US Public Health Reporting Bundle Example: bundle-ecr-message-zika - HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR)

HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm
2.1.2 - STU 2 United States of America flag

HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.1.2 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: US Public Health Reporting Bundle Example: bundle-ecr-message-zika

Generated Narrative: Bundle bundle-ecr-message-zika

Profile: US Public Health Reporting Bundle

Bundle bundle-ecr-message-zika of type message

Entry 1 - fullUrl = http://example.org/fhir/MessageHeader/messageheader-ecr-requested-eicr

Resource MessageHeader:

Generated Narrative: MessageHeader messageheader-ecr-requested-eicr

Profile: eCR MessageHeader
US Public Health Data Encrypted Extension: false
US Public Health Message Processing Category Extension: consequence
event: US Public Health Message Types CodeSystem eicr-case-report-message: Indicates a message containing electronic case report healthcare data sent from clinical care.
Destinations
- Name Target
* YMCA Acme Message Gateway Device: identifier = http://acme.com/software/client-ids#goodhealth_id; manufacturer = Acme Devices, Inc; type = ; contact = http://acme.com; url = http://acme.com/ymca/software/
sender: Organization Salem Medical Center
Sources
- Name Software Version Contact
* Acme Central Patient Registry FooBar Patient Manager 3.1.45.AABB +1 (555) 123 4567
reason: Indicates the close of an encounter
focus: Bundle: identifier = UUID:2be4b4e4-6df1-4cb2-a947-c70fa0eda54b; type = document; timestamp = 2021-08-02 22:13:23+0000

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

Resource Bundle:

Document Details
Generated Narrative: Bundle Initial Public Health Case Report - Zika Example

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

Eve L EVERYWOMAN

Identifier 1032702

Address 5101 Peachtree St NE
Atlanta GA US

Date of birth 24 November 1974

Document Content
Reason for Visit Section

title
Reason for Visit Section

code

Reason for visit Narrative
(
29299-5
)

http://loinc.org

Reason for Visit: Bad cough

Chief Complaint

title
Chief complaint Narrative - Reported

code

Chief complaint Narrative - Reported
(
10154-3
)

http://loinc.org

Chief Complaint: Bad cough

History of Present Illness Section

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

Problems Section

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/ecr/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

Medications Administered Section

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

Admission Medications Section

title
Admission Medications Section

code

Medications on admission (narrative)
(
42346-7
)

http://loinc.org

entry 1 ML naloxone hydrochloride 0.4 MG/ML Injection

Medications Section

title
Medications Section

code

History of Medication use Narrative
(
10160-0
)

http://loinc.org

entry Azithromycin 500 MG Oral Tablet

Results Section

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/ecr/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

Plan of Treatment Section

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

Diagnostics Procedure

Diagnostic procedure (procedure)
(
103693007
)

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

Immunizations Section

title
Immunizations Section

code

History of Immunization Narrative
(
11369-6
)

http://loinc.org

entry pneumococcal polysaccharide vaccine

entry Vaccine Credential Patient Assertion Observation Example

Procedures Section

title
Procedures Section

code

History of Procedures Document
(
47519-4
)

http://loinc.org

entry Extracorporeal membrane oxygenation (procedure)

Vital Signs Section

title
Vital Signs Section

code

Vital signs
(
8716-3
)

http://loinc.org

entry Blood pressure systolic and diastolic

Social History Section

title
Social History Section

code

Social history Narrative
(
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/ecr/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

Pregnancy Section

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/ecr/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

Emergency Outbreak Information Section

title
Emergency Outbreak Information Section

code

Public health Note
(
83910-0
)

http://loinc.org

entry US Public Health Emergency Outbreak Information Example

Past Medical History Section

title
Past Medical History Section

code

Past Medical History Narrative
(
11348-0
)

http://loinc.org

Past medical history

Review of Systems Section

title
Review of Systems Section

code

Review of Systems Section Narrative
(
10187-3
)

http://loinc.org

Review of systems

Additional Resources Included in Document

Entry 1 - fullUrl = http://example.org/fhir/Composition/composition-eicr-zika
Resource Composition:
Generated Narrative: Composition composition-eicr-zika

version: 22; Last updated: 2021-08-17 03:24:45+0000;
Information Source: #vMaRLlyzDNjGkVuc
Profile: Electronic Initial Case Report Composition
Composition Version Number: 1
identifier: c03eab8c-11e8-4d0c-ad2a-b385395e27db
status: Final
type: Public Health Case Report
encounter: Ambulatory Office Visit
date: 2018-01-02 22:13:23+0000
author: Henry Seven, MD
title: Initial Public Health Case Report - Zika Example
custodian: Salem Medical Center

