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

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: US Public Health Triggering Value Set

This profile describes the US Public Health Triggering value set.

Usage:

• Refer to this Resource Profile: US Public Health Triggering ValueSet Library
• Examples for this Resource Profile: Example_Chlamydia_Lab_Obs_Test_Name_Triggers_for_Public_Health_Reporting, Example_Diagnosis_Problem_Triggers_for_Public_Health_Reporting, Example_Lab_Order_Test_Triggers_for_Public_Health_Reporting, Example_Lab_Obs_Test_Name_Triggers_for_Public_Health_Reporting... Show 4 more, Example_Medications_Triggers_for_Public_Health_Reporting, Example_Organism_Substance_Triggers_for_Public_Health_Reporting, Example_Procedure_Triggers_for_Public_Health_Reporting and Example_Suspected_Disorder_Triggers_for_Public_Health_Reporting

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from USPublicHealthValueSet

Name	Flags	Card.	Type	Description & Constraints
ValueSet		1..1	USPublicHealthValueSet	US Public Health Triggering ValueSet
Slices for useContext		2..*	UsageContext	The context that the content is intended to support Slice: Unordered, Open by pattern:code
useContext:reportingContext		1..1	UsageContext	The context that the content is intended to support
code		1..1	Coding	Type of context being specified Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: reporting
value[x]		1..1	CodeableConcept	value set useContext Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context
code		1..1	code	Symbol in syntax defined by the system Fixed Value: triggering
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
ValueSet	C	1..1	USPublicHealthValueSet	US Public Health Triggering ValueSet vsd-0: Name should be usable as an identifier for the module by machine processing applications such as code generation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extensionValueSetSteward	S	1..1	ContactDetail	Value set steward URL: http://hl7.org/fhir/StructureDefinition/valueset-steward
extensionValueSetAuthor	S	1..1	ContactDetail	Value set author URL: http://hl7.org/fhir/StructureDefinition/valueset-author
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
url	Σ	1..1	uri	Canonical identifier for this value set, represented as a URI (globally unique)
identifier	SΣ	0..*	Identifier	Value set identifier used by public health (e.g. RCTC OID)
version	Σ	1..1	string	Business version of the value set
name	SΣC	1..1	string	Value set name
title	SΣ	1..1	string	Value set title
status	?!SΣ	1..1	code	Value set definition version Binding: PublicationStatus (required): The lifecycle status of an artifact.
experimental	Σ	1..1	boolean	For testing purposes, not real usage
publisher	SΣ	1..1	string	The entity that is responsible for the content of the Value Set Definition
description	S	1..1	markdown	Value set description
Slices for useContext	Σ	2..*	UsageContext	The context that the content is intended to support Slice: Unordered, Open by pattern:code
useContext:priorityContext	Σ	1..1	UsageContext	The context that the content is intended to support
code	Σ	1..1	Coding	Type of context being specified Binding: UsageContextType (extensible): A code that specifies a type of context being specified by a usage context. Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: priority
value[x]	Σ	1..1	CodeableConcept	Release priority of the ValueSet Binding: US Public Health ValueSet Priority (required): US PH ValueSet Release Priority Codes.
useContext:focusConditionContext	SΣ	0..*	UsageContext	The context that the content is intended to support
code	Σ	1..1	Coding	Type of context being specified Binding: UsageContextType (extensible): A code that specifies a type of context being specified by a usage context. Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: focus
value[x]	Σ	1..1	CodeableConcept	Clinical condition that is the focus of the codes in this value set Binding: Condition/Problem/DiagnosisCodes (example): Condition/Problem/Diagnosis Codes.
useContext:reportingContext	Σ	1..1	UsageContext	The context that the content is intended to support
code	Σ	1..1	Coding	Type of context being specified Binding: UsageContextType (extensible): A code that specifies a type of context being specified by a usage context. Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: reporting
value[x]	Σ	1..1	CodeableConcept	value set useContext Binding: Context of Use ValueSet (example): A code that defines the specific value for the context being specified. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context
code		1..1	code	Symbol in syntax defined by the system Fixed Value: triggering
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ValueSet.status	required	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status|4.0.1 from the FHIR Standard
ValueSet.useContext:priorityContext.code	extensible	Pattern: priority http://hl7.org/fhir/ValueSet/usage-context-type from the FHIR Standard
ValueSet.useContext:priorityContext.value[x]	required	USPublicHealthValueSetPriority http://hl7.org/fhir/us/ecr/ValueSet/us-ph-valueset-priority from this IG
ValueSet.useContext:focusConditionContext.code	extensible	Pattern: focus http://hl7.org/fhir/ValueSet/usage-context-type from the FHIR Standard
ValueSet.useContext:focusConditionContext.value[x]	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
ValueSet.useContext:reportingContext.code	extensible	Pattern: reporting http://hl7.org/fhir/ValueSet/usage-context-type from the FHIR Standard
ValueSet.useContext:reportingContext.value[x]	example	Pattern: triggering http://hl7.org/fhir/ValueSet/use-context from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ValueSet	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ValueSet	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ValueSet	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ValueSet	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ValueSet	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
vsd-0	warning	ValueSet	Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}')

