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Difference between revisions of "AdverseEvent FHIR Resource Proposal"

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==Scope of coverage==
 
==Scope of coverage==
  
<!-- Define the full scope of coverage for the resource.  The scope must be clearly delineated such that it does not overlap with any other existing or expected resource.  The scope will be used to govern "what is the set of potential applications to consider when evaluating what elements are 'core' – i.e. in the 80%"
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Based on TANSI/HL7 V3 ICSRP1, R2-2012 HL7 Version 3 Standard: Pharmacovigilance - Individual Case Safety Report, Part 1: The Framework for Adverse Event Reporting, R2 (revise and partition ANSI/HL7 V3 RRCS, R1-2005)1/31/2012
  
Scope should consider numerous aspects of breadth of scope, including:
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ICSR Part 1 is http://www.hl7.org/implement/standards/product_brief.cfm?product_id=266
* Subject: Human vs. non-human vs. non-patient (e.g. lab bench medicine)
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ICSR Part 2 is http://www.hl7.org/implement/standards/product_brief.cfm?product_id=267. (medicinals only)
* Disciplines: Environmental Health, Palliative, Respiratory, Psychology, Maternity, Clinical Research
 
* Delivery environment (Community, Geriatric, Home care, Emergency, Inpatient, Intensive, Neonatal, Pediatric, Primary)
 
* Locale: Country, region
 
  
As a rule, resources should encompass all of these aspects.
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To enhance patient safety, it is noted that many countries have strong needs to exchange product safety information between varieties of stakeholders in the healthcare domain. Currently many regulatory agencies collect safety reports of adverse drug reactions, adverse events, infections, contamination and other incidents from consumers, pharmaceutical companies and healthcare professionals.
  -->
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The adverse event resource will address the exchange of the following types of information:
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1) Individual Case Safety Report (ICSR): framework for data exchange and information sharing by providing a common messaging format for transmission of ICSRs for adverse drug reactions (ADR), adverse events (AE), product problems and consumer complaints that may occur upon the administration or use of one or more products or substances.  The reports can relate to a specific subject or may be used to relay an issue or finding related to a specific substance, product or device.
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2) (Not in current standard) – Individual Occurrence Report (IOR): the identification and characterization of exceptional events related to patient care, patient safety, protocol implementation, and service delivery. Examples might be falling out of bed, slipping on a wet floor, inappropriate use of restraints.
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Does the concept of sentinel event need to be included?
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Can system triggers for alerts be addressed in the resource?
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C-CDA for hospital acquired infections. NHS safety network under CDC.  – possible sources of other data elements
  
 
==RIM scope==
 
==RIM scope==

Revision as of 14:23, 12 January 2016



AdverseEvent

Owning Committee Name

RCRIM

Contributing or Reviewing Work Groups

  • Patient Care, Pharmacy, CDS, PHER, EC

FHIR Resource Development Project Insight ID

Scope of coverage

Based on TANSI/HL7 V3 ICSRP1, R2-2012 HL7 Version 3 Standard: Pharmacovigilance - Individual Case Safety Report, Part 1: The Framework for Adverse Event Reporting, R2 (revise and partition ANSI/HL7 V3 RRCS, R1-2005)1/31/2012

ICSR Part 1 is http://www.hl7.org/implement/standards/product_brief.cfm?product_id=266 ICSR Part 2 is http://www.hl7.org/implement/standards/product_brief.cfm?product_id=267. (medicinals only)

To enhance patient safety, it is noted that many countries have strong needs to exchange product safety information between varieties of stakeholders in the healthcare domain. Currently many regulatory agencies collect safety reports of adverse drug reactions, adverse events, infections, contamination and other incidents from consumers, pharmaceutical companies and healthcare professionals.

The adverse event resource will address the exchange of the following types of information: 1) Individual Case Safety Report (ICSR): framework for data exchange and information sharing by providing a common messaging format for transmission of ICSRs for adverse drug reactions (ADR), adverse events (AE), product problems and consumer complaints that may occur upon the administration or use of one or more products or substances. The reports can relate to a specific subject or may be used to relay an issue or finding related to a specific substance, product or device. 2) (Not in current standard) – Individual Occurrence Report (IOR): the identification and characterization of exceptional events related to patient care, patient safety, protocol implementation, and service delivery. Examples might be falling out of bed, slipping on a wet floor, inappropriate use of restraints.

Does the concept of sentinel event need to be included? Can system triggers for alerts be addressed in the resource?

C-CDA for hospital acquired infections. NHS safety network under CDC. – possible sources of other data elements

RIM scope

Resource appropriateness

Expected implementations

Content sources

Example Scenarios

Resource Relationships

Timelines

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