{
"description": "### Intent The intent of this guide is to provide a profile on the FHIR AdverseEvent Resource suitable for Clinical Research. ### Overview A single Adverse Event (AE) may need to be reported in multiple ways. Choosing the appropriate form of the reporting is dependent upon workflow patterns. In particular, the implementation guides for Clinical Care adverse events and Clinical Research adverse events provide important extensions, value-sets and examples for implementing AdverseEvent. This guide, the Clinical Research adverse event implementation guide, is for the clinical research setting. In this setting, the event is tracked and evaluated as part of the clinical research process for the research study. In the research setting an adverse event is the result of an intervention that caused unintentional harm to a specific subject or group of subjects (this is surfaced in the profile as a constraint of ‘actual’ for the value of ‘actuality’). An example of an adverse event in the clinical research setting would be a patient develops renal failure while on a study drug. These events are characterized by the need to capture cause-and-effect (although they might not be known at the time of the event), severity, and outcome. The context of an adverse event is also important, and captured in the AdverseEvent Clinical Research Profile data elements. A subject may have condition(s) or current treatments (medications, diet, devices) that impact their response to a newly introduced medication, device or procedure. Knowledge of these variables is essential in establishing a cause-and-effect relationship for an adverse event. This information is represented with corresponding resources (e.g. Procedure Resource for procedures, etc.) and referenced. A potential adverse event may also be called a near miss or an error, these are not reported with the AdverseEvent Clinical Research Profile. ### Scope This FHIR IG enables the collection of adverse events in real-world data (RWD) sources such as electronic health records (EHR) and personal health records (PHR) that occur during clinical trials. It ensures the appropriate AE representation required to support clinical research trials within a regulated environment. As the AEs are collected in RWD sources, the data can be transmitted via FHIR to clinical trial management systems, regulatory agencies, sponsors, and clinical research organizations for further processing and reporting. In the pre-market clinical research setting, serious adverse events must be reported to the sponsor, clinical research organization, and regulatory agencies within a specific time frame for Institutional Review Boards (IRBs) and Data Safety Monitoring Board (DSMB) review. By using this IG, a clinical investigator can document an AE in the EHR, it can be received by a secondary clinical trial management system for triage and then forwarded to the sponsor and regulatory agencies. Similarly, a patient on a clinical trial can record an adverse event in their PHR that is then shared with the clinical investigator and reported to the sponsor and regulatory agencies as necessary. In a post-market situation, a patient, provider, or manufacturer can record the adverse event in a system and then report it to the FDA as a FHIR based MedWatch form. Within this guide are several examples. Every effort has been made to capture the most important details of the use of the AdverseEvent profile. However, some examples may provide only a stub to referenced resources (e.g. instances of Patient Resource will be referenced using logical ids but are not resolvable, implementation of Patient is left for other guidance and is not the subject of this guide). Connectathons are ideal opportunities to create, compare and consider the holistic implementation of all FHIR Resources.",
"_filename": "ImplementationGuide-hl7.fhir.uv.ae-research-backport-ig.json",
"package_name": "hl7.fhir.uv.ae-research-backport-ig",
"definition": {
"page": {
"page": [ {
"title": "Background and Workflow",
"nameUrl": "background.html",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "background.html"
} ],
"generation": "markdown"
}, {
"page": [ {
"title": "Cancer Clinical Trial Example",
"nameUrl": "exampleCancerClinicalTrial.html",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "exampleCancerClinicalTrial.html"
} ],
"generation": "markdown"
} ],
"title": "Real World examples",
"nameUrl": "examples.html",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "examples.html"
} ],
"generation": "markdown"
}, {
"title": "Security Note",
"nameUrl": "security.html",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "security.html"
} ],
"generation": "markdown"
}, {
"title": "Useful Downloads",
"nameUrl": "downloads.html",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "downloads.html"
} ],
"generation": "markdown"
}, {
"title": "IG Change History",
"nameUrl": "changes.html",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "changes.html"
} ],
"generation": "html"
} ],
"title": "AdverseEvents for Clinical Research Home Page",
"nameUrl": "index.html",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "index.html"
} ],
"generation": "html"
},
"resource": [ {
"name": "Adverse Event Clinical Research",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/AdverseEvent-clinical-research"
},
"description": "An example profile of AdverseEvent for Research reporting."
