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 - XML Representation

Raw xml | Download



<Immunization xmlns="http://hl7.org/fhir">
  <id value="VAERSExampleImmunization"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/ibm-fda-icsr-immunization"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <extension
             url="http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/ibm-fda-icsr-ext-ageatvaccination">
    <valueAge>
      <value value="12"/>
      <unit value="years"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="y"/>
    </valueAge>
  </extension>
  <status value="completed"/>
  <vaccineCode>
    <coding>
      <system value="http://hl7.org/fhir/sid/ndc"/>
      <code value="7046101903"/>
    </coding>
  </vaccineCode>
  <patient>
    <reference value="Patient/VAERSPatient"/>
  </patient>
  <occurrenceDateTime value="2017-04-23"/>
  <primarySource value="false"/>
</Immunization>