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April 11 - Adverse Event

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Back To: Clinician on FHIR - May 2017 Madrid, Spain


  • Stephen Chu (chair & scribe)
  • Russ Leftwich
  • Emma Jones
  • Laura Heermann Langford
  • Rob Hausem
  • David Hay

Meeting Notes


  • Discussions on how to use clinFHIR tool to support clinical workflow
- Conclusion/suggestion:
~ For the different tracks to use clinHIR to build clinical scenarios on care plan, medication, diagnostic test request and report
~ Then build an integrated scenario that links all scenarios together for group presentation/walk-through
  • Discussions on functionality of clinFHIR
- Conclusion:
~ Team member to continue testing clinFHIR and bring suggestions to David

Adverse Event Discussions

  • Purpose:
- The FHIR Adverse Event resource is designed to capture information on healthcare related adverse events that may happen under a number of situations:
~ clinical trials (medications, devices, and intervention methods)
~ injury/mishap resulting from procedures
~ injury/mishap that may or may not be associated from clinical trials or procedures
- example: patient fell and sustained injury such as concussion, fracture, laceration
~ near misses, which include:
- errant workflow event that is caught before action completed (e.g. amputation of wrong limb stopped before happened)
~ errant workflow event that is not caught but results in no harm to patient (e.g. a dose of vitamin given to wrong patient)
  • The Adverse Event track will test these scenarios
  • Rik Smithe has created an example of adverse event: