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 
XML Format: StructureDefinition-rr-communication
Raw xml
<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="rr-communication"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/STU3/help16.png" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication" title="This Reportability Response Communication will be created in response to an electronic Initial Case Report Composition and the sharing of the Reportability Response with clinical care will serve several functions, including to: - Communicate the reportability status, for the responsible PHA(s)of each condition included in the electronic Initial Case Report (eICR) - Identify who (a PHA or an intermediary) prepared the Reportability Response - Indicate whether the eICR has been sent to one or more PHA(s) - Identify which PHA(s) has/have been sent the eICR - Provide contact information for the responsible PHA(s) - Provide suggested or required clinical follow-up activities from the responsible PHA(s), including any additional reporting needs or infection control activities - Provide access to clinical support resources suggested by the responsible PHA(s) for identified reportable conditions - Confirm eICR receipt and processing A Reportability Response will also, when requested, be shared with the responsible PHAs (when they have not constructed it) for their internal use, so they understand what has been shared with clinical care and, and to monitor/audit decision support algorithm effectivesness and implementation. When a condition is considered reportable to more than one PHA, the Reportability Response can be helpful in communicating reporting that has been done to other PHAs. The Reportability Response Communication is also structured to allow: - Notification, alerting, routing and queueing in work or message management systems for healthcare personnel - Dynamic and static URIs for supplemental data collection and the provision of information resources">Communication</a><a name="Communication"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Reportability Response Communication</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.text" title="The narrative structure of a Reportability Response Comminication can take two different forms, depending on the processing status of the eICR Composition document to which it is a response. These forms are as follows: - If the eICR was processed, then the narrative text will be populated with data from Communication.topic, Communication.payload[Reportability Response Summary], Communication.payload[Relevant Reportable Condition], and Communication.payload[Electronic Initial Case Report Information] - If the eICR was not processed and has errors, then the narrative text will only be populated with data from Communication.payload[Electronic Initial Case Report Information]">text</a><a name="Communication.text"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span><span style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element has or is affected by some invariants">I</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#Narrative">Narrative</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">nar-1: </span>Text narrative SHOULD conform to requirements laid out on the Narrative Guidance tab</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.extension" title="null">extension</a><a name="Communication.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.extension:reportabilityResponsePriority" title="Extension URL = http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-priority">extension-rr-priority</a><a name="Communication.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Reportability Response Priority<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/STU3/StructureDefinition-extension-rr-priority.html">http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-priority</a><br/><span style="font-weight:bold">Binding: </span><a href="ValueSet-reportability-priority-ecr.html">Reportability Priority (eCR)</a> (<a href="http://hl7.org/fhir/STU3/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.">extensible</a>)</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.identifier" title="null">identifier</a><a name="Communication.identifier"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Example General': </span><span style="color: darkgreen">{"system":"http://acme.org/identifiers","value":"RR12346"}</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.category" title="null">category</a><a name="Communication.category"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">{"coding":[{"system":"http://loinc.org","code":"88085-6","display":"Reportability Response Report Public Health"}]}</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.subject" title="null">subject</a><a name="Communication.subject"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="StructureDefinition-ecr-patient.html">eCR Patient</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Patient<br/><span style="font-weight:bold">Example General': </span><span style="color: darkgreen">{"reference":"Patient/ecr-patient-eve-everywoman","display":"Eve Everywoman"}</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.recipient" title="null">recipient</a><a name="Communication.recipient"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="http://hl7.org/fhir/STU3/organization.html">Organization</a> | <a href="http://hl7.org/fhir/STU3/practitioner.html">Practitioner</a> | <a href="http://hl7.org/fhir/STU3/practitionerrole.html">PractitionerRole</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Example General': </span><span style="color: darkgreen">{"reference":"PractitionerRole/ecr-practitionerrole-henry-seven","display":"Henry Seven, MD"}</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.topic" title="Contains a short high-level description of the determination of reportability. This information can be used to route and prioritize Reportability Responses in a work queue or an email subject.">topic</a><a name="Communication.topic"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/resource.html">Resource</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Reportability Response Subject</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <span style="text-decoration:line-through" title="null">reference</span><a name="Communication.topic.reference"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="text-decoration:line-through"/><span style="text-decoration:line-through">0</span><span style="text-decoration:line-through">..</span><span style="text-decoration:line-through">0</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <span style="text-decoration:line-through" title="null">identifier</span><a name="Communication.topic.identifier"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="text-decoration:line-through"/><span style="text-decoration:line-through">0</span><span style="text-decoration:line-through">..</span><span style="text-decoration:line-through">0</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.topic.display" title="Contains a short high-level description of the determination of reportability.">display</a><a name="Communication.topic.display"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Reportability Response Subject text<br/><span style="font-weight:bold">Example General': </span><span style="color: darkgreen">Public Health Reporting Communication: one or more conditions are reportable, or may be reportable to public health.</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.context" title="The encounter in which the eICR was triggered.">context</a><a name="Communication.context"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="StructureDefinition-eicr-encounter.html">eICR Encounter</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">eICR Encounter</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.sent" title="null">sent</a><a name="Communication.sent"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.sender" title="For the Reportability Response communication, this will most likely be the software that is generating the response, though this will not always the be case.">sender</a><a name="Communication.sender"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="http://hl7.org/fhir/STU3/organization.html">Organization</a> | <a href="http://hl7.org/fhir/STU3/practitioner.html">Practitioner</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Author</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: white; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="StructureDefinition-rr-communication-definitions.html#Communication.payload" title="null">payload</a><a name="Communication.payload"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4; font-style: italic" href="http://hl7.org/fhir/STU3/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by value:id</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck15.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.payload:sliceReportabilityResponseSummary" title="Slice sliceReportabilityResponseSummary: This payload slice is present in the Reportabilty Response if the eICR was processed and is not present if the eICR was not processed. Contains a detailed text description of the reportable condition(s) including actions the provider needs to take, any supplemental information that may be required, and where the initial case report was sent.">payload</a><a name="Communication.payload"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Reportability Response Summary</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck150.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.payload:sliceReportabilityResponseSummary.id" title="null">id</a><a name="Communication.payload.id"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">reportability-response-summary</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck144.