Entry 2 - fullUrl = http://example.org/fhir/MedicationAdministration/medicationadministration-eve-everywoman-azithromycin
Resource MedicationAdministration:
Generated Narrative: MedicationAdministration medicationadministration-eve-everywoman-azithromycin

version: 6; Last updated: 2021-08-17 07:53:28+0000;
Information Source: #O8n4DNqcDuNHPfTJ
Profile: US Public Health MedicationAdministration
status: completed
subject: Eve Everywoman
Dosages
- Text Route Method Dose
* Two tablets at once Oral route Swallow - dosing instruction imperative (qualifier value) 2 TAB (Details: Orderable Drug Form codeTAB = 'Tablet')

Entry 3 - fullUrl = http://example.org/fhir/Procedure/us-ph-procedure-ecmo
Resource Procedure:
Generated Narrative: Procedure us-ph-procedure-ecmo

version: 5; Last updated: 2021-06-28 08:12:56+0000;
Information Source: #A9FdbPgUT95j7Itd
Profile: eICR Procedure
identifier: Uniform Resource Identifier (URI)/urn:uuid:b2a737f2-2fdb-49c1-b097-dac173d07afd
status: Completed
code: Extracorporeal membrane oxygenation (procedure)
subject: 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/MedicationAdministration/medicationadministration-eve-everywoman-naloxone-response
Resource MedicationAdministration:
Generated Narrative: MedicationAdministration medicationadministration-eve-everywoman-naloxone-response

version: 5; Last updated: 2021-08-17 07:53:28+0000;
Information Source: #5sOf7BOr595JpyG7
Profile: US Public Health MedicationAdministration
US Public Health Therapeutic Medication Response Extension: Patient's condition improved (finding)
status: completed
subject: Eve Everywoman
Dosages
- Route Method Dose
* Gluteus maximus muscle Inject - dosing instruction imperative (qualifier value) 1 mL (Details: UCUM codemL = 'mL')

Entry 5 - fullUrl = http://example.org/fhir/ServiceRequest/servicerequest-eicr-zika
Resource ServiceRequest:
Generated Narrative: ServiceRequest servicerequest-eicr-zika

version: 5; Last updated: 2021-08-17 08:02:21+0000;
Information Source: #w4zRDqhjQ9EZHgCs
Profile: eICR ServiceRequest
identifier: http://lab.smarthealthit.org/061ef612-344f-4e7b-81a8-1059ae7bbe19
status: Completed
intent: Order
category: Diagnostics Procedure
code: No display for ServiceRequest.code (concept: Zika virus envelope E gene [Presence] in Serum by NAA with probe detection)
subject: Eve Everywoman
performer: Acme Labs

Entry 6 - fullUrl = http://example.org/fhir/Condition/condition-eicr-eve-everywoman-common-cold
Resource Condition:
Generated Narrative: Condition condition-eicr-eve-everywoman-common-cold

version: 6; Last updated: 2021-07-15 01:54:14+0000;
Information Source: #4g0ZpTNqldHFYLzr
Profile: US Public Health Condition
category: Problem List Item
code: Common cold (disorder)
subject: Eve Everywoman
onset: 2017-09-23

