{
"description": "O recurso AdverseEvent caracteriza de forma abrangente um evento adverso ou qualquer alteração do estado do utente, estando este associado a efeitos indesejados que poderão requerer monitorização, tratamento, hospitalização ou resultar na morte do utente. Exemplos de eventos adversos incluem a administração incorreta de um medicamento ou dose de um medicamento que causa uma reação adversa, o uso de um dispositivo implantado que causa uma infecção, entre outros. O recurso AdverseEvent PT Core corresponde a uma normalização nacional do recurso AdverseEvent.",
"_filename": "Profile/AdverseEventPTCore.StructureDefinition.json",
"package_name": "package.teste",
"date": "2024-02-09T14:29:46.6406318+00:00",
"derivation": "constraint",
"publisher": "SPMS",
"fhirVersion": "4.3.0",
"name": "AdverseEventPTCore",
"abstract": false,
"type": "AdverseEvent",
"experimental": null,
"resourceType": "StructureDefinition",
"title": null,
"package_version": "1.0.3-draft",
"status": "draft",
"id": "ffc8561c-8e5d-4cbc-9a82-d5483efd0375",
"kind": "resource",
"url": "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/AdverseEventPTCore",
"version": "1.0.0",
"differential": {
"element": [ {
"id": "AdverseEvent.id",
"min": 1,
"path": "AdverseEvent.id"
}, {
"id": "AdverseEvent.extension:supportingInfoPTExtension",
"path": "AdverseEvent.extension",
"type": [ {
"code": "Extension",
"profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/SupportingInfoPTExtension" ]
} ],
"sliceName": "supportingInfoPTExtension"
}, {
"id": "AdverseEvent.extension:preventiveActionPTExtension",
"path": "AdverseEvent.extension",
"type": [ {
"code": "Extension",
"profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PreventiveActionPTExtension" ]
} ],
"sliceName": "preventiveActionPTExtension"
}, {
"id": "AdverseEvent.extension:mitigatingActionPTExtension",
"path": "AdverseEvent.extension",
"type": [ {
"code": "Extension",
"profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/MitigatingActionPTExtension" ]
} ],
"sliceName": "mitigatingActionPTExtension"
}, {
"id": "AdverseEvent.extension:causeOccurrencePTExtension",
"path": "AdverseEvent.extension",
"type": [ {
"code": "Extension",
"profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CauseOccurrencePTExtension" ]
} ],
"sliceName": "causeOccurrencePTExtension"
}, {
"id": "AdverseEvent.extension:effectOccurrencePTExtension",
"path": "AdverseEvent.extension",
"type": [ {
"code": "Extension",
"profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/EffectOccurrencePTExtension" ]
} ],
"sliceName": "effectOccurrencePTExtension"
}, {
"id": "AdverseEvent.extension:notePTExtension",
"path": "AdverseEvent.extension",
"type": [ {
"code": "Extension",
"profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/NotePTExtension" ]
} ],
"sliceName": "notePTExtension"
}, {
"id": "AdverseEvent.identifier",
"path": "AdverseEvent.identifier",
"type": [ {
"code": "Identifier",
"profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/IdentifierPTCore" ]
} ]
}, {
"id": "AdverseEvent.identifier.type.coding.id",
"path": "AdverseEvent.identifier.type.coding.id",
"comment": "."
}, {
"id": "AdverseEvent.actuality",
"path": "AdverseEvent.actuality",
"definition": "Identifica se o evento efetivamente ocorreu ou se apenas existia potencial para acontecer."
}, {
"id": "AdverseEvent.category",
"path": "AdverseEvent.category",
"type": [ {
"code": "CodeableConcept",
"profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore" ]
} ],
"definition": "Identifica a categoria de evento adverso."
}, {
"id": "AdverseEvent.event",
"path": "AdverseEvent.event",
"type": [ {
"code": "CodeableConcept",
"profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore" ]
} ],
"binding": {
"strength": "required",
"valueSet": "https://www.ctc.min-saude.pt/catalogos/alergias-e-outras-reacoes-adversas/"
},
"comment": "Value Set Name: Adverse Event",
"definition": "Define o tipo específico de evento adversos. Os tipos de eventos adversos estão disponíveis no catálogo CPARA, Value Set Adverse Event."