}, {
"name": "Use Case 1 - Serious Adverse Event",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Patient"
} ],
"reference": {
"display": "Use Case 1 - Serious Adverse Event",
"reference": "Patient/SCHJO"
},
"description": "Use Case 1 - SAE Patient SCHJO on Research Study XYZ, Study ID XYZ-123, Subject number XYZ-123-002."
}, {
"name": "ClinicalTrialSubject5",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Patient"
} ],
"reference": {
"display": "ClinicalTrialSubject5",
"reference": "Patient/ClinicalTrialSubject5"
},
"description": "Use case 7. Clinical Trial subject number 5. Acute Hepatic Failure."
}, {
"name": "ClinicalResearchAdverseEventUseCase7",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "AdverseEvent"
} ],
"reference": {
"display": "ClinicalResearchAdverseEventUseCase7",
"reference": "AdverseEvent/ClinicalResearchAdverseEventUseCase7"
},
"description": "example",
"exampleCanonical": "http://hl7.org/fhir/uv/ae-research-backport-ig/StructureDefinition/AdverseEvent-clinical-research"
}, {
"name": "AEHepaticFailureUseCase7",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Condition"
} ],
"reference": {
"display": "AEHepaticFailureUseCase7",
"reference": "Condition/AEHepaticFailureUseCase7"
},
"description": "The fifth subject enrolled in the trial develops severe hepatic failure complicated by encephalopathy one month after starting the study. The study sponsors determined that is an unanticipated problem that must be reported because although the risk of mild liver injury was foreseen, severe liver injury resulting in hepatic failure was unexpected in severity; possibly related to participation in the research; and serious."
}, {
"name": "AEHepaticFailureUseCase7complication",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Condition"
} ],
"reference": {
"display": "AEHepaticFailureUseCase7complication",
"reference": "Condition/AEHepaticFailureUseCase7complication"
},
"description": "The fifth subject enrolled in the trial develops severe hepatic failure complicated by encephalopathy one month after starting the study. The study sponsors determined that is an unanticipated problem that must be reported because although the risk of mild liver injury was foreseen, severe liver injury resulting in hepatic failure was unexpected in severity; possibly related to participation in the research; and serious."
}, {
"name": "Janet Patient",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Patient"
} ],
"reference": {
"display": "Janet Patient",
"reference": "Patient/JanetPatient"
},
"description": "Patient Janet, 64-year old woman on clinical trial"
}, {
"name": "Breast Cancer Trial",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ResearchStudy"
} ],
"reference": {
"display": "Breast Cancer Trial",
"reference": "ResearchStudy/BreastCancerTrial"
},
"description": "Breast Cancer clinical trial example"
}, {
"name": "Janet weight Observation",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"display": "Janet weight Observation",
"reference": "Observation/weight-janet"
},
"description": "Janet weight observation"
}, {
"name": "Provenance for Janet weight Observation",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Provenance"
} ],
"reference": {
"display": "Provenance for Janet weight Observation",
"reference": "Provenance/provenance-for-weight"
},
"description": "Provenance for Janet weight Observation"
}, {
"name": "Janet Blood Pressure Observation",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"display": "Janet Blood Pressure Observation",
"reference": "Observation/blood-pressure-janet"
},
"description": "Janet Blood Pressure Observation"
}, {
"name": "Provenance for Janet Blood Pressure Observation",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Provenance"
} ],
"reference": {
"display": "Provenance for Janet Blood Pressure Observation",
"reference": "Provenance/provenance-for-blood-pressure-janet"
},
"description": "Provenance for Janet Blood Pressure Observation"
}, {
"name": "Janet Tylenol PM med",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationStatement"
} ],
"reference": {
"display": "Janet Tylenol PM med",
"reference": "MedicationStatement/example001"
},
"description": "Self reported Janet Tylenol PM med"
}, {
"name": "Janet allergy med",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationStatement"
} ],
"reference": {
"display": "Janet allergy med",
"reference": "MedicationStatement/example007"
},
"description": "Self reported Janet allergy med"
}, {
"name": "Janet pill for water retention med not known",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationStatement"
} ],
"reference": {
