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

Example Bundle: RR Document Bundle Example: One Condition, One PHA

Document Details

Language: en

Profile: RR Document Bundle

Final Document at 2018-07-19 04:09:06+0000 by Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999 for Eve Everywoman in encounter Ambulatory Office Visit


Document Subject

Language: en

Profile: US Public Health Patient

Eve L Everywoman Female, DoB: 1974-11-24 ( Medical Record Number: 1032702 (use: usual))


Active:trueDeceased:false
Contact Detail
Language:English
US Core Ethnicity Extension:
US Core Birth Sex ExtensionF
US Core Race Extension:
US Core Tribal Affiliation Extension:
  • tribalAffiliation: Fort Mojave Indian Tribe of Arizona, California & Nevada
  • isEnrolled: true

Document Content

Reportability Response Subject Section

Public Health Reporting Communication: one or more conditions are reportable, or may be reportable to public health

Electronic Initial Case Report Section

Reportability Response Summary Section

Summary:

Your organization electronically submitted an initial case report to determine if reporting to public health is needed for a patient. "Zika virus disease (disorder)" is reportable to "State Department of Health". An initial case report was sent to "State Department of Health". Additional information may be required for this report.

"Zika virus disease (disorder)" for "State Department of Health"

Reporting is required within "24 hours". Reporting to this Public Health Agency is based on "both patient home address and provider facility address".

  • Local mosquito-borne Zika virus transmission was reported in your area. Increased watchfulness for symptoms of Zika virus in your patients is warranted. (Immediate action requested)

  • Additional information for the required reporting of Zika must be submitted to State Department of Health immediately. This additional information can be submitted here. ( Link - Immediate action required)

  • Zika has particular risks for pregnant women. Follow-up guidance for pregnant women and couples who are planning pregnancy. ( Link - Immediate action requested)

  • Further Laboratory testing for Zika may be needed. Guidance for additional testing and specimen collection ( Link - Action requested)

  • Forms for submitting further Zika laboratory testing ( Link - Information only)

  • Treatment guidance ( Link - Information only)

  • If you have additional questions regarding Zika or reporting, contact information for the State Department of Health is available here. ( Link - Information Only)

Additional Resources (Information only):

  • Control and prevention information for providers ( Link)

  • Detailed condition references ( Link)

  • Prevalence in State ( Link)

  • CDC webpage ( Link)

  • Patient information factsheet ( Link)

  • State Resident information ( Link)


Additional Resources Included in Document


Entry 2 - fullUrl = http://example.org/fhir/us/ecr/Bundle/bundle-eicr-document-zika

Resource Bundle:

Document Details

Language: en

Profile: eICR Document Bundle

Final Document at 2018-01-02 22:13:23+0000 by Henry Seven, MD for Eve Everywoman in encounter Ambulatory Office Visit


Document Subject

Language: en

Profile: US Public Health Patient

Eve L Everywoman Female, DoB: 1974-11-24 ( Medical Record Number: 1032702 (use: usual))


Active:trueDeceased:false
Contact Detail
Language:English
US Core Ethnicity Extension:
US Core Birth Sex ExtensionF
US Core Race Extension:
US Core Tribal Affiliation Extension:
  • tribalAffiliation: Fort Mojave Indian Tribe of Arizona, California & Nevada
  • isEnrolled: true

Document Content

Reason for Visit Section

title
Reason for Visit Section
code

Reason for Visit: Bad cough

Chief Complaint

title
Chief complaint Narrative - Reported
code

Chief Complaint: Bad cough

History of Present Illness Section

title
History of Present Illness Section
code
Persistent Cough REPORTED starting on 2018/03/05
Whooping Respiration not reported
Paroxysms Of Coughing REPORTED starting on 2018/03/06
Post-tussive vomiting not reported

Problems Section

title
Problems Section
code
entryCommon cold (disorder)
id
condition-eicr-eve-everywoman-common-cold
meta
versionId
15
lastUpdated
2019-10-10T21:21:49.000-04:00
profile
http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-condition
category
code
subject
onsetDateTime
2017-09-23
asserter

