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 
Table: EICR Data Elements to eICR Composition Profile
| Data Element | FHIR Contained by | FHIR Resource | FHIR Element Path | CDA Section | CDA Mapping |
|---|---|---|---|---|---|
| Date of the Report | Composition[eicr-composition] | date | US Realm Header (V3) | ClinicalDocument/effectiveTime | |
| ID of the eICR Document | Composition[eicr-composition] | id | US Realm Header (V3) | ClinicalDocument/identifier | |
| Provider ID | “Encounter[eicr-encounter].participant[type="ATND"] | Practitioner[us-core-practitioner] | identifier | eICR Initial Public Health Case Report Document (V2) | ClincalDocument/componentOf/encompassingEncounter/responsibleParty/assignedEntity/assignedEntity/id |
| Provider Name | “Encounter[eicr-encounter].participant[type="ATND"] | Practitioner[us-core-practitioner] | name | eICR Initial Public Health Case Report Document (V2) | ClincalDocument/componentOf/encompassingEncounter/responsibleParty/assignedEntity/assignedPerson/name |
| Provider Phone | “Encounter[eicr-encounter].participant[type="ATND"] | Practitioner[us-core-practitioner] | telecom[system="phone"] | eICR Initial Public Health Case Report Document (V2) | ClincalDocument/componentOf/encompassingEncounter/responsibleParty/assignedEntity/telecom[telecom:] |
| Provider Fax | “Encounter[eicr-encounter].participant[type="ATND"] | Practitioner[us-core-practitioner] | telecom[system="fax"] | eICR Initial Public Health Case Report Document (V2) | ClincalDocument/componentOf/encompassingEncounter/responsibleParty/assignedEntity/telecom[fax:] |
| Provider Email | “Encounter[eicr-encounter].participant[type="ATND"] | Practitioner[us-core-practitioner] | telecom[system="email"] | eICR Initial Public Health Case Report Document (V2) | ClincalDocument/componentOf/encompassingEncounter/responsibleParty/assignedEntity/telecom[email:] |
| Provider Facility/Office Name | Encounter[eicr-encounter].location | Location[eicr-location] | name | eICR Initial Public Health Case Report Document (V2) | ClincalDocument/componentOf/encompassingEncounter/responsibleParty/representedOrganization/name |
| Provider Address | “Encounter[eicr-encounter].participant[type="ATND"].PractitionerRole[ecr-practitionerrole].practitioner" | Practitioner[us-core-practitioner] | address | eICR Initial Public Health Case Report Document (V2) | ClincalDocument/componentOf/encompassingEncounter/responsibleParty/representedOrganization/addr |
| Facility ID Number | Encounter[eicr-encounter].location | Location(eicr-location) | identifier | eICR Initial Public Health Case Report Document (V2) | ClincalDocument/componentOf/encompassingEncounter/location/healthCareFacility/id |
| Facility Name | Encounter[eicr-encounter].location | Location(eicr-location) | name | eICR Initial Public Health Case Report Document (V2) | ClincalDocument/componentOf/encompassingEncounter/location/healthCareFacility/serviceProviderOrganization/name |
| Facility Type | Encounter[eicr-encounter].location | Location(eicr-location) | type | eICR Initial Public Health Case Report Document (V2) | ClincalDocument/componentOf/encompassingEncounter/location/healthCareFacility/code |
| Facility Phone | Encounter[eicr-encounter].location | Location(eicr-location) | telecom[system="phone"] | eICR Initial Public Health Case Report Document (V2) | ClincalDocument/componentOf/encompassingEncounter/location/healthCareFacility/serviceProviderOrganization/telecom[tel:] |
| Facility FAX | Encounter[eicr-encounter].location | Location(eicr-location) | telecom[system="fax"] | eICR Initial Public Health Case Report Document (V2) | ClincalDocument/componentOf/encompassingEncounter/location/healthCareFacility/serviceProviderOrganization/telecom[fax:] |
| Facility Address | Encounter[eicr-encounter].location | Location(eicr-location) | address | eICR Initial Public Health Case Report Document (V2) | ClincalDocument/componentOf/encompassingEncounter/location/healthCareFacility/location/addr |
| Patient ID Number | Composition[eicr-composition].subject | Patient[ecr-patient] | identifier | US Realm Header (V3) | ClinicalDocument/recordTarget/patientRole/id |
| Patient Name | Composition[eicr-composition].subject | Patient[ecr-patient] | name | US Realm Header (V3) | ClinicalDocument/recordTarget/patientRole/patient/name |