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.payload:sliceReportabilityResponseSummary.contentString:contentString" title="Slice contentString: Contains a detailed text description of the reportable condition(s) including actions the provider needs to take, any supplemental information that may be required, and where the initial case report was sent.">contentString</a><a name="Communication.payload.contentString"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Reportability Response Summary text<br/><span style="font-weight:bold">Example General': </span><span style="color: darkgreen">Your organization electronically submitted an initial case report to determine if reporting to public health is needed for a patient. "Zika virus disease (disorder)" is reportable to "State Department of Health". An initial case report was sent to "State Department of Health". Additional information may be required for this report.</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck15.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.payload:sliceRelevantReportableCondition" title="Slice sliceRelevantReportableCondition: This payload slice is present in the Reportabilty Response if the eICR was processed and is not present if the eICR was not processed. It contains a Reportability Response PlanDefinition and repeats for each uniqe condition-PHA pair.">payload</a><a name="Communication.payload"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Relevant Reportable Condition</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck150.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.payload:sliceRelevantReportableCondition.id" title="null">id</a><a name="Communication.payload.id"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">relevant-reportable-condition</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck144.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.payload:sliceRelevantReportableCondition.contentReference:contentReference" title="Slice contentReference: null">contentReference</a><a name="Communication.payload.contentReference"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="StructureDefinition-rr-relevant-reportable-condition-plandefinition.html">Relevant Reportable Condition PlanDefinition</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck05.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.payload:sliceEICRInformation" title="Slice sliceEICRInformation: This payload contains information about the eICR Composition to which this Communication is a response. The date/time of receipt and a document reference are represented in the referenced Electronic Initial Case Report Composition Profile and the processing status of the eICR Composition is contained in the eICR Processing Status profile. If the eICR Composition was manually initiated by a healthcare provider, this is indicated by the presence of the Manually Initiated eICR extension. This payload is always present in the Reportability Response Communication. The text element (narrative block) in this section is only populated and displayed when the eICR CDA document was not processed (eICR Processing Status/code="RRVS22", "eICR was not processed – error") and that text element contains the eICR processing status reason(s). ">payload</a><a name="Communication.payload"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Electronic Initial Case Report Information</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck050.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.payload:sliceEICRInformation.id" title="null">id</a><a name="Communication.payload.id"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">eicr-information</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck052.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.payload:sliceEICRInformation.extension" title="null">extension</a><a name="Communication.payload.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck055.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_complex.png" alt="." style="background-color: white; background-color: inherit" title="Complex Extension" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.payload:sliceEICRInformation.extension:eICRProcessingStatus" title="Extension URL = http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-eicr-processing-status">extension-rr-eicr-processing-status</a><a name="Communication.payload.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">(Complex)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">eICR Processing Status<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/STU3/StructureDefinition-extension-rr-eicr-processing-status.html">http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-eicr-processing-status</a></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0550.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.payload:sliceEICRInformation.extension:eICRProcessingStatus.id" title="null">id</a><a name="Communication.payload.extension.id"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">eicr-processing-status</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0540.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.payload:sliceEICRInformation.extension:eICRProcessingStatus.url" title="null">url</a><a name="Communication.payload.extension.url"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#uri">uri</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="color: darkgreen; opacity: 0.4">"http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-eicr-processing-status"</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck055.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.payload:sliceEICRInformation.extension:manuallyInitiatedEICR" title="Extension URL = http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-manually-initiated-eicr">extension-rr-manually-initiated-eicr</a><a name="Communication.payload.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Manually Initiated eICR<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/STU3/StructureDefinition-extension-rr-manually-initiated-eicr.html">http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-manually-initiated-eicr</a></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0550.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.payload:sliceEICRInformation.extension:manuallyInitiatedEICR.id" title="null">id</a><a name="Communication.payload.extension.id"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">manually-initiated-eicr</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0540.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.payload:sliceEICRInformation.extension:manuallyInitiatedEICR.url" title="null">url</a><a name="Communication.payload.extension.url"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#uri">uri</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="color: darkgreen; opacity: 0.4">"http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-manually-initiated-eicr"</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck054.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.payload:sliceEICRInformation.extension:extensionEICRReceiptTime" title="Extension URL = http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-eicr-receipt-time">extension-rr-eicr-receipt-time</a><a name="Communication.payload.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Date and time of eICR receipt<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/STU3/StructureDefinition-extension-rr-eicr-receipt-time.html">http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-eicr-receipt-time</a></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck045.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.payload:sliceEICRInformation.contentReference:contentReference" title="Slice contentReference: null">contentReference</a><a name="Communication.payload.contentReference"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="StructureDefinition-eicr-composition.html">Electronic Initial Case Report Composition</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Reference to eICR Composition</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0450.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.payload:sliceEICRInformation.contentReference:contentReference.reference" title="null">reference</a><a name="Communication.payload.contentReference.reference"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0450.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.payload:sliceEICRInformation.contentReference:contentReference.identifier" title="null">identifier</a><a name="Communication.payload.contentReference.identifier"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">eICR Composition id</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0440.