Electronic Case Reporting (eCR)
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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

: RR Document Bundle Example: One Condition, One PHA - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "bundle-rr-document-one-cond-one-pha",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-document-bundle"
    ]
  },
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:2be4b4e4-6df1-4cb2-a947-c70fa0eda34d"
  },
  "type" : "document",
  "timestamp" : "2021-08-02T22:13:23Z",
  "entry" : [
    {
      "fullUrl" : "http://example.org/fhir/Composition/composition-rr-one-cond-one-pha",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "composition-rr-one-cond-one-pha",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-composition"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_composition-rr-one-cond-one-pha\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition composition-rr-one-cond-one-pha</b></p><a name=\"composition-rr-one-cond-one-pha\"> </a><a name=\"hccomposition-rr-one-cond-one-pha\"> </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-rr-composition.html\">RR Composition</a></p></div><p><b>Composition Version Number</b>: 1</p><p><b>US Public Health Information Recipient Extension</b>: <a href=\"PractitionerRole-practitionerrole-henry-seven.html\">PractitionerRole Primary Care Clinic/Center</a></p><p><b>identifier</b>: <code>http://acme.org/identifiers</code>/RR12347</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 88085-6}\">Reportability response report Document Public health</span></p><p><b>encounter</b>: <a href=\"Encounter-encounter-eicr-eve-everywoman-outpatient.html\">Ambulatory Office Visit</a></p><p><b>date</b>: 2018-07-19 04:09:06+0000</p><p><b>author</b>: <a href=\"Organization-organization-ecr-health-authority-west.html\">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.html\">Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999</a></p></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber",
            "valueString" : "1"
          },
          {
            "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-information-recipient-extension",
            "valueReference" : {
              🔗 "reference" : "PractitionerRole/practitionerrole-henry-seven"
            }
          }
        ],
        "identifier" : {
          "system" : "http://acme.org/identifiers",
          "value" : "RR12347"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "88085-6",
              "display" : "Reportability response report Document Public health"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/patient-ecr-eve-everywoman",
          "display" : "Eve Everywoman"
        },
        "encounter" : {
          🔗 "reference" : "Encounter/encounter-eicr-eve-everywoman-outpatient",
          "display" : "Ambulatory Office Visit"
        },
        "date" : "2018-07-19T04:09:06Z",
        "author" : [
          {
            🔗 "reference" : "Organization/organization-ecr-health-authority-west",
            "display" : "Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999"
          }
        ],
        "title" : "Reportability Response - One Condition/One PHA example",
        "custodian" : {
          🔗 "reference" : "Organization/organization-ecr-health-authority-west",
          "display" : "Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999"
        },
        "section" : [
          {
            "title" : "Reportability Response Subject Section",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "88084-9",
                  "display" : "Reportable condition response information and summary Document"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            }
          },
          {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "eICRProcessingStatus",
                    "valueReference" : {
                      🔗 "reference" : "Observation/observation-rr-eicr-processing-status",
                      "display" : "eICR was processed - with a warning"
                    }
                  },
                  {
                    "url" : "eICRValidationOutput",
                    "valueAttachment" : {
                      "contentType" : "text/html",
                      "data" : "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"
                    }
                  }
                ],
                "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-extension"
              },
              {
                "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-receipt-time-extension",
                "valueDateTime" : "2018-07-18T04:09:06Z"
              }
            ],
            "title" : "Electronic Initial Case Report Section",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "88082-3",
                  "display" : "Initial case report processing information Document"
                }
              ]
            },
            "entry" : [
              {
                🔗 "reference" : "Bundle/bundle-eicr-document-zika",
                "identifier" : {
                  "system" : "urn:ietf:rfc:3986",
                  "value" : "urn:uuid:0070e7b2-9893-4044-b255-73da1649c9fe"
                },
                "display" : "bundle-eicr-document-zika.xml"
              }
            ]
          },
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-priority-extension",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "urn:oid:2.16.840.1.114222.4.5.274",
                      "code" : "RRVS17",
                      "display" : "Immediate action required"
                    }
                  ]
                }
              }
            ],
            "title" : "Reportability Response Summary Section",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "55112-7",
                  "display" : "Document summary"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "entry" : [
              {
                🔗 "reference" : "Observation/observation-rr-summary",
                "display" : "Reportability Response Summary"
              },
              {
                🔗 "reference" : "Observation/observation-rr-relevant-reportable-condition-observation",
                "display" : "Relevant reportable condition: Zika"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Observation/observation-rr-relevant-reportable-condition-observation",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation-rr-relevant-reportable-condition-observation",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-relevant-reportable-condition-observation"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-rr-relevant-reportable-condition-observation\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-rr-relevant-reportable-condition-observation</b></p><a name=\"observation-rr-relevant-reportable-condition-observation\"> </a><a name=\"hcobservation-rr-relevant-reportable-condition-observation\"> </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-rr-relevant-reportable-condition-observation.html\">RR Relevant Reportable Condition Observation</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 64572001}, {http://loinc.org 75323-6}\">Condition</span></p><p><b>subject</b>: <a href=\"Patient-patient-ecr-eve-everywoman.html\">Eve Everywoman</a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 3928002}\">Zika virus disease (disorder)</span></p><p><b>hasMember</b>: <a href=\"Observation-observation-rr-reportability-information-observation.html\">Observation Patient home address</a></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "64572001"
            },
            {
              "system" : "http://loinc.org",
              "code" : "75323-6"
            }
          ],
          "text" : "Condition"
        },
        "subject" : {
          🔗 "reference" : "Patient/patient-ecr-eve-everywoman",
          "display" : "Eve Everywoman"
        },
