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

: Reportability Response Composition - One Condition/One PHA example - XML Representation

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<Composition xmlns="http://hl7.org/fhir">
  <id value="composition-rr-one-cond-one-pha"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-composition"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Composition composition-rr-one-cond-one-pha</b></p><a name="composition-rr-one-cond-one-pha"> </a><a name="hccomposition-rr-one-cond-one-pha"> </a><a name="composition-rr-one-cond-one-pha-en-US"> </a><p><b>Composition Version Number</b>: 1</p><p><b>US Public Health Information Recipient Extension</b>: <a href="PractitionerRole-practitionerrole-henry-seven.html">PractitionerRole Primary Care Clinic/Center</a></p><p><b>identifier</b>: <code>http://acme.org/identifiers</code>/RR12347</p><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 88085-6}">Reportability response report Document Public health</span></p><p><b>encounter</b>: <a href="Encounter-encounter-eicr-eve-everywoman-outpatient.html">Ambulatory Office Visit</a></p><p><b>date</b>: 2018-07-19 04:09:06+0000</p><p><b>author</b>: <a href="Organization-organization-ecr-health-authority-west.html">Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999</a></p><p><b>title</b>: Reportability Response - One Condition/One PHA example</p><p><b>custodian</b>: <a href="Organization-organization-ecr-health-authority-west.html">Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999</a></p></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber">
    <valueString value="1"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-information-recipient-extension">
    <valueReference>🔗 
      <reference value="PractitionerRole/practitionerrole-henry-seven"/>
    </valueReference>
  </extension>
  <identifier>
    <system value="http://acme.org/identifiers"/>
    <value value="RR12347"/>
  </identifier>
  <status value="final"/>
  <type>
    <coding>
      <system value="http://loinc.org"/>
      <code value="88085-6"/>
      <display value="Reportability response report Document Public health"/>
    </coding>
  </type>
  <subject>🔗 
    <reference value="Patient/patient-ecr-eve-everywoman"/>
    <display value="Eve Everywoman"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/encounter-eicr-eve-everywoman-outpatient"/>
    <display value="Ambulatory Office Visit"/>
  </encounter>
  <date value="2018-07-19T04:09:06Z"/>
  <author>🔗 
    <reference value="Organization/organization-ecr-health-authority-west"/>
    <display
             value="Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999"/>
  </author>
  <title value="Reportability Response - One Condition/One PHA example"/>
  <custodian>🔗 
    <reference value="Organization/organization-ecr-health-authority-west"/>
    <display
             value="Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999"/>
  </custodian>
  <section>
    <title value="Reportability Response Subject Section"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="88084-9"/>
        <display
                 value="Reportable condition response information and summary Document"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml">
                <p>Public Health Reporting Communication: one or more conditions are reportable, or may be reportable to public health</p>
            </div>
    </text>
  </section>
  <section>
    <extension
               url="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-extension">
      <extension url="eICRProcessingStatus">
        <valueReference>🔗 
          <reference
                     value="Observation/observation-rr-eicr-processing-status"/>
          <display value="eICR was processed - with a warning"/>
        </valueReference>
      </extension>
      <extension url="eICRValidationOutput">
        <valueAttachment>
          <contentType value="text/html"/>
          <data
                value="PGh0bWwgeG1sbnM9Imh0dHA6Ly93d3cudzMub3JnLzE5OTkveGh0bWwiIHhtbG5zOnhzaT0iaHR0cDovL3d3dy53My5vcmcvMjAwMS9YTUxTY2hlbWEtaW5zdGFuY2UiPg0KICAgICAgICAgIDxoZWFkPg0KICAgICAgICAgICAgPHRpdGxlPiBSZXN1bHRzIDwvdGl0bGU+DQogICAgICAgICAgICA8c3R5bGUgdHlwZT0idGV4dC9jc3MiPiA8L3N0eWxlPg0KICAgICAgICAgIDwvaGVhZD4NCiAgICAgICAgICA8Ym9keT4NCiAgICAgICAgICAgIDx0YWJsZT4NCiAgICAgICAgICAgICAgPHRoZWFkPg0KICAgICAgICAgICAgICAgIDx0cj4NCiAgICAgICAgICAgICAgICAgIDx0aD5TZXZlcml0eTwvdGg+DQogICAgICAgICAgICAgICAgICA8dGg+RGVzY3JpcHRpb248L3RoPg0KICAgICAgICAgICAgICAgICAgPHRoPkZpbGU8L3RoPg0KICAgICAgICAgICAgICAgICAgPHRoPkxvY2F0aW9uPC90aD4NCiAgICAgICAgICAgICAgICA8L3RyPg0KICAgICAgICAgICAgICA8L3RoZWFkPg0KICAgICAgICAgICAgICA8dGJvZHk+DQogICAgICAgICAgICAgICAgPHRyPg0KICAgICAgICAgICAgICAgICAgPHRkPmVycm9yPC90ZD4NCiAgICAgICAgICAgICAgICAgIDx0ZD5TSE9VTEQgY29udGFpbiB6ZXJvIG9yIG9uZSBbMC4uMV0gc2V0SWQgKENPTkY6MTA5OC0zMjc1MikuPC90ZD4NCiAgICAgICAgICAgICAgICAgIDx0ZD5DREFSMl9JR19QSENSX1IyX1JSX0QxXzIwMTdPQ1RfU0FNUExFLnhtbDwvdGQ+DQogICAgICAgICAgICAgICAgICA8dGQ+DQogICAgICAgICAgICAgICAgICAgIDxwPlN0YXJ0IGxpbmUgNDE1OjcwPC9wPg0KICAgICAgICAgICAgICAgICAgPC90ZD4NCiAgICAgICAgICAgICAgICA8L3RyPg0KICAgICAgICAgICAgICAgIDx0cj4NCiAgICAgICAgICAgICAgICAgIDx0ZD5lcnJvcjwvdGQ+DQogICAgICAgICAgICAgICAgICA8dGQ+U0hPVUxEIGNvbnRhaW4gemVybyBvciBvbmUgWzAuLjFdIHZlcnNpb25OdW1iZXIgKENPTkY6MTA5OC0zMjc1MykuPC90ZD4NCiAgICAgICAgICAgICAgICAgIDx0ZD5DREFSMl9JR19QSENSX1IyX1JSX0QxXzIwMTdPQ1RfU0FNUExFLnhtbDwvdGQ+DQogICAgICAgICAgICAgICAgICA8dGQ+DQogICAgICAgICAgICAgICAgICAgIDxwPlN0YXJ0IGxpbmUgNDE1OjcwPC9wPg0KICAgICAgICAgICAgICAgICAgPC90ZD4NCiAgICAgICAgICAgICAgICA8L3RyPg0KICAgICAgICAgICAgICA8L3Rib2R5Pg0KICAgICAgICAgICAgPC90YWJsZT4NCiAgICAgICAgICA8L2JvZHk+DQogICAgICAgIDwvaHRtbD4="/>
