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

Extension: eICR Initiation Reason Extension

This extension contains an explanation for the manual or alternate initiation of the eICR.

The official URL for this extension is:

http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-initiation-reason-extension

Status: active
Extension maintained by: HL7 Public Health Work Group (http://www.hl7.org/Special/committees/pher/index.cfm)

Context of Use

This extension may be used on the following element(s):

  • Composition

If there are multiple distinct reasons for manual or alternate initiation then each reason should be contained in a separate eICR Initiation Reason Extension.

The reason may be entered either as:

  • free text (string)
  • coded value (valueCodeableConcept) (not necessarily initiated by a provider of care but might be “programmed-in” by the EHR implementer for some purpose)

Usage info

Usage:

Formal Views of Extension Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

This structure is derived from Extension

Summary

Mandatory: 1 element
Must-Support: 1 element
Fixed Value: 1 element

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionInitial Case Report Initiation Reason
... url 1..1uri"http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-initiation-reason-extension"
... value[x] S1..1Value of extension
Example valueString: Free text containing the reason for the initiation
Example valueCodeableConcept: {"coding":[{"system":"http://snomed.info/sct","code":"772146005","display":"Pertussis suspected (situation)"}]}
.... valueStringstring
.... valueCodeableConceptCodeableConcept

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionInitial Case Report Initiation Reason
... id 0..1stringUnique id for inter-element referencing
... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
... url 1..1uri"http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-initiation-reason-extension"
.... valueStringstring
.... valueCodeableConceptCodeableConcept

doco Documentation for this format

This structure is derived from Extension

Summary

Mandatory: 1 element
Must-Support: 1 element
Fixed Value: 1 element

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionInitial Case Report Initiation Reason
... url 1..1uri"http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-initiation-reason-extension"
... value[x] S1..1Value of extension
Example valueString: Free text containing the reason for the initiation
Example valueCodeableConcept: {"coding":[{"system":"http://snomed.info/sct","code":"772146005","display":"Pertussis suspected (situation)"}]}
.... valueStringstring
.... valueCodeableConceptCodeableConcept

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionInitial Case Report Initiation Reason
... id 0..1stringUnique id for inter-element referencing
... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
... url 1..1uri"http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-initiation-reason-extension"
.... valueStringstring
.... valueCodeableConceptCodeableConcept

doco Documentation for this format

 

Other representations of extension: Schematron

Constraints

IdPathDetailsRequirements
ele-1ExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1ExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Extension.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Extension.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Extension.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())