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

: RR Document Bundle Example: One Condition, One PHA - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Bundle;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "bundle-rr-document-one-cond-one-pha"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-document-bundle";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/ecr/StructureDefinition/rr-document-bundle>     ]
  ];
  fhir:Bundle.identifier [
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:uuid:2be4b4e4-6df1-4cb2-a947-c70fa0eda34d" ]
  ];
  fhir:Bundle.type [ fhir:value "document"];
  fhir:Bundle.timestamp [ fhir:value "2021-08-02T22:13:23Z"^^xsd:dateTime];
  fhir:Bundle.entry [
     fhir:index 0;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Composition/composition-rr-one-cond-one-pha" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/Composition/composition-rr-one-cond-one-pha>
  ], [
     fhir:index 1;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/observation-rr-relevant-reportable-condition-observation" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/Observation/observation-rr-relevant-reportable-condition-observation>
  ], [
     fhir:index 2;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Encounter/encounter-eicr-eve-everywoman-outpatient" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/Encounter/encounter-eicr-eve-everywoman-outpatient>
  ], [
     fhir:index 3;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Organization/organization-ecr-health-authority-west" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/Organization/organization-ecr-health-authority-west>
  ], [
     fhir:index 4;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/observation-rr-summary" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/Observation/observation-rr-summary>
  ], [
     fhir:index 5;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:556adcc4-f4e5-4a50-87e3-f7874c3f213a" ];
     fhir:Bundle.entry.resource <urn:uuid:556adcc4-f4e5-4a50-87e3-f7874c3f213a>
  ], [
     fhir:index 6;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Patient/patient-ecr-eve-everywoman" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/Patient/patient-ecr-eve-everywoman>
  ], [
     fhir:index 7;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/observation-rr-reportability-information-observation" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/Observation/observation-rr-reportability-information-observation>
  ], [
     fhir:index 8;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/PractitionerRole/practitionerrole-henry-seven" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/PractitionerRole/practitionerrole-henry-seven>
  ], [
     fhir:index 9;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Condition/condition-eicr-eve-everywoman-common-cold" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/Condition/condition-eicr-eve-everywoman-common-cold>
  ], [
     fhir:index 10;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Location/location-ecr-salem-medical-center" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/Location/location-ecr-salem-medical-center>
  ], [
     fhir:index 11;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Organization/organization-ecr-salem-medical-center" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/Organization/organization-ecr-salem-medical-center>
  ], [
     fhir:index 12;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Condition/condition-eicr-eve-everywoman-zika" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/Condition/condition-eicr-eve-everywoman-zika>
  ], [
     fhir:index 13;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Organization/organization-rr-routing-entity-haw" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/Organization/organization-rr-routing-entity-haw>
  ], [
     fhir:index 14;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Organization/organization-rr-rules-authoring-agency-haw" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/Organization/organization-rr-rules-authoring-agency-haw>
  ], [
     fhir:index 15;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Organization/organization-rr-responsible-agency-haw" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/Organization/organization-rr-responsible-agency-haw>
  ], [
     fhir:index 16;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Practitioner/practitioner-us-core-henry-seven" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/Practitioner/practitioner-us-core-henry-seven>
  ], [
     fhir:index 17;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/observation-rr-eicr-processing-status" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/Observation/observation-rr-eicr-processing-status>
  ], [
     fhir:index 18;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/observation-rr-eicr-processing-status-reason" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/Observation/observation-rr-eicr-processing-status-reason>
  ], [
     fhir:index 19;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/DocumentReference/documentreference-add-reporting-needs-pdf" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/DocumentReference/documentreference-add-reporting-needs-pdf>
  ], [
     fhir:index 20;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/DocumentReference/documentreference-zika-follow-up-pdf" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/DocumentReference/documentreference-zika-follow-up-pdf>
  ], [
     fhir:index 21;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/DocumentReference/documentreference-zika-info-pdf" ];
     fhir:Bundle.entry.resource <http://example.org/fhir/DocumentReference/documentreference-zika-info-pdf>
  ].