}, {
"id": "AdverseEvent.event.coding",
"min": 1,
"path": "AdverseEvent.event.coding"
}, {
"id": "AdverseEvent.subject",
"path": "AdverseEvent.subject",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PatientPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PractitionerPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/RelatedPersonPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/GroupPTCore" ]
} ],
"definition": "Identifica quem foi impactado pelo evento adverso."
}, {
"id": "AdverseEvent.encounter",
"path": "AdverseEvent.encounter",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/EncounterPTCore" ]
} ],
"definition": "Identifica o episódio associado à ocorrência do evento adverso.."
}, {
"id": "AdverseEvent.encounter.identifier",
"path": "AdverseEvent.encounter.identifier",
"short": "An identifier intended for computation",
"definition": "An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers."
}, {
"id": "AdverseEvent.date",
"max": "0",
"path": "AdverseEvent.date",
"definition": "Identifica quando é que o evento ocorreu. \r\nUma data ou data parcial ou data e hora, sendo o formato definido pela ISO8601.\r\nSe a hora e minutos forem especificados, descrição da time zone (UTC) DEVE ser preenchida.\r\nOs segundos devem ser fornecidos devido a restrições de tipo de esquema, mas podem ser preenchidos com zero. O horário \"24:00\" não é permitido. Formatos possíveis:\r\n ano\r\n ano e mês\r\n ano, mês e dia\r\n - ano, mês, dia , hora, minutos , segundos e time zone"
}, {
"id": "AdverseEvent.detected",
"path": "AdverseEvent.detected",
"definition": "Identifica quando é que o evento foi detetado. \r\nUma data ou data parcial ou data e hora, sendo o formato definido pela ISO8601.\r\nSe a hora e minutos forem especificados, descrição da time zone (UTC) DEVE ser preenchida.\r\nOs segundos devem ser fornecidos devido a restrições de tipo de esquema, mas podem ser preenchidos com zero. O horário \"24:00\" não é permitido. Formatos possíveis:\r\n ano\r\n ano e mês\r\n ano, mês e dia\r\n - ano, mês, dia , hora, minutos , segundos e time zone"
}, {
"id": "AdverseEvent.recordedDate",
"path": "AdverseEvent.recordedDate",
"definition": "Identifica quando é que o evento foi registado. \r\nUma data ou data parcial ou data e hora, sendo o formato definido pela ISO8601.\r\nSe a hora e minutos forem especificados, descrição da time zone (UTC) DEVE ser preenchida.\r\nOs segundos devem ser fornecidos devido a restrições de tipo de esquema, mas podem ser preenchidos com zero. O horário \"24:00\" não é permitido. Formatos possíveis:\r\n ano\r\n ano e mês\r\n ano, mês e dia\r\n - ano, mês, dia , hora, minutos , segundos e time zone"
}, {
"id": "AdverseEvent.resultingCondition",
"path": "AdverseEvent.resultingCondition",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ConditionPTCore" ]
} ],
"definition": "Identifica informações sobre a reação que ocorreu como resultado da exposição a uma substância."
}, {
"id": "AdverseEvent.location",
"path": "AdverseEvent.location",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/LocationPTCore" ]
} ],
"definition": "Identifica o local onde o evento ocorreu."
}, {
"id": "AdverseEvent.seriousness",
"path": "AdverseEvent.seriousness",
"type": [ {
"code": "CodeableConcept",
"profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore" ]
} ],
"binding": {
"strength": "required",
"valueSet": "https://www.ctc.min-saude.pt/catalogos/alergias-e-outras-reacoes-adversas/"
},
"comment": "Value Set Name: Adverse Event Seriousness",
"definition": "Avalia a seriedade do evento adverso Os tipos de seriedade estão disponíveis no catálogo CPARA, Value Set Adverse Event Seriousness."
}, {
"id": "AdverseEvent.seriousness.coding",
"min": 1,
"path": "AdverseEvent.seriousness.coding"
}, {
"id": "AdverseEvent.seriousness.coding.system",
"path": "AdverseEvent.seriousness.coding.system",
"fixedUri": "urn:oid:2.16.620.1.101.10.4.1.7"
}, {
"id": "AdverseEvent.severity",
"path": "AdverseEvent.severity",
"type": [ {
"code": "CodeableConcept",
"profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore" ]
} ]
}, {
"id": "AdverseEvent.outcome",
"path": "AdverseEvent.outcome",
"type": [ {
"code": "CodeableConcept",
"profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore" ]
} ],
"binding": {
"strength": "required",
"valueSet": "https://www.ctc.min-saude.pt/catalogos/alergias-e-outras-reacoes-adversas/"
},
"comment": "Value Set Name: Adverse Event Outcome"
}, {
"id": "AdverseEvent.recorder",
"path": "AdverseEvent.recorder",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PatientPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PractitionarPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PractitionerRolePTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/RelatedPersonPTCore" ]
} ],
"definition": "Identifica quem registou o evento adverso. Pode ser o utente, pessoa relacionada com o utente ou um profissional."
