Submitting Data

Submission API

  • Url: <HOST>/adverse-event/fhir/AdverseEvent

  • Write only API

  • Used to submit patient safety events.

  • Submission requests must be built using properties of the taxonomy, and following the structure of sample requests provided by the LFPSE team.

  • In version 5 the taxonomy API doesn’t outline how submission requests are to be structured.

Sample requests

  • The LFPSE team have provided JSON files of sample submission requests.

  • These are attached below

Outcomes

Example Outcome submission 1
{
    "resourceType": "AdverseEvent",
    "meta": {
        "profile": [
            "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/patient-safety-adverse-event-5"
        ]
    },
    "contained": [
        {
            "resourceType": "Patient",
            "id": "patient1",
            "extension": [
                {
                    "extension": [
                        {
                            "url": "PatientSequence",
                            "valueInteger": 1
                        },
                        {
                            "url": "AgeAtTimeOfIncidentDays",
                            "valueInteger": 18600
                        },
                        {
                            "url": "Gender",
                            "valueCode": "2"
                        }
                    ],
                    "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/patient-information-5"
                }
            ]
        },
        {
            "resourceType": "Practitioner",
            "id": "practitioner1",
            "extension": [
                {
                    "extension": [
                        {
                            "url": "ReporterOrganisation",
                            "valueCode": "Z01"
                        },
                        {
                            "url": "ReporterType",
                            "valueCode": "3"
                        },
                        {
                            "url": "ReporterRole",
                            "valueCode": "5"
                        }
                    ],
                    "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/practitioner-details-5"
                }
            ]
        },
        {
            "resourceType": "Location",
            "id": "location1",
            "extension": [
                {
                    "extension": [
                        {
                            "url": "LocationKnown",
                            "valueCode": "y"
                        },
                        {
                            "url": "Organisation",
                            "valueCode": "Z01"
                        },
                        {
                            "url": "ServiceArea",
                            "valueCode": "1"
                        }
                    ],
                    "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/location-details-5"
                }
            ]
        }
    ],
    "extension": [
        {
            "extension": [
                {
                    "url": "OutcomeType",
                    "valueCode": "2"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-outcome-5"
        },
        {
            "extension": [
                {
                    "url": "PatientSafetyIncidentHasOccurred",
                    "valueCode": "n"
                },
                {
                    "url": "LevelOfConcern",
                    "valueCode": "4"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-classification-5"
        },
        {
            "extension": [
                {
                    "url": "IncidentOccurredToday",
                    "valueCode": "n"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-estimated-date-5"
        },
        {
            "extension": [
                {
                    "url": "DetectionPoint",
                    "valueCode": "6"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/detection-factors-5"
        }
    ],
    "category": "AE",
    "type": {
        "coding": [
            {
                "code": "2"
            }
        ]
    },
    "subject": {
        "reference": "#patient1"
    },
    "date": "2021-08-15",
    "location": {
        "reference": "#location1"
    },
    "recorder": {
        "reference": "#practitioner1"
    },
    "description": "Ambulatory pt came to ED Thursday PM with chest pains and dizziness. Tests and bloods normal, and feeling better, so safety netted and sent home early hours Friday. Friday PM pt's wife called ambulance due to chest pains and difficulty breathing. Pt admitted for further tests and obs - awaiting results now. Have reviewed notes from Friday and not apparent that anything important was missed on first attendance but recording here as an unplanned reattendance."
}
Example Outcome submission 2
{
    "resourceType": "AdverseEvent",
    "meta": {
        "profile": [
            "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/patient-safety-adverse-event-5"
        ]
    },
    "contained": [
        {
            "resourceType": "Patient",
            "id": "patient1",
            "extension": [
                {
                    "extension": [
                        {
                            "url": "PatientSequence",
                            "valueInteger": 1
                        },
                        {
                            "url": "AgeAtTimeOfIncidentDays",
                            "valueInteger": 14880
                        },
                        {
                            "url": "Gender",
                            "valueCode": "2"
                        }
                    ],
                    "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/patient-information-5"
                }
            ]
        },
        {
            "resourceType": "Practitioner",
            "id": "practitioner1",
            "extension": [
                {
                    "extension": [
                        {
                            "url": "ReporterOrganisation",
                            "valueCode": "Z01"
                        },
                        {
                            "url": "ReporterType",
                            "valueCode": "3"
                        },
                        {
                            "url": "ReporterRole",
                            "valueCode": "3"
                        }
                    ],
                    "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/practitioner-details-5"
                }
            ]
        },
        {
            "resourceType": "Location",
            "id": "location1",
            "extension": [
                {
                    "extension": [
                        {
                            "url": "LocationKnown",
                            "valueCode": "n"
                        },
                        {
                            "url": "OrganisationOther",
                            "valueString": "home"
                        },
                        {
                            "url": "ServiceArea",
                            "valueCode": "4"
                        }
                    ],
                    "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/location-details-5"
                }
            ]
        }
    ],
    "extension": [
        {
            "extension": [
                {
                    "url": "OutcomeType",
                    "valueCode": "1"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-outcome-5"
        },
        {
            "extension": [
                {
                    "url": "IncidentOccurredToday",
                    "valueCode": "n"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-estimated-date-5"
        },
        {
            "extension": [
                {
                    "url": "DetectionPoint",
                    "valueCode": "6"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/detection-factors-5"
        },
        {
            "extension": [
                {
                    "url": "LevelOfConcern",
                    "valueCode": "3"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-classification-5"
        }
    ],
    "category": "AE",
    "type": {
        "coding": [
            {
                "code": "2"
            }
        ]
    },
    "subject": {
        "reference": "#patient1"
    },
    "date": "2021-08-15",
    "location": {
        "reference": "#location1"
    },
    "recorder": {
        "reference": "#practitioner1"
    },
    "description": "I heard from a patient’s family member that a former MH service user, since discharged, has died in the community. Pt was no longer under our care but had been within the last 4 months. No further detail yet - I will see if I can find out any more; logging here for follow-up in the meantime."
}

