HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm
2.1.0 - STU 2
US
HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm
2.1.0 - STU 2
US
This page is part of the electronic Case Reporting (eCR) (v2.1.0: STU 2) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions 
Generated Narrative: Composition
Resource Composition "composition-rr-one-cond-one-pha" Version "6" Updated "2021-08-17 03:37:27+0000"
Information Source: #0LoQfHsenVG69d13!
Profile: RR Composition
versionNumber: 1
US Public Health Information Recipient Extension: PractitionerRole/practitionerrole-henry-seven
identifier: id: RR12347
status: FINAL
type: Reportability response report Document Public health (LOINC#88085-6)
encounter: Encounter/encounter-eicr-eve-everywoman-outpatient: Ambulatory Office Visit
date: 2018-07-19 04:09:06+0000
author: Organization/organization-ecr-health-authority-west: Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999 "Health Authority West"
title: Reportability Response - One Condition/One PHA example
custodian: Organization/organization-ecr-health-authority-west: Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999 "Health Authority West"
Public Health Reporting Communication: one or more conditions are reportable, or may be reportable to public health
Summary:
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.
"Zika virus disease (disorder)" for "State Department of Health"
Reporting is required within "24 hours". Reporting to this Public Health Agency is based on "both patient home address and provider facility address".
Local mosquito-borne Zika virus transmission was reported in your area. Increased watchfulness for symptoms of Zika virus in your patients is warranted. (Immediate action requested)
Additional information for the required reporting of Zika must be submitted to State Department of Health immediately. This additional information can be submitted here. ( Link - Immediate action required)
Zika has particular risks for pregnant women. Follow-up guidance for pregnant women and couples who are planning pregnancy. ( Link - Immediate action requested)
Further Laboratory testing for Zika may be needed. Guidance for additional testing and specimen collection ( Link - Action requested)
Forms for submitting further Zika laboratory testing ( Link - Information only)
Treatment guidance ( Link - Information only)
If you have additional questions regarding Zika or reporting, contact information for the State Department of Health is available here. ( Link - Information Only)
Additional Resources (Information only):
Control and prevention information for providers ( Link)
Detailed condition references ( Link)
Prevalence in State ( Link)
CDC webpage ( Link)
Patient information factsheet ( Link)
State Resident information ( Link)
2. http://example.org/fhir/Observation/observation-rr-relevant-reportable-condition-observation (Observation/observation-rr-relevant-reportable-condition-observation)
The RR Relevant Reportable Condition Observation does not contain narrative text. The information from this resource is parsed and contained in Composition[rr-composition].section:sliceRRSummarySection.text according to the guidlines set out here: Reportability Response Narrative Guidance.
3. http://example.org/fhir/Encounter/encounter-eicr-eve-everywoman-outpatient (Encounter/encounter-eicr-eve-everywoman-outpatient)
Not done yet
4. http://example.org/fhir/Organization/organization-ecr-health-authority-west (Organization/organization-ecr-health-authority-west)
Generated Narrative: Organization
Resource Organization "organization-ecr-health-authority-west" Version "4" Updated "2021-06-30 04:13:19+0000"
Information Source: #dsstmHfZujY31Hwz!
Profile: US Public Health Organization
identifier: id: 1144221847
active: true
name: Health Authority West
telecom: +1-555-555-3555, mail@healthauthoritywest.gov
address: 7777 Health Authority Drive Ann Arbor MI 99999
5. http://example.org/fhir/Observation/observation-rr-summary (Observation/observation-rr-summary)
Generated Narrative: Observation
Resource Observation "observation-rr-summary" Version "1" Updated "2021-07-21 12:15:44+0000"
Information Source: #DQk7sbYvOfzjYqZ6!
Profile: RR Summary
status: FINAL
code: Informing health care professional (procedure) (SNOMED CT#304561000)
value: 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.
