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

HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.1.1 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

: Reportability Response - One Condition/One PHA with eICR Validation Output example - XML Representation

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<Composition xmlns="http://hl7.org/fhir">
  <id value="composition-rr-single-single-html-validation-output"/>
  <meta>
    <versionId value="8"/>
    <lastUpdated value="2021-08-17T03:37:27.061+00:00"/>
    <source value="#YOZHgrKq9pNV1JLN"/>
    <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: Composition</b><a name="composition-rr-single-single-html-validation-output"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Composition &quot;composition-rr-single-single-html-validation-output&quot; Version &quot;8&quot; Updated &quot;2021-08-17 03:37:27+0000&quot; </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>: 2018-07-19 04:09:06+0000</p><p><b>author</b>: <a href="Organization-organization-ecr-health-authority-west.html">Organization/organization-ecr-health-authority-west: Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999</a> &quot;Health Authority West&quot;</p><p><b>title</b>: Reportability Response - One Condition/One PHA 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> &quot;Health Authority West&quot;</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="RR9875"/>
  </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 with eICR Validation Output 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">
        <valueMarkdown
                       value="&lt;html










                     xmlns='http://www.w3.org/1999/xhtml'










                     xmlns:xsi='http://www.w3.org/2001/XMLSchema-instance'&gt;
                &lt;head&gt;
                  &lt;title&gt; Results &lt;/title&gt;&lt;style type='text/css'&gt; &lt;/style&gt;&lt;/head&gt;
                &lt;body&gt;
                  &lt;table&gt;
                    &lt;thead&gt;
                      &lt;tr&gt;
                        &lt;th&gt;Severity&lt;/th&gt;
                        &lt;th&gt;Description&lt;/th&gt;
                        &lt;th&gt;File&lt;/th&gt;
                        &lt;th&gt;Location&lt;/th&gt;
                      &lt;/tr&gt;
                    &lt;/thead&gt;
                    &lt;tbody&gt;
                      &lt;tr&gt;
                        &lt;td&gt;error&lt;/td&gt;
                        &lt;td&gt;SHOULD contain zero or one [0..1] setId (CONF:1098-32752).&lt;/td&gt;
                        &lt;td&gt;C:\Users\user1\Documents\Work\Lantana\SVN\ClientProjects\ReportabilityResponse\xml\samples\CDAR2_IG_PHCR_R2_RR_D1_2017AUG_SAMPLE.xml&lt;/td&gt;
                        &lt;td&gt;
                          &lt;p&gt;Start line 415:70&lt;/p&gt;
                        &lt;/td&gt;
                      &lt;/tr&gt;
                      &lt;tr&gt;
                        &lt;td&gt;error&lt;/td&gt;
                        &lt;td&gt;SHOULD contain zero or one [0..1] versionNumber (CONF:1098-32753).&lt;/td&gt;
                        &lt;td&gt;C:\Users\user1\Documents\Work\Lantana\SVN\ClientProjects\ReportabilityResponse\xml\samples\CDAR2_IG_PHCR_R2_RR_D1_2017AUG_SAMPLE.xml&lt;/td&gt;
                        &lt;td&gt;
                          &lt;p&gt;Start line 415:70&lt;/p&gt;
                        &lt;/td&gt;
                      &lt;/tr&gt;
                    &lt;/tbody&gt;
                  &lt;/table&gt;
                &lt;/body&gt;
              &lt;/html&gt;"/>
      </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="Bundle/bundle-eicr-document-zika"/>
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value value="urn:uuid:0070e7b2-9893-4044-b255-73da1649c9fe"/>
      </identifier>
      <display value="bundle-eicr-document-zika.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>