This page is part of the electronic Case Reporting (eCR) (v0.2.0: STU 1 Ballot 2) based on FHIR (HL7® FHIR® Standard) R3. The current version which supersedes this version is 2.1.2. For a full list of available versions, see the Directory of published versions
JSON Format: Composition-eicr-composition-zika
Raw json
{
"resourceType" : "Composition",
"id" : "eicr-composition-zika",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-composition"
]
},
"language" : "en-US",
"text" : {
"status" : "generated",
"div" : "<div xmlns="http://www.w3.org/1999/xhtml">
<table class="grid">
<tr>
<th>Id:</th>
<td>Id: eicr-composition-zika</td>
</tr>
<tr>
<th>Meta:</th>
<td>http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-composition</td>
</tr>
<tr>
<th>Language:</th>
<td>en-US</td>
</tr>
<tr>
<th>Date:</th>
<td>2018-01-02T22:13:23Z</td>
</tr>
<tr>
<th>Type:</th>
<td>
<span title="Code: 55751-2 Code system: http://loinc.org">Public Health Case Report</span>
</td>
</tr>
<tr>
<th>Title:</th>
<td>Initial Public Health Case Report</td>
</tr>
<tr>
<th>Status:</th>
<td>final</td>
</tr>
<tr>
<th>Subject:</th>
<td>
<a href="Patient-ecr-patient-eve-everywoman.html">Eve Everywoman</a>
</td>
</tr>
<tr>
<th>Author:</th>
<td>
<a href="Practitioner-ecr-practitioner-henry-seven.html">Henry Seven, MD</a>
</td>
</tr>
<tr>
<th>Encounter:</th>
<td>
<a href="Encounter-eicr-encounter-eve-everywoman-20180401.html">Ambulatory Office Visit, Apr 1, 2018, 10:00am</a>
</td>
</tr>
<tr>
<th>Section:</th>
<td>
<table class="grid">
<tr>
<th>Code:</th>
<td>
<span title="Code: 46240-8 Code system: http://loinc.org">Encounters</span>
</td>
</tr>
<tr>
<th>Text:</th>
<td><table>
<thead>
<tr>
<th>Encounter</th>
<th>Date(s)</th>
<th>Location</th>
</tr>
</thead>
<tbody>
<tr>
<td>Office outpatient visit 15 minutes</td>
<td>MAR 7, 2018</td>
<td>
<ul>
<li>Urgent Care Center</li>
</ul>
</td>
</tr>
<tr>
<td colspan="20">
<ul>
<li>
<table>
<thead>
<tr>
<th>Encounter Diagnosis Type</th>
</tr>
</thead>
<tbody>
<tr>
<td>Diagnosis</td>
</tr>
<tr>
<td colspan="20">
<ul>
<li>
<table>
<thead>
<tr>
<th>Initial Case Report Trigger Code Problem Observation </th>
<th>Problem</th>
<th>Trigger Code</th>
<th>Trigger Code codeSystem</th>
<th>RCTC OID</th>
<th>RCTC Version</th>
<th>Date(s)</th>
</tr>
</thead>
<tbody>
<tr>
<td>Diagnosis</td>
<td>Pertussis (disorder)</td>
<td>27836007</td>
<td>SNOMED CT</td>
<td>2.16.840.1.114222.4.11.7508</td>
<td>19/03/2018</td>
<td>MAR 7, 2018</td>
</tr>
</tbody>
</table>
<table>
<thead>
<tr>
<th>Encounter Diagnosis Type</th>
</tr>
</thead>
<tbody>
<tr>
<td>Diagnosis</td>
</tr>
<tr>
<td colspan="20">
<ul>
<li>
<table>
<thead>
<tr>
<th>Problem Type</th>
<th>Problem</th>
<th>Date(s)</th>
</tr>
</thead>
<tbody>
<tr>
<td>Diagnosis</td>
<td>A non-trigger code diagnosis (disorder)</td>
<td>MAR 7, 2018</td>
</tr>
</tbody>
</table>
</li>
</ul>
</td>
</tr>
</tbody>
</table>
</li>
</ul>
</td>
</tr>
</tbody>
</table>
</li>
</ul>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<th>Section:</th>
<td>
<table class="grid">
<tr>
<th>Code:</th>
<td>
<span title="Code: 10164-2 Code system: http://loinc.org">History of Present illness Narrative</span>
</td>
</tr>
<tr>
<th>Text:</th>
<td>generated</td>
</tr>
</table>
</td>
</tr>
<tr>
<th>Section:</th>
<td>
<table class="grid">
<tr>
<th>Code:</th>
<td>
<span title="Code: 29299-5 Code system: http://loinc.org">Reason for visit Narrative</span>