<http://example.org/fhir/Composition/composition-rr-one-cond-one-pha> a fhir:Composition;
  fhir:Resource.id [ fhir:value "composition-rr-one-cond-one-pha"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "6" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-08-17T03:37:27.060+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#0LoQfHsenVG69d13" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-composition";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/ecr/StructureDefinition/rr-composition>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.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>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber" ];
     fhir:Extension.valueString [ fhir:value "1" ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-information-recipient-extension" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "PractitionerRole/practitionerrole-henry-seven" ]     ]
  ];
  fhir:Composition.identifier [
     fhir:Identifier.system [ fhir:value "http://acme.org/identifiers" ];
     fhir:Identifier.value [ fhir:value "RR12347" ]
  ];
  fhir:Composition.status [ fhir:value "final"];
  fhir:Composition.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:88085-6;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "88085-6" ];
       fhir:Coding.display [ fhir:value "Reportability response report Document Public health" ]     ]
  ];
  fhir:Composition.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient-ecr-eve-everywoman" ];
     fhir:Reference.display [ fhir:value "Eve Everywoman" ]
  ];
  fhir:Composition.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/encounter-eicr-eve-everywoman-outpatient" ];
     fhir:Reference.display [ fhir:value "Ambulatory Office Visit" ]
  ];
  fhir:Composition.date [ fhir:value "2018-07-19T04:09:06Z"^^xsd:dateTime];
  fhir:Composition.author [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Organization/organization-ecr-health-authority-west" ];
     fhir:Reference.display [ fhir:value "Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999" ]
  ];
  fhir:Composition.title [ fhir:value "Reportability Response - One Condition/One PHA example"];
  fhir:Composition.custodian [
     fhir:Reference.reference [ fhir:value "Organization/organization-ecr-health-authority-west" ];
     fhir:Reference.display [ fhir:value "Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999" ]
  ];
  fhir:Composition.section [
     fhir:index 0;
     fhir:Composition.section.title [ fhir:value "Reportability Response Subject Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:88084-9;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "88084-9" ];
         fhir:Coding.display [ fhir:value "Reportable condition response information and summary Document" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.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>"     ]
  ], [
     fhir:index 1;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-extension" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "eICRProcessingStatus" ];
         fhir:Extension.valueReference [
           fhir:Reference.reference [ fhir:value "Observation/observation-rr-eicr-processing-status" ];
           fhir:Reference.display [ fhir:value "eICR was processed - with a warning" ]         ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "eICRValidationOutput" ];
         fhir:Extension.valueAttachment [
           fhir:Attachment.contentType [ fhir:value "text/html" ];
           fhir:Attachment.data [ fhir:value "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"^^xsd:base64Binary ]         ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-receipt-time-extension" ];
       fhir:Extension.valueDateTime [ fhir:value "2018-07-18T04:09:06Z"^^xsd:dateTime ]     ];
     fhir:Composition.section.title [ fhir:value "Electronic Initial Case Report Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:88082-3;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "88082-3" ];
         fhir:Coding.display [ fhir:value "Initial case report processing information Document" ]       ]     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "urn:uuid:556adcc4-f4e5-4a50-87e3-f7874c3f213a" ];
       fhir:Reference.identifier [
         fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
         fhir:Identifier.value [ fhir:value "urn:uuid:db734647-fc99-424c-a864-7e3cda82e703" ]       ];
       fhir:Reference.display [ fhir:value "eICR_Document.xml" ]     ]
  ], [
     fhir:index 2;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-priority-extension" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.114222.4.5.274" ];
           fhir:Coding.code [ fhir:value "RRVS17" ];
           fhir:Coding.display [ fhir:value "Immediate action required" ]         ]       ]     ];
     fhir:Composition.section.title [ fhir:value "Reportability Response Summary Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:55112-7;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "55112-7" ];
         fhir:Coding.display [ fhir:value "Document summary" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.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\n                                to &quot;State Department of Health&quot;. An initial case report was sent to &quot;State Department of Health&quot;. Additional information may be required for this report. <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\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>"     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "Observation/observation-rr-summary" ];
       fhir:Reference.display [ fhir:value "Reportability Response Summary" ]     ], [
       fhir:index 1;
       fhir:Reference.reference [ fhir:value "Observation/observation-rr-relevant-reportable-condition-observation" ];
       fhir:Reference.display [ fhir:value "Relevant reportable condition: Zika" ]     ]
  ].

<http://example.org/fhir/Observation/observation-rr-relevant-reportable-condition-observation> a fhir:Observation;
  fhir:Resource.id [ fhir:value "observation-rr-relevant-reportable-condition-observation"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "4" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-08-17T07:59:01.040+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#rU2tzvaNrwcg0mRI" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-relevant-reportable-condition-observation";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/ecr/StructureDefinition/rr-relevant-reportable-condition-observation>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:64572001;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "64572001" ]     ], [
       fhir:index 1;
       a loinc:75323-6;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "75323-6" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Condition" ]
  ];
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:3928002;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "3928002" ];
       fhir:Coding.display [ fhir:value "Zika virus disease (disorder)" ]     ]
  ];
  fhir:Observation.hasMember [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Observation/observation-rr-reportability-information-observation" ]
  ].

