HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm
2.0.0 - STU 2
HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm
2.0.0 - STU 2
This page is part of the electronic Case Reporting (eCR) (v2.0.0: STU 2 on FHIR R4) based on FHIR R4. The current version which supercedes this version is 2.1.0. For a full list of available versions, see the Directory of published versions 
{
"resourceType" : "Bundle",
"id" : "bundle-rr-document-one-cond-one-pha",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/ecr/StructureDefinition/rr-document-bundle"
]
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:2be4b4e4-6df1-4cb2-a947-c70fa0eda34d"
},
"type" : "document",
"timestamp" : "2021-08-02T22:13:23Z",
"entry" : [
{
"fullUrl" : "http://example.org/fhir/Composition/composition-rr-one-cond-one-pha",
"resource" : {
"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</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-rr-one-cond-one-pha\" Version \"6\" Updated \"2021-08-17T03:37:27.06Z\" </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>: 2018-07-19T04:09:06Z</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>"
},
"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" : "urn:uuid:556adcc4-f4e5-4a50-87e3-f7874c3f213a",
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:db734647-fc99-424c-a864-7e3cda82e703"
},
"display" : "eICR_Document.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\n 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/>\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\n 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. ( <a href=\"http://statedepartmentofhealth.gov/epi/disease/zika/Supplemental_data_form.pdf\">Link</a> - Immediate action required) </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. ( <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf\">Link</a> - Immediate action requested) </p>\n </li>\n <li>\n <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>\n </li>\n <li>\n <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)\n </p>\n </li>\n <li>\n <p>Treatment guidance ( <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf\">Link</a> - Information only) </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. ( <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf\">Link</a> - Information Only) </p>\n </li>\n </ul>\n <p>Additional Resources (Information only):</p>\n <ul>\n <li>\n <p>Control and prevention information for providers ( <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/plan.pdf\">Link</a>) </p>\n </li>\n <li>\n <p>Detailed condition references ( <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/plan.pdf\">Link</a>) </p>\n </li>\n <li>\n <p>Prevalence in State ( <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/plan.pdf\">Link</a>) </p>\n </li>\n <li>\n <p>CDC webpage ( <a href=\"https://www.cdc.gov/zika/index.html\">Link</a>) </p>\n </li>\n <li>\n <p>Patient information factsheet ( <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/factsheet.pdf\">Link</a>) </p>\n </li>\n <li>\n <p>State Resident information ( <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/ZikaVirus_QA_StateDOH.pdf\">Link</a>) </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"
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/observation-rr-relevant-reportable-condition-observation",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-rr-relevant-reportable-condition-observation",
"meta" : {
"versionId" : "4",
"lastUpdated" : "2021-08-17T07:59:01.040+00:00",
"source" : "#rU2tzvaNrwcg0mRI",
"profile" : [
"http://hl7.org/fhir/us/ecr/StructureDefinition/rr-relevant-reportable-condition-observation"
]
},
"text" : {
"status" : "generated",
"div" : "<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\n guidlines set out here: <a href=\"reportability_response_narrative_guidance.html\">Reportability Response Narrative Guidance</a>. </div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "64572001"
},
{
"system" : "http://loinc.org",
"code" : "75323-6"
}
],
"text" : "Condition"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "3928002",
"display" : "Zika virus disease (disorder)"
}
]
},
"hasMember" : [
{
"reference" : "Observation/observation-rr-reportability-information-observation"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Encounter/encounter-eicr-eve-everywoman-outpatient",
