Integrated Campaign Registry (ICR) Implementation Guideunicef.fhir.icr · v0.1.0 · FHIR 4.0.1
Draft — this implementation guide is a working snapshot (v0.1.0) and its content may change without notice.
ExampleAdverseEvent

AEFI — anaphylaxis following MCV dose (serious)

Resource id
example-aefi-serious
Conforms to
ICRAdverseEvent

Resource content

{
  "resourceType": "AdverseEvent",
  "id": "example-aefi-serious",
  "meta": {
    "profile": [
      "https://fhir.icr.unicef.org/StructureDefinition/ICRAdverseEvent"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: AdverseEvent example-aefi-serious</b></p><a name=\"example-aefi-serious\"> </a><a name=\"hcexample-aefi-serious\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ICRAdverseEvent.html\">ICR Adverse Event</a></p></div><p><b>Record Origin</b>: campaign</p><p><b>Serious-Event Criteria</b>: <span title=\"Codes:{https://fhir.icr.unicef.org/CodeSystem/icr-serious-criteria-cs life-threatening}\">Life-threatening</span></p><p><b>Serious-Event Criteria</b>: <span title=\"Codes:{https://fhir.icr.unicef.org/CodeSystem/icr-serious-criteria-cs hospitalization}\">Requires/prolongs hospitalization</span></p><p><b>actuality</b>: Adverse Event</p><p><b>event</b>: <span title=\"Codes:\">Anaphylaxis shortly after measles-containing vaccine</span></p><p><b>subject</b>: <a href=\"Patient-example-child.html\">Aminata Kamara  Female, DoB: 2023-04-12 ( https://fhir.icr.unicef.org/identifiers/national-id#SL-2023-04-0099812)</a></p><p><b>date</b>: 2026-06-24</p><p><b>seriousness</b>: <span title=\"Codes:\">Serious</span></p><p><b>severity</b>: <span title=\"Codes:\">severe</span></p><blockquote><p><b>suspectEntity</b></p><p><b>instance</b>: <a href=\"Immunization-example-mcv-dose.html\">Immunization: extension = campaign,zero-dose; status = completed; vaccineCode = measles virus vaccine; occurrence[x] = 2026-06-24 09:40:00+0000; lotNumber = MRV-2026-0412</a></p><h3>Causalities</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Assessment</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{https://fhir.icr.unicef.org/CodeSystem/icr-adverse-event-causality-cs a-consistent}\">A — Consistent causal association</span></td></tr></table></blockquote></div>"
  },
  "extension": [
    {
      "url": "https://fhir.icr.unicef.org/StructureDefinition/record-origin",
      "valueCode": "campaign"
    },
    {
      "url": "https://fhir.icr.unicef.org/StructureDefinition/serious-criteria",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://fhir.icr.unicef.org/CodeSystem/icr-serious-criteria-cs",
            "code": "life-threatening",
            "display": "Life-threatening"
          }
        ]
      }
    },
    {
      "url": "https://fhir.icr.unicef.org/StructureDefinition/serious-criteria",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://fhir.icr.unicef.org/CodeSystem/icr-serious-criteria-cs",
            "code": "hospitalization",
            "display": "Requires/prolongs hospitalization"
          }
        ]
      }
    }
  ],
  "actuality": "actual",
  "event": {
    "text": "Anaphylaxis shortly after measles-containing vaccine"
  },
  "subject": {
    "reference": "Patient/example-child"
  },
  "date": "2026-06-24",
  "seriousness": {
    "text": "Serious"
  },
  "severity": {
    "text": "severe"
  },
  "suspectEntity": [
    {
      "instance": {
        "reference": "Immunization/example-mcv-dose"
      },
      "causality": [
        {
          "assessment": {
            "coding": [
              {
                "system": "https://fhir.icr.unicef.org/CodeSystem/icr-adverse-event-causality-cs",
                "code": "a-consistent",
                "display": "A — Consistent causal association"
              }
            ]
          }
        }
      ]
    }
  ]
}

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