Medications Administered Section

title
Medications Administered Section
code
entryAzithromycin 500 MG Oral Tablet
id
medicationadministration-eve-everywoman-azithromycin
meta
versionId
10
lastUpdated
2019-10-05T03:11:22.000-04:00
status
completed
medicationCodeableConcept
subject
effectivePeriod
start
2018-03-07
end
2018-03-07
dosage
route
method
dose
value
2
unit
TAB
system
code
TAB

Admission Medications Section

title
Admission Medications Section
code
entry1 ML naloxone hydrochloride 0.4 MG/ML Injection

Medications Section

title
Medications Section
code
entryAzithromycin 500 MG Oral Tablet

Results Section

title
Results Section
code
entryLymphocytes [#/​volume] in Blood by Automated count - Interpretation: High
id
observation-us-ph-lab-result-eve-everywoman-lymphocytes
meta
versionId
10
lastUpdated
2019-10-05T02:50:13.000-04:00
profile
http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-lab-result-observation
status
final
category
code
subject
effectiveDateTime
2018-03-07
valueQuantity
interpretation
referenceRange
low
value
1
system
code
10*3/uL
high
value
4.8
system
code
10*3/uL

Plan of Treatment Section

title
Plan of Treatment Section
code
entry
  • Trigger code
  • Trigger Code:
  • Trigger Code Display:
  • Trigger Code System:
  • Trigger Code Value Set: urn:oid:2.16.840.1.114222.4.11.7508
  • Trigger Code Value Set Version: 19/05/2018
Request for Zika virus envelope (E) gene [Presence] in Serum by Probe and target amplification method
id
servicerequest-eicr-zika
meta
versionId
9
lastUpdated
2019-10-23T13:56:36.000-04:00
profile
http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-servicerequest
status
completed
intent
order
category
code
  • Zika RT-PCR
    • Zika virus envelope E gene [Presence] in Serum by NAA with probe detection
      (
      80825-3
      )
subject
performer

Immunizations Section

title
Immunizations Section
code
entrypneumococcal polysaccharide vaccine
entryVaccine Credential Patient Assertion Observation Example

Procedures Section

title
Procedures Section
code
entryExtracorporeal membrane oxygenation (procedure)

Vital Signs Section

title
Vital Signs Section
code
entryBlood pressure systolic and diastolic

Social History Section

title
Social History Section
code
entryeICR Travel History: Eve Everywoman 2018-01
id
observation-travel-history-eve-everywoman-201801
meta
versionId
11
lastUpdated
2019-10-05T03:15:42.000-04:00
profile
http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-travel-history
status
final
code
subject
effectivePeriod
start
2018-01-15
end
2018-01-30
component
code
valueCodeableConcept
    • Fiji
      (
      FJI
      )
    • urn:iso:std:iso:3166
component
code
valueCodeableConcept
entryODH Usual Work Example
id
observation-odh-usual-work-eve-everywoman
meta
versionId
2
lastUpdated
2019-10-20T10:53:14.000-04:00
profile
http://hl7.org/fhir/us/odh/StructureDefinition/odh-UsualWork
status
final
code
subject
effectivePeriod
start
2015-01-01
end
2018-03-07
valueCodeableConcept
component
code
valueCodeableConcept

Pregnancy Section

title
Pregnancy Section
code
entryeICR Pregnancy Status Example
id
observation-pregnancy-status-eve-everywoman
meta
versionId
13
lastUpdated
2019-10-05T03:15:42.000-04:00
profile
http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-pregnancy-status-observation
us-ph-date-recorded-extension
  • 2017-10-01
date-determined-extension
  • 2017-10-01
status
final
code
subject
effectivePeriod
start
2017-08-26
valueCodeableConcept
method
component
date-determined-extension
  • 2017-10-01
code
    • Gestational age Estimated from patient reported estimated date of conception
      (
      53691-2
      )
valueQuantity
  • 143
  • d
component
date-determined-extension
  • 2017-10-01
code
    • Delivery date Estimated from date fundal height reaches umb
      (
      57064-8
      )
valueDateTime
2018-05-01

