eICR Composition Example: Initial Public Health Case Report - Eve Everywoman, Zika, Manual Initiation - XML Representation - Electronic Case Reporting (eCR) v3.0.0-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
: eICR Composition Example: Initial Public Health Case Report - Eve Everywoman, Zika, Manual Initiation - XML Representation

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<Composition xmlns="http://hl7.org/fhir">
  <id value="composition-eicr-zika-manual-initiation"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-composition"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Composition composition-eicr-zika-manual-initiation</b></p><a name="composition-eicr-zika-manual-initiation"> </a><a name="hccomposition-eicr-zika-manual-initiation"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-eicr-composition.html">Electronic Initial Case Report Composition</a></p></div><p><b>Composition Version Number</b>: 1</p><p><b>eICR Initiation Type Extension</b>: <span title="Codes:{urn:oid:2.16.840.1.114222.4.5.274 PHC1464}">Manually initiated eICR</span></p><p><b>US Public Health Initiation Reason Extension</b>: Suspicion of Zika</p><p><b>identifier</b>: c03eab8c-11e8-4d0c-ad2a-b385395e27db</p><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 55751-2}">Public Health Case Report</span></p><p><b>encounter</b>: <a href="Encounter-encounter-eicr-eve-everywoman-outpatient.html">Ambulatory Office Visit</a></p><p><b>date</b>: 2018-01-02 22:13:23+0000</p><p><b>author</b>: <a href="PractitionerRole-practitionerrole-henry-seven.html">Henry Seven, MD</a></p><p><b>title</b>: Initial Public Health Case Report - Zika Example</p><p><b>custodian</b>: <a href="Organization-organization-ecr-salem-medical-center.html">Salem Medical Center</a></p></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber">
    <valueString value="1"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-initiation-type-extension">
    <valueCodeableConcept>
      <coding>
        <system value="urn:oid:2.16.840.1.114222.4.5.274"/>
        <code value="PHC1464"/>
        <display value="Manually initiated eICR"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-initiation-reason-extension">
    <valueString value="Suspicion of Zika"/>
  </extension>
  <identifier>
    <value value="c03eab8c-11e8-4d0c-ad2a-b385395e27db"/>
  </identifier>
  <status value="final"/>
  <type>
    <coding>
      <system value="http://loinc.org"/>
      <code value="55751-2"/>
      <display value="Public Health Case Report"/>
    </coding>
  </type>
  <subject>🔗 
    <reference value="Patient/patient-ecr-eve-everywoman"/>
    <display value="Eve Everywoman"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/encounter-eicr-eve-everywoman-outpatient"/>
    <display value="Ambulatory Office Visit"/>
  </encounter>
  <date value="2018-01-02T22:13:23Z"/>
  <author>🔗 
    <reference value="PractitionerRole/practitionerrole-henry-seven"/>
    <display value="Henry Seven, MD"/>
  </author>
  <title value="Initial Public Health Case Report - Zika Example"/>
  <custodian>🔗 
    <reference value="Organization/organization-ecr-salem-medical-center"/>
    <display value="Salem Medical Center"/>
  </custodian>
  <section>
    <title value="History of Present Illness Section"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="10164-2"/>
        <display value="History of Present illness Narrative"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><table xmlns:xsl="http://www.w3.org/1999/XSL/Transform"><tr><td style="font-weight: bold">title</td><td><div title="title">History of Present Illness Section</div></td></tr><tr><td style="font-weight: bold">code</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">History of Present illness Narrative</div>(<div title="code">10164-2</div>)</li><li><div title="system"><a href="http://loinc.org">http://loinc.org</a></div></li></ul></li></ul></td></tr><tr><td colspan="2" lang="en-US" class="text-no-entries">Persistent Cough REPORTED starting on 2018/03/05<br/>Whooping Respiration not reported<br/>Paroxysms Of Coughing REPORTED starting on 2018/03/06<br/>Post-tussive vomiting not reported</td></tr></table></div>
    </text>
  </section>
  <section>
    <title value="Reason for Visit Section"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="29299-5"/>
        <display value="Reason for visit Narrative"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><table xmlns:xsl="http://www.w3.org/1999/XSL/Transform"><tr><td style="font-weight: bold">title</td><td><div title="title">Reason for Visit Section</div></td></tr><tr><td style="font-weight: bold">code</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">Reason for visit Narrative</div>(<div title="code">29299-5</div>)</li><li><div title="system"><a href="http://loinc.org">http://loinc.org</a></div></li></ul></li></ul></td></tr><tr><td colspan="2" lang="en-US" class="text-no-entries"><p>Reason for Visit: Bad cough</p></td></tr></table></div>
