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 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="bundle-rr-document-one-cond-one-pha"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-document-bundle"/>
  </meta>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:2be4b4e4-6df1-4cb2-a947-c70fa0eda34d"/>
  </identifier>
  <type value="document"/>
  <timestamp value="2021-08-02T22:13:23Z"/>
  <entry>
    <fullUrl
             value="http://example.org/fhir/Composition/composition-rr-one-cond-one-pha"/>
    <resource>
      <Composition>
        <id value="composition-rr-one-cond-one-pha"/>
        <meta>
          <versionId value="6"/>
          <lastUpdated value="2021-08-17T03:37:27.060+00:00"/>
          <source value="#0LoQfHsenVG69d13"/>
          <profile
                   value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-composition"/>
        </meta>
        <text>
          <status value="extensions"/>
          <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>
        </text>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber">
          <valueString value="1"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-information-recipient-extension">
          <valueReference>
            <reference value="PractitionerRole/practitionerrole-henry-seven"/>
          </valueReference>
        </extension>
        <identifier>
          <system value="http://acme.org/identifiers"/>
          <value value="RR12347"/>
        </identifier>
        <status value="final"/>
        <type>
          <coding>
            <system value="http://loinc.org"/>
            <code value="88085-6"/>
            <display
                     value="Reportability response report Document Public health"/>
          </coding>
        </type>
        <subject>
          <reference value="Patient/patient-ecr-eve-everywoman"/>
          <display value="Eve Everywoman"/>
        </subject>
        <encounter>
          <reference value="Encounter/encounter-eicr-eve-everywoman-outpatient"/>
          <display value="Ambulatory Office Visit"/>
        </encounter>
        <date value="2018-07-19T04:09:06Z"/>
        <author>
          <reference value="Organization/organization-ecr-health-authority-west"/>
          <display
                   value="Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999"/>
        </author>
        <title value="Reportability Response - One Condition/One PHA example"/>
        <custodian>
          <reference value="Organization/organization-ecr-health-authority-west"/>
          <display
                   value="Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999"/>
        </custodian>
        <section>
          <title value="Reportability Response Subject Section"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="88084-9"/>
              <display
                       value="Reportable condition response information and summary Document"/>
            </coding>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml">
                            <p>Public Health Reporting Communication: one or more conditions are reportable, or may be reportable to public health</p>
                        </div>
          </text>
        </section>
        <section>
          <extension
                     url="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-extension">
            <extension url="eICRProcessingStatus">
              <valueReference>
                <reference
                           value="Observation/observation-rr-eicr-processing-status"/>
                <display value="eICR was processed - with a warning"/>
              </valueReference>
            </extension>
            <extension url="eICRValidationOutput">
              <valueAttachment>
                <contentType value="text/html"/>
                <data
                      value="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"/>
              </valueAttachment>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-receipt-time-extension">
            <valueDateTime value="2018-07-18T04:09:06Z"/>
          </extension>
          <title value="Electronic Initial Case Report Section"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="88082-3"/>
              <display
                       value="Initial case report processing information Document"/>
            </coding>
          </code>
          <entry>
            <reference value="urn:uuid:556adcc4-f4e5-4a50-87e3-f7874c3f213a"/>
            <identifier>
              <system value="urn:ietf:rfc:3986"/>
              <value value="urn:uuid:db734647-fc99-424c-a864-7e3cda82e703"/>
            </identifier>
            <display value="eICR_Document.xml"/>
          </entry>
        </section>
        <section>
          <extension
                     url="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-priority-extension">
            <valueCodeableConcept>
              <coding>
                <system value="urn:oid:2.16.840.1.114222.4.5.274"/>
                <code value="RRVS17"/>
                <display value="Immediate action required"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <title value="Reportability Response Summary Section"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="55112-7"/>
              <display value="Document summary"/>
            </coding>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml">
                            <p>
                                <b>Summary:</b>
                            </p>
