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

: USPublicHealthSpecificationBundleExample - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="bundle-us-ph-specification-bundle-example"/>
  <meta>
    <versionId value="3"/>
    <lastUpdated value="2020-12-03T05:57:10.783+00:00"/>
    <source value="#8wAcVft7f8Kx2BLC"/>
    <profile
             value="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-specification-bundle"/>
  </meta>
  <type value="collection"/>
  <entry>
    <fullUrl
             value="http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-us-public-health-example"/>
    <resource>
      <PlanDefinition>
        <id value="plandefinition-us-public-health-example"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
                        <p>
                            <b>Generated Narrative</b>
                        </p>
                        <p>
                            <b>url</b>:

                            
                            <a href="PlanDefinition-plandefinition-us-public-health-example.html">PlanDefinition-plandefinition-us-public-health-example</a>
                        </p>
                        <p>
                            <b>version</b>: 3.0.0

                        
                        </p>
                        <p>
                            <b>name</b>: PlanDefinitionUSPublicHealthExample

                        
                        </p>
                        <p>
                            <b>title</b>: PlanDefinition US Public Health Example

                        
                        </p>
                        <p>
                            <b>status</b>: active

                        
                        </p>
                        <p>
                            <b>experimental</b>: true

                        
                        </p>
                        <p>
                            <b>date</b>: Jul 31, 2020, 5:32:29 PM

                        
                        </p>
                        <p>
                            <b>publisher</b>: HL7 Public Health Work Group (http://www.hl7.org/Special/committees/pher/index.cfm)

                        
                        </p>
                        <p>
                            <b>contact</b>: HL7 International - Public Health:

                            
                            <a href="http://www.hl7.org/Special/committees/pher">http://www.hl7.org/Special/committees/pher</a>
                        </p>
                        <p>
                            <b>description</b>: An example US Public Health PlanDefinition

                        
                        </p>
                        <p>
                            <b>jurisdiction</b>:

                            
                            <span title="Codes: {urn:iso:std:iso:3166 US}">United States of America</span>
                        </p>
                        <p>
                            <b>effectivePeriod</b>: 2020-12-01 --&gt; (ongoing)

                        
                        </p>
                        <p>
                            <b>library</b>:

                            
                            <a href="http://aphl.org/fhir/ecr/Library/RuleFilters">http://aphl.org/fhir/ecr/Library/RuleFilters|1.0.0</a>
                        </p>
                    </div>
        </text>
        <url
             value="http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-us-public-health-example"/>
        <version value="0.1"/>
        <name value="PlanDefinitionUSPublicHealthExample"/>
        <title value="PlanDefinition US Public Health Example"/>
        <status value="active"/>
        <experimental value="true"/>
        <date value="2020-07-31T12:32:29.858-05:00"/>
        <publisher value="Health Authority West Rules Authoring Agency">
          <extension
                     url="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-rules-authoring-agency-organization-extension">
            <valueReference>
              <reference
                         value="Organization/organization-rr-rules-authoring-agency-haw"/>
            </valueReference>
          </extension>
        </publisher>
        <description value="An example US Public Health PlanDefinition"/>
        <jurisdiction>
          <coding>
            <system value="urn:iso:std:iso:3166"/>
            <code value="US"/>
            <display value="United States of America"/>
          </coding>
          <text value="United States of America"/>
        </jurisdiction>
        <effectivePeriod>
          <start value="2020-12-01"/>
        </effectivePeriod>
        <library value="http://aphl.org/fhir/ecr/Library/RuleFilters|1.0.0"/>
      </PlanDefinition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://hl7.org/fhir/us/ecr/Library/library-rctc"/>
    <resource>
      <Library>
        <id value="library-rctc"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
                        <table xmlns:xsl="http://www.w3.org/1999/XSL/Transform">
                            <tr>
                                <td style="font-weight: bold">id:
                </td>
                                <td>
                                    <div title="id">library-rctc</div>
                                </td>
                            </tr>
                            <tr>
                                <td style="font-weight: bold">meta:
                </td>
                                <td>
                                    <ul style="list-style:none; padding-left:0; margin:0 0;">
                                        <li>
                                            <div title="versionId">8</div>
                                        </li>
                                        <li>
                                            <div title="lastUpdated">2019-10-03T02:12:47.000-04:00</div>
                                        </li>
                                        <li>
                                            <div title="profile">http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-valueset-library</div>
                                        </li>
                                    </ul>
                                </td>
                            </tr>
                            <tr>
                                <td style="font-weight: bold">url:
                </td>
                                <td>
                                    <div title="url">http://hl7.org/fhir/us/ecr/Library/library-rctc</div>
                                </td>
                            </tr>
                            <tr>
                                <td style="font-weight: bold">identifier:
                </td>
                                <td>
                                    <ul style="list-style:none; padding-left:0; margin:0 0;">
                                        <li>
                                            <div title="system">urn:ietf:rfc:3986</div>
                                        </li>
                                        <li>
                                            <div title="value">urn:oid:2.16.840.1.114222.4.11.7508</div>
                                        </li>
                                    </ul>
                                </td>
                            </tr>
                            <tr>
                                <td style="font-weight: bold">version:
                </td>
                                <td>
                                    <div title="version">2019-06-17</div>
                                </td>
                            </tr>
                            <tr>
                                <td style="font-weight: bold">name:
                </td>
                                <td>
                                    <div title="name">Reportable_Condition_Trigger_Codes</div>
                                </td>
                            </tr>
                            <tr>
                                <td style="font-weight: bold">title:
                </td>
                                <td>
                                    <div title="title">Reportable Condition Trigger Codes (RCTC)</div>
                                </td>
                            </tr>
                            <tr>
                                <td style="font-weight: bold">status:
                </td>
                                <td>
                                    <div title="status">active</div>
                                </td>
                            </tr>
                            <tr>
                                <td style="font-weight: bold">type:
                </td>
                                <td>
                                    <ul style="list-style:none; padding-left:0; margin:0 0;">
                                        <li> (