Incidents

Example Incident submission 1
{
    "resourceType": "AdverseEvent",
    "meta": {
        "profile": [
            "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/patient-safety-adverse-event-5"
        ]
    },
    "contained": [
        {
            "resourceType": "Patient",
            "id": "patient1",
            "extension": [
                {
                    "extension": [
                        {
                            "url": "PatientSequence",
                            "valueInteger": 1
                        },
                        {
                            "url": "AgeAtTimeOfIncidentDays",
                            "valueInteger": 10044
                        },
                        {
                            "url": "Gender",
                            "valueCode": "1"
                        },
                        {
                            "url": "PatientEthnicity",
                            "valueCode": "11"
                        },
                        {
                            "url": "PhysicalHarm",
                            "valueCode": "3"
                        },
                        {
                            "url": "PsychologicalHarm",
                            "valueCode": "2"
                        },
                        {
                            "url": "ClinicalOutcome",
                            "valueString": "admitted to acute services"
                        },
                        {
                            "url": "StrengthOfAssociation",
                            "valueCode": "5"
                        }
                    ],
                    "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/patient-information-5"
                }
            ]
        },
        {
            "resourceType": "Practitioner",
            "id": "practitioner1",
            "extension": [
                {
                    "extension": [
                        {
                            "url": "ReporterOrganisation",
                            "valueCode": "Z01"
                        },
                        {
                            "url": "ReporterType",
                            "valueCode": "3"
                        },
                        {
                            "url": "ReporterRole",
                            "valueCode": "6"
                        },
                        {
                            "url": "ReporterInvolvement",
                            "valueCode": "2"
                        }
                    ],
                    "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/practitioner-details-5"
                }
            ]
        },
        {
            "resourceType": "Location",
            "id": "location1",
            "extension": [
                {
                    "extension": [
                        {
                            "url": "LocationKnown",
                            "valueCode": "y"
                        },
                        {
                            "url": "Organisation",
                            "valueCode": "Z01"
                        },
                        {
                            "url": "LocationWithinService",
                            "valueCode": "2"
                        },
                        {
                            "url": "ServiceArea",
                            "valueCode": "17"
                        },
                        {
                            "url": "ServiceArea",
                            "valueCode": "18"
                        },
                        {
                            "url": "ServiceArea",
                            "valueCode": "3"
                        },
                        {
                            "url": "ResponsibleSpecialty",
                            "valueCode": "105"
                        }
                    ],
                    "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/location-details-5"
                }
            ]
        },
        {
            "resourceType": "Medication",
            "id": "medication1",
            "extension": [
                {
                    "extension": [
                        {
                            "url": "MedicationAdministration",
                            "valueCode": "n"
                        }
                    ],
                    "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/medication-administration-5"
                }
            ]
        }
    ],
    "extension": [
        {
            "extension": [
                {
                    "url": "InvolvedAgents",
                    "valueCode": "4"
                },
                {
                    "url": "DrugsInvolved",
                    "valueString": "risperidone"
                },
                {
                    "url": "DrugsInvolved",
                    "valueString": "Ropinirole"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-agent-5"
        },
        {
            "extension": [
                {
                    "url": "SafetyChallenges",
                    "valueCode": "6"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-safety-challenges-5"
        },
        {
            "extension": [
                {
                    "url": "IncidentOccurredToday",
                    "valueCode": "y"
                },
                {
                    "url": "TodaysDate",
                    "valueDate": "2021-08-17"
                },
                {
                    "url": "EstimatedTime",
                    "valueCode": "5"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-estimated-date-5"
        },
        {
            "extension": [
                {
                    "url": "DutyOfCandour",
                    "valueBoolean": true
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-governance-5"
        },
        {
            "extension": [
                {
                    "url": "LevelOfConcern",
                    "valueCode": "4"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-classification-5"
        },
        {
            "extension": [
                {
