HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm
1.1.0 - STU 2 Ballot

This page is part of the electronic Case Reporting (eCR) (v1.1.0: STU 2 on FHIR R4 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.1.0. For a full list of available versions, see the Directory of published versions

Example Bundle: RR Communication Collection Bundle Example: bundle-rr-collection-communication

Bundle bundle-rr-collection-communication of type collection

Entry 1 - Full URL = http://example.org/fhir/Communication/communication-rr-one-cond-one-pha

Resource Communication:



Subject:

Public Health Reporting Communication: one or more conditions are reportable, or may be reportable, to public health.

Summary:

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.

  • Local mosquito-borne Zika virus transmission was reported in your area. Increased watchfulness for symptoms of Zika virus in your patients is warranted. (Immediate action requested)

  • Additional information for the required reporting of Zika must be submitted to State Department of Health immediately. This additional information can be submitted here. ( Link- Immediate action required)

  • Zika has particular risks for pregnant women. Follow-up guidance for pregnant women and couples who are planning pregnancy. ( Link- Immediate action requested)

Entry 2 - Full URL = http://example.org/fhir/Organization/organization-ecr-health-authority-west

Resource Organization:

id
organization-ecr-health-authority-west
meta
versionId
8
lastUpdated
2019-10-23T13:56:36.000-04:00
profile
http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-organization
identifier
active
true
name
Health Authority West
telecom
system
phone
value
+1-555-555-3555
telecom
system
email
value
mail@healthauthoritywest.gov
address
line
7777 Health Authority Drive
city
Ann Arbor
state
MI
postalCode
99999

Entry 3 - Full URL = http://example.org/fhir/PlanDefinition/plandefinition-rr-relevant-reportable-condition

Resource PlanDefinition:

The Reportability Response Plan Definition does not contain narrative text. The information from this resource is parsed and contained in Communication[rr-communication].text according to the guidlines set out here: Reportability Response Narrative Guidance.

Entry 4 - Full URL = http://example.org/fhir/Observation/observation-rr-eicr-processing-status

Resource Observation:

id
observation-rr-eicr-processing-status
meta
versionId
7
lastUpdated
2019-10-11T05:02:45.000-04:00
profile
http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-observation
status
final
code

Entry 5 - Full URL = http://example.org/fhir/Bundle/bundle-eicr-document-zika

Resource Bundle:

id
composition-eicr-zika
meta
versionId
27
lastUpdated
2019-10-20T11:00:43.000-04:00
profile
http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-composition
composition-clinicaldocument-versionNumber
  • 1
identifier
  • c03eab8c-11e8-4d0c-ad2a-b385395e27db
status
final
type
subject
encounter
date
2018-01-02T22:13:23Z
author
title
Initial Public Health Case Report - Zika Example
section
title
History of Present Illness Section
code
Persistent Cough REPORTED starting on 2018/03/05
Whooping Respiration not reported
Paroxysms Of Coughing REPORTED starting on 2018/03/06
Post-tussive vomiting not reported
section
title
Reason for Visit Section
code

Bad cough
section
title
Problems Section
code
entry Common cold (disorder)
id
condition-eicr-eve-everywoman-common-cold
meta
versionId
15
lastUpdated
2019-10-10T21:21:49.000-04:00
profile
http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-condition
category
code
subject
onsetDateTime
2017-09-23
asserter
section
title
Social History Section
code
entry eICR Travel History: Eve Everywoman 2018-01
id
observation-travel-history-eve-everywoman-201801
meta
versionId
11
lastUpdated
2019-10-05T03:15:42.000-04:00
profile
http://hl7.org/fhir/us/ecr/StructureDefinition/travel-history-observation
status
final
code
subject
effectivePeriod
start
2018-01-15
end
2018-01-30
component
code
valueCodeableConcept
    • Fiji
      (
      FJI
      )
    • urn:iso:std:iso:3166
component
code
valueCodeableConcept
entry ODH Usual Work Example
id
observation-odh-usual-work-eve-everywoman
meta
versionId
2
lastUpdated
2019-10-20T10:53:14.000-04:00
profile
http://hl7.org/fhir/us/odh/StructureDefinition/odh-UsualWork
status
final
code
subject
effectivePeriod
start
2015-01-01
end
2018-03-07
valueCodeableConcept
component
code
valueCodeableConcept
section
title
Medications Administered Section
code
entry Azithromycin 500 MG Oral Tablet
id
medicationadministration-eve-everywoman-azithromycin
meta
versionId
10
lastUpdated
2019-10-05T03:11:22.000-04:00
status
completed
medicationCodeableConcept
subject
effectivePeriod
start
2018-03-07
end
2018-03-07
dosage
route
method
dose
value
2
unit
TAB
system
code
TAB
section
title
Results Section
code
entry Lymphocytes [#/​volume] in Blood by Automated count - Interpretation: High
id
observation-us-core-results-eve-everywoman-lymphocytes
meta
versionId
10
lastUpdated
2019-10-05T02:50:13.000-04:00
profile
http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab
status
final
category
code
subject
effectiveDateTime
2018-03-07
valueQuantity
interpretation
referenceRange
low
value
1
system
code
10*3/uL
high
value
4.8
system
code
10*3/uL
section
title
Plan of Treatment Section
code
entry
  • Trigger code
  • Trigger Code:
  • Trigger Code Display:
  • Trigger Code System:
  • Trigger Code Value Set: urn:oid:2.16.840.1.114222.4.11.7508
  • Trigger Code Value Set Version: 19/05/2018
Request for Zika virus envelope (E) gene [Presence] in Serum by Probe and target amplification method
id
servicerequest-eicr-zika
meta
versionId
9
lastUpdated
2019-10-23T13:56:36.000-04:00
profile
http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-servicerequest
status
completed
intent
order
category
code
  • Zika RT-PCR
    • Zika virus envelope E gene [Presence] in Serum by NAA with probe detection
      (
      80825-3
      )
subject
performer