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "3928002",
              "display" : "Zika virus disease (disorder)"
            }
          ]
        },
        "hasMember" : [
          {
            🔗 "reference" : "Observation/observation-rr-reportability-information-observation"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Encounter/encounter-eicr-eve-everywoman-outpatient",
      "resource" : {
        "resourceType" : "Encounter",
        "id" : "encounter-eicr-eve-everywoman-outpatient",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-encounter"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_encounter-eicr-eve-everywoman-outpatient\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter encounter-eicr-eve-everywoman-outpatient</b></p><a name=\"encounter-eicr-eve-everywoman-outpatient\"> </a><a name=\"hcencounter-eicr-eve-everywoman-outpatient\"> </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-encounter.html\">eICR Encounter</a></p></div><p><b>identifier</b>: <code>http://hospital.smarthealthit.org</code>/9937012</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode AMB</a>: ambulatory</p><p><b>type</b>: <span title=\"Codes:{http://www.ama-assn.org/go/cpt 99202}\">Office Visit</span></p><p><b>subject</b>: <a href=\"Patient-patient-ecr-eve-everywoman.html\">Eve Everywoman</a></p><h3>Participants</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Individual</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ParticipationType ATND}\">attender</span></td><td><a href=\"PractitionerRole-practitionerrole-henry-seven.html\">Henry Seven, MD</a></td></tr></table><p><b>period</b>: 2018-04-01 10:00:00-0500 --&gt; 2018-04-02 10:15:00-0500</p><blockquote><p><b>diagnosis</b></p><blockquote><p><b>eICR Trigger Code Flag Extension</b></p><ul><li>triggerCodeValueSet: urn:oid:2.16.840.1.114222.4.11.7508</li><li>triggerCodeValueSetVersion: 12/12/2018</li><li>triggerCode: <a href=\"http://snomed.info/id/3928002\">SNOMED CT 3928002</a>: Zika virus disease (disorder)</li></ul></blockquote><p><b>condition</b>: <a href=\"Condition-condition-eicr-eve-everywoman-zika.html\">Condition Zika virus disease (disorder)</a></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href=\"Condition-condition-eicr-eve-everywoman-common-cold.html\">Condition Common cold (disorder)</a></p></blockquote><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Location-location-ecr-salem-medical-center.html\">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.html\">Salem Medical Center, 22222 Health Authority Drive, Ann Arbor MI, 99999</a></p></div>"
        },
        "identifier" : [
          {
            "system" : "http://hospital.smarthealthit.org",
            "value" : "9937012"
          }
        ],
        "status" : "finished",
        "class" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "AMB",
          "display" : "ambulatory"
        },
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://www.ama-assn.org/go/cpt",
                "code" : "99202"
              }
            ],
            "text" : "Office Visit"
          }
        ],
        "subject" : {
          🔗 "reference" : "Patient/patient-ecr-eve-everywoman",
          "display" : "Eve Everywoman"
        },
        "participant" : [
          {
            "type" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code" : "ATND",
                    "display" : "attender"
                  }
                ]
              }
            ],
            "individual" : {
              🔗 "reference" : "PractitionerRole/practitionerrole-henry-seven",
              "display" : "Henry Seven, MD"
            }
          }
        ],
        "period" : {
          "start" : "2018-04-01T10:00:00-05:00",
          "end" : "2018-04-02T10:15:00-05:00"
        },
        "diagnosis" : [
          {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "triggerCodeValueSet",
                    "valueOid" : "urn:oid:2.16.840.1.114222.4.11.7508"
                  },
                  {
                    "url" : "triggerCodeValueSetVersion",
                    "valueString" : "12/12/2018"
                  },
                  {
                    "url" : "triggerCode",
                    "valueCoding" : {
                      "system" : "http://snomed.info/sct",
                      "code" : "3928002",
                      "display" : "Zika virus disease (disorder)"
                    }
                  }
                ],
                "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension"
              }
            ],
            "condition" : {
              🔗 "reference" : "Condition/condition-eicr-eve-everywoman-zika"
            }
          },
          {
            "condition" : {
              🔗 "reference" : "Condition/condition-eicr-eve-everywoman-common-cold"
            }
          }
        ],
        "location" : [
          {
            "location" : {
              🔗 "reference" : "Location/location-ecr-salem-medical-center",
              "display" : "Clinic Bldg A, Salem Medical Center, 4646 Brown Rd, Salem, MA 02368"
            }
          }
        ],
        "serviceProvider" : {
          🔗 "reference" : "Organization/organization-ecr-salem-medical-center",
          "display" : "Salem Medical Center, 22222 Health Authority Drive, Ann Arbor MI, 99999"
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Organization/organization-ecr-health-authority-west",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "organization-ecr-health-authority-west",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_organization-ecr-health-authority-west\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization organization-ecr-health-authority-west</b></p><a name=\"organization-ecr-health-authority-west\"> </a><a name=\"hcorganization-ecr-health-authority-west\"> </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=\"https://build.fhir.org/ig/HL7/fhir-us-ph-library/StructureDefinition-us-ph-organization.html\">US Public Health Organization</a></p></div><p><b>identifier</b>: <code>http://hl7.org.fhir/sid/us-npi</code>/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>"
        },
        "identifier" : [
          {
            "system" : "http://hl7.org.fhir/sid/us-npi",
            "value" : "1144221847"
          }
        ],
        "active" : true,
        "name" : "Health Authority West",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "+1-555-555-3555"
          },
          {
            "system" : "email",
            "value" : "mail@healthauthoritywest.gov"
          }
        ],
        "address" : [
          {
            "line" : [
              "7777 Health Authority Drive"
            ],
            "city" : "Ann Arbor",
            "state" : "MI",
            "postalCode" : "99999"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Observation/observation-rr-summary",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation-rr-summary",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-summary"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-rr-summary\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-rr-summary</b></p><a name=\"observation-rr-summary\"> </a><a name=\"hcobservation-rr-summary\"> </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-rr-summary.html\">RR Summary</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 304561000}\">Informing health care professional (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-patient-ecr-eve-everywoman.html\">Eve Everywoman</a></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>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "304561000",
              "display" : "Informing health care professional (procedure)"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/patient-ecr-eve-everywoman",
          "display" : "Eve Everywoman"
        },
        "valueString" : "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."