"display": "Janet pill for water retention med not known",
"reference": "MedicationStatement/example003"
},
"description": "Self reported Janet pill for water retention med not known"
}, {
"name": "Medication Administration for bresentrik",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationAdministration"
} ],
"reference": {
"display": "Medication Administration for bresentrik",
"reference": "MedicationAdministration/medicationAdministration-for-bresentrik"
},
"description": "Study medication info Medication Administration for bresentrik"
}, {
"name": "Medication is bresentrik",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Medication"
} ],
"reference": {
"display": "Medication is bresentrik",
"reference": "Medication/bresentrik"
},
"description": "Study medication, bresentrik"
}, {
"name": "Medication Request for bresentrik",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationRequest"
} ],
"reference": {
"display": "Medication Request for bresentrik",
"reference": "MedicationRequest/medicationrequest-for-bresentrik"
},
"description": "Study medication info Medication Request for bresentrik"
}, {
"name": "Medication Administration of Med0301",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationAdministration"
} ],
"reference": {
"display": "Medication Administration of Med0301",
"reference": "MedicationAdministration/medadmin0301"
},
"description": "Medication administration example"
}, {
"name": "Medication Request for discontinued clinical trial medication ABC",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationRequest"
} ],
"reference": {
"display": "Medication Request for discontinued clinical trial medication ABC",
"reference": "MedicationRequest/medicationrequest-for-study-medication-administration-ABC"
},
"description": "Study medication info Medication Request for clinical trial medication ABC - discontinued"
}, {
"name": "Medication Request for discontinued clinical trial medication 0301",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationRequest"
} ],
"reference": {
"display": "Medication Request for discontinued clinical trial medication 0301",
"reference": "MedicationRequest/medicationrequest0301-discontinue"
},
"description": "Study medication info Medication Request for clinical trial medication 0301 - discontinued"
}, {
"name": "Use case 6B - problem",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Condition"
} ],
"reference": {
"display": "Use case 6B - problem",
"reference": "Condition/janetReported-condition"
},
"description": "Use case 6B - patient reported AE problem"
}, {
"name": "Use case 6B - patient reported AE during research study",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "AdverseEvent"
} ],
"reference": {
"display": "Use case 6B - patient reported AE during research study",
"reference": "AdverseEvent/clinical-research-ae-example-medwatch-patient-report"
},
"description": "Use case 6B - Patient report of Adverse Event, example of data that would be on MedWatch form as reported by Patient",
"exampleCanonical": "http://hl7.org/fhir/uv/ae-research-backport-ig/StructureDefinition/AdverseEvent-clinical-research"
}, {
"name": "patient-example-kaitlyn-b",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Patient"
} ],
"reference": {
"display": "patient-example-kaitlyn-b",
"reference": "Patient/patient-example-kaitlyn-b"
},
"description": "Compass Trial example patient Kaitlyn"
}, {
"name": "practitioner-oncology-nurse-jane",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Practitioner"
} ],
"reference": {
"display": "practitioner-oncology-nurse-jane",
"reference": "Practitioner/practitioner-oncology-nurse-jane"
},
"description": "Example RN practitioner"
}, {
"name": "practitioner-owen-oncologist",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Practitioner"
} ],
"reference": {
"display": "practitioner-owen-oncologist",
"reference": "Practitioner/practitioner-owen-oncologist"
},
"description": "Example Oncologist"
}, {
"name": "medication-request-example-kadcyla",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationRequest"
} ],
"reference": {
"display": "medication-request-example-kadcyla",
"reference": "MedicationRequest/medication-request-example-kadcyla"
},
"description": "Example showing clinial trial medication Kadcyla"
}, {
"name": "medication-request-example-tucatinib",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationRequest"
} ],
"reference": {
"display": "medication-request-example-tucatinib",
"reference": "MedicationRequest/medication-request-example-tucatinib"
},
"description": "Example showing clinial trial medication Tucatinib"
}, {