Emergency Outbreak Information Section

title
Emergency Outbreak Information Section
code
entryUS Public Health Emergency Outbreak Information Example

Past Medical History Section

title
Past Medical History Section
code

Past medical history

Review of Systems Section

title
Review of Systems Section
code

Review of systems


Additional Resources Included in Document


Entry 2 - fullUrl = http://example.org/fhir/us/ecr/MedicationAdministration/medicationadministration-eve-everywoman-azithromycin

Resource MedicationAdministration:

status: completed

subject: Eve Everywoman

Dosages
-TextRouteMethodDose
*Two tablets at onceOral routeSwallow - dosing instruction imperative (qualifier value)2 TAB (Details: Orderable Drug Form codeTAB = 'Tablet')

Entry 3 - fullUrl = http://example.org/fhir/us/ecr/Procedure/procedure-ecmo

Resource Procedure:

Language: en

Profile: eICR Procedure

identifier: Uniform Resource Identifier (URI)/urn:uuid:b2a737f2-2fdb-49c1-b097-dac173d07afd

status: Completed

code: Extracorporeal membrane oxygenation (procedure)

subject: Eve L Everywoman Female, DoB: 1974-11-24 ( Medical Record Number: 1032702 (use: usual))

FocalDevices
-Manipulated
*Device: status = active; manufacturer = ACME Biomedical; expirationDate = 2022-01-01; lotNumber = M320; serialNumber = AC222; modelNumber = 4.0; type = Extracorporeal membrane oxygenator (physical object)

Entry 4 - fullUrl = http://example.org/fhir/us/ecr/MedicationAdministration/medicationadministration-eve-everywoman-naloxone-response

Resource MedicationAdministration:

US Public Health Therapeutic Medication Response Extension: Patient's condition improved (finding)

status: completed

subject: Eve Everywoman

Dosages
-RouteMethodDose
*Gluteus maximus muscleInject - dosing instruction imperative (qualifier value)1 mL (Details: UCUM codemL = 'mL')

Entry 5 - fullUrl = http://example.org/fhir/us/ecr/ServiceRequest/servicerequest-eicr-zika

Resource ServiceRequest:

Language: en

Profile: eICR ServiceRequest

identifier: http://example.org/lab.smarthealthit.org/061ef612-344f-4e7b-81a8-1059ae7bbe11

status: Completed

intent: Order

category: Evaluation Procedure

code: No display for ServiceRequest.code (concept: Zika RT-PCR)

subject: Eve Everywoman

performer: Acme Labs


Entry 6 - fullUrl = http://example.org/fhir/us/ecr/Condition/condition-eicr-eve-everywoman-common-cold

Resource Condition:

category: Encounter Diagnosis

code: Common cold (disorder)

subject: Eve Everywoman

onset: 2017-09-23

asserter: Henry Seven, MD


Entry 7 - fullUrl = http://example.org/fhir/us/ecr/Encounter/encounter-eicr-eve-everywoman-outpatient

Resource Encounter:

Language: en

Profile: eICR Encounter

identifier: http://example.org/hospital.smarthealthit.org/9937012

status: completed

class: ambulatory

type: Office Visit

subject: Eve Everywoman

serviceProvider: Salem Medical Center, 22222 Health Authority Drive, Ann Arbor MI, 99999

Participants
-Type
*attender

diagnosis

eICR Trigger Code Flag Extension

  • triggerCodeValueSet: urn:oid:2.16.840.1.114222.4.11.7508
  • triggerCodeValueSetVersion: 12/12/2018
  • triggerCode: SNOMED CT: 3928002 (Zika virus disease (disorder))

condition: No display for Encounter.diagnosis.condition (reference: ->Condition Zika virus disease (disorder))

diagnosis

condition: No display for Encounter.diagnosis.condition (reference: ->Condition Common cold (disorder))

Locations
-Location
*Clinic Bldg A, Salem Medical Center, 4646 Brown Rd, Salem, MA 02368