</td>
</tr>
<tr>
<th>Text:</th>
<td>generated</td>
</tr>
</table>
</td>
</tr>
<tr>
<th>Section:</th>
<td>
<table class="grid">
<tr>
<th>Title:</th>
<td>Social History Section</td>
</tr>
<tr>
<th>Code:</th>
<td>
<span title="Code: 29762-2 Code system: http://loinc.org">Social history Narrative</span>
</td>
</tr>
<tr>
<th>Text:</th>
<td>generated</td>
</tr>
<tr>
<th>Entry:</th>
<td>
<a href="Observation-eicr-travel-history-eve-everywoman-201801.html">eICR Travel History: Eve Everywoman 2018-01</a>
</td>
</tr>
<tr>
<th>Entry:</th>
<td>
<a href="Observation-eicr-pregnancy-status-eve-everywoman.html">eICR Pregnancy Status Example 1</a>
</td>
</tr>
<tr>
<th>Entry:</th>
<td>
<a href="Observation-eicr-occupation-history-eve-everywoman.html">eICR Occupation History: Eve Everywoman</a>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<th>Section:</th>
<td>
<table class="grid">
<tr>
<th>Title:</th>
<td>Problems Section</td>
</tr>
<tr>
<th>Code:</th>
<td>
<span title="Code: 11450-4 Code system: http://loinc.org">Problem list - Reported</span>
</td>
</tr>
<tr>
<th>Text:</th>
<td>generated</td>
</tr>
<tr>
<th>Entry:</th>
<td>
<a href="Condition-eicr-condition-eve-everywoman-common-cold.html">Common cold (disorder)</a>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<th>Section:</th>
<td>
<table class="grid">
<tr>
<th>Title:</th>
<td>Medications Administered Section</td>
</tr>
<tr>
<th>Code:</th>
<td>
<span title="Code: 29549-3 Code system: http://loinc.org">Medication administered Narrative</span>
</td>
</tr>
<tr>
<th>Text:</th>
<td>generated</td>
</tr>
<tr>
<th>Entry:</th>
<td>
<a href="MedicationStatement-us-core-medicationstatement-eve-everywoman-azithromycin.html">Azithromycin 500 MG Oral Tablet</a>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<th>Section:</th>
<td>
<table class="grid">
<tr>
<th>Title:</th>
<td>Results Section</td>
</tr>
<tr>
<th>Code:</th>
<td>
<span title="Code: 30954-2 Code system: http://loinc.org">Relevant diagnostic tests/laboratory data Narrative</span>
</td>
</tr>
<tr>
<th>Text:</th>
<td>generated</td>
</tr>
<tr>
<th>Entry:</th>
<td>
<a href="Observation-us-core-observation-results-eve-everywoman-lymphocytes.html">Lymphocytes [#/volume] in Blood by Automated count - Interpretation: High</a>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<th>Section:</th>
<td>
<table class="grid">
<tr>
<th>Title:</th>
<td>Plan of Treatment Section</td>
</tr>
<tr>
<th>Code:</th>
<td>
<span title="Code: 18776-5 Code system: http://loinc.org">Plan of Treatment</span>
</td>
</tr>
<tr>
<th>Text:</th>
<td>generated</td>
</tr>
<tr>
<th>Entry:</th>
<td>urn:oid:2.16.840.1.114222.4.11.750819/05/2018<a href="ProcedureRequest-eicr-procedurerequest-zika.html">Request for Zika virus envelope (E) gene [Presence] in Serum by Probe and target amplification method</a>
</td>
</tr>
</table>
</td>
</tr>
</table>
<!-- <table class="header_table" style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;">
<tbody>
<tr>
<td class="td_header_role_name"
style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;">
<span class="td_label">Document Title</span>
</td>
<td class="td_header_role_value">Initial Public Health Case Report</td>
</tr>
<tr>
<td class="td_header_role_name"
style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;">
<span class="td_label">Document Id</span>