                            <p>Your organization electronically submitted an initial case report to determine if reporting to public health is needed for a patient. &quot;Zika virus disease (disorder)&quot; is reportable
                                to &quot;State Department 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/>
                                <br/>
                            </p>
                            <p>
                                <b>&quot;Zika virus disease (disorder)&quot; for &quot;State Department of Health&quot;</b>
                            </p>
                            <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>
                            <ul>
                                <li>
                                    <p>Local mosquito-borne Zika virus transmission was reported in your area. Increased watchfulness for symptoms of Zika virus in your patients is warranted. (Immediate action
                                        requested)</p>
                                </li>
                                <li>
                                    <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>
                                </li>
                                <li>
                                    <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>
                                </li>
                                <li>
                                    <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>
                                </li>
                                <li>
                                    <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)
                                    </p>
                                </li>
                                <li>
                                    <p>Treatment guidance ( <a href="http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf">Link</a> - Information only) </p>
                                </li>
                                <li>
                                    <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>
                                </li>
                            </ul>
                            <p>Additional Resources (Information only):</p>
                            <ul>
                                <li>
                                    <p>Control and prevention information for providers ( <a href="http://statedepartmentofhealth.gov/epi/diseases/zika/plan.pdf">Link</a>) </p>
                                </li>
                                <li>
                                    <p>Detailed condition references ( <a href="http://statedepartmentofhealth.gov/epi/diseases/zika/plan.pdf">Link</a>) </p>
                                </li>
                                <li>
                                    <p>Prevalence in State ( <a href="http://statedepartmentofhealth.gov/epi/diseases/zika/plan.pdf">Link</a>) </p>
                                </li>
                                <li>
                                    <p>CDC webpage ( <a href="https://www.cdc.gov/zika/index.html">Link</a>) </p>
                                </li>
                                <li>
                                    <p>Patient information factsheet ( <a href="http://statedepartmentofhealth.gov/epi/diseases/zika/factsheet.pdf">Link</a>) </p>
                                </li>
                                <li>
                                    <p>State Resident information ( <a href="http://statedepartmentofhealth.gov/epi/diseases/zika/ZikaVirus_QA_StateDOH.pdf">Link</a>) </p>
                                </li>
                            </ul>
                        </div>
          </text>
          <entry>
            <reference value="Observation/observation-rr-summary"/>
            <display value="Reportability Response Summary"/>
          </entry>
          <entry>
            <reference
                       value="Observation/observation-rr-relevant-reportable-condition-observation"/>
            <display value="Relevant reportable condition: Zika"/>
          </entry>
        </section>
      </Composition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/Observation/observation-rr-relevant-reportable-condition-observation"/>
    <resource>
      <Observation>
        <id value="observation-rr-relevant-reportable-condition-observation"/>
        <meta>
          <versionId value="4"/>
          <lastUpdated value="2021-08-17T07:59:01.040+00:00"/>
          <source value="#rU2tzvaNrwcg0mRI"/>
          <profile
                   value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-relevant-reportable-condition-observation"/>
        </meta>
        <text>
          <status value="generated"/>
          <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
                        guidlines set out here: <a href="reportability_response_narrative_guidance.html">Reportability Response Narrative Guidance</a>. </div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="64572001"/>
          </coding>
          <coding>
            <system value="http://loinc.org"/>
            <code value="75323-6"/>
          </coding>
          <text value="Condition"/>
        </code>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="3928002"/>
            <display value="Zika virus disease (disorder)"/>
          </coding>
        </valueCodeableConcept>
        <hasMember>
          <reference
                     value="Observation/observation-rr-reportability-information-observation"/>
        </hasMember>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/Encounter/encounter-eicr-eve-everywoman-outpatient"/>