    </text>
  </section>
  <section>
    <title value="Chief Complaint"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="10154-3"/>
        <display value="Chief complaint Narrative - Reported"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><table xmlns:xsl="http://www.w3.org/1999/XSL/Transform"><tr><td style="font-weight: bold">title</td><td><div title="title">Chief complaint Narrative - Reported</div></td></tr><tr><td style="font-weight: bold">code</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">Chief complaint Narrative - Reported</div>(<div title="code">10154-3</div>)</li><li><div title="system"><a href="http://loinc.org">http://loinc.org</a></div></li></ul></li></ul></td></tr><tr><td colspan="2" lang="en-US" class="text-no-entries"><p>Chief Complaint: Bad cough</p></td></tr></table></div>
    </text>
  </section>
  <section>
    <title value="Problems Section"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="11450-4"/>
        <display value="Problem list - Reported"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><table xmlns:xsl="http://www.w3.org/1999/XSL/Transform"><tr><td style="font-weight: bold">title</td><td><div title="title">Problems Section</div></td></tr><tr><td style="font-weight: bold">code</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">Problem list - Reported</div>(<div title="code">11450-4</div>)</li><li><div title="system"><a href="http://loinc.org">http://loinc.org</a></div></li></ul></li></ul></td></tr><tr><td style="font-weight: bold">entry</td><td><a href="Condition-condition-eicr-eve-everywoman-common-cold.html">Common cold (disorder)</a><table><tr><td style="font-weight: bold">id</td><td><div title="id">condition-eicr-eve-everywoman-common-cold</div></td></tr><tr><td style="font-weight: bold">meta</td><td><table><tr><td style="font-weight: bold">versionId</td><td><div title="versionId">15</div></td></tr><tr><td style="font-weight: bold">lastUpdated</td><td><div title="lastUpdated">2019-10-10T21:21:49.000-04:00</div></td></tr><tr><td style="font-weight: bold">profile</td><td><div title="profile">http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-condition</div></td></tr></table></td></tr><tr><td style="font-weight: bold">category</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">Problem List Item</div>(<div title="code">problem-list-item</div>)</li><li><div title="system"><a href="http://terminology.hl7.org/CodeSystem/condition-category">http://terminology.hl7.org/CodeSystem/condition-category</a></div></li></ul></li></ul></td></tr><tr><td style="font-weight: bold">code</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">Common cold (disorder)</div>(<div title="code">82272006</div>)</li><li><div title="system"><a href="http://snomed.info/sct">http://snomed.info/sct</a></div></li></ul></li></ul></td></tr><tr><td style="font-weight: bold">subject</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li/><li><a href="Patient-patient-ecr-eve-everywoman.html">Eve Everywoman</a></li></ul></td></tr><tr><td style="font-weight: bold">onsetDateTime</td><td><div title="onsetDateTime">2017-09-23</div></td></tr><tr><td style="font-weight: bold">asserter</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li/><li><a href="Practitioner-practitioner-us-core-henry-seven.html">Henry Seven, MD</a></li></ul></td></tr></table></td></tr></table></div>
    </text>
    <entry>🔗 
      <reference value="Condition/condition-eicr-eve-everywoman-common-cold"/>
      <display value="Common cold (disorder)"/>
    </entry>
  </section>
  <section>
    <title value="Social History Section"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="29762-2"/>
        <display value="Social history note"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><table xmlns:xsl="http://www.w3.org/1999/XSL/Transform"><tr><td style="font-weight: bold">title</td><td><div title="title">Social History Section</div></td></tr><tr><td style="font-weight: bold">code</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">Social history note</div>(<div title="code">29762-2</div>)</li><li><div title="system"><a href="http://loinc.org">http://loinc.org</a></div></li></ul></li></ul></td></tr><tr><td style="font-weight: bold">entry</td><td><a href="Observation-observation-travel-history-eve-everywoman-201801.html">eICR Travel History: Eve Everywoman 2018-01</a><table><tr><td style="font-weight: bold">id</td><td><div title="id">observation-travel-history-eve-everywoman-201801</div></td></tr><tr><td style="font-weight: bold">meta</td><td><table><tr><td style="font-weight: bold">versionId</td><td><div title="versionId">11</div></td></tr><tr><td style="font-weight: bold">lastUpdated</td><td><div title="lastUpdated">2019-10-05T03:15:42.000-04:00</div></td></tr><tr><td style="font-weight: bold">profile</td><td><div title="profile">http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-travel-history</div></td></tr></table></td></tr><tr><td style="font-weight: bold">status</td><td><div title="status">final</div></td></tr><tr><td style="font-weight: bold">code</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="text">Travel History</div></li><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">Travel</div>(<div title="code">420008001</div>)</li><li><div title="system"><a href="http://snomed.info/sct">http://snomed.info/sct</a></div></li></ul></li></ul></td></tr><tr><td style="font-weight: bold">subject</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li/><li><a href="Patient-patient-ecr-eve-everywoman.html">Eve Everywoman</a></li></ul></td></tr><tr><td style="font-weight: bold">effectivePeriod</td><td><table><tr><td style="font-weight: bold">start</td><td><div title="start">2018-01-15</div></td></tr><tr><td style="font-weight: bold">end</td><td><div title="end">2018-01-30</div></td></tr></table></td></tr><tr><td style="font-weight: bold">component</td><td><table><tr><td style="font-weight: bold">code</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">Location</div>(<div title="code">LOC</div>)</li><li><div title="system"><a href="http://terminology.hl7.org/CodeSystem/v3-ParticipationType">http://terminology.hl7.org/CodeSystem/v3-ParticipationType</a></div></li></ul></li></ul></td></tr><tr><td style="font-weight: bold">valueCodeableConcept</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">Fiji</div>(<div title="code">FJI</div>)</li><li><div title="system">urn:iso:std:iso:3166</div></li></ul></li></ul></td></tr></table></td></tr><tr><td style="font-weight: bold">component</td><td><table><tr><td style="font-weight: bold">code</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">Location</div>(<div title="code">LOC</div>)</li><li><div title="system"><a href="http://terminology.hl7.org/CodeSystem/v3-ParticipationType">http://terminology.hl7.org/CodeSystem/v3-ParticipationType</a></div></li></ul></li></ul></td></tr><tr><td style="font-weight: bold">valueCodeableConcept</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">Vanuatu</div>(<div title="code">VUT</div>)</li><li><div title="system">urn:oid:1.0.3166.1</div></li></ul></li></ul></td></tr></table></td></tr></table></td></tr><tr><td style="font-weight: bold">entry</td><td><a href="Observation-observation-odh-usual-work-eve-everywoman.html">ODH Usual Work Example</a><table><tr><td style="font-weight: bold">id</td><td><div title="id">observation-odh-usual-work-eve-everywoman</div></td></tr><tr><td style="font-weight: bold">meta</td><td><table><tr><td style="font-weight: bold">versionId</td><td><div title="versionId">2</div></td></tr><tr><td style="font-weight: bold">lastUpdated</td><td><div title="lastUpdated">2019-10-20T10:53:14.000-04:00</div></td></tr><tr><td style="font-weight: bold">profile</td><td><div title="profile">http://hl7.org/fhir/us/odh/StructureDefinition/odh-UsualWork</div></td></tr></table></td></tr><tr><td style="font-weight: bold">status</td><td><div title="status">final</div></td></tr><tr><td style="font-weight: bold">code</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">History of Usual occupation</div>(<div title="code">21843-8</div>)</li><li><div title="system"><a href="http://loinc.org">http://loinc.org</a></div></li></ul></li></ul></td></tr><tr><td style="font-weight: bold">subject</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li/><li><a href="Patient-patient-ecr-eve-everywoman.html">Eve Everywoman</a></li></ul></td></tr><tr><td style="font-weight: bold">effectivePeriod</td><td><table><tr><td style="font-weight: bold">start</td><td><div title="start">2015-01-01</div></td></tr><tr><td style="font-weight: bold">end</td><td><div title="end">2018-03-07</div></td></tr></table></td></tr><tr><td style="font-weight: bold">valueCodeableConcept</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">Human Resources Managers</div>(<div title="code">0136</div>)</li><li><div title="system"><a href="https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.114222.4.5.314">https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.114222.4.5.314</a></div></li></ul></li></ul></td></tr><tr><td style="font-weight: bold">component</td><td><table><tr><td style="font-weight: bold">code</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">History of Usual industry</div>(<div title="code">21844-6</div>)</li><li><div title="system"><a href="http://loinc.org">http://loinc.org</a></div></li></ul></li></ul></td></tr><tr><td style="font-weight: bold">valueCodeableConcept</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">Hospitals</div>(<div title="code">8190</div>)</li><li><div title="system"><a href="https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.114222.4.5.315">https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.114222.4.5.315</a></div></li></ul></li></ul></td></tr></table></td></tr></table></td></tr></table></div>
