HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm CI Build

This page is part of the electronic Case Reporting (eCR) (v1.0.0: STU 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

Bundle: bundle-eRSD

Bundle bundle-eRSD of type collection


Entry 1 - Full URL = http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-instance

Resource PlanDefinition:

id
plandefinition-ersd-instance
meta
versionId
42
lastUpdated
2019-11-04T19:00:37.000-05:00
profile
http://hl7.org/fhir/us/ecr/StructureDefinition/ersd-plandefinition
url
http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-instance
version
0.1
name
PlanDefinition_eRSD_Instance
title
eRSD PlanDefinition Instance
type
status
active
date
2019-09-15T12:49:11-04:00
action
description

This action represents the matching of a trigger code to one of the values in the eRSD value sets.

textEquivalent
Match of a code to one of the values in the eRSD value sets.
trigger
type
data-changed
data
type
CodeableConcept
codeFilter
path
Condition.code
valueSet
http://hl7.org/fhir/us/ecr/ValueSet/valueset-dxtc-example
trigger
type
data-changed
data
type
CodeableConcept
codeFilter
path
Immunization.vaccineCode
valueSet
http://hl7.org/fhir/us/ecr/ValueSet/valueset-iztc-example
trigger
type
data-changed
data
type
CodeableConcept
codeFilter
path
ServiceRequest.code
valueSet
http://hl7.org/fhir/us/ecr/ValueSet/valueset-lotc-example
trigger
type
data-changed
data
type
CodeableConcept
codeFilter
path
Observation.code
valueSet
http://hl7.org/fhir/us/ecr/ValueSet/valueset-lrtc-example
trigger
type
data-changed
data
type
CodeableConcept
codeFilter
path
MedicationAdministration.medicationCodeableConcept
valueSet
http://hl7.org/fhir/us/ecr/ValueSet/valueset-mrtc-example
trigger
type
data-changed
data
type
CodeableConcept
codeFilter
path
Observation.code
valueSet
http://hl7.org/fhir/us/ecr/ValueSet/valueset-ostc-example
action
description

This action represents the initial creation of the eICR.

textEquivalent
eICR construction delay (offsetDuration.value = x hours) - time after trigger event before an eICR should be created.
relatedAction
actionId
match-trigger
relationship
after
offsetDuration
value
1
unit
h
action
description

This action represents the periodic update of the eICR.

textEquivalent
eICR periodic update (repeat.frequency = y hours) - the time after an initial eICR creation to send a new eICR as an update during long encounters.
trigger
type
periodic
timingTiming
repeat
frequency
1
period
24
periodUnit
h
condition
kind
start
expression
description

Encounter is active.

language
text/cql
expression
encounter.period.start != null and encounter.period.end = null
condition
kind
stop
expression
description

Encounter is closed.

language
text/cql
expression
encounter.period.end != null
relatedAction
actionId
create-eicr
relationship
after
offsetDuration
value
24
unit
h
action
description

This action represents the close out of an eICR encounter.

textEquivalent
eICR encounter close out (timingTiming.repeat.duration = z hours) - the time after the end of the encounter to create the final eICR when there have been one or more trigger events.
trigger
type
data-added
data
type
Encounter
profile
http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-encounter
dateFilter
path
period.end
relatedAction
actionId
create-eicr
relationship
after
timingTiming
repeat
count
1
duration
24
durationUnit
h
frequency
1
action
description

This action represents the validation of an eICR.

textEquivalent
Validate eICR.
trigger
type
data-changed
name
eicr-created
data
type
Composition
profile
http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-composition
action
description

This action represents the routing and sending of an eICR.

textEquivalent
Route and send eICR
relatedAction
actionId
validate-eicr
relationship
after

Entry 2 - Full URL = http://hl7.org/fhir/us/ecr/Library/library-rctc

Resource Library:

id:
library-rctc
meta:
  • 8
  • 2019-10-03T02:12:47.000-04:00
  • http://hl7.org/fhir/us/ecr/StructureDefinition/ersd-valueset-library
url:
http://hl7.org/fhir/us/ecr/Library/library-rctc
identifier:
  • urn:ietf:rfc:3986
  • urn:oid:2.16.840.1.114222.4.11.7508
version:
2019-06-17
name:
Reportable_Condition_Trigger_Codes
title:
Reportable Condition Trigger Codes (RCTC)
status:
active
type:
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.
effectivePeriod:
2019-11-01
relatedArtifact:
  • composed-of
  • http://hl7.org/fhir/us/ecr/ValueSet/valueset-dxtc-example
relatedArtifact:
  • composed-of
  • http://hl7.org/fhir/us/ecr/ValueSet/valueset-ostc-example
relatedArtifact:
  • composed-of
  • http://hl7.org/fhir/us/ecr/ValueSet/valueset-lotc-example
relatedArtifact:
  • composed-of
  • http://hl7.org/fhir/us/ecr/ValueSet/valueset-lrtc-example
relatedArtifact:
  • composed-of
  • http://hl7.org/fhir/us/ecr/ValueSet/valueset-mrtc-example
relatedArtifact:
  • composed-of
  • http://hl7.org/fhir/us/ecr/ValueSet/valueset-iztc-example

