Generated Narrative: Composition composition-rr-one-cond-one-pha Profile: RR Composition Composition Version Number: 1 US Public Health Information Recipient Extension: PractitionerRole Primary Care Clinic/Center identifier: http://acme.org/identifiers/RR12347 status: Final type: Reportability response report Document Public health encounter: Ambulatory Office Visit date: 2018-07-19 04:09:06+0000 author: Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999 title: Reportability Response - One Condition/One PHA example custodian: Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999
Reportability response report Document Public health
Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999
Reportability Response - One Condition/One PHA example
Reportable condition response information and summary Document
Public Health Reporting Communication: one or more conditions are reportable, or may be reportable to public health
Initial case report processing information Document
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)
Initial Public Health Case Report - Zika Example
title Reason for Visit Section code Reason for visit Narrative ( 29299-5 ) http://loinc.org Reason for Visit: Bad cough
title Chief complaint Narrative - Reported code Chief complaint Narrative - Reported ( 10154-3 ) http://loinc.org Chief Complaint: Bad cough
title History of Present Illness Section code History of Present illness Narrative ( 10164-2 ) http://loinc.org 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
title Problems Section code Problem list - Reported ( 11450-4 ) http://loinc.org entry Common 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 Problem List Item ( problem-list-item ) http://terminology.hl7.org/CodeSystem/condition-category code Common cold (disorder) ( 82272006 ) http://snomed.info/sct subject Eve Everywoman onsetDateTime 2017-09-23 asserter Henry Seven, MD
title Medications Administered Section code Medication administered Narrative ( 29549-3 ) http://loinc.org entry Azithromycin 500 MG Oral Tablet id medicationadministration-eve-everywoman-azithromycin meta versionId 10 lastUpdated 2019-10-05T03:11:22.000-04:00 status completed medicationCodeableConcept Azithromycin 500 MG Oral Tablet Azithromycin 500 MG Oral Tablet ( 248656 ) http://www.nlm.nih.gov/research/umls/rxnorm subject Eve Everywoman effectivePeriod start 2018-03-07 end 2018-03-07 dosage route Oral Route ( 26643006 ) http://snomed.info/sct method Swallow - dosing instruction imperative (qualifier value) ( 421521009 ) http://snomed.info/sct dose value 2 unit TAB system http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB
title Admission Medications Section code Medications on admission (narrative) ( 42346-7 ) http://loinc.org entry 1 ML naloxone hydrochloride 0.4 MG/ML Injection
1 ML naloxone hydrochloride 0.4 MG/ML Injection
title Medications Section code History of Medication use Narrative ( 10160-0 ) http://loinc.org entry Azithromycin 500 MG Oral Tablet
Relevant diagnostic tests/laboratory data note
title Results Section code Relevant Dx tests/lab data ( 30954-2 ) http://loinc.org entry Lymphocytes [#/​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 Laboratory Laboratory ( laboratory ) http://terminology.hl7.org/CodeSystem/observation-category code Lymphocytes [#/volume] in Blood by Automated count ( 731-0 ) http://loinc.org subject Eve Everywoman effectiveDateTime 2018-03-07 valueQuantity 5.2 http://unitsofmeasure.org 10*3/uL interpretation High ( H ) http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation referenceRange low value 1 system http://unitsofmeasure.org code 10*3/uL high value 4.8 system http://unitsofmeasure.org code 10*3/uL
Lymphocytes [#/​volume] in Blood by Automated count - Interpretation: High
title Plan of Treatment Section code Plan of care note ( 18776-5 ) http://loinc.org 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 Evaluation Procedure Evaluation procedure (procedure) ( 386053000 ) http://snomed.info/sct code Zika RT-PCR Zika virus envelope E gene [Presence] in Serum by NAA with probe detection ( 80825-3 ) http://loinc.org subject Eve Everywoman performer Acme Labs
