverseEvent

             occurred.">effect[x]</span> 
            <a name="AdverseEvent.effect_x_"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">When the effect of the AdverseEvent occurred
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="A date, date-time or partial date (e.g. just year or year + month).  If hours and

             minutes are specified, a UTC offset SHALL be populated. The format is a union of
             the schema types gYear, gYearMonth, date and dateTime. Seconds must be provided
             due to schema type constraints but may be zero-filled and may be ignored.     
                        Dates SHALL be valid dates.">effectDateTime</span> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#dateTime">dateTime</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
        </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="A time period defined by a start and end date and optionally time.">effectPeriod</span>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Period">Period</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
        </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="AdverseEvent.detected : Estimated or actual date the AdverseEvent began, in the

             opinion of the reporter.">detected</span> 
            <a name="AdverseEvent.detected"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#dateTime">dateTime</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">When the event was detected
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="AdverseEvent.recordedDate : The date on which the existence of the AdverseEvent

             was first recorded.">recordedDate</span> 
            <a name="AdverseEvent.recordedDate"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#dateTime">dateTime</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">When the event was recorded
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>              <span title="AdverseEvent.resultingEffect : Information about the condition that occurred as

             a result of the adverse event, such as hives due to the exposure to a substance
             (for example, a drug or a chemical) or a broken leg as a result of the fall.">resultingEffect</span> 
            <a name="AdverseEvent.resultingEffect"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#CodeableReference">CodeableReference</a> (            <a href="condition.html">Condition</a>  |             <a href="observation.html">Observation</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Effect on the subject due to this event
            <br/>  Binding:             <a href="valueset-clinical-findings.html">SNOMED CT Clinical Findings</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>              <span title="AdverseEvent.location : The information about where the adverse event occurred.">location</span>             <a name="AdverseEvent.location"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="location.html">Location</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Location where adverse event occurred
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="AdverseEvent.seriousness : Assessment whether this event, or averted event, was

             of clinical importance.">seriousness</span> 
            <a name="AdverseEvent.seriousness"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Seriousness or gravity of the event
            <br/>  Binding:             <a href="valueset-adverse-event-seriousness.html">Adverse Event Seriousness</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="AdverseEvent.outcome : Describes the type of outcome from the adverse event, such

             as resolved, recovering, ongoing, resolved-with-sequelae, or fatal.">outcome</span> 
            <a name="AdverseEvent.outcome"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Type of outcome from the adverse event
            <br/>  Binding:             <a href="valueset-adverse-event-outcome.html">AdverseEvent Outcome</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>              <span title="AdverseEvent.recorder : Information on who recorded the adverse event.  May be

             the patient or a practitioner.">recorder</span> 
            <a name="AdverseEvent.recorder"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="patient.html">Patient</a>  |             <a href="practitioner.html">Practitioner</a>  |             <a href="practitionerrole.html">PractitionerRole</a>  |             <a href="relatedperson.html">RelatedPerson</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Who recorded the adverse event
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Element"/>              <span title="AdverseEvent.participant : Indicates who or what participated in the adverse event

             and how they were involved.">participant</span> 
            <a name="AdverseEvent.participant"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Who was involved in the adverse event or the potential adverse event and what they
             did
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="AdverseEvent.participant.function : Distinguishes the type of involvement of the

             actor in the adverse event, such as contributor or informant.">function</span> 
            <a name="AdverseEvent.participant.function"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Type of involvement
            <br/>  Binding:             <a href="valueset-adverse-event-participant-function.html">AdverseEvent Participant Function</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>              <span title="AdverseEvent.participant.actor : Indicates who or what participated in the event.">actor</span>             <a name="AdverseEvent.participant.actor"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="practitioner.html">Practitioner</a>  |             <a href="practitionerrole.html">PractitionerRole</a>  |             <a href="organization.html">Organization</a>  |             <a href="careteam.html">CareTeam</a>  |             <a href="patient.html">Patient</a>  |             <a href="device.html">Device</a>  |             <a href="relatedperson.html">RelatedPerson</a>  |             <a href="group.html">Group</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Who was involved in the adverse event or the potential adverse event
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>              <span title="AdverseEvent.study : The research study that the subject is enrolled in.">study</span>             <a name="AdverseEvent.study"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="researchstudy.html">ResearchStudy</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Research study that the subject is enrolled in
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="AdverseEvent.expectedInResearchStudy : Considered likely or probable or anticipated

             in the research study.  Whether the reported event matches any of the outcomes
             for the patient that are considered by the study as known or likely.">expectedInResearchStudy</span> 
            <a name="AdverseEvent.expectedInResearchStudy"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#boolean">boolean</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Considered likely or probable or anticipated in the research study
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Element"/>              <span title="AdverseEvent.suspectEntity : Describes the entity that is suspected to have caused

             the adverse event.">suspectEntity</span> 
            <a name="AdverseEvent.suspectEntity"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">The suspected agent causing the adverse event
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>              <span title="AdverseEvent.suspectEntity.instance : Identifies the actual instance of what caused

             the adverse event.  May be a substance, medication, medication administration,
             medication statement or a device.">instance</span> 
            <a name="AdverseEvent.suspectEntity.instance"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#CodeableReference">CodeableReference</a> (            <a href="immunization.html">Immunization</a>  |             <a href="procedure.html">Procedure</a>  |             <a href="substance.html">Substance</a>  |             <a href="substancedefinition.html">SubstanceDefinition</a>  |             <a href="medication.html">Medication</a>  |             <a href="medicationadministration.html">MedicationAdministration</a>  |             <a href="medicationstatement.html">MedicationStatement</a>  |             <a href="device.html">Device</a>  |             <a href="biologicallyderivedproduct.html">BiologicallyDerivedProduct</a>  |             <a href="researchstudy.html">ResearchStudy</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Refers to the specific entity that caused the adverse event
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Element"/>              <span title="AdverseEvent.suspectEntity.causality : Information on the possible cause of the

             event.">causality</span> 
            <a name="AdverseEvent.suspectEntity.causality"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Information on the possible cause of the event
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LsQ0AIAw
          Dwezq/WcAaqhSoDRn6ZqXXEmq42zdrWP6DwAAzHkCAADALxtMUUAsbN3VPQAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="AdverseEvent.suspectEntity.causality.assessmentMethod : The method of evaluating

             the relatedness of the suspected entity to the event.">assessmentMethod</span> 
            <a name="AdverseEvent.suspectEntity.causality.assessmentMethod"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Method of evaluating the relatedness of the suspected entity to the event
            <br/>  Binding:             <a href="valueset-adverse-event-causality-method.html">Adverse Event Causality Method</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LsQ0AIAw
          Dwezq/WcAaqhSoDRn6ZqXXEmq42zdrWP6DwAAzHkCAADALxtMUUAsbN3VPQAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="AdverseEvent.suspectEntity.causality.entityRelatedness : The result of the assessment

             regarding the relatedness of the suspected entity to the event.">entityRelatedness</span> 
            <a name="AdverseEvent.suspectEntity.causality.entityRelatedness"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Result of the assessment regarding the relatedness of the suspected entity to the
             event
            <br/>  Binding:             <a href="valueset-adverse-event-causality-assess.html">Adverse Event Causality Assessment</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>              <span title="AdverseEvent.suspectEntity.causality.author : The author of the information on

             the possible cause of the event.">author</span> 
            <a name="AdverseEvent.suspectEntity.causality.author"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="practitioner.html">Practitioner</a>  |             <a href="practitionerrole.html">PractitionerRole</a>  |             <a href="patient.html">Patient</a>  |             <a href="relatedperson.html">RelatedPerson</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Author of the information on the possible cause of the event
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Choice of Types"/>              <span title="AdverseEvent.suspectEntity.occurrence[x] : The date (and perhaps time) when the

             suspect entity occurred.">occurrence[x]</span> 
            <a name="AdverseEvent.suspectEntity.occurrence_x_"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">When the suspect entity occurred
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3NoQ0AIBR
          Dwb9r958B0KAgAcw1OfNMK0ntGGtze+n3PwAAcG4JAAAAt3RWK0BWYk6o4QAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="A date, date-time or partial date (e.g. just year or year + month).  If hours and

             minutes are specified, a UTC offset SHALL be populated. The format is a union of
             the schema types gYear, gYearMonth, date and dateTime. Seconds must be provided
             due to schema type constraints but may be zero-filled and may be ignored.     
                        Dates SHALL be valid dates.">occurrenceDateTime</span> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#dateTime">dateTime</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
        </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="A time period defined by a start and end date and optionally time.">occurrencePeriod</span>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Period">Period</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
        </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>              <span title="AdverseEvent.contributingFactor : The contributing factors suspected to have increased