</td>
<td class="td_header_role_value">id</td>
</tr>
<tr>
<td class="td_header_role_name"
style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;">
<span class="td_label">Document Created:</span>
</td>
<td class="td_header_role_value">November 6, 2017, 22:23, PST </td>
</tr>
</tbody>
</table>
<table class="header_table" style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;">
<tbody>
<tr>
<td class="td_header_role_name"
style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;">
<span class="td_label">Author</span>
</td>
<td class="td_header_role_value">Henry Seven, MD</td>
</tr>
</tbody>
</table>
<table class="header_table" style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;">
<tbody>
<tr>
<td class="td_header_role_name"
style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;">
<span class="td_label">Encounter Id</span>
</td>
<td class="td_header_role_value">eicr-encounter-eve-everywoman-20180401</td>
</tr>
<tr>
<td class="td_header_role_name"
style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;">
<span class="td_label">Event Type</span>
</td>
<td class="td_header_role_value">Ambulatory, Office Visit</td>
</tr>
<tr>
<td class="td_header_role_name"
style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;">
<span class="td_label">Event Date</span>
</td>
<td class="td_header_role_value">March 7, 2018 10:00:00 AM to Nov 7, 2015 10:15:00 AM</td>
</tr>
<tr>
<td class="td_header_role_name"
style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;">
<span class="td_label">Encounter Location</span>
</td>
<td class="td_header_role_value">Salem Medical Center, 4646 Brown Rd, Salem, MA 02368</td>
</tr>
</tbody>
</table> -->
</div>"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "55751-2",
"display" : "Public Health Case Report"
}
]
},
"subject" : {
"reference" : "Patient/ecr-patient-eve-everywoman",
"display" : "Eve Everywoman"
},
"encounter" : {
"reference" : "Encounter/eicr-encounter-eve-everywoman-20180401",
"display" : "Ambulatory Office Visit, Apr 1, 2018, 10:00am"
},
"date" : "2018-01-02T22:13:23Z",
"author" : [
{
"reference" : "Practitioner/ecr-practitioner-henry-seven",
"display" : "Henry Seven, MD"
}
],
"title" : "Initial Public Health Case Report",
"section" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "46240-8",
"display" : "Encounters"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<thead>
<tr>
<th>Encounter</th>
<th>Date(s)</th>
<th>Location</th>
</tr>
</thead>
<tbody>
<tr>
<td>Office outpatient visit 15 minutes</td>
<td>MAR 7, 2018</td>
<td>
<ul>
<li>Urgent Care Center</li>
</ul>
</td>
</tr>
<tr>
<td colspan="20">
<ul>
<li>
<table>
<thead>
<tr>
<th>Encounter Diagnosis Type</th>
</tr>
</thead>
<tbody>
<tr>
<td>Diagnosis</td>
</tr>
<tr>
<td colspan="20">
<ul>
<li>
<table>
<thead>
<tr>
<th>Initial Case Report Trigger Code Problem Observation </th>
<th>Problem</th>
<th>Trigger Code</th>
<th>Trigger Code codeSystem</th>
<th>RCTC OID</th>
<th>RCTC Version</th>
<th>Date(s)</th>
</tr>
</thead>
<tbody>
<tr>
<td>Diagnosis</td>
<td>Pertussis (disorder)</td>
<td>27836007</td>
<td>SNOMED CT</td>
<td>2.16.840.1.114222.4.11.7508</td>
<td>19/03/2018</td>
<td>MAR 7, 2018</td>
</tr>
</tbody>
</table>
<table>
<thead>
<tr>
<th>Encounter Diagnosis Type</th>
</tr>
</thead>
<tbody>
<tr>
<td>Diagnosis</td>
</tr>
<tr>
<td colspan="20">
<ul>
<li>
<table>
<thead>
<tr>
<th>Problem Type</th>