Name	Flags	Card.	Type	Description & Constraints
ValueSet	C	1..1	USPublicHealthValueSet	US Public Health Triggering ValueSet vsd-0: Name should be usable as an identifier for the module by machine processing applications such as code generation
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extensionValueSetSteward	S	1..1	ContactDetail	Value set steward URL: http://hl7.org/fhir/StructureDefinition/valueset-steward
extensionValueSetAuthor	S	1..1	ContactDetail	Value set author URL: http://hl7.org/fhir/StructureDefinition/valueset-author
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
url	Σ	1..1	uri	Canonical identifier for this value set, represented as a URI (globally unique)
identifier	SΣ	0..*	Identifier	Value set identifier used by public health (e.g. RCTC OID)
version	Σ	1..1	string	Business version of the value set
name	SΣC	1..1	string	Value set name
title	SΣ	1..1	string	Value set title
status	?!SΣ	1..1	code	Value set definition version Binding: PublicationStatus (required): The lifecycle status of an artifact.
experimental	Σ	1..1	boolean	For testing purposes, not real usage
date	Σ	0..1	dateTime	Date last changed
publisher	SΣ	1..1	string	The entity that is responsible for the content of the Value Set Definition
contact	Σ	0..*	ContactDetail	Contact details for the publisher
description	S	1..1	markdown	Value set description
Slices for useContext	Σ	2..*	UsageContext	The context that the content is intended to support Slice: Unordered, Open by pattern:code
useContext:priorityContext	Σ	1..1	UsageContext	The context that the content is intended to support
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
code	Σ	1..1	Coding	Type of context being specified Binding: UsageContextType (extensible): A code that specifies a type of context being specified by a usage context. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: priority
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
value[x]	Σ	1..1	CodeableConcept	Release priority of the ValueSet Binding: US Public Health ValueSet Priority (required): US PH ValueSet Release Priority Codes.
useContext:focusConditionContext	SΣ	0..*	UsageContext	The context that the content is intended to support
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
code	Σ	1..1	Coding	Type of context being specified Binding: UsageContextType (extensible): A code that specifies a type of context being specified by a usage context. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: focus
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
value[x]	Σ	1..1	CodeableConcept	Clinical condition that is the focus of the codes in this value set Binding: Condition/Problem/DiagnosisCodes (example): Condition/Problem/Diagnosis Codes.
useContext:reportingContext	Σ	1..1	UsageContext	The context that the content is intended to support
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
code	Σ	1..1	Coding	Type of context being specified Binding: UsageContextType (extensible): A code that specifies a type of context being specified by a usage context. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: reporting
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
value[x]	Σ	1..1	CodeableConcept	value set useContext Binding: Context of Use ValueSet (example): A code that defines the specific value for the context being specified. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: triggering
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
jurisdiction	Σ	0..*	CodeableConcept	Intended jurisdiction for value set (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.
immutable	Σ	0..1	boolean	Indicates whether or not any change to the content logical definition may occur
purpose		0..1	markdown	Why this value set is defined
copyright		0..1	markdown	Use and/or publishing restrictions
compose		0..1	BackboneElement	Content logical definition of the value set (CLD)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
lockedDate	Σ	0..1	date	Fixed date for references with no specified version (transitive)
inactive	Σ	0..1	boolean	Whether inactive codes are in the value set
include	ΣC	1..*	BackboneElement	Include one or more codes from a code system or other value set(s) vsd-1: A value set include/exclude SHALL have a value set or a system vsd-2: A value set with concepts or filters SHALL include a system vsd-3: Cannot have both concept and filter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
system	ΣC	0..1	uri	The system the codes come from
version	Σ	0..1	string	Specific version of the code system referred to
concept	C	0..*	BackboneElement	A concept defined in the system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	Code or expression from system
display		0..1	string	Text to display for this code for this value set in this valueset
designation		0..*	BackboneElement	Additional representations for this concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		0..1	code	Human language of the designation Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
use		0..1	Coding	Types of uses of designations Binding: DesignationUse (extensible): Details of how a designation would be used.
value		1..1	string	The text value for this designation
