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
Generated Narrative
AdditionalDocumentInformation
value: false
ExpeditedReport
value: false
value: Non-Expedited AE
FirstSenderType: Regulator
CombinationProductReport: false
FirstReceiveDate: 2021-01-05
MostRecentDate: 2021-01-05
CaseIdentifier: id: US-IBM-e380bc14-2a03-7b64-c3f5-22daea2aa495
identifier: id: US-IBM-e380bc14-2a03-7b64-c3f5-22daea2aa495
status: final
type: Adverse event note
category: Spontaneous report
date: Jan 5, 2021 9:24:44 AM
author: Generated Summary: Physician; admin@admin.com, Phone: 3333333333
title: ICSR Submission