                    "url": "InvolvedProcesses",
                    "valueCode": "3"
                },
                {
                    "url": "DrugReaction",
                    "valueCode": "4"
                },
                {
                    "url": "DrugInvolvementFactors",
                    "valueCode": "3"
                },
                {
                    "url": "MedicationAdministeredIncorrectly",
                    "valueCode": "3"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-problem-medication-5"
        },
        {
            "extension": [
                {
                    "url": "DetectionPoint",
                    "valueCode": "4"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/detection-factors-5"
        },
        {
            "extension": [
                {
                    "url": "ImmediateActions",
                    "valueString": "GP attended, medication withdrawn, admitted for obs"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-outcome-5"
        }
    ],
    "category": "AE",
    "type": {
        "coding": [
            {
                "code": "1"
            }
        ]
    },
    "subject": {
        "reference": "#patient1"
    },
    "date": "2021-08-17",
    "location": {
        "reference": "#location1"
    },
    "recorder": {
        "reference": "#practitioner1"
    },
    "description": "Prescription dispensed on [date]. Patient took first dose on [date – one week later] of risperidone which had been dispensed in error. Ropinirole should have been dispensed. After the second dose the patient felt unwell and went to bed. The patient’s partner contacted the surgery out of hours and was directed by NHS Direct. A doctor was sent to the patient’s home and an ambulance called at 10:15. Patient was admitted at 10:45.",
    "suspectEntity": [
        {
            "instance": {
                "reference": "#medication1"
            }
        }
    ]
}
Example Incident submission 2
{
    "resourceType": "AdverseEvent",
    "meta": {
        "profile": [
            "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/patient-safety-adverse-event-5"
        ]
    },
    "contained": [
        {
            "resourceType": "Patient",
            "id": "patient1",
            "extension": [
                {
                    "extension": [
                        {
                            "url": "PatientSequence",
                            "valueInteger": 1
                        },
                        {
                            "url": "AgeAtTimeOfIncidentDays",
                            "valueInteger": 10044
                        },
                        {
                            "url": "Gender",
                            "valueCode": "2"
                        },
                        {
                            "url": "PatientEthnicity",
                            "valueCode": "11"
                        },
                        {
                            "url": "PhysicalHarm",
                            "valueCode": "2"
                        },
                        {
                            "url": "PsychologicalHarm",
                            "valueCode": "3"
                        },
                        {
                            "url": "ClinicalOutcome",
                            "valueString": "x-rayed and fork extracted by scope; discharged"
                        },
                        {
                            "url": "StrengthOfAssociation",
                            "valueCode": "5"
                        }
                    ],
                    "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/patient-information-5"
                },
                {
                    "extension": [
                        {
                            "url": "PatientSequence",
                            "valueInteger": 2
                        },
                        {
                            "url": "AgeAtTimeOfIncidentDays",
                            "valueInteger": 10788
                        },
                        {
                            "url": "Gender",
                            "valueCode": "2"
                        },
                        {
                            "url": "PatientEthnicity",
                            "valueCode": "12"
                        },
                        {
                            "url": "PhysicalHarm",
                            "valueCode": "3"
                        },
                        {
                            "url": "PsychologicalHarm",
                            "valueCode": "2"
                        },
                        {
                            "url": "ClinicalOutcome",
                            "valueString": "TBC"
                        },
                        {
                            "url": "StrengthOfAssociation",
                            "valueCode": "5"
                        }
                    ],
                    "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/patient-information-5"
                }
            ]
        },
        {
            "resourceType": "Practitioner",
            "id": "practitioner1",
            "extension": [
                {
                    "extension": [
                        {
                            "url": "ReporterOrganisation",
                            "valueCode": "Z01"
                        },
                        {
                            "url": "ReporterType",
                            "valueCode": "3"
                        },
                        {
                            "url": "ReporterRole",
                            "valueCode": "3"
                        },
                        {
                            "url": "ReporterInvolvement",
                            "valueCode": "1"
                        }
                    ],
                    "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/practitioner-details-5"
                }
            ]
        },
        {
            "resourceType": "Location",
            "id": "location1",
            "extension": [
                {
