{ "resourceType" : "Bundle", "id" : "bundle-ecr-message-zika", "meta" : { "profile" : ["http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-reporting-bundle"] }, "language" : "en", "identifier" : { "system" : "urn:ietf:rfc:3986", "value" : "urn:uuid:0c3eec0b-145b-4694-a1b8-1ea4de5a0cb0" }, "type" : "message", "entry" : [{ "fullUrl" : "http://example.org/fhir/us/ecr/MessageHeader/messageheader-ecr-requested-eicr", "resource" : { "resourceType" : "MessageHeader", "id" : "messageheader-ecr-requested-eicr", "meta" : { "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/ecr-messageheader"] }, "text" : { "status" : "extensions", "div" : "

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 CodeSystem - Message Types: eicr-case-report-message (Indicates a message containing electronic case report healthcare data sent from clinical care.)

Destinations

-NameTargetEndpoint
*YMCA Acme Message GatewayDevice: identifier = http://example.org/software/client-ids#goodhealth_id; manufacturer = Acme Devices, Inc; type = ; contact = http://example.org; url = http://example.org/ymca/software/http://example.org/ymca/fhir

sender: Organization Salem Medical Center

Sources

-NameSoftwareVersionContactEndpoint
*Acme Central Patient RegistryFooBar Patient Manager3.1.45.AABB+1 (555) 123 4567http://example.org/salem-medical-center/fhir

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

" }, "extension" : [{ "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-data-encrypted-extension", "valueBoolean" : false }, { "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-message-processing-category-extension", "valueCode" : "consequence" }], "eventCoding" : { "system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-message-types", "code" : "eicr-case-report-message", "display" : "Indicates a message containing electronic case report healthcare data sent from clinical care." }, "destination" : [{ "name" : "YMCA Acme Message Gateway", "target" : { "reference" : "Device/device-ecr-software-ymca" }, "endpoint" : "http://example.org/ymca/fhir" }], "sender" : { "reference" : "Organization/organization-ecr-salem-medical-center" }, "source" : { "name" : "Acme Central Patient Registry", "software" : "FooBar Patient Manager", "version" : "3.1.45.AABB", "contact" : { "system" : "phone", "value" : "+1 (555) 123 4567" }, "endpoint" : "http://example.org/salem-medical-center/fhir" }, "reason" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-triggerdefinition-namedevents", "code" : "encounter-close", "display" : "Indicates the close of an encounter" }] }, "focus" : [{ "reference" : "Bundle/bundle-eicr-document-zika" }] } }, { "fullUrl" : "http://example.org/fhir/us/ecr/Bundle/bundle-eicr-document-zika", "resource" : { "resourceType" : "Bundle", "id" : "bundle-eicr-document-zika", "meta" : { "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-document-bundle"] }, "identifier" : { "system" : "urn:ietf:rfc:3986", "value" : "urn:uuid:2be4b4e4-6df1-4cb2-a947-c70fa0eda54b" }, "type" : "document", "timestamp" : "2021-08-02T22:13:23Z", "entry" : [{ "fullUrl" : "http://example.org/fhir/us/ecr/Composition/composition-eicr-zika", "resource" : { "resourceType" : "Composition", "id" : "composition-eicr-zika", "meta" : { "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-composition"] }, "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber", "valueString" : "1" }], "identifier" : { "value" : "c03eab8c-11e8-4d0c-ad2a-b385395e27db" }, "status" : "final", "type" : { "coding" : [{ "system" : "http://loinc.org", "code" : "55751-2", "display" : "Public Health Case Report" }] }, "subject" : { "reference" : "Patient/patient-ecr-eve-everywoman", "display" : "Eve Everywoman" }, "encounter" : { "reference" : "Encounter/encounter-eicr-eve-everywoman-outpatient", "display" : "Ambulatory Office Visit" }, "date" : "2018-01-02T22:13:23Z", "author" : [{ "reference" : "PractitionerRole/practitionerrole-henry-seven", "display" : "Henry Seven, MD" }], "title" : "Initial Public Health Case Report - Zika Example", "custodian" : { "reference" : "Organization/organization-ecr-salem-medical-center", "display" : "Salem Medical Center" }, "section" : [{ "title" : "Reason for Visit Section", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "29299-5", "display" : "Reason for visit Narrative" }] }, "text" : { "status" : "generated", "div" : "
title
Reason for Visit Section
code

Reason for Visit: Bad cough

" } }, { "title" : "Chief Complaint", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "10154-3", "display" : "Chief complaint Narrative - Reported" }] }, "text" : { "status" : "generated", "div" : "
title
Chief complaint Narrative - Reported
code