        </valueAttachment>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-receipt-time-extension">
      <valueDateTime value="2018-07-18T04:09:06Z"/>
    </extension>
    <title value="Electronic Initial Case Report Section"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="88082-3"/>
        <display value="Initial case report processing information Document"/>
      </coding>
    </code>
    <entry>🔗 
      <reference value="Bundle/bundle-eicr-document-zika"/>
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value value="urn:uuid:0070e7b2-9893-4044-b255-73da1649c9fe"/>
      </identifier>
      <display value="bundle-eicr-document-zika.xml"/>
    </entry>
  </section>
  <section>
    <extension
               url="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-priority-extension">
      <valueCodeableConcept>
        <coding>
          <system value="urn:oid:2.16.840.1.114222.4.5.274"/>
          <code value="RRVS17"/>
          <display value="Immediate action required"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <title value="Reportability Response Summary Section"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="55112-7"/>
        <display value="Document summary"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml">
                <p>
                    <b>Summary:</b>
                </p>
                <p>Your organization electronically submitted an initial case report to determine if reporting to public health is needed for a patient. &quot;Zika virus disease (disorder)&quot; is reportable to &quot;State
                    Department of Health&quot;. An initial case report was sent to &quot;State Department of Health&quot;. Additional information may be required for this report. <br/>
                    <br/>
                </p>
                <p>
                    <b>&quot;Zika virus disease (disorder)&quot; for &quot;State Department of Health&quot;</b>
                </p>
                <p>Reporting is required within &quot;24 hours&quot;. Reporting to this Public Health Agency is based on &quot;both patient home address and provider facility address&quot;. </p>
                <ul>
                    <li>
                        <p>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)</p>
                    </li>
                    <li>
                        <p>Additional information for the required reporting of Zika must be submitted to State Department of Health immediately. This additional information can be submitted here. ( <a href="http://statedepartmentofhealth.gov/epi/disease/zika/Supplemental_data_form.pdf">Link</a> - Immediate action required) </p>
                    </li>
                    <li>
                        <p>Zika has particular risks for pregnant women. Follow-up guidance for pregnant women and couples who are planning pregnancy. ( <a href="http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf">Link</a> - Immediate action requested) </p>
                    </li>
                    <li>
                        <p>Further Laboratory testing for Zika may be needed. Guidance for additional testing and specimen collection ( <a href="http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf">Link</a> - Action requested) </p>
                    </li>
                    <li>
                        <p>Forms for submitting further Zika laboratory testing ( <a href="http://statedepartmentofhealth.gov/epi/diseases/zika/zika_test_request_form_UPHL.xlsx">Link</a> - Information only)
                        </p>
                    </li>
                    <li>
                        <p>Treatment guidance ( <a href="http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf">Link</a> - Information only) </p>
                    </li>
                    <li>
                        <p>If you have additional questions regarding Zika or reporting, contact information for the State Department of Health is available here. ( <a href="http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf">Link</a> - Information Only) </p>
                    </li>
                </ul>
                <p>Additional Resources (Information only):</p>
                <ul>
                    <li>
                        <p>Control and prevention information for providers ( <a href="http://statedepartmentofhealth.gov/epi/diseases/zika/plan.pdf">Link</a>) </p>
                    </li>
                    <li>
                        <p>Detailed condition references ( <a href="http://statedepartmentofhealth.gov/epi/diseases/zika/plan.pdf">Link</a>) </p>
                    </li>
                    <li>
                        <p>Prevalence in State ( <a href="http://statedepartmentofhealth.gov/epi/diseases/zika/plan.pdf">Link</a>) </p>
                    </li>
                    <li>
                        <p>CDC webpage ( <a href="https://www.cdc.gov/zika/index.html">Link</a>) </p>
                    </li>
                    <li>
                        <p>Patient information factsheet ( <a href="http://statedepartmentofhealth.gov/epi/diseases/zika/factsheet.pdf">Link</a>) </p>
                    </li>
                    <li>
                        <p>State Resident information ( <a href="http://statedepartmentofhealth.gov/epi/diseases/zika/ZikaVirus_QA_StateDOH.pdf">Link</a>) </p>
                    </li>
                </ul>
            </div>
    </text>
    <entry>🔗 
      <reference value="Observation/observation-rr-summary"/>
      <display value="Reportability Response Summary"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Observation/observation-rr-relevant-reportable-condition-observation"/>
      <display value="Relevant reportable condition: Zika"/>
    </entry>
  </section>
</Composition>