             the probability or severity of the adverse event.">contributingFactor</span> 
            <a name="AdverseEvent.contributingFactor"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#CodeableReference">CodeableReference</a> (            <a href="condition.html">Condition</a>  |             <a href="observation.html">Observation</a>  |             <a href="allergyintolerance.html">AllergyIntolerance</a>  |             <a href="familymemberhistory.html">FamilyMemberHistory</a>  |             <a href="immunization.html">Immunization</a>  |             <a href="procedure.html">Procedure</a>  |             <a href="device.html">Device</a>  |             <a href="documentreference.html">DocumentReference</a>  |             <a href="medicationadministration.html">MedicationAdministration</a>  |             <a href="medicationstatement.html">MedicationStatement</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Contributing factors suspected to have increased the probability or severity of
             the adverse event
            <br/>  Binding:             <a href="valueset-adverse-event-contributing-factor.html">AdverseEvent Contributing Factor</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>              <span title="AdverseEvent.preventiveAction : Preventive actions that contributed to avoiding

             the adverse event.">preventiveAction</span> 
            <a name="AdverseEvent.preventiveAction"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#CodeableReference">CodeableReference</a> (            <a href="immunization.html">Immunization</a>  |             <a href="procedure.html">Procedure</a>  |             <a href="documentreference.html">DocumentReference</a>  |             <a href="medicationadministration.html">MedicationAdministration</a>  |             <a href="medicationrequest.html">MedicationRequest</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Preventive actions that contributed to avoiding the adverse event
            <br/>  Binding:             <a href="valueset-adverse-event-preventive-action.html">AdverseEvent Preventive Action</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>              <span title="AdverseEvent.mitigatingAction : The ameliorating action taken after the adverse

             event occurred in order to reduce the extent of harm.">mitigatingAction</span> 
            <a name="AdverseEvent.mitigatingAction"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#CodeableReference">CodeableReference</a> (            <a href="procedure.html">Procedure</a>  |             <a href="documentreference.html">DocumentReference</a>  |             <a href="medicationadministration.html">MedicationAdministration</a>  |             <a href="medicationrequest.html">MedicationRequest</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Ameliorating actions taken after the adverse event occurred in order to reduce
             the extent of harm
            <br/>  Binding:             <a href="valueset-adverse-event-mitigating-action.html">AdverseEvent Mitigating Action</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>              <span title="AdverseEvent.supportingInfo : Relevant past history for the subject. In a clinical

             care context, an example being a patient had an adverse event following a penicillin
             administration and the patient had a previously documented penicillin allergy.
             In a clinical trials context, an example is a bunion or rash that was present prior
             to the study. Additionally, the supporting item can be a document that is relevant
             to this instance of the adverse event that is not part of the subject's medical
             history. For example, a clinical note, staff list, or material safety data sheet
             (MSDS).  Supporting information is not a contributing factor, preventive action,
             or mitigating action.">supportingInfo</span> 
            <a name="AdverseEvent.supportingInfo"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#CodeableReference">CodeableReference</a> (            <a href="condition.html">Condition</a>  |             <a href="observation.html">Observation</a>  |             <a href="allergyintolerance.html">AllergyIntolerance</a>  |             <a href="familymemberhistory.html">FamilyMemberHistory</a>  |             <a href="immunization.html">Immunization</a>  |             <a href="procedure.html">Procedure</a>  |             <a href="documentreference.html">DocumentReference</a>  |             <a href="medicationadministration.html">MedicationAdministration</a>  |             <a href="medicationstatement.html">MedicationStatement</a>  |             <a href="questionnaireresponse.html">QuestionnaireResponse</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Subject medical history or document relevant to this adverse event
            <br/>  Binding:             <a href="valueset-adverse-event-supporting-info.html">AdverseEvent Supporting Information</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAg
          DsHd9/w4EQIOamFnaBgAA4MMKAACAKwNp30CqZFfFmwAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="AdverseEvent.note : Comments made about the adverse event by the performer, subject

             or other participants.">note</span> 
            <a name="AdverseEvent.note"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Annotation">Annotation</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Comment on adverse event
            <br/>              <br/>            </td>         </tr>         <tr>           <td class="hierarchy" colspan="5">            <br/>              <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format">              <img alt="doco" src="data:(snipped in html view)" style="background-color: inherit"/>  Documentation for this format            </a>           </td>         </tr>       </table>     </div>   </text>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">    <valueCode value="trial-use"/>   </extension>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">    <valueCode value="pc"/>   </extension>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">    <valueInteger value="2"/>   </extension>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category">    <valueCode value="patient"/>   </extension>   <url value="http://hl7.org/fhir/StructureDefinition/AdverseEvent"/>   <version value="6.0.0-ballot3"/>   <name value="AdverseEvent"/>   <status value="draft"/>   <experimental value="false"/>   <date value="2025-11-10T15:17:08+00:00"/>   <publisher value="HL7 International / Patient Care"/>   <contact>     <telecom>       <system value="url"/>       <value value="http://www.hl7.org/Special/committees/fiwg"/>     </telecom>   </contact>   <contact>     <telecom>       <system value="url"/>       <value value="http://www.hl7.org/Special/committees/patientcare"/>     </telecom>   </contact>   <description value="An event (i.e. any change to current patient status) that may be related to unintended

   effects on a patient or research participant. The unintended effects may require
   additional monitoring, treatment, hospitalization, or may result in death. The
   AdverseEvent resource also extends to potential or avoided events that could have
   had such effects. There are two major domains where the AdverseEvent resource is
   expected to be used. One is in clinical care reported adverse events and the other
   is in reporting adverse events in clinical  research trial management.  Adverse
   events can be reported by healthcare providers, patients, caregivers or by medical
   products manufacturers.  Given the differences between these two concepts, we recommend
   consulting the domain specific implementation guides when implementing the AdverseEvent
   Resource. The implementation guides include specific extensions, value sets and
   constraints."/> 
  <jurisdiction>     <coding>       <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>       <code value="001"/>       <display value="World"/>     </coding>   </jurisdiction>   <fhirVersion value="6.0.0-ballot3"/>   <mapping>     <identity value="workflow"/>     <uri value="http://hl7.org/fhir/workflow"/>     <name value="Workflow Pattern"/>   </mapping>   <mapping>     <identity value="w5"/>     <uri value="http://hl7.org/fhir/fivews"/>     <name value="FiveWs Pattern Mapping"/>   </mapping>   <mapping>     <identity value="rim"/>     <uri value="http://hl7.org/v3"/>     <name value="RIM Mapping"/>   </mapping>   <kind value="resource"/>   <abstract value="false"/>   <type value="AdverseEvent"/>   <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>   <derivation value="specialization"/>   <snapshot>     <element id="AdverseEvent">      <path value="AdverseEvent"/>       <short value="An event that may be related to unintended effects on a patient or research participant"/>       <definition value="An event (i.e. any change to current patient status) that may be related to unintended

       effects on a patient or research participant. The unintended effects may require
       additional monitoring, treatment, hospitalization, or may result in death. The
       AdverseEvent resource also extends to potential or avoided events that could have
       had such effects. There are two major domains where the AdverseEvent resource is
       expected to be used. One is in clinical care reported adverse events and the other
       is in reporting adverse events in clinical  research trial management. Adverse
       events can be reported by healthcare providers, patients, caregivers or by medical
       products manufacturers. Given the differences between these two concepts, we recommend
       consulting the domain specific implementation guides when implementing the AdverseEvent
       Resource. The implementation guides include specific extensions, value sets and
       constraints."/> 
      <alias value="AE"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="AdverseEvent"/>         <min value="0"/>         <max value="*"/>       </base>       <constraint>         <key value="dom-2"/>         <severity value="error"/>         <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>         <expression value="contained.contained.empty()"/>         <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>       </constraint>       <constraint>         <key value="dom-3"/>         <severity value="error"/>         <human value="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"/> 
        <expression value="contained.where((('#'+id.trace('id') in %resource.descendants().select(reference

         | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmat
        ched', id).empty()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>       </constraint>       <constraint>         <key value="dom-4"/>         <severity value="error"/>         <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId

         or a meta.lastUpdated"/> 
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>         <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>       </constraint>       <constraint>         <key value="dom-5"/>         <severity value="error"/>         <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/>         <expression value="contained.meta.security.empty()"/>         <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>       </constraint>       <constraint>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">          <valueBoolean value="true"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can

           display the resource to a human safely. Including a human readable representation
           in the resource makes for a much more robust eco-system and cheaper handling of
           resources by intermediary systems. Some ecosystems restrict distribution of resources
           to only those systems that do fully understand the resources, and as a consequence
           implementers may believe that the narrative is superfluous. However experience
           shows that such eco-systems often open up to new participants over time."/> 
        </extension>         <key value="dom-6"/>         <severity value="warning"/>         <human value="A resource should have narrative for robust management"/>         <expression value="text.`div`.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="Entity, Role, or Act,Act"/>       </mapping>       <mapping>         <identity value="workflow"/>         <map value="Event"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="clinical.general"/>       </mapping>     </element>     <element id="AdverseEvent.id">      <path value="AdverseEvent.id"/>       <short value="Logical id of this artifact"/>       <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned,

       this value never changes."/> 
      <comment value="Within the context of the FHIR RESTful interactions, the resource has an id except

       for cases like the create and conditional update. Otherwise, the use of the resouce
       id depends on the given use case."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Resource.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="AdverseEvent.meta">      <path value="AdverseEvent.meta"/>       <short value="Metadata about the resource"/> 
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure.
       Changes to the content might not always be associated with version changes to the resource.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      A reference to a set of rules that were followed when the resource was constructed, and
       which must be understood when processing the content. Often, this is a reference to an
       implementation guide that defines the special rules along with other profiles etc.
      Asserting this rule set restricts the content to be only understood by a limited set of
       trading partners. This inherently limits the usefulness of the data in the long term.
       However, the existing health eco-system is highly fractured, and not yet ready to define,
       collect, and exchange data in a generally computable sense. Wherever possible, implementers
       and/or specification writers should avoid using this element. Often, when used, the URL
       is a reference to an implementation guide that defines these special rules as part of
       it's narrative along with other profiles, value sets, etc.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      

       Changes to the content might not always be associated with version changes to the
       resource."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Resource.meta"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Meta"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="AdverseEvent.implicitRules">      <path value="AdverseEvent.implicitRules"/>       <short value="A set of rules under which this content was created"/>       <definition value="A reference to a set of rules that were followed when the resource was constructed,

       and which must be understood when processing the content. Often, this is a reference
       to an implementation guide that defines the special rules along with other profiles
       etc. For DomainResources, if more than one implicitRules policy applies, additional
       policies may be conveyed using the [additionalImplicitRules](https://build.fhir.org/ig/HL7/fh
      ir-extensions/StructureDefinition-additionalImplicitRules.html) extension."/> 
      <comment value="Asserting this rule set restricts the content to be only understood by a limited

       set of trading partners. This inherently limits the usefulness of the data in the
       long term. However, the existing health eco-system is highly fractured, and not
       yet ready to define, collect, and exchange data in a generally computable sense.
       Wherever possible, implementers and/or specification writers should avoid using
       this element. Often, when used, the URL is a reference to an implementation guide
       that defines these special rules as part of its narrative along with other profiles,
       value sets, etc."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Resource.implicitRules"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="uri"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional
       knowledge about the resource that modifies it's meaning or interpretation
      
    
    
      
      
      
      Language is provided to support indexing and accessibility (typically, services such as
       text to speech use the language tag). The html language tag in the narrative applies 
       to the narrative. The language tag on the resource may be used to specify the language
       of other presentations generated from the data in the resource. Not all the content has
       to be in the base language. The Resource.language should not be assumed to apply to the
       narrative automatically. If a language is specified, it should it also be specified on
       the div element in the html (see rules in HTML5 for information about the relationship
       between xml:lang and the html lang attribute).
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
          
        
        
          
        
        
        
        
      
    
    
      
      
      A human-readable narrative that contains a summary of the resource and can be used to
       represent the content of the resource to a human. The narrative need not encode all the
       structured data, but is required to contain sufficient detail to make it &quot;clinically
       safe&quot; for a human to just read the narrative. Resource definitions may define what
       content should be represented in the narrative to ensure clinical safety.
      Contained resources do not have narrative. Resources that are not contained SHOULD have
       a narrative. In some cases, a resource may only have text with little or no additional
       discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary
       for data from legacy systems where information is captured as a &quot;text blob&quot;
       or where text is additionally entered raw or narrated and encoded information is added
       later.
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      These resources do not have an independent existence apart from the resource that contains
       them - they cannot be identified independently, and nor can they have their own independent
       transaction scope.
      This should never be done when the content can be identified properly, as once identification
       is lost, it is extremely difficult (and context dependent) to restore it again. Contained
       resources may have profiles and tags In their meta elements, but SHALL NOT have security
       labels.
      
      
      
      
      
      
        
        
        
      
      
        
      
      
      
      
        
        
      
    
    
      
      

       knowledge about the resource that modifies its meaning or interpretation"/> 
      <isSummary value="true"/>     </element>     <element id="AdverseEvent.language">      <path value="AdverseEvent.language"/>       <short value="Language of the resource content"/>       <definition value="The base language in which the resource is written."/>       <comment value="Language is provided to support indexing and accessibility (typically, services

       such as text to speech use the language tag). The html language tag in the narrative
       applies  to the narrative. The language tag on the resource may be used to specify
       the language of other presentations generated from the data in the resource. Not
       all the content has to be in the base language. The Resource.language should not
       be assumed to apply to the narrative automatically. If a language is specified,
       it should it also be specified on the div element in the html (see rules in HTML5
       for information about the relationship between xml:lang and the html lang attribute)."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Resource.language"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="code"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="Language"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="required"/>         <description value="IETF language tag for a human language"/>         <valueSet value="http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot3"/>         <additional>           <purpose value="starter"/>           <valueSet value="http://hl7.org/fhir/ValueSet/languages"/>         </additional>       </binding>     </element>     <element id="AdverseEvent.text">      <path value="AdverseEvent.text"/>       <short value="Text summary of the resource, for human interpretation"/>       <definition value="A human-readable narrative that contains a summary of the resource and can be used

       to represent the content of the resource to a human. The narrative need not encode
       all the structured data, but is required to contain sufficient detail to make it
       &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions
       may define what content should be represented in the narrative to ensure clinical
       safety."/> 
      <comment value="Contained resources do not have a narrative. Resources that are not contained SHOULD

       have a narrative. In some cases, a resource may only have text with little or no
       additional discrete data (as long as all minOccurs=1 elements are satisfied). 
       This may be necessary for data from legacy systems where information is captured
       as a &quot;text blob&quot; or where text is additionally entered raw or narrated
       and encoded information is added later."/> 
      <alias value="narrative"/>       <alias value="html"/>       <alias value="xhtml"/>       <alias value="display"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="DomainResource.text"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Narrative"/>       </type>       <condition value="dom-6"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="Act.text?"/>       </mapping>     </element>     <element id="AdverseEvent.contained">      <path value="AdverseEvent.contained"/>       <short value="Contained, inline Resources"/>       <definition value="These resources do not have an independent existence apart from the resource that

       contains them - they cannot be identified independently, nor can they have their
       own independent transaction scope. This is allowed to be a Parameters resource
       if and only if it is referenced by a resource that provides context/meaning."/> 
      <comment value="This should never be done when the content can be identified properly, as once

       identification is lost, it is extremely difficult (and context dependent) to restore
       it again. Contained resources may have profiles and tags in their meta elements,
       but SHALL NOT have security labels. Contained resources may be a resource type
       defined in the FHIR specification, or an [additional resource](resource.html#additional)."/> 
      <alias value="inline resources"/>       <alias value="anonymous resources"/>       <alias value="contained resources"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="DomainResource.contained"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Resource"/>       </type>       <condition value="dom-2"/>       <condition value="dom-4"/>       <condition value="dom-3"/>       <condition value="dom-5"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="AdverseEvent.extension">      <path value="AdverseEvent.extension"/>       <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource. To make the use of extensions safe and manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the resource. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="DomainResource.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="AdverseEvent.modifierExtension">      <path value="AdverseEvent.modifierExtension"/>       <short value="Extensions that cannot be ignored"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource and that modifies the understanding of the element that contains it and/or
       the understanding of the containing element's descendants. Usually modifier elements provide
       negation or qualification. To make the use of extensions safe and manageable, there is
       a strict set of governance applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension. Applications processing a resource
       are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension).
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      Modifier extensions are expected to modify the meaning or interpretation of the resource
       that contains them
      