Chief Complaint: Bad cough

" } }, { "title" : "History of Present Illness Section", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "10164-2", "display" : "History of Present illness Narrative" }] }, "text" : { "status" : "generated", "div" : "
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
" } }, { "title" : "Problems Section", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "11450-4", "display" : "Problem list - Reported" }] }, "text" : { "status" : "generated", "div" : "
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
" }, "entry" : [{ "reference" : "Condition/condition-eicr-eve-everywoman-common-cold", "display" : "Common cold (disorder)" }] }, { "title" : "Medications Administered Section", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "29549-3", "display" : "Medication administered Narrative" }] }, "text" : { "status" : "generated", "div" : "
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
" }, "entry" : [{ "reference" : "MedicationAdministration/medicationadministration-eve-everywoman-azithromycin", "display" : "Azithromycin 500 MG Oral Tablet" }] }, { "title" : "Admission Medications Section", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "42346-7", "display" : "Medications on admission (narrative)" }] }, "text" : { "status" : "generated", "div" : "
title
Admission Medications Section
code
entry1 ML naloxone hydrochloride 0.4 MG/ML Injection
" }, "entry" : [{ "reference" : "MedicationAdministration/medicationadministration-eve-everywoman-naloxone-response", "display" : "1 ML naloxone hydrochloride 0.4 MG/ML Injection" }] }, { "title" : "Medications Section", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "10160-0", "display" : "History of Medication use Narrative" }] }, "text" : { "status" : "generated", "div" : "
title
Medications Section
code
entryAzithromycin 500 MG Oral Tablet
" }, "entry" : [{ "reference" : "MedicationAdministration/medicationadministration-eve-everywoman-azithromycin", "display" : "Azithromycin 500 MG Oral Tablet" }] }, { "title" : "Results Section", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "30954-2", "display" : "Relevant diagnostic tests/laboratory data note" }] }, "text" : { "status" : "generated", "div" : "
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
" }, "entry" : [{ "reference" : "Observation/observation-us-ph-lab-result-eve-everywoman-lymphocytes", "display" : "Lymphocytes [#/​volume] in Blood by Automated count - Interpretation: High" }] }, { "title" : "Plan of Treatment Section", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "18776-5", "display" : "Plan of care note" }] }, "text" : { "status" : "generated", "div" : "
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
" }, "entry" : [{ "extension" : [{ "extension" : [{ "url" : "triggerCodeValueSet", "valueString" : "urn:oid:2.16.840.1.114222.4.11.7508" }, { "url" : "triggerCodeValueSetVersion", "valueString" : "19/05/2018" }, { "url" : "triggerCode", "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "3928002", "display" : "Zika virus disease (disorder)" } }], "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension" }], "reference" : "ServiceRequest/servicerequest-eicr-zika", "display" : "Request for Zika virus envelope (E) gene [Presence] in Serum by Probe and target amplification method" }] }, { "title" : "Immunizations Section", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "11369-6", "display" : "History of Immunization note" }] }, "text" : { "status" : "generated", "div" : "
title
Immunizations Section
code
entrypneumococcal polysaccharide vaccine
entryVaccine Credential Patient Assertion Observation Example
" }, "entry" : [{ "reference" : "Immunization/immunization-ecr-pneumo", "display" : "pneumococcal polysaccharide vaccine" }, { "reference" : "Observation/observation-vaccine-credential-assertion-eve-everywoman", "display" : "Vaccine Credential Patient Assertion Observation Example" }] }, { "title" : "Procedures Section", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "47519-4", "display" : "History of Procedures Document" }] }, "text" : { "status" : "generated", "div" : "
title
Procedures Section
code
entryExtracorporeal membrane oxygenation (procedure)
" }, "entry" : [{ "reference" : "Procedure/procedure-ecmo", "display" : "Extracorporeal membrane oxygenation (procedure)" }] }, { "title" : "Vital Signs Section", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "8716-3", "display" : "Vital signs note" }] }, "text" : { "status" : "generated", "div" : "
title
Vital Signs Section
code
entryBlood pressure systolic and diastolic
" }, "entry" : [{ "reference" : "Observation/observation-blood-pressure-eve-everywoman", "display" : "Blood pressure systolic and diastolic" }] }, { "title" : "Social History Section", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "29762-2", "display" : "Social history note" }] }, "text" : { "status" : "generated", "div" : "
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
" }, "entry" : [{ "reference" : "Observation/observation-travel-history-eve-everywoman-201801", "display" : "eICR Travel History: Eve Everywoman 2018-01" }, { "reference" : "Observation/observation-odh-usual-work-eve-everywoman", "display" : "ODH Usual Work Example" }, { "reference" : "Observation/observation-disability-status-eve-everywoman", "display" : "US Public Health Disability Status Example" }, { "reference" : "Observation/observation-us-ph-exposure-contact-info-football-game", "display" : "US Public Health Exposure Contact Information Example" }, { "reference" : "Observation/observation-country-of-nationality-eve-everywoman", "display" : "Country of Nationality Observation Example" }, { "reference" : "Observation/observation-country-of-residence-eve-everywoman", "display" : "Country of Residence Observation Example" }] }, { "title" : "Pregnancy Section", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "90767-5", "display" : "Pregnancy summary Document" }] }, "text" : { "status" : "generated", "div" : "
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
" }, "entry" : [{ "reference" : "Observation/observation-pregnancy-status-eve-everywoman", "display" : "eICR Pregnancy Status Example" }] }, { "title" : "Emergency Outbreak Information Section", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "83910-0", "display" : "Public health Note" }] }, "text" : { "status" : "generated", "div" : "
title
Emergency Outbreak Information Section
code
entryUS Public Health Emergency Outbreak Information Example
" }, "entry" : [{ "reference" : "Observation/observation-us-ph-emergency-outbreak-info-eve-everywoman", "display" : "US Public Health Emergency Outbreak Information Example" }] }, { "title" : "Past Medical History Section", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "11348-0", "display" : "History of Past illness note" }] }, "text" : { "status" : "generated", "div" : "
title
Past Medical History Section
code

