FHIR IG analytics| Package | fhir.giis |
| Resource Type | QuestionnaireResponse |
| Id | QuestionnaireResponse-ExampleESAVIQuestionnaireResponse.json |
| FHIR Version | R4 |
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Note: links and images are rebased to the (stated) source
Generated Narrative: QuestionnaireResponse ExampleESAVIQuestionnaireResponse
version: 1; Last updated: 2022-03-30 14:07:04+0000;
Information Source: #0Emc5iUG1akh56hk
Profile: EsaviQuestionnaireResponse
| LinkID | Text | Definition | Answer |
|---|---|---|---|
  ExampleESAVIQuestionnaireResponse | Questionnaire:ESAVI Questionnaire for GIIS | ||
  datosIdVacunado | Demographic data of the vaccinated that has generated an ESAVI | ||
 datosPaciente | Vaccinated patient data | ||
 numeroCaso | UUID that identifies the case or notification. A person can have more than one notification. | f9a9a518-7b6f-472a-bf28-9aad7a8eeb22 | |
| idPaciente | UUID Identification of the person vaccinated/affected by ESAVI | 18333222 | |
| sexoPaciente | Patient's gender | AdministrativeGender: male (Male) | |
 fechaNacimiento | Patient's birthdate | 2000-11-11 | |
| antecedentesEnfermedadesPrevias | History of previous illnesses | ||
 descripcionEnfPrevia | Description of the previous health problems of the patient affected by the ESAVI with emphasis on comorbidities or diseases concomitant to the adverse event, previous similar events and medical events relevant to the current health event (if the disease is coded, it is the description corresponding to the code). | Migraine | |
| antecedentesFarmacosVacunas | Pharmacological Historys | ||
| datosVacunas | Data of the administered vaccines | ||
| nombreVacuna | Name of the vaccine administered | IPV | |
| codigoVacunaOtro | Vaccine code | Other Vaccine codes: 0 (Other) | |
| numeroDosisVacuna | Ordinal number of the administered dose | 1 | |
| datosVacunacion | Data related to the vaccination process | ||
| nombreVacunatorio | Vacunatory's name | Saint's George Hospital | |
| codigoVacunatorio | Code of the institution where the vaccine was administered | 12 | |
| tipoVacunacion | |||
| vaccinationEventCalendarId | Id of a GIIS calendarized vaccination event | 12342 | |
| vaccinationEventId | Id of a NON calendarized GIIS vaccination event | 231234 | |
| registroESAVI | ESAVI registry developed by the vaccinated | ||
| datosESAVI | Information on ESAVI and its classification according to severity | ||
| nombreESAVI | ESAVI name | Adverse Event codes: 4 (Fever) | |
| fechaESAVI | ESAVI start date referred by the patient or identified by the physician | 2020-12-23 | |
| descripcionESAVI | Narrative description of ESAVI | Post vaccination Anafilaxia | |
| estadoPacienteESAVI | Patient Status related to an AEFI codes: 2 (Following) | ||
| AEFIRecordCreatorID | 623515 | ||
| AEFIRecordCreatorName | Bob Dylan | ||
| gravedadESAVI | Determination of the severity status of ESAVI | ||
| tipoGravedad | Is the ESAVI Serious? | Adverse Event severity codes: 2 (Mild) | |
| Documentation for this format | |||
FHIR
FHIRsmith{
"resourceType": "QuestionnaireResponse",
"id": "ExampleESAVIQuestionnaireResponse",
"meta": {
"versionId": "1",
"lastUpdated": "2022-03-30T14:07:04.371+00:00",
"source": "#0Emc5iUG1akh56hk",
"profile": [
"https://paho.org/fhir/giis/StructureDefinition/EsaviQuestionnaireResponse"
]
},
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"identifier": {
"value": "f9a9a518-7b6f-472a-bf28-9aad7a8eeb22"
},
"questionnaire": "https://paho.org/fhir/giis/Questionnaire/ESAVIQuestionnaire",
"status": "completed",
"item": [
{
"linkId": "datosIdVacunado",
"text": "Demographic data of the vaccinated that has generated an ESAVI",
"item": [
{
"linkId": "datosPaciente",
"text": "Vaccinated patient data",
