HL7 FHIR Implementation Guide: Profiles for ICSR Transfusion and Vaccination Adverse Event Detection and Reporting
1.0.0 - STU 1

This page is part of the Profiles for ICSR Transfusion and Vaccination Adverse Event Detection and Reporting (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: FAERS Sample Event - JSON Representation

Raw json | Download


{
  "resourceType" : "AdverseEvent",
  "id" : "FAERSExampleEvent",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/faers-adverseevent"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"FAERSExampleEvent\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-faers-adverseevent.html\">FAERS Adverse Event</a></p></div><p><b>AgeAtTimeOfOnset</b>: 1 a<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code a = 'a')</span></p><p><b>actuality</b>: actual</p><p><b>event</b>: Allergic transfusion reaction <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (meddra.org#10066173)</span></p><p><b>subject</b>: <a href=\"Patient-BESTPatient.html\">Patient/BESTPatient</a> \" CM\"</p><p><b>date</b>: 2000-01-01</p><p><b>seriousness</b>: Serious <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-adverse-event-seriousness.html\">AdverseEventSeriousness</a>#serious)</span></p><blockquote><p><b>suspectEntity</b></p><p><b>instance</b>: <a href=\"Procedure-FAERSExampleTransfusion.html\">Procedure/FAERSExampleTransfusion</a></p><h3>Causalities</h3><table class=\"grid\"><tr><td>-</td><td><b>ProductRelatedness</b></td></tr><tr><td>*</td><td>Suspect</td></tr></table></blockquote><blockquote><p><b>suspectEntity</b></p><p><b>instance</b>: <a href=\"MedicationAdministration-FAERSEpinephrine.html\">MedicationAdministration/FAERSEpinephrine</a></p><h3>Causalities</h3><table class=\"grid\"><tr><td>-</td><td><b>ProductRelatedness</b></td></tr><tr><td>*</td><td>Concomitant</td></tr></table></blockquote><blockquote><p><b>suspectEntity</b></p><p><b>instance</b>: <a href=\"MedicationAdministration-FAERSDiphenhydramine.html\">MedicationAdministration/FAERSDiphenhydramine</a></p><h3>Causalities</h3><table class=\"grid\"><tr><td>-</td><td><b>ProductRelatedness</b></td></tr><tr><td>*</td><td>Concomitant</td></tr></table></blockquote></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-ext-ageattimeofonset",
      "valueAge" : {
        "value" : 1,
        "system" : "http://unitsofmeasure.org",
        "code" : "a"
      }
    }
  ],
  "actuality" : "actual",
  "event" : {
    "coding" : [
      {
        "system" : "http://meddra.org",
        "code" : "10066173",
        "display" : "Allergic transfusion reaction"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/BESTPatient"
  },
  "date" : "2000-01-01",
  "_date" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-ext-eventenddate",
        "valueDateTime" : "2019-01-20"
      },
      {
        "url" : "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-ext-eventduration",
        "valueDuration" : {
          "value" : 19.05,
          "system" : "http://unitsofmeasure.org",
          "code" : "a"
        }
      }
    ]
  },
  "seriousness" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/adverse-event-seriousness",
        "code" : "serious"
      }
    ]
  },
  "suspectEntity" : [
    {
      "instance" : {
        "reference" : "Procedure/FAERSExampleTransfusion"
      },
      "causality" : [
        {
          "productRelatedness" : "Suspect"
        }
      ]
    },
    {
      "instance" : {
        "reference" : "MedicationAdministration/FAERSEpinephrine"
      },
      "causality" : [
        {
          "productRelatedness" : "Concomitant"
        }
      ]
    },
    {
      "instance" : {
        "reference" : "MedicationAdministration/FAERSDiphenhydramine"
      },
      "causality" : [
        {
          "productRelatedness" : "Concomitant"
        }
      ]
    }
  ]
}