Electronic Case Reporting (eCR), published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 3.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/case-reporting/ and changes regularly. See the Directory of published versions
Page standards status: Informative |
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<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Composition composition-eicr-zika</b></p><a name="composition-eicr-zika"> </a><a name="hccomposition-eicr-zika"> </a><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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-eicr-composition.html">Electronic Initial Case Report Composition</a></p></div><p><b>Composition Version Number</b>: 1</p><p><b>identifier</b>: c03eab8c-11e8-4d0c-ad2a-b385395e27db</p><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 55751-2}">Public Health Case Report</span></p><p><b>encounter</b>: <a href="Encounter-encounter-eicr-eve-everywoman-outpatient.html">Ambulatory Office Visit</a></p><p><b>date</b>: 2018-01-02 22:13:23+0000</p><p><b>author</b>: <a href="PractitionerRole-practitionerrole-henry-seven.html">Henry Seven, MD</a></p><p><b>title</b>: Initial Public Health Case Report - Zika Example</p><p><b>custodian</b>: <a href="Organization-organization-ecr-salem-medical-center.html">Salem Medical Center</a></p></div>
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<div xmlns="http://www.w3.org/1999/xhtml"><table xmlns:xsl="http://www.w3.org/1999/XSL/Transform"><tr><td style="font-weight: bold">title</td><td><div title="title">Reason for Visit Section</div></td></tr><tr><td style="font-weight: bold">code</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">Reason for visit Narrative</div>(<div title="code">29299-5</div>)</li><li><div title="system"><a href="http://loinc.org">http://loinc.org</a></div></li></ul></li></ul></td></tr><tr><td colspan="2" lang="en-US" class="text-no-entries"><p>Reason for Visit: Bad cough</p></td></tr></table></div>
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<div xmlns="http://www.w3.org/1999/xhtml"><table xmlns:xsl="http://www.w3.org/1999/XSL/Transform"><tr><td style="font-weight: bold">title</td><td><div title="title">Medications Administered Section</div></td></tr><tr><td style="font-weight: bold">code</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">Medication administered Narrative</div>(<div title="code">29549-3</div>)</li><li><div title="system"><a href="http://loinc.org">http://loinc.org</a></div></li></ul></li></ul></td></tr><tr><td style="font-weight: bold">entry</td><td><a href="MedicationAdministration-medicationadministration-eve-everywoman-azithromycin.html">Azithromycin 500 MG Oral Tablet</a><table><tr><td style="font-weight: bold">id</td><td><div title="id">medicationadministration-eve-everywoman-azithromycin</div></td></tr><tr><td style="font-weight: bold">meta</td><td><table><tr><td style="font-weight: bold">versionId</td><td><div title="versionId">10</div></td></tr><tr><td style="font-weight: bold">lastUpdated</td><td><div title="lastUpdated">2019-10-05T03:11:22.000-04:00</div></td></tr></table></td></tr><tr><td style="font-weight: bold">status</td><td><div title="status">completed</div></td></tr><tr><td style="font-weight: bold">medicationCodeableConcept</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="text">Azithromycin 500 MG Oral Tablet</div></li><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">Azithromycin 500 MG Oral Tablet</div>(<div title="code">248656</div>)</li><li><div title="system"><a href="http://www.nlm.nih.gov/research/umls/rxnorm">http://www.nlm.nih.gov/research/umls/rxnorm</a></div></li></ul></li></ul></td></tr><tr><td style="font-weight: bold">subject</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li/><li><a href="Patient-patient-ecr-eve-everywoman.html">Eve Everywoman</a></li></ul></td></tr><tr><td style="font-weight: bold">effectivePeriod</td><td><table><tr><td style="font-weight: bold">start</td><td><div title="start">2018-03-07</div></td></tr><tr><td style="font-weight: bold">end</td><td><div title="end">2018-03-07</div></td></tr></table></td></tr><tr><td style="font-weight: bold">dosage</td><td><table><tr><td style="font-weight: bold">route</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">Oral Route</div>(<div title="code">26643006</div>)</li><li><div title="system"><a href="http://snomed.info/sct">http://snomed.info/sct</a></div></li></ul></li></ul></td></tr><tr><td style="font-weight: bold">method</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">Swallow - dosing instruction imperative (qualifier value)</div>(<div title="code">421521009</div>)</li><li><div title="system"><a href="http://snomed.info/sct">http://snomed.info/sct</a></div></li></ul></li></ul></td></tr><tr><td style="font-weight: bold">dose</td><td><table><tr><td style="font-weight: bold">value</td><td><div title="value">2</div></td></tr><tr><td style="font-weight: bold">unit</td><td><div title="unit">TAB</div></td></tr><tr><td style="font-weight: bold">system</td><td><div title="system"><a href="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm">http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm</a></div></td></tr><tr><td style="font-weight: bold">code</td><td><div title="code">TAB</div></td></tr></table></td></tr></table></td></tr></table></td></tr></table></div>