"name": "medication-administration-kadcyla",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationAdministration"
} ],
"reference": {
"display": "medication-administration-kadcyla",
"reference": "MedicationAdministration/medication-administration-kadcyla"
},
"description": "Example showing clinial trial medication adminstration Kadcyla"
}, {
"name": "medication-administration-tucatinib",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationAdministration"
} ],
"reference": {
"display": "medication-administration-tucatinib",
"reference": "MedicationAdministration/medication-administration-tucatinib"
},
"description": "Example showing clinial trial medication adminstration Tucatinib"
}, {
"name": "clinical-trial-example-compass",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ResearchStudy"
} ],
"reference": {
"display": "clinical-trial-example-compass",
"reference": "ResearchStudy/clinical-trial-example-compass"
},
"description": "Alliance COMPASS Protocol A011801"
}, {
"name": "clinical-trial-example-subject",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ResearchSubject"
} ],
"reference": {
"display": "clinical-trial-example-subject",
"reference": "ResearchSubject/clinical-trial-example-subject"
},
"description": "Alliance COMPASS trial research subject"
}, {
"name": "medication-administration-kadcyla-reduced",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationAdministration"
} ],
"reference": {
"display": "medication-administration-kadcyla-reduced",
"reference": "MedicationAdministration/medication-administration-kadcyla-reduced"
},
"description": "Example reduced dose of clinial trial medication adminstration Kadcyla"
}, {
"name": "medication-administration-tucatinib-reduced",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationAdministration"
} ],
"reference": {
"display": "medication-administration-tucatinib-reduced",
"reference": "MedicationAdministration/medication-administration-tucatinib-reduced"
},
"description": "Example reduced does of clinial trial medication adminstration Tucatinib"
}, {
"name": "adverse-event-compass-ex1",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "AdverseEvent"
} ],
"reference": {
"display": "adverse-event-compass-ex1",
"reference": "AdverseEvent/adverse-event-compass-ex1"
},
"description": "Grade 1 ALT",
"exampleCanonical": "http://hl7.org/fhir/uv/ae-research-backport-ig/StructureDefinition/AdverseEvent-clinical-research"
}, {
"name": "adverse-event-compass-ex1a",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "AdverseEvent"
} ],
"reference": {
"display": "adverse-event-compass-ex1a",
"reference": "AdverseEvent/adverse-event-compass-ex1a"
},
"description": "Grade 3 ALT",
"exampleCanonical": "http://hl7.org/fhir/uv/ae-research-backport-ig/StructureDefinition/AdverseEvent-clinical-research"
}, {
"name": "adverse-event-compass-ex1b",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "AdverseEvent"
} ],
"reference": {
"display": "adverse-event-compass-ex1b",
"reference": "AdverseEvent/adverse-event-compass-ex1b"
},
"description": "ALT back to grade 1 and resolved",
"exampleCanonical": "http://hl7.org/fhir/uv/ae-research-backport-ig/StructureDefinition/AdverseEvent-clinical-research"
}, {
"name": "medication-request-example-zofran",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationRequest"
} ],
"reference": {
"display": "medication-request-example-zofran",
"reference": "MedicationRequest/medication-request-example-zofran"
},
"description": "Example for medication Zofran"
}, {
"name": "adverse-event-compass-ex2",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "AdverseEvent"
} ],
"reference": {
"display": "adverse-event-compass-ex2",
"reference": "AdverseEvent/adverse-event-compass-ex2"
},
"description": "Grade 1 Nausea/vomiting // both are AEs, which to use or make them separate?",
"exampleCanonical": "http://hl7.org/fhir/uv/ae-research-backport-ig/StructureDefinition/AdverseEvent-clinical-research"
}, {
"name": "GIBleedUseCase15",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Condition"
} ],
"reference": {
"display": "GIBleedUseCase15",
"reference": "Condition/GIBleedUseCase15"
},
"description": "Gastrointestinal (GI) bleed"
}, {
"name": "research-study-XYZ",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ResearchStudy"
} ],
"reference": {
"display": "research-study-XYZ",
"reference": "ResearchStudy/research-study-XYZ"
},
"description": "Use Case 15 Research Study XYZ"
}, {
"name": "study-medication-ABC",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Medication"
} ],
"reference": {
"display": "study-medication-ABC",
"reference": "Medication/study-medication-ABC"
},
"description": "Example study medication ABC"
}, {
