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 VAERS report for Connecathon - JSON Representation

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{
  "resourceType" : "MessageHeader",
  "id" : "US-IBM-e380bc14-2a03-7b64-c3f5-22daea2aa495",
  "meta" : {
    "lastUpdated" : "2021-01-05T14:24:44+05:00",
    "profile" : [
      "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/ibm-fda-icsr-vaers-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></tr><tr><td>*</td><td><a href=\"http://example.org/CBERVAERS\">http://example.org/CBERVAERS</a></td></tr></table><p><b>sender</b>: <a href=\"Organization-VAERSSender.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/BEST-Pilot\">http://example.org/BEST-Pilot</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-VAERSExample.html\">Generated Summary: id: US-IBM-e380bc14-2a03-7b64-c3f5-22daea2aa495; 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: Jan 5, 2021 9:24:44 AM; 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/CBERVAERS"
    }
  ],
  "sender" : {
    "reference" : "Organization/VAERSSender"
  },
  "source" : {
    "endpoint" : "http://example.org/BEST-Pilot"
  },
  "reason" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-triggerdefinition-namedevents",
        "code" : "received-public-health-report"
      }
    ]
  },
  "focus" : [
    {
      "reference" : "Composition/VAERSExample"
    }
  ]
}