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.payload:sliceEICRInformation.contentReference:contentReference.display" title="The filename (or other identifying string) is recommended primarily for dealing with eICR error cases. In the case where an eICR document is unreadable for some reason, it is possible that the only identifying information is the eICR filename (or other identifying string).">display</a><a name="Communication.payload.contentReference.display"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">eICR filename (or other identifying string)<br/><span style="font-weight:bold">Example General': </span><span style="color: darkgreen">eicr-composition-zika.xml</span></td></tr> <tr><td colspan="5" class="hierarchy"><br/><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/STU3/help16.png" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div> </text> <url value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-communication"/> <version value="0.2.0"/> <name value="rr-communication"/> <title value="Reportability Response Communication"/> <status value="draft"/> <date value="2018-08-21T15:50:01+10:00"/> <description value="This Reportability Response Communication will be created in response to an electronic Initial Case Report Composition and the sharing of the Reportability Response with clinical care will serve several functions, including to: - Communicate the reportability status, for the responsible PHA(s)of each condition included in the electronic Initial Case Report (eICR) - Identify who (a PHA or an intermediary) prepared the Reportability Response - Indicate whether the eICR has been sent to one or more PHA(s) - Identify which PHA(s) has/have been sent the eICR - Provide contact information for the responsible PHA(s) - Provide suggested or required clinical follow-up activities from the responsible PHA(s), including any additional reporting needs or infection control activities - Provide access to clinical support resources suggested by the responsible PHA(s) for identified reportable conditions - Confirm eICR receipt and processing A Reportability Response will also, when requested, be shared with the responsible PHAs (when they have not constructed it) for their internal use, so they understand what has been shared with clinical care and, and to monitor/audit decision support algorithm effectivesness and implementation. When a condition is considered reportable to more than one PHA, the Reportability Response can be helpful in communicating reporting that has been done to other PHAs. The Reportability Response Communication is also structured to allow: - Notification, alerting, routing and queueing in work or message management systems for healthcare personnel - Dynamic and static URIs for supplemental data collection and the provision of information resources"/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="US"/> <display value="United States of America"/> </coding> </jurisdiction> <fhirVersion value="3.0.1"/> <mapping> <identity value="workflow"/> <uri value="http://hl7.org/fhir/workflow"/> <name value="Workflow Mapping"/> </mapping> <mapping> <identity value="w5"/> <uri value="http://hl7.org/fhir/w5"/> <name value="W5 Mapping"/> </mapping> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <kind value="resource"/> <abstract value="false"/> <type value="Communication"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Communication"/> <derivation value="constraint"/> <snapshot> <element id="Communication"> <path value="Communication"/> <short value="Reportability Response Communication"/> <definition value="This Reportability Response Communication will be created in response to an electronic Initial Case Report Composition and the sharing of the Reportability Response with clinical care will serve several functions, including to: - Communicate the reportability status, for the responsible PHA(s)of each condition included in the electronic Initial Case Report (eICR) - Identify who (a PHA or an intermediary) prepared the Reportability Response - Indicate whether the eICR has been sent to one or more PHA(s) - Identify which PHA(s) has/have been sent the eICR - Provide contact information for the responsible PHA(s) - Provide suggested or required clinical follow-up activities from the responsible PHA(s), including any additional reporting needs or infection control activities - Provide access to clinical support resources suggested by the responsible PHA(s) for identified reportable conditions - Confirm eICR receipt and processing A Reportability Response will also, when requested, be shared with the responsible PHAs (when they have not constructed it) for their internal use, so they understand what has been shared with clinical care and, and to monitor/audit decision support algorithm effectivesness and implementation. When a condition is considered reportable to more than one PHA, the Reportability Response can be helpful in communicating reporting that has been done to other PHAs. The Reportability Response Communication is also structured to allow: - Notification, alerting, routing and queueing in work or message management systems for healthcare personnel - Dynamic and static URIs for supplemental data collection and the provision of information resources"/> <min value="0"/> <max value="*"/> <base> <path value="Communication"/> <min value="0"/> <max value="*"/> </base> <constraint> <key value="dom-2"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> <expression value="contained.contained.empty()"/> <xpath value="not(parent::f:contained and f:contained)"/> <source value="DomainResource"/> </constraint> <constraint> <key value="dom-1"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/> <expression value="contained.text.empty()"/> <xpath value="not(parent::f:contained and f:text)"/> <source value="DomainResource"/> </constraint> <constraint> <key value="dom-4"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> <source value="DomainResource"/> </constraint> <constraint> <key value="dom-3"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource"/> <expression value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()"/> <xpath value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))"/> <source value="DomainResource"/> </constraint> <constraint> <key value="com-1"/> <severity value="error"/> <human value="Not Done Reason can only be specified if NotDone is "true""/> <expression value="notDone or notDoneReason.exists().not()"/> <xpath value="f:notDone/@value=true() or not(exists(f:notDoneReason))"/> <source value="Communication"/> </constraint> <mustSupport value="true"/> <mapping> <identity value="rim"/> <map value="Entity. Role, or Act"/> </mapping> <mapping> <identity value="workflow"/> <map value="Event"/> </mapping> <mapping> <identity value="w5"/> <map value="workflow.encounter"/> </mapping> <mapping> <identity value="cda-rr"/> <map value="Reportability Response Document (RR)"/> </mapping> </element> <element id="Communication.id"> <path value="Communication.id"/> <short value="Logical id of this artifact"/> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/> <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="id"/> </type> <isSummary value="true"/> </element> <element id="Communication.meta"> <path value="Communication.meta"/> <short value="Metadata about the resource"/> <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.meta"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Meta"/> </type> <isSummary value="true"/> </element> <element id="Communication.implicitRules"> <path value="Communication.implicitRules"/> <short value="A set of rules under which this content was created"/> <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/> <comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.implicitRules"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <isModifier value="true"/> <isSummary value="true"/> </element> <element id="Communication.language"> <path value="Communication.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/> <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.language"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueReference> <reference value="http://hl7.org/fhir/ValueSet/all-languages"/> </valueReference> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true"/> </extension> <strength value="extensible"/> <description value="A human language."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/languages"/> </valueSetReference> </binding> </element> <element id="Communication.text"> <path value="Communication.text"/> <short value="Text summary of the resource, for human interpretation"/> <definition value="The narrative structure of a Reportability Response Comminication can take two different forms, depending on the processing status of the eICR Composition document to which it is a response. These forms are as follows: - If the eICR was processed, then the narrative text will be populated with data from Communication.topic, Communication.payload[Reportability Response Summary], Communication.payload[Relevant Reportable Condition], and Communication.payload[Electronic Initial Case Report Information] - If the eICR was not processed and has errors, then the narrative text will only be populated with data from Communication.payload[Electronic Initial Case Report Information]"/> <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later."/> <alias value="narrative"/> <alias value="html"/> <alias value="xhtml"/> <alias value="display"/> <min value="1"/> <max value="1"/> <base> <path value="DomainResource.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <condition value="dom-1"/> <constraint> <key value="nar-1"/> <severity value="error"/> <human value="Text narrative SHOULD conform to requirements laid out on the Narrative Guidance tab"/> <expression value="not(tested)"/> </constraint> <mustSupport value="true"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="Communication.contained"> <path value="Communication.contained"/> <short value="Contained, inline Resources"/> <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/> <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."/> <alias value="inline resources"/> <alias value="anonymous resources"/> <alias value="contained resources"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.contained"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Resource"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.extension"> <path value="Communication.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="Communication.extension:reportabilityResponsePriority"> <path value="Communication.extension"/> <sliceName value="reportabilityResponsePriority"/> <short value="Reportability Response Priority"/> <definition value="Rrepresents a priority for the reportability response communication overall. It has been calculated from the highest priority of any included External Resources or the highest priority of included conditions based on a separate, jurisdictionally developed priority list. This “communication”-level priority should be used for EHR workflow including notification, alerting, routing and queueing."