Request for Zika virus envelope (E) gene [Presence] in Serum by Probe and target amplification method
title Immunizations Section code History of Immunization note ( 11369-6 ) http://loinc.org entry pneumococcal polysaccharide vaccine entry Vaccine Credential Patient Assertion Observation Example
Vaccine Credential Patient Assertion Observation Example
title Procedures Section code History of Procedures Document ( 47519-4 ) http://loinc.org entry Extracorporeal membrane oxygenation (procedure)
Extracorporeal membrane oxygenation (procedure)
title Vital Signs Section code Vital signs ( 8716-3 ) http://loinc.org entry Blood pressure systolic and diastolic
title Social History Section code Social history note ( 29762-2 ) http://loinc.org entry eICR 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 Travel History Travel ( 420008001 ) http://snomed.info/sct subject Eve Everywoman effectivePeriod start 2018-01-15 end 2018-01-30 component code Location ( LOC ) http://terminology.hl7.org/CodeSystem/v3-ParticipationType valueCodeableConcept Fiji ( FJI ) urn:iso:std:iso:3166 component code Location ( LOC ) http://terminology.hl7.org/CodeSystem/v3-ParticipationType valueCodeableConcept Vanuatu ( VUT ) https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=1.0.3166.1 entry ODH 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 History of Usual occupation ( 21843-8 ) http://loinc.org subject Eve Everywoman effectivePeriod start 2015-01-01 end 2018-03-07 valueCodeableConcept Human Resources Managers ( 0136 ) https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.114222.4.5.314 component code History of Usual industry ( 21844-6 ) http://loinc.org valueCodeableConcept Hospitals ( 8190 ) https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.114222.4.5.315
eICR Travel History: Eve Everywoman 2018-01
US Public Health Disability Status Example
US Public Health Exposure Contact Information Example
Country of Nationality Observation Example
Country of Residence Observation Example
title Pregnancy Section code Pregnancy summary Document ( 90767-5 ) http://loinc.org entry eICR 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 Pregnancy Status ( 82810-3 ) http://loinc.org subject Eve Everywoman effectivePeriod start 2017-08-26 valueCodeableConcept Pregnancy (finding) ( 77386006 ) http://snomed.info/sct method Ultrasonography (procedure) ( 16310003 ) http://snomed.info/sct component date-determined-extension 2017-10-01 code Gestational age Estimated from patient reported estimated date of conception ( 53691-2 ) http://loinc.org valueQuantity 143 d component date-determined-extension 2017-10-01 code Delivery date Estimated from date fundal height reaches umb ( 57064-8 ) http://loinc.org valueDateTime 2018-05-01
title Emergency Outbreak Information Section code Public health Note ( 83910-0 ) http://loinc.org entry US Public Health Emergency Outbreak Information Example
US Public Health Emergency Outbreak Information Example
title Past Medical History Section code Past Medical History Narrative ( 11348-0 ) http://loinc.org Past medical history
title Review of Systems Section code Review of Systems Section Narrative ( 10187-3 ) http://loinc.org Review of systems
Swallow - dosing instruction imperative (qualifier value)
Inject - dosing instruction imperative (qualifier value)
Zika virus envelope E gene [Presence] in Serum by NAA with probe detection
Generated Narrative: Condition condition-eicr-eve-everywoman-common-cold Profile: US Public Health Condition Encounter Diagnosis category: Encounter Diagnosis code: Common cold (disorder) subject: Eve Everywoman onset: 2017-09-23 asserter: Henry Seven, MD
Clinic Bldg A, Salem Medical Center, 4646 Brown Rd, Salem, MA 02368
Salem Medical Center, 22222 Health Authority Drive, Ann Arbor MI, 99999
Generated Narrative: Encounter encounter-eicr-eve-everywoman-outpatient Profile: eICR Encounter identifier: http://example.org/hospital.smarthealthit.org/9937012 status: Finished class: ActCode: AMB (ambulatory) type: Office Visit subject: Eve Everywoman Participants - Type Individual * attender Henry Seven, MD period: 2018-04-01 10:00:00-0500 --> 2018-04-02 10:15:00-0500 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: Condition Zika virus disease (disorder) diagnosis condition: Condition Common cold (disorder) Locations - Location * Clinic Bldg A, Salem Medical Center, 4646 Brown Rd, Salem, MA 02368 serviceProvider: Salem Medical Center, 22222 Health Authority Drive, Ann Arbor MI, 99999
