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Packagehl7.fhir.us.icsr-ae-reporting
Resource TypeComposition
IdComposition-SampleVaccinationReport.json
FHIR VersionR4

Resources that use this resource

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Resources that this resource uses

No resources found


Narrative

Note: links and images are rebased to the (stated) source

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


Source1

{
  "resourceType": "Composition",
  "id": "SampleVaccinationReport",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-composition"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "extension": [
        {
          "url": "availableFlag",
          "valueBoolean": false
        }
      ],
      "url": "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-ext-additionaldocumentinformation"
    },
    {
      "extension": [
        {
          "url": "localCriteriaFlag",
          "valueBoolean": false
        },
        {
          "url": "localCriteriaReportType",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "urn:oid:2.16.840.1.113883.3.989.2.1.1.1003",
                "code": "C53578",
                "display": "Non-Expedited AE"
              }
            ]
          }
        }
      ],
      "url": "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-ext-expeditedreport"
    },
    {
      "url": "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-ext-firstsendertype",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "urn:oid:2.16.840.1.113883.3.989.2.1.1.3",
            "code": "2",
            "display": "Other"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-ext-combinationproductreport",
      "valueBoolean": false
    },
    {
      "url": "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-ext-firstreceivedate",
      "valueDateTime": "2020-02-10T17:18:00-05:00"
    },
    {
      "url": "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-ext-mostrecentdate",
      "valueDateTime": "2020-02-10T17:18:00-05:00"
    },
    {
      "url": "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-ext-caseidentifier",
      "valueIdentifier": {
        "system": "urn:oid:2.16.840.1.113883.3.989.2.1.3.2",
        "value": "US-IBM-aed059ac-ef25-6ded-cce2-a8912d6b76ee"
      }
    },
    {
      "url": "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-ext-previouscaseidentifier",
      "valueIdentifier": {
        "system": "urn:oid:2.16.840.1.113883.3.989.2.1.3.3",
        "value": "Other-case-identifier",
        "assigner": {
          "display": "Case identifier source name"
        }
      }
    },
    {
      "extension": [
        {
          "url": "amendmentType",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "urn:oid:2.16.840.1.113883.3.989.2.1.1.5",
                "code": "2"
              }
            ]
          }
        },
        {
          "url": "amendmentReason",
          "valueString": "Fixed some identifiers"
        }
      ],
      "url": "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-ext-reportamendment"
    }
  ],
  "identifier": {
    "system": "urn:oid:2.16.840.1.113883.3.989.2.1.3.1",
    "value": "US-IBM-94209fd1-9b0e-1adc-007a-4f5cecb8ce6a"
  },
  "status": "final",
  "type": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "85893-6",
        "display": "Adverse event note"
      }
    ]
  },
  "category": [
    {
      "coding": [
        {
          "system": "urn:oid:2.16.840.1.113883.3.989.2.1.1.2",
          "code": "1",
          "display": "Spontaneous report"
        }
      ]
    }
  ],
  "subject": {
    "reference": "Patient/SampleICSRPatient"
  },
  "date": "2020-02-10T17:18:00-05:00",
  "author": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-ext-authorprimarysource",
          "valueBoolean": true
        }
      ],
      "reference": "PractitionerRole/SampleAuthorRole"
    }
  ],
  "title": "ICSR Submission",
  "section": [
    {
      "title": "Reaction/Event",
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/us/icsr-ae-reporting/CodeSystem/ICSRSectionCodeCS",
            "code": "ReactionEvent"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">No events</div>"
      }
    },
    {
      "title": "Drug Information",
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/us/icsr-ae-reporting/CodeSystem/ICSRSectionCodeCS",
            "code": "DrugInformation"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">No drugs taken</div>"
      }
    },
    {
      "title": "Case Summary Narrative",
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/us/icsr-ae-reporting/CodeSystem/ICSRSectionCodeCS",
            "code": "CaseSummaryNarrative"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div>No adverse event happened. Not sure why I'm sending this report.</div><div lang=\"fr\">il n'y a eu aucun événement indésirable</div></div>"
      }
    }
  ]
}