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

: Sample MessageHeader for FAERS - JSON Representation

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{
  "resourceType" : "MessageHeader",
  "id" : "US-IBM-FAERS-fad94c04-29e7-5b37-e535-a8aad123cf9a",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/ibm-fda-icsr-faers-messageheader"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>Message Processing Category</b>: notification</p><p><b>event</b>: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode PAT_ADV_EVNT}\">Patient Adverse Event</span></p><h3>Destinations</h3><table class=\"grid\"><tr><td>-</td><td><b>Endpoint</b></td><td><b>Receiver</b></td></tr><tr><td>*</td><td><a href=\"http://example.org/CBERFAERS\">http://example.org/CBERFAERS</a></td><td><a href=\"Organization-ReceiverOrganization.html\">Generated Summary: active; <span title=\"Codes: {urn:oid:2.16.840.1.113883.3.989.2.1.1.7 2}\">Regulatory Authority</span>; name: FDA; faersedub@fda.hhs.gov</a></td></tr></table><p><b>sender</b>: <a href=\"Organization-SenderOrganization.html\">Generated Summary: active; <span title=\"Codes: {urn:oid:2.16.840.1.113883.3.989.2.1.1.7 1}\">Pharmaceutical Company</span>; name: sender organization; Phone: +01 123 456 78, Fax: +01 123 456 89, email@city.us</a></p><h3>Sources</h3><table class=\"grid\"><tr><td>-</td><td><b>Endpoint</b></td></tr><tr><td>*</td><td><a href=\"http://example.org/SENDER-IDENTIFIER\">http://example.org/SENDER-IDENTIFIER</a></td></tr></table><p><b>reason</b>: <span title=\"Codes: {http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-triggerdefinition-namedevents received-public-health-report}\">Indicates receipt of a public health report</span></p><p><b>focus</b>: <a href=\"Composition-SampleFAERSReport.html\">Generated Summary: id: US-IBM-94209fd1-9b0e-1adc-007a-4f5cecb8ce6a; status: final; <span title=\"Codes: {http://loinc.org 85893-6}\">Adverse event note</span>; <span title=\"Codes: {urn:oid:2.16.840.1.113883.3.989.2.1.1.2 1}\">Spontaneous report</span>; date: Feb 10, 2020 10:18:00 PM; title: ICSR Submission</a></p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/medmorph/StructureDefinition/ext-messageProcessingCategory",
      "valueCode" : "notification"
    }
  ],
  "eventCoding" : {
    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
    "code" : "PAT_ADV_EVNT",
    "display" : "Patient Adverse Event"
  },
  "destination" : [
    {
      "endpoint" : "http://example.org/CBERFAERS",
      "receiver" : {
        "reference" : "Organization/ReceiverOrganization"
      }
    }
  ],
  "sender" : {
    "reference" : "Organization/SenderOrganization"
  },
  "source" : {
    "endpoint" : "http://example.org/SENDER-IDENTIFIER"
  },
  "reason" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-triggerdefinition-namedevents",
        "code" : "received-public-health-report"
      }
    ]
  },
  "focus" : [
    {
      "reference" : "Composition/SampleFAERSReport"
    }
  ]
}