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/DocumentReference/documentreference-eicr-example",
      "resource" : {
        "resourceType" : "DocumentReference",
        "id" : "documentreference-eicr-example",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DocumentReference_documentreference-eicr-example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference documentreference-eicr-example</b></p><a name=\"documentreference-eicr-example\"> </a><a name=\"hcdocumentreference-eicr-example\"> </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=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-documentreference.html\">US Core DocumentReference Profile</a></p></div><p><b>masterIdentifier</b>: <a href=\"http://terminology.hl7.org/5.5.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:uuid:db734647-fc99-424c-a864-7e3cda82e703</p><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.19.5.99999.19</code>/sTT988#1</p><p><b>status</b>: Current</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 55751-2}\">Public health Case report</span></p><p><b>category</b>: <span title=\"Codes:{http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category clinical-note}\">Clinical Note</span></p><p><b>subject</b>: <a href=\"Patient-patient-ecr-eve-everywoman.html\">Eve L Everywoman  Female, DoB: 1974-11-24 ( Medical Record Number: 1032702\u00a0(use:\u00a0usual,\u00a0))</a></p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ContentType</b></td><td><b>Url</b></td></tr><tr><td style=\"display: none\">*</td><td>text/plain</td><td>urn:hl7ii:2.16.840.1.113883.19.5.99999.19:1</td></tr></table></blockquote></div>"
        },
        "masterIdentifier" : {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:uuid:db734647-fc99-424c-a864-7e3cda82e703"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.16.840.1.113883.19.5.99999.19",
            "value" : "sTT988#1"
          }
        ],
        "status" : "current",
        "type" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "55751-2",
              "display" : "Public health Case report"
            }
          ]
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
                "code" : "clinical-note",
                "display" : "Clinical Note"
              }
            ],
            "text" : "Clinical Note"
          }
        ],
        "subject" : {
          🔗 "reference" : "Patient/patient-ecr-eve-everywoman"
        },
        "content" : [
          {
            "attachment" : {
              "contentType" : "text/plain",
              "url" : "urn:hl7ii:2.16.840.1.113883.19.5.99999.19:1"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Patient/patient-ecr-eve-everywoman",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "patient-ecr-eve-everywoman",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_patient-ecr-eve-everywoman\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient patient-ecr-eve-everywoman</b></p><a name=\"patient-ecr-eve-everywoman\"> </a><a name=\"hcpatient-ecr-eve-everywoman\"> </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=\"https://build.fhir.org/ig/HL7/fhir-us-ph-library/StructureDefinition-us-ph-patient.html\">US Public Health Patient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Eve L Everywoman  Female, DoB: 1974-11-24 ( Medical Record Number: 1032702\u00a0(use:\u00a0usual,\u00a0))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td>true</td><td style=\"background-color: #f3f5da\" title=\"Known status of Patient\">Deceased:</td><td colspan=\"3\">false</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 1-(404)555-1212(Home)</li><li><a href=\"mailto:eve.everywoman@example.org\">eve.everywoman@example.org</a></li><li>2222 Home Street Ann Arbor MI 99999 US </li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Language spoken\">Language:</td><td colspan=\"3\"><span title=\"Codes:{urn:ietf:bcp:47 en}\">English</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.\">US Core Ethnicity Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU4/CodeSystem-cdcrec.html#cdcrec-2186-5\">Race &amp; Ethnicity - CDC 2186-5</a>: Not Hispanic or Latino</li><li>text: Not Hispanic or Latino</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A code classifying the person's sex assigned at birth  as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9). After version 6.0.0, this extension is no longer a *USCDI Requirement*.\"><a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-birthsex.html\">US Core Birth Sex Extension</a></td><td colspan=\"3\">F</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html#3) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU4/CodeSystem-cdcrec.html#cdcrec-2106-3\">Race &amp; Ethnicity - CDC 2106-3</a>: White</li><li>text: White</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"This Extension profile represents a tribe or band with which a person associates and, optionally, whether they are enrolled.\">US Core Tribal Affiliation Extension:</td><td colspan=\"3\"><ul><li>tribalAffiliation: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS 91}\">Fort Mojave Indian Tribe of Arizona, California &amp; Nevada</span></li><li>isEnrolled: true</li></ul></td></tr></table></div>"
        },
        "extension" : [
          {
            "extension" : [
              {
                "url" : "ombCategory",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2106-3",
                  "display" : "White"
                }
              },
              {
                "url" : "text",
                "valueString" : "White"
              }
            ],
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
          },
          {
            "extension" : [
              {
                "url" : "ombCategory",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2186-5",
                  "display" : "Not Hispanic or Latino"
                }
              },
              {
                "url" : "text",
                "valueString" : "Not Hispanic or Latino"
              }
            ],
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
          },
          {
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode" : "F"
          },
          {
            "extension" : [
              {
                "url" : "tribalAffiliation",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS",
                      "code" : "91",
                      "display" : "Fort Mojave Indian Tribe of Arizona, California & Nevada"
                    }
                  ]
                }
              },
              {
                "url" : "isEnrolled",
                "valueBoolean" : true
              }
            ],
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation"
          }
        ],
        "identifier" : [
          {
            "use" : "usual",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR",
                  "display" : "Medical Record Number"
                }
              ]
            },
            "system" : "http://example.org/hospital-smarthealthit",
            "value" : "1032702"
          }
        ],
        "active" : true,
        "name" : [
          {
            "family" : "Everywoman",
            "given" : [
              "Eve",
              "L"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "1-(404)555-1212",
            "use" : "home"
          },
          {
            "system" : "email",
            "value" : "eve.everywoman@example.org"
          }
        ],
        "gender" : "female",
        "birthDate" : "1974-11-24",
        "deceasedBoolean" : false,