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-priority"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> </element> <element id="Communication.modifierExtension"> <path value="Communication.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.identifier"> <path value="Communication.identifier"/> <short value="Unique identifier"/> <definition value="Identifiers associated with this Communication that are defined by business processes and/ or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation)."/> <min value="1"/> <max value="1"/> <base> <path value="Communication.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <example> <label value="General"/> <valueIdentifier> <system value="http://acme.org/identifiers"/> <value value="RR12346"/> </valueIdentifier> </example> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.identifier"/> </mapping> <mapping> <identity value="w5"/> <map value="id"/> </mapping> <mapping> <identity value="cda-rr"/> <map value="Reportability Response Document (RR)/id"/> </mapping> </element> <element id="Communication.definition"> <path value="Communication.definition"/> <short value="Instantiates protocol or definition"/> <definition value="A protocol, guideline, or other definition that was adhered to in whole or in part by this communication event."/> <min value="0"/> <max value="*"/> <base> <path value="Communication.definition"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PlanDefinition"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ActivityDefinition"/> </type> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.definition"/> </mapping> </element> <element id="Communication.basedOn"> <path value="Communication.basedOn"/> <short value="Request fulfilled by this communication"/> <definition value="An order, proposal or plan fulfilled in whole or in part by this Communication."/> <comment value="This must point to some sort of a 'Request' resource, such as CarePlan, CommunicationRequest, ReferralRequest, MedicationRequest, etc."/> <alias value="fulfills"/> <min value="0"/> <max value="*"/> <base> <path value="Communication.basedOn"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.basedOn"/> </mapping> </element> <element id="Communication.partOf"> <path value="Communication.partOf"/> <short value="Part of this action"/> <definition value="Part of this action."/> <alias value="container"/> <min value="0"/> <max value="*"/> <base> <path value="Communication.partOf"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.partOf"/> </mapping> </element> <element id="Communication.status"> <path value="Communication.status"/> <short value="preparation | in-progress | suspended | aborted | completed | entered-in-error"/> <definition value="The status of the transmission."/> <comment value="This element is labeled as a modifier because the status contains the codes aborted and entered-in-error that mark the communication as not currently valid."/> <min value="1"/> <max value="1"/> <base> <path value="Communication.status"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <isModifier value="true"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="CommunicationStatus"/> </extension> <strength value="required"/> <description value="The status of the communication."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/event-status"/> </valueSetReference> </binding> <mapping> <identity value="workflow"/> <map value="Event.status"/> </mapping> <mapping> <identity value="w5"/> <map value="status"/> </mapping> </element> <element id="Communication.notDone"> <path value="Communication.notDone"/> <short value="Communication did not occur"/> <definition value="If true, indicates that the described communication event did not actually occur."/> <comment value="This element is labeled as a modifier because it marks the communication as a communication that did not occur. The more attributes are populated, the more constrained the negated statement is."/> <requirements value="Creating a Communication where notDone is true is intended for situations where there's a need for a specific statement in the record about something not being done. If the need is merely to indicate that a request wasn't fulfilled, that should be handled using Task."/> <min value="0"/> <max value="1"/> <base> <path value="Communication.notDone"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.notDone"/> </mapping> </element> <element id="Communication.notDoneReason"> <path value="Communication.notDoneReason"/> <short value="Why communication did not occur"/> <definition value="Describes why the communication event did not occur in coded and/or textual form."/> <min value="0"/> <max value="1"/> <base> <path value="Communication.notDoneReason"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="com-1"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="CommunicationNotDoneReason"/> </extension> <strength value="example"/> <description value="Codes for the reason why a communication was not done."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/communication-not-done-reason"/> </valueSetReference> </binding> <mapping> <identity value="workflow"/> <map value="Event.notDoneReason"/> </mapping> </element> <element id="Communication.category"> <path value="Communication.category"/> <short value="Message category"/> <definition value="The type of message conveyed such as alert, notification, reminder, instruction, etc."/> <comment value="There may be multiple axes of categorization and one communication may serve multiple purposes."/> <min value="1"/> <max value="1"/> <base> <path value="Communication.category"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <patternCodeableConcept> <coding> <system value="http://loinc.org"/> <code value="88085-6"/> <display value="Reportability Response Report Public Health"/> </coding> </patternCodeableConcept> <mustSupport value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="CommunicationCategory"/> </extension> <strength value="example"/> <description value="Codes for general categories of communications such as alerts, instruction, etc."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/communication-category"/> </valueSetReference> </binding> <mapping> <identity value="workflow"/> <map value="Event.code"/> </mapping> <mapping> <identity value="w5"/> <map value="class"/> </mapping> <mapping> <identity value="cda-rr"/> <map value="Reportability Response/code"/> </mapping> </element> <element id="Communication.medium"> <path value="Communication.medium"/> <short value="A channel of communication"/> <definition value="A channel that was used for this communication (e.g. email, fax)."/> <min value="0"/> <max value="*"/> <base> <path value="Communication.medium"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="CommunicationMedium"/> </extension> <strength value="example"/> <description value="Codes for communication mediums such as phone, fax, email, in person, etc."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/v3-ParticipationMode"/> </valueSetReference> </binding> </element> <element id="Communication.subject"> <path value="Communication.subject"/> <short value="Patient"/> <definition value="The patient or group that was the focus of this communication."/> <alias value="patient"/> <min value="1"/> <max value="1"/> <base> <path value="Communication.subject"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/ecr/StructureDefinition/ecr-patient"/> </type> <example> <label value="General"/> <valueReference> <reference value="Patient/ecr-patient-eve-everywoman"/> <display value="Eve Everywoman"/> </valueReference> </example> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.subject"/> </mapping> <mapping> <identity value="w5"/> <map value="who.focus"/> </mapping> </element> <element id="Communication.recipient"> <path value="Communication.recipient"/> <short value="Message recipient"/> <definition value="The entity (e.g. person, organization, clinical information system, or device) which was the target of the communication. If receipts need to be tracked by individual, a separate resource instance will need to be created for each recipient. Multiple recipient communications are intended where either a receipt(s) is not tracked (e.g. a mass mail-out) or is captured in aggregate (all emails confirmed received by a particular time)."/> <comment value="Reporting may be identified for multiple PHAs by the PHA system (or its intermediary) (because the patient&#39;s residence and the provider location are in separate jurisdictions) including other identified organization (such as an HIE) to which the eICR (if deemed reportable) and/or the Reportability Response will be routed."/> <min value="1"/> <max value="*"/> <base> <path value="Communication.recipient"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> </type> <example> <label value="General"/> <valueReference> <reference value="PractitionerRole/ecr-practitionerrole-henry-seven"/> <display value="Henry Seven, MD"/> </valueReference> </example> <mustSupport value="true"/> <mapping> <identity value="w5"/> <map value="who.focus"/> </mapping> </element> <element id="Communication.topic"> <path value="Communication.topic"/> <short value="Reportability Response Subject"/> <definition value="Contains a short high-level description of the determination of reportability. This information can be used to route and prioritize Reportability Responses in a work queue or an email subject."/> <min value="1"/> <max value="1"/> <base> <path value="Communication.topic"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> <mustSupport value="true"/> <mapping> <identity value="w5"/> <map value="context"/> </mapping> </element> <element id="Communication.topic.id"> <path value="Communication.topic.