electronic Case Reporting (eCR)

This page is part of the electronic Case Reporting (eCR) (v0.2.0: STU 1 Ballot 2) based on FHIR R3. The current version which supercedes this version is 2.1.0. For a full list of available versions, see the Directory of published versions

Composition: eicr-composition-zika

Id:

Id: eicr-composition-zika

Meta:

http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-composition

Language:

en-US

Date:

2018-01-02T22:13:23Z

Type:

Public Health Case Report

Title:

Initial Public Health Case Report

Status:

final

Subject:

Eve Everywoman

Author:

Henry Seven, MD

Encounter:

Ambulatory Office Visit, Apr 1, 2018, 10:00am

Section:

Code:

Encounters

Text:

Encounter

Date(s)

Location

Office outpatient visit 15 minutes

MAR 7, 2018

Urgent Care Center

Encounter Diagnosis Type

Diagnosis

Initial Case Report Trigger Code Problem Observation	Problem	Trigger Code	Trigger Code codeSystem	RCTC OID	RCTC Version	Date(s)
Diagnosis	Pertussis (disorder)	27836007	SNOMED CT	2.16.840.1.114222.4.11.7508	19/03/2018	MAR 7, 2018

Encounter Diagnosis Type

Diagnosis

Problem Type	Problem	Date(s)
Diagnosis	A non-trigger code diagnosis (disorder)	MAR 7, 2018

Section:

Code:

History of Present illness Narrative

Text:

generated

Section:

Code:

Reason for visit Narrative

Text:

generated

Section:

Title:

Social History Section

Code:

Social history Narrative

Text:

generated

Entry:

eICR Travel History: Eve Everywoman 2018-01

Entry:

eICR Pregnancy Status Example 1

Entry:

eICR Occupation History: Eve Everywoman

Section:

Title:

Problems Section

Code:

Problem list - Reported

Text:

generated

Entry:

Common cold (disorder)

Section:

Title:

Medications Administered Section

Code:

Medication administered Narrative

Text:

generated

Entry:

Azithromycin 500 MG Oral Tablet

Section:

Title:

Results Section

Code:

Relevant diagnostic tests/laboratory data Narrative

Text:

generated

Entry:

Lymphocytes [#/volume] in Blood by Automated count - Interpretation: High

Section:

Title:

Plan of Treatment Section

Code:

Plan of Treatment

Text:

generated

Entry:

urn:oid:2.16.840.1.114222.4.11.750819/05/2018Request for Zika virus envelope (E) gene [Presence] in Serum by Probe and target amplification method