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 
{
"resourceType" : "Composition",
"id" : "composition-rr-one-cond-one-pha",
"meta" : {
"versionId" : "6",
"lastUpdated" : "2021-08-17T03:37:27.060+00:00",
"source" : "#0LoQfHsenVG69d13",
"profile" : [
"http://hl7.org/fhir/us/ecr/StructureDefinition/rr-composition"
]
},
"text" : {
"status" : "extensions",
"div" : "<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.html\">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.html\">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.html\">Organization/organization-ecr-health-authority-west: Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999</a> \"Health Authority West\"</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.html\">Organization/organization-ecr-health-authority-west: Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999</a> \"Health Authority West\"</p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber",
"valueString" : "1"
},
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-information-recipient-extension",
"valueReference" : {
"reference" : "PractitionerRole/practitionerrole-henry-seven"
}
}
],
"identifier" : {
"system" : "http://acme.org/identifiers",
"value" : "RR12347"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "88085-6",
"display" : "Reportability response report Document Public health"
}
]
},
"subject" : {
"reference" : "Patient/patient-ecr-eve-everywoman",
"display" : "Eve Everywoman"
},
"encounter" : {
"reference" : "Encounter/encounter-eicr-eve-everywoman-outpatient",
"display" : "Ambulatory Office Visit"
},
"date" : "2018-07-19T04:09:06Z",
"author" : [
{
"reference" : "Organization/organization-ecr-health-authority-west",
"display" : "Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999"
}
],
"title" : "Reportability Response - One Condition/One PHA example",
"custodian" : {
"reference" : "Organization/organization-ecr-health-authority-west",
"display" : "Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999"
},
"section" : [
{
"title" : "Reportability Response Subject Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "88084-9",
"display" : "Reportable condition response information and summary Document"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Public Health Reporting Communication: one or more conditions are reportable, or may be reportable to public health</p>\n </div>"
}
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-extension",
"extension" : [
{
"url" : "eICRProcessingStatus",
"valueReference" : {
"reference" : "Observation/observation-rr-eicr-processing-status",
"display" : "eICR was processed - with a warning"
}
},
{
"url" : "eICRValidationOutput",
"valueAttachment" : {
"contentType" : "text/html",
"data" : "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"
}
}
]
},
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-receipt-time-extension",
"valueDateTime" : "2018-07-18T04:09:06Z"
}
],
"title" : "Electronic Initial Case Report Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "88082-3",
"display" : "Initial case report processing information Document"
}
]
},
"entry" : [
{
"reference" : "Bundle/bundle-eicr-document-zika",
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:0070e7b2-9893-4044-b255-73da1649c9fe"
},
"display" : "bundle-eicr-document-zika.xml"
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-priority-extension",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.114222.4.5.274",
"code" : "RRVS17",
"display" : "Immediate action required"
}
]
}
}
],
"title" : "Reportability Response Summary Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "55112-7",
"display" : "Document summary"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>\n <b>Summary:</b>\n </p>\n <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\n of Health". An initial case report was sent to "State Department of Health". Additional information may be required for this report. \n <br/>\n <br/>\n </p>\n <p>\n <b>"Zika virus disease (disorder)" for "State Department of Health"</b>\n </p>\n <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>\n <ul>\n <li>\n <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>\n </li>\n <li>\n <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. ( \n <a href=\"http://statedepartmentofhealth.gov/epi/disease/zika/Supplemental_data_form.pdf\">Link</a> - Immediate action required) \n </p>\n </li>\n <li>\n <p>Zika has particular risks for pregnant women. Follow-up guidance for pregnant women and couples who are planning pregnancy. ( \n <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf\">Link</a> - Immediate action requested) \n </p>\n </li>\n <li>\n <p>Further Laboratory testing for Zika may be needed. Guidance for additional testing and specimen collection ( \n <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf\">Link</a> - Action requested) \n </p>\n </li>\n <li>\n <p>Forms for submitting further Zika laboratory testing ( \n <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/zika_test_request_form_UPHL.xlsx\">Link</a> - Information only) \n </p>\n </li>\n <li>\n <p>Treatment guidance ( \n <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf\">Link</a> - Information only) \n </p>\n </li>\n <li>\n <p>If you have additional questions regarding Zika or reporting, contact information for the State Department of Health is available here. ( \n <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf\">Link</a> - Information Only) \n </p>\n </li>\n </ul>\n <p>Additional Resources (Information only):</p>\n <ul>\n <li>\n <p>Control and prevention information for providers ( \n <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/plan.pdf\">Link</a>) \n </p>\n </li>\n <li>\n <p>Detailed condition references ( \n <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/plan.pdf\">Link</a>) \n </p>\n </li>\n <li>\n <p>Prevalence in State ( \n <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/plan.pdf\">Link</a>) \n </p>\n </li>\n <li>\n <p>CDC webpage ( \n <a href=\"https://www.cdc.gov/zika/index.html\">Link</a>) \n </p>\n </li>\n <li>\n <p>Patient information factsheet ( \n <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/factsheet.pdf\">Link</a>) \n </p>\n </li>\n <li>\n <p>State Resident information ( \n <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/ZikaVirus_QA_StateDOH.pdf\">Link</a>) \n </p>\n </li>\n </ul>\n </div>"
},
"entry" : [
{
"reference" : "Observation/observation-rr-summary",
"display" : "Reportability Response Summary"
},
{
"reference" : "Observation/observation-rr-relevant-reportable-condition-observation",
"display" : "Relevant reportable condition: Zika"
}
]
}
]
}
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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