Entry 8 - fullUrl = http://example.org/fhir/us/ecr/Observation/observation-pregnancy-status-eve-everywoman

Resource Observation:

US Public Health Date Determined Extension: 2017-10-01

status: Final

category: Social History

code: Pregnancy status

subject: Eve Everywoman

effective: 2017-08-26

performer: Henry Seven, MD: Primary Care Clinic/Center at Salem Medical Center (http://hl7.org/fhir/sid/us-npi#NPI#9941339108)

value: Pregnancy (finding)

method: Ultrasonography (procedure)

component

US Public Health Date Determined Extension: 2017-10-01

code: Gestational age Estimated from patient reported estimated date of conception

value: 143 d

component

US Public Health Date Determined Extension: 2017-10-01

code: Delivery date Estimated from date fundal height reaches umb

value: 2018-05-01


Entry 9 - fullUrl = http://example.org/fhir/us/ecr/Observation/observation-vaccine-credential-assertion-eve-everywoman

Resource Observation:

status: Final

category: Social History

code: Immunization status - Reported

subject: Eve Everywoman

effective: 2020-11-10 22:33:22+0000

performer: Henry Seven, MD: Primary Care Clinic/Center at Salem Medical Center (http://hl7.org/fhir/sid/us-npi#NPI#9941339108)

value: Yes


Entry 10 - fullUrl = http://example.org/fhir/us/ecr/Observation/observation-us-ph-emergency-outbreak-info-eve-everywoman

Resource Observation:

status: Final

category: Social History

code: Employee desk distance from mail sorter

subject: Eve Everywoman

effective: 2020-11-18 22:33:22+0000

performer: Henry Seven, MD: Primary Care Clinic/Center at Salem Medical Center (http://hl7.org/fhir/sid/us-npi#NPI#9941339108)

value: 2 m


Entry 11 - fullUrl = http://example.org/fhir/us/ecr/Observation/observation-country-of-nationality-eve-everywoman

Resource Observation:

status: Final

category: Social History

code: Ethnicity / related nationality data (observable entity)

subject: Eve Everywoman

effective: 2020-11-10 22:33:22+0000

performer: Henry Seven, MD: Primary Care Clinic/Center at Salem Medical Center (http://hl7.org/fhir/sid/us-npi#NPI#9941339108)

value: Australia


Entry 12 - fullUrl = http://example.org/fhir/us/ecr/Patient/patient-ecr-eve-everywoman

Resource Patient:

Language: en

Profile: US Public Health Patient

Eve L Everywoman Female, DoB: 1974-11-24 ( Medical Record Number: 1032702 (use: usual))


Active:trueDeceased:false
Contact Detail
Language:English
US Core Ethnicity Extension:
US Core Birth Sex ExtensionF
US Core Race Extension:
US Core Tribal Affiliation Extension:
  • tribalAffiliation: Fort Mojave Indian Tribe of Arizona, California & Nevada
  • isEnrolled: true

Entry 13 - fullUrl = http://example.org/fhir/us/ecr/Immunization/immunization-ecr-pneumo

Resource Immunization:

Language: en

Profile: US Core Immunization Profile version: 6.1.0

status: Completed

vaccineCode: pneumococcal polysaccharide PPV23

patient: Eve Everywoman

occurrence: 2018-09-01

primarySource: true


Entry 14 - fullUrl = http://example.org/fhir/us/ecr/Observation/observation-country-of-residence-eve-everywoman

Resource Observation:

status: Final

category: Social History

code: Country of usual residence

subject: Eve Everywoman

effective: 2020-11-10 22:33:22+0000

performer: Henry Seven, MD: Primary Care Clinic/Center at Salem Medical Center (http://hl7.org/fhir/sid/us-npi#NPI#9941339108)

value: United Kingdom of Great Britain and Northern Ireland


Entry 15 - fullUrl = http://example.org/fhir/us/ecr/PractitionerRole/practitionerrole-henry-seven

Resource PractitionerRole:

Henry Seven, MD: Primary Care Clinic/Center at Salem Medical Center (http://hl7.org/fhir/sid/us-npi#NPI#9941339108)


