HL7.FHIR.US.ICSR-AE-REPORTING\Sample MessageHeader for FAERS - FHIR v4.0.1

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

Example MessageHeader: Sample MessageHeader for FAERS

Generated Narrative

Message Processing Category: notification

event: Patient Adverse Event

Destinations

-

Endpoint

Receiver

*

http://example.org/CBERFAERS

Generated Summary: active; Regulatory Authority; name: FDA; faersedub@fda.hhs.gov

sender: Generated Summary: active; Pharmaceutical Company; name: sender organization; Phone: +01 123 456 78, Fax: +01 123 456 89, email@city.us

Sources

-

Endpoint

*

http://example.org/SENDER-IDENTIFIER

reason: Indicates receipt of a public health report

focus: Generated Summary: id: US-IBM-94209fd1-9b0e-1adc-007a-4f5cecb8ce6a; status: final; Adverse event note; Spontaneous report; date: Feb 10, 2020 10:18:00 PM; title: ICSR Submission