      
        
        
      
    
    
      
      

       of the resource and that modifies the understanding of the element that contains
       it and/or the understanding of the containing element's descendants. Usually modifier
       elements provide negation or qualification. To make the use of extensions safe
       and managable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there
       is a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="DomainResource.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       resource that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="AdverseEvent.identifier">      <path value="AdverseEvent.identifier"/>       <short value="Business identifier for the event"/> 
      <definition value="Business 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.
      This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers
      )).  It is best practice for the identifier to only appear on a single resource instance,
       however business practices may occasionally dictate that multiple resource instances with
       the same identifier can exist - possibly even with different resource types.  For example,
       multiple Patient and a Person resource instance might share the same social insurance
       number.
      Allows identification of the adverse event as it is known by various participating systems
       and in a way that remains consistent across servers.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      Whether the event actually happened, or just had the potential to. Note that this is independent
       of whether anyone was affected or harmed or how severely.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      This element is labeled as a modifier because it has a potential code that indicates the
       adverse event did not actually happen.
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      product-problem | product-quality | product-use-error | wrong-dose | incorrect-prescribing-informati
      on | wrong-technique | wrong-route-of-administration | wrong-rate | wrong-duration | wrong-time
       | expired-drug | medical-device-use-error | problem-different-manufacturer | unsafe-physical-environ
      ment
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      This element defines the specific type of event that occurred or that was prevented from
       occurring.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      
      If AdverseEvent.resultingCondition differs among members of the group, then use Patient
       as the subject.
      
      
      
      
      
        
        
        
      
      
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      The Encounter during which AdverseEvent was created or to which the creation of this record
       is tightly associated.
      This will typically be the encounter the event occurred within, but some activities may
       be initiated prior to or after the official completion of an encounter but still be tied
       to the context of the encounter.  For example, if a medication administration was considered
       an adverse event because it resulted in a rash, then the encounter when the medication
       administration was given is the context.  If the patient reports the AdverseEvent during
       a second encounter, that second encounter is not the context.
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      The recordedDate represents the date when this particular AdverseEvent record was created
       in the system, not the date of the most recent update.  The date of the last record modification
       can be retrieved from the resource metadata.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      Includes information about the reaction that occurred as a result of exposure to a substance
       (for example, a drug or a chemical).
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      Describes the severity of the adverse event, in relation to the subject. Contrast to AdverseEvent.se
      riousness - a severe rash might not be serious, but a mild heart problem is.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      Parties that may or should contribute or have contributed information to the adverse event,
       which can consist of one or more activities.  Such information includes information leading
       to the decision to perform the activity and how to perform the activity (e.g. consultant),
       information that the activity itself seeks to reveal (e.g. informant of clinical history),
       or information about what activity was performed (e.g. informant witness).
      
      
      
        
        
        
      
      
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
       (j)  -->
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      

       which remain constant as the resource is updated and propagates from server to
       server."/> 
      <comment value="This is a business identifier, not a resource identifier (see [discussion](resource.html#iden

      tifiers)).  It is best practice for the identifier to only appear on a single resource
       instance, however business practices may occasionally dictate that multiple resource
       instances with the same identifier can exist - possibly even with different resource
       types.  For example, multiple Patient and a Person resource instance might share
       the same social insurance number."/> 
      <requirements value="Allows identification of the adverse event as it is known by various participating

       systems and in a way that remains consistent across servers."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="AdverseEvent.identifier"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Identifier"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.identifier"/>       </mapping>     </element>     <element id="AdverseEvent.status">      <path value="AdverseEvent.status"/>       <short value="in-progress | completed | entered-in-error | unknown"/>       <definition value="The current state of the adverse event or potential adverse event."/>       <comment value="This is not the reporting of the event to any regulatory or quality organization.

        This is not the outcome of the patient's condition. The adverse event status may
       be determined by the timing of the clinical trial assessments and is not necessarily
       the same as the condition status."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="AdverseEvent.status"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="code"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="true"/>       <isModifierReason value="This element is labeled as a modifier because it is a status element that contains

       status entered-in-error which means that the resource should not be treated as
       valid"/> 
      <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AdverseEventStatus"/>         </extension>         <strength value="required"/>         <description value="Codes identifying the lifecycle stage of an event."/>         <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-status|6.0.0-ballot3"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Event.status"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.status"/>       </mapping>     </element>     <element id="AdverseEvent.actuality">      <path value="AdverseEvent.actuality"/>       <short value="actual | potential"/>       <definition value="Whether the event actually happened or was a near miss. Note that this is independent

       of whether anyone was affected or harmed or how severely."/> 
      <comment value="AllergyIntolerance should be used for the initial capture or recording of the individual's

       propensity to an adverse reaction to a substance.  If an AllergyIntolerance does
       not exist, then an adverse reaction should be recorded as an AllergyIntolerance.
       If an AllergyIntolerance does exist and the substance was given, then an adverse
       reaction should be recorded as an AdverseEvent due to the aberrant workflow."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="AdverseEvent.actuality"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="code"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="true"/>       <isModifierReason value="This element is labeled as a modifier because it has a potential code that indicates

       the adverse event did not actually happen."/> 
      <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AdverseEventActuality"/>         </extension>         <strength value="required"/>         <description value="Overall nature of the adverse event, e.g. real or potential."/>         <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-actuality|6.0.0-ballot3"/>       </binding>       <mapping>         <identity value="w5"/>         <map value="FiveWs.class"/>       </mapping>     </element>     <element id="AdverseEvent.category">      <path value="AdverseEvent.category"/>       <short value="wrong-patient | procedure-mishap | medication-mishap | device | unsafe-physical-environment

       | hospital-aquired-infection | wrong-body-site"/> 
      <definition value="The overall type of event, intended for search and filtering purposes."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="AdverseEvent.category"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AdverseEventCategory"/>         </extension>         <strength value="example"/>         <description value="Overall categorization of the event, e.g. product-related or situational."/>         <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-category"/>       </binding>       <mapping>         <identity value="w5"/>         <map value="FiveWs.class"/>       </mapping>     </element>     <element id="AdverseEvent.code">      <path value="AdverseEvent.code"/>       <short value="Event or incident that occurred or was averted"/>       <definition value="Specific event that occurred or that was averted, such as patient fall, wrong organ

       removed, or wrong blood transfused."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="AdverseEvent.code"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AdverseEventType"/>         </extension>         <strength value="example"/>         <description value="Detailed type of event."/>         <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-type"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Event.code"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.what[x]"/>       </mapping>     </element>     <element id="AdverseEvent.subject">      <path value="AdverseEvent.subject"/>       <short value="Subject impacted by event"/>       <definition value="This subject or group impacted by the event."/>       <comment value="If AdverseEvent.resultingEffect differs among members of the group, then use Patient

       as the subject."/> 
      <requirements value="Allows for exposure of biohazard (such as legionella) to a group of individuals

       in a hospital."/> 
      <alias value="patient"/>       <min value="1"/>       <max value="1"/>       <base>         <path value="AdverseEvent.subject"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.subject"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.subject"/>       </mapping>     </element>     <element id="AdverseEvent.encounter">      <path value="AdverseEvent.encounter"/>       <short value="The Encounter associated with the start of the AdverseEvent"/>       <definition value="The Encounter associated with the start of the AdverseEvent."/>       <comment value="This will typically be the encounter the event occurred within, but some activities

       may be initiated prior to or after the official completion of an encounter but
       still be tied to the context of the encounter. For example, if a medication administration
       was considered an adverse event because it resulted in a rash, then the encounter
       when the medication administration was given is the associated encounter. If the
       patient reports the AdverseEvent during a second encounter, that second encounter
       is not the associated encounter."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="AdverseEvent.encounter"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.encounter"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.context"/>       </mapping>     </element>     <element id="AdverseEvent.effect[x]">      <path value="AdverseEvent.effect[x]"/>       <short value="When the effect of the AdverseEvent occurred"/>       <definition value="The date (and perhaps time) when the effect of the AdverseEvent occurred."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="AdverseEvent.effect[x]"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="dateTime"/>       </type>       <type>         <code value="Period"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.occurrence"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.done[x]"/>       </mapping>     </element>     <element id="AdverseEvent.detected">      <path value="AdverseEvent.detected"/>       <short value="When the event was detected"/>       <definition value="Estimated or actual date the AdverseEvent began, in the opinion of the reporter."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="AdverseEvent.detected"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="dateTime"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="AdverseEvent.recordedDate">      <path value="AdverseEvent.recordedDate"/>       <short value="When the event was recorded"/>       <definition value="The date on which the existence of the AdverseEvent was first recorded."/>       <comment value="The recordedDate represents the date when this particular AdverseEvent record was

