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

Document Details

Generated Narrative: Bundle Reportability Response - One Condition/One PHA example

Document Subject

Unable to resolve subject ''

Document Content

Reportability Response Subject Section

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

Electronic Initial Case Report Section

Reportability Response Summary Section

Summary:

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

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

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

Local mosquito-borne Zika virus transmission was reported in your area. Increased watchfulness for symptoms of Zika virus in your patients is warranted. (Immediate action requested)
Additional information for the required reporting of Zika must be submitted to State Department of Health immediately. This additional information can be submitted here. ( Link - Immediate action required)
Zika has particular risks for pregnant women. Follow-up guidance for pregnant women and couples who are planning pregnancy. ( Link - Immediate action requested)
Further Laboratory testing for Zika may be needed. Guidance for additional testing and specimen collection ( Link - Action requested)
Forms for submitting further Zika laboratory testing ( Link - Information only)
Treatment guidance ( Link - Information only)
If you have additional questions regarding Zika or reporting, contact information for the State Department of Health is available here. ( Link - Information Only)

Additional Resources (Information only):

Control and prevention information for providers ( Link)
Detailed condition references ( Link)
Prevalence in State ( Link)
CDC webpage ( Link)
Patient information factsheet ( Link)
State Resident information ( Link)

Additional Resources Included in Document

Entry 1 - fullUrl = http://example.org/fhir/Composition/composition-rr-one-cond-one-pha

Resource Composition:

Generated Narrative: Composition composition-rr-one-cond-one-pha

version: 6; Last updated: 2021-08-17 03:37:27+0000;
Information Source: #0LoQfHsenVG69d13
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

Entry 2 - fullUrl = http://example.org/fhir/Observation/observation-rr-relevant-reportable-condition-observation

Resource Observation:

The RR Relevant Reportable Condition Observation does not contain narrative text. The information from this resource is parsed and contained in Composition[rr-composition].section:sliceRRSummarySection.text according to the guidlines set out here: Reportability Response Narrative Guidance.

Entry 3 - 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 4 - fullUrl = http://example.org/fhir/Organization/organization-ecr-health-authority-west

Resource Organization:

Generated Narrative: Organization organization-ecr-health-authority-west

version: 4; Last updated: 2021-06-30 04:13:19+0000;
Information Source: #dsstmHfZujY31Hwz
Profile: US Public Health Organization
identifier: http://hl7.org.fhir/sid/us-npi/1144221847
active: true
name: Health Authority West
contact
telecom: +1-555-555-3555, mail@healthauthoritywest.gov
address: 7777 Health Authority Drive Ann Arbor MI 99999

Entry 5 - fullUrl = http://example.org/fhir/Observation/observation-rr-summary

Resource Observation:

Generated Narrative: Observation observation-rr-summary

version: 1; Last updated: 2021-07-21 00:15:44+0000;
Information Source: #DQk7sbYvOfzjYqZ6
Profile: RR Summary
status: Final
code: Informing health care professional (procedure)
value: Your organization electronically submitted an initial case report to determine if reporting to public health is needed for a patient. 'Zika virus disease (disorder)' is reportable to 'State Department of Health'. An initial case report was sent to 'State Department of Health'. Additional information may be required for this report.

Entry 6 - fullUrl = http://example.org/fhir/DocumentReference/documentreference-eicr-example

Resource DocumentReference:

Generated Narrative: DocumentReference documentreference-eicr-example

identifier: Uniform Resource Identifier (URI)/urn:uuid:db734647-fc99-424c-a864-7e3cda82e703, urn:oid:2.16.840.1.113883.19.5.99999.19/sTT988#1
status: Current
type: Public health Case report
category: Clinical Note
subject: Female, DoB: 1974-11-24 ( Medical Record Number: 1032702 (use: usual, ))
content
Attachments
- ContentType Url
* text/plain urn:hl7ii:2.16.840.1.113883.19.5.99999.19:1

Entry 7 - 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 8 - fullUrl = http://example.org/fhir/Observation/observation-rr-reportability-information-observation

Resource Observation:

Generated Narrative: Observation observation-rr-reportability-information-observation

version: 1; Last updated: 2021-07-21 03:10:13+0000;
Information Source: #l0j1zEVQ0pIebyt5
Profile: RR Reportability Information Observation
US Public Health Determination of Reportability Extension: Reportable
US Public Health Determination of Reportability Reason Extension: Condition is reportable
US Public Health Determination of Reportability Rule Extension: Description of rule used in reportability determination
RR External Resource Extension: DocumentReference: extension = Immediate action required; status = current; type = Public health Note; category = Outbreak- or Cluster Related; description = Local mosquito-borne Zika virus creation was reported in your area. Increased watchfulness for symptoms of Zika virus in your patients is warranted.
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
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')