    </text>
    <entry>🔗 
      <reference
                 value="Observation/observation-travel-history-eve-everywoman-201801"/>
      <display value="eICR Travel History: Eve Everywoman 2018-01"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Observation/observation-odh-usual-work-eve-everywoman"/>
      <display value="ODH Usual Work Example"/>
    </entry>
  </section>
  <section>
    <title value="Medications Administered Section"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="29549-3"/>
        <display value="Medication administered Narrative"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><table xmlns:xsl="http://www.w3.org/1999/XSL/Transform"><tr><td style="font-weight: bold">title</td><td><div title="title">Medications Administered Section</div></td></tr><tr><td style="font-weight: bold">code</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">Medication administered Narrative</div>(<div title="code">29549-3</div>)</li><li><div title="system"><a href="http://loinc.org">http://loinc.org</a></div></li></ul></li></ul></td></tr><tr><td style="font-weight: bold">entry</td><td><a href="MedicationAdministration-medicationadministration-eve-everywoman-azithromycin.html">Azithromycin 500 MG Oral Tablet</a><table><tr><td style="font-weight: bold">id</td><td><div title="id">medicationadministration-eve-everywoman-azithromycin</div></td></tr><tr><td style="font-weight: bold">meta</td><td><table><tr><td style="font-weight: bold">versionId</td><td><div title="versionId">10</div></td></tr><tr><td style="font-weight: bold">lastUpdated</td><td><div title="lastUpdated">2019-10-05T03:11:22.000-04:00</div></td></tr></table></td></tr><tr><td style="font-weight: bold">status</td><td><div title="status">completed</div></td></tr><tr><td style="font-weight: bold">medicationCodeableConcept</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="text">Azithromycin 500 MG Oral Tablet</div></li><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">Azithromycin 500 MG Oral Tablet</div>(<div title="code">248656</div>)</li><li><div title="system"><a href="http://www.nlm.nih.gov/research/umls/rxnorm">http://www.nlm.nih.gov/research/umls/rxnorm</a></div></li></ul></li></ul></td></tr><tr><td style="font-weight: bold">subject</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li/><li><a href="Patient-patient-ecr-eve-everywoman.html">Eve Everywoman</a></li></ul></td></tr><tr><td style="font-weight: bold">effectivePeriod</td><td><table><tr><td style="font-weight: bold">start</td><td><div title="start">2018-03-07</div></td></tr><tr><td style="font-weight: bold">end</td><td><div title="end">2018-03-07</div></td></tr></table></td></tr><tr><td style="font-weight: bold">dosage</td><td><table><tr><td style="font-weight: bold">route</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">Oral Route</div>(<div title="code">26643006</div>)</li><li><div title="system"><a href="http://snomed.info/sct">http://snomed.info/sct</a></div></li></ul></li></ul></td></tr><tr><td style="font-weight: bold">method</td><td><ul style="list-style:none; padding-left:0; margin:0 0;"><li><ul style="list-style:none; padding-left:0; margin:0 0;"><li><div title="display">Swallow - dosing instruction imperative (qualifier value)</div>(<div title="code">421521009</div>)</li><li><div title="system"><a href="http://snomed.info/sct">http://snomed.info/sct</a></div></li></ul></li></ul></td></tr><tr><td style="font-weight: bold">dose</td><td><table><tr><td style="font-weight: bold">value</td><td><div title="value">2</div></td></tr><tr><td style="font-weight: bold">unit</td><td><div title="unit">TAB</div></td></tr><tr><td style="font-weight: bold">system</td><td><div title="system"><a href="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm">http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm</a></div></td></tr><tr><td style="font-weight: bold">code</td><td><div title="code">TAB</div></td></tr></table></td></tr></table></td></tr></table></td></tr></table></div>
    </text>
    <entry>🔗 
      <reference
                 value="MedicationAdministration/medicationadministration-eve-everywoman-azithromycin"/>
      <display value="Azithromycin 500 MG Oral Tablet"/>
    </entry>
  </section>
  <section>
    <title value="Results Section"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="30954-2"/>
        <display value="Relevant diagnostic tests/laboratory data note"/>
      </coding>
    </code>
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