<th>Problem</th>
<th>Date(s)</th>
</tr>
</thead>
<tbody>
<tr>
<td>Diagnosis</td>
<td>A non-trigger code diagnosis (disorder)</td>
<td>MAR 7, 2018</td>
</tr>
</tbody>
</table>
</li>
</ul>
</td>
</tr>
</tbody>
</table>
</li>
</ul>
</td>
</tr>
</tbody>
</table>
</li>
</ul>
</td>
</tr>
</tbody>
</table>
</div>"
},
"entry" : [
{
"reference" : "Encounter/eicr-encounter-diagnosis-eve-everywoman-20180401",
"display" : "eICR Encounter Diagnosis: Eve Everywoman 20180401"
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10164-2",
"display" : "History of Present illness Narrative"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns="http://www.w3.org/1999/xhtml">Persistent Cough REPORTED starting on 2018/03/05<br/> Whooping Respiration not reported<br/> Paroxysms Of
Coughing REPORTED starting on 2018/03/06<br/> Post-tussive vomiting not reported<br/></div>"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29299-5",
"display" : "Reason for visit Narrative"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns="http://www.w3.org/1999/xhtml">Bad cough<br/></div>"
}
},
{
"title" : "Social History Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29762-2",
"display" : "Social history Narrative"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<thead>
<tr>
<th>Travel History: Date(s)</th>
<th>Location</th>
</tr>
</thead>
<tbody>
<tr>
<td>APR 29, 2016 to OCT 30, 2016</td>
<td>Nadi, Fiji</td>
</tr>
</tbody>
</table>
<table>
<thead>
<tr>
<th>Pregnancy Status</th>
<th>Date(s)</th>
</tr>
</thead>
<tbody>
<tr>
<td>Not Pregnant</td>
<td>JAN 1, 2016 to MAR 7, 2018</td>
</tr>
</tbody>
</table>
<table>
<thead>
<tr>
<th>Occupation</th>
<th>Date(s)</th>
</tr>
</thead>
<tbody>
<tr>
<td>Human Resource Manager</td>
<td>JAN 1, 2016 to NOV 7, 2018</td>
</tr>
</tbody>
</table>
</div>"
},
"entry" : [
{
"reference" : "Observation/eicr-travel-history-eve-everywoman-201801",
"display" : "eICR Travel History: Eve Everywoman 2018-01"
},
{
"reference" : "Observation/eicr-pregnancy-status-eve-everywoman",
"display" : "eICR Pregnancy Status Example 1"
},
{
"reference" : "Observation/eicr-occupation-history-eve-everywoman",
"display" : "eICR Occupation History: Eve Everywoman"
}
]
},
{
"title" : "Problems Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11450-4",
"display" : "Problem list - Reported"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<thead>
<tr>
<th>Condition</th>
<th>id</th>
<th>Trigger Condition</th>
<th>Condition Category</th>
<th>Condition Code/Code System</th>
<th>Date(s)</th>
<th>Asserter</th>
</tr>
</thead>
<tbody>
<tr>
<td>Common cold (disorder)</td>
<td>16</td>
<td>FALSE</td>
<td>Encounter Diagnosis</td>
<td>82272006 / SNOMED CT</td>
<td>MAR 6, 2018</td>
<td>Henry Seven, MD</td>
</tr>
</tbody>
</table>
</div>"
},
"entry" : [
{
"reference" : "Condition/eicr-condition-eve-everywoman-common-cold",
"display" : "Common cold (disorder)"
}
]
},
{
"title" : "Medications Administered Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29549-3",
"display" : "Medication administered Narrative"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<thead>
<tr>
<th>id</th>
<th>Medication</th>
<th>Dose</th>
<th>Duration</th>
<th>Route</th>
</tr>
</thead>
<tbody>
<tr>
<td>MedicationStatement-us-core-medicationstatement-eve-everywoman-azithromycin</td>
<td>Azithromycin 500 MG Oral Tablet</td>
<td>1 TAB</td>