}, {
"id": "AdverseEvent.contributor",
"path": "AdverseEvent.contributor",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PractitionerPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PractitionerRolePTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/DevicePTCore" ]
} ],
"definition": "Partes que podem ter contribuído com informações para descrição do evento adverso."
}, {
"id": "AdverseEvent.suspectEntity",
"path": "AdverseEvent.suspectEntity",
"definition": "Identifica a entidade suspeita de ter causado o evento adverso."
}, {
"id": "AdverseEvent.suspectEntity.instance",
"path": "AdverseEvent.suspectEntity.instance",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ImmunizationPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ProcedurePTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/SubstancePTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/MedicationPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/MedicationAdministrationPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/MedicationStatementPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/DevicePTCore" ]
} ],
"definition": "Referencia a entidade suspeita de ter causado o evento adverso."
}, {
"id": "AdverseEvent.suspectEntity.causality",
"path": "AdverseEvent.suspectEntity.causality",
"definition": "Apresenta informação relativa à possível causa do evento adverso."
}, {
"id": "AdverseEvent.suspectEntity.causality.assessment",
"path": "AdverseEvent.suspectEntity.causality.assessment",
"type": [ {
"code": "CodeableConcept",
"profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore" ]
} ],
"binding": {
"strength": "example",
"valueSet": "https://www.ctc.min-saude.pt/catalogos/alergias-e-outras-reacoes-adversas"
},
"comment": "Value Set Name: Adverse Event Causality",
"definition": "Os termos que caracterizam a causalidade estão disponíveis no catálogo CPARA, Value Set Adverse Event Causality."
}, {
"id": "AdverseEvent.suspectEntity.causality.assessment.coding",
"min": 1,
"path": "AdverseEvent.suspectEntity.causality.assessment.coding"
}, {
"id": "AdverseEvent.suspectEntity.causality.assessment.coding.system",
"path": "AdverseEvent.suspectEntity.causality.assessment.coding.system",
"fixedUri": "urn:oid:2.16.620.1.101.10.4.1.8"
}, {
"id": "AdverseEvent.suspectEntity.causality.productRelatedness",
"path": "AdverseEvent.suspectEntity.causality.productRelatedness",
"definition": "Indicar em texto livre o produto relacionado com a causalidade."
}, {
"id": "AdverseEvent.suspectEntity.causality.author",
"path": "AdverseEvent.suspectEntity.causality.author",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PractitionerPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/PractitionerRolePTCore" ]
} ],
"definition": "Autor da informação da possível causa do evento adverso."
}, {
"id": "AdverseEvent.suspectEntity.causality.method",
"path": "AdverseEvent.suspectEntity.causality.method",
"type": [ {
"code": "CodeableConcept",
"profile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/CodeableConceptPTCore" ]
} ]
}, {
"id": "AdverseEvent.subjectMedicalHistory",
"path": "AdverseEvent.subjectMedicalHistory",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ConditionPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ObservationPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/AllergyIntolerancePTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/FamilyMemberHistoryPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ImmunizationPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ProcedurePTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/MediaPTCore", "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/DocumentReferencePTCore" ]
} ],
"definition": "Histórico clínico."
}, {
"id": "AdverseEvent.referenceDocument",
"path": "AdverseEvent.referenceDocument",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/DocumentReferencePTCore" ]
} ],
"definition": "Identifica documentos relacionados com o evento."
}, {
"id": "AdverseEvent.study",
"path": "AdverseEvent.study",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://spms.min-saude.pt/fhir-r4B/iop/StructureDefinition/ResearchStudyPTCore" ]
} ],
"definition": "Identificar estudos relacionados com o evento."
} ]
},
"contact": [ {
"name": "Interoperabilidade Semântica",
"telecom": [ {
"value": "https://www.spms.min-saude.pt",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/AdverseEvent"
}