HL7 FHIR Implementation Guide: Profiles for Transfusion and Vaccination Adverse Event Detection and Reporting
1.0.1 - STU 1 Technical Correction United States of America flag

This page is part of the Profiles for ICSR Transfusion and Vaccination Adverse Event Detection and Reporting (v1.0.1: STU 1 Update) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Sample ICSR Report Patient - XML Representation

Raw xml | Download



<Patient xmlns="http://hl7.org/fhir">
  <id value="SampleICSRPatient"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-patient"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;"><b>Irma Black </b> female, DoB: 1998-08-31 ( id: 123456789)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Details:</td><td colspan="3"><ul><li><a href="tel:+1-234-653-6558">+ 1-234-653-6558</a></li><li>50878 Coleman Ferry Montague MA US </li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Information on the military status of the ICSR Patient"><a href="StructureDefinition-icsr-ext-militarystatus.html">null:</a></td><td colspan="3"><ul><li><span title="Codes: {http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl C114854}">C114854</span></li></ul></td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-ext-militarystatus">
    <valueCodeableConcept>
      <coding>
        <system value="http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl"/>
        <code value="C114854"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <identifier>
    <system value="http://hl7.org/fhir/sid/us-ssn"/>
    <value value="123456789"/>
  </identifier>
  <name>
    <family value="Black"/>
    <given value="Irma"/>
  </name>
  <telecom>
    <system value="phone"/>
    <value value="+ 1-234-653-6558"/>
  </telecom>
  <gender value="female"/>
  <birthDate value="1998-08-31"/>
  <address>
    <line value="50878 Coleman Ferry"/>
    <city value="Montague"/>
    <state value="MA"/>
    <country value="US"/>
  </address>
</Patient>