<http://example.org/fhir/Encounter/encounter-eicr-eve-everywoman-outpatient> a fhir:Encounter;
  fhir:Resource.id [ fhir:value "encounter-eicr-eve-everywoman-outpatient"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "5" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-07-19T03:02:05.806+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#Q5dlT8eND2UI2D6e" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-encounter";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-encounter>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.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&reg;)</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 --&gt; 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>"
  ];
  fhir:Encounter.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://hospital.smarthealthit.org" ];
     fhir:Identifier.value [ fhir:value "9937012" ]
  ];
  fhir:Encounter.status [ fhir:value "finished"];
  fhir:Encounter.class [
     fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
     fhir:Coding.code [ fhir:value "AMB" ];
     fhir:Coding.display [ fhir:value "ambulatory" ]
  ];
  fhir:Encounter.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://www.ama-assn.org/go/cpt" ];
       fhir:Coding.code [ fhir:value "99201" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Office Visit" ]
  ];
  fhir:Encounter.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient-ecr-eve-everywoman" ];
     fhir:Reference.display [ fhir:value "Eve Everywoman" ]
  ];
  fhir:Encounter.participant [
     fhir:index 0;
     fhir:Encounter.participant.type [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ParticipationType" ];
         fhir:Coding.code [ fhir:value "ATND" ];
         fhir:Coding.display [ fhir:value "attender" ]       ]     ];
     fhir:Encounter.participant.individual [
       fhir:Reference.reference [ fhir:value "PractitionerRole/practitionerrole-henry-seven" ];
       fhir:Reference.display [ fhir:value "Henry Seven, MD" ]     ]
  ];
  fhir:Encounter.period [
     fhir:Period.start [ fhir:value "2018-04-01T10:00:00-05:00"^^xsd:dateTime ];
     fhir:Period.end [ fhir:value "2018-04-02T10:15:00-05:00"^^xsd:dateTime ]
  ];
  fhir:Encounter.diagnosis [
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension" ];
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "triggerCodeValueSet" ];
         fhir:Extension.valueOid [ fhir:value "urn:oid:2.16.840.1.114222.4.11.7508" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "triggerCodeValueSetVersion" ];
         fhir:Extension.valueString [ fhir:value "12/12/2018" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "triggerCode" ];
         fhir:Extension.valueCoding [
           a sct:3928002;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "3928002" ];
           fhir:Coding.display [ fhir:value "Zika virus disease (disorder)" ]         ]       ]     ];
     fhir:Encounter.diagnosis.condition [
       fhir:Reference.reference [ fhir:value "Condition/condition-eicr-eve-everywoman-zika" ]     ]
  ], [
     fhir:index 1;
     fhir:Encounter.diagnosis.condition [
       fhir:Reference.reference [ fhir:value "Condition/condition-eicr-eve-everywoman-common-cold" ]     ]
  ];
  fhir:Encounter.location [
     fhir:index 0;
     fhir:Encounter.location.location [
       fhir:Reference.reference [ fhir:value "Location/location-ecr-salem-medical-center" ];
       fhir:Reference.display [ fhir:value "Clinic Bldg A, Salem Medical Center, 4646 Brown Rd, Salem, MA 02368" ]     ]
  ];
  fhir:Encounter.serviceProvider [
     fhir:Reference.reference [ fhir:value "Organization/organization-ecr-salem-medical-center" ];
     fhir:Reference.display [ fhir:value "Salem Medical Center, 22222 Health Authority Drive, Ann Arbor MI, 99999" ]
  ].

<http://example.org/fhir/Organization/organization-ecr-health-authority-west> a fhir:Organization;
  fhir:Resource.id [ fhir:value "organization-ecr-health-authority-west"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "4" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-06-30T04:13:19.348+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#dsstmHfZujY31Hwz" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-organization";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-organization>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Organization.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://hl7.org.fhir/sid/us-npi" ];
     fhir:Identifier.value [ fhir:value "1144221847" ]
  ];
  fhir:Organization.active [ fhir:value "true"^^xsd:boolean];
  fhir:Organization.name [ fhir:value "Health Authority West"];
  fhir:Organization.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "+1-555-555-3555" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "mail@healthauthoritywest.gov" ]
  ];
  fhir:Organization.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "7777 Health Authority Drive";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Ann Arbor" ];
     fhir:Address.state [ fhir:value "MI" ];
     fhir:Address.postalCode [ fhir:value "99999" ]
  ].

<http://example.org/fhir/Observation/observation-rr-summary> a fhir:Observation;
  fhir:Resource.id [ fhir:value "observation-rr-summary"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "1" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-07-21T00:15:44.375+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#DQk7sbYvOfzjYqZ6" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-summary";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/ecr/StructureDefinition/rr-summary>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:304561000;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "304561000" ];
       fhir:Coding.display [ fhir:value "Informing health care professional (procedure)" ]     ]
  ];
  fhir:Observation.valueString [ fhir: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."].