Entry 7 - fullUrl = http://example.org/fhir/Encounter/encounter-eicr-eve-everywoman-outpatient
Resource Encounter:
Generated Narrative: Encounter encounter-eicr-eve-everywoman-outpatient

version: 5; Last updated: 2021-07-19 03:02:05+0000;
Information Source: #Q5dlT8eND2UI2D6e
Profile: eICR Encounter
identifier: http://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/Observation/observation-pregnancy-status-eve-everywoman
Resource Observation:
Generated Narrative: Observation observation-pregnancy-status-eve-everywoman

version: 8; Last updated: 2021-08-17 07:59:00+0000;
Information Source: #bBlVx7OsNPsZVCbu
Profile: US Public Health Pregnancy Status Observation
US Public Health Date Recorded Extension: 2017-10-01
US Public Health Date Determined Extension: 2017-10-01
status: Final
code: Pregnancy status
subject: Eve Everywoman
effective: 2017-08-26 --> (ongoing)
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/Observation/observation-vaccine-credential-assertion-eve-everywoman
Resource Observation:
Generated Narrative: Observation observation-vaccine-credential-assertion-eve-everywoman

version: 2; Last updated: 2021-08-13 04:25:18+0000;
Information Source: #12yO2DqhRxbXmEOy
Profile: eICR Vaccine Credential Patient Assertion
status: Final
code: Immunization status - Reported
subject: Eve Everywoman
effective: 2020-11-10 22:33:22+0000
value: Yes

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

version: 4; Last updated: 2021-07-15 01:22:52+0000;
Information Source: #oAXhG2HyvbL70uEB
Profile: US Public Health Emergency Outbreak Information
status: Final
code: Employee desk distance from mail sorter
subject: Eve Everywoman
effective: 2020-11-18 22:33:22+0000
value: 2 m

Entry 11 - fullUrl = http://example.org/fhir/Observation/observation-country-of-nationality-eve-everywoman
Resource Observation:
Generated Narrative: Observation observation-country-of-nationality-eve-everywoman

version: 1; Last updated: 2021-08-19 21:30:49+0000;
Information Source: #ABFWLRjmURVC23y1
Profile: eICR Country of Nationality
status: Final
code: Ethnicity / related nationality data (observable entity)
subject: Eve Everywoman
effective: 2020-11-10 22:33:22+0000
value: Australia

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

Eve L EVERYWOMAN

Identifier 1032702

Address 5101 Peachtree St NE
Atlanta GA US

Date of birth 24 November 1974

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

version: 8; Last updated: 2021-08-17 07:51:35+0000;
Information Source: #EdjaILZHXKHi4bdN
Profile: US Core Immunization Profile
status: Completed
vaccineCode: pneumococcal polysaccharide PPV23
patient: Eve Everywoman
occurrence: 2018-09-01
primarySource: true

Entry 14 - fullUrl = http://example.org/fhir/Observation/observation-country-of-residence-eve-everywoman
Resource Observation:
Generated Narrative: Observation observation-country-of-residence-eve-everywoman

version: 1; Last updated: 2021-08-13 00:20:14+0000;
Information Source: #HDoLJzr0kfWKFp3F
Profile: eICR Country of Residence
status: Final
code: Country of usual residence
subject: Eve Everywoman
effective: 2020-11-10 22:33:22+0000
value: United Kingdom of Great Britain and Northern Ireland

Entry 15 - fullUrl = http://example.org/fhir/PractitionerRole/practitionerrole-henry-seven
Resource PractitionerRole:
Generated Narrative: PractitionerRole practitionerrole-henry-seven

version: 11; Last updated: 2021-08-17 08:00:32+0000;
Information Source: #KJ942UxvfdYWoHCF
Profile: US Public Health PractitionerRole
identifier: United States National Provider Identifier/9941339108
practitioner: Henry Seven, MD
organization: Salem Medical Center
code: Primary Care Clinic/Center
specialty: Family practice
location: Salem Medical Center

Entry 16 - fullUrl = http://example.org/fhir/Observation/observation-blood-pressure-eve-everywoman
Resource Observation:
Generated Narrative: Observation observation-blood-pressure-eve-everywoman

version: 2; Last updated: 2021-07-19 08:19:31+0000;
Information Source: #2PjceWUbU0gCYVZA
Profile: US Core Blood Pressure Profile
status: Final
category: Vital Signs
code: Blood pressure systolic and diastolic
subject: Eve Everywoman
encounter: GP Visit
effective: 2020-07-02
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/Observation/observation-us-ph-exposure-contact-info-football-game
Resource Observation:
Generated Narrative: Observation observation-us-ph-exposure-contact-info-football-game

version: 4; Last updated: 2020-12-01 07:17:32+0000;
Information Source: #pMvWUdCWz4XOnrDf
Profile: US Public Health Exposure Contact Information
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
value: City Football Stadium

