HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm
2.1.2 - STU 2
HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm
2.1.2 - STU 2
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
| Active as of 2020-07-31 |
{
"resourceType" : "PlanDefinition",
"id" : "plandefinition-ersd-instance-example",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/ersd-plandefinition"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<div>\n <table class=\"grid dict\">\n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">plandefinition-ersd-instance-example</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-plandefinition-ersd-instance-example.html\">eRSD PlanDefinition Instance Example</a></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Version: </b></th>\n <td style=\"padding-left: 4px;\">2.1.2</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\">\n <b>\n \n \n \n </b>\n </th>\n <td style=\"padding-left: 4px;\">\n \n <p style=\"margin-bottom: 5px;\">\n <span>urn:oid:2.16.840.1.113883.4.642.40.46.34.3</span>\n </p>\n \n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">eRSD PlanDefinition Instance Example</td>\n </tr>\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Experimental: </b></th>\n <td style=\"padding-left: 4px;\">true</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Type: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span><a href=\"http://terminology.hl7.org/6.2.0/CodeSystem-plan-definition-type.html\">http://terminology.hl7.org/CodeSystem/plan-definition-type</a></span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>workflow-definition</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>display: </b> <span>Workflow Definition</span>\n </p>\n \n \n \n \n </td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Date: </b></th>\n <td style=\"padding-left: 4px;\">2020-07-31 12:32:29-0500</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Publisher: </b></th>\n <td style=\"padding-left: 4px;\">HL7 International / Public Health</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Description: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>An example ersd PlanDefinition</p>\n</div></td>\n </tr>\n \n\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Jurisdiction: </b></th>\n <td style=\"padding-left: 4px;\">US</td>\n </tr>\n \n\n \n\n \n\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Effective Period: </b></th>\n <td style=\"padding-left: 4px;\">2020-12-01..</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Related Artifacts: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p><b>Dependencies</b></p>\n <ul>\n \n <li><a href=\"Bundle-bundle-ersd-specification-example.html\">Reportable Condition Trigger Codes (RCTC) Example Library</a></li>\n \n </ul>\n \n \n \n \n \n </td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Actions: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr>\n <td>\n \n Start the reporting workflow in response to an encounter-start event\n \n <br/>\n \n <b>When:</b>\n \n <i>Named Event:</i> encounter-start\n <br/>\n \n \n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n Check suspected disorders for immediate reportability and setup jobs for future reportability checks.\n \n <br/>\n \n \n \n <b>Then:</b>\n <table class=\"grid-dict\">\n \n <tr>\n <td>\n \n Check Trigger Codes based on Suspected Reportable Value set.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n <i>(%modifiedConditions.exists() or %modifiedLabResults.exists() or %modifiedMedicationOrders.exists())</i>\n <br/>\n \n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n <b> :</b>\n \n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n <i>(%encounter.where((status = 'in-progress' and period.start + 1 day * %normalReportingDuration >= now()) or (status = 'finished' and period.end + 72 hours >= now())).select(true))</i>\n <br/>\n \n \n \n \n \n </td>\n </tr>\n \n </table>\n \n </td>\n </tr>\n \n <tr>\n <td>\n \n Check Reportability and setup jobs for future reportability checks.\n \n <br/>\n \n \n \n <b>Then:</b>\n <table class=\"grid-dict\">\n \n <tr>\n <td>\n \n Check Trigger Codes based on RCTC Value sets.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n <i>(%encounter.where(period.start + 1 day * %normalReportingDuration >= now()).select(true) and (%conditions.exists() or %encounters.exists() or %immunizations.exists() or %procedures.exists() or %procedureOrders.exists() or %labOrders.exists() or %labTests.exists() or %labResults.exists() or %medicationAdministrations.exists() or %medicationOrders.exists() or %medicationDispenses.exists()))</i>\n <br/>\n \n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n <b> :</b>\n \n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n <i>(((%lasteicr.last().entry[2].resource as Bundle).entry.first().resource as Composition).date < now() - 72 hours)</i>\n <br/>\n \n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n <b> :</b>\n \n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n <i>(%inprogressencounter.where(status = 'in-progress' and period.start + 1 day * %normalReportingDuration >= now() or (status = 'finished' and period.end + 72 hours >= now())).exists())</i>\n <br/>\n \n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n <b> :</b>\n \n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n <i>(%completedEncounter.exists(status = 'finished'))</i>\n <br/>\n \n \n \n \n \n </td>\n </tr>\n \n </table>\n \n </td>\n </tr>\n \n <tr>\n <td>\n \n Create eICR\n \n <br/>\n \n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n Validate eICR\n \n <br/>\n \n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n Route and send eICR\n \n <br/>\n \n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n Start the reporting workflow in response to an encounter-modified event\n \n <br/>\n \n <b>When:</b>\n \n <i>Named Event:</i> encounter-modified\n <br/>\n \n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n <i>(%encounter.where(period.start + 1 day * %normalReportingDuration < now()).select(true))</i>\n <br/>\n \n \n \n \n \n </td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n </table>\n</div>\n</div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "normalReportingDuration",
"language" : "text/fhirpath",
"expression" : "14"
}
}
],
"url" : "http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-instance-example",
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.4.642.40.46.34.3"
}
],
"version" : "2.1.2",
"name" : "PlanDefinition_eRSD_Instance_Example",
"title" : "eRSD PlanDefinition Instance Example",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
"code" : "workflow-definition",
"display" : "Workflow Definition"
}
]
},
"status" : "active",
"experimental" : true,
"date" : "2020-07-31T12:32:29.858-05:00",
"publisher" : "HL7 International / Public Health",
"contact" : [
{
"name" : "HL7 International / Public Health",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/pher"
}
]
}
],
"description" : "An example ersd PlanDefinition",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US",
"display" : "United States of America"
}
],
"text" : "United States of America"
}
],
"effectivePeriod" : {
"start" : "2020-12-01"
},
"relatedArtifact" : [
{
"type" : "depends-on",
"label" : "RCTC Value Set Library of Trigger Codes",
"resource" : "http://hl7.org/fhir/us/ecr/Library/library-rctc-example"
}
],
"action" : [
{
"id" : "start-workflow",
"description" : "This action represents the start of the reporting workflow in response to the encounter-start event.",
"textEquivalent" : "Start the reporting workflow in response to an encounter-start event",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions",
"code" : "initiate-reporting-workflow",
"display" : "Initiate a reporting workflow"
}
]
}
],
"trigger" : [
{
"id" : "encounter-start",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-named-eventtype-extension",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-triggerdefinition-namedevents",
"code" : "encounter-start",
"display" : "Indicates the start of an encounter"
}
]
}
}
],
"type" : "named-event",
"name" : "encounter-start"
}
],
"input" : [
{
"id" : "patient",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension",
"valueString" : "Patient/{{context.patientId}}"
}
],
"type" : "Patient"
},
{
"id" : "encounter",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension",
"valueString" : "Encounter/{{context.encounterId}}"
}
],
"type" : "Encounter"
}
],
"relatedAction" : [
{
"actionId" : "check-suspected-disorder",
"relationship" : "before-start",
"offsetDuration" : {
"value" : 1,
"system" : "http://unitsofmeasure.org",
"code" : "h"
}
}
]
},
{
"id" : "check-suspected-disorder",
"description" : "This action represents the start of the check suspected disorder reporting workflow in response to the encounter-start event.",
"textEquivalent" : "Check suspected disorders for immediate reportability and setup jobs for future reportability checks.",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions",
"code" : "execute-reporting-workflow"
}
]
}
],
"action" : [
{
"id" : "is-encounter-suspected-disorder",
"description" : "This action represents the check for suspected disorder reportability to create the patients eICR.",
"textEquivalent" : "Check Trigger Codes based on Suspected Reportable Value set.",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions",
"code" : "check-trigger-codes"
}
]
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-alternative-expression-extension",
"valueExpression" : {
🔗 "language" : "text/cql-identifier",
"expression" : "Is Suspected Disorder?",
"reference" : "http://hl7.org/fhir/us/ecr/Library/RuleFilters|2.1.0"
}
}
],
"language" : "text/fhirpath",
"expression" : "%modifiedConditions.exists() or %modifiedLabResults.exists() or %modifiedMedicationOrders.exists()"
}
}
],
"input" : [
{
"id" : "modifiedConditions",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension",