                    "extension": [
                        {
                            "url": "LocationKnown",
                            "valueCode": "y"
                        },
                        {
                            "url": "Organisation",
                            "valueCode": "Z01"
                        },
                        {
                            "url": "LocationWithinService",
                            "valueCode": "10"
                        },
                        {
                            "url": "ServiceArea",
                            "valueCode": "4"
                        },
                        {
                            "url": "ResponsibleSpecialty",
                            "valueCode": "3"
                        }
                    ],
                    "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/location-details-5"
                }
            ]
        }
    ],
    "extension": [
        {
            "extension": [
                {
                    "url": "InvolvedAgents",
                    "valueCode": "10"
                },
                {
                    "url": "InvolvedPersonsActions",
                    "valueCode": "2"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-agent-5"
        },
        {
            "extension": [
                {
                    "url": "SafetyChallenges",
                    "valueCode": "3"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-safety-challenges-5"
        },
        {
            "extension": [
                {
                    "url": "IncidentOccurredToday",
                    "valueCode": "y"
                },
                {
                    "url": "TodaysDate",
                    "valueDate": "2021-08-17"
                },
                {
                    "url": "PreciseTime",
                    "valueTime": "12:00:00"
                },
                {
                    "url": "EstimatedTime",
                    "valueCode": "4"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-estimated-date-5"
        },
        {
            "extension": [
                {
                    "url": "DutyOfCandour",
                    "valueBoolean": true
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-governance-5"
        },
        {
            "extension": [
                {
                    "url": "LevelOfConcern",
                    "valueCode": "4"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-classification-5"
        },
        {
            "extension": [
                {
                    "url": "PeopleActionFactors",
                    "valueCode": "3"
                },
                {
                    "url": "PeopleWrongActionDetails",
                    "valueCode": "1"
                },
                {
                    "url": "PeopleInvolvementFactors",
                    "valueCode": "2"
                },
                {
                    "url": "PeopleUnavailableDetails",
                    "valueCode": "3"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-problem-people-5"
        },
        {
            "extension": [
                {
                    "url": "DetectionPoint",
                    "valueCode": "4"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/detection-factors-5"
        },
        {
            "extension": [
                {
                    "url": "WentWell",
                    "valueString": "more staff on deck at meal times"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-outcome-5"
        }
    ],
    "category": "AE",
    "type": {
        "coding": [
            {
                "code": "1"
            }
        ]
    },
    "subject": {
        "reference": "#patient1"
    },
    "date": "2021-08-17",
    "location": {
        "reference": "#location1"
    },
    "recorder": {
        "reference": "#practitioner1"
    },
    "description": "Patient 1 was eating lunch, and deliberately swallowed a plastic fork. Patient 2 witnessed this and became agitated, and Patient 1 then attacked Pt 2. Staff were alerted and restrained Pt1, who was removed for assessment and taken to A&E. Pt 2 sustained minor injuries but was very upset."
}
Example Incident submission 3
{
    "resourceType": "AdverseEvent",
    "meta": {
        "profile": [
            "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/patient-safety-adverse-event-5"
        ]
    },
    "contained": [
        {
            "resourceType": "Patient",
            "id": "patient1",
            "extension": [
                {
                    "extension": [
                        {
                            "url": "PatientSequence",
                            "valueInteger": 1
                        },
                        {
                            "url": "AgeAtTimeOfIncidentDays",
                            "valueInteger": 20832
                        },
                        {
                            "url": "Gender",
                            "valueCode": "2"
                        },
                        {
                            "url": "PatientEthnicity",
                            "valueCode": "21"
                        },
                        {
                            "url": "PhysicalHarm",
                            "valueCode": "1"
                        },
                        {
                            "url": "ClinicalOutcome",
                            "valueString": "sadly died"
                        },
                        {
                            "url": "StrengthOfAssociation",
                            "valueCode": "3"
                        }
                    ],
                    "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/patient-information-5"
                }
            ]
        },
        {
            "resourceType": "Practitioner",
            "id": "practitioner1",
            "extension": [
                {
                    "extension": [
                        {
                            "url": "ReporterOrganisation",
                            "valueCode": "Z01"
                        },
                        {
                            "url": "ReporterType",