"resource" : {
"resourceType" : "Encounter",
"id" : "encounter-eicr-eve-everywoman-outpatient",
"meta" : {
"versionId" : "5",
"lastUpdated" : "2021-07-19T03:02:05.806+00:00",
"source" : "#Q5dlT8eND2UI2D6e",
"profile" : [
"http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-encounter"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</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-eicr-eve-everywoman-outpatient\" Version \"5\" Updated \"2021-07-19T03:02:05.806Z\" </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/3.0.0/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/3.0.0/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>: 2018-04-01T10:00:00-05:00 --> 2018-04-02T10:15:00-05:00</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>"
},
"identifier" : [
{
"system" : "http://hospital.smarthealthit.org",
"value" : "9937012"
}
],
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB",
"display" : "ambulatory"
},
"type" : [
{
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "99201"
}
],
"text" : "Office Visit"
}
],
"subject" : {
"reference" : "Patient/patient-ecr-eve-everywoman",
"display" : "Eve Everywoman"
},
"participant" : [
{
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code" : "ATND",
"display" : "attender"
}
]
}
],
"individual" : {
"reference" : "PractitionerRole/practitionerrole-henry-seven",
"display" : "Henry Seven, MD"
}
}
],
"period" : {
"start" : "2018-04-01T10:00:00-05:00",
"end" : "2018-04-02T10:15:00-05:00"
},
"diagnosis" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension",
"extension" : [
{
"url" : "triggerCodeValueSet",
"valueOid" : "urn:oid:2.16.840.1.114222.4.11.7508"
},
{
"url" : "triggerCodeValueSetVersion",
"valueString" : "12/12/2018"
},
{
"url" : "triggerCode",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "3928002",
"display" : "Zika virus disease (disorder)"
}
}
]
}
],
"condition" : {
"reference" : "Condition/condition-eicr-eve-everywoman-zika"
}
},
{
"condition" : {
"reference" : "Condition/condition-eicr-eve-everywoman-common-cold"
}
}
],
"location" : [
{
"location" : {
"reference" : "Location/location-ecr-salem-medical-center",
"display" : "Clinic Bldg A, Salem Medical Center, 4646 Brown Rd, Salem, MA 02368"
}
}
],
"serviceProvider" : {
"reference" : "Organization/organization-ecr-salem-medical-center",
"display" : "Salem Medical Center, 22222 Health Authority Drive, Ann Arbor MI, 99999"
}
}
},
{
"fullUrl" : "http://example.org/fhir/Organization/organization-ecr-health-authority-west",
"resource" : {
"resourceType" : "Organization",
"id" : "organization-ecr-health-authority-west",
"meta" : {
"versionId" : "4",
"lastUpdated" : "2021-06-30T04:13:19.348+00:00",
"source" : "#dsstmHfZujY31Hwz",
"profile" : [
"http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-organization"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</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-ecr-health-authority-west\" Version \"4\" Updated \"2021-06-30T04:13:19.348Z\" </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>"
},
"identifier" : [
{
"system" : "http://hl7.org.fhir/sid/us-npi",
"value" : "1144221847"
}
],
"active" : true,
"name" : "Health Authority West",
"telecom" : [
{
"system" : "phone",
"value" : "+1-555-555-3555"
},
{
"system" : "email",
"value" : "mail@healthauthoritywest.gov"
}
],
"address" : [
{
"line" : [
"7777 Health Authority Drive"
],
"city" : "Ann Arbor",
"state" : "MI",
"postalCode" : "99999"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/observation-rr-summary",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-rr-summary",
"meta" : {
"versionId" : "1",
"lastUpdated" : "2021-07-21T00:15:44.375+00:00",
"source" : "#DQk7sbYvOfzjYqZ6",
"profile" : [
"http://hl7.org/fhir/us/ecr/StructureDefinition/rr-summary"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</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-rr-summary\" Version \"1\" Updated \"2021-07-21T00:15:44.375Z\" </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>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "304561000",
"display" : "Informing health care professional (procedure)"
}
]
},
"valueString" : "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."