Past medical history

" } }, { "title" : "Review of Systems Section", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "10187-3", "display" : "Review of systems Narrative - Reported" }] }, "text" : { "status" : "generated", "div" : "
title
Review of Systems Section
code

Review of systems

" } }] } }, { "fullUrl" : "http://example.org/fhir/us/ecr/MedicationAdministration/medicationadministration-eve-everywoman-azithromycin", "resource" : { "resourceType" : "MedicationAdministration", "id" : "medicationadministration-eve-everywoman-azithromycin", "meta" : { "profile" : ["http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-medicationadministration"] }, "status" : "completed", "medicationCodeableConcept" : { "coding" : [{ "system" : "http://www.nlm.nih.gov/research/umls/rxnorm", "code" : "248656", "display" : "Azithromycin 500 MG Oral Tablet" }], "text" : "Azithromycin 500 MG Oral Tablet" }, "subject" : { "reference" : "Patient/patient-ecr-eve-everywoman", "display" : "Eve Everywoman" }, "effectivePeriod" : { "start" : "2018-03-07", "end" : "2018-03-07" }, "dosage" : { "text" : "Two tablets at once", "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "26643006", "display" : "Oral route" }] }, "method" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "421521009", "display" : "Swallow - dosing instruction imperative (qualifier value)" }] }, "dose" : { "value" : 2, "unit" : "TAB", "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code" : "TAB" } } } }, { "fullUrl" : "http://example.org/fhir/us/ecr/Procedure/procedure-ecmo", "resource" : { "resourceType" : "Procedure", "id" : "procedure-ecmo", "meta" : { "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-procedure"] }, "identifier" : [{ "system" : "urn:ietf:rfc:3986", "value" : "urn:uuid:b2a737f2-2fdb-49c1-b097-dac173d07afd" }], "status" : "completed", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "233573008", "display" : "Extracorporeal membrane oxygenation (procedure)" }], "text" : "Extracorporeal membrane oxygenation (procedure)" }, "subject" : { "reference" : "Patient/patient-ecr-eve-everywoman" }, "performedPeriod" : { "start" : "2020-11-01T12:55:26-07:00", "end" : "2020-11-01T13:25:26-07:00" }, "focalDevice" : [{ "manipulated" : { "reference" : "Device/device-ecmo" } }] } }, { "fullUrl" : "http://example.org/fhir/us/ecr/MedicationAdministration/medicationadministration-eve-everywoman-naloxone-response", "resource" : { "resourceType" : "MedicationAdministration", "id" : "medicationadministration-eve-everywoman-naloxone-response", "meta" : { "profile" : ["http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-medicationadministration"] }, "extension" : [{ "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-therapeutic-medication-response-extension", "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "268910001", "display" : "Patient's condition improved (finding)" }] } }], "status" : "completed", "medicationCodeableConcept" : { "coding" : [{ "system" : "http://www.nlm.nih.gov/research/umls/rxnorm", "code" : "1659929", "display" : "1 ML naloxone hydrochloride 0.4 MG/ML Injection" }] }, "subject" : { "reference" : "Patient/patient-ecr-eve-everywoman", "display" : "Eve Everywoman" }, "effectivePeriod" : { "start" : "2018-03-07", "end" : "2018-03-07" }, "dosage" : { "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "206007", "display" : "Gluteus maximus muscle" }] }, "method" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "422145002", "display" : "Inject - dosing instruction imperative (qualifier value)" }] }, "dose" : { "value" : 1, "unit" : "mL", "system" : "http://unitsofmeasure.org", "code" : "mL" } } } }, { "fullUrl" : "http://example.org/fhir/us/ecr/ServiceRequest/servicerequest-eicr-zika", "resource" : { "resourceType" : "ServiceRequest", "id" : "servicerequest-eicr-zika", "meta" : { "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-servicerequest"] }, "identifier" : [{ "system" : "http://example.org/lab.smarthealthit.org", "value" : "061ef612-344f-4e7b-81a8-1059ae7bbe11" }], "status" : "completed", "intent" : "order", "category" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "386053000", "display" : "Evaluation procedure (procedure)" }], "text" : "Evaluation Procedure" }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "80825-3", "display" : "Zika virus envelope E gene [Presence] in Serum by NAA with probe detection" }], "text" : "Zika RT-PCR" }, "subject" : { "reference" : "Patient/patient-ecr-eve-everywoman", "display" : "Eve Everywoman" }, "performer" : [{ "reference" : "Organization/organization-ecr-acme-laboratory", "display" : "Acme Labs" }] } }, { "fullUrl" : "http://example.org/fhir/us/ecr/Condition/condition-eicr-eve-everywoman-common-cold", "resource" : { "resourceType" : "Condition", "id" : "condition-eicr-eve-everywoman-common-cold", "meta" : { "profile" : ["http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-condition-encounter-diagnosis"] }, "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-category", "code" : "encounter-diagnosis" }] }], "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "82272006", "display" : "Common cold (disorder)" }] }, "subject" : { "reference" : "Patient/patient-ecr-eve-everywoman", "display" : "Eve Everywoman" }, "onsetDateTime" : "2017-09-23", "asserter" : { "reference" : "Practitioner/practitioner-us-core-henry-seven", "display" : "Henry Seven, MD" } } }, { "fullUrl" : "http://example.org/fhir/us/ecr/Encounter/encounter-eicr-eve-everywoman-outpatient", "resource" : { "resourceType" : "Encounter", "id" : "encounter-eicr-eve-everywoman-outpatient", "meta" : { "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-encounter"] }, "identifier" : [{ "system" : "http://example.org/hospital.smarthealthit.org", "value" : "9937012" }], "status" : "finished", "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "AMB", "display" : "ambulatory" }, "type" : [{ "coding" : [{ "system" : "http://www.ama-assn.org/go/cpt", "code" : "99202" }], "text" : "Office Visit" }], "subject" : { "reference" : "Patient/patient-ecr-eve-everywoman", "display" : "Eve Everywoman" }, "participant" : [{ "type" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code" : "ATND", "display" : "attender" }] }], "individual" : { "reference" : "PractitionerRole/practitionerrole-henry-seven", "display" : "Henry Seven, MD" } }], "period" : { "start" : "2018-04-01T10:00:00-05:00", "end" : "2018-04-02T10:15:00-05:00" }, "diagnosis" : [{ "extension" : [{ "extension" : [{ "url" : "triggerCodeValueSet", "valueString" : "urn:oid:2.16.840.1.114222.4.11.7508" }, { "url" : "triggerCodeValueSetVersion", "valueString" : "12/12/2018" }, { "url" : "triggerCode", "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "3928002", "display" : "Zika virus disease (disorder)" } }], "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension" }], "condition" : { "reference" : "Condition/condition-eicr-eve-everywoman-zika" } }, { "condition" : { "reference" : "Condition/condition-eicr-eve-everywoman-common-cold" } }], "location" : [{ "location" : { "reference" : "Location/location-ecr-salem-medical-center", "display" : "Clinic Bldg A, Salem Medical Center, 4646 Brown Rd, Salem, MA 02368" } }], "serviceProvider" : { "reference" : "Organization/organization-ecr-salem-medical-center", "display" : "Salem Medical Center, 22222 Health Authority Drive, Ann Arbor MI, 99999" } } }, { "fullUrl" : "http://example.org/fhir/us/ecr/Observation/observation-pregnancy-status-eve-everywoman", "resource" : { "resourceType" : "Observation", "id" : "observation-pregnancy-status-eve-everywoman", "meta" : { "profile" : ["http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-pregnancy-status-observation"] }, "extension" : [{ "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-date-determined-extension", "valueDateTime" : "2017-10-01" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "social-history" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "82810-3", "display" : "Pregnancy status" }] }, "subject" : { "reference" : "Patient/patient-ecr-eve-everywoman", "display" : "Eve Everywoman" }, "effectiveDateTime" : "2017-08-26", "performer" : [{ "reference" : "PractitionerRole/practitionerrole-henry-seven" }], "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "77386006", "display" : "Pregnancy (finding)" }] }, "method" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "16310003", "display" : "Ultrasonography (procedure)" }] }, "component" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-date-determined-extension", "valueDateTime" : "2017-10-01" }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "53691-2", "display" : "Gestational age Estimated from patient reported estimated date of conception" }] }, "valueQuantity" : { "value" : 143, "unit" : "d" } }, { "extension" : [{ "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-date-determined-extension", "valueDateTime" : "2017-10-01" }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "57064-8", "display" : "Delivery date Estimated from date fundal height reaches umb" }] }, "valueDateTime" : "2018-05-01" }] } }, { "fullUrl" : "http://example.org/fhir/us/ecr/Observation/observation-vaccine-credential-assertion-eve-everywoman", "resource" : { "resourceType" : "Observation", "id" : "observation-vaccine-credential-assertion-eve-everywoman", "meta" : { "profile" : ["http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-vaccine-credential-patient-assertion"] }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "social-history" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "11370-4", "display" : "Immunization status - Reported" }] }, "subject" : { "reference" : "Patient/patient-ecr-eve-everywoman", "display" : "Eve Everywoman" }, "effectiveDateTime" : "2020-11-10T22:33:22Z", "performer" : [{ "reference" : "PractitionerRole/practitionerrole-henry-seven" }], "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0532", "code" : "Y", "display" : "Yes" }] } } }, { "fullUrl" : "http://example.org/fhir/us/ecr/Observation/observation-us-ph-emergency-outbreak-info-eve-everywoman", "resource" : { "resourceType" : "Observation", "id" : "observation-us-ph-emergency-outbreak-info-eve-everywoman", "meta" : { "profile" : ["http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-emergency-outbreak-information"] }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "social-history" }] }], "code" : { "text" : "Employee desk distance from mail sorter" }, "subject" : { "reference" : "Patient/patient-ecr-eve-everywoman", "display" : "Eve Everywoman" }, "effectiveDateTime" : "2020-11-18T22:33:22Z", "performer" : [{ "reference" : "PractitionerRole/practitionerrole-henry-seven" }], "valueQuantity" : { "value" : 2, "unit" : "m" } } }, { "fullUrl" : "http://example.org/fhir/us/ecr/Observation/observation-country-of-nationality-eve-everywoman", "resource" : { "resourceType" : "Observation", "id" : "observation-country-of-nationality-eve-everywoman", "meta" : { "profile" : ["http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-country-of-nationality"] }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "social-history", "display" : "Social History" }] }], "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "186034007", "display" : "Ethnicity / related nationality data (observable entity)" }] }, "subject" : { "reference" : "Patient/patient-ecr-eve-everywoman", "display" : "Eve Everywoman" }, "effectiveDateTime" : "2020-11-10T22:33:22Z", "performer" : [{ "reference" : "PractitionerRole/practitionerrole-henry-seven" }], "valueCodeableConcept" : { "coding" : [{ "system" : "urn:iso:std:iso:3166", "code" : "AU", "display" : "Australia" }] } } }, { "fullUrl" : "http://example.org/fhir/us/ecr/Patient/patient-ecr-eve-everywoman", "resource" : { "resourceType" : "Patient", "id" : "patient-ecr-eve-everywoman", "meta" : { "profile" : ["http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient"] }, "extension" : [{ "extension" : [{ "url" : "ombCategory", "valueCoding" : { "system" : "urn:oid:2.16.840.1.113883.6.238", "code" : "2106-3", "display" : "White" } }, { "url" : "text", "valueString" : "White" }], "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" }, { "extension" : [{ "url" : "ombCategory", "valueCoding" : { "system" : "urn:oid:2.16.840.1.113883.6.238", "code" : "2186-5", "display" : "Not Hispanic or Latino" } }, { "url" : "text", "valueString" : "Not Hispanic or Latino" }], "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" }, { "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex", "valueCode" : "F" }, { "extension" : [{ "url" : "tribalAffiliation", "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS", "code" : "91", "display" : "Fort Mojave Indian Tribe of Arizona, California & Nevada" }] } }, { "url" : "isEnrolled", "valueBoolean" : true }], "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation" }], "identifier" : [{ "use" : "usual", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "MR", "display" : "Medical Record Number" }] }, "system" : "http://example.org/hospital-smarthealthit", "value" : "1032702" }], "active" : true, "name" : [{ "family" : "Everywoman", "given" : ["Eve", "L"] }], "telecom" : [{ "system" : "phone", "value" : "1-(404)555-1212", "use" : "home" }, { "system" : "email", "value" : "eve.everywoman@example.org" }], "gender" : "female", "birthDate" : "1974-11-24", "deceasedBoolean" : false, "address" : [{ "line" : ["2222 Home Street"], "city" : "Ann Arbor", "state" : "MI", "postalCode" : "99999", "country" : "US" }], "communication" : [{ "language" : { "coding" : [{ "system" : "urn:ietf:bcp:47", "code" : "en", "display" : "English" }] } }] } }, { "fullUrl" : "http://example.org/fhir/us/ecr/Immunization/immunization-ecr-pneumo", "resource" : { "resourceType" : "Immunization", "id" : "immunization-ecr-pneumo", "meta" : { "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization|6.1.0"] }, "status" : "completed", "vaccineCode" : { "coding" : [{ "system" : "http://hl7.org/fhir/sid/cvx", "code" : "33", "display" : "pneumococcal polysaccharide PPV23" }] }, "patient" : { "reference" : "Patient/patient-ecr-eve-everywoman", "display" : "Eve Everywoman" }, "occurrenceDateTime" : "2018-09-01", "primarySource" : true } }, { "fullUrl" : "http://example.org/fhir/us/ecr/Observation/observation-country-of-residence-eve-everywoman", "resource" : { "resourceType" : "Observation", "id" : "observation-country-of-residence-eve-everywoman", "meta" : { "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-country-of-residence-observation"] }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "social-history", "display" : "Social History" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "77983-5", "display" : "Country of usual residence" }] }, "subject" : { "reference" : "Patient/patient-ecr-eve-everywoman", "display" : "Eve Everywoman" }, "effectiveDateTime" : "2020-11-10T22:33:22Z", "performer" : [{ "reference" : "PractitionerRole/practitionerrole-henry-seven" }], "valueCodeableConcept" : { "coding" : [{ "system" : "urn:iso:std:iso:3166", "code" : "GB", "display" : "United Kingdom of Great Britain and Northern Ireland" }] } } }, { "fullUrl" : "http://example.org/fhir/us/ecr/PractitionerRole/practitionerrole-henry-seven", "resource" : { "resourceType" : "PractitionerRole", "id" : "practitionerrole-henry-seven", "meta" : { "profile" : ["http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-practitionerrole"] }, "identifier" : [{ "system" : "http://hl7.org/fhir/sid/us-npi", "value" : "9941339108" }], "practitioner" : { "reference" : "Practitioner/practitioner-us-core-henry-seven", "display" : "Henry Seven, MD" }, "organization" : { "reference" : "Organization/organization-ecr-salem-medical-center", "display" : "Salem Medical Center" }, "code" : [{ "coding" : [{ "system" : "http://nucc.org/provider-taxonomy", "code" : "261QP2300X", "display" : "Primary Care Clinic/Center" }] }], "specialty" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "419772000", "display" : "Family practice" }] }], "location" : [{ "reference" : "Location/location-ecr-salem-medical-center", "display" : "Salem Medical Center" }], "telecom" : [{ "system" : "email", "value" : "henry.seven@example.com" }] } }, { "fullUrl" : "http://example.org/fhir/us/ecr/Observation/observation-blood-pressure-eve-everywoman", "resource" : { "resourceType" : "Observation", "id" : "observation-blood-pressure-eve-everywoman", "meta" : { "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure|6.1.0"] }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "vital-signs", "display" : "Vital Signs" }], "text" : "Vital Signs" }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "85354-9", "display" : "Blood pressure panel with all children optional" }], "text" : "Blood pressure systolic and diastolic" }, "subject" : { "reference" : "Patient/patient-ecr-eve-everywoman", "display" : "Eve Everywoman" }, "encounter" : { "display" : "GP Visit" }, "effectiveDateTime" : "2020-07-02", "performer" : [{ "reference" : "PractitionerRole/practitionerrole-henry-seven" }], "component" : [{ "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "8480-6", "display" : "Systolic blood pressure" }], "text" : "Systolic blood pressure" }, "valueQuantity" : { "value" : 109, "unit" : "mmHg", "system" : "http://unitsofmeasure.org", "code" : "mm[Hg]" } }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "8462-4", "display" : "Diastolic blood