"valueString" : "Condition?patient=Patient/{{context.patientId}}"
}
],
"type" : "Condition",
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://hl7.org/fhir/us/ecr/ValueSet/valueset-sdtc-example"
}
]
},
{
"id" : "modifiedLabResults",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension",
"valueString" : "Observation?patient=Patient/{{context.patientId}}"
}
],
"type" : "Observation",
"codeFilter" : [
{
"path" : "value",
"valueSet" : "http://hl7.org/fhir/us/ecr/ValueSet/valueset-lotc-example"
}
]
},
{
"id" : "modifiedMedicationOrders",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension",
"valueString" : "MedicationRequest?patient=Patient/{{context.patientId}}"
}
],
"type" : "MedicationRequest",
"codeFilter" : [
{
"path" : "medication",
"valueSet" : "http://hl7.org/fhir/us/ecr/ValueSet/valueset-mrtc-example"
}
]
}
],
"relatedAction" : [
{
"actionId" : "create-eicr",
"relationship" : "before-start"
}
]
},
{
"id" : "continue-check-reportable",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions",
"code" : "evaluate-condition"
}
]
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-alternative-expression-extension",
"valueExpression" : {
🔗 "language" : "text/cql-identifier",
"expression" : "Is Encounter In Progress and Within Normal Reporting Duration or 72h or less after end of encounter?",
"reference" : "http://hl7.org/fhir/us/ecr/Library/RuleFilters|2.1.0"
}
}
],
"language" : "text/fhirpath",
"expression" : "%encounter.where((status = 'in-progress' and period.start + 1 day * %normalReportingDuration >= now()) or (status = 'finished' and period.end + 72 hours >= now())).select(true)"
}
}
],
"relatedAction" : [
{
"actionId" : "check-reportable",
"relationship" : "before-start",
"offsetDuration" : {
"value" : 6,
"comparator" : "<=",
"system" : "http://unitsofmeasure.org",
"code" : "h"
}
}
]
}
]
},
{
"id" : "check-reportable",
"description" : "This action represents the check for suspected reportability of the eICR.",
"textEquivalent" : "Check Reportability and setup jobs for future reportability checks.",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions",
"code" : "execute-reporting-workflow"
}
]
}
],
"action" : [
{
"id" : "is-encounter-reportable",
"description" : "This action represents the check for reportability to create the patients eICR.",
"textEquivalent" : "Check Trigger Codes based on RCTC Value sets.",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions",
"code" : "check-trigger-codes"
}
]
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-alternative-expression-extension",
"valueExpression" : {
🔗 "language" : "text/cql-identifier",
"expression" : "Is Encounter Reportable and Within Normal Reporting Duration?",
"reference" : "http://hl7.org/fhir/us/ecr/Library/RuleFilters|2.1.0"
}
}
],
"language" : "text/fhirpath",
"expression" : "%encounter.where(period.start + 1 day * %normalReportingDuration >= now()).select(true) and (%conditions.exists() or %encounters.exists() or %immunizations.exists() or %procedures.exists() or %procedureOrders.exists() or %labOrders.exists() or %labTests.exists() or %labResults.exists() or %medicationAdministrations.exists() or %medicationOrders.exists() or %medicationDispenses.exists())"
}
}
],
"input" : [
{
"id" : "conditions",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension",
"valueString" : "Condition?patient=Patient/{{context.patientId}}"
}
],
"type" : "Condition",
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://hl7.org/fhir/us/ecr/ValueSet/valueset-dxtc-example"
}
]
},
{
"id" : "encounters",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "encounter"
}
],
"type" : "Encounter",
"codeFilter" : [
{
"path" : "reasonCode",
"valueSet" : "http://hl7.org/fhir/us/ecr/ValueSet/valueset-dxtc-example"
}
]
},
{
"id" : "immunizations",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension",
"valueString" : "Immunization?patient=Patient/{{context.patientId}}"
}
],
"type" : "Immunization",
"codeFilter" : [
{
"path" : "vaccineCode",
"valueSet" : "http://hl7.org/fhir/us/ecr/ValueSet/valueset-mrtc-example"
}
]
},
{
"id" : "labOrders",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension",
"valueString" : "ServiceRequest?patient=Patient/{{context.patientId}}"
}
],
"type" : "ServiceRequest",
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://hl7.org/fhir/us/ecr/ValueSet/valueset-lotc-example"
}
]
},
{
"id" : "labTests",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension",
"valueString" : "Observation?patient=Patient/{{context.patientId}}"
}
],
"type" : "Observation",
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://hl7.org/fhir/us/ecr/ValueSet/valueset-lotc-example"
}
]
},
{
"id" : "diagnosticOrders",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension",
"valueString" : "DiagnosticReport?patient=Patient/{{context.patientId}}"
}
],
"type" : "DiagnosticReport",
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://hl7.org/fhir/us/ecr/ValueSet/valueset-lotc-example"