       created in the system, not the date of the most recent update.  The date of the
       last record modification can be retrieved from the resource metadata."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="AdverseEvent.recordedDate"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="dateTime"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.recorded"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.recorded"/>       </mapping>     </element>     <element id="AdverseEvent.resultingEffect">      <path value="AdverseEvent.resultingEffect"/>       <short value="Effect on the subject due to this event"/>       <definition value="Information about the condition that occurred as a result of the adverse event,

       such as hives due to the exposure to a substance (for example, a drug or a chemical)
       or a broken leg as a result of the fall."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="AdverseEvent.resultingEffect"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="CodeableReference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AdverseEventResultingEffect"/>         </extension>         <strength value="example"/>         <description value="Indicates the effect on subject due to this adverse event."/>         <valueSet value="http://hl7.org/fhir/ValueSet/clinical-findings"/>       </binding>     </element>     <element id="AdverseEvent.location">      <path value="AdverseEvent.location"/>       <short value="Location where adverse event occurred"/>       <definition value="The information about where the adverse event occurred."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="AdverseEvent.location"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.location"/>       </mapping>     </element>     <element id="AdverseEvent.seriousness">      <path value="AdverseEvent.seriousness"/>       <short value="Seriousness or gravity of the event"/>       <definition value="Assessment whether this event, or averted event, was of clinical importance."/>       <comment value="Using an example, a rash can have an AdverseEvent.resultingEffect.severity = severe,

       yet an AdverseEvent.seriousness = non-serious.  Alternatively, a medication given
       with the wrong dose (chemotherapy given with too low of a dose) can have an AdverseEvent.resu
      ltingEffect.severity = mild, yet an adverseEvent.seriousness = serious.  Another
       example would be a beta blocker clinical trial where patients with asthma should
       be excluded, yet a patient with asthma was included and had an asthmatic episode
       where  AdverseEvent.resultingEffect.severity = mild, yet an adverseEvent.seriousness
       = serious."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="AdverseEvent.seriousness"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AdverseEventSeriousness"/>         </extension>         <strength value="example"/>         <description value="Overall seriousness of this event for the patient."/>         <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-seriousness"/>       </binding>     </element>     <element id="AdverseEvent.outcome">      <path value="AdverseEvent.outcome"/>       <short value="Type of outcome from the adverse event"/>       <definition value="Describes the type of outcome from the adverse event, such as resolved, recovering,

       ongoing, resolved-with-sequelae, or fatal."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="AdverseEvent.outcome"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AdverseEventOutcome"/>         </extension>         <strength value="example"/>         <description value="Codes describing the type of outcome from the adverse event."/>         <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-outcome"/>       </binding>     </element>     <element id="AdverseEvent.recorder">      <path value="AdverseEvent.recorder"/>       <short value="Who recorded the adverse event"/>       <definition value="Information on who recorded the adverse event.  May be the patient or a practitioner."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="AdverseEvent.recorder"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="w5"/>         <map value="FiveWs.author"/>       </mapping>     </element>     <element id="AdverseEvent.participant">      <path value="AdverseEvent.participant"/>       <short value="Who was involved in the adverse event or the potential adverse event and what they

       did"/> 
      <definition value="Indicates who or what participated in the adverse event and how they were involved."/>       <comment value="The participant should not be used when there is another element to capture the

       participation, such as subject or recorder."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="AdverseEvent.participant"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children or both"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.performer"/>       </mapping>     </element>     <element id="AdverseEvent.participant.id">      <path value="AdverseEvent.participant.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="AdverseEvent.participant.extension">      <path value="AdverseEvent.participant.extension"/>       <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict set
       of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="AdverseEvent.participant.modifierExtension">      <path value="AdverseEvent.participant.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. To make the use of extensions safe and manageable,
       there is a strict set of governance applied to the definition and use of extensions. Though
       any implementer can define an extension, there is a set of requirements that SHALL be
       met as part of the definition of the extension. Applications processing a resource are
       required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension).
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them
      
      
        
        
      
    
    
      
      

       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="AdverseEvent.participant.function">      <path value="AdverseEvent.participant.function"/>       <short value="Type of involvement"/>       <definition value="Distinguishes the type of involvement of the actor in the adverse event, such as

       contributor or informant."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="AdverseEvent.participant.function"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AdverseEventParticipantFunction"/>         </extension>         <strength value="example"/>         <description value="Codes describing the type of involvement of the actor in the adverse event."/>         <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-participant-function"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Event.performer.function"/>       </mapping>     </element>     <element id="AdverseEvent.participant.actor">      <path value="AdverseEvent.participant.actor"/>       <short value="Who was involved in the adverse event or the potential adverse event"/>       <definition value="Indicates who or what participated in the event."/>       <comment value="For example, the physician prescribing a drug, a nurse administering the drug,

       a device that administered the drug, a witness to the event, or an informant of
       clinical history. The subject can be a participant if the subject was involved
       in the adverse event in another capacity beyond just being the subject, such as
       when the subject is a contributor or informant. Using Group is only allowed when
       the group represents a family or a household and does not represent groups of Practitioners."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="AdverseEvent.participant.actor"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.performer.actor"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.actor"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"/>       </mapping>     </element>     <element id="AdverseEvent.study">      <path value="AdverseEvent.study"/>       <short value="Research study that the subject is enrolled in"/>       <definition value="The research study that the subject is enrolled in."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="AdverseEvent.study"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/ResearchStudy"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="AdverseEvent.expectedInResearchStudy">      <path value="AdverseEvent.expectedInResearchStudy"/>       <short value="Considered likely or probable or anticipated in the research study"/>       <definition value="Considered likely or probable or anticipated in the research study.  Whether the

       reported event matches any of the outcomes for the patient that are considered
       by the study as known or likely."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="AdverseEvent.expectedInResearchStudy"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="boolean"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="AdverseEvent.suspectEntity">      <path value="AdverseEvent.suspectEntity"/>       <short value="The suspected agent causing the adverse event"/>       <definition value="Describes the entity that is suspected to have caused the adverse event."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="AdverseEvent.suspectEntity"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children or both"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="AdverseEvent.suspectEntity.id">      <path value="AdverseEvent.suspectEntity.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="AdverseEvent.suspectEntity.extension">      <path value="AdverseEvent.suspectEntity.extension"/>       <short value="Additional content defined by implementations"/>       <definition value="May be used to represent additional information that is not part of the basic definition

       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="AdverseEvent.suspectEntity.modifierExtension">      <path value="AdverseEvent.suspectEntity.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/>       <definition value="May be used to represent additional information that is not part of the basic definition

       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="AdverseEvent.suspectEntity.instance">      <path value="AdverseEvent.suspectEntity.instance"/>       <short value="Refers to the specific entity that caused the adverse event"/> 
      <definition value="Identifies the actual instance of what caused the adverse event.  May be a substance,
       medication, medication administration, medication statement or a device.
      
      
      
      
        
        
        
      
      
        
        
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
       (j)  -->
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      

       medication, medication administration, medication statement or a device."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="AdverseEvent.suspectEntity.instance"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="CodeableReference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Immunization"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Substance"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/SubstanceDefinition"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationStatement"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/BiologicallyDerivedProduct"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/ResearchStudy"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="AdverseEvent.suspectEntity.causality">      <path value="AdverseEvent.suspectEntity.causality"/>       <short value="Information on the possible cause of the event"/>       <definition value="Information on the possible cause of the event."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="AdverseEvent.suspectEntity.causality"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children or both"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="AdverseEvent.suspectEntity.causality.id">      <path value="AdverseEvent.suspectEntity.causality.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="AdverseEvent.suspectEntity.causality.extension">      <path value="AdverseEvent.suspectEntity.causality.extension"/>       <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict set
       of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="AdverseEvent.suspectEntity.causality.modifierExtension">      <path value="AdverseEvent.suspectEntity.causality.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. To make the use of extensions safe and manageable,
       there is a strict set of governance applied to the definition and use of extensions. Though
       any implementer can define an extension, there is a set of requirements that SHALL be
       met as part of the definition of the extension. Applications processing a resource are
       required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension).
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
        
        
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
    
  
  
    
      
      
      Actual or  potential/avoided event causing unintended physical injury resulting from or
       contributed to by medical care, a research study or other healthcare setting factors that
       requires additional monitoring, treatment, or hospitalization, or that results in death.
      
