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 in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
Bundle MinimumVaccinationReportBundle of type message
Entry 1 - fullUrl = Bundle/SampleVaccinationMessageHeader
Resource MessageHeader:
Generated Narrative: MessageHeader
Resource MessageHeader "US-IBM-Vaccination-fad94c04-29e7-5b37-e535-a8aad123cf9a"
Profile: ICSR MessageHeader
Message Processing Category: notification
event: Patient Adverse Event (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code PAT_ADV_EVNT = 'patient adverse event', stated as 'Patient Adverse Event')
Destinations
Endpoint http://example.org/CBERVaccination sender: Organization/SenderOrganization "sender organization"
Sources
Endpoint http://example.org/SENDER-IDENTIFIER reason: Indicates receipt of a public health report (US Public Health TriggerDefinition Named Events#received-public-health-report)
Entry 2 - fullUrl = Composition/SampleVaccinationReport
Resource Composition:
Generated Narrative: Composition
Resource Composition "SampleVaccinationReport"
Profile: ICSR Composition
AdditionalDocumentInformation
url
availableFlag
value: false
ExpeditedReport
url
localCriteriaFlag
value: false
url
localCriteriaReportType
value: Non-Expedited AE (unknown#C53578)
FirstSenderType: Other (unknown#2)
CombinationProductReport: false
FirstReceiveDate: 2020-02-10 17:18:00-0500
MostRecentDate: 2020-02-10 17:18:00-0500
CaseIdentifier: id: US-IBM-aed059ac-ef25-6ded-cce2-a8912d6b76ee
PreviousCaseIdentifier: id: Other-case-identifier
ReportAmendment
url
amendmentType
value: 2 (unknown#2)
url
amendmentReason
value: Fixed some identifiers
identifier: id: US-IBM-94209fd1-9b0e-1adc-007a-4f5cecb8ce6a
status: FINAL
type: Adverse event note (LOINC#85893-6)
category: Spontaneous report (unknown#1)
date: 2020-02-10 17:18:00-0500
author: PractitionerRole/SampleAuthorRole
title: ICSR Submission