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 - XML Representation

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<Organization xmlns="http://hl7.org/fhir">
  <id value="VAERSSender"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/ibm-fda-icsr-messageorganization"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <extension
             url="http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/ibm-fda-icsr-ext-departmentname">
    <valueString value="sender department"/>
  </extension>
  <active value="true"/>
  <type>
    <coding>
      <system value="urn:oid:2.16.840.1.113883.3.989.2.1.1.7"/>
      <code value="1"/>
      <display value="Pharmaceutical Company"/>
    </coding>
  </type>
  <name value="sender organization"/>
  <telecom>
    <system value="phone"/>
    <value value="+01 123 456 78"/>
  </telecom>
  <telecom>
    <system value="fax"/>
    <value value="+01 123 456 89"/>
  </telecom>
  <telecom>
    <system value="email"/>
    <value value="email@city.us"/>
  </telecom>
  <address>
    <line value="street"/>
    <city value="city"/>
    <state value="CA"/>
    <postalCode value="postcode"/>
    <country value="US"/>
  </address>
  <contact>
    <name>
      <family value="sender fname"/>
      <given value="sender gname"/>
      <prefix value="sender title"/>
    </name>
  </contact>
</Organization>