        "address" : [
          {
            "line" : [
              "2222 Home Street"
            ],
            "city" : "Ann Arbor",
            "state" : "MI",
            "postalCode" : "99999",
            "country" : "US"
          }
        ],
        "communication" : [
          {
            "language" : {
              "coding" : [
                {
                  "system" : "urn:ietf:bcp:47",
                  "code" : "en",
                  "display" : "English"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Observation/observation-rr-reportability-information-observation",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation-rr-reportability-information-observation",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-reportability-information-observation"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-rr-reportability-information-observation\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-rr-reportability-information-observation</b></p><a name=\"observation-rr-reportability-information-observation\"> </a><a name=\"hcobservation-rr-reportability-information-observation\"> </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-rr-reportability-information-observation.html\">RR Reportability Information Observation</a></p></div><p><b>US Public Health Determination of Reportability Extension</b>: <span title=\"Codes:{urn:oid:2.16.840.1.114222.4.5.274 RRVS1}\">Reportable</span></p><p><b>US Public Health Determination of Reportability Reason Extension</b>: A reason why the 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-add-reporting-needs-pdf.html\">DocumentReference: extension = Action requested; status = current; type = Public health Note; category = Additional reporting needs; 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.</a></p><p><b>RR External Resource Extension</b>: <a href=\"DocumentReference-documentreference-add-reporting-needs-pdf.html\">DocumentReference: extension = Action requested; status = current; type = Public health Note; category = Additional reporting needs; 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.</a></p><p><b>RR External Resource Extension</b>: <a href=\"DocumentReference-documentreference-zika-follow-up-pdf.html\">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.</a></p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{urn:oid:2.16.840.1.114222.4.5.274 RRVS5}\">Patient home address</span></p><p><b>subject</b>: <a href=\"Patient-patient-ecr-eve-everywoman.html\">Eve Everywoman</a></p><p><b>performer</b>: </p><ul><li><a href=\"Organization-organization-rr-rules-authoring-agency-haw.html\">Health Authority West Rules Authoring Agency</a></li><li><a href=\"Organization-organization-rr-routing-entity-haw.html\">Health Authority West Routing Entity</a></li><li><a href=\"Organization-organization-rr-responsible-agency-haw.html\">Health Authority West Routing Entity</a></li></ul><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{urn:oid:2.16.840.1.114222.4.5.232 RR4}\">Timeframe to report (urgency)</span></td><td>24 H<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeH = 'H')</span></td></tr></table></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-determination-of-reportability-extension",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "urn:oid:2.16.840.1.114222.4.5.274",
                  "code" : "RRVS1",
                  "display" : "Reportable"
                }
              ]
            }
          },
          {
            "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-determination-of-reportability-reason-extension",
            "valueString" : "A reason why the condition is reportable"
          },
          {
            "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-determination-of-reportability-rule-extension",
            "valueString" : "Description of rule used in reportability determination"
          },
          {
            "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-external-resource-extension",
            "valueReference" : {
              🔗 "reference" : "DocumentReference/documentreference-add-reporting-needs-pdf"
            }
          },
          {
            "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-external-resource-extension",
            "valueReference" : {
              🔗 "reference" : "DocumentReference/documentreference-add-reporting-needs-pdf"
            }
          },
          {
            "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-external-resource-extension",
            "valueReference" : {
              🔗 "reference" : "DocumentReference/documentreference-zika-follow-up-pdf"
            }
          }
        ],
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "urn:oid:2.16.840.1.114222.4.5.274",
              "code" : "RRVS5",
              "display" : "Patient home address"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/patient-ecr-eve-everywoman",
          "display" : "Eve Everywoman"
        },
        "performer" : [
          {
            🔗 "reference" : "Organization/organization-rr-rules-authoring-agency-haw",
            "display" : "Health Authority West Rules Authoring Agency"
          },
          {
            🔗 "reference" : "Organization/organization-rr-routing-entity-haw",
            "display" : "Health Authority West Routing Entity"
          },
          {
            🔗 "reference" : "Organization/organization-rr-responsible-agency-haw",
            "display" : "Health Authority West Routing Entity"
          }
        ],
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "urn:oid:2.16.840.1.114222.4.5.232",
                  "code" : "RR4",
                  "display" : "Timeframe to report (urgency)"
                }
              ]
            },
            "valueQuantity" : {
              "value" : 24,
              "unit" : "H",
              "system" : "http://unitsofmeasure.org",
              "code" : "H"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/PractitionerRole/practitionerrole-henry-seven",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "practitionerrole-henry-seven",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-practitionerrole"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_practitionerrole-henry-seven\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole practitionerrole-henry-seven</b></p><a name=\"practitionerrole-henry-seven\"> </a><a name=\"hcpractitionerrole-henry-seven\"> </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=\"https://build.fhir.org/ig/HL7/fhir-us-ph-library/StructureDefinition-us-ph-practitionerrole.html\">US Public Health PractitionerRole</a></p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.5.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/9941339108</p><p><b>practitioner</b>: <a href=\"Practitioner-practitioner-us-core-henry-seven.html\">Henry Seven, MD</a></p><p><b>organization</b>: <a href=\"Organization-organization-ecr-salem-medical-center.html\">Salem Medical Center</a></p><p><b>code</b>: <span title=\"Codes:{http://nucc.org/provider-taxonomy 261QP2300X}\">Primary Care Clinic/Center</span></p><p><b>specialty</b>: <span title=\"Codes:{http://snomed.info/sct 419772000}\">Family practice</span></p><p><b>location</b>: <a href=\"Location-location-ecr-salem-medical-center.html\">Salem Medical Center</a></p><p><b>telecom</b>: <a href=\"mailto:henry.seven@example.com\">henry.seven@example.com</a></p></div>"
        },
        "identifier" : [
          {
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "9941339108"
          }
