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 
<Bundle xmlns="http://hl7.org/fhir">
<id value="bundle-rr-document-one-cond-one-pha"/>
<meta>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-document-bundle"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:2be4b4e4-6df1-4cb2-a947-c70fa0eda34d"/>
</identifier>
<type value="document"/>
<timestamp value="2021-08-02T22:13:23Z"/>
<entry>
<fullUrl
value="http://example.org/fhir/Composition/composition-rr-one-cond-one-pha"/>
<resource>
<Composition>
<id value="composition-rr-one-cond-one-pha"/>
<meta>
<versionId value="6"/>
<lastUpdated value="2021-08-17T03:37:27.060+00:00"/>
<source value="#0LoQfHsenVG69d13"/>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-composition"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Composition</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Composition "composition-rr-one-cond-one-pha" Version "6" Updated "2021-08-17 03:37:27+0000" </p><p style="margin-bottom: 0px">Information Source: #0LoQfHsenVG69d13!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-rr-composition.html">RR Composition</a></p></div><p><b>versionNumber</b>: 1</p><p><b>US Public Health Information Recipient Extension</b>: <a href="#PractitionerRole_practitionerrole-henry-seven">See above (PractitionerRole/practitionerrole-henry-seven)</a></p><p><b>identifier</b>: id: RR12347</p><p><b>status</b>: final</p><p><b>type</b>: Reportability response report Document Public health <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#88085-6)</span></p><p><b>encounter</b>: <a href="#Encounter_encounter-eicr-eve-everywoman-outpatient">See above (Encounter/encounter-eicr-eve-everywoman-outpatient: Ambulatory Office Visit)</a></p><p><b>date</b>: 2018-07-19 04:09:06+0000</p><p><b>author</b>: <a href="#Organization_organization-ecr-health-authority-west">See above (Organization/organization-ecr-health-authority-west: Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999)</a></p><p><b>title</b>: Reportability Response - One Condition/One PHA example</p><p><b>custodian</b>: <a href="#Organization_organization-ecr-health-authority-west">See above (Organization/organization-ecr-health-authority-west: Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999)</a></p></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber">
<valueString value="1"/>
</extension>
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-information-recipient-extension">
<valueReference>
<reference value="PractitionerRole/practitionerrole-henry-seven"/>
</valueReference>
</extension>
<identifier>
<system value="http://acme.org/identifiers"/>
<value value="RR12347"/>
</identifier>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="88085-6"/>
<display
value="Reportability response report Document Public health"/>
</coding>
</type>
<subject>
<reference value="Patient/patient-ecr-eve-everywoman"/>
<display value="Eve Everywoman"/>
</subject>
<encounter>
<reference value="Encounter/encounter-eicr-eve-everywoman-outpatient"/>
<display value="Ambulatory Office Visit"/>
</encounter>
<date value="2018-07-19T04:09:06Z"/>
<author>
<reference value="Organization/organization-ecr-health-authority-west"/>
<display
value="Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999"/>
</author>
<title value="Reportability Response - One Condition/One PHA example"/>
<custodian>
<reference value="Organization/organization-ecr-health-authority-west"/>
<display
value="Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999"/>
</custodian>
<section>
<title value="Reportability Response Subject Section"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="88084-9"/>
<display
value="Reportable condition response information and summary Document"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>Public Health Reporting Communication: one or more conditions are reportable, or may be reportable to public health</p>
</div>
</text>
</section>
<section>
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-extension">
<extension url="eICRProcessingStatus">
<valueReference>
<reference
value="Observation/observation-rr-eicr-processing-status"/>
<display value="eICR was processed - with a warning"/>
</valueReference>
</extension>
<extension url="eICRValidationOutput">
<valueAttachment>
<contentType value="text/html"/>
<data
value="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"/>
</valueAttachment>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-receipt-time-extension">
<valueDateTime value="2018-07-18T04:09:06Z"/>
</extension>
<title value="Electronic Initial Case Report Section"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="88082-3"/>
<display
value="Initial case report processing information Document"/>
</coding>
</code>
<entry>
<reference value="DocumentReference/documentreference-eicr-example"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:db734647-fc99-424c-a864-7e3cda82e703"/>
</identifier>
<display value="eICR_Document.xml"/>
</entry>
</section>
<section>
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-priority-extension">
<valueCodeableConcept>
<coding>
<system value="urn:oid:2.16.840.1.114222.4.5.274"/>
<code value="RRVS17"/>
<display value="Immediate action required"/>
</coding>
</valueCodeableConcept>
</extension>
<title value="Reportability Response Summary Section"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="55112-7"/>
<display value="Document summary"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>
<b>Summary:</b>
</p>
<p>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. <br/>
<br/>
</p>
<p>
<b>"Zika virus disease (disorder)" for "State Department of Health"</b>
</p>
<p>Reporting is required within "24 hours". Reporting to this Public Health Agency is based on "both patient home address and provider facility address". </p>
<ul>
<li>
<p>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)</p>
</li>
<li>
<p>Additional information for the required reporting of Zika must be submitted to State Department of Health immediately. This additional information can be submitted here. ( <a href="http://statedepartmentofhealth.gov/epi/disease/zika/Supplemental_data_form.pdf">Link</a> - Immediate action required) </p>
</li>
<li>
<p>Zika has particular risks for pregnant women. Follow-up guidance for pregnant women and couples who are planning pregnancy. ( <a href="http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf">Link</a>
- Immediate action requested) </p>
</li>
<li>
<p>Further Laboratory testing for Zika may be needed. Guidance for additional testing and specimen collection ( <a href="http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf">Link</a> - Action
requested) </p>
</li>
<li>
<p>Forms for submitting further Zika laboratory testing ( <a href="http://statedepartmentofhealth.gov/epi/diseases/zika/zika_test_request_form_UPHL.xlsx">Link</a> - Information only) </p>
</li>
<li>
<p>Treatment guidance ( <a href="http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf">Link</a> - Information only) </p>