pressure" }], "text" : "Diastolic blood pressure" }, "valueQuantity" : { "value" : 44, "unit" : "mmHg", "system" : "http://unitsofmeasure.org", "code" : "mm[Hg]" } }] } }, { "fullUrl" : "http://example.org/fhir/us/ecr/Observation/observation-us-ph-exposure-contact-info-football-game", "resource" : { "resourceType" : "Observation", "id" : "observation-us-ph-exposure-contact-info-football-game", "meta" : { "profile" : ["http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-exposure-contact-information"] }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass", "code" : "EXPOS", "display" : "exposure" }], "text" : "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" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/umls", "code" : "C3841750", "display" : "Mass gathering" }], "text" : "Mass gathering (football game)" }, "subject" : { "reference" : "Patient/patient-ecr-eve-everywoman", "display" : "Eve Everywoman" }, "focus" : [{ "reference" : "Location/location-ecr-city-football-stadium", "display" : "City Football Stadium" }], "effectivePeriod" : { "start" : "2020-01-11T18:00:00Z", "end" : "2020-01-11T21:30:00Z" }, "performer" : [{ "reference" : "PractitionerRole/practitionerrole-henry-seven" }], "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "264379009", "display" : "Sports stadium (environment)" }], "text" : "City Football Stadium" }, "component" : [{ "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code" : "EXPAGNT", "display" : "ExposureAgent" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "840533007", "display" : "Severe acute respiratory syndrome coronavirus 2 (organism)" }] } }] } }, { "fullUrl" : "http://example.org/fhir/us/ecr/Observation/observation-travel-history-eve-everywoman-201801", "resource" : { "resourceType" : "Observation", "id" : "observation-travel-history-eve-everywoman-201801", "meta" : { "profile" : ["http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-travel-history"] }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "social-history" }] }], "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "420008001", "display" : "Travel" }], "text" : "Travel History" }, "subject" : { "reference" : "Patient/patient-ecr-eve-everywoman", "display" : "Eve Everywoman" }, "effectivePeriod" : { "start" : "2018-01-15", "end" : "2018-01-30" }, "performer" : [{ "reference" : "PractitionerRole/practitionerrole-henry-seven" }], "component" : [{ "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code" : "LOC", "display" : "Location" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "urn:oid:1.0.3166.1", "code" : "VUT", "display" : "Vanuatu" }] } }, { "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "280147009", "display" : "Type of activity (attribute)" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "702348006", "display" : "Active duty military (occupation)" }] } }] } }, { "fullUrl" : "http://example.org/fhir/us/ecr/Observation/observation-disability-status-eve-everywoman", "resource" : { "resourceType" : "Observation", "id" : "observation-disability-status-eve-everywoman", "meta" : { "profile" : ["http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-disability-status"] }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-category", "code" : "disability-status", "display" : "Disability Status" }], "text" : "Disability Status" }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "69856-3", "display" : "Are you deaf, or do you have serious difficulty hearing" }] }, "subject" : { "reference" : "Patient/patient-ecr-eve-everywoman", "display" : "Eve Everywoman" }, "effectiveDateTime" : "2020-11-10T22:33:22Z", "performer" : [{ "reference" : "PractitionerRole/practitionerrole-henry-seven" }], "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0532", "code" : "Y", "display" : "Yes" }] } } }, { "fullUrl" : "http://example.org/fhir/us/ecr/Observation/observation-us-ph-lab-result-eve-everywoman-lymphocytes", "resource" : { "resourceType" : "Observation", "id" : "observation-us-ph-lab-result-eve-everywoman-lymphocytes", "meta" : { "profile" : ["http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-lab-result-observation"] }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory", "display" : "Laboratory" }], "text" : "Laboratory" }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "731-0", "display" : "Lymphocytes [#/volume] in Blood by Automated count" }] }, "subject" : { "reference" : "Patient/patient-ecr-eve-everywoman", "display" : "Eve Everywoman" }, "effectiveDateTime" : "2018-03-07", "performer" : [{ "reference" : "Organization/organization-ecr-acme-laboratory" }], "valueQuantity" : { "value" : 5.2, "system" : "http://unitsofmeasure.org", "code" : "10*3/uL" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H", "display" : "High" }] }], "referenceRange" : [{ "low" : { "value" : 1, "system" : "http://unitsofmeasure.org", "code" : "10*3/uL" }, "high" : { "value" : 4.8, "system" : "http://unitsofmeasure.org", "code" : "10*3/uL" } }] } }, { "fullUrl" : "http://example.org/fhir/us/ecr/Organization/organization-ecr-acme-laboratory", "resource" : { "resourceType" : "Organization", "id" : "organization-ecr-acme-laboratory", "meta" : { "profile" : ["http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-organization"] }, "identifier" : [{ "system" : "http://hl7.org/fhir/sid/us-npi", "value" : "1144221847" }], "active" : true, "type" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "code" : "OUTLAB", "display" : "outpatient laboratory" }] }], "name" : "Acme_Labs", "telecom" : [{ "system" : "phone", "value" : "+1-555-555-4444" }, { "system" : "email", "value" : "mail@acme-labs.com" }], "address" : [{ "line" : ["7777 Laboratory Drive"], "city" : "Ann