"name": "study-medication-administration-ABC",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationAdministration"
} ],
"reference": {
"display": "study-medication-administration-ABC",
"reference": "MedicationAdministration/study-medication-administration-ABC"
},
"description": "Example for clinial trial medication ABC"
}, {
"name": "procedure-upper-endoscopy",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Procedure"
} ],
"reference": {
"display": "procedure-upper-endoscopy",
"reference": "Procedure/procedure-upper-endoscopy"
},
"description": "Example Procedure Upper Endoscopy"
}, {
"name": "research-study-DISNEY",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ResearchStudy"
} ],
"reference": {
"display": "research-study-DISNEY",
"reference": "ResearchStudy/research-study-DISNEY"
},
"description": "Use Case 16 Research Study DISNEY"
}, {
"name": "study-medication-MMD",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Medication"
} ],
"reference": {
"display": "study-medication-MMD",
"reference": "Medication/study-medication-MMD"
},
"description": "Example study medication MMD"
}, {
"name": "study-medication-administration-MMD",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationAdministration"
} ],
"reference": {
"display": "study-medication-administration-MMD",
"reference": "MedicationAdministration/study-medication-administration-MMD"
},
"description": "Example for clinial trial medication MMD"
}, {
"name": "medication-tylenol",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Medication"
} ],
"reference": {
"display": "medication-tylenol",
"reference": "Medication/medication-tylenol"
},
"description": "Example medication for Tylenol"
}, {
"name": "medication-administration-tylenol",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationAdministration"
} ],
"reference": {
"display": "medication-administration-tylenol",
"reference": "MedicationAdministration/medication-administration-tylenol"
},
"description": "Example of Tylenol"
}, {
"name": "research-study-acme",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ResearchStudy"
} ],
"reference": {
"display": "research-study-acme",
"reference": "ResearchStudy/research-study-acme"
},
"description": "Use Case 17 Research Study ACME"
}, {
"name": "clinical-trial-acme-subject",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ResearchSubject"
} ],
"reference": {
"display": "clinical-trial-acme-subject",
"reference": "ResearchSubject/clinical-trial-acme-subject"
},
"description": "Clinical trial ACME research subject"
}, {
"name": "clinical-trial-acme-procedure",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Procedure"
} ],
"reference": {
"display": "clinical-trial-acme-procedure",
"reference": "Procedure/clinical-trial-acme-procedure"
},
"description": "Clinical trial ACME protocol-prescribed procedure of a Lung CT Scan, with contrast dye"
}, {
"name": "study-medication-administration-WBY",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationAdministration"
} ],
"reference": {
"display": "study-medication-administration-WBY",
"reference": "MedicationAdministration/study-medication-administration-WBY"
},
"description": "Example for clinial trial medication WBY"
}, {
"name": "medication-contrast-dye",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Medication"
} ],
"reference": {
"display": "medication-contrast-dye",
"reference": "Medication/medication-contrast-dye"
},
"description": "Example contrast dye medication"
}, {
"name": "medication-administration-contrast-dye",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationAdministration"
} ],
"reference": {
"display": "medication-administration-contrast-dye",
"reference": "MedicationAdministration/medication-administration-contrast-dye"
},
"description": "Example medication administration for contrast dye"
}, {
"name": "medication-forhives",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Medication"
} ],
"reference": {
"display": "medication-forhives",
"reference": "Medication/medication-forhives"
},
"description": "Example medication for hives"
}, {
"name": "medication-administration-forhives",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationAdministration"
} ],
"reference": {
"display": "medication-administration-forhives",
"reference": "MedicationAdministration/medication-administration-forhives"
},
"description": "Example medication administration for hives"
}, {
"name": "ClinicalResearchAdverseEventUseCase17",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "AdverseEvent"
} ],
"reference": {
"display": "ClinicalResearchAdverseEventUseCase17",
"reference": "AdverseEvent/ClinicalResearchAdverseEventUseCase17"
},