      
      
    
    
      
      

       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="AdverseEvent.suspectEntity.causality.assessmentMethod">      <path value="AdverseEvent.suspectEntity.causality.assessmentMethod"/>       <short value="Method of evaluating the relatedness of the suspected entity to the event"/>       <definition value="The method of evaluating the relatedness of the suspected entity to the event."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="AdverseEvent.suspectEntity.causality.assessmentMethod"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AdverseEventCausalityMethod"/>         </extension>         <strength value="example"/>         <description value="TODO."/>         <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-causality-method"/>       </binding>     </element>     <element id="AdverseEvent.suspectEntity.causality.entityRelatedness">      <path value="AdverseEvent.suspectEntity.causality.entityRelatedness"/>       <short value="Result of the assessment regarding the relatedness of the suspected entity to the

       event"/> 
      <definition value="The result of the assessment regarding the relatedness of the suspected entity

       to the event."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="AdverseEvent.suspectEntity.causality.entityRelatedness"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AdverseEventCausalityAssessment"/>         </extension>         <strength value="example"/>         <description value="Codes for the assessment of whether the entity caused the event."/>         <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-causality-assess"/>       </binding>     </element>     <element id="AdverseEvent.suspectEntity.causality.author">      <path value="AdverseEvent.suspectEntity.causality.author"/>       <short value="Author of the information on the possible cause of the event"/>       <definition value="The author of the information on the possible cause of the event."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="AdverseEvent.suspectEntity.causality.author"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="AdverseEvent.suspectEntity.occurrence[x]">      <path value="AdverseEvent.suspectEntity.occurrence[x]"/>       <short value="When the suspect entity occurred"/>       <definition value="The date (and perhaps time) when the suspect entity occurred."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="AdverseEvent.suspectEntity.occurrence[x]"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="dateTime"/>       </type>       <type>         <code value="Period"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.occurrence"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.done[x]"/>       </mapping>     </element>     <element id="AdverseEvent.contributingFactor">      <path value="AdverseEvent.contributingFactor"/>       <short value="Contributing factors suspected to have increased the probability or severity of

       the adverse event"/> 
      <definition value="The contributing factors suspected to have increased the probability or severity

       of the adverse event."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="AdverseEvent.contributingFactor"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="CodeableReference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Immunization"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationStatement"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AdverseEventContributingFactor"/>         </extension>         <strength value="example"/>         <description value="Codes describing the contributing factors suspected to have increased the probability

         or severity of the adverse event."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-contributing-factor"/>       </binding>     </element>     <element id="AdverseEvent.preventiveAction">      <path value="AdverseEvent.preventiveAction"/>       <short value="Preventive actions that contributed to avoiding the adverse event"/>       <definition value="Preventive actions that contributed to avoiding the adverse event."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="AdverseEvent.preventiveAction"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="CodeableReference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Immunization"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AdverseEventPreventiveAction"/>         </extension>         <strength value="example"/>         <description value="Codes describing the preventive actions that contributed to avoiding the adverse

         event."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-preventive-action"/>       </binding>     </element>     <element id="AdverseEvent.mitigatingAction">      <path value="AdverseEvent.mitigatingAction"/>       <short value="Ameliorating actions taken after the adverse event occurred in order to reduce

       the extent of harm"/> 
      <definition value="The ameliorating action taken after the adverse event occurred in order to reduce

       the extent of harm."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="AdverseEvent.mitigatingAction"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="CodeableReference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AdverseEventMitigatingAction"/>         </extension>         <strength value="example"/>         <description value="Codes describing the ameliorating actions taken after the adverse event occured

         in order to reduce the extent of harm."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-mitigating-action"/>       </binding>     </element>     <element id="AdverseEvent.supportingInfo">      <path value="AdverseEvent.supportingInfo"/>       <short value="Subject medical history or document relevant to this adverse event"/>       <definition value="Relevant past history for the subject. In a clinical care context, an example being

       a patient had an adverse event following a penicillin administration and the patient
       had a previously documented penicillin allergy. In a clinical trials context, an
       example is a bunion or rash that was present prior to the study. Additionally,
       the supporting item can be a document that is relevant to this instance of the
       adverse event that is not part of the subject's medical history. For example, a
       clinical note, staff list, or material safety data sheet (MSDS).  Supporting information
       is not a contributing factor, preventive action, or mitigating action."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="AdverseEvent.supportingInfo"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="CodeableReference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Immunization"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationStatement"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AdverseEventSupportingInfo"/>         </extension>         <strength value="example"/>         <description value="Codes describing the supporting information relevant to the event."/>         <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-supporting-info"/>       </binding>     </element>     <element id="AdverseEvent.note">      <path value="AdverseEvent.note"/>       <short value="Comment on adverse event"/>       <definition value="Comments made about the adverse event by the performer, subject or other participants."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="AdverseEvent.note"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Annotation"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>   </snapshot>   <differential>     <element id="AdverseEvent">      <path value="AdverseEvent"/>       <short value="An event that may be related to unintended effects on a patient or research participant"/>       <definition value="An event (i.e. any change to current patient status) that may be related to unintended

       effects on a patient or research participant. The unintended effects may require
       additional monitoring, treatment, hospitalization, or may result in death. The
       AdverseEvent resource also extends to potential or avoided events that could have
       had such effects. There are two major domains where the AdverseEvent resource is
       expected to be used. One is in clinical care reported adverse events and the other
       is in reporting adverse events in clinical  research trial management. Adverse
       events can be reported by healthcare providers, patients, caregivers or by medical
       products manufacturers. Given the differences between these two concepts, we recommend
       consulting the domain specific implementation guides when implementing the AdverseEvent
       Resource. The implementation guides include specific extensions, value sets and
       constraints."/> 
      <alias value="AE"/>       <min value="0"/>       <max value="*"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Event"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="clinical.general"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="Act"/>       </mapping>     </element>     <element id="AdverseEvent.identifier">      <path value="AdverseEvent.identifier"/>       <short value="Business identifier for the event"/> 
      <definition value="Business 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.
      This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers
      )).  It is best practice for the identifier to only appear on a single resource instance,
       however business practices may occasionally dictate that multiple resource instances with
       the same identifier can exist - possibly even with different resource types.  For example,
       multiple Patient and a Person resource instance might share the same social insurance
       number.
      Allows identification of the adverse event as it is known by various participating systems
       and in a way that remains consistent across servers.
      
      
      
        
      
      
    
    
      
      
      Whether the event actually happened, or just had the potential to. Note that this is independent
       of whether anyone was affected or harmed or how severely.
      
      
      
        
      
      
      This element is labeled as a modifier because it has a potential code that indicates the
       adverse event did not actually happen.
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      product-problem | product-quality | product-use-error | wrong-dose | incorrect-prescribing-informati
      on | wrong-technique | wrong-route-of-administration | wrong-rate | wrong-duration | wrong-time
       | expired-drug | medical-device-use-error | problem-different-manufacturer | unsafe-physical-environ
      ment
      
      
      
      
        
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      This element defines the specific type of event that occurred or that was prevented from
       occurring.
      
      
      
        
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      
      If AdverseEvent.resultingCondition differs among members of the group, then use Patient
       as the subject.
      
      
      
      
      
        
        
        
        
        
      
      
      
        
        
      
    
    
      
      
      The Encounter during which AdverseEvent was created or to which the creation of this record
       is tightly associated.
      This will typically be the encounter the event occurred within, but some activities may
       be initiated prior to or after the official completion of an encounter but still be tied
       to the context of the encounter.  For example, if a medication administration was considered
       an adverse event because it resulted in a rash, then the encounter when the medication
       administration was given is the context.  If the patient reports the AdverseEvent during
       a second encounter, that second encounter is not the context.
      
      
      
        
        
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
    
    
      
      
      
      The recordedDate represents the date when this particular AdverseEvent record was created
       in the system, not the date of the most recent update.  The date of the last record modification
       can be retrieved from the resource metadata.
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      Includes information about the reaction that occurred as a result of exposure to a substance
       (for example, a drug or a chemical).
      
      
      
        
        
      
      
    
    
      
      
      
      
      
      
        
        
      
      
    
    
      
      
      
      
      
      
        
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      Describes the severity of the adverse event, in relation to the subject. Contrast to AdverseEvent.se
      riousness - a severe rash might not be serious, but a mild heart problem is.
      
