Electronic Case Reporting (eCR)
3.0.0-ballot - STU 3 - Ballot
Electronic Case Reporting (eCR)
3.0.0-ballot - STU 3 - Ballot
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
Document Details
Profile: RR Document Bundle
Final Document at 2018-07-19 04:09:06+0000 by Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999 for Eve Everywoman in encounter Ambulatory Office Visit
Document Subject
Profile: US Public Health Patient
Eve L Everywoman Female, DoB: 1974-11-24 ( Medical Record Number: 1032702 (use: usual, ))
| Active: | true | Deceased: | false | ||
| Contact Detail |
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| Language: | English | ||||
| US Core Ethnicity Extension: |
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| US Core Birth Sex Extension | F | ||||
| US Core Race Extension: |
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| US Core Tribal Affiliation Extension: |
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Document Content
Public Health Reporting Communication: one or more conditions are reportable, or may be reportable to public health
Summary:
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.
"Zika virus disease (disorder)" for "State Department of Health"
Reporting is required within "24 hours". Reporting to this Public Health Agency is based on "both patient home address and provider facility address".
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)
Additional information for the required reporting of Zika must be submitted to State Department of Health immediately. This additional information can be submitted here. ( Link - Immediate action required)
Zika has particular risks for pregnant women. Follow-up guidance for pregnant women and couples who are planning pregnancy. ( Link - Immediate action requested)
Further Laboratory testing for Zika may be needed. Guidance for additional testing and specimen collection ( Link - Action requested)
Forms for submitting further Zika laboratory testing ( Link - Information only)
Treatment guidance ( Link - Information only)
If you have additional questions regarding Zika or reporting, contact information for the State Department of Health is available here. ( Link - Information Only)
Additional Resources (Information only):
Entry 2 - fullUrl = http://example.org/fhir/Observation/observation-rr-relevant-reportable-condition-observation
Resource Observation:
status: Final
code: Condition
subject: Eve Everywoman
value: Zika virus disease (disorder)
hasMember: Observation Patient home address
Entry 3 - fullUrl = http://example.org/fhir/Encounter/encounter-eicr-eve-everywoman-outpatient
Resource Encounter:
Profile: eICR Encounter
identifier:
http://hospital.smarthealthit.org/9937012status: completed
class: ambulatory
type: Office Visit
subject: Eve Everywoman
serviceProvider: Salem Medical Center, 22222 Health Authority Drive, Ann Arbor MI, 99999
Participants
Type attender diagnosis
eICR Trigger Code Flag Extension
- triggerCodeValueSet: urn:oid:2.16.840.1.114222.4.11.7508
- triggerCodeValueSetVersion: 12/12/2018
- triggerCode: SNOMED CT 3928002: Zika virus disease (disorder)
condition: No display for Encounter.diagnosis.condition (reference: ->Condition Zika virus disease (disorder))
diagnosis
condition: No display for Encounter.diagnosis.condition (reference: ->Condition Common cold (disorder))
Locations
Location Clinic Bldg A, Salem Medical Center, 4646 Brown Rd, Salem, MA 02368
Entry 4 - fullUrl = http://example.org/fhir/Organization/organization-ecr-health-authority-west
Resource Organization:
Profile: US Public Health Organization
identifier:
http://hl7.org.fhir/sid/us-npi/1144221847active: true
name: Health Authority West
contact
telecom: +1-555-555-3555, mail@healthauthoritywest.gov
address: 7777 Health Authority Drive Ann Arbor MI 99999
Entry 5 - fullUrl = http://example.org/fhir/Observation/observation-rr-summary
Resource Observation:
Profile: RR Summary
status: Final
code: Informing health care professional (procedure)
subject: Eve Everywoman
value: Your organization electronically submitted an initial case report to determine if reporting to public health is needed for a patient. 'Zika virus disease (disorder)' is reportable to 'State Department of Health'. An initial case report was sent to 'State Department of Health'. Additional information may be required for this report.