| Patient Phone | Composition[eicr-composition].subject | Patient[ecr-patient] | telecom[system="phone"] | US Realm Header (V3) | ClinicalDocument/recordTarget/patientRole/telecom[tel:] |
| Patient Email | Composition[eicr-composition].subject | Patient[ecr-patient] | telecom[system="email"] | US Realm Header (V3) | ClinicalDocument/recordTarget/patientRole/telecom[mailto:] |
| Parent/ Guardian Name | Composition[eicr-composition].subject | Patient[ecr-patient] | contact.name | US Realm Header (V3) | Clinical Document/record target/patientRole/patient/guardian/guardianPerson/name |
| Parent/ Guardian Phone | Composition[eicr-composition].subject | Patient[ecr-patient] | contact.telecom[system="phone"] | US Realm Header (V3) | Clinical Document/record target/patientRole/patient/guardian/telecom[tel:] |
| Parent/ Guardian Email | Composition[eicr-composition].subject | Patient[ecr-patient] | contact.telecom[system="email"] | US Realm Header (V3) | Clinical Document/record target/patientRole/patient/guardian/telecom[mailto:] |
| Patient Street Address | Composition[eicr-composition].subject | Patient[ecr-patient] | address | US Realm Header (V3) | ClinicalDocument/recordTarget/patientRole/addr |
| Patient Birth Date | Composition[eicr-composition].subject | Patient[ecr-patient] | birthDate | US Realm Header (V3) | ClinicalDocument/recordTarget/patientRole/patient/birthTime |
| Patient Sex | Composition[eicr-composition].subject | Patient[ecr-patient] | us-core-birthsex | Social History Section (V3) | Birth Sex Observation/code |
| Patient Race | Composition[eicr-composition].subject | Patient[ecr-patient] | us-core-race | US Realm Header (V3) | ClinicalDocument/recordTarget/patientRole/patient/raceCode + ClinicalDocument/recordTarget/patientRole/patient/sdtc:raceCode |
| Patient Ethnicity | Composition[eicr-composition].subject | Patient[ecr-patient] | us-core-ethnicity | US Realm Header (V3) | ClinicalDocument/recordTarget/patientRole/patient/ethnicGroupCode + ClinicalDocument/recordTarget/patientRole/patient/sdtc:ethnicGroupCode |
| Preferred Language | Composition[eicr-composition].subject | Patient[ecr-patient] | communication.language | US Realm Header (V3) | ClinicalDocument/recordTarget/patientRole/patient/languageCommunication/languageCode |
| Occupation | Composition[eicr-composition].section | Observation[eicr-occupationhistory] | valueCodeableConcept | Social History Section (V3) | Social History Observation (V3)/code |
| Pregnant | Composition[eicr-composition].section[Social History Section].entry | Observation[pregnancy-status] | valueCodeableConcept | Social History Section (V3) | Pregnancy Observation/code |
| Hospital Unit | Encounter[eicr-encounter].location | Location(eicr-location) | type | eICR Initial Public Health Case Report Document (V2) | ClinicalDocument/componentOf/encompassingEncounter/location/healthCareFacility/code |
| Visit Date/Time | Composition[eicr-composition].encounter | Encounter[eicr-encounter] | period.start | eICR Initial Public Health Case Report Document (V2) | ClinicalDocument/componentOf/encompassingEncounter/effectiveTime/low |
| Admission Date/Time | Composition[eicr-composition].encounter | Encounter[eicr-encounter] | period.start | eICR Initial Public Health Case Report Document (V2) | ClinicalDocument/componentOf/encompassingEncounter/effectiveTime/low |
| Discharge Date/Time | Composition[eicr-composition].encounter | Encounter[eicr-encounter] | period.end | eICR Initial Public Health Case Report Document (V2) | ClinicalDocument/componentOf/encompassingEncounter/effectiveTime/high |
| History of Present Illness | Composition[eicr-composition].section[History of Present Illness] | text | History of Present Illness Section | text | |
| Reason for Visit | Composition[eicr-composition].section[Reason for Visit] | text | Reason for Visit Section | text | |
| Date of Onset | Composition[eicr-composition].section[Problems Section].entry | Observation[eicr-condition] | onset.start | Problem Section (entries required) (V3) | Problem Concern Act (V3)/Problem Observation (V3)/effectiveTime + Problem Concern Act (V3)/Initial Case Report Trigger Code Problem Observation/effectiveTime |
| Symptoms (list) | Composition[eicr-composition].section[Problems Section].entry | Observation[eicr-condition] | code | Problem Section (entries required) (V3) | Problem Concern Act (V3)/Problem Observation (V3)/value |
