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

: FAERS Suspect Transfusion - XML Representation

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<Procedure xmlns="http://hl7.org/fhir">
  <id value="FAERSExampleTransfusion"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/ibm-fda-icsr-transfusion"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>UsedProductAmount</b>: 1 unit</p><p><b>status</b>: completed</p><p><b>code</b>: <span title="Codes: {http://www.ama-assn.org/go/cpt 36430}">36430</span></p><p><b>subject</b>: <a href="Patient-BESTPatient.html">Generated Summary: id: 123456789; CM ; gender: female; birthDate: 1999-06-24</a></p><p><b>performed</b>: 2002-01-09</p><p><b>usedReference</b>: <span>Apheresis PLATELETS|ACD-A&gt;PAS-C/XX/20-24C|ResLeu:&lt;5E6|2nd container</span></p></div>
  </text>
  <extension
             url="http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/ibm-fda-icsr-ext-usedproductamount">
    <valueQuantity>
      <value value="1"/>
      <unit value="unit"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="{unit}"/>
    </valueQuantity>
  </extension>
  <status value="completed"/>
  <code>
    <coding>
      <system value="http://www.ama-assn.org/go/cpt"/>
      <code value="36430"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/BESTPatient"/>
  </subject>
  <performedDateTime value="2002-01-09"/>
  <usedReference>
    <extension
               url="http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/ibm-fda-icsr-ext-usedproduct">
      <valueReference>
        <reference value="BiologicallyDerivedProduct/FAERSBloodProduct"/>
      </valueReference>
    </extension>
    <display
             value="Apheresis PLATELETS|ACD-A&gt;PAS-C/XX/20-24C|ResLeu:&lt;5E6|2nd container"/>
  </usedReference>
</Procedure>