    <resource>
      <Encounter>
        <id value="encounter-eicr-eve-everywoman-outpatient"/>
        <meta>
          <versionId value="5"/>
          <lastUpdated value="2021-07-19T03:02:05.806+00:00"/>
          <source value="#Q5dlT8eND2UI2D6e"/>
          <profile
                   value="http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-encounter"/>
        </meta>
        <text>
          <status value="extensions"/>
          <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>
        </text>
        <identifier>
          <system value="http://hospital.smarthealthit.org"/>
          <value value="9937012"/>
        </identifier>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="AMB"/>
          <display value="ambulatory"/>
        </class>
        <type>
          <coding>
            <system value="http://www.ama-assn.org/go/cpt"/>
            <code value="99201"/>
          </coding>
          <text value="Office Visit"/>
        </type>
        <subject>
          <reference value="Patient/patient-ecr-eve-everywoman"/>
          <display value="Eve Everywoman"/>
        </subject>
        <participant>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
              <code value="ATND"/>
              <display value="attender"/>
            </coding>
          </type>
          <individual>
            <reference value="PractitionerRole/practitionerrole-henry-seven"/>
            <display value="Henry Seven, MD"/>
          </individual>
        </participant>
        <period>
          <start value="2018-04-01T10:00:00-05:00"/>
          <end value="2018-04-02T10:15:00-05:00"/>
        </period>
        <diagnosis>
          <extension
                     url="http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension">
            <extension url="triggerCodeValueSet">
              <valueOid value="urn:oid:2.16.840.1.114222.4.11.7508"/>
            </extension>
            <extension url="triggerCodeValueSetVersion">
              <valueString value="12/12/2018"/>
            </extension>
            <extension url="triggerCode">
              <valueCoding>
                <system value="http://snomed.info/sct"/>
                <code value="3928002"/>
                <display value="Zika virus disease (disorder)"/>
              </valueCoding>
            </extension>
          </extension>
          <condition>
            <reference value="Condition/condition-eicr-eve-everywoman-zika"/>
          </condition>
        </diagnosis>
        <diagnosis>
          <condition>
            <reference
                       value="Condition/condition-eicr-eve-everywoman-common-cold"/>
          </condition>
        </diagnosis>
        <location>
          <location>
            <reference value="Location/location-ecr-salem-medical-center"/>
            <display
                     value="Clinic Bldg A, Salem Medical Center, 4646 Brown Rd, Salem, MA 02368"/>
          </location>
        </location>
        <serviceProvider>
          <reference value="Organization/organization-ecr-salem-medical-center"/>
          <display
                   value="Salem Medical Center, 22222 Health Authority Drive, Ann Arbor MI, 99999"/>
        </serviceProvider>
      </Encounter>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/Organization/organization-ecr-health-authority-west"/>
    <resource>
      <Organization>
        <id value="organization-ecr-health-authority-west"/>
        <meta>
          <versionId value="4"/>
          <lastUpdated value="2021-06-30T04:13:19.348+00:00"/>
          <source value="#dsstmHfZujY31Hwz"/>
          <profile
                   value="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-organization"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <system value="http://hl7.org.fhir/sid/us-npi"/>
          <value value="1144221847"/>
        </identifier>
        <active value="true"/>
        <name value="Health Authority West"/>
        <telecom>
          <system value="phone"/>
          <value value="+1-555-555-3555"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="mail@healthauthoritywest.gov"/>
        </telecom>
        <address>
          <line value="7777 Health Authority Drive"/>
          <city value="Ann Arbor"/>
          <state value="MI"/>
          <postalCode value="99999"/>
        </address>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/Observation/observation-rr-summary"/>
    <resource>
      <Observation>
        <id value="observation-rr-summary"/>
        <meta>
          <versionId value="1"/>
          <lastUpdated value="2021-07-21T00:15:44.375+00:00"/>
          <source value="#DQk7sbYvOfzjYqZ6"/>
          <profile
                   value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-summary"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="304561000"/>
            <display value="Informing health care professional (procedure)"/>
          </coding>
        </code>
        <valueString
                     value="Your organization electronically submitted an initial case report to determine if reporting to public health is needed for a patient. &#39;Zika virus disease (disorder)&#39; is reportable to &#39;State Department of Health&#39;. An initial case report was sent to &#39;State Department of Health&#39;. Additional information may be required for this report."/>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:556adcc4-f4e5-4a50-87e3-f7874c3f213a"/>
    <resource>
      <DocumentReference>
      <!-- CDA templateId: urn:hl7ii:2.16.840.1.113883.10.20.15.2.3.10:2017-04-01 -->