<urn:uuid:556adcc4-f4e5-4a50-87e3-f7874c3f213a> a fhir:DocumentReference;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:DocumentReference.masterIdentifier [
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:uuid:db734647-fc99-424c-a864-7e3cda82e703" ]
  ];
  fhir:DocumentReference.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "urn:oid:2.16.840.1.113883.19.5.99999.19" ];
     fhir:Identifier.value [ fhir:value "sTT988#1" ]
  ];
  fhir:DocumentReference.status [ fhir:value "current"];
  fhir:DocumentReference.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:55751-2;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "55751-2" ];
       fhir:Coding.display [ fhir:value "Public health Case report" ]     ]
  ];
  fhir:DocumentReference.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category" ];
       fhir:Coding.code [ fhir:value "clinical-note" ];
       fhir:Coding.display [ fhir:value "Clinical Note" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Clinical Note" ]
  ];
  fhir:DocumentReference.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient-ecr-eve-everywoman" ]
  ];
  fhir:DocumentReference.content [
     fhir:index 0;
     fhir:DocumentReference.content.attachment [
       fhir:Attachment.contentType [ fhir:value "text/plain" ];
       fhir:Attachment.url [ fhir:value "urn:hl7ii:2.16.840.1.113883.19.5.99999.19:1" ]     ]
  ].

<http://example.org/fhir/Patient/patient-ecr-eve-everywoman> a fhir:Patient;
  fhir:Resource.id [ fhir:value "patient-ecr-eve-everywoman"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "10" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-08-17T08:00:32.356+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#zjFlzHDvZIYVyMAB" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-patient";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-patient>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "ombCategory" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
         fhir:Coding.code [ fhir:value "2106-3" ];
         fhir:Coding.display [ fhir:value "White" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "text" ];
       fhir:Extension.valueString [ fhir:value "White" ]     ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "ombCategory" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
         fhir:Coding.code [ fhir:value "2186-5" ];
         fhir:Coding.display [ fhir:value "Not Hispanic or Latino" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "text" ];
       fhir:Extension.valueString [ fhir:value "Not Hispanic or Latino" ]     ]
  ], [
     fhir:index 2;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex" ];
     fhir:Extension.valueCode [ fhir:value "F" ]
  ], [
     fhir:index 3;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/patient-genderIdentity" ];
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/gender-identity" ];
         fhir:Coding.code [ fhir:value "female" ];
         fhir:Coding.display [ fhir:value "female" ]       ]     ]
  ], [
     fhir:index 4;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-tribal-affiliation-extension" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "TribeName" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS" ];
         fhir:Coding.code [ fhir:value "91" ];
         fhir:Coding.display [ fhir:value "Fort Mojave Indian Tribe of Arizona, California" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "EnrolledTribeMember" ];
       fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ]
  ];
  fhir:Patient.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "usual" ];
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "MR" ];
         fhir:Coding.display [ fhir:value "Medical Record Number" ]       ]     ];
     fhir:Identifier.system [ fhir:value "http://hospital.smarthealthit.org" ];
     fhir:Identifier.value [ fhir:value "1032702" ]
  ];
  fhir:Patient.active [ fhir:value "true"^^xsd:boolean];
  fhir:Patient.name [
     fhir:index 0;
     fhir:HumanName.family [ fhir:value "Everywoman" ];
     fhir:HumanName.given [
       fhir:value "Eve";
       fhir:index 0     ], [
       fhir:value "L";
       fhir:index 1     ]
  ];
  fhir:Patient.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "1-(404)555-1212" ];
     fhir:ContactPoint.use [ fhir:value "home" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "eve.everywoman@example.com" ]
  ];
  fhir:Patient.gender [ fhir:value "female"];
  fhir:Patient.birthDate [ fhir:value "1974-11-24"^^xsd:date];
  fhir:Patient.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "5101 Peachtree St NE";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Atlanta" ];
     fhir:Address.state [ fhir:value "GA" ];
     fhir:Address.postalCode [ fhir:value "30302" ];
     fhir:Address.country [ fhir:value "US" ]
  ].