6. http://example.org/fhir/DocumentReference/documentreference-eicr-example (DocumentReference/documentreference-eicr-example)
Generated Narrative: DocumentReference
Resource DocumentReference "documentreference-eicr-example"
Profile: US Core DocumentReference Profile
identifier: id: urn:uuid:db734647-fc99-424c-a864-7e3cda82e703, id: sTT988#1
status: CURRENT
type: Public health Case report (LOINC#55751-2)
category: Clinical Note (US Core DocumentReferences Category Codes#clinical-note)
subject: Patient/patient-ecr-eve-everywoman ""
content
7. http://example.org/fhir/Patient/patient-ecr-eve-everywoman (Patient/patient-ecr-eve-everywoman)
Eve L EVERYWOMAN
Identifier 1032702 Address 5101 Peachtree St NE
Atlanta GA USDate of birth 24 November 1974
8. http://example.org/fhir/Observation/observation-rr-reportability-information-observation (Observation/observation-rr-reportability-information-observation)
Generated Narrative: Observation
Resource Observation "observation-rr-reportability-information-observation" Version "1" Updated "2021-07-21 03:10:13+0000"
Information Source: #l0j1zEVQ0pIebyt5!
US Public Health Determination of Reportability Extension: Reportable (unknown#RRVS1)
US Public Health Determination of Reportability Reason Extension: Condition is reportable
US Public Health Determination of Reportability Rule Extension: Description of rule used in reportability determination
RR External Resource Extension: DocumentReference/documentreference-zika-info-pdf
RR External Resource Extension: DocumentReference/documentreference-add-reporting-needs-pdf
RR External Resource Extension: DocumentReference/documentreference-zika-follow-up-pdf
status: FINAL
code: Patient home address (unknown#RRVS5)
performer:
- Organization/organization-rr-rules-authoring-agency-haw: Health Authority West Rules Authoring Agency "Health Authority West Rules Authoring Agency"
- Organization/organization-rr-routing-entity-haw: Health Authority West Routing Entity "Health Authority West Routing Entity"
- Organization/organization-rr-responsible-agency-haw: Health Authority West Routing Entity "Health Authority West Responsible Agency"
Components
- Code Value[x] * Timeframe to report (urgency) (unknown#RR4) 24 H (Details: UCUM code H = 'H')
9. http://example.org/fhir/PractitionerRole/practitionerrole-henry-seven (PractitionerRole/practitionerrole-henry-seven)
Generated Narrative: PractitionerRole
Resource PractitionerRole "practitionerrole-henry-seven" Version "11" Updated "2021-08-17 08:00:32+0000"
Information Source: #KJ942UxvfdYWoHCF!
Profile: US Public Health PractitionerRole
identifier: id: 9941339108
practitioner: Practitioner/practitioner-us-core-henry-seven: Henry Seven, MD " HENRY"
organization: Organization/organization-ecr-salem-medical-center: Salem Medical Center "Salem Medical Center"
code: Primary Care Clinic/Center (provider-taxonomy#261QP2300X)
specialty: Family practice (SNOMED CT#419772000)
location: Location/location-ecr-salem-medical-center: Salem Medical Center "Clinic Bldg A, Salem Medical Center"
telecom: henry.seven@example.com
10. http://example.org/fhir/Condition/condition-eicr-eve-everywoman-common-cold (Condition/condition-eicr-eve-everywoman-common-cold)
Generated Narrative: Condition
Resource Condition "condition-eicr-eve-everywoman-common-cold" Version "6" Updated "2021-07-15 01:54:14+0000"
Information Source: #4g0ZpTNqldHFYLzr!
Profile: US Public Health Condition
category: Problem List Item (Condition Category Codes#problem-list-item)
code: Common cold (disorder) (SNOMED CT#82272006)
subject: Patient/patient-ecr-eve-everywoman: Eve Everywoman ""
onset: 2017-09-23
11. http://example.org/fhir/Location/location-ecr-salem-medical-center (Location/location-ecr-salem-medical-center)
Generated Narrative: Location
Resource Location "location-ecr-salem-medical-center" Version "6" Updated "2021-08-17 07:53:02+0000"
Information Source: #VI2Nm5Ps5HqZ5HXV!