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <masterIdentifier>
          <system value="urn:ietf:rfc:3986"/>
          <value value="urn:uuid:db734647-fc99-424c-a864-7e3cda82e703"/>
        </masterIdentifier>
        <identifier>
          <system value="urn:oid:2.16.840.1.113883.19.5.99999.19"/>
          <value value="sTT988#1"/>
        </identifier>
        <status value="current"/>
        <type>
          <coding>
            <system value="http://loinc.org"/>
            <code value="55751-2"/>
            <display value="Public health Case report"/>
          </coding>
        </type>
        <category>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category"/>
            <code value="clinical-note"/>
            <display value="Clinical Note"/>
          </coding>
          <text value="Clinical Note"/>
        </category>
        <subject>
          <reference value="Patient/patient-ecr-eve-everywoman"/>
        </subject>
        <content>
          <attachment>
            <contentType value="text/plain"/>
            <url value="urn:hl7ii:2.16.840.1.113883.19.5.99999.19:1"/>
          </attachment>
        </content>
      </DocumentReference>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/Patient/patient-ecr-eve-everywoman"/>
    <resource>
      <Patient>
        <id value="patient-ecr-eve-everywoman"/>
        <meta>
          <versionId value="10"/>
          <lastUpdated value="2021-08-17T08:00:32.356+00:00"/>
          <source value="#zjFlzHDvZIYVyMAB"/>
          <profile
                   value="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-patient"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
                        <div class="hapiHeaderText">Eve L <b>EVERYWOMAN </b>
                        </div>
                        <table class="hapiPropertyTable">
                            <tbody>
                                <tr>
                                    <td>Identifier</td>
                                    <td>1032702</td>
                                </tr>
                                <tr>
                                    <td>Address</td>
                                    <td>
                                        <span>5101 Peachtree St NE </span>
                                        <br/>
                                        <span>Atlanta </span>
                                        <span>GA </span>
                                        <span>US </span>
                                    </td>
                                </tr>
                                <tr>
                                    <td>Date of birth</td>
                                    <td>
                                        <span>24 November 1974</span>
                                    </td>
                                </tr>
                            </tbody>
                        </table>
                    </div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2106-3"/>
              <display value="White"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="White"/>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2186-5"/>
              <display value="Not Hispanic or Latino"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="Not Hispanic or Latino"/>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
          <valueCode value="F"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/patient-genderIdentity">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/gender-identity"/>
              <code value="female"/>
              <display value="female"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-tribal-affiliation-extension">
          <extension url="TribeName">
            <valueCoding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS"/>
              <code value="91"/>
              <display value="Fort Mojave Indian Tribe of Arizona, California"/>
            </valueCoding>
          </extension>
          <extension url="EnrolledTribeMember">
            <valueBoolean value="true"/>
          </extension>
        </extension>
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
              <display value="Medical Record Number"/>
            </coding>
          </type>
          <system value="http://hospital.smarthealthit.org"/>
          <value value="1032702"/>
        </identifier>
        <active value="true"/>
        <name>
          <family value="Everywoman"/>
          <given value="Eve"/>
          <given value="L"/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="1-(404)555-1212"/>
          <use value="home"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="eve.everywoman@example.com"/>
        </telecom>
        <gender value="female"/>
        <birthDate value="1974-11-24"/>
        <address>
          <line value="5101 Peachtree St NE"/>
          <city value="Atlanta"/>
          <state value="GA"/>
          <postalCode value="30302"/>
          <country value="US"/>
        </address>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/Observation/observation-rr-reportability-information-observation"/>
    <resource>
      <Observation>
        <id value="observation-rr-reportability-information-observation"/>
        <meta>
          <versionId value="1"/>
          <lastUpdated value="2021-07-21T03:10:13.946+00:00"/>
          <source value="#l0j1zEVQ0pIebyt5"/>
          <profile
                   value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-reportability-information-observation"/>
        </meta>
        <text>
          <status value="extensions"/>