"description": "Adverse event from procedure, not study drug",
"exampleCanonical": "http://hl7.org/fhir/uv/ae-research-backport-ig/StructureDefinition/AdverseEvent-clinical-research"
}, {
"name": "resstudy-medication-WBY",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Medication"
} ],
"reference": {
"display": "resstudy-medication-WBY",
"reference": "Medication/resstudy-medication-WBY"
},
"description": "Example clinical trial medication WBY"
}, {
"name": "ClinicalResearchAdverseEventUseCase15",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "AdverseEvent"
} ],
"reference": {
"display": "ClinicalResearchAdverseEventUseCase15",
"reference": "AdverseEvent/ClinicalResearchAdverseEventUseCase15"
},
"description": "Serious Adverse Event Research Study Medication Example",
"exampleCanonical": "http://hl7.org/fhir/uv/ae-research-backport-ig/StructureDefinition/AdverseEvent-clinical-research"
}, {
"name": "Use Case 16 Patient MOUMIC",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Patient"
} ],
"reference": {
"display": "Use Case 16 Patient MOUMIC",
"reference": "Patient/patient-moumic"
},
"description": "Use Case 16 Patient MOUMIC on Research Study DISNEY"
}, {
"name": "ClinicalResearchAdverseEventUseCase16",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "AdverseEvent"
} ],
"reference": {
"display": "ClinicalResearchAdverseEventUseCase16",
"reference": "AdverseEvent/ClinicalResearchAdverseEventUseCase16"
},
"description": "Non-Serious Adverse Event Research Study Medication Example",
"exampleCanonical": "http://hl7.org/fhir/uv/ae-research-backport-ig/StructureDefinition/AdverseEvent-clinical-research"
}, {
"name": "Example patient SLP",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Patient"
} ],
"reference": {
"display": "Example patient SLP",
"reference": "Patient/patient-slp"
},
"description": "Patient enrolled in ACME study, taking Study Medication WBY 10 mg orally daily every morning for moderate asthma"
}, {
"name": "Base AdverseEvent Clinical Research Profile Capability Statement",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CapabilityStatement"
} ],
"reference": {
"reference": "CapabilityStatement/base-level-server"
},
"description": "This is a starting point requirements capability statement for the AdverseEvent Clinical Research Profile. It is expected that specific use cases will lead to further specification in derived IGs."
}, {
"name": "AdverseEvent Severity or Grade Codes",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
} ],
"reference": {
"reference": "CodeSystem/adverse-event-severity-or-grade-cs"
},
"description": "Hierarchical Code System for codes that indicate severity of the adverse event or grade."
}, {
"name": "FDA Additional Seriousness Criteria CodeSystem",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
} ],
"reference": {
"reference": "CodeSystem/fda-add-seriousness-criteria-cs"
},
"description": "Additional codes found on https://www.fda.gov/safety/reporting-serious-problems-fda/what-serious-adverse-event#:~:text=Required%20Intervention%20to%20Prevent%20Permanent%20Impairment%20or%20Damage%20(Devices),use%20of%20a%20medical%20product. Typically used in reporting for Clinical Research, post-market surveillance (e.g. Form FDA 3500A MedWatch)."
}, {
"name": "Adverse event caused subject to discontinue the study",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:extension"
} ],
"reference": {
"reference": "StructureDefinition/caused-subject-to-discontinue-study"
},
"description": "Indicates if the subject discontinued the study due to the adverse event."
}, {
"name": "Contributing Factor",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:extension"
} ],
"reference": {
"reference": "StructureDefinition/contributing-factor"
},
"description": "The contributing factors suspected to have increased the probability or severity of the adverse event."
}, {
"name": "Expected In Research Study",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:extension"
} ],
"reference": {
"reference": "StructureDefinition/expected-in-research-study"
},
"description": "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."
}, {
"name": "Mitigating Action",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:extension"
} ],
"reference": {
"reference": "StructureDefinition/mitigating-action"
},
"description": "Ameliorating actions taken after the adverse event occurred in order to reduce the extent of harm."
}, {
"name": "Note",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:extension"
} ],
"reference": {
"reference": "StructureDefinition/note"
},
"description": "Comments made about the adverse event by the performer, subject or other participants."