</li>
<li>
<p>If you have additional questions regarding Zika or reporting, contact information for the State Department of Health is available here. ( <a href="http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf">Link</a> - Information Only) </p>
</li>
</ul>
<p>Additional Resources (Information only):</p>
<ul>
<li>
<p>Control and prevention information for providers ( <a href="http://statedepartmentofhealth.gov/epi/diseases/zika/plan.pdf">Link</a>) </p>
</li>
<li>
<p>Detailed condition references ( <a href="http://statedepartmentofhealth.gov/epi/diseases/zika/plan.pdf">Link</a>) </p>
</li>
<li>
<p>Prevalence in State ( <a href="http://statedepartmentofhealth.gov/epi/diseases/zika/plan.pdf">Link</a>) </p>
</li>
<li>
<p>CDC webpage ( <a href="https://www.cdc.gov/zika/index.html">Link</a>) </p>
</li>
<li>
<p>Patient information factsheet ( <a href="http://statedepartmentofhealth.gov/epi/diseases/zika/factsheet.pdf">Link</a>) </p>
</li>
<li>
<p>State Resident information ( <a href="http://statedepartmentofhealth.gov/epi/diseases/zika/ZikaVirus_QA_StateDOH.pdf">Link</a>) </p>
</li>
</ul>
</div>
</text>
<entry>
<reference value="Observation/observation-rr-summary"/>
<display value="Reportability Response Summary"/>
</entry>
<entry>
<reference
value="Observation/observation-rr-relevant-reportable-condition-observation"/>
<display value="Relevant reportable condition: Zika"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/observation-rr-relevant-reportable-condition-observation"/>
<resource>
<Observation>
<id value="observation-rr-relevant-reportable-condition-observation"/>
<meta>
<versionId value="4"/>
<lastUpdated value="2021-08-17T07:59:01.040+00:00"/>
<source value="#rU2tzvaNrwcg0mRI"/>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-relevant-reportable-condition-observation"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"> The RR Relevant Reportable Condition Observation does not contain narrative text. The information from this resource is parsed and contained in <a href="StructureDefinition-rr-composition-definitions.html#Composition.section:sliceRRSummarySection.text">Composition[rr-composition].section:sliceRRSummarySection.text</a> according to the guidlines set out here: <a href="reportability_response_narrative_guidance.html">Reportability Response Narrative Guidance</a>. </div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="64572001"/>
</coding>
<coding>
<system value="http://loinc.org"/>
<code value="75323-6"/>
</coding>
<text value="Condition"/>
</code>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="3928002"/>
<display value="Zika virus disease (disorder)"/>
</coding>
</valueCodeableConcept>
<hasMember>
<reference
value="Observation/observation-rr-reportability-information-observation"/>
</hasMember>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Encounter/encounter-eicr-eve-everywoman-outpatient"/>
<resource>
<Encounter>
<id value="encounter-eicr-eve-everywoman-outpatient"/>
<meta>
<versionId value="5"/>
<lastUpdated value="2021-07-19T03:02:05.806+00:00"/>
<source value="#Q5dlT8eND2UI2D6e"/>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-encounter"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Encounter</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Encounter "encounter-eicr-eve-everywoman-outpatient" Version "5" Updated "2021-07-19 03:02:05+0000" </p><p style="margin-bottom: 0px">Information Source: #Q5dlT8eND2UI2D6e!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-eicr-encounter.html">eICR Encounter</a></p></div><p><b>identifier</b>: id: 9937012</p><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'ambulatory')</p><p><b>type</b>: Office Visit <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-CPT.html">Current Procedural Terminology (CPT®)</a>#99201)</span></p><p><b>subject</b>: <a href="#Patient_patient-ecr-eve-everywoman">See above (Patient/patient-ecr-eve-everywoman: Eve Everywoman)</a></p><h3>Participants</h3><table class="grid"><tr><td>-</td><td><b>Type</b></td><td><b>Individual</b></td></tr><tr><td>*</td><td>attender <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-v3-ParticipationType.html">ParticipationType</a>#ATND)</span></td><td><a href="#PractitionerRole_practitionerrole-henry-seven">See above (PractitionerRole/practitionerrole-henry-seven: Henry Seven, MD)</a></td></tr></table><p><b>period</b>: 2018-04-01 10:00:00-0500 --> 2018-04-02 10:15:00-0500</p><blockquote><p><b>diagnosis</b></p><blockquote><p><b>eICR Trigger Code Flag Extension</b></p><p><b>value</b>: <code>urn:oid:2.16.840.1.114222.4.11.7508</code></p><p><b>value</b>: 12/12/2018</p><p><b>value</b>: Zika virus disease (disorder) (Details: SNOMED CT code 3928002 = 'Zika virus disease', stated as 'Zika virus disease (disorder)')</p></blockquote><p><b>condition</b>: <a href="#Condition_condition-eicr-eve-everywoman-zika">See above (Condition/condition-eicr-eve-everywoman-zika)</a></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href="#Condition_condition-eicr-eve-everywoman-common-cold">See above (Condition/condition-eicr-eve-everywoman-common-cold)</a></p></blockquote><h3>Locations</h3><table class="grid"><tr><td>-</td><td><b>Location</b></td></tr><tr><td>*</td><td><a href="#Location_location-ecr-salem-medical-center">See above (Location/location-ecr-salem-medical-center: Clinic Bldg A, Salem Medical Center, 4646 Brown Rd, Salem, MA 02368)</a></td></tr></table><p><b>serviceProvider</b>: <a href="#Organization_organization-ecr-salem-medical-center">See above (Organization/organization-ecr-salem-medical-center: Salem Medical Center, 22222 Health Authority Drive, Ann Arbor MI, 99999)</a></p></div>
</text>
<identifier>
<system value="http://hospital.smarthealthit.org"/>
<value value="9937012"/>
</identifier>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="AMB"/>
<display value="ambulatory"/>
</class>
<type>
<coding>
<system value="http://www.ama-assn.org/go/cpt"/>
<code value="99201"/>
</coding>
<text value="Office Visit"/>
</type>
<subject>
<reference value="Patient/patient-ecr-eve-everywoman"/>
<display value="Eve Everywoman"/>
</subject>
<participant>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
<code value="ATND"/>
<display value="attender"/>
</coding>
</type>
<individual>
<reference value="PractitionerRole/practitionerrole-henry-seven"/>
<display value="Henry Seven, MD"/>
</individual>
</participant>
<period>
<start value="2018-04-01T10:00:00-05:00"/>
<end value="2018-04-02T10:15:00-05:00"/>
</period>
<diagnosis>
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension">
<extension url="triggerCodeValueSet">
<valueOid value="urn:oid:2.16.840.1.114222.4.11.7508"/>
</extension>
<extension url="triggerCodeValueSetVersion">
<valueString value="12/12/2018"/>
</extension>
<extension url="triggerCode">
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="3928002"/>
<display value="Zika virus disease (disorder)"/>
</valueCoding>