        ],
        "practitioner" : {
          🔗 "reference" : "Practitioner/practitioner-us-core-henry-seven",
          "display" : "Henry Seven, MD"
        },
        "organization" : {
          🔗 "reference" : "Organization/organization-ecr-salem-medical-center",
          "display" : "Salem Medical Center"
        },
        "code" : [
          {
            "coding" : [
              {
                "system" : "http://nucc.org/provider-taxonomy",
                "code" : "261QP2300X",
                "display" : "Primary Care Clinic/Center"
              }
            ]
          }
        ],
        "specialty" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "419772000",
                "display" : "Family practice"
              }
            ]
          }
        ],
        "location" : [
          {
            🔗 "reference" : "Location/location-ecr-salem-medical-center",
            "display" : "Salem Medical Center"
          }
        ],
        "telecom" : [
          {
            "system" : "email",
            "value" : "henry.seven@example.com"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Condition/condition-eicr-eve-everywoman-common-cold",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "condition-eicr-eve-everywoman-common-cold",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-condition-problems-health-concerns"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_condition-eicr-eve-everywoman-common-cold\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition condition-eicr-eve-everywoman-common-cold</b></p><a name=\"condition-eicr-eve-everywoman-common-cold\"> </a><a name=\"hccondition-eicr-eve-everywoman-common-cold\"> </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=\"https://build.fhir.org/ig/HL7/fhir-us-ph-library/StructureDefinition-us-ph-condition-problems-health-concerns.html\">US Public Health Condition Problems and Health Concerns</a></p></div><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 82272006}\">Common cold (disorder)</span></p><p><b>subject</b>: <a href=\"Patient-patient-ecr-eve-everywoman.html\">Eve Everywoman</a></p><p><b>onset</b>: 2017-09-23</p><p><b>asserter</b>: <a href=\"Practitioner-practitioner-us-core-henry-seven.html\">Henry Seven, MD</a></p></div>"
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
                "code" : "problem-list-item",
                "display" : "Problem List Item"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "82272006",
              "display" : "Common cold (disorder)"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/patient-ecr-eve-everywoman",
          "display" : "Eve Everywoman"
        },
        "onsetDateTime" : "2017-09-23",
        "asserter" : {
          🔗 "reference" : "Practitioner/practitioner-us-core-henry-seven",
          "display" : "Henry Seven, MD"
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Location/location-ecr-salem-medical-center",
      "resource" : {
        "resourceType" : "Location",
        "id" : "location-ecr-salem-medical-center",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-location"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_location-ecr-salem-medical-center\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Location location-ecr-salem-medical-center</b></p><a name=\"location-ecr-salem-medical-center\"> </a><a name=\"hclocation-ecr-salem-medical-center\"> </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=\"https://build.fhir.org/ig/HL7/fhir-us-ph-library/StructureDefinition-us-ph-location.html\">US Public Health Location</a></p></div><p><b>identifier</b>: <code>http://hl7.org.fhir/sid/us-npi</code>/1144221995</p><p><b>status</b>: Active</p><p><b>name</b>: Clinic Bldg A, Salem Medical Center</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode HOSP}\">Hospital</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.html\">Organization Salem Medical Center</a></p></div>"
        },
        "identifier" : [
          {
            "system" : "http://hl7.org.fhir/sid/us-npi",
            "value" : "1144221995"
          }
        ],
        "status" : "active",
        "name" : "Clinic Bldg A, Salem Medical Center",
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                "code" : "HOSP",
                "display" : "Hospital"
              }
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "(+1) (555)555-3001"
          },
          {
            "system" : "fax",
            "value" : "(+1) (555)555-3002"
          },
          {
            "system" : "email",
            "value" : "mail@smc.org"
          }
        ],
        "address" : {
          "line" : [
            "Clinic Bldg A",
            "4444 Healthcare Drive"
          ],
          "city" : "Ann Arbor",
          "state" : "MI",
          "postalCode" : "99999"
        },
        "managingOrganization" : {
          🔗 "reference" : "Organization/organization-ecr-salem-medical-center"
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Organization/organization-ecr-salem-medical-center",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "organization-ecr-salem-medical-center",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_organization-ecr-salem-medical-center\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization organization-ecr-salem-medical-center</b></p><a name=\"organization-ecr-salem-medical-center\"> </a><a name=\"hcorganization-ecr-salem-medical-center\"> </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=\"https://build.fhir.org/ig/HL7/fhir-us-ph-library/StructureDefinition-us-ph-organization.html\">US Public Health Organization</a></p></div><p><b>identifier</b>: <code>http://hl7.org.fhir/sid/us-npi</code>/55555555</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode OF}\">Outpatient facility</span></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>"
        },
        "identifier" : [
          {
            "system" : "http://hl7.org.fhir/sid/us-npi",
            "value" : "55555555"
          }
        ],
        "active" : true,
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                "code" : "OF",
                "display" : "Outpatient facility"
              }
            ]
          }
        ],
        "name" : "Salem Medical Center",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "+1-555-555-1111"
          },
          {
            "system" : "email",
            "value" : "mail@salemmedicalcenter.com"
          }
        ],
        "address" : [
          {
            "line" : [
              "22222 Health Authority Drive"
            ],
            "city" : "Ann Arbor",
            "state" : "MI",
            "postalCode" : "99999"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Condition/condition-eicr-eve-everywoman-zika",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "condition-eicr-eve-everywoman-zika",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-condition-problems-health-concerns"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_condition-eicr-eve-everywoman-zika\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition condition-eicr-eve-everywoman-zika</b></p><a name=\"condition-eicr-eve-everywoman-zika\"> </a><a name=\"hccondition-eicr-eve-everywoman-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=\"https://build.fhir.org/ig/HL7/fhir-us-ph-library/StructureDefinition-us-ph-condition-problems-health-concerns.html\">US Public Health Condition Problems and Health Concerns</a></p></div><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 3928002}\">Zika virus disease (disorder)</span></p><p><b>subject</b>: <a href=\"Patient-patient-ecr-eve-everywoman.html\">Eve Everywoman</a></p><p><b>onset</b>: 2017-08-23</p><p><b>asserter</b>: <a href=\"Practitioner-practitioner-us-core-henry-seven.html\">Henry Seven, MD</a></p></div>"