Entry 18 - fullUrl = http://example.org/fhir/Observation/observation-travel-history-eve-everywoman-201801
Resource Observation:
Generated Narrative: Observation observation-travel-history-eve-everywoman-201801

version: 9; Last updated: 2021-08-17 07:59:01+0000;
Information Source: #d6PrWfFFuxUIiLtX
Profile: US Public Health Travel History
status: Final
code: Travel History
subject: Eve Everywoman
effective: 2018-01-15 --> 2018-01-30
component
code: Location
value: Fiji
component
code: Location
value: Vanuatu
component
code: Type of activity (attribute)
value: Active duty military (occupation)

Entry 19 - fullUrl = http://example.org/fhir/Observation/observation-disability-status-eve-everywoman
Resource Observation:
Generated Narrative: Observation observation-disability-status-eve-everywoman

version: 2; Last updated: 2021-06-30 05:33:12+0000;
Information Source: #AVCvf6gXu6hyNuWr
Profile: US Public Health Disability Status
status: Final
code: Are you deaf, or do you have serious difficulty hearing
subject: Eve Everywoman
effective: 2020-11-10 22:33:22+0000
value: true

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

Profile: US Public Health Laboratory Result Observation Profile
status: Final
category: Laboratory
code: Lymphocytes [#/volume] in Blood by Automated count
subject: Eve Everywoman
effective: 2018-03-07
value: 5.2 10*3/uL (Details: UCUM code10*3/uL = '10*3/uL')
interpretation: High
ReferenceRanges
- Low High
* 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/Organization/organization-ecr-acme-laboratory
Resource Organization:
Generated Narrative: Organization organization-ecr-acme-laboratory

version: 4; Last updated: 2021-06-30 04:13:19+0000;
Information Source: #xp7CXcY2lPaNsDQL
Profile: US Public Health Organization
identifier: http://hl7.org.fhir/sid/us-npi/1144221999
active: true
type: outpatient laboratory
name: Acme_Labs
contact
telecom: +1-555-555-4444, mail@acme-labs.com
address: 7777 Laboratory Drive Ann Arbor MI 99999

Entry 22 - fullUrl = http://example.org/fhir/Location/location-ecr-salem-medical-center
Resource Location:
Generated Narrative: Location location-ecr-salem-medical-center

version: 6; Last updated: 2021-08-17 07:53:02+0000;
Information Source: #VI2Nm5Ps5HqZ5HXV
Profile: US Public Health Location
identifier: http://hl7.org.fhir/sid/us-npi/1144221995
status: Active
name: Clinic Bldg A, Salem Medical Center
type: Hospital
address: Clinic Bldg A 4444 Healthcare Drive Ann Arbor MI 99999
managingOrganization: Organization Salem Medical Center

Entry 23 - fullUrl = http://example.org/fhir/Location/location-ecr-city-football-stadium
Resource Location:
Generated Narrative: Location location-ecr-city-football-stadium

version: 1; Last updated: 2020-12-01 01:55:32+0000;
Information Source: #KLUFk4w6CXKqrFEC
Profile: US Core Location Profile
status: Active
name: City Football Stadium
type: City Football Stadium
address: 99 Football Stadium Road My City AZ 8562

Entry 24 - fullUrl = http://example.org/fhir/Organization/organization-ecr-salem-medical-center
Resource Organization:
Generated Narrative: Organization organization-ecr-salem-medical-center

version: 5; Last updated: 2021-06-30 04:13:19+0000;
Information Source: #xa4yJZjn68xVavoM
Profile: US Public Health Organization
identifier: http://hl7.org.fhir/sid/us-npi/55555555
active: true
name: Salem Medical Center
contact
telecom: +1-555-555-1111, mail@salemmedicalcenter.com
address: 22222 Health Authority Drive Ann Arbor MI 99999

