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

: Reportability Response - One Condition/One PHA with eICR Validation Output example - 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 xsd: <http://www.w3.org/2001/XMLSchema#> .

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

 a fhir:Composition;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "composition-rr-single-single-html-validation-output"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "8" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-08-17T03:37:27.061+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#YOZHgrKq9pNV1JLN" ];
     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-single-single-html-validation-output\" Version \"8\" Updated \"2021-08-17T03:37:27.061Z\" </p><p style=\"margin-bottom: 0px\">Information Source: #YOZHgrKq9pNV1JLN!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-rr-composition.html\">RR Composition</a></p></div><p><b>versionNumber</b>: 1</p><p><b>US Public Health Information Recipient Extension</b>: <a href=\"PractitionerRole-practitionerrole-henry-seven.html\">PractitionerRole/practitionerrole-henry-seven</a></p><p><b>identifier</b>: id: RR9875</p><p><b>status</b>: final</p><p><b>type</b>: Reportability response report Document Public health <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#88085-6)</span></p><p><b>encounter</b>: <a href=\"Encounter-encounter-eicr-eve-everywoman-outpatient.html\">Encounter/encounter-eicr-eve-everywoman-outpatient: Ambulatory Office Visit</a></p><p><b>date</b>: 2018-07-19T04:09:06Z</p><p><b>author</b>: <a href=\"Organization-organization-ecr-health-authority-west.html\">Organization/organization-ecr-health-authority-west: Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999</a> \"Health Authority West\"</p><p><b>title</b>: Reportability Response - One Condition/One PHA with eICR Validation Output example</p><p><b>custodian</b>: <a href=\"Organization-organization-ecr-health-authority-west.html\">Organization/organization-ecr-health-authority-west: Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999</a> \"Health Authority West\"</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 "RR9875" ]
  ];
  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 with eICR Validation Output 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.valueMarkdown [ fhir:value "<html\n\n\n\n\n\n\n\n\n\n\n                     xmlns='http://www.w3.org/1999/xhtml'\n\n\n\n\n\n\n\n\n\n\n                     xmlns:xsi='http://www.w3.org/2001/XMLSchema-instance'>\n                <head>\n                  <title> Results </title><style type='text/css'> </style></head>\n                <body>\n                  <table>\n                    <thead>\n                      <tr>\n                        <th>Severity</th>\n                        <th>Description</th>\n                        <th>File</th>\n                        <th>Location</th>\n                      </tr>\n                    </thead>\n                    <tbody>\n                      <tr>\n                        <td>error</td>\n                        <td>SHOULD contain zero or one [0..1] setId (CONF:1098-32752).</td>\n                        <td>C:\\Users\\user1\\Documents\\Work\\Lantana\\SVN\\ClientProjects\\ReportabilityResponse\\xml\\samples\\CDAR2_IG_PHCR_R2_RR_D1_2017AUG_SAMPLE.xml</td>\n                        <td>\n                          <p>Start line 415:70</p>\n                        </td>\n                      </tr>\n                      <tr>\n                        <td>error</td>\n                        <td>SHOULD contain zero or one [0..1] versionNumber (CONF:1098-32753).</td>\n                        <td>C:\\Users\\user1\\Documents\\Work\\Lantana\\SVN\\ClientProjects\\ReportabilityResponse\\xml\\samples\\CDAR2_IG_PHCR_R2_RR_D1_2017AUG_SAMPLE.xml</td>\n                        <td>\n                          <p>Start line 415:70</p>\n                        </td>\n                      </tr>\n                    </tbody>\n                  </table>\n                </body>\n              </html>" ]       ]     ], [
       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 "Bundle/bundle-eicr-document-zika" ];
       fhir:Reference.identifier [
         fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
         fhir:Identifier.value [ fhir:value "urn:uuid:0070e7b2-9893-4044-b255-73da1649c9fe" ]       ];
       fhir:Reference.display [ fhir:value "bundle-eicr-document-zika.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 to &quot;State Department\n                    of Health&quot;. An initial case report was sent to &quot;State Department of Health&quot;. Additional information may be required for this report. \n                        <br/>\n                        <br/>\n                    </p>\n                    <p>\n                        <b>&quot;Zika virus disease (disorder)&quot; for &quot;State Department of Health&quot;</b>\n                    </p>\n                    <p>Reporting is required within &quot;24 hours&quot;. Reporting to this Public Health Agency is based on &quot;both patient home address and provider facility address&quot;. </p>\n                    <ul>\n                        <li>\n                            <p>Local mosquito-borne Zika virus transmission was reported in your area. Increased watchfulness for symptoms of Zika virus in your patients is warranted. (Immediate action requested)</p>\n                        </li>\n                        <li>\n                            <p>Additional information for the required reporting of Zika must be submitted to State Department of Health immediately. This additional information can be submitted here. ( \n                                <a href=\"http://statedepartmentofhealth.gov/epi/disease/zika/Supplemental_data_form.pdf\">Link</a> - Immediate action required) \n                            </p>\n                        </li>\n                        <li>\n                            <p>Zika has particular risks for pregnant women. Follow-up guidance for pregnant women and couples who are planning pregnancy. ( \n                                <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf\">Link</a> - Immediate action requested) \n                            </p>\n                        </li>\n                        <li>\n                            <p>Further Laboratory testing for Zika may be needed. Guidance for additional testing and specimen collection ( \n                                <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf\">Link</a> - Action requested) \n                            </p>\n                        </li>\n                        <li>\n                            <p>Forms for submitting further Zika laboratory testing ( \n                                <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/zika_test_request_form_UPHL.xlsx\">Link</a> - Information only) \n                            </p>\n                        </li>\n                        <li>\n                            <p>Treatment guidance ( \n                                <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf\">Link</a> - Information only) \n                            </p>\n                        </li>\n                        <li>\n                            <p>If you have additional questions regarding Zika or reporting, contact information for the State Department of Health is available here. ( \n                                <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf\">Link</a> - Information Only) \n                            </p>\n                        </li>\n                    </ul>\n                    <p>Additional Resources (Information only):</p>\n                    <ul>\n                        <li>\n                            <p>Control and prevention information for providers ( \n                                <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/plan.pdf\">Link</a>) \n                            </p>\n                        </li>\n                        <li>\n                            <p>Detailed condition references ( \n                                <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/plan.pdf\">Link</a>) \n                            </p>\n                        </li>\n                        <li>\n                            <p>Prevalence in State ( \n                                <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/plan.pdf\">Link</a>) \n                            </p>\n                        </li>\n                        <li>\n                            <p>CDC webpage ( \n                                <a href=\"https://www.cdc.gov/zika/index.html\">Link</a>) \n                            </p>\n                        </li>\n                        <li>\n                            <p>Patient information factsheet ( \n                                <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/factsheet.pdf\">Link</a>) \n                            </p>\n                        </li>\n                        <li>\n                            <p>State Resident information ( \n                                <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/ZikaVirus_QA_StateDOH.pdf\">Link</a>) \n                            </p>\n                        </li>\n                    </ul>\n                </div>"     ];
     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" ]     ]
  ].

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

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