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
                "code" : "encounter-diagnosis",
                "display" : "Encounter Diagnosis"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "3928002",
              "display" : "Zika virus disease (disorder)"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/patient-ecr-eve-everywoman",
          "display" : "Eve Everywoman"
        },
        "onsetDateTime" : "2017-08-23",
        "asserter" : {
          🔗 "reference" : "Practitioner/practitioner-us-core-henry-seven",
          "display" : "Henry Seven, MD"
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Organization/organization-rr-routing-entity-haw",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "organization-rr-routing-entity-haw",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-routing-entity-organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_organization-rr-routing-entity-haw\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization organization-rr-routing-entity-haw</b></p><a name=\"organization-rr-routing-entity-haw\"> </a><a name=\"hcorganization-rr-routing-entity-haw\"> </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-rr-routing-entity-organization.html\">Routing Entity Organization</a></p></div><p><b>identifier</b>: <code>http://hl7.org.fhir/sid/us-npi</code>/43214321</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{urn:oid:2.16.840.1.114222.4.5.232 RR7}\">Routing Entity</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>"
        },
        "identifier" : [
          {
            "system" : "http://hl7.org.fhir/sid/us-npi",
            "value" : "43214321"
          }
        ],
        "active" : true,
        "type" : [
          {
            "coding" : [
              {
                "system" : "urn:oid:2.16.840.1.114222.4.5.232",
                "code" : "RR7",
                "display" : "Routing Entity"
              }
            ]
          }
        ],
        "name" : "Health Authority West Routing Entity",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "+1-555-555-3555"
          },
          {
            "system" : "email",
            "value" : "mail@healthauthoritywest.gov"
          }
        ],
        "address" : [
          {
            "line" : [
              "7777 Health Authority Drive"
            ],
            "city" : "Ann Arbor",
            "state" : "MI",
            "postalCode" : "99999"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Organization/organization-rr-rules-authoring-agency-haw",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "organization-rr-rules-authoring-agency-haw",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-rules-authoring-agency-organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_organization-rr-rules-authoring-agency-haw\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization organization-rr-rules-authoring-agency-haw</b></p><a name=\"organization-rr-rules-authoring-agency-haw\"> </a><a name=\"hcorganization-rr-rules-authoring-agency-haw\"> </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-rr-rules-authoring-agency-organization.html\">Rules Authoring Agency Organization</a></p></div><p><b>identifier</b>: <code>http://hl7.org.fhir/sid/us-npi</code>/12341234</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{urn:oid:2.16.840.1.114222.4.5.232 RR12}\">Rules Authoring Agency</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>"
        },
        "identifier" : [
          {
            "system" : "http://hl7.org.fhir/sid/us-npi",
            "value" : "12341234"
          }
        ],
        "active" : true,
        "type" : [
          {
            "coding" : [
              {
                "system" : "urn:oid:2.16.840.1.114222.4.5.232",
                "code" : "RR12",
                "display" : "Rules Authoring Agency"
              }
            ]
          }
        ],
        "name" : "Health Authority West Rules Authoring Agency",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "+1-555-555-3555"
          },
          {
            "system" : "email",
            "value" : "mail@healthauthoritywest.gov"
          }
        ],
        "address" : [
          {
            "line" : [
              "7777 Health Authority Drive"
            ],
            "city" : "Ann Arbor",
            "state" : "MI",
            "postalCode" : "99999"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Organization/organization-rr-responsible-agency-haw",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "organization-rr-responsible-agency-haw",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-responsible-agency-organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_organization-rr-responsible-agency-haw\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization organization-rr-responsible-agency-haw</b></p><a name=\"organization-rr-responsible-agency-haw\"> </a><a name=\"hcorganization-rr-responsible-agency-haw\"> </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-rr-responsible-agency-organization.html\">Responsible Agency Organization</a></p></div><p><b>identifier</b>: <code>http://hl7.org.fhir/sid/us-npi</code>/99996666</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{urn:oid:2.16.840.1.114222.4.5.232 RR8}\">Responsible Agency</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>"
        },
        "identifier" : [
          {
            "system" : "http://hl7.org.fhir/sid/us-npi",
            "value" : "99996666"
          }
        ],
        "active" : true,
        "type" : [
          {
            "coding" : [
              {
                "system" : "urn:oid:2.16.840.1.114222.4.5.232",
                "code" : "RR8",
                "display" : "Responsible Agency"
              }
            ]
          }
        ],
        "name" : "Health Authority West Responsible Agency",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "+1-555-555-3555"
          },
          {
            "system" : "email",
            "value" : "mail@healthauthoritywest.gov"
          }
        ],
        "address" : [
          {
            "line" : [
              "7777 Health Authority Drive"
            ],
            "city" : "Ann Arbor",
            "state" : "MI",
            "postalCode" : "99999"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Practitioner/practitioner-us-core-henry-seven",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "practitioner-us-core-henry-seven",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_practitioner-us-core-henry-seven\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner practitioner-us-core-henry-seven</b></p><a name=\"practitioner-us-core-henry-seven\"> </a><a name=\"hcpractitioner-us-core-henry-seven\"> </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=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profile</a></p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.5.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/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>"
        },
        "identifier" : [
          {
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "9941339108"
          }
        ],
        "name" : [
          {
            "family" : "Henry",
            "given" : [
              "Seven"
            ],
            "suffix" : [
              "M.D."
