Stream: implementers
Topic: Adverse events
Ole Kristian Losvik (Jun 19 2020 at 10:29):
I am working on a national service for registering and secure transferral of messages about medical adverse events. There is two parts of this
- Web form for registering the adverse events
- Communication of the information from the web portal to the government agency responsible for this type of adverse event.
I was looking at the resource AdverseEvent , and was wondering i anybody had some projects or experiences in implementing it?
Jose Costa Teixeira (Jun 19 2020 at 10:50):
Any adverse events? Medication events is on the roadmap for Belgium and IHE Pharmacy. Belgium may come up with something soon
Ole Kristian Losvik (Jun 19 2020 at 11:13):
We are starting with medication/drug adverse events, as well as serious medical errors leading to death/serious injury. It would be very interesting to hear more from Belgium, are you involved there?
Jose Costa Teixeira (Jun 19 2020 at 11:41):
Ole Kristian Losvik said:
We are starting with medication/drug adverse events, as well as serious medical errors leading to death/serious injury. It would be very interesting to hear more from Belgium, are you involved there?
There is a standard "yellow form" for adverse events and that is going to be transposed to digital form.
I will probably be involved when that happens (directly but at least as part of HL7 Belgium -we are trying to make HL7 Belgium the round table for those discussions so taht we can support the community).
Jose Costa Teixeira (Jun 19 2020 at 11:43):
I think this is the form
https://www.afmps.be/sites/default/files/downloads/fiche-jaune-FR-2009-03-24.pdf
Jose Costa Teixeira (Jun 19 2020 at 11:48):
If you want I can send the info IHE was collecting on this (the group researched a bit, but this was 2018 and we were not looking forward to make Word doc profiles)
Ole Kristian Losvik (Jun 19 2020 at 12:21):
Thanks for your info, @Jose Costa Teixeira! Although I do not understand all parts of the form, it seems to be very relevant yes. We will be working on a FHIR Questinnaire for patient reports of medical adverse events this autum. I would love to see your info from 2018 on this. I am the product manager for the national service for reports on medical errors and adverse events, and will be working on this part over the summer!
Jose Costa Teixeira (Jun 19 2020 at 12:25):
Great. I will compile what we had in IHE.
Jose Costa Teixeira (Jun 19 2020 at 12:26):
We were looking at AdverseEvent resource (because it is "reusable" information) but Questionnaire could be a way to request that data.
Ole Kristian Losvik (Jun 19 2020 at 12:35):
Thanks again, Jose. Really looing forward to hear more on this. I am a n00b on this FHIR part, however @Kenneth Myhra will help me transform the QuestionnaireRespons to a more (re)usable format, and the AdverseEvent resource might be very relevant here!
Jose Costa Teixeira (Jun 19 2020 at 13:01):
The way I see it:
Questionnaire could be the way to define the form to fill (i.e. the list of questions). QuestionnaireResponse would be the resource for "filling in the form" . If you want to preserve that data in a xHR, it would be best to convert the answers to an AdverseEvent.
Jean Duteau (Jun 19 2020 at 14:20):
@Ole Kristian Losvik I am working with IBM and the FDA on an ICSR Adverse Event FHIR guide. It uses questionnaires, phenotype definition, and an application to generate AdverseEvent submissions.
Ole Kristian Losvik (Jun 19 2020 at 17:18):
@Jean Duteau That´s interesting! Are there any information public available on this implementation?
Jean Duteau (Jun 19 2020 at 17:19):
not yet, but we planning to bring it forward to HL7
Shayan Hobbi (Jun 19 2020 at 17:48):
@Ole Kristian Losvik I presented at DevDays yesterday on our efforts (which @Jean Duteau has been immensely helpful with). The slides are attached, which may be helpful to you. 200618_Shayan-Hobbi_Semi-Automated-AE-Reporting.pdf
Ole Kristian Losvik (Jun 19 2020 at 18:04):
Thanks, @Shayan Hobbi . This was a new approach to me, and a clever way to address the problems on under recognition as well as under-reporting among other things. Looking forward to hear more about your progress, and to see your input to HL7!
Last updated: Apr 12 2022 at 19:14 UTC
