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

eRSD Narrative Guidance

Previous Page - Reportability Response Narrative Guidance

This page describes the functional requirements for the eCR workflow

Functional Requirements

The general workflow described for the eRSD is as follows:

  • Encounter starts
  • 1 hour after start, check suspected reportable condition
  • if encounter in progress, every 6 hours, check suspected reportable condition
  • if suspected reportable condition, every 24 hours, send

A diagram of this workflow is shown below.

ERSDPlanDefinitionActions

The eRSD PlanDefinition profile defines the following actions:

NOTE: The offsets (1 h, 6h, and 24h, are parameters to the specification)

  • initial-creation-delay: 1 h
  • reportable-check-period: 6 h
  • suspected-reportable-update-period: 24 h
  • suspected-reportable-close-delay: 24 h

  • start trigger: encounter-start action: check-reportable in 1 hour

  • check-reportable if isSuspectedReportable, create-and-report-eicr if encounter-inprogress, check-reportable in 6 hours

  • create-and-report-eicr report-eicr if encounter-complete, report-eicr in 24 hours if encounter-inprogress, create-and-report-eicr in 24 hours

  • report-eicr create-eicr, validate-eicr, route-and-send-eicr

And the inclusion of an associated ExampleScenario:

encounter start
1 hour
check-reportable (is not reportable)
6 hours
check-reportable (is reportable)
create-and-report-eicr
report-eicr (encounter in progress)
24 hours
create-and-report-eicr
report-eicr (encounter complete)
24 hours
report-eicr

Reporting Process

Jurisdiction Determination

Jurisdiction Code System Query

Suspected Reportable Determination Logic

Rule Filter Generation

Next Page - eRSD Jurisdictions CodeSystem Query