</extension>
</extension>
<condition>
<reference value="Condition/condition-eicr-eve-everywoman-zika"/>
</condition>
</diagnosis>
<diagnosis>
<condition>
<reference
value="Condition/condition-eicr-eve-everywoman-common-cold"/>
</condition>
</diagnosis>
<location>
<location>
<reference value="Location/location-ecr-salem-medical-center"/>
<display
value="Clinic Bldg A, Salem Medical Center, 4646 Brown Rd, Salem, MA 02368"/>
</location>
</location>
<serviceProvider>
<reference value="Organization/organization-ecr-salem-medical-center"/>
<display
value="Salem Medical Center, 22222 Health Authority Drive, Ann Arbor MI, 99999"/>
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Organization/organization-ecr-health-authority-west"/>
<resource>
<Organization>
<id value="organization-ecr-health-authority-west"/>
<meta>
<versionId value="4"/>
<lastUpdated value="2021-06-30T04:13:19.348+00:00"/>
<source value="#dsstmHfZujY31Hwz"/>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Organization</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Organization "organization-ecr-health-authority-west" Version "4" Updated "2021-06-30 04:13:19+0000" </p><p style="margin-bottom: 0px">Information Source: #dsstmHfZujY31Hwz!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-us-ph-organization.html">US Public Health Organization</a></p></div><p><b>identifier</b>: id: 1144221847</p><p><b>active</b>: true</p><p><b>name</b>: Health Authority West</p><p><b>telecom</b>: <a href="tel:+1-555-555-3555">+1-555-555-3555</a>, <a href="mailto:mail@healthauthoritywest.gov">mail@healthauthoritywest.gov</a></p><p><b>address</b>: 7777 Health Authority Drive Ann Arbor MI 99999 </p></div>
</text>
<identifier>
<system value="http://hl7.org.fhir/sid/us-npi"/>
<value value="1144221847"/>
</identifier>
<active value="true"/>
<name value="Health Authority West"/>
<telecom>
<system value="phone"/>
<value value="+1-555-555-3555"/>
</telecom>
<telecom>
<system value="email"/>
<value value="mail@healthauthoritywest.gov"/>
</telecom>
<address>
<line value="7777 Health Authority Drive"/>
<city value="Ann Arbor"/>
<state value="MI"/>
<postalCode value="99999"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/fhir/Observation/observation-rr-summary"/>
<resource>
<Observation>
<id value="observation-rr-summary"/>
<meta>
<versionId value="1"/>
<lastUpdated value="2021-07-21T00:15:44.375+00:00"/>
<source value="#DQk7sbYvOfzjYqZ6"/>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-summary"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Observation</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Observation "observation-rr-summary" Version "1" Updated "2021-07-21 12:15:44+0000" </p><p style="margin-bottom: 0px">Information Source: #DQk7sbYvOfzjYqZ6!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-rr-summary.html">RR Summary</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Informing health care professional (procedure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#304561000)</span></p><p><b>value</b>: 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.</p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="304561000"/>
<display value="Informing health care professional (procedure)"/>
</coding>
</code>
<valueString
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."/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/DocumentReference/documentreference-eicr-example"/>
<resource>
<DocumentReference>
<id value="documentreference-eicr-example"/>
<!-- CDA templateId: urn:hl7ii:2.16.840.1.113883.10.20.15.2.3.10:2017-04-01 -->
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: DocumentReference</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource DocumentReference "documentreference-eicr-example" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU4/StructureDefinition-us-core-documentreference.html">US Core DocumentReference Profile</a></p></div><p><b>masterIdentifier</b>: id: urn:uuid:db734647-fc99-424c-a864-7e3cda82e703</p><p><b>identifier</b>: id: sTT988#1</p><p><b>status</b>: current</p><p><b>type</b>: Public health Case report <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#55751-2)</span></p><p><b>category</b>: Clinical Note <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/core/STU4/CodeSystem-us-core-documentreference-category.html">US Core DocumentReferences Category Codes</a>#clinical-note)</span></p><p><b>subject</b>: <a href="#Patient_patient-ecr-eve-everywoman">See above (Patient/patient-ecr-eve-everywoman)</a></p><blockquote><p><b>content</b></p></blockquote></div>
</text>
<masterIdentifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:db734647-fc99-424c-a864-7e3cda82e703"/>
</masterIdentifier>
<identifier>
<system value="urn:oid:2.16.840.1.113883.19.5.99999.19"/>
<value value="sTT988#1"/>
</identifier>
<status value="current"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="55751-2"/>
<display value="Public health Case report"/>
</coding>
</type>
<category>
<coding>
<system
value="http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category"/>
<code value="clinical-note"/>
<display value="Clinical Note"/>
</coding>
<text value="Clinical Note"/>
</category>
<subject>
<reference value="Patient/patient-ecr-eve-everywoman"/>
</subject>
<content>
<attachment>
<contentType value="text/plain"/>
<url value="urn:hl7ii:2.16.840.1.113883.19.5.99999.19:1"/>
</attachment>
</content>
</DocumentReference>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/fhir/Patient/patient-ecr-eve-everywoman"/>
<resource>
<Patient>
<id value="patient-ecr-eve-everywoman"/>
<meta>
<versionId value="10"/>
<lastUpdated value="2021-08-17T08:00:32.356+00:00"/>
<source value="#zjFlzHDvZIYVyMAB"/>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-patient"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<div class="hapiHeaderText">Eve L <b>EVERYWOMAN </b>
</div>
<table class="hapiPropertyTable">
<tbody>
<tr>
<td>Identifier</td>
<td>1032702</td>
</tr>
<tr>
<td>Address</td>
<td>
<span>5101 Peachtree St NE </span>
<br/>
<span>Atlanta </span>
<span>GA </span>
<span>US </span>
</td>
</tr>
<tr>
<td>Date of birth</td>
<td>
<span>24 November 1974</span>
</td>
</tr>
</tbody>
</table>
</div>
</text>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2106-3"/>
<display value="White"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="White"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2186-5"/>
<display value="Not Hispanic or Latino"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Not Hispanic or Latino"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
<valueCode value="F"/>
</extension>
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-genderidentity-extension">
<extension url="value">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
<code value="ASKU"/>
<display value="asked but unknown"/>
</coding>
<text value="asked but unknown"/>
</valueCodeableConcept>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-tribal-affiliation-extension">
