Gravitate Health FHIR Implementation Guide
0.1.0 - CI Build
Gravitate Health FHIR Implementation Guide
0.1.0 - CI Build
Gravitate Health FHIR Implementation Guide, published by Gravitate Health Project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/joofio/test-epi-composition/ and changes regularly. See the Directory of published versions
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>What is in this leaflet</p><ol type=\"1\"><li>What Shingrix is and what it is used for</li><li>What you need to know before you receive Shingrix</li><li>How Shingrix is given</li><li>Possible side effects</li><li>How to store Shingrix</li><li>Contents of the pack and other information</li></ol></div>"
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"title" : "1. What shingrix is and what it is used for",
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"text" : "1. What shingrix is and what it is used for"
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>What Shingrix is used for Shingrix is a vaccine that helps to protect adults against shingles (herpes zoster) and post-herpetic neuralgia (PHN), the long-lasting nerve pain that follows shingles.</p><p>Shingrix is given to:<br/>adults 50 years and above; adults 18 years and above who are at increased risk of shingles.</p><p>Shingrix cannot be used to prevent chickenpox (varicella).</p><p>What shingles is</p><ul><li>Shingles is a rash with blisters that is often painful. It usually occurs in one part of the body and can last for several weeks.</li><li>Shingles is caused by the same virus that causes chickenpox.</li><li>After you have had chickenpox, the virus that caused it stays in your body in nerve cells.</li><li>Sometimes, after many years, if your immune system (the body s natural defences) becomes weaker (due to age, an illness or a medicine you are taking), the virus can cause shingles.</li></ul><p>Complications related to shingles Shingles may lead to complications.<br/>The most common complication of shingles is:</p><ul><li>long-lasting nerve pain called post-herpetic neuralgia or PHN. After the shingles blisters heal, you may get pain which can last for months or years and may be severe. Other complications of shingles are:</li><li>scars where the blisters have been.</li><li>skin infections, weakness, muscle paralysis and loss of hearing or vision these are less common.</li></ul><p>How Shingrix works Shingrix reminds your body about the virus that causes shingles. This helps your immune system (the body s natural defences) stay prepared to fight the virus and protect you against shingles and its complications.</p></div>"
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"text" : "2. What you need to know before you take shingrix"
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>You must not be given Shingrix if</p><ul><li>you are allergic to the active substances or any of the other ingredients of this vaccine (listed in section 6). Signs of an allergic reaction may include itchy skin rash, shortness of breath and swelling of the face or tongue. You must not be given Shingrix if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist.</li></ul><p>Warnings and precautions Talk to your doctor or pharmacist before you receive Shingrix if:</p><ul><li>you have a severe infection with a high temperature (fever). In these cases, the vaccination may have to be postponed until you have recovered. A minor infection such as a cold should not be a problem, but talk to your doctor first;</li><li>you have a bleeding problem or bruise easily. If any of the above apply to you (or you are not sure), talk to your doctor or pharmacist before you receive Shingrix.</li></ul><p>Fainting can occur before or after any needle injection. Therefore tell the doctor or nurse if you fainted with a previous injection.</p><p>Shingrix cannot be used as a treatment if you already have shingles or shingles-related complications.</p><p>As with all vaccines, Shingrix may not fully protect all people who are vaccinated.</p><p>Talk to your doctor if you experience temporary inflammation of the nerves, causing pain, weakness, and paralysis (called Guillain-Barr syndrome) after receiving Shingrix. A slightly increased risk of Guillain-Barr syndrome (estimated 3 additional cases per million doses administered) has been reported in people aged 65 years and above after receiving Shingrix.</p><p>Other medicines and Shingrix Tell your doctor or pharmacist if you are taking or have recently taken or might take any other medicines, including medicines obtained without a prescription, or have recently received any other vaccine.</p><p>Shingrix can be given at the same time as other vaccines such as unadjuvanted inactivated seasonal influenza vaccine, 23-valent pneumococcal polysaccharide vaccine, 13-valent pneumococcal conjugate vaccine, reduced antigen diphtheria tetanus acellular pertussis vaccine, or COVID-mRNA vaccine. A different injection site will be used for each vaccine.</p><p>You may be more likely to experience fever and/or shivering when 23-valent pneumococcal polysaccharide vaccine is given at the same time as Shingrix.</p><p>You may be more likely to experience chills, tiredness, fever, stomach and digestive complaints (including nausea, vomiting, diarrhoea and/or stomach pain), headache, muscle pain, or joint pain when a COVID-19 mRNA vaccine is given at the same time as Shingrix.</p><p>Pregnancy and breast-feeding If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before you are given this vaccine.</p><p>Driving and using machines Some of the effects mentioned below in section 4 Possible side effects may temporarily affect the ability to drive or use machines. Do not drive or use machines if you are feeling unwell.</p><p>Shingrix contains sodium and potassium This medicine contains less than 1 mmol sodium (23 mg) per dose, that is to say essentially sodium-free .<br/>This medicine contains potassium, less than 1 mmol (39 mg) per dose, i.e. essentially potassium-free .</p></div>"
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"title" : "3. How to take shingrix",
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Shingrix is given as an injection into a muscle (usually in the upper arm).</li><li>You will receive 2 injections 2 months apart. If flexibility in the vaccination schedule is necessary, the second dose can be administered between 2 and 6 months after the first dose.<br/>Based on your medical condition, your doctor may also recommend that you receive the second injection 1 month after the first injection.</li><li>You will be informed when you should come back for the second dose of Shingrix.</li></ul><p>Make sure you finish the complete vaccination course. This will maximise the protection offered by Shingrix.</p><p>Shingrix can be given if you have already been vaccinated with a live attenuated herpes zoster vaccine. Speak to your doctor for more information.</p></div>"
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"title" : "4. Possible side effects",
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Like all medicines, this vaccine can cause side effects, although not everybody gets them.</p><p>Side effects reported during clinical trials and after marketing of Shingrix:</p><p>Very common (may occur with more than 1 in 10 doses of the vaccine):</p><ul><li>headache</li><li>stomach and digestive complaints (including nausea, vomiting, diarrhoea and/or stomach pain)</li><li>muscle pain (myalgia)</li><li>pain, redness and swelling where the injection is given</li><li>feeling tired</li><li>chills</li><li>fever</li></ul><p>Common (may occur with up to 1 in 10 doses of the vaccine):</p><ul><li>itching where the injection is given (pruritus)</li><li>generally feeling unwell</li></ul><p>Uncommon (may occur with up to 1 in 100 doses of vaccine)</p><ul><li>swollen glands in the neck, armpit or groin</li><li>joint pain</li></ul><p>Rare (may occur with up to 1 in 1 000 doses of the vaccine)</p><ul><li>allergic reactions including rash, hives (urticaria), swelling of the face, tongue or throat which may cause difficulty in swallowing or breathing (angioedema)</li></ul><p>Most of these side effects are mild to moderate in intensity and are not long-lasting.</p><p>Immunocompromised adults aged 18-49 years may experience more side effects compared to immunocompromised adults aged 50 years.</p><p>Adults aged 50-69 years may experience more side effects compared to adults aged 70 years.</p><p>Reporting of side effects If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the national reporting system listed in Appendix V. By reporting side effects you can help provide more information on the safety of this medicine.</p></div>"
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Keep this medicine out of the sight and reach of children. Do not use this medicine after the expiry date which is stated on the label and carton. The expiry date refers to the last day of that month.</p><p>Store in a refrigerator (2 C 8 C). Do not freeze. Store in the original package in order to protect from light.</p><p>Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.</p></div>"
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"title" : "6. Contents of the pack and other information",
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>What Shingrix contains</p><ul><li>The active substances are:</li></ul><p>After reconstitution, one dose (0.5 mL) contains:</p><p>Varicella Zoster Virus1 glycoprotein E antigen2</p><p>50 micrograms</p><p>1 Varicella Zoster Virus = VZV</p><p>2 adjuvanted with AS01B containing:</p><p>plant extract Quillaja saponaria Molina, fraction 21 (QS-21) 50 micrograms</p><p>3-O-desacyl-4 -monophosphoryl lipid A (MPL) from Salmonella minnesota</p><p>50 micrograms</p><p>The glycoprotein E is a protein present in the Varicella Zoster Virus. This protein is not infectious.</p><p>The adjuvant (AS01B) is used to improve the body s response to the vaccine.