Entry 25 - fullUrl = http://example.org/fhir/Condition/condition-eicr-eve-everywoman-zika
Resource Condition:
Generated Narrative: Condition condition-eicr-eve-everywoman-zika

version: 5; Last updated: 2021-07-15 01:54:14+0000;
Information Source: #rM2Pw6getjoE2UTV
category: Encounter Diagnosis
code: Zika virus disease (disorder)
subject: Eve Everywoman
onset: 2017-08-23

Entry 26 - fullUrl = http://example.org/fhir/Practitioner/practitioner-us-core-henry-seven
Resource Practitioner:
Generated Narrative: Practitioner practitioner-us-core-henry-seven

version: 5; Last updated: 2021-08-17 08:00:32+0000;
Information Source: #2MfA6kIjmOmtAlIb
Profile: US Core Practitioner Profile
identifier: United States National Provider Identifier/9941339108
name: Seven Henry
telecom: henry.seven@example.com
address: BMass Doctors 2100 North Ave Burlington MA 02368 US

Entry 27 - fullUrl = http://example.org/fhir/Device/device-ecmo
Resource Device:

Manually Created Narrative

UDI

Device Identifier: 99863313444317

CarrierHRF: (01)99863313444316(17)220101(10)M320(21)AC222

EntryType: rfid

Name: ACME Extracorporeal membrane oxygenator

Type: udi-label-name

status: active

manufacturer: ACME Biomedical

expirationDate: 2024-01-01

lotNumber: M321

serialNumber: AC222

modelNumber: 4.0

patient: Eve Everywoman. Generated Summary: Medical Record Number: 1032702 (USUAL); active; Eve L Everywoman ; Phone: 1-(404)555-1212, eve.everywoman@example.com; gender: female; birthDate: 1974-11-24

Entry 3 - fullUrl = http://example.org/fhir/Device/device-ecr-software-ymca

Resource Device:

id:
device-ecr-software-ymca

meta:

4

2019-10-03T05:07:48.000-04:00

identifier:

http://acme.com/software/client-ids

goodhealth_id

manufacturer:
Acme Devices, Inc

type:
EHR

version:

value:
10.23-23423

contact:

url

http://acme.com

url:
http://acme.com/ymca/software/

Entry 4 - fullUrl = http://example.org/fhir/Organization/organization-ecr-salem-medical-center

Resource Organization:

id
organization-ecr-salem-medical-center

meta

versionId
16

lastUpdated
2019-10-05T03:15:41.000-04:00

profile
http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-organization

identifier

http://hl7.org.fhir/sid/us-npi

55555555

active
true

type

Outpatient facility
(
OF
)

http://terminology.hl7.org/CodeSystem/v3-RoleCode

name
Salem Medical Center

telecom

system
phone

value
+1-555-555-1111

telecom

system
email

value
mail@salemmedicalcenter.com

address

line
22222 Health Authority Drive

city
Ann Arbor

state
MI

postalCode
99999

IG © 2020+ HL7 International / Public Health. Package hl7.fhir.us.ecr#2.1.2 based on FHIR 4.0.1. Generated 2025-03-24
Links: Table of Contents | QA Report | Version History | | Propose a change

Identifier	1032702
Address	5101 Peachtree St NE Atlanta GA US
Date of birth	24 November 1974

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	Admission Medications Section
code	Medications on admission (narrative) ( 42346-7 ) http://loinc.org
entry	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

title	Immunizations Section
code	History of Immunization Narrative ( 11369-6 ) http://loinc.org
entry	pneumococcal polysaccharide vaccine
entry	Vaccine Credential Patient Assertion Observation Example

title	Procedures Section
code	History of Procedures Document ( 47519-4 ) http://loinc.org
entry	Extracorporeal membrane oxygenation (procedure)

title	Vital Signs Section
code	Vital signs ( 8716-3 ) http://loinc.org
entry	Blood pressure systolic and diastolic

title	Emergency Outbreak Information Section
code	Public health Note ( 83910-0 ) http://loinc.org
entry	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