<http://example.org/fhir/Observation/observation-rr-reportability-information-observation> a fhir:Observation;
  fhir:Resource.id [ fhir:value "observation-rr-reportability-information-observation"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "1" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-07-21T03:10:13.946+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#l0j1zEVQ0pIebyt5" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-reportability-information-observation";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/ecr/StructureDefinition/rr-reportability-information-observation>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.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>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-extension" ];
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.114222.4.5.274" ];
         fhir:Coding.code [ fhir:value "RRVS1" ];
         fhir:Coding.display [ fhir:value "Reportable" ]       ]     ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-reason-extension" ];
     fhir:Extension.valueString [ fhir:value "Condition is reportable" ]
  ], [
     fhir:index 2;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-rule-extension" ];
     fhir:Extension.valueString [ fhir:value "Description of rule used in reportability determination" ]
  ], [
     fhir:index 3;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-external-resource-extension" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "DocumentReference/documentreference-zika-info-pdf" ]     ]
  ], [
     fhir:index 4;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-external-resource-extension" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "DocumentReference/documentreference-add-reporting-needs-pdf" ]     ]
  ], [
     fhir:index 5;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-external-resource-extension" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "DocumentReference/documentreference-zika-follow-up-pdf" ]     ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.114222.4.5.274" ];
       fhir:Coding.code [ fhir:value "RRVS5" ];
       fhir:Coding.display [ fhir:value "Patient home address" ]     ]
  ];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Organization/organization-rr-rules-authoring-agency-haw" ];
     fhir:Reference.display [ fhir:value "Health Authority West Rules Authoring Agency" ]
  ], [
     fhir:index 1;
     fhir:Reference.reference [ fhir:value "Organization/organization-rr-routing-entity-haw" ];
     fhir:Reference.display [ fhir:value "Health Authority West Routing Entity" ]
  ], [
     fhir:index 2;
     fhir:Reference.reference [ fhir:value "Organization/organization-rr-responsible-agency-haw" ];
     fhir:Reference.display [ fhir:value "Health Authority West Routing Entity" ]
  ];
  fhir:Observation.component [
     fhir:index 0;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.114222.4.5.232" ];
         fhir:Coding.code [ fhir:value "RR4" ];
         fhir:Coding.display [ fhir:value "Timeframe to report (urgency)" ]       ]     ];
     fhir:Observation.component.valueQuantity [
       fhir:Quantity.value [ fhir:value "24"^^xsd:decimal ];
       fhir:Quantity.unit [ fhir:value "H" ];
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
       fhir:Quantity.code [ fhir:value "H" ]     ]
  ].

<http://example.org/fhir/PractitionerRole/practitionerrole-henry-seven> a fhir:PractitionerRole;
  fhir:Resource.id [ fhir:value "practitionerrole-henry-seven"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "11" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-08-17T08:00:32.355+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#KJ942UxvfdYWoHCF" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-practitionerrole";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-practitionerrole>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:PractitionerRole.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ];
     fhir:Identifier.value [ fhir:value "9941339108" ]
  ];
  fhir:PractitionerRole.practitioner [
     fhir:Reference.reference [ fhir:value "Practitioner/practitioner-us-core-henry-seven" ];
     fhir:Reference.display [ fhir:value "Henry Seven, MD" ]
  ];
  fhir:PractitionerRole.organization [
     fhir:Reference.reference [ fhir:value "Organization/organization-ecr-salem-medical-center" ];
     fhir:Reference.display [ fhir:value "Salem Medical Center" ]
  ];
  fhir:PractitionerRole.code [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://nucc.org/provider-taxonomy" ];
       fhir:Coding.code [ fhir:value "261QP2300X" ];
       fhir:Coding.display [ fhir:value "Primary Care Clinic/Center" ]     ]
  ];
  fhir:PractitionerRole.specialty [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:419772000;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "419772000" ];
       fhir:Coding.display [ fhir:value "Family practice" ]     ]
  ];
  fhir:PractitionerRole.location [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Location/location-ecr-salem-medical-center" ];
     fhir:Reference.display [ fhir:value "Salem Medical Center" ]
  ];
  fhir:PractitionerRole.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "henry.seven@example.com" ]
  ].

<http://example.org/fhir/Condition/condition-eicr-eve-everywoman-common-cold> a fhir:Condition;
  fhir:Resource.id [ fhir:value "condition-eicr-eve-everywoman-common-cold"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "6" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-07-15T01:54:14.831+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#4g0ZpTNqldHFYLzr" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-condition";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-condition>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Condition.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-category" ];
       fhir:Coding.code [ fhir:value "problem-list-item" ];
       fhir:Coding.display [ fhir:value "Problem List Item" ]     ]
  ];
  fhir:Condition.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:82272006;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "82272006" ];
       fhir:Coding.display [ fhir:value "Common cold (disorder)" ]     ]
  ];
  fhir:Condition.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient-ecr-eve-everywoman" ];
     fhir:Reference.display [ fhir:value "Eve Everywoman" ]
  ];
  fhir:Condition.onsetDateTime [ fhir:value "2017-09-23"^^xsd:date];
  fhir:Condition.asserter [
     fhir:Reference.reference [ fhir:value "Practitioner/practitioner-us-core-henry-seven" ];
     fhir:Reference.display [ fhir:value "Henry Seven, MD" ]
  ].

<http://example.org/fhir/Location/location-ecr-salem-medical-center> a fhir:Location;
  fhir:Resource.id [ fhir:value "location-ecr-salem-medical-center"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "6" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-08-17T07:53:02.099+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#VI2Nm5Ps5HqZ5HXV" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-location";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-location>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Location.status [ fhir:value "active"];
  fhir:Location.name [ fhir:value "Clinic Bldg A, Salem Medical Center"];
  fhir:Location.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-RoleCode" ];
       fhir:Coding.code [ fhir:value "HOSP" ];
       fhir:Coding.display [ fhir:value "Hospital" ]     ]
  ];
  fhir:Location.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "(+1) (555)555-3001" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "fax" ];
     fhir:ContactPoint.value [ fhir:value "(+1) (555)555-3002" ]
  ], [
     fhir:index 2;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "mail@smc.org" ]
  ];
  fhir:Location.address [
     fhir:Address.line [
       fhir:value "Clinic Bldg A";
       fhir:index 0     ], [
       fhir:value "4444 Healthcare Drive";
       fhir:index 1     ];
     fhir:Address.city [ fhir:value "Ann Arbor" ];
     fhir:Address.state [ fhir:value "MI" ];
     fhir:Address.postalCode [ fhir:value "99999" ]
  ];
  fhir:Location.managingOrganization [
     fhir:Reference.reference [ fhir:value "Organization/organization-ecr-salem-medical-center" ]
  ].