}
},
{
"fullUrl" : "urn:uuid:556adcc4-f4e5-4a50-87e3-f7874c3f213a",
"resource" : {
"resourceType" : "DocumentReference",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</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\">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>"
},
"masterIdentifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:db734647-fc99-424c-a864-7e3cda82e703"
},
"identifier" : [
{
"system" : "urn:oid:2.16.840.1.113883.19.5.99999.19",
"value" : "sTT988#1"
}
],
"status" : "current",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "55751-2",
"display" : "Public health Case report"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code" : "clinical-note",
"display" : "Clinical Note"
}
],
"text" : "Clinical Note"
}
],
"subject" : {
"reference" : "Patient/patient-ecr-eve-everywoman"
},
"content" : [
{
"attachment" : {
"contentType" : "text/plain",
"url" : "urn:hl7ii:2.16.840.1.113883.19.5.99999.19:1"
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Patient/patient-ecr-eve-everywoman",
"resource" : {
"resourceType" : "Patient",
"id" : "patient-ecr-eve-everywoman",
"meta" : {
"versionId" : "10",
"lastUpdated" : "2021-08-17T08:00:32.356+00:00",
"source" : "#zjFlzHDvZIYVyMAB",
"profile" : [
"http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-patient"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <div class=\"hapiHeaderText\">Eve L <b>EVERYWOMAN </b>\n </div>\n <table class=\"hapiPropertyTable\">\n <tbody>\n <tr>\n <td>Identifier</td>\n <td>1032702</td>\n </tr>\n <tr>\n <td>Address</td>\n <td>\n <span>5101 Peachtree St NE </span>\n <br/>\n <span>Atlanta </span>\n <span>GA </span>\n <span>US </span>\n </td>\n </tr>\n <tr>\n <td>Date of birth</td>\n <td>\n <span>24 November 1974</span>\n </td>\n </tr>\n </tbody>\n </table>\n </div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race",
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2106-3",
"display" : "White"
}
},
{
"url" : "text",
"valueString" : "White"
}
]
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity",
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2186-5",
"display" : "Not Hispanic or Latino"
}
},
{
"url" : "text",
"valueString" : "Not Hispanic or Latino"
}
]
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode" : "F"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/patient-genderIdentity",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/gender-identity",
"code" : "female",
"display" : "female"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-tribal-affiliation-extension",
"extension" : [
{
"url" : "TribeName",
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS",
"code" : "91",
"display" : "Fort Mojave Indian Tribe of Arizona, California"
}
},
{
"url" : "EnrolledTribeMember",
"valueBoolean" : true
}
]
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical Record Number"
}
]
},
"system" : "http://hospital.smarthealthit.org",
"value" : "1032702"
}
],
"active" : true,
"name" : [
{
"family" : "Everywoman",
"given" : [
"Eve",
"L"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "1-(404)555-1212",
"use" : "home"
},
{
"system" : "email",
"value" : "eve.everywoman@example.com"
}
],
"gender" : "female",
"birthDate" : "1974-11-24",
"address" : [
{
"line" : [
"5101 Peachtree St NE"
],
"city" : "Atlanta",
"state" : "GA",
"postalCode" : "30302",
"country" : "US"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/observation-rr-reportability-information-observation",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-rr-reportability-information-observation",
"meta" : {
"versionId" : "1",
"lastUpdated" : "2021-07-21T03:10:13.946+00:00",
"source" : "#l0j1zEVQ0pIebyt5",
"profile" : [
"http://hl7.org/fhir/us/ecr/StructureDefinition/rr-reportability-information-observation"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</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-rr-reportability-information-observation\" Version \"1\" Updated \"2021-07-21T03:10:13.946Z\" </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>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-extension",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.114222.4.5.274",
"code" : "RRVS1",
"display" : "Reportable"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-reason-extension",
"valueString" : "Condition is reportable"
},
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-rule-extension",
"valueString" : "Description of rule used in reportability determination"
},
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-external-resource-extension",