Practitioner:Henry Seven, MD
Organization:Salem Medical Center
Role:Primary Care Clinic/Center
Specialty:Family practice
Location:Salem Medical Center
Contact Detail

Entry 16 - fullUrl = http://example.org/fhir/us/ecr/Observation/observation-blood-pressure-eve-everywoman

Resource Observation:

Language: en

Profile: US Core Blood Pressure Profile version: 6.1.0

status: Final

category: Vital Signs

code: Blood pressure systolic and diastolic

subject: Eve Everywoman

encounter: GP Visit

effective: 2020-07-02

performer: Henry Seven, MD: Primary Care Clinic/Center at Salem Medical Center (http://hl7.org/fhir/sid/us-npi#NPI#9941339108)

component

code: Systolic blood pressure

value: 109 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

component

code: Diastolic blood pressure

value: 44 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')


Entry 17 - fullUrl = http://example.org/fhir/us/ecr/Observation/observation-us-ph-exposure-contact-info-football-game

Resource Observation:

status: Final

category: An interaction between entities that provides opportunity for transmission of a physical, chemical, or biological agent from an exposure source entity to an exposure target entity.

code: Mass gathering (football game)

subject: Eve Everywoman

focus: City Football Stadium

effective: 2020-01-11 18:00:00+0000 --> 2020-01-11 21:30:00+0000

performer: Henry Seven, MD: Primary Care Clinic/Center at Salem Medical Center (http://hl7.org/fhir/sid/us-npi#NPI#9941339108)

value: City Football Stadium

Components
-CodeValue[x]
*ExposureAgentSevere acute respiratory syndrome coronavirus 2 (organism)

Entry 18 - fullUrl = http://example.org/fhir/us/ecr/Observation/observation-travel-history-eve-everywoman-201801

Resource Observation:

Language: en

Profile: US Public Health Travel History

status: Final

category: Social History

code: Travel History

subject: Eve Everywoman

effective: 2018-01-15 --> 2018-01-30

performer: Henry Seven, MD: Primary Care Clinic/Center at Salem Medical Center (http://hl7.org/fhir/sid/us-npi#NPI#9941339108)

component

code: Location

value: Vanuatu

component

code: Type of activity (attribute)

value: Active duty military (occupation)


Entry 19 - fullUrl = http://example.org/fhir/us/ecr/Observation/observation-disability-status-eve-everywoman

Resource Observation:

status: Final

category: Disability Status

code: Are you deaf, or do you have serious difficulty hearing

subject: Eve Everywoman

effective: 2020-11-10 22:33:22+0000

performer: Henry Seven, MD: Primary Care Clinic/Center at Salem Medical Center (http://hl7.org/fhir/sid/us-npi#NPI#9941339108)

value: Yes


Entry 20 - fullUrl = http://example.org/fhir/us/ecr/Observation/observation-us-ph-lab-result-eve-everywoman-lymphocytes

Resource Observation:

status: Final

category: Laboratory

code: Lymphocytes [#/volume] in Blood by Automated count

subject: Eve Everywoman

effective: 2018-03-07

performer: Acme_Labs (outpatient laboratory) (http://hl7.org/fhir/sid/us-npi#NPI#1144221847)

value: 5.2 10*3/uL (Details: UCUM code10*3/uL = '10*3/uL')

interpretation: High

ReferenceRanges
-LowHigh
*1 10*3/uL (Details: UCUM code10*3/uL = '10*3/uL')4.8 10*3/uL (Details: UCUM code10*3/uL = '10*3/uL')

Entry 21 - fullUrl = http://example.org/fhir/us/ecr/Organization/organization-ecr-acme-laboratory

Resource Organization:

Language: en

Profile: US Public Health Organization

Acme_Labs (outpatient laboratory) (http://hl7.org/fhir/sid/us-npi#NPI#1144221847)


Active:true
Type:outpatient laboratory
Contact Detail

Entry 22 - fullUrl = http://example.org/fhir/us/ecr/Observation/observation-odh-usual-work-eve-everywoman