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.topic.extension"> <path value="Communication.topic.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.topic.reference"> <path value="Communication.topic.reference"/> <short value="Literal reference, Relative, internal or absolute URL"/> <definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources."/> <comment value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server."/> <min value="0"/> <max value="0"/> <base> <path value="Reference.reference"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ref-1"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.topic.identifier"> <path value="Communication.topic.identifier"/> <short value="Logical reference, when literal reference is not known"/> <definition value="An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference."/> <comment value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it."/> <min value="0"/> <max value="0"/> <base> <path value="Reference.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".identifier"/> </mapping> </element> <element id="Communication.topic.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Communication.topic.display"/> <short value="Reportability Response Subject text"/> <definition value="Contains a short high-level description of the determination of reportability."/> <comment value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it."/> <min value="1"/> <max value="1"/> <base> <path value="Reference.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <example> <label value="General"/> <valueString value="Public Health Reporting Communication: one or more conditions are reportable, or may be reportable to public health."/> </example> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.context"> <path value="Communication.context"/> <short value="eICR Encounter"/> <definition value="The encounter in which the eICR was triggered."/> <alias value="encounter"/> <min value="0"/> <max value="1"/> <base> <path value="Communication.context"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-encounter"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.context"/> </mapping> <mapping> <identity value="w5"/> <map value="context"/> </mapping> </element> <element id="Communication.sent"> <path value="Communication.sent"/> <short value="When sent"/> <definition value="The time when this communication was sent."/> <min value="1"/> <max value="1"/> <base> <path value="Communication.sent"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <mapping> <identity value="workflow"/> <map value="Event.occurrenceDateTime (Invariant: maps to either sent OR received)"/> </mapping> <mapping> <identity value="w5"/> <map value="when.init"/> </mapping> </element> <element id="Communication.received"> <path value="Communication.received"/> <short value="When received"/> <definition value="The time when this communication arrived at the destination."/> <min value="0"/> <max value="1"/> <base> <path value="Communication.received"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <mapping> <identity value="workflow"/> <map value="Event.occurrenceDateTime (Invariant: maps to either sent OR received)"/> </mapping> <mapping> <identity value="w5"/> <map value="when.done"/> </mapping> </element> <element id="Communication.sender"> <path value="Communication.sender"/> <short value="Author"/> <definition value="For the Reportability Response communication, this will most likely be the software that is generating the response, though this will not always the be case."/> <min value="1"/> <max value="1"/> <base> <path value="Communication.sender"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> </type> <mustSupport value="true"/> <mapping> <identity value="workflow"/> <map value="Event.performer.actor"/> </mapping> <mapping> <identity value="w5"/> <map value="who.actor"/> </mapping> </element> <element id="Communication.reasonCode"> <path value="Communication.reasonCode"/> <short value="Indication for message"/> <definition value="The reason or justification for the communication."/> <comment value="Textual reasons can be caprued using reasonCode.text."/> <min value="0"/> <max value="*"/> <base> <path value="Communication.reasonCode"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="CommunicationReason"/> </extension> <strength value="example"/> <description value="Codes for describing reasons for the occurrence of a communication."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/clinical-findings"/> </valueSetReference> </binding> <mapping> <identity value="workflow"/> <map value="Event.reasonCodableConcept"/> </mapping> <mapping> <identity value="rim"/> <map value=".reasonCode"/> </mapping> <mapping> <identity value="w5"/> <map value="why"/> </mapping> </element> <element id="Communication.reasonReference"> <path value="Communication.reasonReference"/> <short value="Why was communication done?"/> <definition value="Indicates another resource whose existence justifies this communication."/> <min value="0"/> <max value="*"/> <base> <path value="Communication.reasonReference"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> </type> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.reasonReference"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=RSON].target"/> </mapping> <mapping> <identity value="w5"/> <map value="why"/> </mapping> </element> <element id="Communication.payload"> <path value="Communication.payload"/> <slicing> <discriminator> <type value="value"/> <path value="id"/> </discriminator> <rules value="open"/> </slicing> <short value="Message payload"/> <definition value="Text, attachment(s), or resource(s) that was communicated to the recipient."/> <min value="0"/> <max value="*"/> <base> <path value="Communication.payload"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> </element> <element id="Communication.payload.id"> <path value="Communication.payload.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.payload.extension"> <path value="Communication.payload.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.payload.modifierExtension"> <path value="Communication.payload.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.payload.content[x]"> <path value="Communication.payload.content[x]"/> <short value="Message part content"/> <definition value="A communicated content (or for multi-part communications, one portion of the communication)."/> <min value="1"/> <max value="1"/> <base> <path value="Communication.payload.content[x]"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <type> <code value="Attachment"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> </element> <element id="Communication.payload:sliceReportabilityResponseSummary"> <path value="Communication.payload"/> <sliceName value="sliceReportabilityResponseSummary"/> <short value="Reportability Response Summary"/> <definition value="This payload slice is present in the Reportabilty Response if the eICR was processed and is not present if the eICR was not processed. Contains a detailed text description of the reportable condition(s) including actions the provider needs to take, any supplemental information that may be required, and where the initial case report was sent."/> <min value="0"/> <max value="1"/> <base> <path value="Communication.payload"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <mustSupport value="true"/> </element> <element id="Communication.payload:sliceReportabilityResponseSummary.id"> <path value="Communication.payload.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="1"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="reportability-response-summary"/> <mustSupport value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.payload:sliceReportabilityResponseSummary.extension"> <path value="Communication.payload.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.payload:sliceReportabilityResponseSummary.modifierExtension"> <path value="Communication.payload.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.payload:sliceReportabilityResponseSummary.contentString:contentString"> <path value="Communication.payload.contentString"/> <sliceName value="contentString"/> <short value="Reportability Response Summary text"/> <definition value="Contains a detailed text description of the reportable condition(s) including actions the provider needs to take, any supplemental information that may be required, and where the initial case report was sent."/> <min value="1"/> <max value="1"/> <base> <path value="Communication.payload.content[x]"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <example> <label value="General"/> <valueString value="Your organization electronically submitted an initial case report to determine if reporting to public health is needed for a patient. "Zika virus disease (disorder)" is reportable to "State Department of Health". An initial case report was sent to "State Department of Health". Additional information may be required for this report."/> </example> </element> <element id="Communication.payload:sliceRelevantReportableCondition"> <path value="Communication.payload"/> <sliceName value="sliceRelevantReportableCondition"/> <short value="Relevant Reportable Condition"/> <definition value="This payload slice is present in the Reportabilty Response if the eICR was processed and is not present if the eICR was not processed. It contains a Reportability Response PlanDefinition and repeats for each uniqe condition-PHA pair."/> <min value="0"/> <max value="*"/> <base> <path value="Communication.payload"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <mustSupport value="true"/> </element> <element id="Communication.payload:sliceRelevantReportableCondition.id"> <path value="Communication.payload.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="1"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="relevant-reportable-condition"/> <mustSupport value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.payload:sliceRelevantReportableCondition.extension"> <path value="Communication.payload.