Profile: US Public Health Location
identifier: id: 1144221995
status: ACTIVE
name: Clinic Bldg A, Salem Medical Center
type: Hospital (RoleCode#HOSP)
telecom: ph: (+1) (555)555-3001, fax: (+1) (555)555-3002, mail@smc.org
address: Clinic Bldg A 4444 Healthcare Drive Ann Arbor MI 99999
managingOrganization: Organization/organization-ecr-salem-medical-center "Salem Medical Center"
12. http://example.org/fhir/Organization/organization-ecr-salem-medical-center (Organization/organization-ecr-salem-medical-center)
Generated Narrative: Organization
Resource Organization "organization-ecr-salem-medical-center" Version "5" Updated "2021-06-30 04:13:19+0000"
Information Source: #xa4yJZjn68xVavoM!
Profile: US Public Health Organization
identifier: id: 55555555
active: true
name: Salem Medical Center
telecom: +1-555-555-1111, mail@salemmedicalcenter.com
address: 22222 Health Authority Drive Ann Arbor MI 99999
13. http://example.org/fhir/Condition/condition-eicr-eve-everywoman-zika (Condition/condition-eicr-eve-everywoman-zika)
Generated Narrative: Condition
Resource Condition "condition-eicr-eve-everywoman-zika" Version "5" Updated "2021-07-15 01:54:14+0000"
Information Source: #rM2Pw6getjoE2UTV!
category: Encounter Diagnosis (Condition Category Codes#encounter-diagnosis)
code: Zika virus disease (disorder) (SNOMED CT#3928002)
subject: Patient/patient-ecr-eve-everywoman: Eve Everywoman ""
onset: 2017-08-23
14. http://example.org/fhir/Organization/organization-rr-routing-entity-haw (Organization/organization-rr-routing-entity-haw)
Generated Narrative: Organization
Resource Organization "organization-rr-routing-entity-haw" Version "4" Updated "2021-06-30 04:13:19+0000"
Information Source: #JxDnX4nN1kOgPTNr!
Profile: Routing Entity Organization
identifier: id: 43214321
active: true
type: Routing Entity (unknown#RR7)
name: Health Authority West Routing Entity
telecom: +1-555-555-3555, mail@healthauthoritywest.gov
address: 7777 Health Authority Drive Ann Arbor MI 99999
15. http://example.org/fhir/Organization/organization-rr-rules-authoring-agency-haw (Organization/organization-rr-rules-authoring-agency-haw)
Generated Narrative: Organization
Resource Organization "organization-rr-rules-authoring-agency-haw" Version "4" Updated "2021-06-30 04:13:19+0000"
Information Source: #neVuDy4iafHVl44v!
Profile: Rules Authoring Agency Organization
identifier: id: 12341234
active: true
type: Rules Authoring Agency (unknown#RR12)
name: Health Authority West Rules Authoring Agency
telecom: +1-555-555-3555, mail@healthauthoritywest.gov
address: 7777 Health Authority Drive Ann Arbor MI 99999
16. http://example.org/fhir/Organization/organization-rr-responsible-agency-haw (Organization/organization-rr-responsible-agency-haw)
Generated Narrative: Organization
Resource Organization "organization-rr-responsible-agency-haw" Version "4" Updated "2021-06-30 04:13:19+0000"
Information Source: #3U6KQ9Vvv8lROlRV!
Profile: Responsible Agency Organization
identifier: id: 99996666
active: true
type: Responsible Agency (unknown#RR8)
name: Health Authority West Responsible Agency
telecom: +1-555-555-3555, mail@healthauthoritywest.gov
address: 7777 Health Authority Drive Ann Arbor MI 99999
17. http://example.org/fhir/Practitioner/practitioner-us-core-henry-seven (Practitioner/practitioner-us-core-henry-seven)
Generated Narrative: Practitioner
Resource Practitioner "practitioner-us-core-henry-seven" Version "5" Updated "2021-08-17 08:00:32+0000"
Information Source: #2MfA6kIjmOmtAlIb!