Resource Observation:

Language: en

Profile: Usual Work

status: Final

code: History of Usual occupation

subject: Eve Everywoman

effective: 2015-01-01 --> 2018-03-07

performer: Seven Henry (http://hl7.org/fhir/sid/us-npi#NPI#9941339100)

value: Human Resources Managers

Components
-CodeValue[x]
*History of Usual industryHospitals

Entry 23 - fullUrl = http://example.org/fhir/us/ecr/Location/location-ecr-salem-medical-center

Resource Location:

Language: en

Profile: US Public Health Location

Clinic Bldg A, Salem Medical Center (Hospital) (http://hl7.org/fhir/sid/us-npi#NPI#1144221995)


Status:Active
Type:Hospital
Address:Clinic Bldg A 4444 Healthcare Drive Ann Arbor MI 99999
Managed By:Salem Medical Center (Outpatient facility) (http://hl7.org/fhir/sid/us-npi#NPI#1144221847)
Contact Detail

Entry 24 - fullUrl = http://example.org/fhir/us/ecr/Location/location-ecr-city-football-stadium

Resource Location:

Language: en

Profile: US Core Location Profile version: 6.1.0

City Football Stadium (City Football Stadium)


Status:Active
Type:City Football Stadium
Address:99 Football Stadium Road My City AZ 8562

Entry 25 - fullUrl = http://example.org/fhir/us/ecr/Organization/organization-ecr-salem-medical-center

Resource Organization:

Language: en

Profile: US Public Health Organization

Salem Medical Center (Outpatient facility) (http://hl7.org/fhir/sid/us-npi#NPI#1144221847)


Active:true
Type:Outpatient facility
Contact Detail

Entry 26 - fullUrl = http://example.org/fhir/us/ecr/Condition/condition-eicr-eve-everywoman-zika

Resource Condition:

category: Encounter Diagnosis

code: Zika virus disease (disorder)

subject: Eve Everywoman

onset: 2017-08-23

asserter: Henry Seven, MD


Entry 27 - fullUrl = http://example.org/fhir/us/ecr/Practitioner/practitioner-us-core-henry-seven

Resource Practitioner:

Language: en

Profile: US Core Practitioner Profile version: 6.1.0

Seven Henry (http://hl7.org/fhir/sid/us-npi#NPI#9941339100)


Contact Detail

Entry 28 - fullUrl = http://example.org/fhir/us/ecr/Device/device-ecmo

Resource Device:

Language: en

UdiCarriers
-DeviceIdentifierCarrierHRFEntryType
*99863313444316(01)99863313444316(17)220101(10)M320(21)AC222RFID

status: Active

manufacturer: ACME Biomedical

expirationDate: 2022-01-01

lotNumber: M320

serialNumber: AC222

modelNumber: 4.0

type: Extracorporeal membrane oxygenator (physical object)


Entry 3 - fullUrl = http://example.org/fhir/us/ecr/Observation/observation-rr-relevant-reportable-condition-observation

Resource Observation:

status: Final

code: Condition

subject: Eve Everywoman

effective: 2025-07-02

performer: Acme Platform

value: Zika virus disease (disorder)

hasMember: Observation Patient home address


Entry 4 - fullUrl = http://example.org/fhir/us/ecr/Encounter/encounter-eicr-eve-everywoman-outpatient

Resource Encounter:

Language: en

Profile: eICR Encounter

identifier: http://example.org/hospital.smarthealthit.org/9937012

status: completed

class: ambulatory

type: Office Visit

subject: Eve Everywoman

serviceProvider: Salem Medical Center, 22222 Health Authority Drive, Ann Arbor MI, 99999

Participants

-Type
*attender

diagnosis

eICR Trigger Code Flag Extension

  • triggerCodeValueSet: urn:oid:2.16.840.1.114222.4.11.7508
  • triggerCodeValueSetVersion: 12/12/2018
  • triggerCode: SNOMED CT: 3928002 (Zika virus disease (disorder))

condition: No display for Encounter.diagnosis.condition (reference: ->Condition Zika virus disease (disorder))

diagnosis

condition: No display for Encounter.diagnosis.condition (reference: ->Condition Common cold (disorder))