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.payload:sliceRelevantReportableCondition.modifierExtension"> <path value="Communication.payload.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.payload:sliceRelevantReportableCondition.contentReference:contentReference"> <path value="Communication.payload.contentReference"/> <sliceName value="contentReference"/> <short value="Message part content"/> <definition value="A communicated content (or for multi-part communications, one portion of the communication)."/> <min value="1"/> <max value="1"/> <base> <path value="Communication.payload.content[x]"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-relevant-reportable-condition-plandefinition"/> </type> </element> <element id="Communication.payload:sliceEICRInformation"> <path value="Communication.payload"/> <sliceName value="sliceEICRInformation"/> <short value="Electronic Initial Case Report Information"/> <definition value="This payload contains information about the eICR Composition to which this Communication is a response. The date/time of receipt and a document reference are represented in the referenced Electronic Initial Case Report Composition Profile and the processing status of the eICR Composition is contained in the eICR Processing Status profile. If the eICR Composition was manually initiated by a healthcare provider, this is indicated by the presence of the Manually Initiated eICR extension. This payload is always present in the Reportability Response Communication. The text element (narrative block) in this section is only populated and displayed when the eICR CDA document was not processed (eICR Processing Status/code="RRVS22", "eICR was not processed – error") and that text element contains the eICR processing status reason(s). "/> <min value="1"/> <max value="*"/> <base> <path value="Communication.payload"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <mustSupport value="true"/> </element> <element id="Communication.payload:sliceEICRInformation.id"> <path value="Communication.payload.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="1"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="eicr-information"/> <mustSupport value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.payload:sliceEICRInformation.extension"> <path value="Communication.payload.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="Communication.payload:sliceEICRInformation.extension:eICRProcessingStatus"> <path value="Communication.payload.extension"/> <sliceName value="eICRProcessingStatus"/> <short value="eICR Processing Status"/> <definition value="Optional Extension Element - found in all resources."/> <min value="1"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-eicr-processing-status"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> <mustSupport value="true"/> </element> <element id="Communication.payload:sliceEICRInformation.extension:eICRProcessingStatus.id"> <path value="Communication.payload.extension.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="1"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="eicr-processing-status"/> <mustSupport value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.payload:sliceEICRInformation.extension:eICRProcessingStatus.extension"> <path value="Communication.payload.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="Communication.payload:sliceEICRInformation.extension:eICRProcessingStatus.extension:eICRProcessingStatus"> <path value="Communication.payload.extension.extension"/> <sliceName value="eICRProcessingStatus"/> <short value="Extension"/> <definition value="An Extension"/> <min value="1"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="Communication.payload:sliceEICRInformation.extension:eICRProcessingStatus.extension:eICRProcessingStatus.id"> <path value="Communication.payload.extension.extension.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.payload:sliceEICRInformation.extension:eICRProcessingStatus.extension:eICRProcessingStatus.extension"> <path value="Communication.payload.extension.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.payload:sliceEICRInformation.extension:eICRProcessingStatus.extension:eICRProcessingStatus.url"> <path value="Communication.payload.extension.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="eICRProcessingStatus"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.payload:sliceEICRInformation.extension:eICRProcessingStatus.extension:eICRProcessingStatus.valueReference:valueReference"> <path value="Communication.payload.extension.extension.valueReference"/> <sliceName value="valueReference"/> <short value="Value of extension"/> <definition value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)."/> <min value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.payload:sliceEICRInformation.extension:eICRProcessingStatus.extension:eICRValidationOutput"> <path value="Communication.payload.extension.extension"/> <sliceName value="eICRValidationOutput"/> <short value="Extension"/> <definition value="Contains eICR validation output - this could be the actual output from a validator, or a link to a validation output file"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="Communication.payload:sliceEICRInformation.extension:eICRProcessingStatus.extension:eICRValidationOutput.id"> <path value="Communication.payload.extension.extension.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.payload:sliceEICRInformation.extension:eICRProcessingStatus.extension:eICRValidationOutput.extension"> <path value="Communication.payload.extension.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.payload:sliceEICRInformation.extension:eICRProcessingStatus.extension:eICRValidationOutput.url"> <path value="Communication.payload.extension.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="eICRValidationOutput"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.payload:sliceEICRInformation.extension:eICRProcessingStatus.extension:eICRValidationOutput.value[x]"> <path value="Communication.payload.extension.extension.value[x]"/> <short value="Value of extension"/> <definition value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> <type> <code value="string"/> </type> <type> <code value="Attachment"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.payload:sliceEICRInformation.extension:eICRProcessingStatus.url"> <path value="Communication.payload.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-eicr-processing-status"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.payload:sliceEICRInformation.extension:eICRProcessingStatus.value[x]"> <path value="Communication.payload.extension.value[x]"/> <short value="Value of extension"/> <definition value="Contains eICR validation output - this could be the actual output from a validator, or a link to a validation output file"/> <min value="0"/> <max value="0"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="base64Binary"/> </type> <type> <code value="boolean"/> </type> <type> <code value="code"/> </type> <type> <code value="date"/> </type> <type> <code value="dateTime"/> </type> <type> <code value="decimal"/> </type> <type> <code value="id"/> </type> <type> <code value="instant"/> </type> <type> <code value="integer"/> </type> <type> <code value="markdown"/> </type> <type> <code value="oid"/> </type> <type> <code value="positiveInt"/> </type> <type> <code value="string"/> </type> <type> <code value="time"/> </type> <type> <code value="unsignedInt"/> </type> <type> <code value="uri"/> </type> <type> <code value="Address"/> </type> <type> <code value="Age"/> </type> <type> <code value="Annotation"/> </type> <type> <code value="Attachment"/> </type> <type> <code value="CodeableConcept"/> </type> <type> <code value="Coding"/> </type> <type> <code value="ContactPoint"/> </type> <type> <code value="Count"/> </type> <type> <code value="Distance"/> </type> <type> <code value="Duration"/> </type> <type> <code value="HumanName"/> </type> <type> <code value="Identifier"/> </type> <type> <code value="Money"/> </type> <type> <code value="Period"/> </type> <type> <code value="Quantity"/> </type> <type> <code value="Range"/> </type> <type> <code value="Ratio"/> </type> <type> <code value="Reference"/> </type> <type> <code value="SampledData"/> </type> <type> <code value="Signature"/> </type> <type> <code value="Timing"/> </type> <type> <code value="Meta"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.payload:sliceEICRInformation.extension:manuallyInitiatedEICR"> <path value="Communication.payload.extension"/> <sliceName value="manuallyInitiatedEICR"/> <short value="Manually Initiated eICR"/> <definition value="This extension indicates whether or not the eICR CDA document for which this Reportability Response is a response, was manually initiated by the provider. The eICR could also contain RCTC trigger codes."/> <min value="1"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-manually-initiated-eicr"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> </element> <element id="Communication.payload:sliceEICRInformation.extension:manuallyInitiatedEICR.id"> <path value="Communication.payload.extension.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="1"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="manually-initiated-eicr"/> <mustSupport value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.payload:sliceEICRInformation.extension:manuallyInitiatedEICR.extension"> <path value="Communication.payload.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.payload:sliceEICRInformation.extension:manuallyInitiatedEICR.url"> <path value="Communication.payload.