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

: RR Communication profile example: One condition, one PHA - JSON Representation

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{
  "resourceType" : "Communication",
  "id" : "communication-rr-one-cond-one-pha",
  "meta" : {
    "versionId" : "3",
    "lastUpdated" : "2020-10-28T06:46:31.341+00:00",
    "source" : "#giOWYi4hU6z7MpQR",
    "profile" : [
      "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-communication"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            <table xmlns:xsl=\"http://www.w3.org/1999/XSL/Transform\">\n                <tr>\n                    <td style=\"font-weight: bold\">id</td>\n                    <td>\n                        <div title=\"id\">communication-rr-one-cond-one-pha</div>\n                    </td>\n                </tr>\n                <tr>\n                    <td style=\"font-weight: bold\">meta</td>\n                    <td>\n                        <table>\n                            <tr>\n                                <td style=\"font-weight: bold\">versionId</td>\n                                <td>\n                                    <div title=\"versionId\">2</div>\n                                </td>\n                            </tr>\n                            <tr>\n                                <td style=\"font-weight: bold\">lastUpdated</td>\n                                <td>\n                                    <div title=\"lastUpdated\">2019-10-10T15:58:04.000-04:00</div>\n                                </td>\n                            </tr>\n                            <tr>\n                                <td style=\"font-weight: bold\">profile</td>\n                                <td>\n                                    <div title=\"profile\">http://hl7.org/fhir/us/ecr/StructureDefinition/rr-communication</div>\n                                </td>\n                            </tr>\n                        </table>\n                    </td>\n                </tr>\n                <tr>\n                    <td style=\"font-weight: bold\">rr-priority-extension</td>\n                    <td>\n                        <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n                            <li>\n                                <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n                                    <li>\n                                        <div title=\"display\">Action required</div> (\n                                        \n                                        <div title=\"code\">RRVS14</div> ) \n                                    \n                                    </li>\n                                    <li>\n                                        <div title=\"system\">urn:oid:2.16.840.1.114222.4.5.274</div>\n                                    </li>\n                                </ul>\n                            </li>\n                        </ul>\n                    </td>\n                </tr>\n                <tr>\n                    <td style=\"font-weight: bold\">relates-to-extension</td>\n                    <td>\n                        <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n                            <li>\n                                <div title=\"valueCode\">replaces</div>\n                            </li>\n                            <li>\n                                <a href=\"Communication-communication-rr-single-single-html-validation-output.html\">Communication/communication-rr-single-single-html-validation-output</a>\n                            </li>\n                            <li>\n                                <div title=\"system\">\n                                    <a href=\"http://acme.org/identifiers\">http://acme.org/identifiers</a>\n                                </div>\n                            </li>\n                            <li>\n                                <div title=\"value\">RR_SET_9587</div>\n                            </li>\n                            <li>\n                                <div title=\"valueString\">2</div>\n                            </li>\n                        </ul>\n                    </td>\n                </tr>\n                <tr>\n                    <td style=\"font-weight: bold\">identifier</td>\n                    <td>\n                        <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n                            <li>\n                                <div title=\"system\">\n                                    <a href=\"http://acme.org/identifiers\">http://acme.org/identifiers</a>\n                                </div>\n                            </li>\n                            <li>\n                                <div title=\"value\">RR12347</div>\n                            </li>\n                        </ul>\n                    </td>\n                </tr>\n                <tr>\n                    <td style=\"font-weight: bold\">status</td>\n                    <td>\n                        <div title=\"status\">completed</div>\n                    </td>\n                </tr>\n                <tr>\n                    <td style=\"font-weight: bold\">category</td>\n                    <td>\n                        <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n                            <li>\n                                <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n                                    <li>\n                                        <div title=\"display\">Reportability response report Document Public health</div> (\n                                        \n                                        <div title=\"code\">88085-6</div> ) \n                                    \n                                    </li>\n                                    <li>\n                                        <div title=\"system\">\n                                            <a href=\"http://loinc.org\">http://loinc.org</a>\n                                        </div>\n                                    </li>\n                                </ul>\n                            </li>\n                        </ul>\n                    </td>\n                </tr>\n                <tr>\n                    <td style=\"font-weight: bold\">subject</td>\n                    <td>\n                        <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n                            <li/>\n                            <li>\n                                <a href=\"Patient-patient-ecr-eve-everywoman.html\">Eve Everywoman</a>\n                            </li>\n                        </ul>\n                    </td>\n                </tr>\n                <tr>\n                    <td style=\"font-weight: bold\">topic</td>\n                    <td>\n                        <table>\n                            <tr>\n                                <td style=\"font-weight: bold\">text</td>\n                                <td>\n                                    <div title=\"text\">Public Health Reporting Communication: one or more conditions are reportable, or may be reportable to public health.</div>\n                                </td>\n                            </tr>\n                        </table>\n                    </td>\n                </tr>\n                <tr>\n                    <td style=\"font-weight: bold\">sent</td>\n                    <td>\n                        <div title=\"sent\">2018-07-19T04:09:06Z</div>\n                    </td>\n                </tr>\n                <tr>\n                    <td style=\"font-weight: bold\">recipient</td>\n                    <td>\n                        <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n                            <li/>\n                            <li>\n                                <a href=\"Practitioner-practitioner-us-core-henry-seven.html\">Henry Seven, MD</a>\n                            </li>\n                        </ul>\n                    </td>\n                </tr>\n                <tr>\n                    <td style=\"font-weight: bold\">sender</td>\n                    <td>\n                        <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n                            <li/>\n                            <li>\n                                <a href=\"Organization-organization-ecr-health-authority-west.html\">Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999</a>\n                            </li>\n                        </ul>\n                    </td>\n                </tr>\n                <tr>\n                    <td style=\"font-weight: bold\">payload</td>\n                    <td>\n                        <table>\n                            <tr>\n                                <td style=\"font-weight: bold\">contentString</td>\n                                <td>\n                                    <div title=\"contentString\">Your organization electronically submitted an initial case report to determine if reporting to public health is needed for a patient. 