</p><ul><li>The other ingredients are:</li><li></li></ul><p>Powder: Sucrose, polysorbate 80 (E 433), sodium dihydrogen phosphate dihydrate (E 339), dipotassium phosphate (E 340). * Suspension: Dioleoyl phosphatidylcholine (E 322), cholesterol, sodium chloride, disodium phosphate anhydrous (E 339), potassium dihydrogen phosphate (E 340) and water for injections. See Section 2 Shingrix contains sodium and potassium .</p><p>What Shingrix looks like and contents of the pack</p><p>Powder and suspension for suspension for injection. The powder is white. The suspension is an opalescent, colourless to pale brownish liquid.</p><p>One pack of Shingrix consists of:</p><ul><li>Powder (antigen) for 1 dose in a vial</li><li>Suspension (adjuvant) for 1 dose in a vial</li></ul><p>Shingrix is available in a pack size of 1 vial of powder and 1 vial of suspension or in a pack size of vials of powder and 10 vials of suspension.</p><p>Not all pack sizes may be marketed</p><p>Marketing Authorisation Holder and Manufacturer</p><p>GlaxoSmithKline Biologicals s.a. Rue de l Institut B-1330 Rixensart Belgium</p><p>For any information about this medicine, please contact the local representative of the Marketing Authorisation Holder:</p><p>Belgi /Belgique/Belgien GlaxoSmithKline Pharmaceuticals s.a./n.v. T l/Tel: + 32 10 85 52 Lietuva GlaxoSmithKline Biologicals SA Tel: +370 80000<br/>GlaxoSmithKline Biologicals SA<br/>. +359 80018Luxembourg/Luxemburg GlaxoSmithKline Pharmaceuticals s.a./n.v. T l/Tel: + 32 10 85 52 esk republika GlaxoSmithKline s.r.o. Tel: + 420 2 22 00 11 <a href=\"mailto:cz.info@gsk.com\">cz.info@gsk.com</a></p><p>Magyarorsz g GlaxoSmithKline Biologicals SA Tel.: +36 80088Danmark GlaxoSmithKline Pharma A/S Tlf: + 45 36 35 91 <a href=\"mailto:dk-info@gsk.com\">dk-info@gsk.com</a></p><p>Malta GlaxoSmithKline Biologicals SA Tel: +356 80065Deutschland GlaxoSmithKline GmbH & Co. KG Tel: + 49 (0)89 <a href=\"mailto:360448produkt.info@gsk.com\">360448produkt.info@gsk.com</a></p><p>Nederland GlaxoSmithKline BV Tel: + 31 (0)33 2081Eesti GlaxoSmithKline Biologicals SA Tel: +372 8002Norge GlaxoSmithKline AS Tlf: + 47 22 70 20<br/>GlaxoSmithKline A.E.B.E T : + 30 210 68 82 sterreich GlaxoSmithKline Pharma GmbH Tel: + 43 (0)1 97075 0 <a href=\"mailto:at.info@gsk.com\">at.info@gsk.com</a></p><p>Espa a GlaxoSmithKline, S.A. Tel: + 34 900 202 <a href=\"mailto:es-ci@gsk.com\">es-ci@gsk.com</a></p><p>Polska GSK Services Sp. z o.o. Tel.: + 48 (22) 576 9France Laboratoire GlaxoSmithKline T l: + 33 (0) 1 39 17 84 <a href=\"mailto:diam@gsk.com\">diam@gsk.com</a></p><p>Hrvatska GlaxoSmithKline Biologicals SA Tel.: +385 800787Portugal GlaxoSmithKline - Produtos Farmac uticos, Lda. Tel: + 351 21 412 95 <a href=\"mailto:FI.PT@gsk.com\">FI.PT@gsk.com</a></p><p>Rom nia GlaxoSmithKline Biologicals SA Tel: +40 800672Ireland GlaxoSmithKline (Ireland) Ltd Tel: + 353 (0)1 495 5Slovenija GlaxoSmithKline Biologicals SA Tel: +386 80688 sland Vistor hf.<br/>S mi: +354 535 7Slovensk republika GlaxoSmithKline Biologicals SA Tel.: +421 800500Italia GlaxoSmithKline S.p.A. Tel: + 39 (0)45 7741 Suomi/Finland GlaxoSmithKline Oy Puh/Tel: + 358 10 30 30<br/>GlaxoSmithKline Biologicals SA : +357 80070Sverige GlaxoSmithKline AB Tel: + 46 (0)8 638 93 <a href=\"mailto:info.produkt@gsk.com\">info.produkt@gsk.com</a></p><p>Latvija GlaxoSmithKline Biologicals SA Tel: +371 80205United Kingdom (Northern Ireland) GlaxoSmithKline Biologicals SA Tel: +44(0)800 221 <a href=\"mailto:customercontactuk@gsk.com\">customercontactuk@gsk.com</a></p><p>This leaflet was last revised in</p><p>Other sources of information</p><p>Detailed information on this medicine is available on the European Medicines Agency web site:</p></div>"
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"part" : "nan",
"type" : {
"coding" : [
{
"system" : "https://spor.ema.europa.eu/lists/220000000000",
"code" : "220000000002",
"display" : "Invented name part"
}
]
}
},
{
"part" : "nan",
"type" : {
"coding" : [
{
"system" : "https://spor.ema.europa.eu/lists/220000000000",
"code" : "220000000003",
"display" : "Scientific name part"
}
]
}
},
{
"part" : "nan",
"type" : {
"coding" : [
{
"system" : "https://spor.ema.europa.eu/lists/220000000000",
"code" : "220000000004",
"display" : "Strength part"
}
]
}
},
{
"part" : "nan",
"type" : {
"coding" : [
{
"system" : "https://spor.ema.europa.eu/lists/220000000000",
"code" : "220000000005",
"display" : "Pharmaceutical dose form part"
}
]
}
}
],
"usage" : [
{
"country" : {
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "EU",
"display" : "EU"
}
]
},
"jurisdiction" : {
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "EU",
"display" : "EU"
}
]
},
"language" : {
"coding" : [
{
"system" : "urn:ietf:bcp:47",
"code" : "en",
"display" : "en"
}
]
}
}
]
}
]
}
}
]
}
IG © 2021+ Gravitate Health Project. Package hl7.eu.fhir.ghepi#0.1.0 based on FHIR 5.0.0. Generated 2024-10-14
Links: Table of Contents |
QA Report
The Gravitate Health project has received funding from the IMI 2 Joint Undertaking under grant agreement No 945334.
This joint undertaking receives support from the EU H2020 research and innovation programme and EFPIA.