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-manually-initiated-eicr"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.payload:sliceEICRInformation.extension:manuallyInitiatedEICR.valueBoolean:valueBoolean"> <path value="Communication.payload.extension.valueBoolean"/> <sliceName value="valueBoolean"/> <short value="Value of extension"/> <definition value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.payload:sliceEICRInformation.extension:extensionEICRReceiptTime"> <path value="Communication.payload.extension"/> <sliceName value="extensionEICRReceiptTime"/> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-eicr-receipt-time"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> </element> <element id="Communication.payload:sliceEICRInformation.modifierExtension"> <path value="Communication.payload.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.payload:sliceEICRInformation.contentReference:contentReference"> <path value="Communication.payload.contentReference"/> <sliceName value="contentReference"/> <short value="Reference to eICR Composition"/> <definition value="A communicated content (or for multi-part communications, one portion of the communication)."/> <min value="1"/> <max value="1"/> <base> <path value="Communication.payload.content[x]"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-composition"/> </type> </element> <element id="Communication.payload:sliceEICRInformation.contentReference:contentReference.id"> <path value="Communication.payload.contentReference.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.payload:sliceEICRInformation.contentReference:contentReference.extension"> <path value="Communication.payload.contentReference.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.payload:sliceEICRInformation.contentReference:contentReference.reference"> <path value="Communication.payload.contentReference.reference"/> <short value="Literal reference, Relative, internal or absolute URL"/> <definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources."/> <comment value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.reference"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ref-1"/> <mustSupport value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.payload:sliceEICRInformation.contentReference:contentReference.identifier"> <path value="Communication.payload.contentReference.identifier"/> <short value="eICR Composition id"/> <definition value="An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference."/> <comment value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".identifier"/> </mapping> </element> <element id="Communication.payload:sliceEICRInformation.contentReference:contentReference.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Communication.payload.contentReference.display"/> <short value="eICR filename (or other identifying string)"/> <definition value="The filename (or other identifying string) is recommended primarily for dealing with eICR error cases. In the case where an eICR document is unreadable for some reason, it is possible that the only identifying information is the eICR filename (or other identifying string)."/> <comment value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <example> <label value="General"/> <valueString value="eicr-composition-zika.xml"/> </example> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.note"> <path value="Communication.note"/> <short value="Comments made about the communication"/> <definition value="Additional notes or commentary about the communication by the sender, receiver or other interested parties."/> <min value="0"/> <max value="*"/> <base> <path value="Communication.note"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Annotation"/> </type> <mapping> <identity value="workflow"/> <map value="Event.note"/> </mapping> </element> </snapshot> <differential> <element id="Communication"> <path value="Communication"/> <short value="Reportability Response Communication"/> <definition value="This Reportability Response Communication will be created in response to an electronic Initial Case Report Composition and the sharing of the Reportability Response with clinical care will serve several functions, including to: - Communicate the reportability status, for the responsible PHA(s)of each condition included in the electronic Initial Case Report (eICR) - Identify who (a PHA or an intermediary) prepared the Reportability Response - Indicate whether the eICR has been sent to one or more PHA(s) - Identify which PHA(s) has/have been sent the eICR - Provide contact information for the responsible PHA(s) - Provide suggested or required clinical follow-up activities from the responsible PHA(s), including any additional reporting needs or infection control activities - Provide access to clinical support resources suggested by the responsible PHA(s) for identified reportable conditions - Confirm eICR receipt and processing A Reportability Response will also, when requested, be shared with the responsible PHAs (when they have not constructed it) for their internal use, so they understand what has been shared with clinical care and, and to monitor/audit decision support algorithm effectivesness and implementation. When a condition is considered reportable to more than one PHA, the Reportability Response can be helpful in communicating reporting that has been done to other PHAs. The Reportability Response Communication is also structured to allow: - Notification, alerting, routing and queueing in work or message management systems for healthcare personnel - Dynamic and static URIs for supplemental data collection and the provision of information resources"/> <mustSupport value="true"/> <mapping> <identity value="cda-rr"/> <map value="Reportability Response Document (RR)"/> </mapping> </element> <element id="Communication.text"> <path value="Communication.text"/> <definition value="The narrative structure of a Reportability Response Comminication can take two different forms, depending on the processing status of the eICR Composition document to which it is a response. These forms are as follows: - If the eICR was processed, then the narrative text will be populated with data from Communication.topic, Communication.payload[Reportability Response Summary], Communication.payload[Relevant Reportable Condition], and Communication.payload[Electronic Initial Case Report Information] - If the eICR was not processed and has errors, then the narrative text will only be populated with data from Communication.payload[Electronic Initial Case Report Information]"/> <min value="1"/> <constraint> <key value="nar-1"/> <severity value="error"/> <human value="Text narrative SHOULD conform to requirements laid out on the Narrative Guidance tab"/> <expression value="not(tested)"/> </constraint> <mustSupport value="true"/> </element> <element id="Communication.extension"> <path value="Communication.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <rules value="open"/> </slicing> </element> <element id="Communication.extension:reportabilityResponsePriority"> <path value="Communication.extension"/> <sliceName value="reportabilityResponsePriority"/> <short value="Reportability Response Priority"/> <definition value="Rrepresents a priority for the reportability response communication overall. It has been calculated from the highest priority of any included External Resources or the highest priority of included conditions based on a separate, jurisdictionally developed priority list. This “communication”-level priority should be used for EHR workflow including notification, alerting, routing and queueing."/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-priority"/> </type> <mustSupport value="true"/> </element> <element id="Communication.identifier"> <path value="Communication.identifier"/> <min value="1"/> <max value="1"/> <example> <label value="General"/> <valueIdentifier> <system value="http://acme.org/identifiers"/> <value value="RR12346"/> </valueIdentifier> </example> <mustSupport value="true"/> <mapping> <identity value="cda-rr"/> <map value="Reportability Response Document (RR)/id"/> </mapping> </element> <element id="Communication.category"> <path value="Communication.category"/> <min value="1"/> <max value="1"/> <patternCodeableConcept> <coding> <system value="http://loinc.org"/> <code value="88085-6"/> <display value="Reportability Response Report Public Health"/> </coding> </patternCodeableConcept> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="cda-rr"/> <map value="Reportability Response/code"/> </mapping> </element> <element id="Communication.subject"> <path value="Communication.subject"/> <short value="Patient"/> <min value="1"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/ecr/StructureDefinition/ecr-patient"/> </type> <example> <label value="General"/> <valueReference> <reference value="Patient/ecr-patient-eve-everywoman"/> <display value="Eve Everywoman"/> </valueReference> </example> <mustSupport value="true"/> </element> <element id="Communication.recipient"> <path value="Communication.recipient"/> <comment value="Reporting may be identified for multiple PHAs by the PHA system (or its intermediary) (because the patient&#39;s residence and the provider location are in separate jurisdictions) including other identified organization (such as an HIE) to which the eICR (if deemed reportable) and/or the Reportability Response will be routed."/> <min value="1"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> </type> <example> <label value="General"/> <valueReference> <reference value="PractitionerRole/ecr-practitionerrole-henry-seven"/> <display value="Henry Seven, MD"/> </valueReference> </example> <mustSupport value="true"/> </element> <element id="Communication.topic"> <path value="Communication.topic"/> <short value="Reportability Response Subject"/> <definition value="Contains a short high-level description of the determination of reportability. This information can be used to route and prioritize Reportability Responses in a work queue or an email subject."