| Lab Order Code | Composition[eicr-composition].section[Plan of Treatment Section].entry | ProcedureRequest[eicr-procedurerequest] | code | Plan of Treatment Section (V2) | Planned Observation (V2)/code |
| Lab Order Code (Trigger) | Composition[eicr-composition].section[Plan of Treatment Section].entry[eicr-procedurerequest] | extension-eicr-trigger-code-flag | Plan of Treatment Section (V2) | Initial Case Report Trigger Code Lab Test Order.code | |
| Laboratory Results | Composition[eicr-composition].section[Plan of Treatment Section].entry | Observation[us-core-observationresults] | code and/or valueCodeableConcept | Results Section (V3) | “Result Observation (V3).code and/or |
| Result Observation (V3).value[xsi:type="CD"] | |||||
| Laboratory Result (Trigger) | Composition[eicr-composition].section[Results Section].entry[us-core-observationresults] | extension-eicr-trigger-code-flag | Results Section (V3) | “Result Organizer (V3)/Intitial Case Report Trigger Code Result Observation.code and/or | |
| Result Organizer (V3)/Intitial Case Report Trigger Code Result Observation.value[xsi:type="CD"] | |||||
| Filler Order Number | Composition[eicr-composition].section[Results Section].entry[us-core-observationresults] | Observation[us-core-observationresults] | identifier | Results Section (V3) | Result Organizer (V3)/id |
| Diagnoses | Composition[eicr-composition].section[Problems Section].entry | Observation[eicr-condition] | code | Problem Section (entries required) (V3) | Problem Observation (V3) |
| Diagnosis (Trigger) | Composition[eicr-composition].section[Problems Section].entry | Composition[eicr-composition].section[Problems Section].entry[eicr-condition] | extension-eicr-trigger-code-flag | Problem Section (entries required) (V3) | Initial Case Report Trigger Code Problem Observation |
| Date of Diagnosis | Composition[eicr-composition].section[Problems Section].entry | Observation[eicr-condition] | assertedDate | Problem Section (entries required) (V3) | Problem Observation (V3) |
| Medications Administered (list) | Composition[eicr-composition].section[Medications Administered Section].entry | MedicationStatement[us-core-medicationstatement] | medication[x] | Medications Administered Section (V2) | Medication Information (V2) |
| Death Date | Composition[eicr-composition].subject | Patient[ecr-patient] | deceasedDateTime | eICR Initial Public Health Case Report Document (V2) | ClinicalDocument/recordTarget/patientRole/patient/sdtc:deceasedInd |
| Immunization Status | Composition[eicr-composition].section[Immunizations Section].entry | Immunization[us-core-immunization] | Immunications Section (entries required) (V3) | Immunization Activity (V3) | |
| Travel History Dates | Composition[eicr-composition].section[Social History Section].entry | Observation[eicr-travel-history] | effective[x] | Social History Section (V3) | Travel History/effectiveTime |
| Travel History Location - Free Text | Composition[eicr-composition].section[Social History Section].entry | Observation[eicr-travel-history] | component.valueCodeableConcept.text | Social History Section (V3) | Travel History/text |
| Travel History Location - Coded | Composition[eicr-composition].section[Social History Section].entry | Observation[eicr-travel-history] | component.valueCodeableConcept.coding | Social History Section (V3) | Travel History/participant/participantRole/code |
| Travel History Location - Address | Composition[eicr-composition].section[Social History Section].entry | Observation[eicr-travel-history] | component.valueCodeableConcept.coding.extension-eicr-travel-history-address | Social History Section (V3) | Travel History/participant/participantRole/addr |
| Manually Initiated eICR | Composition[eicr-composition].extension | extension-eicr-manually-initiated-reason | eICR Initial Public Health Case Report Document (V2) | “ClinicalDocument/documentationOf/serviceEvent/code[@code="PHC1464"] | |
| Manually Initiated eICR Reason | Composition[eicr-composition].extension | extension-eicr-manually-initiated-reason.valueString | Encounters Section (entries required) (V3) | Encounter Activity (V3)/Initial Case Report Manual Initiation Reason Observation.value |
