{

"resourceType": "AdverseEvent",
"id": "example",
"identifier": {
  "system": "http://acme.com/ids/patients/risks",
  "value": "49476534"
},
"actuality": "actual",
"category": [
  {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/adverse-event-category",
        "code": "product-use-error",
        "display": "Product Use Error"
      }
    ]
  }
],
"event": {
  "coding": [
    {
      "system": "http://snomed.info/sct",
      "code": "304386008",
      "display": "O/E - itchy rash"
    }
  ],
  "text": "This was a mild rash on the left forearm"
},
"subject": {
  "reference": "Patient/example"
},
"date": "2017-01-29T12:34:56+00:00",
"seriousness": {
  "coding": [
    {
      "system": "http://terminology.hl7.org/CodeSystem/adverse-event-seriousness",
      "code": "Non-serious",
      "display": "Non-serious"
    }
  ]
},
"severity": {
  "coding": [
    {
      "system": "http://terminology.hl7.org/CodeSystem/adverse-event-severity",
      "code": "mild",
      "display": "Mild"
    }
  ]
},
"recorder": {
  "reference": "Practitioner/example"
},
"suspectEntity": [
  {
    "instance": {
      "reference": "Medication/example"
    }
  }
],
"meta": {
  "tag": [
    {
      "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
      "code": "HTEST",
      "display": "test health data"
    }
  ]
}

}