/> <min value="1"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="Communication.topic.reference"> <path value="Communication.topic.reference"/> <max value="0"/> </element> <element id="Communication.topic.identifier"> <path value="Communication.topic.identifier"/> <max value="0"/> </element> <element id="Communication.topic.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Communication.topic.display"/> <short value="Reportability Response Subject text"/> <definition value="Contains a short high-level description of the determination of reportability."/> <min value="1"/> <example> <label value="General"/> <valueString value="Public Health Reporting Communication: one or more conditions are reportable, or may be reportable to public health."/> </example> <mustSupport value="true"/> </element> <element id="Communication.context"> <path value="Communication.context"/> <short value="eICR Encounter"/> <definition value="The encounter in which the eICR was triggered."/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-encounter"/> </type> <mustSupport value="true"/> </element> <element id="Communication.sent"> <path value="Communication.sent"/> <min value="1"/> </element> <element id="Communication.sender"> <path value="Communication.sender"/> <short value="Author"/> <definition value="For the Reportability Response communication, this will most likely be the software that is generating the response, though this will not always the be case."/> <min value="1"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> </type> <mustSupport value="true"/> </element> <element id="Communication.payload"> <path value="Communication.payload"/> <slicing> <discriminator> <type value="value"/> <path value="id"/> </discriminator> <rules value="open"/> </slicing> </element> <element id="Communication.payload:sliceReportabilityResponseSummary"> <path value="Communication.payload"/> <sliceName value="sliceReportabilityResponseSummary"/> <short value="Reportability Response Summary"/> <definition value="This payload slice is present in the Reportabilty Response if the eICR was processed and is not present if the eICR was not processed. Contains a detailed text description of the reportable condition(s) including actions the provider needs to take, any supplemental information that may be required, and where the initial case report was sent."/> <max value="1"/> <mustSupport value="true"/> </element> <element id="Communication.payload:sliceReportabilityResponseSummary.id"> <path value="Communication.payload.id"/> <min value="1"/> <fixedString value="reportability-response-summary"/> <mustSupport value="true"/> </element> <element id="Communication.payload:sliceReportabilityResponseSummary.contentString:contentString"> <path value="Communication.payload.contentString"/> <sliceName value="contentString"/> <short value="Reportability Response Summary text"/> <definition value="Contains a detailed text description of the reportable condition(s) including actions the provider needs to take, any supplemental information that may be required, and where the initial case report was sent."/> <type> <code value="string"/> </type> <example> <label value="General"/> <valueString value="Your organization electronically submitted an initial case report to determine if reporting to public health is needed for a patient. "Zika virus disease (disorder)" is reportable to "State Department of Health". An initial case report was sent to "State Department of Health". Additional information may be required for this report."/> </example> </element> <element id="Communication.payload:sliceRelevantReportableCondition"> <path value="Communication.payload"/> <sliceName value="sliceRelevantReportableCondition"/> <short value="Relevant Reportable Condition"/> <definition value="This payload slice is present in the Reportabilty Response if the eICR was processed and is not present if the eICR was not processed. It contains a Reportability Response PlanDefinition and repeats for each uniqe condition-PHA pair."/> <mustSupport value="true"/> </element> <element id="Communication.payload:sliceRelevantReportableCondition.id"> <path value="Communication.payload.id"/> <min value="1"/> <fixedString value="relevant-reportable-condition"/> <mustSupport value="true"/> </element> <element id="Communication.payload:sliceRelevantReportableCondition.contentReference:contentReference"> <path value="Communication.payload.contentReference"/> <sliceName value="contentReference"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-relevant-reportable-condition-plandefinition"/> </type> </element> <element id="Communication.payload:sliceEICRInformation"> <path value="Communication.payload"/> <sliceName value="sliceEICRInformation"/> <short value="Electronic Initial Case Report Information"/> <definition value="This payload contains information about the eICR Composition to which this Communication is a response. The date/time of receipt and a document reference are represented in the referenced Electronic Initial Case Report Composition Profile and the processing status of the eICR Composition is contained in the eICR Processing Status profile. If the eICR Composition was manually initiated by a healthcare provider, this is indicated by the presence of the Manually Initiated eICR extension. This payload is always present in the Reportability Response Communication. The text element (narrative block) in this section is only populated and displayed when the eICR CDA document was not processed (eICR Processing Status/code="RRVS22", "eICR was not processed – error") and that text element contains the eICR processing status reason(s). "/> <min value="1"/> <mustSupport value="true"/> </element> <element id="Communication.payload:sliceEICRInformation.id"> <path value="Communication.payload.id"/> <min value="1"/> <fixedString value="eicr-information"/> <mustSupport value="true"/> </element> <element id="Communication.payload:sliceEICRInformation.extension"> <path value="Communication.payload.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <rules value="open"/> </slicing> </element> <element id="Communication.payload:sliceEICRInformation.extension:eICRProcessingStatus"> <path value="Communication.payload.extension"/> <sliceName value="eICRProcessingStatus"/> <short value="eICR Processing Status"/> <definition value="Optional Extension Element - found in all resources."/> <min value="1"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-eicr-processing-status"/> </type> <mustSupport value="true"/> </element> <element id="Communication.payload:sliceEICRInformation.extension:eICRProcessingStatus.id"> <path value="Communication.payload.extension.id"/> <min value="1"/> <fixedString value="eicr-processing-status"/> <mustSupport value="true"/> </element> <element id="Communication.payload:sliceEICRInformation.extension:eICRProcessingStatus.url"> <path value="Communication.payload.extension.url"/> <fixedUri value="http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-eicr-processing-status"/> </element> <element id="Communication.payload:sliceEICRInformation.extension:manuallyInitiatedEICR"> <path value="Communication.payload.extension"/> <sliceName value="manuallyInitiatedEICR"/> <short value="Manually Initiated eICR"/> <definition value="This extension indicates whether or not the eICR CDA document for which this Reportability Response is a response, was manually initiated by the provider. The eICR could also contain RCTC trigger codes."/> <min value="1"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-manually-initiated-eicr"/> </type> <mustSupport value="true"/> </element> <element id="Communication.payload:sliceEICRInformation.extension:manuallyInitiatedEICR.id"> <path value="Communication.payload.extension.id"/> <min value="1"/> <fixedString value="manually-initiated-eicr"/> <mustSupport value="true"/> </element> <element id="Communication.payload:sliceEICRInformation.extension:manuallyInitiatedEICR.url"> <path value="Communication.payload.extension.url"/> <fixedUri value="http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-manually-initiated-eicr"/> </element> <element id="Communication.payload:sliceEICRInformation.extension:extensionEICRReceiptTime"> <path value="Communication.payload.extension"/> <sliceName value="extensionEICRReceiptTime"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-eicr-receipt-time"/> </type> <mustSupport value="true"/> </element> <element id="Communication.payload:sliceEICRInformation.contentReference:contentReference"> <path value="Communication.payload.contentReference"/> <sliceName value="contentReference"/> <short value="Reference to eICR Composition"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-composition"/> </type> </element> <element id="Communication.payload:sliceEICRInformation.contentReference:contentReference.reference"> <path value="Communication.payload.contentReference.reference"/> <mustSupport value="false"/> </element> <element id="Communication.payload:sliceEICRInformation.contentReference:contentReference.identifier"> <path value="Communication.payload.contentReference.identifier"/> <short value="eICR Composition id"/> <mustSupport value="true"/> </element> <element id="Communication.payload:sliceEICRInformation.contentReference:contentReference.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Communication.payload.contentReference.display"/> <short value="eICR filename (or other identifying string)"/> <definition value="The filename (or other identifying string) is recommended primarily for dealing with eICR error cases. In the case where an eICR document is unreadable for some reason, it is possible that the only identifying information is the eICR filename (or other identifying string)."/> <example> <label value="General"/> <valueString value="eicr-composition-zika.xml"/> </example> <mustSupport value="true"/> </element> </differential> </StructureDefinition>