          <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>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-extension">
          <valueCodeableConcept>
            <coding>
              <system value="urn:oid:2.16.840.1.114222.4.5.274"/>
              <code value="RRVS1"/>
              <display value="Reportable"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-reason-extension">
          <valueString value="Condition is reportable"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-rule-extension">
          <valueString
                       value="Description of rule used in reportability determination"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-external-resource-extension">
          <valueReference>
            <reference value="DocumentReference/documentreference-zika-info-pdf"/>
          </valueReference>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-external-resource-extension">
          <valueReference>
            <reference
                       value="DocumentReference/documentreference-add-reporting-needs-pdf"/>
          </valueReference>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-external-resource-extension">
          <valueReference>
            <reference
                       value="DocumentReference/documentreference-zika-follow-up-pdf"/>
          </valueReference>
        </extension>
        <status value="final"/>
        <code>
          <coding>
            <system value="urn:oid:2.16.840.1.114222.4.5.274"/>
            <code value="RRVS5"/>
            <display value="Patient home address"/>
          </coding>
        </code>
        <performer>
          <reference
                     value="Organization/organization-rr-rules-authoring-agency-haw"/>
          <display value="Health Authority West Rules Authoring Agency"/>
        </performer>
        <performer>
          <reference value="Organization/organization-rr-routing-entity-haw"/>
          <display value="Health Authority West Routing Entity"/>
        </performer>
        <performer>
          <reference value="Organization/organization-rr-responsible-agency-haw"/>
          <display value="Health Authority West Routing Entity"/>
        </performer>
        <component>
          <code>
            <coding>
              <system value="urn:oid:2.16.840.1.114222.4.5.232"/>
              <code value="RR4"/>
              <display value="Timeframe to report (urgency)"/>
            </coding>
          </code>
          <valueQuantity>
            <value value="24"/>
            <unit value="H"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="H"/>
          </valueQuantity>
        </component>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/PractitionerRole/practitionerrole-henry-seven"/>
    <resource>
      <PractitionerRole>
        <id value="practitionerrole-henry-seven"/>
        <meta>
          <versionId value="11"/>
          <lastUpdated value="2021-08-17T08:00:32.355+00:00"/>
          <source value="#KJ942UxvfdYWoHCF"/>
          <profile
                   value="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-practitionerrole"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="9941339108"/>
        </identifier>
        <practitioner>
          <reference value="Practitioner/practitioner-us-core-henry-seven"/>
          <display value="Henry Seven, MD"/>
        </practitioner>
        <organization>
          <reference value="Organization/organization-ecr-salem-medical-center"/>
          <display value="Salem Medical Center"/>
        </organization>
        <code>
          <coding>
            <system value="http://nucc.org/provider-taxonomy"/>
            <code value="261QP2300X"/>
            <display value="Primary Care Clinic/Center"/>
          </coding>
        </code>
        <specialty>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="419772000"/>
            <display value="Family practice"/>
          </coding>
        </specialty>
        <location>
          <reference value="Location/location-ecr-salem-medical-center"/>
          <display value="Salem Medical Center"/>
        </location>
        <telecom>
          <system value="email"/>
          <value value="henry.seven@example.com"/>
        </telecom>
      </PractitionerRole>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/Condition/condition-eicr-eve-everywoman-common-cold"/>
    <resource>
      <Condition>
        <id value="condition-eicr-eve-everywoman-common-cold"/>
        <meta>
          <versionId value="6"/>
          <lastUpdated value="2021-07-15T01:54:14.831+00:00"/>
          <source value="#4g0ZpTNqldHFYLzr"/>
          <profile
                   value="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-condition"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-category"/>
            <code value="problem-list-item"/>
            <display value="Problem List Item"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="82272006"/>
            <display value="Common cold (disorder)"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/patient-ecr-eve-everywoman"/>
          <display value="Eve Everywoman"/>
        </subject>
        <onsetDateTime value="2017-09-23"/>
        <asserter>
          <reference value="Practitioner/practitioner-us-core-henry-seven"/>
          <display value="Henry Seven, MD"/>
        </asserter>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/Location/location-ecr-salem-medical-center"/>
    <resource>
      <Location>
        <id value="location-ecr-salem-medical-center"/>
        <meta>
          <versionId value="6"/>