"item": [
{
"linkId": "numeroCaso",
"text": "UUID that identifies the case or notification. A person can have more than one notification.",
"answer": [
{
"valueString": "f9a9a518-7b6f-472a-bf28-9aad7a8eeb22"
}
]
},
{
"linkId": "idPaciente",
"text": "UUID Identification of the person vaccinated/affected by ESAVI",
"answer": [
{
"valueString": "18333222"
}
]
},
{
"linkId": "sexoPaciente",
"text": "Patient's gender",
"answer": [
{
"valueCoding": {
"system": "http://hl7.org/fhir/administrative-gender",
"code": "male"
}
}
]
},
{
"linkId": "fechaNacimiento",
"text": "Patient's birthdate",
"answer": [
{
"valueDate": "2000-11-11"
}
]
}
]
},
{
"linkId": "antecedentesEnfermedadesPrevias",
"text": "History of previous illnesses",
"item": [
{
"linkId": "descripcionEnfPrevia",
"text": "Description of the previous health problems of the patient affected by the ESAVI with emphasis on comorbidities or diseases concomitant to the adverse event, previous similar events and medical events relevant to the current health event (if the disease is coded, it is the description corresponding to the code).",
"answer": [
{
"valueString": "Migraine"
}
]
}
]
}
]
},
{
"linkId": "antecedentesFarmacosVacunas",
"text": "Pharmacological Historys",
"item": [
{
"linkId": "datosVacunas",
"text": "Data of the administered vaccines",
"item": [
{
"linkId": "nombreVacuna",
"text": "Name of the vaccine administered",
"answer": [
{
"valueString": "IPV"
}
]
},
{
"linkId": "codigoVacunaOtro",
"text": "Vaccine code",
"answer": [
{
"valueCoding": {
"system": "https://paho.org/fhir/giis/CodeSystem/OtherVaccineCS",
"code": "0"
}
}
]
},
{
"linkId": "numeroDosisVacuna",
"text": "Ordinal number of the administered dose",
"answer": [
{
"valueInteger": 1
}
]
}
]
},
{
"linkId": "datosVacunacion",
"text": "Data related to the vaccination process",
"item": [
{
"linkId": "nombreVacunatorio",
"text": "Vacunatory's name",
"answer": [
{
"valueString": "Saint's George Hospital"
}
]
},
{
"linkId": "codigoVacunatorio",
"text": "Code of the institution where the vaccine was administered",
"answer": [
{
"valueInteger": 12
}
]
}
]
}
]
},
{
"linkId": "tipoVacunacion",
"item": [
{
"linkId": "vaccinationEventCalendarId",
"text": "Id of a GIIS calendarized vaccination event",
"answer": [
{
"valueInteger": 12342
}
]
},
{
"linkId": "vaccinationEventId",
"text": "Id of a NON calendarized GIIS vaccination event",
"answer": [
{
"valueInteger": 231234
}
]
}
]
},
{
"linkId": "registroESAVI",
"text": "ESAVI registry developed by the vaccinated",
"item": [
{
"linkId": "datosESAVI",
"text": "Information on ESAVI and its classification according to severity",
"item": [
{
"linkId": "nombreESAVI",
"text": "ESAVI name",
"answer": [
{
"valueCoding": {
"system": "https://paho.org/fhir/giis/CodeSystem/AEFINameCS",
"code": "4",
"display": "Fever"
}
}
]
},
{
"linkId": "fechaESAVI",
"text": "ESAVI start date referred by the patient or identified by the physician",
"answer": [
{
"valueDate": "2020-12-23"
}
]
},
{
"linkId": "descripcionESAVI",
"text": "Narrative description of ESAVI",
"answer": [
{
"valueString": "Post vaccination Anafilaxia"
}
]
},
{
"linkId": "estadoPacienteESAVI",
"answer": [
{
"valueCoding": {
"system": "https://paho.org/fhir/giis/CodeSystem/AEFIPatientStatusCS",
"code": "2",
"display": "Following"
}
}
]
},
{
"linkId": "AEFIRecordCreatorID",
"answer": [
{
"valueInteger": 623515
}
]
},
{
"linkId": "AEFIRecordCreatorName",
"answer": [
{
"valueString": "Bob Dylan"
}
]
}
]
},
{
"linkId": "gravedadESAVI",
"text": "Determination of the severity status of ESAVI",
"item": [
{
"linkId": "tipoGravedad",
"text": "Is the ESAVI Serious?",
"answer": [
{
"valueCoding": {
"system": "https://paho.org/fhir/giis/CodeSystem/AEFISeverityCS",
"code": "2",
"display": "Mild"
}
}
]
}
]
}
]
}
]
}