HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm
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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

Extension: US Public Health Determination of Reportability Extension

Official URL: http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-extension Version: 2.1.2
Active as of 2024-10-30 Computable Name: USPublicHealthDeterminationOfReportabilityExtension
Other Identifiers: OID:2.16.840.1.113883.4.642.40.46.42.43

This Extension profile represents the determination of reportability.

Reportability is "the quality or state of being reportable or not". Reportability does not equate to the patient having a condition or meeting a case definition (definitively being a case).

For each condition included in the report and the relevant public health agency(s), this element indicates the determination of whether the condition is reportable to public health.

The values that can be used for the Determination of Reportability are described below.

A possible condition is:

  • Reportable - The information provided meets reporting criteria for an associated PHA.

A possible condition:

  • May be Reportable - The information provided may meet reporting criteria if additional information is provided. The Reportability Response will also be able to share the information needed to definitively determine reportability.

A possible condition is:

  • Not Reportable - The information provided conclusively does not meet reporting criteria.

Some decision support systems may not be able to fully differentiate between possible conditions that are Not Reportable and those that May be Reportable if additional information is provided. In these circumstances there may only be a reportability determination of:

  • No Reporting Rule Met - The information provided does not meet reporting criteria or may meet reporting criteria if additional information is provided.

The determination of No Reporting Rule Met may be provided for a possible condition or for all conditions in the report.

Context of Use

This extension may be used on the following element(s):

  • Element ID Observation

Usage info

Usage:

Formal Views of Extension Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

This structure is derived from Extension

Summary

Simple Extension of type CodeableConcept: This Extension profile represents the determination of reportability.

Reportability is "the quality or state of being reportable or not". Reportability does not equate to the patient having a condition or meeting a case definition (definitively being a case).

For each condition included in the report and the relevant public health agency(s), this element indicates the determination of whether the condition is reportable to public health.

The values that can be used for the Determination of Reportability are described below.

A possible condition is:

  • Reportable - The information provided meets reporting criteria for an associated PHA.

A possible condition:

  • May be Reportable - The information provided may meet reporting criteria if additional information is provided. The Reportability Response will also be able to share the information needed to definitively determine reportability.

A possible condition is:

  • Not Reportable - The information provided conclusively does not meet reporting criteria.

Some decision support systems may not be able to fully differentiate between possible conditions that are Not Reportable and those that May be Reportable if additional information is provided. In these circumstances there may only be a reportability determination of:

  • No Reporting Rule Met - The information provided does not meet reporting criteria or may meet reporting criteria if additional information is provided.

The determination of No Reporting Rule Met may be provided for a possible condition or for all conditions in the report.

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSetURI
Extension.value[x]extensibleRRVS_DeterminationOfReportability_eCR
http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.113883.10.20.15.2.5.3

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()