<http://example.org/fhir/Organization/organization-ecr-salem-medical-center> a fhir:Organization;
  fhir:Resource.id [ fhir:value "organization-ecr-salem-medical-center"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "5" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-06-30T04:13:19.345+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#xa4yJZjn68xVavoM" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-organization";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-organization>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Organization.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://hl7.org.fhir/sid/us-npi" ];
     fhir:Identifier.value [ fhir:value "55555555" ]
  ];
  fhir:Organization.active [ fhir:value "true"^^xsd:boolean];
  fhir:Organization.name [ fhir:value "Salem Medical Center"];
  fhir:Organization.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "+1-555-555-1111" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "mail@salemmedicalcenter.com" ]
  ];
  fhir:Organization.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "22222 Health Authority Drive";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Ann Arbor" ];
     fhir:Address.state [ fhir:value "MI" ];
     fhir:Address.postalCode [ fhir:value "99999" ]
  ].

<http://example.org/fhir/Condition/condition-eicr-eve-everywoman-zika> a fhir:Condition;
  fhir:Resource.id [ fhir:value "condition-eicr-eve-everywoman-zika"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "5" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-07-15T01:54:14.835+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#rM2Pw6getjoE2UTV" ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Condition.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-category" ];
       fhir:Coding.code [ fhir:value "encounter-diagnosis" ];
       fhir:Coding.display [ fhir:value "Encounter Diagnosis" ]     ]
  ];
  fhir:Condition.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:3928002;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "3928002" ];
       fhir:Coding.display [ fhir:value "Zika virus disease (disorder)" ]     ]
  ];
  fhir:Condition.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient-ecr-eve-everywoman" ];
     fhir:Reference.display [ fhir:value "Eve Everywoman" ]
  ];
  fhir:Condition.onsetDateTime [ fhir:value "2017-08-23"^^xsd:date];
  fhir:Condition.asserter [
     fhir:Reference.reference [ fhir:value "Practitioner/practitioner-us-core-henry-seven" ];
     fhir:Reference.display [ fhir:value "Henry Seven, MD" ]
  ].

<http://example.org/fhir/Organization/organization-rr-routing-entity-haw> a fhir:Organization;
  fhir:Resource.id [ fhir:value "organization-rr-routing-entity-haw"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "4" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-06-30T04:13:19.350+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#JxDnX4nN1kOgPTNr" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-routing-entity-organization";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/ecr/StructureDefinition/rr-routing-entity-organization>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Organization.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://hl7.org.fhir/sid/us-npi" ];
     fhir:Identifier.value [ fhir:value "43214321" ]
  ];
  fhir:Organization.active [ fhir:value "true"^^xsd:boolean];
  fhir:Organization.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.114222.4.5.232" ];
       fhir:Coding.code [ fhir:value "RR7" ];
       fhir:Coding.display [ fhir:value "Routing Entity" ]     ]
  ];
  fhir:Organization.name [ fhir:value "Health Authority West Routing Entity"];
  fhir:Organization.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "+1-555-555-3555" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "mail@healthauthoritywest.gov" ]
  ];
  fhir:Organization.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "7777 Health Authority Drive";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Ann Arbor" ];
     fhir:Address.state [ fhir:value "MI" ];
     fhir:Address.postalCode [ fhir:value "99999" ]
  ].

<http://example.org/fhir/Organization/organization-rr-rules-authoring-agency-haw> a fhir:Organization;
  fhir:Resource.id [ fhir:value "organization-rr-rules-authoring-agency-haw"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "4" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-06-30T04:13:19.346+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#neVuDy4iafHVl44v" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-rules-authoring-agency-organization";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/ecr/StructureDefinition/rr-rules-authoring-agency-organization>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Organization.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://hl7.org.fhir/sid/us-npi" ];
     fhir:Identifier.value [ fhir:value "12341234" ]
  ];
  fhir:Organization.active [ fhir:value "true"^^xsd:boolean];
  fhir:Organization.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.114222.4.5.232" ];
       fhir:Coding.code [ fhir:value "RR12" ];
       fhir:Coding.display [ fhir:value "Rules Authoring Agency" ]     ]
  ];
  fhir:Organization.name [ fhir:value "Health Authority West Rules Authoring Agency"];
  fhir:Organization.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "+1-555-555-3555" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "mail@healthauthoritywest.gov" ]
  ];
  fhir:Organization.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "7777 Health Authority Drive";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Ann Arbor" ];
     fhir:Address.state [ fhir:value "MI" ];
     fhir:Address.postalCode [ fhir:value "99999" ]
  ].