<extension url="TribeName">
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS"/>
<code value="91"/>
<display value="Fort Mojave Indian Tribe of Arizona, California"/>
</valueCoding>
</extension>
<extension url="EnrolledTribeMember">
<valueBoolean value="true"/>
</extension>
</extension>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
<display value="Medical Record Number"/>
</coding>
</type>
<system value="http://hospital.smarthealthit.org"/>
<value value="1032702"/>
</identifier>
<active value="true"/>
<name>
<family value="Everywoman"/>
<given value="Eve"/>
<given value="L"/>
</name>
<telecom>
<system value="phone"/>
<value value="1-(404)555-1212"/>
<use value="home"/>
</telecom>
<telecom>
<system value="email"/>
<value value="eve.everywoman@example.com"/>
</telecom>
<gender value="female"/>
<birthDate value="1974-11-24"/>
<deceasedBoolean value="false"/>
<address>
<line value="5101 Peachtree St NE"/>
<city value="Atlanta"/>
<state value="GA"/>
<postalCode value="30302"/>
<country value="US"/>
</address>
<communication>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="en"/>
<display value="English"/>
</coding>
</language>
</communication>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/observation-rr-reportability-information-observation"/>
<resource>
<Observation>
<id value="observation-rr-reportability-information-observation"/>
<meta>
<versionId value="1"/>
<lastUpdated value="2021-07-21T03:10:13.946+00:00"/>
<source value="#l0j1zEVQ0pIebyt5"/>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-reportability-information-observation"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Observation</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Observation "observation-rr-reportability-information-observation" Version "1" Updated "2021-07-21 03:10:13+0000" </p><p style="margin-bottom: 0px">Information Source: #l0j1zEVQ0pIebyt5!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-rr-reportability-information-observation.html">RR Reportability Information Observation</a></p></div><p><b>US Public Health Determination of Reportability Extension</b>: Reportable <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#RRVS1)</span></p><p><b>US Public Health Determination of Reportability Reason Extension</b>: Condition is reportable</p><p><b>US Public Health Determination of Reportability Rule Extension</b>: Description of rule used in reportability determination</p><p><b>RR External Resource Extension</b>: <a href="#DocumentReference_documentreference-zika-info-pdf">See above (DocumentReference/documentreference-zika-info-pdf)</a></p><p><b>RR External Resource Extension</b>: <a href="#DocumentReference_documentreference-add-reporting-needs-pdf">See above (DocumentReference/documentreference-add-reporting-needs-pdf)</a></p><p><b>RR External Resource Extension</b>: <a href="#DocumentReference_documentreference-zika-follow-up-pdf">See above (DocumentReference/documentreference-zika-follow-up-pdf)</a></p><p><b>status</b>: final</p><p><b>code</b>: Patient home address <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#RRVS5)</span></p><p><b>performer</b>: </p><ul><li><a href="#Organization_organization-rr-rules-authoring-agency-haw">See above (Organization/organization-rr-rules-authoring-agency-haw: Health Authority West Rules Authoring Agency)</a></li><li><a href="#Organization_organization-rr-routing-entity-haw">See above (Organization/organization-rr-routing-entity-haw: Health Authority West Routing Entity)</a></li><li><a href="#Organization_organization-rr-responsible-agency-haw">See above (Organization/organization-rr-responsible-agency-haw: Health Authority West Routing Entity)</a></li></ul><h3>Components</h3><table class="grid"><tr><td>-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>Timeframe to report (urgency) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#RR4)</span></td><td>24 H<span style="background: LightGoldenRodYellow"> (Details: UCUM code H = 'H')</span></td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-extension">
<valueCodeableConcept>
<coding>
<system value="urn:oid:2.16.840.1.114222.4.5.274"/>
<code value="RRVS1"/>
<display value="Reportable"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-reason-extension">
<valueString value="Condition is reportable"/>
</extension>
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-rule-extension">
<valueString
value="Description of rule used in reportability determination"/>
</extension>
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-external-resource-extension">
<valueReference>
<reference value="DocumentReference/documentreference-zika-info-pdf"/>
</valueReference>
</extension>
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-external-resource-extension">
<valueReference>
<reference
value="DocumentReference/documentreference-add-reporting-needs-pdf"/>
</valueReference>
</extension>
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-external-resource-extension">
<valueReference>
<reference
value="DocumentReference/documentreference-zika-follow-up-pdf"/>
</valueReference>
</extension>
<status value="final"/>
<code>
<coding>
<system value="urn:oid:2.16.840.1.114222.4.5.274"/>
<code value="RRVS5"/>
<display value="Patient home address"/>
</coding>
</code>
<performer>
<reference
value="Organization/organization-rr-rules-authoring-agency-haw"/>
<display value="Health Authority West Rules Authoring Agency"/>
</performer>
<performer>
<reference value="Organization/organization-rr-routing-entity-haw"/>
<display value="Health Authority West Routing Entity"/>
</performer>
<performer>
<reference value="Organization/organization-rr-responsible-agency-haw"/>
<display value="Health Authority West Routing Entity"/>
</performer>
<component>
<code>
<coding>
<system value="urn:oid:2.16.840.1.114222.4.5.232"/>
<code value="RR4"/>
<display value="Timeframe to report (urgency)"/>
</coding>
</code>
<valueQuantity>
<value value="24"/>
<unit value="H"/>
<system value="http://unitsofmeasure.org"/>
<code value="H"/>
</valueQuantity>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/PractitionerRole/practitionerrole-henry-seven"/>
<resource>
<PractitionerRole>
<id value="practitionerrole-henry-seven"/>
<meta>
<versionId value="11"/>
<lastUpdated value="2021-08-17T08:00:32.355+00:00"/>