Gestational age Estimated from patient reported estimated date of conception
Delivery date Estimated from date fundal height reaches umb
Ethnicity / related nationality data (observable entity)
Fort Mojave Indian Tribe of Arizona, California & Nevada
Generated Narrative: Patient patient-ecr-eve-everywoman Profile: US Public Health Patient Eve L Everywoman Female, DoB: 1974-11-24 ( Medical Record Number: 1032702 (use: usual, )) Active: true Deceased: false Contact Detail ph: 1-(404)555-1212(Home) eve.everywoman@example.org 2222 Home Street Ann Arbor MI 99999 US Language: English <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: ombCategory: CDC Race and Ethnicity: 2186-5 (Not Hispanic or Latino) text: Not Hispanic or Latino US Core Birth Sex Extension F <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:#xA;#xA; - American Indian or Alaska Native#xA; - Asian#xA; - Black or African American#xA; - Native Hawaiian or Other Pacific Islander#xA; - White.">US Core Race Extension: ombCategory: CDC Race and Ethnicity: 2106-3 (White) text: White US Core Tribal Affiliation Extension: tribalAffiliation: Fort Mojave Indian Tribe of Arizona, California & Nevada isEnrolled: true
United Kingdom of Great Britain and Northern Ireland
Generated Narrative: PractitionerRole practitionerrole-henry-seven Profile: US Public Health PractitionerRole identifier: United States National Provider Identifier/9941339108 practitioner: Henry Seven, MD organization: Salem Medical Center code: Primary Care Clinic/Center specialty: Family practice location: Salem Medical Center telecom: henry.seven@example.com
Blood pressure panel with all children optional
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.
Severe acute respiratory syndrome coronavirus 2 (organism)
Are you deaf, or do you have serious difficulty hearing
Lymphocytes [#/volume] in Blood by Automated count
Generated Narrative: Location location-ecr-salem-medical-center Profile: US Public Health Location identifier: United States National Provider Identifier/1144221995 status: Active name: Clinic Bldg A, Salem Medical Center type: Hospital telecom: ph: (+1) (555)555-3001, fax: (+1) (555)555-3002, mail@smc.org address: Clinic Bldg A 4444 Healthcare Drive Ann Arbor MI 99999 managingOrganization: Organization Salem Medical Center
Generated Narrative: Organization organization-ecr-salem-medical-center Profile: US Public Health Organization identifier: United States National Provider Identifier/1144221847 active: true type: Outpatient facility name: Salem Medical Center telecom: +1-555-555-1111, mail@salemmedicalcenter.com address: 22222 Health Authority Drive Ann Arbor MI 99999
Generated Narrative: Condition condition-eicr-eve-everywoman-zika Profile: US Public Health Condition Encounter Diagnosis category: Encounter Diagnosis code: Zika virus disease (disorder) subject: Eve Everywoman onset: 2017-08-23 asserter: Henry Seven, MD
Generated Narrative: Practitioner practitioner-us-core-henry-seven Profile: US Core Practitioner Profileversion: null6.1.0) identifier: United States National Provider Identifier/9941339100 name: Seven Henry telecom: henry.seven@example.org address: 1002 Healthcare Drive Ann Arbor MI 99999 US
Extracorporeal membrane oxygenator (physical object)
Generated Narrative: Observation observation-rr-relevant-reportable-condition-observation Profile: RR Relevant Reportable Condition 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
Generated Narrative: Organization organization-ecr-health-authority-west Profile: US Public Health Organization identifier: United States National Provider Identifier/1144221847 active: true name: Health Authority West telecom: +1-555-555-3555, mail@healthauthoritywest.gov address: 7777 Health Authority Drive Ann Arbor MI 99999
Generated Narrative: Observation observation-rr-summary 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.