History of Present Illness Section

title
History of Present Illness Section
code
Persistent Cough REPORTED starting on 2018/03/05
Whooping Respiration not reported
Paroxysms Of Coughing REPORTED starting on 2018/03/06
Post-tussive vomiting not reported

Reason for Visit Section

title
Reason for Visit Section
code

Bad cough

Problems Section

title
Problems Section
code
entry Common cold (disorder)
id
condition-eicr-eve-everywoman-common-cold
meta
versionId
15
lastUpdated
2019-10-10T21:21:49.000-04:00
profile
http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-condition
category
code
subject
onsetDateTime
2017-09-23
asserter

Social History Section

title
Social History Section
code
entry eICR Travel History: Eve Everywoman 2018-01
id
observation-travel-history-eve-everywoman-201801
meta
versionId
11
lastUpdated
2019-10-05T03:15:42.000-04:00
profile
http://hl7.org/fhir/us/ecr/StructureDefinition/travel-history-observation
status
final
code
subject
effectivePeriod
start
2018-01-15
end
2018-01-30
component
code
valueCodeableConcept
    • Fiji
      (
      FJI
      )
    • urn:iso:std:iso:3166
component
code
valueCodeableConcept
entry ODH Usual Work Example
id
observation-odh-usual-work-eve-everywoman
meta
versionId
2
lastUpdated
2019-10-20T10:53:14.000-04:00
profile
http://hl7.org/fhir/us/odh/StructureDefinition/odh-UsualWork
status
final
code
subject
effectivePeriod
start
2015-01-01
end
2018-03-07
valueCodeableConcept
component
code
valueCodeableConcept

Medications Administered Section

title
Medications Administered Section
code
entry Azithromycin 500 MG Oral Tablet
id
medicationadministration-eve-everywoman-azithromycin
meta
versionId
10
lastUpdated
2019-10-05T03:11:22.000-04:00
status
completed
medicationCodeableConcept
subject
effectivePeriod
start
2018-03-07
end
2018-03-07
dosage
route
method
dose
value
2
unit
TAB
system
code
TAB

Results Section

title
Results Section
code
entry Lymphocytes [#/​volume] in Blood by Automated count - Interpretation: High
id
observation-us-core-results-eve-everywoman-lymphocytes
meta
versionId
10
lastUpdated
2019-10-05T02:50:13.000-04:00
profile
http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab
status
final
category
code
subject
effectiveDateTime
2018-03-07
valueQuantity
interpretation
referenceRange
low
value
1
system
code
10*3/uL
high
value
4.8
system
code
10*3/uL

Plan of Treatment Section

title
Plan of Treatment Section
code
entry
  • Trigger code
  • Trigger Code:
  • Trigger Code Display:
  • Trigger Code System:
  • Trigger Code Value Set: urn:oid:2.16.840.1.114222.4.11.7508
  • Trigger Code Value Set Version: 19/05/2018
Request for Zika virus envelope (E) gene [Presence] in Serum by Probe and target amplification method
id
servicerequest-eicr-zika
meta
versionId
9
lastUpdated
2019-10-23T13:56:36.000-04:00
profile
http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-servicerequest
status
completed
intent
order
category
code
  • Zika RT-PCR
    • Zika virus envelope E gene [Presence] in Serum by NAA with probe detection
      (
      80825-3
      )
subject
performer

Entry 6 - Full URL = http://example.org/fhir/Organization/organization-rr-rules-authoring-agency-haw

Resource Organization:

id
organization-rr-rules-authoring-agency-haw
meta
versionId
7
lastUpdated
2019-10-05T03:15:42.000-04:00
profile
http://hl7.org/fhir/us/ecr/StructureDefinition/rr-rules-authoring-agency-organization
identifier
active
true
type
name
Health Authority West Rules Authoring Agency
telecom
system
phone
value
+1-555-555-3555
telecom
system
email
value
mail@healthauthoritywest.gov
address
line
7777 Health Authority Drive
city
Ann Arbor
state
MI
postalCode
99999

Entry 7 - Full URL = http://example.org/fhir/Organization/organization-rr-responsible-agency-haw

Resource Organization:

id
organization-rr-responsible-agency-haw
meta
versionId
7
lastUpdated
2019-10-05T03:15:42.000-04:00
profile
http://hl7.org/fhir/us/ecr/StructureDefinition/rr-responsible-agency-organization
identifier
active
true
type
name
Health Authority West Responsible Agency
telecom
system
phone
value
+1-555-555-3555
telecom
system
email
value
mail@healthauthoritywest.gov
address
line
7777 Health Authority Drive
city
Ann Arbor
state
MI
postalCode
99999

Entry 8 - Full URL = http://example.org/fhir/Organization/organization-rr-routing-entity-haw

Resource Organization:

id
organization-rr-routing-entity-haw
meta
versionId
7
lastUpdated
2019-10-05T03:15:42.000-04:00
profile
http://hl7.org/fhir/us/ecr/StructureDefinition/rr-routing-entity-organization
identifier
active
true
type
name
Health Authority West Routing Entity
telecom
system
phone
value
+1-555-555-3555
telecom
system
email
value
mail@healthauthoritywest.gov
address
line
7777 Health Authority Drive
city
Ann Arbor
state
MI
postalCode
99999