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  1. FHIR Specification Feedback
  2. FHIR-38823

AdverseEvent.participant.actor & AdverseEvent.subject

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Highest Highest
    • FHIR Core (FHIR)
    • R5
    • Patient Care
    • AdverseEvent
    • Hide

      recorder - remove reference to ResearchSubject
      participant.actor - remove reference to ResearchSubject
      causality.author - remove reference to ResearchSubject

      Add a comment to participant.actor to say:  "The subject can be a participant if the subject was involved in the adverse event in another capacity beyond just being the subject, such as when the subject is a contributor or informant."

      Add a comment to participant backbone to say:  "The participant should not be used when there is another element to capture the participation, such as subject or recorder"

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      recorder - remove reference to ResearchSubject participant.actor - remove reference to ResearchSubject causality.author - remove reference to ResearchSubject Add a comment to participant.actor to say:  "The subject can be a participant if the subject was involved in the adverse event in another capacity beyond just being the subject, such as when the subject is a contributor or informant." Add a comment to participant backbone to say:  "The participant should not be used when there is another element to capture the participation, such as subject or recorder"
    • Rik Smithies / Daniel Rutz : 10-0-0
    • Clarification
    • Non-compatible

    Description

      There's some recursive nature with AdverseEvent.participant.actor and AdverseEvent.subject. For example, AdverseEvent.subject[ResearchSubject] is the primary focus then AdverseEvent.participant.actor[ResearchSubject] can also be a participant in that same Adverse Event? It may be that additional context can be supplied when the same entity is involved in both aspects. For example, the ResearchSubject was impacted by an AdverseEvent which they were the witness to that occurrence. 

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            mhamidi Mike Hamidi
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