Profile: US Core Practitioner Profile
identifier: id: 9941339108
name: Seven Henry
telecom: henry.seven@example.com
address: BMass Doctors 2100 North Ave Burlington MA 02368 US
18. http://example.org/fhir/Observation/observation-rr-eicr-processing-status (Observation/observation-rr-eicr-processing-status)
Generated Narrative: Observation
Resource Observation "observation-rr-eicr-processing-status" Version "7" Updated "2021-08-17 07:59:00+0000"
Information Source: #qebn2OtR7MyyUBlm!
Profile: eICR Processing Status Observation
status: FINAL
code: eICR was processed - with a warning (unknown#RRVS20)
hasMember: Observation/observation-rr-eicr-processing-status-reason
19. http://example.org/fhir/Observation/observation-rr-eicr-processing-status-reason (Observation/observation-rr-eicr-processing-status-reason)
Generated Narrative: Observation
Resource Observation "observation-rr-eicr-processing-status-reason" Version "6" Updated "2021-08-17 07:59:00+0000"
Information Source: #vuZ3NTkJzu5MXnbK!
status: FINAL
code: eICR Processing Status Reason (unknown#RR6)
value: eICR was processed with the warning of: inactive RCTC code (unknown#RRVS30)
Components
- Code Value[x] * Inactive RCTC code detail (unknown#RRVS32) Leptospirosis icterohemorrhagica (disorder) (SNOMED CT#69092001)
20. http://example.org/fhir/DocumentReference/documentreference-add-reporting-needs-pdf (DocumentReference/documentreference-add-reporting-needs-pdf)
Generated Narrative: DocumentReference
Resource DocumentReference "documentreference-add-reporting-needs-pdf" Version "2" Updated "2021-08-13 03:54:37+0000"
Information Source: #CKG4Ip9hcAYHwI5b!
Profile: RR DocumentReference
Reportability Response Priority Extension: Action requested (unknown#RRVS16)
status: CURRENT
type: Public health information (LOINC#83910-0 "Public health Note")
category: Additional reporting needs (unknown#RRVS8)
subject: Patient/patient-ecr-eve-everywoman: Eve Everywoman ""
description: Additional information for the required reporting of Zika must be submitted to State Department of Health immediately. This additional information can be submitted here.
content
21. http://example.org/fhir/DocumentReference/documentreference-zika-follow-up-pdf (DocumentReference/documentreference-zika-follow-up-pdf)
Generated Narrative: DocumentReference
Resource DocumentReference "documentreference-zika-follow-up-pdf" Version "2" Updated "2021-08-13 03:55:05+0000"
Information Source: #5WqiIqtDkKw6T6kp!
Profile: RR DocumentReference
Reportability Response Priority Extension: Immediate action requested (unknown#RRVS18)
status: CURRENT
type: Public health information (LOINC#83910-0 "Public health Note")
category: Treatment and/or prevention (unknown#RRVS10)
subject: Patient/patient-ecr-eve-everywoman: Eve Everywoman ""
description: Zika has particular risks for pregnant women. Follow-up guidance for pregnant women and couples who are planning pregnancy.
content
22. http://example.org/fhir/DocumentReference/documentreference-zika-info-pdf (DocumentReference/documentreference-zika-info-pdf)
Generated Narrative: DocumentReference
Resource DocumentReference "documentreference-zika-info-pdf" Version "2" Updated "2021-08-13 03:55:05+0000"
Information Source: #UHFGpbMvvCjqEqnT!
Profile: RR DocumentReference
Reportability Response Priority Extension: Immediate action required (unknown#RRVS17)
status: CURRENT
type: Public health information (LOINC#83910-0 "Public health Note")
category: Outbreak- or Cluster Related (unknown#RRVS13)
subject: Patient/patient-ecr-eve-everywoman: Eve Everywoman ""
description: Local mosquito-borne Zika virus creation was reported in your area. Increased watchfulness for symptoms of Zika virus in your patients is warranted.
content
IG © 2020+ HL7 Public Health Work Group (http://www.hl7.org/Special/committees/pher/index.cfm). Package hl7.fhir.us.ecr#2.1.0 based on FHIR 4.0.1. Generated 2022-08-31
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