Entry 9 - 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 10 - 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 11 - 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 12 - 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 13 - 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 14 - fullUrl = http://example.org/fhir/Organization/organization-rr-routing-entity-haw

Resource Organization:

Generated Narrative: Organization organization-rr-routing-entity-haw

version: 4; Last updated: 2021-06-30 04:13:19+0000;
Information Source: #JxDnX4nN1kOgPTNr
Profile: Routing Entity Organization
identifier: http://hl7.org.fhir/sid/us-npi/43214321
active: true
type: Routing Entity
name: Health Authority West Routing Entity
contact
telecom: +1-555-555-3555, mail@healthauthoritywest.gov
address: 7777 Health Authority Drive Ann Arbor MI 99999

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

Resource Organization:

Generated Narrative: Organization organization-rr-rules-authoring-agency-haw

version: 4; Last updated: 2021-06-30 04:13:19+0000;
Information Source: #neVuDy4iafHVl44v
Profile: Rules Authoring Agency Organization
identifier: http://hl7.org.fhir/sid/us-npi/12341234
active: true
type: Rules Authoring Agency
name: Health Authority West Rules Authoring Agency
contact
telecom: +1-555-555-3555, mail@healthauthoritywest.gov
address: 7777 Health Authority Drive Ann Arbor MI 99999

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

Resource Organization:

Generated Narrative: Organization organization-rr-responsible-agency-haw

version: 4; Last updated: 2021-06-30 04:13:19+0000;
Information Source: #3U6KQ9Vvv8lROlRV
Profile: Responsible Agency Organization
identifier: http://hl7.org.fhir/sid/us-npi/99996666
active: true
type: Responsible Agency
name: Health Authority West Responsible Agency
contact
telecom: +1-555-555-3555, mail@healthauthoritywest.gov
address: 7777 Health Authority Drive Ann Arbor MI 99999

Entry 17 - 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 18 - fullUrl = http://example.org/fhir/Observation/observation-rr-eicr-processing-status

Resource Observation:

Generated Narrative: Observation observation-rr-eicr-processing-status

version: 7; Last updated: 2021-08-17 07:59:00+0000;
Information Source: #qebn2OtR7MyyUBlm
Profile: eICR Processing Status Observation
status: Final
code: eICR was processed - with a warning
hasMember: Observation eICR Processing Status Reason

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

Resource Observation:

Generated Narrative: Observation observation-rr-eicr-processing-status-reason

version: 6; Last updated: 2021-08-17 07:59:00+0000;
Information Source: #vuZ3NTkJzu5MXnbK
Profile: eICR Processing Status Reason Observation
status: Final
code: eICR Processing Status Reason
value: eICR was processed with the warning of: inactive RCTC code
Components
- Code Value[x]
* Inactive RCTC code detail Leptospirosis icterohemorrhagica (disorder)

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

Resource DocumentReference:

Generated Narrative: DocumentReference documentreference-add-reporting-needs-pdf

version: 2; Last updated: 2021-08-13 03:54:37+0000;
Information Source: #CKG4Ip9hcAYHwI5b
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://statedepartmentofhealth.gov/epi/disease/zika/Supplemental_data_form.pdf

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

Resource DocumentReference:

Generated Narrative: DocumentReference documentreference-zika-follow-up-pdf

version: 2; Last updated: 2021-08-13 03:55:05+0000;
Information Source: #5WqiIqtDkKw6T6kp
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://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf

Entry 22 - fullUrl = http://example.org/fhir/DocumentReference/documentreference-zika-info-pdf

Resource DocumentReference:

Generated Narrative: DocumentReference documentreference-zika-info-pdf

version: 2; Last updated: 2021-08-13 03:55:05+0000;
Information Source: #UHFGpbMvvCjqEqnT
Profile: RR DocumentReference
Reportability Response Priority Extension: Immediate action required
status: Current
type: Public health information
category: Outbreak- or Cluster Related
subject: Eve Everywoman
description:
Local mosquito-borne Zika virus creation was reported in your area. Increased watchfulness for symptoms of Zika virus in your patients is warranted.

content
Attachments
- ContentType Url
* application/pdf http://statedepartmentofhealth.gov/epi/disease/zika/outbreakinfo.pdf

IG © 2020+ HL7 International / Public Health. Package hl7.fhir.us.ecr#2.1.2 based on FHIR 4.0.1. Generated 2024-10-30
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