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "email",
            "value" : "henry.seven@example.com"
          }
        ],
        "address" : [
          {
            "line" : [
              "BMass Doctors",
              "2100 North Ave"
            ],
            "city" : "Burlington",
            "state" : "MA",
            "postalCode" : "02368",
            "country" : "US"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Observation/observation-rr-eicr-processing-status",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation-rr-eicr-processing-status",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-observation"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-rr-eicr-processing-status\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-rr-eicr-processing-status</b></p><a name=\"observation-rr-eicr-processing-status\"> </a><a name=\"hcobservation-rr-eicr-processing-status\"> </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-rr-eicr-processing-status-observation.html\">eICR Processing Status Observation</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{urn:oid:2.16.840.1.114222.4.5.274 RRVS20}\">eICR was processed - with a warning</span></p><p><b>hasMember</b>: <a href=\"Observation-observation-rr-eicr-processing-status-reason.html\">Observation eICR Processing Status Reason</a></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "urn:oid:2.16.840.1.114222.4.5.274",
              "code" : "RRVS20",
              "display" : "eICR was processed - with a warning"
            }
          ]
        },
        "hasMember" : [
          {
            🔗 "reference" : "Observation/observation-rr-eicr-processing-status-reason"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Observation/observation-rr-eicr-processing-status-reason",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation-rr-eicr-processing-status-reason",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-reason-observation"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-rr-eicr-processing-status-reason\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-rr-eicr-processing-status-reason</b></p><a name=\"observation-rr-eicr-processing-status-reason\"> </a><a name=\"hcobservation-rr-eicr-processing-status-reason\"> </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-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>: <span title=\"Codes:{urn:oid:2.16.840.1.114222.4.5.232 RR6}\">eICR Processing Status Reason</span></p><p><b>value</b>: <span title=\"Codes:{urn:oid:2.16.840.1.114222.4.5.274 RRVS30}\">eICR was processed with the warning of: inactive RCTC code</span></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{urn:oid:2.16.840.1.114222.4.5.274 RRVS32}\">Inactive RCTC code detail</span></td><td><span title=\"Codes:{http://snomed.info/sct 69092001}\">Leptospirosis icterohemorrhagica (disorder)</span></td></tr></table></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "urn:oid:2.16.840.1.114222.4.5.232",
              "code" : "RR6",
              "display" : "eICR Processing Status Reason"
            }
          ]
        },
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "urn:oid:2.16.840.1.114222.4.5.274",
              "code" : "RRVS30",
              "display" : "eICR was processed with the warning of: inactive RCTC code"
            }
          ]
        },
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "urn:oid:2.16.840.1.114222.4.5.274",
                  "code" : "RRVS32",
                  "display" : "Inactive RCTC code detail"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "69092001",
                  "display" : "Leptospirosis icterohemorrhagica (disorder)"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/DocumentReference/documentreference-add-reporting-needs-pdf",
      "resource" : {
        "resourceType" : "DocumentReference",
        "id" : "documentreference-add-reporting-needs-pdf",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-documentreference"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DocumentReference_documentreference-add-reporting-needs-pdf\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference documentreference-add-reporting-needs-pdf</b></p><a name=\"documentreference-add-reporting-needs-pdf\"> </a><a name=\"hcdocumentreference-add-reporting-needs-pdf\"> </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-rr-documentreference.html\">RR DocumentReference</a></p></div><p><b>Reportability Response Priority Extension</b>: <span title=\"Codes:{urn:oid:2.16.840.1.114222.4.5.274 RRVS16}\">Action requested</span></p><p><b>status</b>: Current</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 83910-0}\">Public health information</span></p><p><b>category</b>: <span title=\"Codes:{urn:oid:2.16.840.1.114222.4.5.274 RRVS8}\">Additional reporting needs</span></p><p><b>subject</b>: <a href=\"Patient-patient-ecr-eve-everywoman.html\">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><h3>Attachments</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ContentType</b></td><td><b>Url</b></td></tr><tr><td style=\"display: none\">*</td><td>application/pdf</td><td><a href=\"http://statedepartmentofhealth.gov/epi/disease/zika/Supplemental_data_form.pdf\">http://statedepartmentofhealth.gov/epi/disease/zika/Supplemental_data_form.pdf</a></td></tr></table></blockquote></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-priority-extension",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "urn:oid:2.16.840.1.114222.4.5.274",
                  "code" : "RRVS16",
                  "display" : "Action requested"
                }
              ]
            }
          }
        ],
        "status" : "current",
        "type" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "83910-0",
              "display" : "Public health Note"
            }
          ],
          "text" : "Public health information"
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "urn:oid:2.16.840.1.114222.4.5.274",
                "code" : "RRVS8",
                "display" : "Additional reporting needs"
              }
            ],