<source value="#KJ942UxvfdYWoHCF"/>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-practitionerrole"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: PractitionerRole</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource PractitionerRole "practitionerrole-henry-seven" Version "11" Updated "2021-08-17 08:00:32+0000" </p><p style="margin-bottom: 0px">Information Source: #KJ942UxvfdYWoHCF!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-us-ph-practitionerrole.html">US Public Health PractitionerRole</a></p></div><p><b>identifier</b>: id: 9941339108</p><p><b>practitioner</b>: <a href="#Practitioner_practitioner-us-core-henry-seven">See above (Practitioner/practitioner-us-core-henry-seven: Henry Seven, MD)</a></p><p><b>organization</b>: <a href="#Organization_organization-ecr-salem-medical-center">See above (Organization/organization-ecr-salem-medical-center: Salem Medical Center)</a></p><p><b>code</b>: Primary Care Clinic/Center <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (provider-taxonomy#261QP2300X)</span></p><p><b>specialty</b>: Family practice <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#419772000)</span></p><p><b>location</b>: <a href="#Location_location-ecr-salem-medical-center">See above (Location/location-ecr-salem-medical-center: Salem Medical Center)</a></p><p><b>telecom</b>: <a href="mailto:henry.seven@example.com">henry.seven@example.com</a></p></div>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="9941339108"/>
</identifier>
<practitioner>
<reference value="Practitioner/practitioner-us-core-henry-seven"/>
<display value="Henry Seven, MD"/>
</practitioner>
<organization>
<reference value="Organization/organization-ecr-salem-medical-center"/>
<display value="Salem Medical Center"/>
</organization>
<code>
<coding>
<system value="http://nucc.org/provider-taxonomy"/>
<code value="261QP2300X"/>
<display value="Primary Care Clinic/Center"/>
</coding>
</code>
<specialty>
<coding>
<system value="http://snomed.info/sct"/>
<code value="419772000"/>
<display value="Family practice"/>
</coding>
</specialty>
<location>
<reference value="Location/location-ecr-salem-medical-center"/>
<display value="Salem Medical Center"/>
</location>
<telecom>
<system value="email"/>
<value value="henry.seven@example.com"/>
</telecom>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Condition/condition-eicr-eve-everywoman-common-cold"/>
<resource>
<Condition>
<id value="condition-eicr-eve-everywoman-common-cold"/>
<meta>
<versionId value="6"/>
<lastUpdated value="2021-07-15T01:54:14.831+00:00"/>
<source value="#4g0ZpTNqldHFYLzr"/>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-condition"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Condition</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Condition "condition-eicr-eve-everywoman-common-cold" Version "6" Updated "2021-07-15 01:54:14+0000" </p><p style="margin-bottom: 0px">Information Source: #4g0ZpTNqldHFYLzr!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-us-ph-condition.html">US Public Health Condition</a></p></div><p><b>category</b>: Problem List Item <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html">Condition Category Codes</a>#problem-list-item)</span></p><p><b>code</b>: Common cold (disorder) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#82272006)</span></p><p><b>subject</b>: <a href="#Patient_patient-ecr-eve-everywoman">See above (Patient/patient-ecr-eve-everywoman: Eve Everywoman)</a></p><p><b>onset</b>: 2017-09-23</p><p><b>asserter</b>: <a href="#Practitioner_practitioner-us-core-henry-seven">See above (Practitioner/practitioner-us-core-henry-seven: Henry Seven, MD)</a></p></div>
</text>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="problem-list-item"/>
<display value="Problem List Item"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="82272006"/>
<display value="Common cold (disorder)"/>
</coding>
</code>
<subject>
<reference value="Patient/patient-ecr-eve-everywoman"/>
<display value="Eve Everywoman"/>
</subject>
<onsetDateTime value="2017-09-23"/>
<asserter>
<reference value="Practitioner/practitioner-us-core-henry-seven"/>
<display value="Henry Seven, MD"/>
</asserter>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Location/location-ecr-salem-medical-center"/>
<resource>
<Location>
<id value="location-ecr-salem-medical-center"/>
<meta>
<versionId value="6"/>
<lastUpdated value="2021-08-17T07:53:02.099+00:00"/>
<source value="#VI2Nm5Ps5HqZ5HXV"/>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-location"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Location</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Location "location-ecr-salem-medical-center" Version "6" Updated "2021-08-17 07:53:02+0000" </p><p style="margin-bottom: 0px">Information Source: #VI2Nm5Ps5HqZ5HXV!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-us-ph-location.html">US Public Health Location</a></p></div><p><b>identifier</b>: id: 1144221995</p><p><b>status</b>: active</p><p><b>name</b>: Clinic Bldg A, Salem Medical Center</p><p><b>type</b>: Hospital <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-v3-RoleCode.html">RoleCode</a>#HOSP)</span></p><p><b>telecom</b>: ph: (+1) (555)555-3001, fax: (+1) (555)555-3002, <a href="mailto:mail@smc.org">mail@smc.org</a></p><p><b>address</b>: Clinic Bldg A 4444 Healthcare Drive Ann Arbor MI 99999 </p><p><b>managingOrganization</b>: <a href="#Organization_organization-ecr-salem-medical-center">See above (Organization/organization-ecr-salem-medical-center)</a></p></div>
</text>
<identifier>
<system value="http://hl7.org.fhir/sid/us-npi"/>
<value value="1144221995"/>
</identifier>
<status value="active"/>
<name value="Clinic Bldg A, Salem Medical Center"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="HOSP"/>
<display value="Hospital"/>
</coding>
</type>
<telecom>
<system value="phone"/>
<value value="(+1) (555)555-3001"/>
</telecom>
<telecom>
<system value="fax"/>
<value value="(+1) (555)555-3002"/>
</telecom>
<telecom>
<system value="email"/>
<value value="mail@smc.org"/>
</telecom>
<address>
<line value="Clinic Bldg A"/>
<line value="4444 Healthcare Drive"/>
<city value="Ann Arbor"/>
<state value="MI"/>
<postalCode value="99999"/>
</address>
<managingOrganization>
<reference value="Organization/organization-ecr-salem-medical-center"/>
</managingOrganization>
</Location>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Organization/organization-ecr-salem-medical-center"/>
<resource>
<Organization>
<id value="organization-ecr-salem-medical-center"/>
<meta>
<versionId value="5"/>
<lastUpdated value="2021-06-30T04:13:19.345+00:00"/>
<source value="#xa4yJZjn68xVavoM"/>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Organization</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Organization "organization-ecr-salem-medical-center" Version "5" Updated "2021-06-30 04:13:19+0000" </p><p style="margin-bottom: 0px">Information Source: #xa4yJZjn68xVavoM!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-us-ph-organization.html">US Public Health Organization</a></p></div><p><b>identifier</b>: id: 55555555</p><p><b>active</b>: true</p><p><b>name</b>: Salem Medical Center</p><p><b>telecom</b>: <a href="tel:+1-555-555-1111">+1-555-555-1111</a>, <a href="mailto:mail@salemmedicalcenter.com">mail@salemmedicalcenter.com</a></p><p><b>address</b>: 22222 Health Authority Drive Ann Arbor MI 99999 </p></div>
</text>
<identifier>
<system value="http://hl7.org.fhir/sid/us-npi"/>
<value value="55555555"/>
</identifier>
<active value="true"/>
<name value="Salem Medical Center"/>
<telecom>
<system value="phone"/>
