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 Sending Organization - JSON Representation

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{
  "resourceType" : "Organization",
  "id" : "VAERSSender",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/ibm-fda-icsr-messageorganization"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>DepartmentName</b>: sender department</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes: {urn:oid:2.16.840.1.113883.3.989.2.1.1.7 1}\">Pharmaceutical Company</span></p><p><b>name</b>: sender organization</p><p><b>telecom</b>: <a href=\"tel:+0112345678\">+01 123 456 78</a>, fax: +01 123 456 89, <a href=\"mailto:email@city.us\">email@city.us</a></p><p><b>address</b>: street city CA postcode US </p><h3>Contacts</h3><table class=\"grid\"><tr><td>-</td><td><b>Name</b></td></tr><tr><td>*</td><td>sender gname sender fname </td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/ibm-fda-icsr-ext-departmentname",
      "valueString" : "sender department"
    }
  ],
  "active" : true,
  "type" : [
    {
      "coding" : [
        {
          "system" : "urn:oid:2.16.840.1.113883.3.989.2.1.1.7",
          "code" : "1",
          "display" : "Pharmaceutical Company"
        }
      ]
    }
  ],
  "name" : "sender organization",
  "telecom" : [
    {
      "system" : "phone",
      "value" : "+01 123 456 78"
    },
    {
      "system" : "fax",
      "value" : "+01 123 456 89"
    },
    {
      "system" : "email",
      "value" : "email@city.us"
    }
  ],
  "address" : [
    {
      "line" : [
        "street"
      ],
      "city" : "city",
      "state" : "CA",
      "postalCode" : "postcode",
      "country" : "US"
    }
  ],
  "contact" : [
    {
      "name" : {
        "family" : "sender fname",
        "given" : [
          "sender gname"
        ],
        "prefix" : [
          "sender title"
        ]
      }
    }
  ]
}