This page is part of the Profiles for ICSR Transfusion and Vaccination Adverse Event Detection and Reporting (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

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: FAERS Sample Event - JSON Representation

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{
  "resourceType" : "AdverseEvent",
  "id" : "FAERSExampleEvent",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/ibm-fda-faers-adverseevent"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>AgeAtTimeOfOnset</b>: 1 a</p><p><b>actuality</b>: actual</p><p><b>event</b>: <span title=\"Codes: {http://meddra.org 10066173}\">Allergic transfusion reaction</span></p><p><b>subject</b>: <a href=\"Patient-BESTPatient.html\">Generated Summary: id: 123456789; CM ; gender: female; birthDate: 1999-06-24</a></p><p><b>date</b>: 2000-01-01</p><blockquote><p><b>suspectEntity</b></p><p><b>instance</b>: <a href=\"Procedure-FAERSExampleTransfusion.html\">Generated Summary: status: completed; <span title=\"Codes: {http://www.ama-assn.org/go/cpt 36430}\">36430</span>; performed: 2002-01-09</a></p><h3>Causalities</h3><table class=\"grid\"><tr><td>-</td><td><b>ProductRelatedness</b></td></tr><tr><td>*</td><td>Suspect</td></tr></table></blockquote><blockquote><p><b>suspectEntity</b></p><p><b>instance</b>: <a href=\"MedicationAdministration-FAERSEpinephrine.html\">Generated Summary: status: completed; <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 3992}\">Epinephrine</span>; effective: 2002-01-09</a></p><h3>Causalities</h3><table class=\"grid\"><tr><td>-</td><td><b>ProductRelatedness</b></td></tr><tr><td>*</td><td>Concomitant</td></tr></table></blockquote><blockquote><p><b>suspectEntity</b></p><p><b>instance</b>: <a href=\"MedicationAdministration-FAERSDiphenhydramine.html\">Generated Summary: status: completed; <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 3498}\">Diphenhydramine</span>; effective: 2002-01-09</a></p><h3>Causalities</h3><table class=\"grid\"><tr><td>-</td><td><b>ProductRelatedness</b></td></tr><tr><td>*</td><td>Concomitant</td></tr></table></blockquote></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/ibm-fda-icsr-ext-ageattimeofonset",
      "valueAge" : {
        "value" : 1,
        "system" : "http://unitsofmeasure.org",
        "code" : "a"
      }
    }
  ],
  "actuality" : "actual",
  "event" : {
    "coding" : [
      {
        "system" : "http://meddra.org",
        "code" : "10066173",
        "display" : "Allergic transfusion reaction"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/BESTPatient"
  },
  "date" : "2000-01-01",
  "_date" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/ibm-fda-icsr-ext-eventenddate",
        "valueDateTime" : "2019-01-20"
      },
      {
        "url" : "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/ibm-fda-icsr-ext-eventduration",
        "valueDuration" : {
          "value" : 19.05,
          "system" : "http://unitsofmeasure.org",
          "code" : "a"
        }
      }
    ]
  },
  "suspectEntity" : [
    {
      "instance" : {
        "reference" : "Procedure/FAERSExampleTransfusion"
      },
      "causality" : [
        {
          "productRelatedness" : "Suspect"
        }
      ]
    },
    {
      "instance" : {
        "reference" : "MedicationAdministration/FAERSEpinephrine"
      },
      "causality" : [
        {
          "productRelatedness" : "Concomitant"
        }
      ]
    },
    {
      "instance" : {
        "reference" : "MedicationAdministration/FAERSDiphenhydramine"
      },
      "causality" : [
        {
          "productRelatedness" : "Concomitant"
        }
      ]
    }
  ]
}