Entry 6 - fullUrl = http://example.org/fhir/DocumentReference/documentreference-eicr-example
Resource DocumentReference:
Profile: US Core DocumentReference Profile
identifier: Uniform Resource Identifier (URI)/urn:uuid:db734647-fc99-424c-a864-7e3cda82e703,
urn:oid:2.16.840.1.113883.19.5.99999.19/sTT988#1status: Current
type: Public health Case report
category: Clinical Note
subject: Eve L Everywoman Female, DoB: 1974-11-24 ( Medical Record Number: 1032702 (use: usual, ))
content
Attachments
ContentType Url text/plain urn:hl7ii:2.16.840.1.113883.19.5.99999.19:1
Entry 7 - fullUrl = http://example.org/fhir/Patient/patient-ecr-eve-everywoman
Resource Patient:
Profile: US Public Health Patient
Eve L Everywoman Female, DoB: 1974-11-24 ( Medical Record Number: 1032702 (use: usual, ))
Active: true Deceased: false Contact Detail
- ph: 1-(404)555-1212(Home)
- eve.everywoman@example.org
- 2222 Home Street Ann Arbor MI 99999 US
Language: English US Core Ethnicity Extension:
- ombCategory: Race & Ethnicity - CDC 2186-5: Not Hispanic or Latino
- text: Not Hispanic or Latino
US Core Birth Sex Extension F US Core Race Extension:
- ombCategory: Race & Ethnicity - CDC 2106-3: White
- text: White
US Core Tribal Affiliation Extension:
- tribalAffiliation: Fort Mojave Indian Tribe of Arizona, California & Nevada
- isEnrolled: true
Entry 8 - fullUrl = http://example.org/fhir/Observation/observation-rr-reportability-information-observation
Resource Observation:
US Public Health Determination of Reportability Extension: Reportable
US Public Health Determination of Reportability Reason Extension: A reason why the condition is reportable
US Public Health Determination of Reportability Rule Extension: Description of rule used in reportability determination
RR External Resource Extension: DocumentReference: extension = Immediate action requested; status = current; type = Public health Note; category = Treatment and/or prevention; description = Zika has particular risks for pregnant women. Follow-up guidance for pregnant women and couples who are planning pregnancy.
status: Final
code: Patient home address
subject: Eve Everywoman
performer:
- Health Authority West Rules Authoring Agency
- Health Authority West Routing Entity
- Health Authority West Routing Entity
Components
Code Value[x] Timeframe to report (urgency) 24 H (Details: UCUM codeH = 'H')
Entry 9 - fullUrl = http://example.org/fhir/PractitionerRole/practitionerrole-henry-seven
Resource PractitionerRole:
Profile: US Public Health PractitionerRole
identifier: United States National Provider Identifier/9941339108
practitioner: Henry Seven, MD
organization: Salem Medical Center
code: Primary Care Clinic/Center
specialty: Family practice
location: Salem Medical Center
Entry 10 - fullUrl = http://example.org/fhir/Condition/condition-eicr-eve-everywoman-common-cold
Resource Condition:
category: Problem List Item
code: Common cold (disorder)
subject: Eve Everywoman
onset: 2017-09-23
Entry 11 - fullUrl = http://example.org/fhir/Location/location-ecr-salem-medical-center
Resource Location:
Profile: US Public Health Location
identifier:
http://hl7.org.fhir/sid/us-npi/1144221995status: Active
name: Clinic Bldg A, Salem Medical Center
type: Hospital
address: Clinic Bldg A 4444 Healthcare Drive Ann Arbor MI 99999
managingOrganization: Organization Salem Medical Center
Entry 12 - fullUrl = http://example.org/fhir/Organization/organization-ecr-salem-medical-center
Resource Organization:
Profile: US Public Health Organization
identifier:
http://hl7.org.fhir/sid/us-npi/55555555active: true
type: Outpatient facility
name: Salem Medical Center
contact
telecom: +1-555-555-1111, mail@salemmedicalcenter.com
address: 22222 Health Authority Drive Ann Arbor MI 99999
Entry 13 - fullUrl = http://example.org/fhir/Condition/condition-eicr-eve-everywoman-zika
Resource Condition:
category: Encounter Diagnosis
code: Zika virus disease (disorder)
subject: Eve Everywoman
onset: 2017-08-23
Entry 14 - fullUrl = http://example.org/fhir/Organization/organization-rr-routing-entity-haw
