Release 4 5 Draft Ballot
This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU ). This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Codesystem-adverse-event-causality-assess.json

Patient Care Work Group Maturity Level : N/A Standards Status : Informative

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

Definition for Code System AdverseEventCausalityAssessment

{
  "resourceType" : "CodeSystem",
  "id" : "adverse-event-causality-assess",
  "meta" : {
    "lastUpdated" : "2019-11-01T09:29:23.356+11:00"

    "lastUpdated" : "2021-04-14T16:30:20.096+11:00",
    "profile" : ["http://hl7.org/fhir/StructureDefinition/shareablecodesystem"]

  },
  "text" : {
    "status" : "generated",
    "div" : "<div>!-- Snipped for Brevity --></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "pc"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "draft"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 1
  }],
  "url" : "http://terminology.hl7.org/CodeSystem/adverse-event-causality-assess",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.4.1254"

    "value" : "urn:oid:2.16.840.1.113883.4.642.1.1254"

  }],
  "version" : "4.0.1",

  "version" : "4.6.0",

  "name" : "AdverseEventCausalityAssessment",
  "title" : "AdverseEventCausalityAssessment",
  "status" : "draft",
  "experimental" : false,
  "date" : "2019-11-01T09:29:23+11:00",

  "date" : "2020-12-28T16:55:11+11:00",

  "publisher" : "HL7 (FHIR Project)",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    },
    {
      "system" : "email",
      "value" : "fhir@lists.hl7.org"
    }]
  }],
  "description" : "Codes for the assessment of whether the entity caused the event.",
  "caseSensitive" : true,
  "valueSet" : "http://hl7.org/fhir/ValueSet/adverse-event-causality-assess",
  "content" : "complete",
  "concept" : [{
    "code" : "Certain",

    "code" : "certain",

    "display" : "Certain",
    "definition" : "i) Event or laboratory test abnormality, with plausible time relationship to drug intake; ii) Cannot be explained by disease or other drugs; iii) Response to withdrawal plausible (pharmacologically, pathologically); iv) Event definitive pharmacologically or phenomenologically (i.e. an objective and specific medical disorder or a recognized pharmacological phenomenon); or v) Re-challenge satisfactory, if necessary."
  },
  {
    "code" : "Probably-Likely",

    "code" : "probably-likely",

    "display" : "Probably/Likely",
    "definition" : "i) Event or laboratory test abnormality, with reasonable time relationship to drug intake; ii) Unlikely to be attributed to disease or other drugs; iii) Response to withdrawal clinically reasonable; or iv) Re-challenge not required."
  },
  {
    "code" : "Possible",

    "code" : "possible",

    "display" : "Possible",
    "definition" : "i) Event or laboratory test abnormality, with reasonable time relationship to drug intake; ii) Could also be explained by disease or other drugs; or iii) Information on drug withdrawal may be lacking or unclear."
  },
  {
    "code" : "Unlikely",

    "code" : "unlikely",

    "display" : "Unlikely",
    "definition" : "i) Event or laboratory test abnormality, with a time to drug intake that makes a relationship improbable (but not impossible); or ii) Disease or other drugs provide plausible explanations."
  },
  {
    "code" : "Conditional-Classified",

    "code" : "conditional-classified",

    "display" : "Conditional/Classified",
    "definition" : "i) Event or laboratory test abnormality; ii) More data for proper assessment needed; or iii) Additional data under examination."
  },
  {
    "code" : "Unassessable-Unclassifiable",

    "code" : "unassessable-unclassifiable",

    "display" : "Unassessable/Unclassifiable",
    "definition" : "i) Report suggesting an adverse reaction; ii) Cannot be judged because information is insufficient or contradictory; or iii) Data cannot be supplemented or verified."
  }]
}

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.