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 - XML Representation

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<MessageHeader xmlns="http://hl7.org/fhir">
  <id value="US-IBM-FAERS-fad94c04-29e7-5b37-e535-a8aad123cf9a"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/ibm-fda-icsr-faers-messageheader"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <extension
             url="http://hl7.org/fhir/us/medmorph/StructureDefinition/ext-messageProcessingCategory">
    <valueCode value="notification"/>
  </extension>
  <eventCoding>
    <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
    <code value="PAT_ADV_EVNT"/>
    <display value="Patient Adverse Event"/>
  </eventCoding>
  <destination>
    <endpoint value="http://example.org/CBERFAERS"/>
    <receiver>
      <reference value="Organization/ReceiverOrganization"/>
    </receiver>
  </destination>
  <sender>
    <reference value="Organization/SenderOrganization"/>
  </sender>
  <source>
    <endpoint value="http://example.org/SENDER-IDENTIFIER"/>
  </source>
  <reason>
    <coding>
      <system
              value="http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-triggerdefinition-namedevents"/>
      <code value="received-public-health-report"/>
    </coding>
  </reason>
  <focus>
    <reference value="Composition/SampleFAERSReport"/>
  </focus>
</MessageHeader>