                                            
                                            <div title="code">asset-collection</div> )








                                        
                                        </li>
                                        <li>
                                            <div title="system">
                                                <a href="http://terminology.hl7.org/CodeSystem/library-type">http://terminology.hl7.org/CodeSystem/library-type</a>
                                            </div>
                                        </li>
                                    </ul>
                                </td>
                            </tr>
                            <tr>
                                <td style="font-weight: bold">description:
                </td>
                                <td>
                                    <div title="description">
                    This release includes code updates for the existing conditions and adds codes for Parkinson’s disease and 13 enteric conditions. Medication codes have also been added to this version.
                  </div>
                                </td>
                            </tr>
                            <tr>
                                <td style="font-weight: bold">effectivePeriod:
                </td>
                                <td>
                                    <div title="start">2019-11-01</div>
                                </td>
                            </tr>
                            <tr>
                                <td style="font-weight: bold">relatedArtifact:
                </td>
                                <td>
                                    <ul style="list-style:none; padding-left:0; margin:0 0;">
                                        <li>
                                            <div title="type">composed-of</div>
                                        </li>
                                        <li>
                                            <div title="resource">http://hl7.org/fhir/us/ecr/ValueSet/valueset-dxtc-example</div>
                                        </li>
                                    </ul>
                                </td>
                            </tr>
                            <tr>
                                <td style="font-weight: bold">relatedArtifact:
                </td>
                                <td>
                                    <ul style="list-style:none; padding-left:0; margin:0 0;">
                                        <li>
                                            <div title="type">composed-of</div>
                                        </li>
                                        <li>
                                            <div title="resource">http://hl7.org/fhir/us/ecr/ValueSet/valueset-ostc-example</div>
                                        </li>
                                    </ul>
                                </td>
                            </tr>
                            <tr>
                                <td style="font-weight: bold">relatedArtifact:
                </td>
                                <td>
                                    <ul style="list-style:none; padding-left:0; margin:0 0;">
                                        <li>
                                            <div title="type">composed-of</div>
                                        </li>
                                        <li>
                                            <div title="resource">http://hl7.org/fhir/us/ecr/ValueSet/valueset-lotc-example</div>
                                        </li>
                                    </ul>
                                </td>
                            </tr>
                            <tr>
                                <td style="font-weight: bold">relatedArtifact:
                </td>
                                <td>
                                    <ul style="list-style:none; padding-left:0; margin:0 0;">
                                        <li>
                                            <div title="type">composed-of</div>
                                        </li>
                                        <li>
                                            <div title="resource">http://hl7.org/fhir/us/ecr/ValueSet/valueset-lrtc-example</div>
                                        </li>
                                    </ul>
                                </td>
                            </tr>
                            <tr>
                                <td style="font-weight: bold">relatedArtifact:
                </td>
                                <td>
                                    <ul style="list-style:none; padding-left:0; margin:0 0;">
                                        <li>
                                            <div title="type">composed-of</div>
                                        </li>
                                        <li>
                                            <div title="resource">http://hl7.org/fhir/us/ecr/ValueSet/valueset-mrtc-example</div>
                                        </li>
                                    </ul>
                                </td>
                            </tr>
                            <tr>
                                <td style="font-weight: bold">relatedArtifact:
                </td>
                                <td>
                                    <ul style="list-style:none; padding-left:0; margin:0 0;">
                                        <li>
                                            <div title="type">composed-of</div>
                                        </li>
                                        <li>
                                            <div title="resource">http://hl7.org/fhir/us/ecr/ValueSet/valueset-iztc-example</div>
                                        </li>
                                    </ul>
                                </td>
                            </tr>
                        </table>
                    </div>
        </text>
        <url value="http://hl7.org/fhir/us/ecr/Library/library-rctc"/>