}
]
},
{
"id" : "procedureOrders",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension",
"valueString" : "ServiceRequest?patient=Patient/{{context.patientId}}"
}
],
"type" : "ServiceRequest",
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://hl7.org/fhir/us/ecr/ValueSet/valueset-pctc-example"
}
]
},
{
"id" : "procedures",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension",
"valueString" : "Procedure?patient=Patient/{{context.patientId}}"
}
],
"type" : "Procedure",
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://hl7.org/fhir/us/ecr/ValueSet/valueset-pctc-example"
}
]
},
{
"id" : "medicationOrders",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension",
"valueString" : "MedicationRequest?patient=Patient/{{context.patientId}}"
}
],
"type" : "MedicationRequest",
"codeFilter" : [
{
"path" : "medication",
"valueSet" : "http://hl7.org/fhir/us/ecr/ValueSet/valueset-mrtc-example"
}
]
},
{
"id" : "medicationDispenses",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension",
"valueString" : "MedicationDispense?patient=Patient/{{context.patientId}}"
}
],
"type" : "MedicationDispense",
"codeFilter" : [
{
"path" : "medication",
"valueSet" : "http://hl7.org/fhir/us/ecr/ValueSet/valueset-mrtc-example"
}
]
},
{
"id" : "medicationAdministrations",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension",
"valueString" : "MedicationAdministration?patient=Patient/{{context.patientId}}"
}
],
"type" : "MedicationAdministration",
"codeFilter" : [
{
"path" : "medication",
"valueSet" : "http://hl7.org/fhir/us/ecr/ValueSet/valueset-mrtc-example"
}
]
},
{
"id" : "labResults",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "labTests"
}
],
"type" : "Observation",
"codeFilter" : [
{
"path" : "value",
"valueSet" : "http://hl7.org/fhir/us/ecr/ValueSet/valueset-ostc-example"
}
]
},
{
"id" : "diagnosticResults",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "diagnosticOrders"
}
],
"type" : "DiagnosticReport",
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://hl7.org/fhir/us/ecr/ValueSet/valueset-ostc-example"
}
]
}
],
"relatedAction" : [
{
"actionId" : "create-eicr",
"relationship" : "before-start"
}
]
},
{
"id" : "check-update-eicr",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions",
"code" : "evaluate-condition"
}
]
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-alternative-expression-extension",
"valueExpression" : {
🔗 "language" : "text/cql-identifier",
"expression" : "Most recent eICR sent over 72 hours ago?",
"reference" : "http://hl7.org/fhir/us/ecr/Library/RuleFilters|2.1.0"
}
}
],
"language" : "text/fhirpath",
"expression" : "((%lasteicr.last().entry[2].resource as Bundle).entry.first().resource as Composition).date < now() - 72 hours"
}
}
],
"input" : [
{
"id" : "lasteicr",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "eicrreport"
}
],
"type" : "Bundle",
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-document-bundle"
]
}
],
"relatedAction" : [
{
"actionId" : "create-eicr",
"relationship" : "before-start"
}
]
},
{
"id" : "is-encounter-in-progress",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions",
"code" : "evaluate-condition"
}
]
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-alternative-expression-extension",
"valueExpression" : {
🔗 "language" : "text/cql-identifier",
"expression" : "Is Encounter In Progress and Within Normal Reporting Duration or 72h or less after end of encounter?",
"reference" : "http://hl7.org/fhir/us/ecr/Library/RuleFilters|2.1.0"
}
}
],
"language" : "text/fhirpath",
"expression" : "%inprogressencounter.where(status = 'in-progress' and period.start + 1 day * %normalReportingDuration >= now() or (status = 'finished' and period.end + 72 hours >= now())).exists()"
}
}
],
"input" : [
{
"id" : "inprogressencounter",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "encounter"
}
],
"type" : "Encounter"
}
],
"relatedAction" : [
{
"actionId" : "check-reportable",
"relationship" : "before-start",
"offsetDuration" : {
"value" : 6,
"comparator" : "<=",
"system" : "http://unitsofmeasure.org",
"code" : "h"
}
}
]
},
{
"id" : "is-encounter-completed",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions",
"code" : "complete-reporting"
}
]
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-alternative-expression-extension",
"valueExpression" : {
"language" : "text/cql-identifier",
"expression" : "Is Encounter Complete",
"reference" : "http://aphl.org/fhir/ecr/Library/RuleFilters|2.1.0"
}
}
],
"language" : "text/fhirpath",
"expression" : "%completedEncounter.exists(status = 'finished')"
}
}
],
"input" : [
{
"id" : "completedEncounter",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "encounter"
}
],
"type" : "Encounter"
}
]
}
]
},
{
"id" : "create-eicr",
"description" : "This action represents the creation of the eICR. It subsequently calls validate.",
"textEquivalent" : "Create eICR",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions",