"valueReference" : {
"reference" : "DocumentReference/documentreference-zika-info-pdf"
}
},
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-external-resource-extension",
"valueReference" : {
"reference" : "DocumentReference/documentreference-add-reporting-needs-pdf"
}
},
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-external-resource-extension",
"valueReference" : {
"reference" : "DocumentReference/documentreference-zika-follow-up-pdf"
}
}
],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.114222.4.5.274",
"code" : "RRVS5",
"display" : "Patient home address"
}
]
},
"performer" : [
{
"reference" : "Organization/organization-rr-rules-authoring-agency-haw",
"display" : "Health Authority West Rules Authoring Agency"
},
{
"reference" : "Organization/organization-rr-routing-entity-haw",
"display" : "Health Authority West Routing Entity"
},
{
"reference" : "Organization/organization-rr-responsible-agency-haw",
"display" : "Health Authority West Routing Entity"
}
],
"component" : [
{
"code" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.114222.4.5.232",
"code" : "RR4",
"display" : "Timeframe to report (urgency)"
}
]
},
"valueQuantity" : {
"value" : 24,
"unit" : "H",
"system" : "http://unitsofmeasure.org",
"code" : "H"
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/PractitionerRole/practitionerrole-henry-seven",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "practitionerrole-henry-seven",
"meta" : {
"versionId" : "11",
"lastUpdated" : "2021-08-17T08:00:32.355+00:00",
"source" : "#KJ942UxvfdYWoHCF",
"profile" : [
"http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-practitionerrole"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</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-henry-seven\" Version \"11\" Updated \"2021-08-17T08:00:32.355Z\" </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>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "9941339108"
}
],
"practitioner" : {
"reference" : "Practitioner/practitioner-us-core-henry-seven",
"display" : "Henry Seven, MD"
},
"organization" : {
"reference" : "Organization/organization-ecr-salem-medical-center",
"display" : "Salem Medical Center"
},
"code" : [
{
"coding" : [
{
"system" : "http://nucc.org/provider-taxonomy",
"code" : "261QP2300X",
"display" : "Primary Care Clinic/Center"
}
]
}
],
"specialty" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "419772000",
"display" : "Family practice"
}
]
}
],
"location" : [
{
"reference" : "Location/location-ecr-salem-medical-center",
"display" : "Salem Medical Center"
}
],
"telecom" : [
{
"system" : "email",
"value" : "henry.seven@example.com"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Condition/condition-eicr-eve-everywoman-common-cold",
"resource" : {
"resourceType" : "Condition",
"id" : "condition-eicr-eve-everywoman-common-cold",
"meta" : {
"versionId" : "6",
"lastUpdated" : "2021-07-15T01:54:14.831+00:00",
"source" : "#4g0ZpTNqldHFYLzr",
"profile" : [
"http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-condition"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</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-eicr-eve-everywoman-common-cold\" Version \"6\" Updated \"2021-07-15T01:54:14.831Z\" </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/3.0.0/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>"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item",
"display" : "Problem List Item"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "82272006",
"display" : "Common cold (disorder)"
}
]
},
"subject" : {
"reference" : "Patient/patient-ecr-eve-everywoman",
"display" : "Eve Everywoman"
},
"onsetDateTime" : "2017-09-23",
"asserter" : {
"reference" : "Practitioner/practitioner-us-core-henry-seven",
"display" : "Henry Seven, MD"
}
}
},
{
"fullUrl" : "http://example.org/fhir/Location/location-ecr-salem-medical-center",
"resource" : {
"resourceType" : "Location",
"id" : "location-ecr-salem-medical-center",
"meta" : {
"versionId" : "6",
"lastUpdated" : "2021-08-17T07:53:02.099+00:00",
"source" : "#VI2Nm5Ps5HqZ5HXV",
"profile" : [
"http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-location"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</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-ecr-salem-medical-center\" Version \"6\" Updated \"2021-08-17T07:53:02.099Z\" </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>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/3.0.0/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>"
},
"status" : "active",