        <identifier>
          <system value="urn:ietf:rfc:3986"/>
          <value value="urn:oid:2.16.840.1.114222.4.11.7508"/>
        </identifier>
        <version value="2019-06-17"/>
        <name value="Reportable_Condition_Trigger_Codes"/>
        <title value="Reportable Condition Trigger Codes (RCTC)"/>
        <status value="active"/>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
            <code value="asset-collection"/>
          </coding>
        </type>
        <description
                     value="This release includes code updates for the existing conditions and adds codes for Parkinson’s disease and 13 enteric conditions. Medication codes have also been added to this version."/>
        <purpose
                 value="Triggers for initiating decision support for electronic case reports"/>
        <effectivePeriod>
          <start value="2019-11-01"/>
        </effectivePeriod>
        <relatedArtifact>
          <type value="composed-of"/>
          <resource
                    value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-dxtc-example"/>
        </relatedArtifact>
        <relatedArtifact>
          <type value="composed-of"/>
          <resource
                    value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-ostc-example"/>
        </relatedArtifact>
        <relatedArtifact>
          <type value="composed-of"/>
          <resource
                    value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-lotc-example"/>
        </relatedArtifact>
        <relatedArtifact>
          <type value="composed-of"/>
          <resource
                    value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-lrtc-example"/>
        </relatedArtifact>
        <relatedArtifact>
          <type value="composed-of"/>
          <resource
                    value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-mrtc-example"/>
        </relatedArtifact>
        <relatedArtifact>
          <type value="composed-of"/>
          <resource
                    value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-iztc-example"/>
        </relatedArtifact>
      </Library>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-dxtc-example"/>
    <resource>
      <ValueSet>
        <id value="valueset-dxtc-example"/>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>steward</b>: CSTE Steward: </p><p><b>author</b>: CSTE Author: </p><p><b>url</b>: <code>http://hl7.org/fhir/us/ecr/ValueSet/valueset-dxtc-example</code></p><p><b>identifier</b>: id: urn:oid:2.16.840.1.113762.1.4.1146.627</p><p><b>version</b>: 1.0.0</p><p><b>name</b>: Example_Diagnosis_Problem_Triggers_for_Public_Health_Reporting</p><p><b>title</b>: Example Diagnosis Problem Triggers for Public Health Reporting</p><p><b>status</b>: draft</p><p><b>experimental</b>: true</p><p><b>date</b>: 2018-08-01</p><p><b>publisher</b>: {site.data.fhir.ig.publisher}</p><p><b>contact</b>: HL7 Public Health and Emergency Response WorkGroup: <a href="http://www.hl7.org/Special/committees/pher/index.cfm">http://www.hl7.org/Special/committees/pher/index.cfm</a></p><p><b>description</b>: This example set of values contains diagnoses or problems that represent that the patient may have a potentially reportable condition regardless of the clinical presentation of the condition</p><h3>UseContexts</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>jurisdiction</b>: <span title="Codes: {urn:iso:std:iso:3166 US}">United States of America</span></p><p><b>copyright</b>: This value set includes content from SNOMED CT, which is copyright &copy; 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href="http://hl7.org/fhir/sid/icd-10-cm">http://hl7.org/fhir/sid/icd-10-cm</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: A01</p><p><b>display</b>: Typhoid and paratyphoid fevers</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: A01.0</p><p><b>display</b>: Typhoid fever</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href="http://snomed.info/sct">http://snomed.info/sct</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: 10750051000119105</p><p><b>display</b>: Chlamydia trachomatis infection in mother complicating childbirth (disorder)</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 10754031000119105</p><p><b>display</b>: Gonorrhea in mother complicating childbirth (disorder)</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 1084791000119106</p><p><b>display</b>: Cardiac disorder due to typhoid fever (disorder)</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 1086991000119103</p><p><b>display</b>: Gonococcal abscess of brain (disorder)</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 1087051000119109</p><p><b>display</b>: Gonococcal osteomyelitis (disorder)</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 1087061000119106</p><p><b>display</b>: Gonococcal pneumonia (disorder)</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 1092371000119103</p><p><b>display</b>: Salmonella pyelonephritis (disorder)</p></blockquote></blockquote></blockquote></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/valueset-steward">
          <valueContactDetail>
            <name value="CSTE Steward"/>
          </valueContactDetail>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-author">
          <valueContactDetail>
            <name value="CSTE Author"/>
          </valueContactDetail>
        </extension>
        <url value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-dxtc-example"/>
        <identifier>
          <system value="urn:ietf:rfc:3986"/>
          <value value="urn:oid:2.16.840.1.113762.1.4.1146.627"/>
        </identifier>
        <version value="1.0.0"/>
        <name
              value="Example_Diagnosis_Problem_Triggers_for_Public_Health_Reporting"/>
        <title
               value="Example Diagnosis Problem Triggers for Public Health Reporting"/>
        <status value="draft"/>
        <experimental value="true"/>
        <date value="2018-08-01"/>
        <publisher value="{site.data.fhir.ig.publisher}"/>
        <contact>
          <name value="HL7 Public Health and Emergency Response WorkGroup"/>
          <telecom>
            <system value="url"/>
            <value value="http://www.hl7.org/Special/committees/pher/index.cfm"/>