Informing health care professional (procedure)
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.
Generated Narrative: Observation observation-rr-reportability-information-observation Profile: RR Reportability Information 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 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. RR External Resource Extension: DocumentReference: extension = Immediate action requested; status = current; type = Public health Note; category = Treatment and/or prevention; description = Zika has particular risks for pregnant women. Follow-up guidance for pregnant women and couples who are planning pregnancy. status: Final code: Patient home address subject: Eve Everywoman effective: 2025-07-02 performer: Health Authority West Rules Authoring Agency Health Authority West Routing Entity Health Authority West Routing Entity Components - Code Value[x] * Timeframe to report (urgency) 24 H (Details: UCUM codeH = 'H')
A reason why the condition is reportable
Description of rule used in reportability determination
Health Authority West Rules Authoring Agency
Generated Narrative: Organization organization-rr-routing-entity-haw Profile: RRRouting Entity Organization identifier: United States National Provider Identifier/1144221847 active: true type: Routing Entity name: Health Authority West Routing Entity telecom: +1-555-555-3555, mail@healthauthoritywest.gov address: 7777 Health Authority Drive Ann Arbor MI 99999
Generated Narrative: Organization organization-rr-rules-authoring-agency-haw Profile: RRRules Authoring Agency Organization identifier: United States National Provider Identifier/1144221847 active: true type: Rules Authoring Agency name: Health Authority West Rules Authoring Agency telecom: +1-555-555-3555, mail@healthauthoritywest.gov address: 7777 Health Authority Drive Ann Arbor MI 99999
Generated Narrative: Organization organization-rr-responsible-agency-haw Profile: RR Responsible Agency Organization identifier: United States National Provider Identifier/1144221847 active: true type: Responsible Agency name: Health Authority West Responsible Agency telecom: +1-555-555-3555, mail@healthauthoritywest.gov address: 7777 Health Authority Drive Ann Arbor MI 99999
Health Authority West Responsible Agency
Generated Narrative: Observation observation-rr-eicr-processing-status Profile: eICR Processing Status Observation status: Final code: eICR was processed - with a warning effective: 2025-07-02 performer: Acme Platform hasMember: Observation eICR Processing Status Reason
Generated Narrative: Observation observation-rr-eicr-processing-status-reason Profile: eICR Processing Status Reason 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 - Code Value[x] * Inactive RCTC code detail Leptospirosis icterohemorrhagica (disorder)
eICR was processed with the warning of: inactive RCTC code
Leptospirosis icterohemorrhagica (disorder)
Generated Narrative: DocumentReference documentreference-add-reporting-needs-pdf Profile: RR DocumentReference Reportability Response Priority Extension: Action requested status: Current type: Public health information category: Additional reporting needs subject: Eve Everywoman description: Additional information for the required reporting of Zika must be submitted to State Department of Health immediately. This additional information can be submitted here. content Attachments - ContentType Url * application/pdf http://example.org/epi/disease/zika/Supplemental_data_form.pdf
Additional information for the required reporting of Zika must be submitted to State Department of Health immediately. This additional information can be submitted here.
Generated Narrative: DocumentReference documentreference-zika-follow-up-pdf Profile: RR DocumentReference Reportability Response Priority Extension: Immediate action requested status: Current type: Public health information category: Treatment and/or prevention subject: Eve Everywoman description: Zika has particular risks for pregnant women. Follow-up guidance for pregnant women and couples who are planning pregnancy. content Attachments - ContentType Url * application/pdf http://example.org/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf
Zika has particular risks for pregnant women. Follow-up guidance for pregnant women and couples who are planning pregnancy.