Entry 3 - Full URL = http://hl7.org/fhir/us/ecr/ValueSet/valueset-dxtc-example

Resource ValueSet:

id
valueset-dxtc-example
meta
versionId
1
lastUpdated
2019-10-01T00:05:52.000-04:00
profile
http://hl7.org/fhir/us/ecr/StructureDefinition/ersd-valueset
valueset-steward
  • CSTE Steward
valueset-author
  • CSTE Author
url
http://hl7.org/fhir/us/ecr/ValueSet/valueset-dxtc-example
identifier
  • urn:ietf:rfc:3986
  • urn:oid:2.16.840.1.113762.1.4.1146.627
version
1.0.0
name
Example_Diagnosis_Problem_Triggers_for_Public_Health_Reporting
title
Example Diagnosis Problem Triggers for Public Health Reporting
status
draft
date
2018-08-01
publisher
{site.data.fhir.ig.publisher}
contact
name
HL7 Public Health and Emergency Response WorkGroup
telecom
system
url
value
http://www.hl7.org/Special/committees/pher/index.cfm
description

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

copyright
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. The ICD-10 is copyrighted by the WHO, which owns and publishes the classification. For US Clinical Modification (ICD-9-CM / ICD-10-CM)Contact: National Center for Health Statistics (NCHS), Center for Disease Control and Prevention http://www.cdc.gov/nchs/icd/icd10cm.htm#10update http://www.cdc.gov/nchs/icd/icd9.htm http://www.cdc.gov/nchs/icd.htm.
compose
include
system
concept
code
A01
display
Typhoid and paratyphoid fevers
concept
code
A01.0
display
Typhoid fever
include
system
concept
code
10750051000119105
display
Chlamydia trachomatis infection in mother complicating childbirth (disorder)
concept
code
10754031000119105
display
Gonorrhea in mother complicating childbirth (disorder)
concept
code
1084791000119106
display
Cardiac disorder due to typhoid fever (disorder)
concept
code
1086991000119103
display
Gonococcal abscess of brain (disorder)
concept
code
1087051000119109
display
Gonococcal osteomyelitis (disorder)
concept
code
1087061000119106
display
Gonococcal pneumonia (disorder)
concept
code
1092371000119103
display
Salmonella pyelonephritis (disorder)

Entry 4 - Full URL = http://hl7.org/fhir/us/ecr/ValueSet/valueset-ostc-example

Resource ValueSet:

id
valueset-ostc-example
meta
versionId
1
lastUpdated
2019-10-01T00:06:20.000-04:00
profile
http://hl7.org/fhir/us/ecr/StructureDefinition/ersd-valueset
valueset-steward
  • CSTE Steward
valueset-author
  • CSTE Author
url
http://hl7.org/fhir/us/ecr/ValueSet/valueset-ostc-example
identifier
  • urn:ietf:rfc:3986
  • urn:oid:2.16.840.1.113762.1.4.1146.1059
version
1.0.0
name
Example_Organism_Substance_Triggers_for_Public_Health_Reporting
title
Example Organism Substance Triggers for Public Health Reporting
status
draft
date
2018-08-01
publisher
{site.data.fhir.ig.publisher}
contact
name
HL7 Public Health and Emergency Response WorkGroup
telecom
system
url
value
http://www.hl7.org/Special/committees/pher/index.cfm
description

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

copyright
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.
compose
include
system
concept
code
1009003
display
Salmonella Oakland (organism)
concept
code
10096007
display
Salmonella Leoben (organism)
concept
code
10112007
display
Salmonella Alamo (organism)
concept
code
10183008
display
Salmonella Pensacola (organism)
concept
code
10248003
display
Salmonella Travis (organism)

Entry 5 - Full URL = http://hl7.org/fhir/us/ecr/ValueSet/valueset-lotc-example

Resource ValueSet:

id
valueset-lotc-example
meta
versionId
1
lastUpdated
2019-10-01T00:06:10.000-04:00
profile
http://hl7.org/fhir/us/ecr/StructureDefinition/ersd-valueset
valueset-steward
  • CSTE Steward
valueset-author
  • CSTE Author
url
http://hl7.org/fhir/us/ecr/ValueSet/valueset-lotc-example
identifier
  • urn:ietf:rfc:3986
  • urn:oid:2.16.840.1.113762.1.4.1146.1056
version
1.0.0
name
Example_Lab_Order_Test_Triggers_for_Public_Health_Reporting
title
Example Lab Order Test Triggers for Public Health Reporting
status
draft
date
2018-08-01
publisher
{site.data.fhir.ig.publisher}
contact
name
HL7 Public Health and Emergency Response WorkGroup
telecom
system
url
value
http://www.hl7.org/Special/committees/pher/index.cfm
description