      
      
        
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
        
        
        
        
        
      
      
      
        
        
      
    
    
      
      
      Parties that may or should contribute or have contributed information to the adverse event,
       which can consist of one or more activities.  Such information includes information leading
       to the decision to perform the activity and how to perform the activity (e.g. consultant),
       information that the activity itself seeks to reveal (e.g. informant of clinical history),
       or information about what activity was performed (e.g. informant witness).
      
      
      
        
        
        
        
      
      
    
    
      
      
      
      
      
      
        
      
      
    
    
      
      

       which remain constant as the resource is updated and propagates from server to
       server."/> 
      <comment value="This is a business identifier, not a resource identifier (see [discussion](resource.html#iden

      tifiers)).  It is best practice for the identifier to only appear on a single resource
       instance, however business practices may occasionally dictate that multiple resource
       instances with the same identifier can exist - possibly even with different resource
       types.  For example, multiple Patient and a Person resource instance might share
       the same social insurance number."/> 
      <requirements value="Allows identification of the adverse event as it is known by various participating

       systems and in a way that remains consistent across servers."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="Identifier"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.identifier"/>       </mapping>     </element>     <element id="AdverseEvent.status">      <path value="AdverseEvent.status"/>       <short value="in-progress | completed | entered-in-error | unknown"/>       <definition value="The current state of the adverse event or potential adverse event."/>       <comment value="This is not the reporting of the event to any regulatory or quality organization.

        This is not the outcome of the patient's condition. The adverse event status may
       be determined by the timing of the clinical trial assessments and is not necessarily
       the same as the condition status."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="code"/>       </type>       <mustSupport value="false"/>       <isModifier value="true"/>       <isModifierReason value="This element is labeled as a modifier because it is a status element that contains

       status entered-in-error which means that the resource should not be treated as
       valid"/> 
      <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AdverseEventStatus"/>         </extension>         <strength value="required"/>         <description value="Codes identifying the lifecycle stage of an event."/>         <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-status|6.0.0-ballot3"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Event.status"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.status"/>       </mapping>     </element>     <element id="AdverseEvent.actuality">      <path value="AdverseEvent.actuality"/>       <short value="actual | potential"/>       <definition value="Whether the event actually happened or was a near miss. Note that this is independent

       of whether anyone was affected or harmed or how severely."/> 
      <comment value="AllergyIntolerance should be used for the initial capture or recording of the individual's

       propensity to an adverse reaction to a substance.  If an AllergyIntolerance does
       not exist, then an adverse reaction should be recorded as an AllergyIntolerance.
       If an AllergyIntolerance does exist and the substance was given, then an adverse
       reaction should be recorded as an AdverseEvent due to the aberrant workflow."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="code"/>       </type>       <mustSupport value="false"/>       <isModifier value="true"/>       <isModifierReason value="This element is labeled as a modifier because it has a potential code that indicates

       the adverse event did not actually happen."/> 
      <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AdverseEventActuality"/>         </extension>         <strength value="required"/>         <description value="Overall nature of the adverse event, e.g. real or potential."/>         <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-actuality|6.0.0-ballot3"/>       </binding>       <mapping>         <identity value="w5"/>         <map value="FiveWs.class"/>       </mapping>     </element>     <element id="AdverseEvent.category">      <path value="AdverseEvent.category"/>       <short value="wrong-patient | procedure-mishap | medication-mishap | device | unsafe-physical-environment

       | hospital-aquired-infection | wrong-body-site"/> 
      <definition value="The overall type of event, intended for search and filtering purposes."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AdverseEventCategory"/>         </extension>         <strength value="example"/>         <description value="Overall categorization of the event, e.g. product-related or situational."/>         <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-category"/>       </binding>       <mapping>         <identity value="w5"/>         <map value="FiveWs.class"/>       </mapping>     </element>     <element id="AdverseEvent.code">      <path value="AdverseEvent.code"/>       <short value="Event or incident that occurred or was averted"/>       <definition value="Specific event that occurred or that was averted, such as patient fall, wrong organ

       removed, or wrong blood transfused."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AdverseEventType"/>         </extension>         <strength value="example"/>         <description value="Detailed type of event."/>         <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-type"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Event.code"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.what[x]"/>       </mapping>     </element>     <element id="AdverseEvent.subject">      <path value="AdverseEvent.subject"/>       <short value="Subject impacted by event"/>       <definition value="This subject or group impacted by the event."/>       <comment value="If AdverseEvent.resultingEffect differs among members of the group, then use Patient

       as the subject."/> 
      <requirements value="Allows for exposure of biohazard (such as legionella) to a group of individuals

       in a hospital."/> 
      <alias value="patient"/>       <min value="1"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.subject"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.subject"/>       </mapping>     </element>     <element id="AdverseEvent.encounter">      <path value="AdverseEvent.encounter"/>       <short value="The Encounter associated with the start of the AdverseEvent"/>       <definition value="The Encounter associated with the start of the AdverseEvent."/>       <comment value="This will typically be the encounter the event occurred within, but some activities

       may be initiated prior to or after the official completion of an encounter but
       still be tied to the context of the encounter. For example, if a medication administration
       was considered an adverse event because it resulted in a rash, then the encounter
       when the medication administration was given is the associated encounter. If the
       patient reports the AdverseEvent during a second encounter, that second encounter
       is not the associated encounter."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.encounter"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.context"/>       </mapping>     </element>     <element id="AdverseEvent.effect[x]">      <path value="AdverseEvent.effect[x]"/>       <short value="When the effect of the AdverseEvent occurred"/>       <definition value="The date (and perhaps time) when the effect of the AdverseEvent occurred."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="dateTime"/>       </type>       <type>         <code value="Period"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.occurrence"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.done[x]"/>       </mapping>     </element>     <element id="AdverseEvent.detected">      <path value="AdverseEvent.detected"/>       <short value="When the event was detected"/>       <definition value="Estimated or actual date the AdverseEvent began, in the opinion of the reporter."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="dateTime"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="AdverseEvent.recordedDate">      <path value="AdverseEvent.recordedDate"/>       <short value="When the event was recorded"/>       <definition value="The date on which the existence of the AdverseEvent was first recorded."/>       <comment value="The recordedDate represents the date when this particular AdverseEvent record was

       created in the system, not the date of the most recent update.  The date of the
       last record modification can be retrieved from the resource metadata."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="dateTime"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.recorded"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.recorded"/>       </mapping>     </element>     <element id="AdverseEvent.resultingEffect">      <path value="AdverseEvent.resultingEffect"/>       <short value="Effect on the subject due to this event"/>       <definition value="Information about the condition that occurred as a result of the adverse event,

       such as hives due to the exposure to a substance (for example, a drug or a chemical)
       or a broken leg as a result of the fall."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="CodeableReference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AdverseEventResultingEffect"/>         </extension>         <strength value="example"/>         <description value="Indicates the effect on subject due to this adverse event."/>         <valueSet value="http://hl7.org/fhir/ValueSet/clinical-findings"/>       </binding>     </element>     <element id="AdverseEvent.location">      <path value="AdverseEvent.location"/>       <short value="Location where adverse event occurred"/>       <definition value="The information about where the adverse event occurred."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.location"/>       </mapping>     </element>     <element id="AdverseEvent.seriousness">      <path value="AdverseEvent.seriousness"/>       <short value="Seriousness or gravity of the event"/>       <definition value="Assessment whether this event, or averted event, was of clinical importance."/>       <comment value="Using an example, a rash can have an AdverseEvent.resultingEffect.severity = severe,

       yet an AdverseEvent.seriousness = non-serious.  Alternatively, a medication given
       with the wrong dose (chemotherapy given with too low of a dose) can have an AdverseEvent.resu
      ltingEffect.severity = mild, yet an adverseEvent.seriousness = serious.  Another
       example would be a beta blocker clinical trial where patients with asthma should
       be excluded, yet a patient with asthma was included and had an asthmatic episode
       where  AdverseEvent.resultingEffect.severity = mild, yet an adverseEvent.seriousness
       = serious."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AdverseEventSeriousness"/>         </extension>         <strength value="example"/>         <description value="Overall seriousness of this event for the patient."/>         <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-seriousness"/>       </binding>     </element>     <element id="AdverseEvent.outcome">      <path value="AdverseEvent.outcome"/>       <short value="Type of outcome from the adverse event"/>       <definition value="Describes the type of outcome from the adverse event, such as resolved, recovering,