          <lastUpdated value="2021-08-17T07:53:02.099+00:00"/>
          <source value="#VI2Nm5Ps5HqZ5HXV"/>
          <profile
                   value="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-location"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <status value="active"/>
        <name value="Clinic Bldg A, Salem Medical Center"/>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
            <code value="HOSP"/>
            <display value="Hospital"/>
          </coding>
        </type>
        <telecom>
          <system value="phone"/>
          <value value="(+1) (555)555-3001"/>
        </telecom>
        <telecom>
          <system value="fax"/>
          <value value="(+1) (555)555-3002"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="mail@smc.org"/>
        </telecom>
        <address>
          <line value="Clinic Bldg A"/>
          <line value="4444 Healthcare Drive"/>
          <city value="Ann Arbor"/>
          <state value="MI"/>
          <postalCode value="99999"/>
        </address>
        <managingOrganization>
          <reference value="Organization/organization-ecr-salem-medical-center"/>
        </managingOrganization>
      </Location>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/Organization/organization-ecr-salem-medical-center"/>
    <resource>
      <Organization>
        <id value="organization-ecr-salem-medical-center"/>
        <meta>
          <versionId value="5"/>
          <lastUpdated value="2021-06-30T04:13:19.345+00:00"/>
          <source value="#xa4yJZjn68xVavoM"/>
          <profile
                   value="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-organization"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <system value="http://hl7.org.fhir/sid/us-npi"/>
          <value value="55555555"/>
        </identifier>
        <active value="true"/>
        <name value="Salem Medical Center"/>
        <telecom>
          <system value="phone"/>
          <value value="+1-555-555-1111"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="mail@salemmedicalcenter.com"/>
        </telecom>
        <address>
          <line value="22222 Health Authority Drive"/>
          <city value="Ann Arbor"/>
          <state value="MI"/>
          <postalCode value="99999"/>
        </address>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/Condition/condition-eicr-eve-everywoman-zika"/>
    <resource>
      <Condition>
        <id value="condition-eicr-eve-everywoman-zika"/>
        <meta>
          <versionId value="5"/>
          <lastUpdated value="2021-07-15T01:54:14.835+00:00"/>
          <source value="#rM2Pw6getjoE2UTV"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-category"/>
            <code value="encounter-diagnosis"/>
            <display value="Encounter Diagnosis"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="3928002"/>
            <display value="Zika virus disease (disorder)"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/patient-ecr-eve-everywoman"/>
          <display value="Eve Everywoman"/>
        </subject>
        <onsetDateTime value="2017-08-23"/>
        <asserter>
          <reference value="Practitioner/practitioner-us-core-henry-seven"/>
          <display value="Henry Seven, MD"/>
        </asserter>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/Organization/organization-rr-routing-entity-haw"/>
    <resource>
      <Organization>
        <id value="organization-rr-routing-entity-haw"/>
        <meta>
          <versionId value="4"/>
          <lastUpdated value="2021-06-30T04:13:19.350+00:00"/>
          <source value="#JxDnX4nN1kOgPTNr"/>
          <profile
                   value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-routing-entity-organization"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <system value="http://hl7.org.fhir/sid/us-npi"/>
          <value value="43214321"/>
        </identifier>
        <active value="true"/>
        <type>
          <coding>
            <system value="urn:oid:2.16.840.1.114222.4.5.232"/>
            <code value="RR7"/>
            <display value="Routing Entity"/>
          </coding>
        </type>
        <name value="Health Authority West Routing Entity"/>
        <telecom>
          <system value="phone"/>
          <value value="+1-555-555-3555"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="mail@healthauthoritywest.gov"/>
        </telecom>
        <address>
          <line value="7777 Health Authority Drive"/>
          <city value="Ann Arbor"/>
          <state value="MI"/>
          <postalCode value="99999"/>
        </address>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/Organization/organization-rr-rules-authoring-agency-haw"/>
    <resource>
      <Organization>
        <id value="organization-rr-rules-authoring-agency-haw"/>
        <meta>
          <versionId value="4"/>
          <lastUpdated value="2021-06-30T04:13:19.346+00:00"/>
          <source value="#neVuDy4iafHVl44v"/>
          <profile
                   value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-rules-authoring-agency-organization"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <system value="http://hl7.org.fhir/sid/us-npi"/>
          <value value="12341234"/>
        </identifier>
        <active value="true"/>
        <type>
          <coding>
            <system value="urn:oid:2.16.840.1.114222.4.5.232"/>
            <code value="RR12"/>
            <display value="Rules Authoring Agency"/>
          </coding>
        </type>
        <name value="Health Authority West Rules Authoring Agency"/>
        <telecom>
          <system value="phone"/>
