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

Extension: USPublicHealthDeterminationOfReportabilityExtension - Detailed Descriptions

Active as of 2022-08-31

Definitions for the us-ph-determination-of-reportability-extension extension.

1. Extension
Definition

This extension represents the determination of reportability. Reportability is "the quality or state of being reportable or not". Reportability does not equate to the patient having a condition or meeting a case definition (definitively being 'a case').

For each condition included in the eICR and the relevant public health agency(s), this element indicates the determination of whether the condition is reportable to public health.

The values that can be used for the Determination of Reportability are described below.

A possible condition is:

  • Reportable - The information provided meets reporting criteria for an associated PHA.

A possible condition:

  • May be Reportable - The information provided may meet reporting criteria if additional information is provided. The Reportability Response will also be able to share the information needed to definitively determine reportability.

A possible condition is:

  • Not Reportable - The information provided conclusively does not meet reporting criteria.

Some decision support systems may not be able to fully differentiate between possible conditions that are Not Reportable and those that May be Reportable if additional information is provided. In these circumstances there may only be a reportability determination of:

  • No Reporting Rule Met - The information provided does not meet reporting criteria or may meet reporting criteria if additional information is provided.

The determination of No Reporting Rule Met may be provided for a possible condition or for all conditions in the eICR.

Control1..1 This element is affected by the following invariants: ele-1
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
2. Extension.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
3. Extension.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
4. Extension.url
Definition

Source of the definition for the extension code - a logical name or a URL.

Control1..1
Typeuri
Comments

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Fixed Valuehttp://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-extension
5. Extension.value[x]:valueCodeableConcept
SliceNamevalueCodeableConcept
Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Control1..1
BindingThe codes SHALL be taken from Determination of Reportability (eCR); other codes may be used where these codes are not suitable Determination of Reportability

TypeCodeableConcept
[x] NoteSee Choice of Data Types for further information about how to use [x]
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))