Arbor", "state" : "MI", "postalCode" : "99999" }] } }, { "fullUrl" : "http://example.org/fhir/us/ecr/Observation/observation-odh-usual-work-eve-everywoman", "resource" : { "resourceType" : "Observation", "id" : "observation-odh-usual-work-eve-everywoman", "meta" : { "profile" : ["http://hl7.org/fhir/us/odh/StructureDefinition/odh-UsualWork"] }, "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "21843-8", "display" : "History of Usual occupation" }] }, "subject" : { "reference" : "Patient/patient-ecr-eve-everywoman", "display" : "Eve Everywoman" }, "effectivePeriod" : { "start" : "2015-01-01", "end" : "2018-03-07" }, "performer" : [{ "reference" : "Practitioner/practitioner-us-core-henry-seven" }], "valueCodeableConcept" : { "coding" : [{ "system" : "urn:oid:2.16.840.1.114222.4.5.314", "code" : "0136", "display" : "Human Resources Managers" }] }, "component" : [{ "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "21844-6", "display" : "History of Usual industry" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "urn:oid:2.16.840.1.114222.4.5.315", "code" : "8190", "display" : "Hospitals" }] } }] } }, { "fullUrl" : "http://example.org/fhir/us/ecr/Location/location-ecr-salem-medical-center", "resource" : { "resourceType" : "Location", "id" : "location-ecr-salem-medical-center", "meta" : { "profile" : ["http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-location"] }, "identifier" : [{ "system" : "http://hl7.org/fhir/sid/us-npi", "value" : "1144221995" }], "status" : "active", "name" : "Clinic Bldg A, Salem Medical Center", "type" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "code" : "HOSP", "display" : "Hospital" }] }], "telecom" : [{ "system" : "phone", "value" : "(+1) (555)555-3001" }, { "system" : "fax", "value" : "(+1) (555)555-3002" }, { "system" : "email", "value" : "mail@smc.org" }], "address" : { "line" : ["Clinic Bldg A", "4444 Healthcare Drive"], "city" : "Ann Arbor", "state" : "MI", "postalCode" : "99999" }, "managingOrganization" : { "reference" : "Organization/organization-ecr-salem-medical-center" } } }, { "fullUrl" : "http://example.org/fhir/us/ecr/Location/location-ecr-city-football-stadium", "resource" : { "resourceType" : "Location", "id" : "location-ecr-city-football-stadium", "meta" : { "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-location|6.1.0"] }, "status" : "active", "name" : "City Football Stadium", "type" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "264379009", "display" : "Sports stadium (environment)" }], "text" : "City Football Stadium" }], "address" : { "line" : ["99 Football Stadium Road"], "city" : "My City", "state" : "AZ", "postalCode" : "8562" } } }, { "fullUrl" : "http://example.org/fhir/us/ecr/Organization/organization-ecr-salem-medical-center", "resource" : { "resourceType" : "Organization", "id" : "organization-ecr-salem-medical-center", "meta" : { "profile" : ["http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-organization"] }, "identifier" : [{ "system" : "http://hl7.org/fhir/sid/us-npi", "value" : "1144221847" }], "active" : true, "type" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "code" : "OF", "display" : "Outpatient facility" }] }], "name" : "Salem Medical Center", "telecom" : [{ "system" : "phone", "value" : "+1-555-555-1111" }, { "system" : "email", "value" : "mail@salemmedicalcenter.com" }], "address" : [{ "line" : ["22222 Health Authority Drive"], "city" : "Ann Arbor", "state" : "MI", "postalCode" : "99999" }] } }, { "fullUrl" : "http://example.org/fhir/us/ecr/Condition/condition-eicr-eve-everywoman-zika", "resource" : { "resourceType" : "Condition", "id" : "condition-eicr-eve-everywoman-zika", "meta" : { "profile" : ["http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-condition-encounter-diagnosis"] }, "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-category", "code" : "encounter-diagnosis" }] }], "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "3928002", "display" : "Zika virus disease (disorder)" }] }, "subject" : { "reference" : "Patient/patient-ecr-eve-everywoman", "display" : "Eve Everywoman" }, "onsetDateTime" : "2017-08-23", "asserter" : { "reference" : "Practitioner/practitioner-us-core-henry-seven", "display" : "Henry Seven, MD" } } }, { "fullUrl" : "http://example.org/fhir/us/ecr/Practitioner/practitioner-us-core-henry-seven", "resource" : { "resourceType" : "Practitioner", "id" : "practitioner-us-core-henry-seven", "meta" : { "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0"] }, "identifier" : [{ "system" : "http://hl7.org/fhir/sid/us-npi", "value" : "9941339100" }], "name" : [{ "family" : "Henry", "given" : ["Seven"], "suffix" : ["M.D."] }], "telecom" : [{ "system" : "email", "value" : "henry.seven@example.org" }], "address" : [{ "line" : ["1002 Healthcare Drive"], "city" : "Ann Arbor", "state" : "MI", "postalCode" : "99999", "country" : "US" }] } }, { "fullUrl" : "http://example.org/fhir/us/ecr/Device/device-ecmo", "resource" : { "resourceType" : "Device", "id" : "device-ecmo", "udiCarrier" : [{ "deviceIdentifier" : "99863313444316", "carrierHRF" : "(01)99863313444316(17)220101(10)M320(21)AC222", "entryType" : "rfid" }], "status" : "active", "manufacturer" : "ACME Biomedical", "expirationDate" : "2022-01-01", "lotNumber" : "M320", "serialNumber" : "AC222", "deviceName" : [{ "name" : "ACME Extracorporeal membrane oxygenator", "type" : "udi-label-name" }], "modelNumber" : "4.0", "type" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "469244005", "display" : "Extracorporeal membrane oxygenator (physical object)" }], "text" : "Extracorporeal membrane oxygenator (physical object)" }, "patient" : { "reference" : "Patient/patient-ecr-eve-everywoman", "display" : "Eve Everywoman" } } }] } }, { "fullUrl" : "http://example.org/fhir/us/ecr/Device/device-ecr-software-ymca", "resource" : { "resourceType" : "Device", "id" : "device-ecr-software-ymca", "text" : { "status" : "generated", "div" : "