<value value="+1-555-555-1111"/>
</telecom>
<telecom>
<system value="email"/>
<value value="mail@salemmedicalcenter.com"/>
</telecom>
<address>
<line value="22222 Health Authority Drive"/>
<city value="Ann Arbor"/>
<state value="MI"/>
<postalCode value="99999"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Condition/condition-eicr-eve-everywoman-zika"/>
<resource>
<Condition>
<id value="condition-eicr-eve-everywoman-zika"/>
<meta>
<versionId value="5"/>
<lastUpdated value="2021-07-15T01:54:14.835+00:00"/>
<source value="#rM2Pw6getjoE2UTV"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Condition</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Condition "condition-eicr-eve-everywoman-zika" Version "5" Updated "2021-07-15 01:54:14+0000" </p><p style="margin-bottom: 0px">Information Source: #rM2Pw6getjoE2UTV!</p></div><p><b>category</b>: Encounter Diagnosis <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html">Condition Category Codes</a>#encounter-diagnosis)</span></p><p><b>code</b>: Zika virus disease (disorder) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#3928002)</span></p><p><b>subject</b>: <a href="#Patient_patient-ecr-eve-everywoman">See above (Patient/patient-ecr-eve-everywoman: Eve Everywoman)</a></p><p><b>onset</b>: 2017-08-23</p><p><b>asserter</b>: <a href="#Practitioner_practitioner-us-core-henry-seven">See above (Practitioner/practitioner-us-core-henry-seven: Henry Seven, MD)</a></p></div>
</text>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="encounter-diagnosis"/>
<display value="Encounter Diagnosis"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="3928002"/>
<display value="Zika virus disease (disorder)"/>
</coding>
</code>
<subject>
<reference value="Patient/patient-ecr-eve-everywoman"/>
<display value="Eve Everywoman"/>
</subject>
<onsetDateTime value="2017-08-23"/>
<asserter>
<reference value="Practitioner/practitioner-us-core-henry-seven"/>
<display value="Henry Seven, MD"/>
</asserter>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Organization/organization-rr-routing-entity-haw"/>
<resource>
<Organization>
<id value="organization-rr-routing-entity-haw"/>
<meta>
<versionId value="4"/>
<lastUpdated value="2021-06-30T04:13:19.350+00:00"/>
<source value="#JxDnX4nN1kOgPTNr"/>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-routing-entity-organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Organization</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Organization "organization-rr-routing-entity-haw" Version "4" Updated "2021-06-30 04:13:19+0000" </p><p style="margin-bottom: 0px">Information Source: #JxDnX4nN1kOgPTNr!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-rr-routing-entity-organization.html">Routing Entity Organization</a></p></div><p><b>identifier</b>: id: 43214321</p><p><b>active</b>: true</p><p><b>type</b>: Routing Entity <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#RR7)</span></p><p><b>name</b>: Health Authority West Routing Entity</p><p><b>telecom</b>: <a href="tel:+1-555-555-3555">+1-555-555-3555</a>, <a href="mailto:mail@healthauthoritywest.gov">mail@healthauthoritywest.gov</a></p><p><b>address</b>: 7777 Health Authority Drive Ann Arbor MI 99999 </p></div>
</text>
<identifier>
<system value="http://hl7.org.fhir/sid/us-npi"/>
<value value="43214321"/>
</identifier>
<active value="true"/>
<type>
<coding>
<system value="urn:oid:2.16.840.1.114222.4.5.232"/>
<code value="RR7"/>
<display value="Routing Entity"/>
</coding>
</type>
<name value="Health Authority West Routing Entity"/>
<telecom>
<system value="phone"/>
<value value="+1-555-555-3555"/>
</telecom>
<telecom>
<system value="email"/>
<value value="mail@healthauthoritywest.gov"/>
</telecom>
<address>
<line value="7777 Health Authority Drive"/>
<city value="Ann Arbor"/>
<state value="MI"/>
<postalCode value="99999"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Organization/organization-rr-rules-authoring-agency-haw"/>
<resource>
<Organization>
<id value="organization-rr-rules-authoring-agency-haw"/>
<meta>
<versionId value="4"/>
<lastUpdated value="2021-06-30T04:13:19.346+00:00"/>
<source value="#neVuDy4iafHVl44v"/>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-rules-authoring-agency-organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Organization</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Organization "organization-rr-rules-authoring-agency-haw" Version "4" Updated "2021-06-30 04:13:19+0000" </p><p style="margin-bottom: 0px">Information Source: #neVuDy4iafHVl44v!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-rr-rules-authoring-agency-organization.html">Rules Authoring Agency Organization</a></p></div><p><b>identifier</b>: id: 12341234</p><p><b>active</b>: true</p><p><b>type</b>: Rules Authoring Agency <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#RR12)</span></p><p><b>name</b>: Health Authority West Rules Authoring Agency</p><p><b>telecom</b>: <a href="tel:+1-555-555-3555">+1-555-555-3555</a>, <a href="mailto:mail@healthauthoritywest.gov">mail@healthauthoritywest.gov</a></p><p><b>address</b>: 7777 Health Authority Drive Ann Arbor MI 99999 </p></div>
</text>
<identifier>
<system value="http://hl7.org.fhir/sid/us-npi"/>
<value value="12341234"/>
</identifier>
<active value="true"/>
<type>
<coding>
<system value="urn:oid:2.16.840.1.114222.4.5.232"/>
<code value="RR12"/>
<display value="Rules Authoring Agency"/>
</coding>
</type>
<name value="Health Authority West Rules Authoring Agency"/>
<telecom>
<system value="phone"/>
<value value="+1-555-555-3555"/>
</telecom>
<telecom>
<system value="email"/>
<value value="mail@healthauthoritywest.gov"/>
</telecom>
<address>
<line value="7777 Health Authority Drive"/>
<city value="Ann Arbor"/>
<state value="MI"/>
<postalCode value="99999"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Organization/organization-rr-responsible-agency-haw"/>
<resource>
<Organization>
<id value="organization-rr-responsible-agency-haw"/>
<meta>
<versionId value="4"/>
<lastUpdated value="2021-06-30T04:13:19.348+00:00"/>
<source value="#3U6KQ9Vvv8lROlRV"/>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-responsible-agency-organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Organization</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Organization "organization-rr-responsible-agency-haw" Version "4" Updated "2021-06-30 04:13:19+0000" </p><p style="margin-bottom: 0px">Information Source: #3U6KQ9Vvv8lROlRV!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-rr-responsible-agency-organization.html">Responsible Agency Organization</a></p></div><p><b>identifier</b>: id: 99996666</p><p><b>active</b>: true</p><p><b>type</b>: Responsible Agency <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#RR8)</span></p><p><b>name</b>: Health Authority West Responsible Agency</p><p><b>telecom</b>: <a href="tel:+1-555-555-3555">+1-555-555-3555</a>, <a href="mailto:mail@healthauthoritywest.gov">mail@healthauthoritywest.gov</a></p><p><b>address</b>: 7777 Health Authority Drive Ann Arbor MI 99999 </p></div>