"name" : "Clinic Bldg A, Salem Medical Center",
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "HOSP",
"display" : "Hospital"
}
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "(+1) (555)555-3001"
},
{
"system" : "fax",
"value" : "(+1) (555)555-3002"
},
{
"system" : "email",
"value" : "mail@smc.org"
}
],
"address" : {
"line" : [
"Clinic Bldg A",
"4444 Healthcare Drive"
],
"city" : "Ann Arbor",
"state" : "MI",
"postalCode" : "99999"
},
"managingOrganization" : {
"reference" : "Organization/organization-ecr-salem-medical-center"
}
}
},
{
"fullUrl" : "http://example.org/fhir/Organization/organization-ecr-salem-medical-center",
"resource" : {
"resourceType" : "Organization",
"id" : "organization-ecr-salem-medical-center",
"meta" : {
"versionId" : "5",
"lastUpdated" : "2021-06-30T04:13:19.345+00:00",
"source" : "#xa4yJZjn68xVavoM",
"profile" : [
"http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-organization"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</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-ecr-salem-medical-center\" Version \"5\" Updated \"2021-06-30T04:13:19.345Z\" </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>"
},
"identifier" : [
{
"system" : "http://hl7.org.fhir/sid/us-npi",
"value" : "55555555"
}
],
"active" : true,
"name" : "Salem Medical Center",
"telecom" : [
{
"system" : "phone",
"value" : "+1-555-555-1111"
},
{
"system" : "email",
"value" : "mail@salemmedicalcenter.com"
}
],
"address" : [
{
"line" : [
"22222 Health Authority Drive"
],
"city" : "Ann Arbor",
"state" : "MI",
"postalCode" : "99999"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Condition/condition-eicr-eve-everywoman-zika",
"resource" : {
"resourceType" : "Condition",
"id" : "condition-eicr-eve-everywoman-zika",
"meta" : {
"versionId" : "5",
"lastUpdated" : "2021-07-15T01:54:14.835+00:00",
"source" : "#rM2Pw6getjoE2UTV"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</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-eicr-eve-everywoman-zika\" Version \"5\" Updated \"2021-07-15T01:54:14.835Z\" </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/3.0.0/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>"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "encounter-diagnosis",
"display" : "Encounter Diagnosis"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "3928002",
"display" : "Zika virus disease (disorder)"
}
]
},
"subject" : {
"reference" : "Patient/patient-ecr-eve-everywoman",
"display" : "Eve Everywoman"
},
"onsetDateTime" : "2017-08-23",
"asserter" : {
"reference" : "Practitioner/practitioner-us-core-henry-seven",
"display" : "Henry Seven, MD"
}
}
},
{
"fullUrl" : "http://example.org/fhir/Organization/organization-rr-routing-entity-haw",
"resource" : {
"resourceType" : "Organization",
"id" : "organization-rr-routing-entity-haw",
"meta" : {
"versionId" : "4",
"lastUpdated" : "2021-06-30T04:13:19.350+00:00",
"source" : "#JxDnX4nN1kOgPTNr",
"profile" : [
"http://hl7.org/fhir/us/ecr/StructureDefinition/rr-routing-entity-organization"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</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-rr-routing-entity-haw\" Version \"4\" Updated \"2021-06-30T04:13:19.35Z\" </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>"
},
"identifier" : [
{
"system" : "http://hl7.org.fhir/sid/us-npi",
"value" : "43214321"
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "urn:oid:2.16.840.1.114222.4.5.232",
"code" : "RR7",
"display" : "Routing Entity"
}
]
}
],
"name" : "Health Authority West Routing Entity",
"telecom" : [
{
"system" : "phone",
"value" : "+1-555-555-3555"
},
{
"system" : "email",
"value" : "mail@healthauthoritywest.gov"
}
],
"address" : [
{
"line" : [
"7777 Health Authority Drive"
],
"city" : "Ann Arbor",
"state" : "MI",
"postalCode" : "99999"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Organization/organization-rr-rules-authoring-agency-haw",
"resource" : {
"resourceType" : "Organization",
"id" : "organization-rr-rules-authoring-agency-haw",
"meta" : {
"versionId" : "4",
"lastUpdated" : "2021-06-30T04:13:19.346+00:00",
"source" : "#neVuDy4iafHVl44v",
"profile" : [
"http://hl7.org/fhir/us/ecr/StructureDefinition/rr-rules-authoring-agency-organization"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</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-rr-rules-authoring-agency-haw\" Version \"4\" Updated \"2021-06-30T04:13:19.346Z\" </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>"
},
"identifier" : [
{
"system" : "http://hl7.org.fhir/sid/us-npi",
"value" : "12341234"
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "urn:oid:2.16.840.1.114222.4.5.232",
"code" : "RR12",
"display" : "Rules Authoring Agency"
}
]
}
],
"name" : "Health Authority West Rules Authoring Agency",
"telecom" : [
{
"system" : "phone",
"value" : "+1-555-555-3555"
},
{
"system" : "email",
"value" : "mail@healthauthoritywest.gov"
}
],
"address" : [
{
"line" : [
"7777 Health Authority Drive"
],
"city" : "Ann Arbor",
"state" : "MI",
"postalCode" : "99999"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Organization/organization-rr-responsible-agency-haw",
"resource" : {
"resourceType" : "Organization",
"id" : "organization-rr-responsible-agency-haw",
"meta" : {
"versionId" : "4",
"lastUpdated" : "2021-06-30T04:13:19.348+00:00",
"source" : "#3U6KQ9Vvv8lROlRV",
"profile" : [
"http://hl7.org/fhir/us/ecr/StructureDefinition/rr-responsible-agency-organization"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</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-rr-responsible-agency-haw\" Version \"4\" Updated \"2021-06-30T04:13:19.348Z\" </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>"
},
"identifier" : [
{
"system" : "http://hl7.org.fhir/sid/us-npi",
"value" : "99996666"
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "urn:oid:2.16.840.1.114222.4.5.232",
"code" : "RR8",
"display" : "Responsible Agency"
}
]
}
],
"name" : "Health Authority West Responsible Agency",
"telecom" : [
{
"system" : "phone",
"value" : "+1-555-555-3555"
},
{
"system" : "email",
"value" : "mail@healthauthoritywest.gov"
}
],
"address" : [
{
"line" : [
"7777 Health Authority Drive"
],
"city" : "Ann Arbor",
"state" : "MI",
"postalCode" : "99999"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Practitioner/practitioner-us-core-henry-seven",
"resource" : {
"resourceType" : "Practitioner",
"id" : "practitioner-us-core-henry-seven",
"meta" : {
"versionId" : "5",
"lastUpdated" : "2021-08-17T08:00:32.356+00:00",
"source" : "#2MfA6kIjmOmtAlIb",
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</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-us-core-henry-seven\" Version \"5\" Updated \"2021-08-17T08:00:32.356Z\" </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>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "9941339108"
}
],
"name" : [
{
"family" : "Henry",
"given" : [
"Seven"
],
"suffix" : [
"M.D."
]
}
],
"telecom" : [
{
"system" : "email",
"value" : "henry.seven@example.com"
}
],
"address" : [
{
"line" : [
"BMass Doctors",
"2100 North Ave"
],
"city" : "Burlington",
"state" : "MA",
"postalCode" : "02368",
"country" : "US"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/observation-rr-eicr-processing-status",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-rr-eicr-processing-status",
"meta" : {
"versionId" : "7",
"lastUpdated" : "2021-08-17T07:59:00.920+00:00",
"source" : "#qebn2OtR7MyyUBlm",
"profile" : [
"http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-observation"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</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-rr-eicr-processing-status\" Version \"7\" Updated \"2021-08-17T07:59:00.92Z\" </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>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.114222.4.5.274",
"code" : "RRVS20",
"display" : "eICR was processed - with a warning"
}
]
},
"hasMember" : [
{
"reference" : "Observation/observation-rr-eicr-processing-status-reason"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/observation-rr-eicr-processing-status-reason",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-rr-eicr-processing-status-reason",
"meta" : {
"versionId" : "6",
"lastUpdated" : "2021-08-17T07:59:00.881+00:00",
"source" : "#vuZ3NTkJzu5MXnbK",
"profile" : [
"http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-reason-observation"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</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-rr-eicr-processing-status-reason\" Version \"6\" Updated \"2021-08-17T07:59:00.881Z\" </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>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.114222.4.5.232",
"code" : "RR6",
"display" : "eICR Processing Status Reason"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.114222.4.5.274",
"code" : "RRVS30",
"display" : "eICR was processed with the warning of: inactive RCTC code"
}
]
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.114222.4.5.274",
"code" : "RRVS32",
"display" : "Inactive RCTC code detail"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "69092001",
"display" : "Leptospirosis icterohemorrhagica (disorder)"
}
]
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/DocumentReference/documentreference-add-reporting-needs-pdf",
"resource" : {
"resourceType" : "DocumentReference",
"id" : "documentreference-add-reporting-needs-pdf",
"meta" : {
"versionId" : "2",
"lastUpdated" : "2021-08-13T03:54:37.580+00:00",
"source" : "#CKG4Ip9hcAYHwI5b",
"profile" : [
"http://hl7.org/fhir/us/ecr/StructureDefinition/rr-documentreference"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</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-add-reporting-needs-pdf\" Version \"2\" Updated \"2021-08-13T03:54:37.58Z\" </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>"
},
"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" : "RRVS16",
"display" : "Action requested"
}
]
}
}
],
"status" : "current",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "83910-0",
"display" : "Public health Note"
}
],
"text" : "Public health information"
},
"category" : [
{
"coding" : [
{
"system" : "urn:oid:2.16.840.1.114222.4.5.274",
"code" : "RRVS8",
"display" : "Additional reporting needs"
}
],
"text" : "Additional reporting needs"
}
],
"subject" : {
"reference" : "Patient/patient-ecr-eve-everywoman",
"display" : "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" : [
{
"attachment" : {
"contentType" : "application/pdf",
"url" : "http://statedepartmentofhealth.gov/epi/disease/zika/Supplemental_data_form.pdf"
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/DocumentReference/documentreference-zika-follow-up-pdf",
"resource" : {
"resourceType" : "DocumentReference",
"id" : "documentreference-zika-follow-up-pdf",
"meta" : {
"versionId" : "2",
"lastUpdated" : "2021-08-13T03:55:05.964+00:00",
"source" : "#5WqiIqtDkKw6T6kp",
"profile" : [
"http://hl7.org/fhir/us/ecr/StructureDefinition/rr-documentreference"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</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-zika-follow-up-pdf\" Version \"2\" Updated \"2021-08-13T03:55:05.964Z\" </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>"
},
"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" : "RRVS18",
"display" : "Immediate action requested"
}
]
}
}
],
"status" : "current",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "83910-0",
"display" : "Public health Note"
}
],
"text" : "Public health information"
},
"category" : [
{
"coding" : [
{
"system" : "urn:oid:2.16.840.1.114222.4.5.274",
"code" : "RRVS10",
"display" : "Treatment and/or prevention"
}
],
"text" : "Treatment and/or prevention"
}
],
"subject" : {
"reference" : "Patient/patient-ecr-eve-everywoman",
"display" : "Eve Everywoman"
},
"description" : "Zika has particular risks for pregnant women. Follow-up guidance for pregnant women and couples who are planning pregnancy.",
"content" : [
{
"attachment" : {
"contentType" : "application/pdf",
"url" : "http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf"
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/DocumentReference/documentreference-zika-info-pdf",
"resource" : {
"resourceType" : "DocumentReference",
"id" : "documentreference-zika-info-pdf",
"meta" : {
"versionId" : "2",
"lastUpdated" : "2021-08-13T03:55:05.964+00:00",
"source" : "#UHFGpbMvvCjqEqnT",
"profile" : [
"http://hl7.org/fhir/us/ecr/StructureDefinition/rr-documentreference"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</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-zika-info-pdf\" Version \"2\" Updated \"2021-08-13T03:55:05.964Z\" </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>"
},
"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"
}
]
}
}
],
"status" : "current",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "83910-0",
"display" : "Public health Note"
}
],
"text" : "Public health information"
},
"category" : [
{
"coding" : [
{
"system" : "urn:oid:2.16.840.1.114222.4.5.274",
"code" : "RRVS13",
"display" : "Outbreak- or Cluster Related"
}
],
"text" : "Outbreak- or Cluster Related"
}
],
"subject" : {
"reference" : "Patient/patient-ecr-eve-everywoman",
"display" : "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" : [
{
"attachment" : {
"contentType" : "application/pdf",
"url" : "http://statedepartmentofhealth.gov/epi/disease/zika/outbreakinfo.pdf"
}
}
]
}
}
]
}
IG © 2020+ HL7 Public Health Work Group (http://www.hl7.org/Special/committees/pher/index.cfm). Package hl7.fhir.us.ecr#2.0.0 based on FHIR 4.0.1. Generated 2022-01-18
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