Generated Narrative: Device device-ecr-software-ymca

identifier: http://example.org/software/client-ids/goodhealth_id

manufacturer: Acme Devices, Inc

type: EHR

Versions

-Value
*10.23-23423

contact: http://example.org

url: http://example.org/ymca/software/

" }, "identifier" : [{ "system" : "http://example.org/software/client-ids", "value" : "goodhealth_id" }], "manufacturer" : "Acme Devices, Inc", "type" : { "text" : "EHR" }, "version" : [{ "value" : "10.23-23423" }], "contact" : [{ "system" : "url", "value" : "http://example.org" }], "url" : "http://example.org/ymca/software/" } }, { "fullUrl" : "http://example.org/fhir/us/ecr/Organization/organization-ecr-salem-medical-center", "resource" : { "resourceType" : "Organization", "id" : "organization-ecr-salem-medical-center", "meta" : { "profile" : ["http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-organization"] }, "text" : { "status" : "generated", "div" : "

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

" }, "identifier" : [{ "system" : "http://hl7.org/fhir/sid/us-npi", "value" : "1144221847" }], "active" : true, "type" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "code" : "OF", "display" : "Outpatient facility" }] }], "name" : "Salem Medical Center", "telecom" : [{ "system" : "phone", "value" : "+1-555-555-1111" }, { "system" : "email", "value" : "mail@salemmedicalcenter.com" }], "address" : [{ "line" : ["22222 Health Authority Drive"], "city" : "Ann Arbor", "state" : "MI", "postalCode" : "99999" }] } }] }