                            "valueCode": "3"
                        },
                        {
                            "url": "ReporterRole",
                            "valueCode": "2"
                        },
                        {
                            "url": "ReporterInvolvement",
                            "valueCode": "1"
                        }
                    ],
                    "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/practitioner-details-5"
                }
            ]
        },
        {
            "resourceType": "Location",
            "id": "location1",
            "extension": [
                {
                    "extension": [
                        {
                            "url": "LocationKnown",
                            "valueCode": "y"
                        },
                        {
                            "url": "Organisation",
                            "valueCode": "Z01"
                        },
                        {
                            "url": "LocationWithinService",
                            "valueCode": "6"
                        },
                        {
                            "url": "ServiceArea",
                            "valueCode": "1"
                        },
                        {
                            "url": "ServiceArea",
                            "valueCode": "3"
                        },
                        {
                            "url": "ResponsibleSpecialty",
                            "valueCode": "105"
                        }
                    ],
                    "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/location-details-5"
                }
            ]
        },
        {
            "resourceType": "Device",
            "id": "device1",
            "extension": [
                {
                    "extension": [
                        {
                            "url": "DeviceTypeOther",
                            "valueString": "O2 flowmeter"
                        }
                    ],
                    "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-device-details-5"
                }
            ]
        },
        {
            "resourceType": "Medication",
            "id": "medication1",
            "extension": [
                {
                    "extension": [
                        {
                            "url": "MedicationAdministration",
                            "valueCode": "n"
                        }
                    ],
                    "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/medication-administration-5"
                }
            ]
        }
    ],
    "extension": [
        {
            "extension": [
                {
                    "url": "InvolvedAgents",
                    "valueCode": "3"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-agent-5"
        },
        {
            "extension": [
                {
                    "url": "SafetyChallenges",
                    "valueCode": "6"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-safety-challenges-5"
        },
        {
            "extension": [
                {
                    "url": "IncidentOccurredToday",
                    "valueCode": "y"
                },
                {
                    "url": "TodaysDate",
                    "valueDate": "2021-08-17"
                },
                {
                    "url": "EstimatedTime",
                    "valueCode": "5"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-estimated-date-5"
        },
        {
            "extension": [
                {
                    "url": "LevelOfConcern",
                    "valueCode": "4"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-classification-5"
        },
        {
            "extension": [
                {
                    "url": "DrugReaction",
                    "valueCode": "4"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-problem-medication-5"
        },
        {
            "extension": [
                {
                    "url": "DeviceInvolvementFactors",
                    "valueCode": "3"
                },
                {
                    "url": "DeviceWrongUsageDetails",
                    "valueCode": "1"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-problem-devices-5"
        },
        {
            "extension": [
                {
                    "url": "DetectionPoint",
                    "valueCode": "4"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/detection-factors-5"
        }
    ],
    "category": "AE",
    "type": {
        "coding": [
            {
                "code": "1"
            }
        ]
    },
    "subject": {
        "reference": "#patient1"
    },
    "date": "2021-08-17",
    "location": {
        "reference": "#location1"
    },
    "recorder": {
        "reference": "#practitioner1"
    },
    "description": "A [AGE] male patient arrived in the Accident and Emergency department on the [DATE AND TIME]  following an out of hospital cardiac arrest. [REDACTED DETAIL THAT COULD IDENTIFY PATIENT AND STAFF MEMBERS]. On assessment it was identified that the BVM was attached to the air flow meter therefore immediately removed and connected to the o2 flowmeter. The patients saturations increased and the resus team continued with treatment. The patient was stabilised, transferred to [HOSPITAL] but sadly died on the [DATE] The medical opinion is that the short time on air instead of O2 did not contribute to the outcome.",
    "suspectEntity": [
        {
            "instance": {
                "reference": "#device1"
            }
        },
        {
            "instance": {
                "reference": "#medication1"
            }
        }
    ]
}
Example Incident submission 4
{
    "resourceType": "AdverseEvent",
    "meta": {
        "profile": [
            "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/patient-safety-adverse-event-5"
        ]
    },
    "contained": [
        {
            "resourceType": "Patient",
            "id": "patient1",
            "extension": [
                {
                    "extension": [