          </telecom>
        </contact>
        <description
                     value="This example set of values contains diagnoses or problems that represent that the patient may have a potentially reportable condition regardless of the clinical presentation of the condition"/>
        <useContext>
          <code>
            <system
                    value="http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type"/>
            <code value="reporting"/>
            <display value="Reporting"/>
          </code>
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context"/>
              <code value="triggering"/>
              <display value="Triggering"/>
            </coding>
          </valueCodeableConcept>
        </useContext>
        <jurisdiction>
          <coding>
            <system value="urn:iso:std:iso:3166"/>
            <code value="US"/>
            <display value="United States of America"/>
          </coding>
          <text value="United States of America"/>
        </jurisdiction>
        <copyright
                   value="This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement"/>
        <compose>
          <include>
            <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
            <concept>
              <code value="A01"/>
              <display value="Typhoid and paratyphoid fevers"/>
            </concept>
            <concept>
              <code value="A01.0"/>
              <display value="Typhoid fever"/>
            </concept>
          </include>
          <include>
            <system value="http://snomed.info/sct"/>
            <concept>
              <code value="10750051000119105"/>
              <display
                       value="Chlamydia trachomatis infection in mother complicating childbirth (disorder)"/>
            </concept>
            <concept>
              <code value="10754031000119105"/>
              <display
                       value="Gonorrhea in mother complicating childbirth (disorder)"/>
            </concept>
            <concept>
              <code value="1084791000119106"/>
              <display value="Cardiac disorder due to typhoid fever (disorder)"/>
            </concept>
            <concept>
              <code value="1086991000119103"/>
              <display value="Gonococcal abscess of brain (disorder)"/>
            </concept>
            <concept>
              <code value="1087051000119109"/>
              <display value="Gonococcal osteomyelitis (disorder)"/>
            </concept>
            <concept>
              <code value="1087061000119106"/>
              <display value="Gonococcal pneumonia (disorder)"/>
            </concept>
            <concept>
              <code value="1092371000119103"/>
              <display value="Salmonella pyelonephritis (disorder)"/>
            </concept>
          </include>
        </compose>
      </ValueSet>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-ostc-example"/>
    <resource>
      <ValueSet>
        <id value="valueset-ostc-example"/>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>steward</b>: CSTE Steward: </p><p><b>author</b>: CSTE Author: </p><p><b>url</b>: <code>http://hl7.org/fhir/us/ecr/ValueSet/valueset-ostc-example</code></p><p><b>identifier</b>: id: urn:oid:2.16.840.1.113762.1.4.1146.1059</p><p><b>version</b>: 1.0.0</p><p><b>name</b>: Example_Organism_Substance_Triggers_for_Public_Health_Reporting</p><p><b>title</b>: Example Organism Substance Triggers for Public Health Reporting</p><p><b>status</b>: draft</p><p><b>experimental</b>: true</p><p><b>date</b>: 2018-08-01</p><p><b>publisher</b>: {site.data.fhir.ig.publisher}</p><p><b>contact</b>: HL7 Public Health and Emergency Response WorkGroup: <a href="http://www.hl7.org/Special/committees/pher/index.cfm">http://www.hl7.org/Special/committees/pher/index.cfm</a></p><p><b>description</b>: This example set of values contains organism and substance names that represent that the patient may have a potentially reportable condition regardless of the clinical presentation of the condition</p><h3>UseContexts</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>jurisdiction</b>: <span title="Codes: {urn:iso:std:iso:3166 US}">United States of America</span></p><p><b>copyright</b>: This value set includes content from SNOMED CT, which is copyright &copy; 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href="http://snomed.info/sct">http://snomed.info/sct</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: 1009003</p><p><b>display</b>: Salmonella Oakland (organism)</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 10096007</p><p><b>display</b>: Salmonella Leoben (organism)</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 10112007</p><p><b>display</b>: Salmonella Alamo (organism)</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 10183008</p><p><b>display</b>: Salmonella Pensacola (organism)</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 10248003</p><p><b>display</b>: Salmonella Travis (organism)</p></blockquote></blockquote></blockquote></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/valueset-steward">
          <valueContactDetail>
            <name value="CSTE Steward"/>
          </valueContactDetail>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-author">
          <valueContactDetail>
            <name value="CSTE Author"/>
          </valueContactDetail>
        </extension>
        <url value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-ostc-example"/>
        <identifier>
          <system value="urn:ietf:rfc:3986"/>
          <value value="urn:oid:2.16.840.1.113762.1.4.1146.1059"/>
        </identifier>
        <version value="1.0.0"/>
        <name
              value="Example_Organism_Substance_Triggers_for_Public_Health_Reporting"/>
        <title
               value="Example Organism Substance Triggers for Public Health Reporting"/>
        <status value="draft"/>
        <experimental value="true"/>
        <date value="2018-08-01"/>
        <publisher value="{site.data.fhir.ig.publisher}"/>
        <contact>
          <name value="HL7 Public Health and Emergency Response WorkGroup"/>
          <telecom>
            <system value="url"/>
            <value value="http://www.hl7.org/Special/committees/pher/index.cfm"/>