          <value value="+1-555-555-3555"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="mail@healthauthoritywest.gov"/>
        </telecom>
        <address>
          <line value="7777 Health Authority Drive"/>
          <city value="Ann Arbor"/>
          <state value="MI"/>
          <postalCode value="99999"/>
        </address>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/Organization/organization-rr-responsible-agency-haw"/>
    <resource>
      <Organization>
        <id value="organization-rr-responsible-agency-haw"/>
        <meta>
          <versionId value="4"/>
          <lastUpdated value="2021-06-30T04:13:19.348+00:00"/>
          <source value="#3U6KQ9Vvv8lROlRV"/>
          <profile
                   value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-responsible-agency-organization"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <system value="http://hl7.org.fhir/sid/us-npi"/>
          <value value="99996666"/>
        </identifier>
        <active value="true"/>
        <type>
          <coding>
            <system value="urn:oid:2.16.840.1.114222.4.5.232"/>
            <code value="RR8"/>
            <display value="Responsible Agency"/>
          </coding>
        </type>
        <name value="Health Authority West Responsible Agency"/>
        <telecom>
          <system value="phone"/>
          <value value="+1-555-555-3555"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="mail@healthauthoritywest.gov"/>
        </telecom>
        <address>
          <line value="7777 Health Authority Drive"/>
          <city value="Ann Arbor"/>
          <state value="MI"/>
          <postalCode value="99999"/>
        </address>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/Practitioner/practitioner-us-core-henry-seven"/>
    <resource>
      <Practitioner>
        <id value="practitioner-us-core-henry-seven"/>
        <meta>
          <versionId value="5"/>
          <lastUpdated value="2021-08-17T08:00:32.356+00:00"/>
          <source value="#2MfA6kIjmOmtAlIb"/>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="9941339108"/>
        </identifier>
        <name>
          <family value="Henry"/>
          <given value="Seven"/>
          <suffix value="M.D."/>
        </name>
        <telecom>
          <system value="email"/>
          <value value="henry.seven@example.com"/>
        </telecom>
        <address>
          <line value="BMass Doctors"/>
          <line value="2100 North Ave"/>
          <city value="Burlington"/>
          <state value="MA"/>
          <postalCode value="02368"/>
          <country value="US"/>
        </address>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/Observation/observation-rr-eicr-processing-status"/>
    <resource>
      <Observation>
        <id value="observation-rr-eicr-processing-status"/>
        <meta>
          <versionId value="7"/>
          <lastUpdated value="2021-08-17T07:59:00.920+00:00"/>
          <source value="#qebn2OtR7MyyUBlm"/>
          <profile
                   value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-observation"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="urn:oid:2.16.840.1.114222.4.5.274"/>
            <code value="RRVS20"/>
            <display value="eICR was processed - with a warning"/>
          </coding>
        </code>
        <hasMember>
          <reference
                     value="Observation/observation-rr-eicr-processing-status-reason"/>
        </hasMember>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/Observation/observation-rr-eicr-processing-status-reason"/>
    <resource>
      <Observation>
        <id value="observation-rr-eicr-processing-status-reason"/>
        <meta>
          <versionId value="6"/>
          <lastUpdated value="2021-08-17T07:59:00.881+00:00"/>
          <source value="#vuZ3NTkJzu5MXnbK"/>
          <profile
                   value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-reason-observation"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="urn:oid:2.16.840.1.114222.4.5.232"/>
            <code value="RR6"/>
            <display value="eICR Processing Status Reason"/>
          </coding>
        </code>
        <valueCodeableConcept>
          <coding>
            <system value="urn:oid:2.16.840.1.114222.4.5.274"/>
            <code value="RRVS30"/>
            <display
                     value="eICR was processed with the warning of: inactive RCTC code"/>
          </coding>
        </valueCodeableConcept>
        <component>
          <code>
            <coding>
              <system value="urn:oid:2.16.840.1.114222.4.5.274"/>
              <code value="RRVS32"/>
              <display value="Inactive RCTC code detail"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="69092001"/>
              <display value="Leptospirosis icterohemorrhagica (disorder)"/>
            </coding>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/DocumentReference/documentreference-add-reporting-needs-pdf"/>
    <resource>
      <DocumentReference>
        <id value="documentreference-add-reporting-needs-pdf"/>
        <meta>
          <versionId value="2"/>
          <lastUpdated value="2021-08-13T03:54:37.580+00:00"/>
          <source value="#CKG4Ip9hcAYHwI5b"/>
          <profile
                   value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-documentreference"/>
        </meta>
        <text>
          <status value="extensions"/>
          <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>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-priority-extension">
          <valueCodeableConcept>