<http://example.org/fhir/Organization/organization-rr-responsible-agency-haw> a fhir:Organization;
  fhir:Resource.id [ fhir:value "organization-rr-responsible-agency-haw"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "4" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-06-30T04:13:19.348+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#3U6KQ9Vvv8lROlRV" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-responsible-agency-organization";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/ecr/StructureDefinition/rr-responsible-agency-organization>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Organization.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://hl7.org.fhir/sid/us-npi" ];
     fhir:Identifier.value [ fhir:value "99996666" ]
  ];
  fhir:Organization.active [ fhir:value "true"^^xsd:boolean];
  fhir:Organization.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.114222.4.5.232" ];
       fhir:Coding.code [ fhir:value "RR8" ];
       fhir:Coding.display [ fhir:value "Responsible Agency" ]     ]
  ];
  fhir:Organization.name [ fhir:value "Health Authority West Responsible Agency"];
  fhir:Organization.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "+1-555-555-3555" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "mail@healthauthoritywest.gov" ]
  ];
  fhir:Organization.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "7777 Health Authority Drive";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Ann Arbor" ];
     fhir:Address.state [ fhir:value "MI" ];
     fhir:Address.postalCode [ fhir:value "99999" ]
  ].

<http://example.org/fhir/Practitioner/practitioner-us-core-henry-seven> a fhir:Practitioner;
  fhir:Resource.id [ fhir:value "practitioner-us-core-henry-seven"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "5" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-08-17T08:00:32.356+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#2MfA6kIjmOmtAlIb" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Practitioner.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ];
     fhir:Identifier.value [ fhir:value "9941339108" ]
  ];
  fhir:Practitioner.name [
     fhir:index 0;
     fhir:HumanName.family [ fhir:value "Henry" ];
     fhir:HumanName.given [
       fhir:value "Seven";
       fhir:index 0     ];
     fhir:HumanName.suffix [
       fhir:value "M.D.";
       fhir:index 0     ]
  ];
  fhir:Practitioner.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "henry.seven@example.com" ]
  ];
  fhir:Practitioner.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "BMass Doctors";
       fhir:index 0     ], [
       fhir:value "2100 North Ave";
       fhir:index 1     ];
     fhir:Address.city [ fhir:value "Burlington" ];
     fhir:Address.state [ fhir:value "MA" ];
     fhir:Address.postalCode [ fhir:value "02368" ];
     fhir:Address.country [ fhir:value "US" ]
  ].

<http://example.org/fhir/Observation/observation-rr-eicr-processing-status> a fhir:Observation;
  fhir:Resource.id [ fhir:value "observation-rr-eicr-processing-status"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "7" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-08-17T07:59:00.920+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#qebn2OtR7MyyUBlm" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-observation";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-observation>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.114222.4.5.274" ];
       fhir:Coding.code [ fhir:value "RRVS20" ];
       fhir:Coding.display [ fhir:value "eICR was processed - with a warning" ]     ]
  ];
  fhir:Observation.hasMember [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Observation/observation-rr-eicr-processing-status-reason" ]
  ].

<http://example.org/fhir/Observation/observation-rr-eicr-processing-status-reason> a fhir:Observation;
  fhir:Resource.id [ fhir:value "observation-rr-eicr-processing-status-reason"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "6" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-08-17T07:59:00.881+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#vuZ3NTkJzu5MXnbK" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-reason-observation";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-reason-observation>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.114222.4.5.232" ];
       fhir:Coding.code [ fhir:value "RR6" ];
       fhir:Coding.display [ fhir:value "eICR Processing Status Reason" ]     ]
  ];
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.114222.4.5.274" ];
       fhir:Coding.code [ fhir:value "RRVS30" ];
       fhir:Coding.display [ fhir:value "eICR was processed with the warning of: inactive RCTC code" ]     ]
  ];
  fhir:Observation.component [
     fhir:index 0;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.114222.4.5.274" ];
         fhir:Coding.code [ fhir:value "RRVS32" ];
         fhir:Coding.display [ fhir:value "Inactive RCTC code detail" ]       ]     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:69092001;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "69092001" ];
         fhir:Coding.display [ fhir:value "Leptospirosis icterohemorrhagica (disorder)" ]       ]     ]
  ].

