HL7 FHIR Implementation Guide: Profiles for ICSR Transfusion and Vaccination Adverse Event Detection and Reporting
0.1.0 - STU 1 Ballot

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

: VAERS Sample Immunization for Connectathon Sample - JSON Representation

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{
  "resourceType" : "Immunization",
  "id" : "VAERSExampleImmunization",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/ibm-fda-icsr-immunization"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>AgeAtVaccination</b>: 12 years</p><p><b>status</b>: completed</p><p><b>vaccineCode</b>: <span title=\"Codes: {http://hl7.org/fhir/sid/ndc 7046101903}\">7046101903</span></p><p><b>patient</b>: <a href=\"Patient-VAERSPatient.html\">Generated Summary: id: 123456789; FNAME LNAME ; gender: male; birthDate: 1955-07-22</a></p><p><b>occurrence</b>: 2017-04-23</p><p><b>primarySource</b>: false</p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/ibm-fda-icsr-ext-ageatvaccination",
      "valueAge" : {
        "value" : 12,
        "unit" : "years",
        "system" : "http://unitsofmeasure.org",
        "code" : "y"
      }
    }
  ],
  "status" : "completed",
  "vaccineCode" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/sid/ndc",
        "code" : "7046101903"
      }
    ]
  },
  "patient" : {
    "reference" : "Patient/VAERSPatient"
  },
  "occurrenceDateTime" : "2017-04-23",
  "primarySource" : false
}