       ongoing, resolved-with-sequelae, or fatal."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AdverseEventOutcome"/>         </extension>         <strength value="example"/>         <description value="Codes describing the type of outcome from the adverse event."/>         <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-outcome"/>       </binding>     </element>     <element id="AdverseEvent.recorder">      <path value="AdverseEvent.recorder"/>       <short value="Who recorded the adverse event"/>       <definition value="Information on who recorded the adverse event.  May be the patient or a practitioner."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="w5"/>         <map value="FiveWs.author"/>       </mapping>     </element>     <element id="AdverseEvent.participant">      <path value="AdverseEvent.participant"/>       <short value="Who was involved in the adverse event or the potential adverse event and what they

       did"/> 
      <definition value="Indicates who or what participated in the adverse event and how they were involved."/>       <comment value="The participant should not be used when there is another element to capture the

       participation, such as subject or recorder."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="BackboneElement"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.performer"/>       </mapping>     </element>     <element id="AdverseEvent.participant.function">      <path value="AdverseEvent.participant.function"/>       <short value="Type of involvement"/>       <definition value="Distinguishes the type of involvement of the actor in the adverse event, such as

       contributor or informant."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AdverseEventParticipantFunction"/>         </extension>         <strength value="example"/>         <description value="Codes describing the type of involvement of the actor in the adverse event."/>         <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-participant-function"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Event.performer.function"/>       </mapping>     </element>     <element id="AdverseEvent.participant.actor">      <path value="AdverseEvent.participant.actor"/>       <short value="Who was involved in the adverse event or the potential adverse event"/>       <definition value="Indicates who or what participated in the event."/>       <comment value="For example, the physician prescribing a drug, a nurse administering the drug,

       a device that administered the drug, a witness to the event, or an informant of
       clinical history. The subject can be a participant if the subject was involved
       in the adverse event in another capacity beyond just being the subject, such as
       when the subject is a contributor or informant. Using Group is only allowed when
       the group represents a family or a household and does not represent groups of Practitioners."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.performer.actor"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.actor"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"/>       </mapping>     </element>     <element id="AdverseEvent.study">      <path value="AdverseEvent.study"/>       <short value="Research study that the subject is enrolled in"/>       <definition value="The research study that the subject is enrolled in."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/ResearchStudy"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="AdverseEvent.expectedInResearchStudy">      <path value="AdverseEvent.expectedInResearchStudy"/>       <short value="Considered likely or probable or anticipated in the research study"/>       <definition value="Considered likely or probable or anticipated in the research study.  Whether the

       reported event matches any of the outcomes for the patient that are considered
       by the study as known or likely."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="boolean"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="AdverseEvent.suspectEntity">      <path value="AdverseEvent.suspectEntity"/>       <short value="The suspected agent causing the adverse event"/>       <definition value="Describes the entity that is suspected to have caused the adverse event."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="BackboneElement"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="AdverseEvent.suspectEntity.instance">      <path value="AdverseEvent.suspectEntity.instance"/>       <short value="Refers to the specific entity that caused the adverse event"/> 
      <definition value="Identifies the actual instance of what caused the adverse event.  May be a substance,
       medication, medication administration, medication statement or a device.
      
      
      
      
        
        
        
        
        
        
        
        
      
      
    
    
      
      
      
      
      
      
        
      
      
    
    
      
      
      
      
      
      
        
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
        
      
      
    
    
      
      
      
      
      
      
        
        
        
      
      
    
    
      
      
      
      
      
      
        
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      
      
      
        
        
        
        
        
        
        
        
        
      
      
    
    
      
      
      
      
      
      
        
        
      
      
    
    
      
      
      
      
      
      
        
        
      
      
    
  

       medication, medication administration, medication statement or a device."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="CodeableReference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Immunization"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Substance"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/SubstanceDefinition"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationStatement"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/BiologicallyDerivedProduct"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/ResearchStudy"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="AdverseEvent.suspectEntity.causality">      <path value="AdverseEvent.suspectEntity.causality"/>       <short value="Information on the possible cause of the event"/>       <definition value="Information on the possible cause of the event."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="BackboneElement"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="AdverseEvent.suspectEntity.causality.assessmentMethod">      <path value="AdverseEvent.suspectEntity.causality.assessmentMethod"/>       <short value="Method of evaluating the relatedness of the suspected entity to the event"/>       <definition value="The method of evaluating the relatedness of the suspected entity to the event."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AdverseEventCausalityMethod"/>         </extension>         <strength value="example"/>         <description value="TODO."/>         <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-causality-method"/>       </binding>     </element>     <element id="AdverseEvent.suspectEntity.causality.entityRelatedness">      <path value="AdverseEvent.suspectEntity.causality.entityRelatedness"/>       <short value="Result of the assessment regarding the relatedness of the suspected entity to the

       event"/> 
      <definition value="The result of the assessment regarding the relatedness of the suspected entity

       to the event."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AdverseEventCausalityAssessment"/>         </extension>         <strength value="example"/>         <description value="Codes for the assessment of whether the entity caused the event."/>         <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-causality-assess"/>       </binding>     </element>     <element id="AdverseEvent.suspectEntity.causality.author">      <path value="AdverseEvent.suspectEntity.causality.author"/>       <short value="Author of the information on the possible cause of the event"/>       <definition value="The author of the information on the possible cause of the event."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="AdverseEvent.suspectEntity.occurrence[x]">      <path value="AdverseEvent.suspectEntity.occurrence[x]"/>       <short value="When the suspect entity occurred"/>       <definition value="The date (and perhaps time) when the suspect entity occurred."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="dateTime"/>       </type>       <type>         <code value="Period"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.occurrence"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.done[x]"/>       </mapping>     </element>     <element id="AdverseEvent.contributingFactor">      <path value="AdverseEvent.contributingFactor"/>       <short value="Contributing factors suspected to have increased the probability or severity of

       the adverse event"/> 
      <definition value="The contributing factors suspected to have increased the probability or severity

       of the adverse event."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="CodeableReference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Immunization"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationStatement"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AdverseEventContributingFactor"/>         </extension>         <strength value="example"/>         <description value="Codes describing the contributing factors suspected to have increased the probability

         or severity of the adverse event."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-contributing-factor"/>       </binding>     </element>     <element id="AdverseEvent.preventiveAction">      <path value="AdverseEvent.preventiveAction"/>       <short value="Preventive actions that contributed to avoiding the adverse event"/>       <definition value="Preventive actions that contributed to avoiding the adverse event."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="CodeableReference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Immunization"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AdverseEventPreventiveAction"/>         </extension>         <strength value="example"/>         <description value="Codes describing the preventive actions that contributed to avoiding the adverse

         event."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-preventive-action"/>       </binding>     </element>     <element id="AdverseEvent.mitigatingAction">      <path value="AdverseEvent.mitigatingAction"/>       <short value="Ameliorating actions taken after the adverse event occurred in order to reduce

       the extent of harm"/> 
      <definition value="The ameliorating action taken after the adverse event occurred in order to reduce

       the extent of harm."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="CodeableReference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AdverseEventMitigatingAction"/>         </extension>         <strength value="example"/>         <description value="Codes describing the ameliorating actions taken after the adverse event occured

         in order to reduce the extent of harm."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-mitigating-action"/>       </binding>     </element>     <element id="AdverseEvent.supportingInfo">      <path value="AdverseEvent.supportingInfo"/>       <short value="Subject medical history or document relevant to this adverse event"/>       <definition value="Relevant past history for the subject. In a clinical care context, an example being

       a patient had an adverse event following a penicillin administration and the patient
       had a previously documented penicillin allergy. In a clinical trials context, an
       example is a bunion or rash that was present prior to the study. Additionally,
       the supporting item can be a document that is relevant to this instance of the
       adverse event that is not part of the subject's medical history. For example, a
       clinical note, staff list, or material safety data sheet (MSDS).  Supporting information
       is not a contributing factor, preventive action, or mitigating action."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="CodeableReference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Immunization"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationStatement"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="AdverseEventSupportingInfo"/>         </extension>         <strength value="example"/>         <description value="Codes describing the supporting information relevant to the event."/>         <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-supporting-info"/>       </binding>     </element>     <element id="AdverseEvent.note">      <path value="AdverseEvent.note"/>       <short value="Comment on adverse event"/>       <definition value="Comments made about the adverse event by the performer, subject or other participants."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="Annotation"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>   </differential> 


</

StructureDefinition

>



Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.