}, {
"name": "Participant",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:extension"
} ],
"reference": {
"reference": "StructureDefinition/participant"
},
"description": "Indicates who or what participated in the adverse event and how they were involved."
}, {
"name": "Research Subject record of subject",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:extension"
} ],
"reference": {
"reference": "StructureDefinition/research-subject-ref"
},
"description": "Communicates Research Subject related metadata."
}, {
"name": "Adverse Event resolution date",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:extension"
} ],
"reference": {
"reference": "StructureDefinition/resolve-date"
},
"description": "The date the adverse event was resolved."
}, {
"name": "Resulting Effect",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:extension"
} ],
"reference": {
"reference": "StructureDefinition/resultingEffect"
},
"description": "Information about the condition that occurred as a result of the adverse event."
}, {
"name": "Criteria reviewed in determining serious adverse event",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:extension"
} ],
"reference": {
"reference": "StructureDefinition/seriousness-criteria"
},
"description": "TBD - Element to capture the presence or absence of specific factors (criteria) associated with serious adverse events."
}, {
"name": "Severity Or Grade",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:extension"
} ],
"reference": {
"reference": "StructureDefinition/severity-or-grade"
},
"description": "Describes the severity of the adverse event, in relation to the subject not the resulting condition. In the context of clinical research, it is the investigator’s assessment of severity. For cancer related trials, severity is represented as a grade."
}, {
"name": "Workflow Status",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:extension"
} ],
"reference": {
"reference": "StructureDefinition/status"
},
"description": "The current workflow state of the adverse event or potential adverse event. This is not the reporting of the event to any regulatory or quality organization. This is not the outcome of the patient's condition."
}, {
"name": "Supporting information relevant to the event",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:extension"
} ],
"reference": {
"reference": "StructureDefinition/supporting-info"
},
"description": "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."
}, {
"name": "Suspect Entity",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:extension"
} ],
"reference": {
"reference": "StructureDefinition/suspect-entity"
},
"description": "Describes the entity that is suspected to have caused the adverse event."
}, {
"name": "Causality Relatedness values",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/adverse-event-causality-related-vs"
},
"description": "Value set for stating if a suspected entity is Not Related, Unlikely Related, Possibly Related, or Related to the cause of the adverse event. Using NCI codes. The values originate with ICH. For information on ICH see https://admin.ich.org/sites/default/files/inline-files/OID_Information_Paper_1.pdf from the INTERNATIONAL CONFERENCE ON HARMONISATION OF TECHNICAL REQUIREMENTS FOR REGISTRATION OF PHARMACEUTICALS FOR HUMAN USE (ICH) document ICH E2B(R3), the Electronic Transmission of Individual Case Safety Reports (ICSRs) Implementation Guide Data Elements and Message Specification, and ICH M8, the Electronic Common Technical Document"
}, {
"name": "AdverseEvent Contributing Factor",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/adverse-event-contributing-factor-vs"
},
"description": "This value set includes codes that describe the contributing factors suspected to have increased the probability or severity of the adverse event."
}, {
"name": "AdverseEvent Mitigating Action",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/adverse-event-mitigating-action-vs"
},
"description": "This value set includes codes that describe the ameliorating actions taken after the adverse event occurred in order to reduce the extent of harm."
}, {
"name": "Adverse Event Clinical Research Outcomes",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/adverse-event-outcome-clinical-research-vs"
},
"description": "This value set includes codes that describe the type of outcome from the adverse event as typically used in reporting for Clinical Research, post-market surveillance (e.g. Medwatch forms). NCI codes used here This list originates from the ICH E2B R3 (https://database.ich.org/sites/default/files/E2D_Guideline.pdf), specifically CDISC CL.C66768.OUT. For information on ICH see https://admin.ich.org/sites/default/files/inline-files/OID_Information_Paper_1.pdf from the INTERNATIONAL CONFERENCE ON HARMONISATION OF TECHNICAL REQUIREMENTS FOR REGISTRATION OF PHARMACEUTICALS FOR HUMAN USE (ICH) document ICH E2B(R3), the Electronic Transmission of Individual Case Safety Reports (ICSRs) Implementation Guide Data Elements and Message Specification, and ICH M8, the Electronic Common Technical Document."