</text>
<identifier>
<system value="http://hl7.org.fhir/sid/us-npi"/>
<value value="99996666"/>
</identifier>
<active value="true"/>
<type>
<coding>
<system value="urn:oid:2.16.840.1.114222.4.5.232"/>
<code value="RR8"/>
<display value="Responsible Agency"/>
</coding>
</type>
<name value="Health Authority West Responsible Agency"/>
<telecom>
<system value="phone"/>
<value value="+1-555-555-3555"/>
</telecom>
<telecom>
<system value="email"/>
<value value="mail@healthauthoritywest.gov"/>
</telecom>
<address>
<line value="7777 Health Authority Drive"/>
<city value="Ann Arbor"/>
<state value="MI"/>
<postalCode value="99999"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Practitioner/practitioner-us-core-henry-seven"/>
<resource>
<Practitioner>
<id value="practitioner-us-core-henry-seven"/>
<meta>
<versionId value="5"/>
<lastUpdated value="2021-08-17T08:00:32.356+00:00"/>
<source value="#2MfA6kIjmOmtAlIb"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Practitioner</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Practitioner "practitioner-us-core-henry-seven" Version "5" Updated "2021-08-17 08:00:32+0000" </p><p style="margin-bottom: 0px">Information Source: #2MfA6kIjmOmtAlIb!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU4/StructureDefinition-us-core-practitioner.html">US Core Practitioner Profile</a></p></div><p><b>identifier</b>: id: 9941339108</p><p><b>name</b>: Seven Henry </p><p><b>telecom</b>: <a href="mailto:henry.seven@example.com">henry.seven@example.com</a></p><p><b>address</b>: BMass Doctors 2100 North Ave Burlington MA 02368 US </p></div>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="9941339108"/>
</identifier>
<name>
<family value="Henry"/>
<given value="Seven"/>
<suffix value="M.D."/>
</name>
<telecom>
<system value="email"/>
<value value="henry.seven@example.com"/>
</telecom>
<address>
<line value="BMass Doctors"/>
<line value="2100 North Ave"/>
<city value="Burlington"/>
<state value="MA"/>
<postalCode value="02368"/>
<country value="US"/>
</address>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/observation-rr-eicr-processing-status"/>
<resource>
<Observation>
<id value="observation-rr-eicr-processing-status"/>
<meta>
<versionId value="7"/>
<lastUpdated value="2021-08-17T07:59:00.920+00:00"/>
<source value="#qebn2OtR7MyyUBlm"/>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-observation"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Observation</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Observation "observation-rr-eicr-processing-status" Version "7" Updated "2021-08-17 07:59:00+0000" </p><p style="margin-bottom: 0px">Information Source: #qebn2OtR7MyyUBlm!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-rr-eicr-processing-status-observation.html">eICR Processing Status Observation</a></p></div><p><b>status</b>: final</p><p><b>code</b>: eICR was processed - with a warning <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#RRVS20)</span></p><p><b>hasMember</b>: <a href="#Observation_observation-rr-eicr-processing-status-reason">See above (Observation/observation-rr-eicr-processing-status-reason)</a></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="urn:oid:2.16.840.1.114222.4.5.274"/>
<code value="RRVS20"/>
<display value="eICR was processed - with a warning"/>
</coding>
</code>
<hasMember>
<reference
value="Observation/observation-rr-eicr-processing-status-reason"/>
</hasMember>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/observation-rr-eicr-processing-status-reason"/>
<resource>
<Observation>
<id value="observation-rr-eicr-processing-status-reason"/>
<meta>
<versionId value="6"/>
<lastUpdated value="2021-08-17T07:59:00.881+00:00"/>
<source value="#vuZ3NTkJzu5MXnbK"/>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-reason-observation"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Observation</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Observation "observation-rr-eicr-processing-status-reason" Version "6" Updated "2021-08-17 07:59:00+0000" </p><p style="margin-bottom: 0px">Information Source: #vuZ3NTkJzu5MXnbK!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-rr-eicr-processing-status-reason-observation.html">eICR Processing Status Reason Observation</a></p></div><p><b>status</b>: final</p><p><b>code</b>: eICR Processing Status Reason <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#RR6)</span></p><p><b>value</b>: eICR was processed with the warning of: inactive RCTC code <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#RRVS30)</span></p><h3>Components</h3><table class="grid"><tr><td>-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>Inactive RCTC code detail <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#RRVS32)</span></td><td>Leptospirosis icterohemorrhagica (disorder) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#69092001)</span></td></tr></table></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="urn:oid:2.16.840.1.114222.4.5.232"/>
<code value="RR6"/>
<display value="eICR Processing Status Reason"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="urn:oid:2.16.840.1.114222.4.5.274"/>
<code value="RRVS30"/>
<display
value="eICR was processed with the warning of: inactive RCTC code"/>
</coding>
</valueCodeableConcept>
<component>
<code>
<coding>
<system value="urn:oid:2.16.840.1.114222.4.5.274"/>
<code value="RRVS32"/>
<display value="Inactive RCTC code detail"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="69092001"/>
<display value="Leptospirosis icterohemorrhagica (disorder)"/>
</coding>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/DocumentReference/documentreference-add-reporting-needs-pdf"/>
<resource>
<DocumentReference>
<id value="documentreference-add-reporting-needs-pdf"/>
<meta>
<versionId value="2"/>
<lastUpdated value="2021-08-13T03:54:37.580+00:00"/>
<source value="#CKG4Ip9hcAYHwI5b"/>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-documentreference"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: DocumentReference</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource DocumentReference "documentreference-add-reporting-needs-pdf" Version "2" Updated "2021-08-13 03:54:37+0000" </p><p style="margin-bottom: 0px">Information Source: #CKG4Ip9hcAYHwI5b!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-rr-documentreference.html">RR DocumentReference</a></p></div><p><b>Reportability Response Priority Extension</b>: Action requested <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#RRVS16)</span></p><p><b>status</b>: current</p><p><b>type</b>: Public health information <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#83910-0 "Public health Note")</span></p><p><b>category</b>: Additional reporting needs <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#RRVS8)</span></p><p><b>subject</b>: <a href="#Patient_patient-ecr-eve-everywoman">See above (Patient/patient-ecr-eve-everywoman: Eve Everywoman)</a></p><p><b>description</b>: Additional information for the required reporting of Zika must be submitted to State Department of Health immediately. This additional information can be submitted here.</p><blockquote><p><b>content</b></p></blockquote></div>