"code" : "create-report"
}
]
}
],
"input" : [
{
"id" : "patientdata",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "patient"
}
],
"type" : "Patient",
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
]
},
{
"id" : "conditiondata",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "conditions"
}
],
"type" : "Condition",
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"
]
},
{
"id" : "encounterdata",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "encounter"
}
],
"type" : "Encounter",
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
]
},
{
"id" : "mrdata",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "medicationOrders"
}
],
"type" : "MedicationRequest",
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"
]
},
{
"id" : "immzdata",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "immunizations"
}
],
"type" : "Immunization",
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization"
]
},
{
"id" : "procdata",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "procedures"
}
],
"type" : "Procedure",
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure"
]
},
{
"id" : "labResultdata",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "labResults"
}
],
"type" : "Observation",
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
]
},
{
"id" : "labOrderdata",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "labOrders"
}
],
"type" : "ServiceRequest",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/ServiceRequest"
]
},
{
"id" : "diagnosticResultdata",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "diagnosticResults"
}
],
"type" : "DiagnosticReport",
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab"
]
},
{
"id" : "diagnosticOrderdata",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "diagnosticOrders"
}
],
"type" : "DiagnosticReport",
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab"
]
}
],
"output" : [
{
"id" : "eicrreport",
"type" : "Bundle",
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-document-bundle"
]
}
],
"relatedAction" : [
{
"actionId" : "validate-eicr",
"relationship" : "before-start"
}
]
},
{
"id" : "validate-eicr",
"description" : "This action represents the validation of the eICR. It subsequently calls route-and-send.",
"textEquivalent" : "Validate eICR",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions",
"code" : "validate-report"
}
]
}
],
"input" : [
{
"id" : "generatedeicrreport",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "eicrreport"
}
],
"type" : "Bundle",
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-document-bundle"
]
}
],
"output" : [
{
"id" : "valideicrreport",
"type" : "Bundle",
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-document-bundle"
]
}
],
"relatedAction" : [
{
"actionId" : "route-and-send-eicr",
"relationship" : "before-start"
}
]
},
{
"id" : "route-and-send-eicr",
"description" : "This action represents the routing and sending of the eICR.",
"textEquivalent" : "Route and send eICR",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions",
"code" : "submit-report"
}
]
}
],
"input" : [
{
"id" : "validatedeicrreport",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension",
"valueString" : "valideicrreport"
}
],
"type" : "Bundle",
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-document-bundle"
]
}
],
"output" : [
{
"id" : "submittedeicrreport",
"type" : "Bundle",
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-document-bundle"
]
}
]
},
{
"id" : "encounter-modified",
"description" : "This action represents the start of the reporting workflow in response to the encounter-modified event",
"textEquivalent" : "Start the reporting workflow in response to an encounter-modified event",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions",
"code" : "initiate-reporting-workflow",
"display" : "Initiate a reporting workflow"
}
]
}
],
"trigger" : [
{
"id" : "encounter-modified-trigger",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-named-eventtype-extension",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-triggerdefinition-namedevents",
"code" : "encounter-modified",
"display" : "Indicates modifications to data elements of an encounter"
}
]
}
}
],
"type" : "named-event",
"name" : "encounter-modified"
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-alternative-expression-extension",
"valueExpression" : {
🔗 "language" : "text/cql-identifier",
"expression" : "Is Encounter Longer Than Normal Reporting Duration?",
"reference" : "http://hl7.org/fhir/us/ecr/Library/RuleFilters|2.1.0"
}
}
],
"language" : "text/fhirpath",
"expression" : "%encounter.where(period.start + 1 day * %normalReportingDuration < now()).select(true)"
}
}
],
"relatedAction" : [
{
"actionId" : "create-eicr",
"relationship" : "before-start"
}
]
}
]
}
IG © 2020+ HL7 International / Public Health. Package hl7.fhir.us.ecr#2.1.2 based on FHIR 4.0.1. Generated 2025-03-24
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