}, {
"name": "Adverse Event Participant Functions",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/adverse-event-participant-function-vs"
},
"description": "This value set includes codes that describe the type of involvement of the actor in the adverse event."
}, {
"name": "Adverse Event Seriousness Criteria",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/adverse-event-seriousness-criteria-vs"
},
"description": "Action criteria usually associated with serious events that pose a threat to a patient's life or functioning. Adverse Events criteria to expand on the seriousness of the adverse event. Typically used in reporting for Clinical Research, post-market surveillance (e.g. Form FDA 3500A MedWatch). The adverse event seriousness criteria value set is based on the ICH E2D Post-Approval Safety Data Management: Definitions and Standards for Expedited Reporting guidance (https://database.ich.org/sites/default/files/E2D_Guideline.pdf). For information on ICH see https://admin.ich.org/sites/default/files/inline-files/OID_Information_Paper_1.pdf from the INTERNATIONAL CONFERENCE ON HARMONISATION OF TECHNICAL REQUIREMENTS FOR REGISTRATION OF PHARMACEUTICALS FOR HUMAN USE (ICH) document ICH E2B(R3), the Electronic Transmission of Individual Case Safety Reports (ICSRs) Implementation Guide Data Elements and Message Specification, and ICH M8, the Electronic Common Technical Document"
}, {
"name": "AdverseEvent Seriousness Non-serious Codes Only",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/adverse-event-seriousness-non-only-vs"
},
"description": "This value set includes codes that describe the ameliorating actions taken after the adverse event occurred in order to reduce the extent of harm."
}, {
"name": "AdverseEvent Severity or Grade Value Set",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/adverse-event-severity-or-grade-vs"
},
"description": "This value set includes codes that indicate severity of the adverse event or grade."
}, {
"name": "Adverse Event Status",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/adverse-event-status-vs"
},
"description": "Codes identifying the lifecycle stage of an adverse event."
}, {
"name": "AdverseEvent Supporting Information",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/adverse-event-supporting-info"
},
"description": "This value set includes codes that describe the supporting information relevant to the event."
}, {
"name": "AdverseEvent Type",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/adverse-event-type-vs"
},
"description": "This value set includes codes that describe the adverse event or incident that occurred or was averted."
} ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "copyrightyear"
}, {
"url": "value",
"valueString": "2020+"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "releaselabel"
}, {
"url": "value",
"valueString": "ballot"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "special-url"
}, {
"url": "value",
"valueString": "http://hl7.org/fhir/research-study-arm-type"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "special-url"
}, {
"url": "value",
"valueString": "http://hl7.org/fhir/uv/ae-research-backport-ig/CodeSystem/adverse-event-severity-or-grade-cs"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "path-liquid"
}, {
"url": "value",
"valueString": "templates\\liquid"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "shownav"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "autoload-resources"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "path-liquid"
}, {
"url": "value",
"valueString": "template/liquid"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "path-liquid"
}, {
"url": "value",
"valueString": "input/liquid"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "path-qa"
}, {
"url": "value",
"valueString": "temp/qa"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "path-temp"
}, {
"url": "value",
"valueString": "temp/pages"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "path-output"
}, {
"url": "value",
"valueString": "output"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "path-suppressed-warnings"
}, {
"url": "value",
"valueString": "input/ignoreWarnings.txt"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "path-history"
}, {
"url": "value",
"valueString": "http://hl7.org/fhir/uv/ae-research-backport-ig/history.html"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "template-html"
}, {
"url": "value",
"valueString": "template-page.html"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "template-md"
}, {
"url": "value",
"valueString": "template-page-md.html"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "apply-contact"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "apply-context"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "apply-copyright"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "apply-jurisdiction"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "apply-license"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "apply-publisher"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "apply-version"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "active-tables"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "fmm-definition"
}, {
"url": "value",
"valueString": "http://hl7.org/fhir/versions.html#maturity"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "propagate-status"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "excludelogbinaryformat"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "tabbed-snapshots"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
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