Locations

-Location
*Clinic Bldg A, Salem Medical Center, 4646 Brown Rd, Salem, MA 02368

Entry 5 - fullUrl = http://example.org/fhir/us/ecr/Organization/organization-ecr-health-authority-west

Resource Organization:

Language: en

Profile: US Public Health Organization

Health Authority West (http://hl7.org/fhir/sid/us-npi#NPI#1144221847)


Active:true
Contact Detail

Entry 6 - fullUrl = http://example.org/fhir/us/ecr/Observation/observation-rr-summary

Resource Observation:

Language: en

Profile: RR Summary Observation

status: Final

code: Informing health care professional (procedure)

subject: Eve Everywoman

effective: 2025-07-02

performer: Acme Platform

value: Your organization electronically submitted an initial case report to determine if reporting to public health is needed for a patient. 'Zika virus disease (disorder)' is reportable to 'State Department of Health'. An initial case report was sent to 'State Department of Health'. Additional information may be required for this report.


Entry 7 - fullUrl = http://example.org/fhir/us/ecr/Patient/patient-ecr-eve-everywoman

Resource Patient:

Language: en

Profile: US Public Health Patient

Eve L Everywoman Female, DoB: 1974-11-24 ( Medical Record Number: 1032702 (use: usual))


Active:trueDeceased:false
Contact Detail
Language:English
US Core Ethnicity Extension:
US Core Birth Sex ExtensionF
US Core Race Extension:
US Core Tribal Affiliation Extension:
  • tribalAffiliation: Fort Mojave Indian Tribe of Arizona, California & Nevada
  • isEnrolled: true

Entry 8 - fullUrl = http://example.org/fhir/us/ecr/Observation/observation-rr-reportability-information-observation

Resource Observation:

US Public Health Determination of Reportability Extension: Reportable

US Public Health Determination of Reportability Reason Extension: A reason why the condition is reportable

US Public Health Determination of Reportability Rule Extension: Description of rule used in reportability determination

RR External Resource Extension: DocumentReference: extension = Action requested; status = current; type = Public health information; 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.

RR External Resource Extension: DocumentReference: extension = Immediate action requested; status = current; type = Public health information; category = Treatment and/or prevention; description = Zika has particular risks for pregnant women. Follow-up guidance for pregnant women and couples who are planning pregnancy.

status: Final

code: Patient home address

subject: Eve Everywoman

effective: 2025-07-02

performer:

Components

-CodeValue[x]
*Timeframe to report (urgency)24 H (Details: UCUM codeH = 'H')

Entry 9 - fullUrl = http://example.org/fhir/us/ecr/PractitionerRole/practitionerrole-henry-seven

Resource PractitionerRole:

Henry Seven, MD: Primary Care Clinic/Center at Salem Medical Center (http://hl7.org/fhir/sid/us-npi#NPI#9941339108)


Practitioner:Henry Seven, MD
Organization:Salem Medical Center
Role:Primary Care Clinic/Center
Specialty:Family practice
Location:Salem Medical Center
Contact Detail

Entry 10 - fullUrl = http://example.org/fhir/us/ecr/Condition/condition-eicr-eve-everywoman-common-cold

Resource Condition:

category: Encounter Diagnosis

code: Common cold (disorder)

subject: Eve Everywoman

onset: 2017-09-23

asserter: Henry Seven, MD


Entry 11 - fullUrl = http://example.org/fhir/us/ecr/Location/location-ecr-salem-medical-center

Resource Location:

Language: en

Profile: US Public Health Location

Clinic Bldg A, Salem Medical Center (Hospital) (http://hl7.org/fhir/sid/us-npi#NPI#1144221995)


Status:Active
Type:Hospital
Address:Clinic Bldg A 4444 Healthcare Drive Ann Arbor MI 99999
Managed By:Salem Medical Center (Outpatient facility) (http://hl7.org/fhir/sid/us-npi#NPI#1144221847)
Contact Detail