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<div xmlns="http://www.w3.org/1999/xhtml"><table><tr><td style="font-weight: bold">title</td><td><div title="title">Medications Section</div></td></tr><tr><td style="font-weight: bold">code</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">History of Medication use Narrative</div>(<div title="code">10160-0</div>)</li><li><div title="system"><a href="http://loinc.org">http://loinc.org</a></div></li></ul></li></ul></td></tr><tr><td style="font-weight: bold">entry</td><td><a href="MedicationAdministration-medicationadministration-eve-everywoman-azithromycin.html">Azithromycin 500 MG Oral Tablet</a></td></tr></table></div>
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<div xmlns="http://www.w3.org/1999/xhtml"><table xmlns:xsl="http://www.w3.org/1999/XSL/Transform"><tr><td style="font-weight: bold">title</td><td><div title="title">Results Section</div></td></tr><tr><td style="font-weight: bold">code</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">Relevant Dx tests/lab data</div>(<div title="code">30954-2</div>)</li><li><div title="system"><a href="http://loinc.org">http://loinc.org</a></div></li></ul></li></ul></td></tr><tr><td style="font-weight: bold">entry</td><td><a href="Observation-observation-us-ph-lab-result-eve-everywoman-lymphocytes.html">Lymphocytes [#/volume] in Blood by Automated count - Interpretation: High</a><table><tr><td style="font-weight: bold">id</td><td><div title="id">observation-us-ph-lab-result-eve-everywoman-lymphocytes</div></td></tr><tr><td style="font-weight: bold">meta</td><td><table><tr><td style="font-weight: bold">versionId</td><td><div title="versionId">10</div></td></tr><tr><td style="font-weight: bold">lastUpdated</td><td><div title="lastUpdated">2019-10-05T02:50:13.000-04:00</div></td></tr><tr><td style="font-weight: bold">profile</td><td><div title="profile">http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-lab-result-observation</div></td></tr></table></td></tr><tr><td style="font-weight: bold">status</td><td><div title="status">final</div></td></tr><tr><td style="font-weight: bold">category</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="text">Laboratory</div></li><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">Laboratory</div>(<div title="code">laboratory</div>)</li><li><div title="system"><a href="http://terminology.hl7.org/CodeSystem/observation-category">http://terminology.hl7.org/CodeSystem/observation-category</a></div></li></ul></li></ul></td></tr><tr><td style="font-weight: bold">code</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">Lymphocytes [#/volume] in Blood by Automated count</div>(<div title="code">731-0</div>)</li><li><div title="system"><a href="http://loinc.org">http://loinc.org</a></div></li></ul></li></ul></td></tr><tr><td style="font-weight: bold">subject</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li/><li><a href="Patient-patient-ecr-eve-everywoman.html">Eve Everywoman</a></li></ul></td></tr><tr><td style="font-weight: bold">effectiveDateTime</td><td><div title="effectiveDateTime">2018-03-07</div></td></tr><tr><td style="font-weight: bold">valueQuantity</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="value">5.2</div></li><li><div title="system"><a href="http://unitsofmeasure.org">http://unitsofmeasure.org</a></div></li><li><div title="code">10*3/uL</div></li></ul></td></tr><tr><td style="font-weight: bold">interpretation</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">High</div>(<div title="code">H</div>)</li><li><div title="system"><a href="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation">http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation</a></div></li></ul></li></ul></td></tr><tr><td style="font-weight: bold">referenceRange</td><td><table><tr><td style="font-weight: bold">low</td><td><table><tr><td style="font-weight: bold">value</td><td><div title="value">1</div></td></tr><tr><td style="font-weight: bold">system</td><td><div title="system"><a href="http://unitsofmeasure.org">http://unitsofmeasure.org</a></div></td></tr><tr><td style="font-weight: bold">code</td><td><div title="code">10*3/uL</div></td></tr></table></td></tr><tr><td style="font-weight: bold">high</td><td><table><tr><td style="font-weight: bold">value</td><td><div title="value">4.8</div></td></tr><tr><td style="font-weight: bold">system</td><td><div title="system"><a href="http://unitsofmeasure.org">http://unitsofmeasure.org</a></div></td></tr><tr><td style="font-weight: bold">code</td><td><div title="code">10*3/uL</div></td></tr></table></td></tr></table></td></tr></table></td></tr></table></div>
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<entry>🔗
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<entry>🔗
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<entry>🔗
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<entry>🔗
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<entry>🔗
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<entry>🔗
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<div xmlns="http://www.w3.org/1999/xhtml"><table xmlns:xsl="http://www.w3.org/1999/XSL/Transform"><tr><td style="font-weight: bold">title</td><td><div title="title">Review of Systems Section</div></td></tr><tr><td style="font-weight: bold">code</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">Review of Systems Section Narrative</div>(<div title="code">10187-3</div>)</li><li><div title="system"><a href="http://loinc.org">http://loinc.org</a></div></li></ul></li></ul></td></tr><tr><td colspan="2" lang="en-US" class="text-no-entries"><p>Review of systems</p></td></tr></table></div>
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