            <coding>
              <system value="urn:oid:2.16.840.1.114222.4.5.274"/>
              <code value="RRVS16"/>
              <display value="Action requested"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <status value="current"/>
        <type>
          <coding>
            <system value="http://loinc.org"/>
            <code value="83910-0"/>
            <display value="Public health Note"/>
          </coding>
          <text value="Public health information"/>
        </type>
        <category>
          <coding>
            <system value="urn:oid:2.16.840.1.114222.4.5.274"/>
            <code value="RRVS8"/>
            <display value="Additional reporting needs"/>
          </coding>
          <text value="Additional reporting needs"/>
        </category>
        <subject>
          <reference value="Patient/patient-ecr-eve-everywoman"/>
          <display value="Eve Everywoman"/>
        </subject>
        <description
                     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."/>
        <content>
          <attachment>
            <contentType value="application/pdf"/>
            <url
                 value="http://statedepartmentofhealth.gov/epi/disease/zika/Supplemental_data_form.pdf"/>
          </attachment>
        </content>
      </DocumentReference>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/DocumentReference/documentreference-zika-follow-up-pdf"/>
    <resource>
      <DocumentReference>
        <id value="documentreference-zika-follow-up-pdf"/>
        <meta>
          <versionId value="2"/>
          <lastUpdated value="2021-08-13T03:55:05.964+00:00"/>
          <source value="#5WqiIqtDkKw6T6kp"/>
          <profile
                   value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-documentreference"/>
        </meta>
        <text>
          <status value="extensions"/>
          <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>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-priority-extension">
          <valueCodeableConcept>
            <coding>
              <system value="urn:oid:2.16.840.1.114222.4.5.274"/>
              <code value="RRVS18"/>
              <display value="Immediate action requested"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <status value="current"/>
        <type>
          <coding>
            <system value="http://loinc.org"/>
            <code value="83910-0"/>
            <display value="Public health Note"/>
          </coding>
          <text value="Public health information"/>
        </type>
        <category>
          <coding>
            <system value="urn:oid:2.16.840.1.114222.4.5.274"/>
            <code value="RRVS10"/>
            <display value="Treatment and/or prevention"/>
          </coding>
          <text value="Treatment and/or prevention"/>
        </category>
        <subject>
          <reference value="Patient/patient-ecr-eve-everywoman"/>
          <display value="Eve Everywoman"/>
        </subject>
        <description
                     value="Zika has particular risks for pregnant women. Follow-up guidance for pregnant women and couples who are planning pregnancy."/>
        <content>
          <attachment>
            <contentType value="application/pdf"/>
            <url
                 value="http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf"/>
          </attachment>
        </content>
      </DocumentReference>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/DocumentReference/documentreference-zika-info-pdf"/>
    <resource>
      <DocumentReference>
        <id value="documentreference-zika-info-pdf"/>
        <meta>
          <versionId value="2"/>
          <lastUpdated value="2021-08-13T03:55:05.964+00:00"/>
          <source value="#UHFGpbMvvCjqEqnT"/>
          <profile
                   value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-documentreference"/>
        </meta>
        <text>
          <status value="extensions"/>
          <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>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-priority-extension">
          <valueCodeableConcept>
            <coding>
              <system value="urn:oid:2.16.840.1.114222.4.5.274"/>
              <code value="RRVS17"/>
              <display value="Immediate action required"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <status value="current"/>
        <type>
          <coding>
            <system value="http://loinc.org"/>
            <code value="83910-0"/>
            <display value="Public health Note"/>
          </coding>
          <text value="Public health information"/>
        </type>
        <category>
          <coding>
            <system value="urn:oid:2.16.840.1.114222.4.5.274"/>
            <code value="RRVS13"/>
            <display value="Outbreak- or Cluster Related"/>
          </coding>
          <text value="Outbreak- or Cluster Related"/>
        </category>
        <subject>
          <reference value="Patient/patient-ecr-eve-everywoman"/>
          <display value="Eve Everywoman"/>
        </subject>
        <description
                     value="Local mosquito-borne Zika virus creation was reported in your area. Increased watchfulness for symptoms of Zika virus in your patients is warranted."/>
        <content>
          <attachment>
            <contentType value="application/pdf"/>
            <url
                 value="http://statedepartmentofhealth.gov/epi/disease/zika/outbreakinfo.pdf"/>
          </attachment>
        </content>
      </DocumentReference>
    </resource>
  </entry>
</Bundle>