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 Practitioner Author of ICSR Report - JSON Representation

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{
  "resourceType" : "Practitioner",
  "id" : "SampleAuthorPractitioner",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/ibm-fda-icsr-authorpractitioner"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 123456789</p><p><b>name</b>: Joe Smith </p><p><b>telecom</b>: ph: 555-555-5554, <a href=\"mailto:joe@anywhere.com\">joe@anywhere.com</a></p><p><b>address</b>: 1234 Apple St New York NY 11111 US </p></div>"
  },
  "identifier" : [
    {
      "system" : "http://hl7.org/fhir/sid/us-npi",
      "value" : "123456789"
    }
  ],
  "name" : [
    {
      "family" : "Smith",
      "given" : [
        "Joe"
      ]
    }
  ],
  "telecom" : [
    {
      "system" : "phone",
      "value" : "555-555-5554"
    },
    {
      "system" : "email",
      "value" : "joe@anywhere.com"
    }
  ],
  "address" : [
    {
      "line" : [
        "1234 Apple St"
      ],
      "city" : "New York",
      "state" : "NY",
      "postalCode" : "11111",
      "country" : "US"
    }
  ]
}