'Zika virus disease (disorder)'\n                    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.</div>\n                                </td>\n                            </tr>\n                        </table>\n                    </td>\n                </tr>\n                <tr>\n                    <td style=\"font-weight: bold\">payload</td>\n                    <td>\n                        <table>\n                            <tr>\n                                <td style=\"font-weight: bold\">contentReference</td>\n                                <td>\n                                    <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n                                        <li>\n                                            <a href=\"PlanDefinition-plandefinition-rr-relevant-reportable-condition.html\">PlanDefinition/plandefinition-rr-relevant-reportable-condition</a>\n                                        </li>\n                                    </ul>\n                                </td>\n                            </tr>\n                        </table>\n                    </td>\n                </tr>\n                <tr>\n                    <td style=\"font-weight: bold\">payload</td>\n                    <td>\n                        <table>\n                            <tr>\n                                <td style=\"font-weight: bold\">rr-eicr-processing-status-extension</td>\n                                <td>\n                                    <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n                                        <li/>\n                                        <li>\n                                            <a href=\"Observation-observation-rr-eicr-processing-status.html\">eICR was processed - with a warning</a>\n                                        </li>\n                                        <li>\n                                            <div title=\"contentType\">text/html</div>\n                                        </li>\n                                        <li>\n                                            <div title=\"data\">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</div>\n                                        </li>\n                                    </ul>\n                                </td>\n                            </tr>\n                            <tr>\n                                <td style=\"font-weight: bold\">rr-eicr-receipt-time-extension</td>\n                                <td>\n                                    <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n                                        <li>\n                                            <div title=\"valueDateTime\">2018-07-18T04:09:06Z</div>\n                                        </li>\n                                    </ul>\n                                </td>\n                            </tr>\n                            <tr>\n                                <td style=\"font-weight: bold\">contentReference</td>\n                                <td>\n                                    <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n                                        <li/>\n                                        <li>\n                                            <a href=\"Bundle-bundle-eicr-document-zika.html\">eICR_Filename.xml</a>\n                                        </li>\n                                        <li>\n                                            <div title=\"system\">\n                                                <a href=\"http://acme.org/EICR-identifier\">http://acme.org/EICR-identifier</a>\n                                            </div>\n                                        </li>\n                                        <li>\n                                            <div title=\"value\">EICR123456</div>\n                                        </li>\n                                    </ul>\n                                </td>\n                            </tr>\n                        </table>\n                    </td>\n                </tr>\n            </table>\n        </div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-priority-extension",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "urn:oid:2.16.840.1.114222.4.5.274",
            "code" : "RRVS14",
            "display" : "Action required"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/relates-to-extension",
      "extension" : [
        {
          "url" : "type",
          "valueCode" : "replaces"
        },
        {
          "url" : "targetReference",
          "valueReference" : {
            "reference" : "Communication/communication-rr-single-single-html-validation-output"
          }
        },
        {
          "url" : "setId",
          "valueIdentifier" : {
            "system" : "http://acme.org/identifiers",
            "value" : "RR_SET_9587"
          }
        },
        {
          "url" : "versionNumber",
          "valueString" : "2"
        }
      ]
    }
  ],
  "identifier" : [
    {
      "system" : "http://acme.org/identifiers",
      "value" : "RR12347"
    }
  ],
  "status" : "completed",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://loinc.org",
          "code" : "88085-6",
          "display" : "Reportability response report Document Public health"
        }
      ]
    }
  ],
  "subject" : {
    "reference" : "Patient/patient-ecr-eve-everywoman",
    "display" : "Eve Everywoman"
  },
  "topic" : {
    "text" : "Public Health Reporting Communication: one or more conditions are reportable, or may be reportable to public health."
  },
  "sent" : "2018-07-19T04:09:06Z",
  "recipient" : [
    {
      "reference" : "Practitioner/practitioner-us-core-henry-seven",
      "display" : "Henry Seven, MD"
    }
  ],
  "sender" : {
    "reference" : "Organization/organization-ecr-health-authority-west",
    "display" : "Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999"
  },
  "payload" : [
    {
      "id" : "reportability-response-summary",
      "contentString" : "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."
    },
    {
      "id" : "relevant-reportable-condition",
      "contentReference" : {
        "reference" : "PlanDefinition/plandefinition-rr-relevant-reportable-condition"
      }
    },
    {
      "id" : "eicr-information",
      "extension" : [
        {
          "id" : "eicr-processing-status",
          "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-extension",
          "extension" : [
            {
              "url" : "eICRProcessingStatus",
              "valueReference" : {
                "reference" : "Observation/observation-rr-eicr-processing-status",
                "display" : "eICR was processed - with a warning"
              }
            },
            {
              "url" : "eICRValidationOutput",
              "valueAttachment" : {
                "contentType" : "text/html",
                "data" : "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"
              }
            }
          ]
        },
        {
          "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-receipt-time-extension",
          "valueDateTime" : "2018-07-18T04:09:06Z"
        }
      ],
      "contentReference" : {
        "reference" : "Bundle/bundle-eicr-document-zika",
        "identifier" : {
          "system" : "http://acme.org/EICR-identifier",
          "value" : "EICR123456"
        },
        "display" : "eICR_Filename.xml"
      }
    }
  ]
}