<http://example.org/fhir/DocumentReference/documentreference-add-reporting-needs-pdf> a fhir:DocumentReference;
  fhir:Resource.id [ fhir:value "documentreference-add-reporting-needs-pdf"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "2" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-08-13T03:54:37.580+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#CKG4Ip9hcAYHwI5b" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-documentreference";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/ecr/StructureDefinition/rr-documentreference>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.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>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-priority-extension" ];
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.114222.4.5.274" ];
         fhir:Coding.code [ fhir:value "RRVS16" ];
         fhir:Coding.display [ fhir:value "Action requested" ]       ]     ]
  ];
  fhir:DocumentReference.status [ fhir:value "current"];
  fhir:DocumentReference.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:83910-0;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "83910-0" ];
       fhir:Coding.display [ fhir:value "Public health Note" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Public health information" ]
  ];
  fhir:DocumentReference.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.114222.4.5.274" ];
       fhir:Coding.code [ fhir:value "RRVS8" ];
       fhir:Coding.display [ fhir:value "Additional reporting needs" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Additional reporting needs" ]
  ];
  fhir:DocumentReference.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient-ecr-eve-everywoman" ];
     fhir:Reference.display [ fhir:value "Eve Everywoman" ]
  ];
  fhir:DocumentReference.description [ fhir: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."];
  fhir:DocumentReference.content [
     fhir:index 0;
     fhir:DocumentReference.content.attachment [
       fhir:Attachment.contentType [ fhir:value "application/pdf" ];
       fhir:Attachment.url [ fhir:value "http://statedepartmentofhealth.gov/epi/disease/zika/Supplemental_data_form.pdf" ]     ]
  ].

<http://example.org/fhir/DocumentReference/documentreference-zika-follow-up-pdf> a fhir:DocumentReference;
  fhir:Resource.id [ fhir:value "documentreference-zika-follow-up-pdf"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "2" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-08-13T03:55:05.964+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#5WqiIqtDkKw6T6kp" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-documentreference";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/ecr/StructureDefinition/rr-documentreference>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.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>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-priority-extension" ];
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.114222.4.5.274" ];
         fhir:Coding.code [ fhir:value "RRVS18" ];
         fhir:Coding.display [ fhir:value "Immediate action requested" ]       ]     ]
  ];
  fhir:DocumentReference.status [ fhir:value "current"];
  fhir:DocumentReference.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:83910-0;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "83910-0" ];
       fhir:Coding.display [ fhir:value "Public health Note" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Public health information" ]
  ];
  fhir:DocumentReference.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.114222.4.5.274" ];
       fhir:Coding.code [ fhir:value "RRVS10" ];
       fhir:Coding.display [ fhir:value "Treatment and/or prevention" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Treatment and/or prevention" ]
  ];
  fhir:DocumentReference.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient-ecr-eve-everywoman" ];
     fhir:Reference.display [ fhir:value "Eve Everywoman" ]
  ];
  fhir:DocumentReference.description [ fhir:value "Zika has particular risks for pregnant women. Follow-up guidance for pregnant women and couples who are planning pregnancy."];
  fhir:DocumentReference.content [
     fhir:index 0;
     fhir:DocumentReference.content.attachment [
       fhir:Attachment.contentType [ fhir:value "application/pdf" ];
       fhir:Attachment.url [ fhir:value "http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf" ]     ]
  ].

<http://example.org/fhir/DocumentReference/documentreference-zika-info-pdf> a fhir:DocumentReference;
  fhir:Resource.id [ fhir:value "documentreference-zika-info-pdf"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "2" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-08-13T03:55:05.964+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#UHFGpbMvvCjqEqnT" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-documentreference";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/ecr/StructureDefinition/rr-documentreference>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.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>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-priority-extension" ];
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.114222.4.5.274" ];
         fhir:Coding.code [ fhir:value "RRVS17" ];
         fhir:Coding.display [ fhir:value "Immediate action required" ]       ]     ]
  ];
  fhir:DocumentReference.status [ fhir:value "current"];
  fhir:DocumentReference.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:83910-0;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "83910-0" ];
       fhir:Coding.display [ fhir:value "Public health Note" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Public health information" ]
  ];
  fhir:DocumentReference.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.114222.4.5.274" ];
       fhir:Coding.code [ fhir:value "RRVS13" ];
       fhir:Coding.display [ fhir:value "Outbreak- or Cluster Related" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Outbreak- or Cluster Related" ]
  ];
  fhir:DocumentReference.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient-ecr-eve-everywoman" ];
     fhir:Reference.display [ fhir:value "Eve Everywoman" ]
  ];
  fhir:DocumentReference.description [ fhir:value "Local mosquito-borne Zika virus creation was reported in your area. Increased watchfulness for symptoms of Zika virus in your patients is warranted."];
  fhir:DocumentReference.content [
     fhir:index 0;
     fhir:DocumentReference.content.attachment [
       fhir:Attachment.contentType [ fhir:value "application/pdf" ];
       fhir:Attachment.url [ fhir:value "http://statedepartmentofhealth.gov/epi/disease/zika/outbreakinfo.pdf" ]     ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.