          </telecom>
        </contact>
        <description
                     value="This example set of values contains organism and substance names that represent that the patient may have a potentially reportable condition regardless of the clinical presentation of the condition"/>
        <useContext>
          <code>
            <system
                    value="http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type"/>
            <code value="reporting"/>
            <display value="Reporting"/>
          </code>
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context"/>
              <code value="triggering"/>
              <display value="Triggering"/>
            </coding>
          </valueCodeableConcept>
        </useContext>
        <jurisdiction>
          <coding>
            <system value="urn:iso:std:iso:3166"/>
            <code value="US"/>
            <display value="United States of America"/>
          </coding>
          <text value="United States of America"/>
        </jurisdiction>
        <copyright
                   value="This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement"/>
        <compose>
          <include>
            <system value="http://snomed.info/sct"/>
            <concept>
              <code value="1009003"/>
              <display value="Salmonella Oakland (organism)"/>
            </concept>
            <concept>
              <code value="10096007"/>
              <display value="Salmonella Leoben (organism)"/>
            </concept>
            <concept>
              <code value="10112007"/>
              <display value="Salmonella Alamo (organism)"/>
            </concept>
            <concept>
              <code value="10183008"/>
              <display value="Salmonella Pensacola (organism)"/>
            </concept>
            <concept>
              <code value="10248003"/>
              <display value="Salmonella Travis (organism)"/>
            </concept>
          </include>
        </compose>
      </ValueSet>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-lotc-example"/>
    <resource>
      <ValueSet>
        <id value="valueset-lotc-example"/>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>steward</b>: CSTE Steward: </p><p><b>author</b>: CSTE Author: </p><p><b>url</b>: <code>http://hl7.org/fhir/us/ecr/ValueSet/valueset-lotc-example</code></p><p><b>identifier</b>: id: urn:oid:2.16.840.1.113762.1.4.1146.1056</p><p><b>version</b>: 1.0.0</p><p><b>name</b>: Example_Lab_Order_Test_Triggers_for_Public_Health_Reporting</p><p><b>title</b>: Example Lab Order Test Triggers for Public Health Reporting</p><p><b>status</b>: draft</p><p><b>experimental</b>: true</p><p><b>date</b>: 2018-08-01</p><p><b>publisher</b>: {site.data.fhir.ig.publisher}</p><p><b>contact</b>: HL7 Public Health and Emergency Response WorkGroup: <a href="http://www.hl7.org/Special/committees/pher/index.cfm">http://www.hl7.org/Special/committees/pher/index.cfm</a></p><p><b>description</b>: This example set of values contains laboratory test names for orders that represent that the patient may have a potentially reportable condition regardless of the clinical presentation of the condition</p><h3>UseContexts</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>jurisdiction</b>: <span title="Codes: {urn:iso:std:iso:3166 US}">United States of America</span></p><p><b>copyright</b>: This material contains content from LOINC (http://loinc.org). LOINC is copyright &copy; 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC&reg; is a registered United States trademark of Regenstrief Institute, Inc</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href="http://loinc.org">http://loinc.org</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: 11585-7</p><p><b>display</b>: Bordetella pertussis Ab [Units/volume] in Serum</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 16474-9</p><p><b>display</b>: Bordetella pertussis Ab [Units/volume] in Serum by Complement fixation</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 20992-4</p><p><b>display</b>: Bordetella pertussis Ab [Presence] in Unspecified specimen</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 22116-8</p><p><b>display</b>: Bordetella pertussis Ab [Titer] in Serum</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 22117-6</p><p><b>display</b>: Bordetella pertussis Ab [Titer] in Unspecified specimen</p></blockquote></blockquote></blockquote></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/valueset-steward">
          <valueContactDetail>
            <name value="CSTE Steward"/>
          </valueContactDetail>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-author">
          <valueContactDetail>
            <name value="CSTE Author"/>
          </valueContactDetail>
        </extension>
        <url value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-lotc-example"/>
        <identifier>
          <system value="urn:ietf:rfc:3986"/>
          <value value="urn:oid:2.16.840.1.113762.1.4.1146.1056"/>
        </identifier>
        <version value="1.0.0"/>
        <name
              value="Example_Lab_Order_Test_Triggers_for_Public_Health_Reporting"/>
        <title
               value="Example Lab Order Test Triggers for Public Health Reporting"/>
        <status value="draft"/>
        <experimental value="true"/>
        <date value="2018-08-01"/>
        <publisher value="{site.data.fhir.ig.publisher}"/>
        <contact>
          <name value="HL7 Public Health and Emergency Response WorkGroup"/>
          <telecom>
            <system value="url"/>
            <value value="http://www.hl7.org/Special/committees/pher/index.cfm"/>
          </telecom>
        </contact>
        <description
                     value="This example set of values contains laboratory test names for orders that represent that the patient may have a potentially reportable condition regardless of the clinical presentation of the condition"/>
        <useContext>
          <code>
            <system
                    value="http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type"/>
            <code value="reporting"/>
            <display value="Reporting"/>
          </code>
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context"/>
              <code value="triggering"/>
              <display value="Triggering"/>
            </coding>
          </valueCodeableConcept>
        </useContext>
        <jurisdiction>
          <coding>
            <system value="urn:iso:std:iso:3166"/>
            <code value="US"/>
            <display value="United States of America"/>
          </coding>
          <text value="United States of America"/>
        </jurisdiction>
        <copyright
                   value="This material contains content from LOINC (http://loinc.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc"/>
        <compose>
          <include>
            <system value="http://loinc.org"/>
            <concept>
              <code value="11585-7"/>
              <display value="Bordetella pertussis Ab [Units/volume] in Serum"/>
            </concept>
            <concept>
              <code value="16474-9"/>
              <display
                       value="Bordetella pertussis Ab [Units/volume] in Serum by Complement fixation"/>
            </concept>
            <concept>
              <code value="20992-4"/>
              <display
                       value="Bordetella pertussis Ab [Presence] in Unspecified specimen"/>
            </concept>
            <concept>
              <code value="22116-8"/>
              <display value="Bordetella pertussis Ab [Titer] in Serum"/>
            </concept>
            <concept>
              <code value="22117-6"/>
              <display
                       value="Bordetella pertussis Ab [Titer] in Unspecified specimen"/>
            </concept>
          </include>
        </compose>
      </ValueSet>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-lrtc-example"/>
    <resource>
      <ValueSet>
        <id value="valueset-lrtc-example"/>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>steward</b>: CSTE Steward: </p><p><b>author</b>: CSTE Author: </p><p><b>url</b>: <code>http://hl7.org/fhir/us/ecr/ValueSet/valueset-lrtc-example</code></p><p><b>identifier</b>: id: urn:oid:2.16.840.1.113762.1.4.1146.1057</p><p><b>version</b>: 1.0.0</p><p><b>name</b>: Example_Lab_Obs_Test_Name_Triggers_for_Public_Health_Reporting</p><p><b>title</b>: Example Lab Obs Test Name Triggers for Public Health Reporting</p><p><b>status</b>: draft</p><p><b>experimental</b>: true</p><p><b>date</b>: 2018-08-01</p><p><b>publisher</b>: {site.data.fhir.ig.publisher}</p><p><b>contact</b>: HL7 Public Health and Emergency Response WorkGroup: <a href="http://www.hl7.org/Special/committees/pher/index.cfm">http://www.hl7.org/Special/committees/pher/index.cfm</a></p><p><b>description</b>: This example set of values contains laboratory observations test names that represent that the patient may have a potentially reportable condition regardless of the clinical presentation of the condition</p><h3>UseContexts</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>jurisdiction</b>: <span title="Codes: {urn:iso:std:iso:3166 US}">United States of America</span></p><p><b>copyright</b>: This material contains content from LOINC (http://loinc.org). LOINC is copyright &copy; 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC&reg; is a registered United States trademark of Regenstrief Institute, Inc</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href="http://loinc.org">http://loinc.org</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: 11585-7</p><p><b>display</b>: Bordetella pertussis Ab [Units/volume] in Serum</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 14127-5</p><p><b>display</b>: Neisseria gonorrhoeae [Presence] in Anal by Organism specific culture</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 14461-8</p><p><b>display</b>: Chlamydia trachomatis [Presence] in Blood by Organism specific culture</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 14462-6</p><p><b>display</b>: Chlamydia trachomatis [Presence] in Cerebral spinal fluid by Organism specific culture</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 14463-4</p><p><b>display</b>: Chlamydia trachomatis [Presence] in Cervix by Organism specific culture</p></blockquote></blockquote></blockquote></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/valueset-steward">
          <valueContactDetail>
            <name value="CSTE Steward"/>
          </valueContactDetail>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-author">
          <valueContactDetail>
            <name value="CSTE Author"/>
          </valueContactDetail>
        </extension>
        <url value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-lrtc-example"/>
        <identifier>
          <system value="urn:ietf:rfc:3986"/>
          <value value="urn:oid:2.16.840.1.113762.1.4.1146.1057"/>
        </identifier>
        <version value="1.0.0"/>
        <name
              value="Example_Lab_Obs_Test_Name_Triggers_for_Public_Health_Reporting"/>
        <title
               value="Example Lab Obs Test Name Triggers for Public Health Reporting"/>
        <status value="draft"/>
        <experimental value="true"/>
        <date value="2018-08-01"/>
        <publisher value="{site.data.fhir.ig.publisher}"/>
        <contact>
          <name value="HL7 Public Health and Emergency Response WorkGroup"/>
          <telecom>
            <system value="url"/>
            <value value="http://www.hl7.org/Special/committees/pher/index.cfm"/>
          </telecom>
        </contact>
        <description
                     value="This example set of values contains laboratory observations test names that represent that the patient may have a potentially reportable condition regardless of the clinical presentation of the condition"/>
        <useContext>
          <code>
            <system
                    value="http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type"/>
            <code value="reporting"/>
            <display value="Reporting"/>
          </code>
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context"/>
              <code value="triggering"/>
              <display value="Triggering"/>
            </coding>
          </valueCodeableConcept>
        </useContext>
        <jurisdiction>
          <coding>
            <system value="urn:iso:std:iso:3166"/>
            <code value="US"/>
            <display value="United States of America"/>
          </coding>
          <text value="United States of America"/>
        </jurisdiction>
        <copyright
                   value="This material contains content from LOINC (http://loinc.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc"/>
        <compose>
          <include>
            <system value="http://loinc.org"/>
            <concept>
              <code value="11585-7"/>
              <display value="Bordetella pertussis Ab [Units/volume] in Serum"/>
            </concept>
            <concept>
              <code value="14127-5"/>
              <display
                       value="Neisseria gonorrhoeae [Presence] in Anal by Organism specific culture"/>
            </concept>
            <concept>
              <code value="14461-8"/>
              <display
                       value="Chlamydia trachomatis [Presence] in Blood by Organism specific culture"/>
            </concept>
            <concept>
              <code value="14462-6"/>
              <display
                       value="Chlamydia trachomatis [Presence] in Cerebral spinal fluid by Organism specific culture"/>
            </concept>
            <concept>
              <code value="14463-4"/>
              <display
                       value="Chlamydia trachomatis [Presence] in Cervix by Organism specific culture"/>
            </concept>
          </include>
        </compose>
      </ValueSet>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-mrtc-example"/>
    <resource>
      <ValueSet>
        <id value="valueset-mrtc-example"/>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>steward</b>: CSTE Steward: </p><p><b>author</b>: CSTE Author: </p><p><b>url</b>: <code>http://hl7.org/fhir/us/ecr/ValueSet/valueset-mrtc-example</code></p><p><b>identifier</b>: id: urn:oid:2.16.840.1.113762.1.4.1146.1060</p><p><b>version</b>: 1.0.0</p><p><b>name</b>: Example_Medications_Triggers_for_Public_Health_Reporting</p><p><b>title</b>: Example Medications Triggers for Public Health Reporting</p><p><b>status</b>: active</p><p><b>experimental</b>: true</p><p><b>date</b>: 2018-08-01</p><p><b>publisher</b>: {site.data.fhir.ig.publisher}</p><p><b>description</b>: This example set of values contains CVX, RXNORM,and SNOMED medication codes that may represent that the patient may have a potentially reportable condition. These pertain to medications administered and medications prescribed, where the medication, coded in CVX,RXNORM,SNOMED, may be indicative of a reportable condition.</p><h3>UseContexts</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>jurisdiction</b>: <span title="Codes: {urn:iso:std:iso:3166 US}">United States of America</span></p><p><b>purpose</b>: Prescription drugs names used in observations documented in a clinical record.</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href="http://www.nlm.nih.gov/research/umls/rxnorm">http://www.nlm.nih.gov/research/umls/rxnorm</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: 809002</p><p><b>display</b>: Carbidopa 10 MG / Levodopa 100 MG Disintegrating Oral Tablet [Parcopa]</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 476515</p><p><b>display</b>: Carbidopa 25 MG / Levodopa 250 MG Disintegrating Oral Tablet</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 308988</p><p><b>display</b>: Carbidopa 25 MG / Levodopa 100 MG Extended Release Oral Tablet</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 724606</p><p><b>display</b>: Carbidopa 10 MG / Levodopa 100 MG Oral Tablet [Sinemet]</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 1600914</p><p><b>display</b>: 8 HR Carbidopa 48.75 MG / Levodopa 195 MG Extended Release Oral Capsule</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 476399</p><p><b>display</b>: Carbidopa 25 MG / Levodopa 100 MG Disintegrating Oral Tablet</p></blockquote></blockquote></blockquote></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/valueset-steward">
          <valueContactDetail>
            <name value="CSTE Steward"/>
          </valueContactDetail>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-author">
          <valueContactDetail>
            <name value="CSTE Author"/>
          </valueContactDetail>
        </extension>
        <url value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-mrtc-example"/>
        <identifier>
          <system value="urn:ietf:rfc:3986"/>
          <value value="urn:oid:2.16.840.1.113762.1.4.1146.1060"/>
        </identifier>
        <version value="1.0.0"/>
        <name value="Example_Medications_Triggers_for_Public_Health_Reporting"/>
        <title value="Example Medications Triggers for Public Health Reporting"/>
        <status value="active"/>
        <experimental value="true"/>
        <date value="2018-08-01"/>
        <publisher value="{site.data.fhir.ig.publisher}"/>
        <description
                     value="This example set of values contains CVX, RXNORM,and SNOMED medication codes that may represent that the patient may have a potentially reportable condition. These pertain to medications administered and medications prescribed, where the medication, coded in CVX,RXNORM,SNOMED, may be indicative of a reportable condition."/>
        <useContext>
          <code>
            <system
                    value="http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type"/>
            <code value="reporting"/>
            <display value="Reporting"/>
          </code>
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context"/>
              <code value="triggering"/>
              <display value="Triggering"/>
            </coding>
          </valueCodeableConcept>
        </useContext>
        <jurisdiction>
          <coding>
            <system value="urn:iso:std:iso:3166"/>
            <code value="US"/>
            <display value="United States of America"/>
          </coding>
          <text value="United States of America"/>
        </jurisdiction>
        <purpose
                 value="Prescription drugs names used in observations documented in a clinical record."/>
        <compose>
          <include>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <concept>
              <code value="809002"/>
              <display
                       value="Carbidopa 10 MG / Levodopa 100 MG Disintegrating Oral Tablet [Parcopa]"/>
            </concept>
            <concept>
              <code value="476515"/>
              <display
                       value="Carbidopa 25 MG / Levodopa 250 MG Disintegrating Oral Tablet"/>
            </concept>
            <concept>
              <code value="308988"/>
              <display
                       value="Carbidopa 25 MG / Levodopa 100 MG Extended Release Oral Tablet"/>
            </concept>
            <concept>
              <code value="724606"/>
              <display
                       value="Carbidopa 10 MG / Levodopa 100 MG Oral Tablet [Sinemet]"/>
            </concept>
            <concept>
              <code value="1600914"/>
              <display
                       value="8 HR Carbidopa 48.75 MG / Levodopa 195 MG Extended Release Oral Capsule"/>
            </concept>
            <concept>
              <code value="476399"/>
              <display
                       value="Carbidopa 25 MG / Levodopa 100 MG Disintegrating Oral Tablet"/>
            </concept>
          </include>
        </compose>
      </ValueSet>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-iztc-example"/>
    <resource>
      <ValueSet>
        <id value="valueset-iztc-example"/>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>steward</b>: CSTE Steward: </p><p><b>author</b>: CSTE Author: </p><p><b>url</b>: <code>http://hl7.org/fhir/us/ecr/ValueSet/valueset-iztc-example</code></p><p><b>identifier</b>: id: urn:oid:2.16.840.1.113762.1.4.1146.999999999</p><p><b>version</b>: 1.0.0</p><p><b>name</b>: Example_Immunizations_Triggers_for_Public_Health_Reporting</p><p><b>title</b>: Example Immunizations Triggers for Public Health Reporting</p><p><b>status</b>: active</p><p><b>experimental</b>: true</p><p><b>date</b>: 2018-08-01</p><p><b>publisher</b>: {site.data.fhir.ig.publisher}</p><p><b>description</b>: This example set of values contains CVX vaccine codes that may represent that the patient may have a potentially reportable condition. These pertain to vaccines administered and prescribed, where the vaccine, coded in CVX, may be indicative of a reportable condition.</p><h3>UseContexts</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>jurisdiction</b>: <span title="Codes: {urn:iso:std:iso:3166 US}">United States of America</span></p><p><b>purpose</b>: Vaccine drug names used in observations documented in a clinical record.</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href="http://hl7.org/fhir/sid/cvx">http://hl7.org/fhir/sid/cvx</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: 01</p><p><b>display</b>: diphtheria, tetanus toxoids and pertussis vaccine</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 02</p><p><b>display</b>: trivalent poliovirus vaccine, live, oral</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 03</p><p><b>display</b>: measles, mumps and rubella virus vaccine</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 04</p><p><b>display</b>: measles and rubella virus vaccine</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 05</p><p><b>display</b>: measles virus vaccine</p></blockquote></blockquote></blockquote></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/valueset-steward">
          <valueContactDetail>
            <name value="CSTE Steward"/>
          </valueContactDetail>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-author">
          <valueContactDetail>
            <name value="CSTE Author"/>
          </valueContactDetail>
        </extension>
        <url value="http://hl7.org/fhir/us/ecr/ValueSet/valueset-iztc-example"/>
        <identifier>
          <system value="urn:ietf:rfc:3986"/>
          <value value="urn:oid:2.16.840.1.113762.1.4.1146.999999999"/>
        </identifier>
        <version value="1.0.0"/>
        <name value="Example_Immunizations_Triggers_for_Public_Health_Reporting"/>
        <title
               value="Example Immunizations Triggers for Public Health Reporting"/>
        <status value="active"/>
        <experimental value="true"/>
        <date value="2018-08-01"/>
        <publisher value="{site.data.fhir.ig.publisher}"/>
        <description
                     value="This example set of values contains CVX vaccine codes that may represent that the patient may have a potentially reportable condition. These pertain to vaccines administered and prescribed, where the vaccine, coded in CVX, may be indicative of a reportable condition."/>
        <useContext>
          <code>
            <system
                    value="http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type"/>
            <code value="reporting"/>
            <display value="Reporting"/>
          </code>
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context"/>
              <code value="triggering"/>
              <display value="Triggering"/>
            </coding>
          </valueCodeableConcept>
        </useContext>
        <jurisdiction>
          <coding>
            <system value="urn:iso:std:iso:3166"/>
            <code value="US"/>
            <display value="United States of America"/>
          </coding>
          <text value="United States of America"/>
        </jurisdiction>
        <purpose
                 value="Vaccine drug names used in observations documented in a clinical record."/>
        <compose>
          <include>
            <system value="http://hl7.org/fhir/sid/cvx"/>
            <concept>
              <code value="01"/>
              <display value="diphtheria, tetanus toxoids and pertussis vaccine"/>
            </concept>
            <concept>
              <code value="02"/>
              <display value="trivalent poliovirus vaccine, live, oral"/>
            </concept>
            <concept>
              <code value="03"/>
              <display value="measles, mumps and rubella virus vaccine"/>
            </concept>
            <concept>
              <code value="04"/>
              <display value="measles and rubella virus vaccine"/>
            </concept>
            <concept>
              <code value="05"/>
              <display value="measles virus vaccine"/>
            </concept>
          </include>
        </compose>
      </ValueSet>
    </resource>
  </entry>
</Bundle>