Entry 12 - fullUrl = http://example.org/fhir/us/ecr/Organization/organization-ecr-salem-medical-center

Resource Organization:

Language: en

Profile: US Public Health Organization

Salem Medical Center (Outpatient facility) (http://hl7.org/fhir/sid/us-npi#NPI#1144221847)


Active:true
Type:Outpatient facility
Contact Detail

Entry 13 - fullUrl = http://example.org/fhir/us/ecr/Condition/condition-eicr-eve-everywoman-zika

Resource Condition:

category: Encounter Diagnosis

code: Zika virus disease (disorder)

subject: Eve Everywoman

onset: 2017-08-23

asserter: Henry Seven, MD


Entry 14 - fullUrl = http://example.org/fhir/us/ecr/Organization/organization-rr-routing-entity-haw

Resource Organization:

Language: en

Profile: RRRouting Entity Organization

Health Authority West Routing Entity (Routing Entity) (http://hl7.org/fhir/sid/us-npi#NPI#1144221847)


Active:true
Type:Routing Entity
Contact Detail

Entry 15 - fullUrl = http://example.org/fhir/us/ecr/Organization/organization-rr-rules-authoring-agency-haw

Resource Organization:

Health Authority West Rules Authoring Agency (Rules Authoring Agency) (http://hl7.org/fhir/sid/us-npi#NPI#1144221847)


Active:true
Type:Rules Authoring Agency
Contact Detail

Entry 16 - fullUrl = http://example.org/fhir/us/ecr/Organization/organization-rr-responsible-agency-haw

Resource Organization:

Health Authority West Responsible Agency (Responsible Agency) (http://hl7.org/fhir/sid/us-npi#NPI#1144221847)


Active:true
Type:Responsible Agency
Contact Detail

Entry 17 - fullUrl = http://example.org/fhir/us/ecr/Practitioner/practitioner-us-core-henry-seven

Resource Practitioner:

Language: en

Profile: US Core Practitioner Profile version: 6.1.0

Seven Henry (http://hl7.org/fhir/sid/us-npi#NPI#9941339100)


Contact Detail

Entry 18 - fullUrl = http://example.org/fhir/us/ecr/Observation/observation-rr-eicr-processing-status

Resource Observation:

status: Final

code: eICR was processed - with a warning

effective: 2025-07-02

performer: Acme Platform

hasMember: Observation eICR Processing Status Reason


Entry 19 - fullUrl = http://example.org/fhir/us/ecr/Observation/observation-rr-eicr-processing-status-reason

Resource Observation:

status: Final

code: eICR Processing Status Reason

effective: 2025-07-02

performer: Acme Platform

value: eICR was processed with the warning of: inactive RCTC code

Components

-CodeValue[x]
*Inactive RCTC code detailLeptospirosis icterohemorrhagica (disorder)

Entry 20 - fullUrl = http://example.org/fhir/us/ecr/DocumentReference/documentreference-add-reporting-needs-pdf

Resource DocumentReference:

Language: en

Profile: RR DocumentReference

Reportability Response Priority Extension: Action requested

status: Current

type: Public health information

category: Additional reporting needs

subject: Eve Everywoman

description:

Additional information for the required reporting of Zika must be submitted to State Department of Health immediately. This additional information can be submitted here.

content

Attachments

-ContentTypeUrl
*application/pdfhttp://example.org/epi/disease/zika/Supplemental_data_form.pdf

Entry 21 - fullUrl = http://example.org/fhir/us/ecr/DocumentReference/documentreference-zika-follow-up-pdf

Resource DocumentReference:

Language: en

Profile: RR DocumentReference

Reportability Response Priority Extension: Immediate action requested

status: Current

type: Public health information

category: Treatment and/or prevention

subject: Eve Everywoman

description:

Zika has particular risks for pregnant women. Follow-up guidance for pregnant women and couples who are planning pregnancy.

content

Attachments

-ContentTypeUrl
*application/pdfhttp://example.org/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf