HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm
2.1.1 - STU 2.1.1 United States of America flag

This page is part of the electronic Case Reporting (eCR) (v2.1.1: STU 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in it's permanent location. For a full list of available versions, see the Directory of published versions

: Reportability Response Composition - One Condition/One PHA example - JSON Representation

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{
  "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><a name=\"composition-rr-one-cond-one-pha\"> </a></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 &quot;composition-rr-one-cond-one-pha&quot; Version &quot;6&quot; Updated &quot;2021-08-17 03:37:27+0000&quot; </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:\u00a0RR12347</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> &quot;Health Authority West&quot;</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> &quot;Health Authority West&quot;</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",
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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. &quot;Zika virus disease (disorder)&quot; is reportable to &quot;State Department\n                    of Health&quot;. An initial case report was sent to &quot;State Department of Health&quot;. Additional information may be required for this report. \n                    <br/>\n                    <br/>\n                </p>\n                <p>\n                    <b>&quot;Zika virus disease (disorder)&quot; for &quot;State Department of Health&quot;</b>\n                </p>\n                <p>Reporting is required within &quot;24 hours&quot;. Reporting to this Public Health Agency is based on &quot;both patient home address and provider facility address&quot;. </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"
        }
      ]
    }
  ]
}