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 - XML Representation

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<Practitioner xmlns="http://hl7.org/fhir">
  <id value="SampleAuthorPractitioner"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/ibm-fda-icsr-authorpractitioner"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <identifier>
    <system value="http://hl7.org/fhir/sid/us-npi"/>
    <value value="123456789"/>
  </identifier>
  <name>
    <family value="Smith"/>
    <given value="Joe"/>
  </name>
  <telecom>
    <system value="phone"/>
    <value value="555-555-5554"/>
  </telecom>
  <telecom>
    <system value="email"/>
    <value value="joe@anywhere.com"/>
  </telecom>
  <address>
    <line value="1234 Apple St"/>
    <city value="New York"/>
    <state value="NY"/>
    <postalCode value="11111"/>
    <country value="US"/>
  </address>
</Practitioner>