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

copyright
This content from LOINC@reg; is copyright @copy; 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use.
compose
include
system
concept
code
11585-7
display
Bordetella pertussis Ab [Units/volume] in Serum
concept
code
16474-9
display
Bordetella pertussis Ab [Units/volume] in Serum by Complement fixation
concept
code
20992-4
display
Bordetella pertussis Ab [Presence] in Unspecified specimen
concept
code
22116-8
display
Bordetella pertussis Ab [Titer] in Serum
concept
code
22117-6
display
Bordetella pertussis Ab [Titer] in Unspecified specimen

Entry 6 - Full URL = http://hl7.org/fhir/us/ecr/ValueSet/valueset-lrtc-example

Resource ValueSet:

id
valueset-lrtc-example
meta
versionId
1
lastUpdated
2019-10-01T00:06:05.000-04:00
profile
http://hl7.org/fhir/us/ecr/StructureDefinition/ersd-valueset
valueset-steward
  • CSTE Steward
valueset-author
  • CSTE Author
url
http://hl7.org/fhir/us/ecr/ValueSet/valueset-lrtc-example
identifier
  • urn:ietf:rfc:3986
  • urn:oid:2.16.840.1.113762.1.4.1146.1057
version
1.0.0
name
Example_Lab_Obs_Test_Name_Triggers_for_Public_Health_Reporting
title
Example Lab Obs Test Name Triggers for Public Health Reporting
status
draft
date
2018-08-01
publisher
{site.data.fhir.ig.publisher}
contact
name
HL7 Public Health and Emergency Response WorkGroup
telecom
system
url
value
http://www.hl7.org/Special/committees/pher/index.cfm
description

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

copyright
This content from LOINC@reg; is copyright @copy; 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use.
compose
include
system
concept
code
11585-7
display
Bordetella pertussis Ab [Units/volume] in Serum
concept
code
14127-5
display
Neisseria gonorrhoeae [Presence] in Anal by Organism specific culture
concept
code
14461-8
display
Chlamydia trachomatis [Presence] in Blood by Organism specific culture
concept
code
14462-6
display
Chlamydia trachomatis [Presence] in Cerebral spinal fluid by Organism specific culture
concept
code
14463-4
display
Chlamydia trachomatis [Presence] in Cervix by Organism specific culture

Entry 7 - Full URL = http://hl7.org/fhir/us/ecr/ValueSet/valueset-mrtc-example

Resource ValueSet:

id
valueset-mrtc-example
meta
versionId
1
lastUpdated
2019-10-01T00:06:15.000-04:00
profile
http://hl7.org/fhir/us/ecr/StructureDefinition/ersd-valueset
valueset-steward
  • CSTE Steward
valueset-author
  • CSTE Author
url
http://hl7.org/fhir/us/ecr/ValueSet/valueset-mrtc-example
identifier
  • urn:ietf:rfc:3986
  • urn:oid:2.16.840.1.113762.1.4.1146.1060
name
Example_Medications_Triggers_for_Public_Health_Reporting
title
Example Medications Triggers for Public Health Reporting
status
active
description

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.

purpose
Prescription drugs names used in observations documented in a clinical record.
compose
include
system
concept
code
809002
display
Carbidopa 10 MG / Levodopa 100 MG Disintegrating Oral Tablet [Parcopa]
concept
code
476515
display
Carbidopa 25 MG / Levodopa 250 MG Disintegrating Oral Tablet
concept
code
308988
display
Carbidopa 25 MG / Levodopa 100 MG Extended Release Oral Tablet
concept
code
724606
display
Carbidopa 10 MG / Levodopa 100 MG Oral Tablet [Sinemet]
concept
code
1600914
display
8 HR Carbidopa 48.75 MG / Levodopa 195 MG Extended Release Oral Capsule
concept
code
476399
display
Carbidopa 25 MG / Levodopa 100 MG Disintegrating Oral Tablet

Entry 8 - Full URL = http://hl7.org/fhir/us/ecr/ValueSet/valueset-iztc-example

Resource ValueSet:

id
valueset-iztc-example
meta
versionId
2
lastUpdated
2019-10-01T00:12:40.000-04:00
profile
http://hl7.org/fhir/us/ecr/StructureDefinition/ersd-valueset
valueset-steward
  • CSTE Steward
valueset-author
  • CSTE Author
url
http://hl7.org/fhir/us/ecr/ValueSet/valueset-iztc-example
identifier
  • urn:ietf:rfc:3986
  • urn:oid:2.16.840.1.113762.1.4.1146.999999999
name
Example_Immunizations_Triggers_for_Public_Health_Reporting
title
Example Immunizations Triggers for Public Health Reporting
status
active
description

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.

purpose
Vaccine drug names used in observations documented in a clinical record.
compose
include
system
concept
code
01
display
diphtheria, tetanus toxoids and pertussis vaccine
concept
code
02
display
trivalent poliovirus vaccine, live, oral
concept
code
03
display
measles, mumps and rubella virus vaccine
concept
code
04
display
measles and rubella virus vaccine
concept
code
05
display
measles virus vaccine