Resource Organization:
Profile: Routing Entity Organization
identifier:
http://hl7.org.fhir/sid/us-npi/43214321active: true
type: Routing Entity
name: Health Authority West Routing Entity
contact
telecom: +1-555-555-3555, mail@healthauthoritywest.gov
address: 7777 Health Authority Drive Ann Arbor MI 99999
Entry 15 - fullUrl = http://example.org/fhir/Organization/organization-rr-rules-authoring-agency-haw
Resource Organization:
Profile: Rules Authoring Agency Organization
identifier:
http://hl7.org.fhir/sid/us-npi/12341234active: true
type: Rules Authoring Agency
name: Health Authority West Rules Authoring Agency
contact
telecom: +1-555-555-3555, mail@healthauthoritywest.gov
address: 7777 Health Authority Drive Ann Arbor MI 99999
Entry 16 - fullUrl = http://example.org/fhir/Organization/organization-rr-responsible-agency-haw
Resource Organization:
Profile: Responsible Agency Organization
identifier:
http://hl7.org.fhir/sid/us-npi/99996666active: true
type: Responsible Agency
name: Health Authority West Responsible Agency
contact
telecom: +1-555-555-3555, mail@healthauthoritywest.gov
address: 7777 Health Authority Drive Ann Arbor MI 99999
Entry 17 - fullUrl = http://example.org/fhir/Practitioner/practitioner-us-core-henry-seven
Resource Practitioner:
Profile: US Core Practitioner Profile
identifier: United States National Provider Identifier/9941339108
name: Seven Henry
telecom: henry.seven@example.com
address: BMass Doctors 2100 North Ave Burlington MA 02368 US
Entry 18 - fullUrl = http://example.org/fhir/Observation/observation-rr-eicr-processing-status
Resource Observation:
Profile: eICR Processing Status Observation
status: Final
code: eICR was processed - with a warning
hasMember: Observation eICR Processing Status Reason
Entry 19 - fullUrl = http://example.org/fhir/Observation/observation-rr-eicr-processing-status-reason
Resource Observation:
status: Final
code: eICR Processing Status Reason
value: eICR was processed with the warning of: inactive RCTC code
Components
Code Value[x] Inactive RCTC code detail Leptospirosis icterohemorrhagica (disorder)
Entry 20 - fullUrl = http://example.org/fhir/DocumentReference/documentreference-add-reporting-needs-pdf
Resource DocumentReference:
Profile: RR DocumentReference
Reportability Response Priority Extension: Action requested
status: Current
type: Public health information
category: Additional reporting needs
subject: Eve Everywoman
description:
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
Attachments
ContentType Url application/pdf http://statedepartmentofhealth.gov/epi/disease/zika/Supplemental_data_form.pdf
Entry 21 - fullUrl = http://example.org/fhir/DocumentReference/documentreference-zika-follow-up-pdf
Resource DocumentReference:
Profile: RR DocumentReference
Reportability Response Priority Extension: Immediate action requested
status: Current
type: Public health information
category: Treatment and/or prevention
subject: Eve Everywoman
description:
Zika has particular risks for pregnant women. Follow-up guidance for pregnant women and couples who are planning pregnancy.
content
Attachments
ContentType Url application/pdf http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf
Entry 22 - fullUrl = http://example.org/fhir/DocumentReference/documentreference-zika-info-pdf
Resource DocumentReference:
Profile: RR DocumentReference
Reportability Response Priority Extension: Immediate action required
status: Current
type: Public health information
category: Outbreak- or Cluster Related
subject: Eve Everywoman
description:
Local mosquito-borne Zika virus creation was reported in your area. Increased watchfulness for symptoms of Zika virus in your patients is warranted.
content
Attachments
ContentType Url application/pdf http://statedepartmentofhealth.gov/epi/disease/zika/outbreakinfo.pdf
IG © 2025+ HL7 International / Public Health. Package hl7.fhir.us.ecr#3.0.0-ballot based on FHIR 4.0.1. Generated 2025-10-08
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