<td>MAR 7, 2018 11:25</td>
<td>ORALLY</td>
</tr>
</tbody>
</table>
</div>"
},
"entry" : [
{
"reference" : "MedicationStatement/us-core-medicationstatement-eve-everywoman-azithromycin",
"display" : "Azithromycin 500 MG Oral Tablet"
}
]
},
{
"title" : "Results Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "30954-2",
"display" : "Relevant diagnostic tests/laboratory data Narrative"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Generated Narrative with Details</b>
</p>
<p><b>id</b>: us-core-observation-results-eve-everywoman-lymphocytes</p>
<p><b>meta</b>: </p>
<p><b>status</b>: final</p>
<p><b>category</b>: Laboratory <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/observation-category code 'laboratory' = 'Laboratory', given as 'Laboratory'})</span></p>
<p><b>code</b>: Lymphocytes [#/volume] in Blood by Automated count <span style="background: LightGoldenRodYellow">(Details : {LOINC code '731-0' = 'Lymphocytes [#/volume] in Blood by Automated count'})</span></p>
<p><b>trigger result</b>: FALSE</p>
<p><b>effective</b>: Mar 6, 2018</p>
<p><b>value</b>: 5.2 10*3/uL<span style="background: LightGoldenRodYellow"> (Details: UCUM code 10*3/uL')</span></p>
<p><b>interpretation</b>: High<span style="background: LightGoldenRodYellow"> (Details: http://hl7.org/fhir/v2/0078 code 'H' = 'High')</span></p>
<h3>ReferenceRanges</h3>
<table class="grid">
<tr>
<td>-</td>
<td>
<b>Low</b>
<b>High</b>
</td>
</tr>
<tr>
<td>*</td>
<td>1.0 10*3/uL<span style="background: LightGoldenRodYellow"> (Details: UCUM code 10*3/uL')</span></td>
<td>4.8 10*3/uL<span style="background: LightGoldenRodYellow"> (Details: UCUM code 10*3/uL')</span></td>
</tr>
</table>
</div>"
},
"entry" : [
{
"reference" : "Observation/us-core-observation-results-eve-everywoman-lymphocytes",
"display" : "Lymphocytes [#/volume] in Blood by Automated count - Interpretation: High"
}
]
},
{
"title" : "Plan of Treatment Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18776-5",
"display" : "Plan of Treatment"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns="http://www.w3.org/1999/xhtml">
<p><b>id</b>: 5</p>
<p><b>status</b>: completed</p>
<p><b>intent</b>: order</p>
<p><b>priority</b>: asap</p>
<p><b>category</b>: Diagnostics Procedure <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '103693007' = 'Diagnostic procedure', given as 'Diagnostic procedure (procedure)'})</span></p>
<p><b>code</b>: Zika RT-PCR <span style="background: LightGoldenRodYellow">(Details : {LOINC code '80825-3' = 'Zika virus envelope (E) gene [Presence] in Serum by Probe and target amplification method', given as 'Zika virus envelope (E) gene [Presence] in Serum by Probe and target amplification method'})</span></p>
<p><b>trigger lab order</b>: TRUE</p>
<p><b>trigger value set/version</b>: urn:oid:2.16.840.1.114222.4.11.7508 / 19/05/2018</p>
<p><b>performer</b>: <a href="Organization/acme-labs">Acme Labs</a></p>
</div>"
},
"entry" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/extension-eicr-trigger-code-flag",
"extension" : [
{
"url" : "triggerCodeValueSet",
"valueOid" : "urn:oid:2.16.840.1.114222.4.11.7508"
},
{
"url" : "triggerCodeValueSetVersion",
"valueString" : "19/05/2018"
}
]
}
],
"reference" : "ProcedureRequest/eicr-procedurerequest-zika",
"display" : "Request for Zika virus envelope (E) gene [Presence] in Serum by Probe and target amplification method"
}
]
}
]
}