</text>
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-priority-extension">
<valueCodeableConcept>
<coding>
<system value="urn:oid:2.16.840.1.114222.4.5.274"/>
<code value="RRVS16"/>
<display value="Action requested"/>
</coding>
</valueCodeableConcept>
</extension>
<status value="current"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="83910-0"/>
<display value="Public health Note"/>
</coding>
<text value="Public health information"/>
</type>
<category>
<coding>
<system value="urn:oid:2.16.840.1.114222.4.5.274"/>
<code value="RRVS8"/>
<display value="Additional reporting needs"/>
</coding>
<text value="Additional reporting needs"/>
</category>
<subject>
<reference value="Patient/patient-ecr-eve-everywoman"/>
<display value="Eve Everywoman"/>
</subject>
<description
value="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>
<attachment>
<contentType value="application/pdf"/>
<url
value="http://statedepartmentofhealth.gov/epi/disease/zika/Supplemental_data_form.pdf"/>
</attachment>
</content>
</DocumentReference>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/DocumentReference/documentreference-zika-follow-up-pdf"/>
<resource>
<DocumentReference>
<id value="documentreference-zika-follow-up-pdf"/>
<meta>
<versionId value="2"/>
<lastUpdated value="2021-08-13T03:55:05.964+00:00"/>
<source value="#5WqiIqtDkKw6T6kp"/>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-documentreference"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: DocumentReference</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource DocumentReference "documentreference-zika-follow-up-pdf" Version "2" Updated "2021-08-13 03:55:05+0000" </p><p style="margin-bottom: 0px">Information Source: #5WqiIqtDkKw6T6kp!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-rr-documentreference.html">RR DocumentReference</a></p></div><p><b>Reportability Response Priority Extension</b>: Immediate action requested <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#RRVS18)</span></p><p><b>status</b>: current</p><p><b>type</b>: Public health information <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#83910-0 "Public health Note")</span></p><p><b>category</b>: Treatment and/or prevention <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#RRVS10)</span></p><p><b>subject</b>: <a href="#Patient_patient-ecr-eve-everywoman">See above (Patient/patient-ecr-eve-everywoman: Eve Everywoman)</a></p><p><b>description</b>: Zika has particular risks for pregnant women. Follow-up guidance for pregnant women and couples who are planning pregnancy.</p><blockquote><p><b>content</b></p></blockquote></div>
</text>
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-priority-extension">
<valueCodeableConcept>
<coding>
<system value="urn:oid:2.16.840.1.114222.4.5.274"/>
<code value="RRVS18"/>
<display value="Immediate action requested"/>
</coding>
</valueCodeableConcept>
</extension>
<status value="current"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="83910-0"/>
<display value="Public health Note"/>
</coding>
<text value="Public health information"/>
</type>
<category>
<coding>
<system value="urn:oid:2.16.840.1.114222.4.5.274"/>
<code value="RRVS10"/>
<display value="Treatment and/or prevention"/>
</coding>
<text value="Treatment and/or prevention"/>
</category>
<subject>
<reference value="Patient/patient-ecr-eve-everywoman"/>
<display value="Eve Everywoman"/>
</subject>
<description
value="Zika has particular risks for pregnant women. Follow-up guidance for pregnant women and couples who are planning pregnancy."/>
<content>
<attachment>
<contentType value="application/pdf"/>
<url
value="http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf"/>
</attachment>
</content>
</DocumentReference>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/DocumentReference/documentreference-zika-info-pdf"/>
<resource>
<DocumentReference>
<id value="documentreference-zika-info-pdf"/>
<meta>
<versionId value="2"/>
<lastUpdated value="2021-08-13T03:55:05.964+00:00"/>
<source value="#UHFGpbMvvCjqEqnT"/>
<profile
value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-documentreference"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: DocumentReference</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource DocumentReference "documentreference-zika-info-pdf" Version "2" Updated "2021-08-13 03:55:05+0000" </p><p style="margin-bottom: 0px">Information Source: #UHFGpbMvvCjqEqnT!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-rr-documentreference.html">RR DocumentReference</a></p></div><p><b>Reportability Response Priority Extension</b>: Immediate action required <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#RRVS17)</span></p><p><b>status</b>: current</p><p><b>type</b>: Public health information <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#83910-0 "Public health Note")</span></p><p><b>category</b>: Outbreak- or Cluster Related <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#RRVS13)</span></p><p><b>subject</b>: <a href="#Patient_patient-ecr-eve-everywoman">See above (Patient/patient-ecr-eve-everywoman: Eve Everywoman)</a></p><p><b>description</b>: Local mosquito-borne Zika virus creation was reported in your area. Increased watchfulness for symptoms of Zika virus in your patients is warranted.</p><blockquote><p><b>content</b></p></blockquote></div>
</text>
<extension
url="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-priority-extension">
<valueCodeableConcept>
<coding>
<system value="urn:oid:2.16.840.1.114222.4.5.274"/>
<code value="RRVS17"/>
<display value="Immediate action required"/>
</coding>
</valueCodeableConcept>
</extension>
<status value="current"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="83910-0"/>
<display value="Public health Note"/>
</coding>
<text value="Public health information"/>
</type>
<category>
<coding>
<system value="urn:oid:2.16.840.1.114222.4.5.274"/>
<code value="RRVS13"/>
<display value="Outbreak- or Cluster Related"/>
</coding>
<text value="Outbreak- or Cluster Related"/>
</category>
<subject>
<reference value="Patient/patient-ecr-eve-everywoman"/>
<display value="Eve Everywoman"/>
</subject>
<description
value="Local mosquito-borne Zika virus creation was reported in your area. Increased watchfulness for symptoms of Zika virus in your patients is warranted."/>
<content>
<attachment>
<contentType value="application/pdf"/>
<url
value="http://statedepartmentofhealth.gov/epi/disease/zika/outbreakinfo.pdf"/>
</attachment>
</content>
</DocumentReference>
</resource>
</entry>
</Bundle>
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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