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 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

: VAERS Sample Immunization for Connectathon Sample - XML Representation

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<Immunization xmlns="http://hl7.org/fhir">
  <id value="VAERSExampleImmunization"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-immunization"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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 "VAERSExampleImmunization" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-icsr-immunization.html">ICSR Immunization</a></p></div><p><b>AgeAtVaccination</b>: 12 years<span style="background: LightGoldenRodYellow"> (Details: UCUM code y = 'y')</span></p><p><b>status</b>: completed</p><p><b>vaccineCode</b>: 7046101903 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.0.0/CodeSystem-v3-ndc.html">National drug codes</a>#7046101903)</span></p><p><b>patient</b>: <a href="Patient-VAERSPatient.html">Patient/VAERSPatient</a> " LNAME"</p><p><b>occurrence</b>: 2017-04-23</p><p><b>primarySource</b>: false</p></div>
  </text>
  <extension
             url="http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-ext-ageatvaccination">
    <valueAge>
      <value value="12"/>
      <unit value="years"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="y"/>
    </valueAge>
  </extension>
  <status value="completed"/>
  <vaccineCode>
    <coding>
      <system value="http://hl7.org/fhir/sid/ndc"/>
      <code value="7046101903"/>
    </coding>
  </vaccineCode>
  <patient>
    <reference value="Patient/VAERSPatient"/>
  </patient>
  <occurrenceDateTime value="2017-04-23"/>
  <primarySource value="false"/>
</Immunization>