                        {
                            "url": "PatientSequence",
                            "valueInteger": 1
                        },
                        {
                            "url": "AgeAtTimeOfIncidentDays",
                            "valueInteger": 18600
                        },
                        {
                            "url": "Gender",
                            "valueCode": "1"
                        },
                        {
                            "url": "PatientEthnicity",
                            "valueCode": "11"
                        },
                        {
                            "url": "PhysicalHarm",
                            "valueCode": "2"
                        },
                        {
                            "url": "PsychologicalHarm",
                            "valueCode": "3"
                        },
                        {
                            "url": "ClinicalOutcome",
                            "valueString": "Test case for blood related incident"
                        },
                        {
                            "url": "StrengthOfAssociation",
                            "valueCode": "4"
                        }
                    ],
                    "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/patient-information-5"
                }
            ]
        },
        {
            "resourceType": "Practitioner",
            "id": "practitioner1",
            "extension": [
                {
                    "extension": [
                        {
                            "url": "ReporterOrganisation",
                            "valueCode": "Z01"
                        },
                        {
                            "url": "ReporterType",
                            "valueCode": "3"
                        },
                        {
                            "url": "ReporterRole",
                            "valueCode": "5"
                        },
                        {
                            "url": "ReporterInvolvement",
                            "valueCode": "1"
                        }
                    ],
                    "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/practitioner-details-5"
                }
            ]
        },
        {
            "resourceType": "Location",
            "id": "location1",
            "extension": [
                {
                    "extension": [
                        {
                            "url": "LocationKnown",
                            "valueCode": "y"
                        },
                        {
                            "url": "Organisation",
                            "valueCode": "Z01"
                        },
                        {
                            "url": "LocationWithinService",
                            "valueCode": "4"
                        },
                        {
                            "url": "ServiceArea",
                            "valueCode": "1"
                        },
                        {
                            "url": "ResponsibleSpecialty",
                            "valueCode": "42"
                        }
                    ],
                    "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/location-details-5"
                }
            ]
        }
    ],
    "extension": [
        {
            "extension": [
                {
                    "url": "InvolvedAgents",
                    "valueCode": "11"
                },
                {
                    "url": "SabreReportNumber",
                    "valueString": "1234"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-agent-5"
        },
        {
            "extension": [
                {
                    "url": "SafetyChallenges",
                    "valueCode": "6"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-safety-challenges-5"
        },
        {
            "extension": [
                {
                    "url": "IncidentOccurredToday",
                    "valueCode": "y"
                },
                {
                    "url": "TodaysDate",
                    "valueDate": "2021-08-19"
                },
                {
                    "url": "PreciseTime",
                    "valueTime": "10:00:00"
                },
                {
                    "url": "EstimatedTime",
                    "valueCode": "6"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-estimated-date-5"
        },
        {
            "extension": [
                {
                    "url": "DutyOfCandour",
                    "valueBoolean": true
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-governance-5"
        },
        {
            "extension": [
                {
                    "url": "LevelOfConcern",
                    "valueCode": "3"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-classification-5"
        },
        {
            "extension": [
                {
                    "url": "BloodInvolved",
                    "valueCode": "1"
                },
                {
                    "url": "TooMuchBloodUsed",
                    "valueCode": "2"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-problem-blood-5"
        },
        {
            "extension": [
                {
                    "url": "DetectionPoint",
                    "valueCode": "4"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/detection-factors-5"
        },
        {
            "extension": [
                {
                    "url": "WentWell",
                    "valueString": "Test case"
                }
            ],
            "url": "https://psims-uat.azure-api.net/taxonomy/fhir/StructureDefinition/adverse-event-outcome-5"
        }
    ],
    "category": "AE",
    "type": {
        "coding": [
            {
                "code": "1"
            }
        ]
    },
    "subject": {
        "reference": "#patient1"
    },
    "date": "2021-08-19",
    "location": {
        "reference": "#location1"
    },
    "recorder": {
        "reference": "#practitioner1"
    },
    "description": "Test case for blood related incident"
}