            "text" : "Additional reporting needs"
          }
        ],
        "subject" : {
          🔗 "reference" : "Patient/patient-ecr-eve-everywoman",
          "display" : "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" : [
          {
            "attachment" : {
              "contentType" : "application/pdf",
              "url" : "http://statedepartmentofhealth.gov/epi/disease/zika/Supplemental_data_form.pdf"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/DocumentReference/documentreference-zika-follow-up-pdf",
      "resource" : {
        "resourceType" : "DocumentReference",
        "id" : "documentreference-zika-follow-up-pdf",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-documentreference"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DocumentReference_documentreference-zika-follow-up-pdf\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference documentreference-zika-follow-up-pdf</b></p><a name=\"documentreference-zika-follow-up-pdf\"> </a><a name=\"hcdocumentreference-zika-follow-up-pdf\"> </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-rr-documentreference.html\">RR DocumentReference</a></p></div><p><b>Reportability Response Priority Extension</b>: <span title=\"Codes:{urn:oid:2.16.840.1.114222.4.5.274 RRVS18}\">Immediate action requested</span></p><p><b>status</b>: Current</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 83910-0}\">Public health information</span></p><p><b>category</b>: <span title=\"Codes:{urn:oid:2.16.840.1.114222.4.5.274 RRVS10}\">Treatment and/or prevention</span></p><p><b>subject</b>: <a href=\"Patient-patient-ecr-eve-everywoman.html\">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><h3>Attachments</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ContentType</b></td><td><b>Url</b></td></tr><tr><td style=\"display: none\">*</td><td>application/pdf</td><td><a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf\">http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf</a></td></tr></table></blockquote></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-priority-extension",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "urn:oid:2.16.840.1.114222.4.5.274",
                  "code" : "RRVS18",
                  "display" : "Immediate action requested"
                }
              ]
            }
          }
        ],
        "status" : "current",
        "type" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "83910-0",
              "display" : "Public health Note"
            }
          ],
          "text" : "Public health information"
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "urn:oid:2.16.840.1.114222.4.5.274",
                "code" : "RRVS10",
                "display" : "Treatment and/or prevention"
              }
            ],
            "text" : "Treatment and/or prevention"
          }
        ],
        "subject" : {
          🔗 "reference" : "Patient/patient-ecr-eve-everywoman",
          "display" : "Eve Everywoman"
        },
        "description" : "Zika has particular risks for pregnant women. Follow-up guidance for pregnant women and couples who are planning pregnancy.",
        "content" : [
          {
            "attachment" : {
              "contentType" : "application/pdf",
              "url" : "http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/DocumentReference/documentreference-zika-info-pdf",
      "resource" : {
        "resourceType" : "DocumentReference",
        "id" : "documentreference-zika-info-pdf",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-documentreference"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DocumentReference_documentreference-zika-info-pdf\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference documentreference-zika-info-pdf</b></p><a name=\"documentreference-zika-info-pdf\"> </a><a name=\"hcdocumentreference-zika-info-pdf\"> </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-rr-documentreference.html\">RR DocumentReference</a></p></div><p><b>Reportability Response Priority Extension</b>: <span title=\"Codes:{urn:oid:2.16.840.1.114222.4.5.274 RRVS17}\">Immediate action required</span></p><p><b>status</b>: Current</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 83910-0}\">Public health information</span></p><p><b>category</b>: <span title=\"Codes:{urn:oid:2.16.840.1.114222.4.5.274 RRVS13}\">Outbreak- or Cluster Related</span></p><p><b>subject</b>: <a href=\"Patient-patient-ecr-eve-everywoman.html\">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><h3>Attachments</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ContentType</b></td><td><b>Url</b></td></tr><tr><td style=\"display: none\">*</td><td>application/pdf</td><td><a href=\"http://statedepartmentofhealth.gov/epi/disease/zika/outbreakinfo.pdf\">http://statedepartmentofhealth.gov/epi/disease/zika/outbreakinfo.pdf</a></td></tr></table></blockquote></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-priority-extension",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "urn:oid:2.16.840.1.114222.4.5.274",
                  "code" : "RRVS17",
                  "display" : "Immediate action required"
                }
              ]
            }
          }
        ],
        "status" : "current",
        "type" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "83910-0",
              "display" : "Public health Note"
            }
          ],
          "text" : "Public health information"
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "urn:oid:2.16.840.1.114222.4.5.274",
                "code" : "RRVS13",
                "display" : "Outbreak- or Cluster Related"
              }
            ],
            "text" : "Outbreak- or Cluster Related"
          }
        ],
        "subject" : {
          🔗 "reference" : "Patient/patient-ecr-eve-everywoman",
          "display" : "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" : [
          {
            "attachment" : {
              "contentType" : "application/pdf",
              "url" : "http://statedepartmentofhealth.gov/epi/disease/zika/outbreakinfo.pdf"
            }
          }
        ]
      }
    }
  ]
}