filter	ΣC	0..*	BackboneElement	Select codes/concepts by their properties (including relationships)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
property	Σ	1..1	code	A property/filter defined by the code system
op	Σ	1..1	code	= | is-a | descendent-of | is-not-a | regex | in | not-in | generalizes | exists Binding: FilterOperator (required): The kind of operation to perform as a part of a property based filter.
value	Σ	1..1	string	Code from the system, or regex criteria, or boolean value for exists
valueSet	ΣC	0..*	canonical(ValueSet)	Select the contents included in this value set
exclude	C	0..*	See include (ValueSet)	Explicitly exclude codes from a code system or other value sets
expansion		0..1	BackboneElement	Used when the value set is "expanded"
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier		0..1	uri	Identifies the value set expansion (business identifier)
timestamp		1..1	dateTime	Time ValueSet expansion happened
total		0..1	integer	Total number of codes in the expansion
offset		0..1	integer	Offset at which this resource starts
parameter		0..*	BackboneElement	Parameter that controlled the expansion process
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name		1..1	string	Name as assigned by the client or server
value[x]		0..1		Value of the named parameter
valueString			string
valueBoolean			boolean
valueInteger			integer
valueDecimal			decimal
valueUri			uri
valueCode			code
valueDateTime			dateTime
contains	C	0..*	BackboneElement	Codes in the value set vsd-6: SHALL have a code or a display vsd-9: Must have a code if not abstract vsd-10: Must have a system if a code is present
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
system		0..1	uri	System value for the code
abstract		0..1	boolean	If user cannot select this entry
inactive		0..1	boolean	If concept is inactive in the code system
version		0..1	string	Version in which this code/display is defined
code	C	0..1	code	Code - if blank, this is not a selectable code
display	C	0..1	string	User display for the concept
designation		0..*	See designation (ValueSet)	Additional representations for this item
contains		0..*	See contains (ValueSet)	Codes contained under this entry
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ValueSet.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
ValueSet.status	required	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status|4.0.1 from the FHIR Standard
ValueSet.useContext:priorityContext.code	extensible	Pattern: priority http://hl7.org/fhir/ValueSet/usage-context-type from the FHIR Standard
ValueSet.useContext:priorityContext.value[x]	required	USPublicHealthValueSetPriority http://hl7.org/fhir/us/ecr/ValueSet/us-ph-valueset-priority from this IG
ValueSet.useContext:focusConditionContext.code	extensible	Pattern: focus http://hl7.org/fhir/ValueSet/usage-context-type from the FHIR Standard
ValueSet.useContext:focusConditionContext.value[x]	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
ValueSet.useContext:reportingContext.code	extensible	Pattern: reporting http://hl7.org/fhir/ValueSet/usage-context-type from the FHIR Standard
ValueSet.useContext:reportingContext.value[x]	example	Pattern: triggering http://hl7.org/fhir/ValueSet/use-context from the FHIR Standard
ValueSet.jurisdiction	extensible	Jurisdiction ValueSet http://hl7.org/fhir/ValueSet/jurisdiction from the FHIR Standard
ValueSet.compose.include.concept.designation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
ValueSet.compose.include.concept.designation.use	extensible	DesignationUse http://hl7.org/fhir/ValueSet/designation-use from the FHIR Standard
ValueSet.compose.include.filter.op	required	FilterOperator http://hl7.org/fhir/ValueSet/filter-operator|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ValueSet	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ValueSet	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ValueSet	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ValueSet	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ValueSet	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
vsd-0	warning	ValueSet	Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}')
vsd-1	error	ValueSet.compose.include	A value set include/exclude SHALL have a value set or a system : valueSet.exists() or system.exists()
vsd-2	error	ValueSet.compose.include	A value set with concepts or filters SHALL include a system : (concept.exists() or filter.exists()) implies system.exists()
vsd-3	error	ValueSet.compose.include	Cannot have both concept and filter : concept.empty() or filter.empty()
vsd-6	error	ValueSet.expansion.contains	SHALL have a code or a display : code.exists() or display.exists()
vsd-9	error	ValueSet.expansion.contains	Must have a code if not abstract : code.exists() or abstract = true
vsd-10	error	ValueSet.expansion.contains	Must have a system if a code is present : code.empty() or system.exists()

This structure is derived from USPublicHealthValueSet

Summary

Mandatory: 3 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ValueSet.useContext

Differential View

This structure is derived from USPublicHealthValueSet

Name	Flags	Card.	Type	Description & Constraints
ValueSet		1..1	USPublicHealthValueSet	US Public Health Triggering ValueSet
Slices for useContext		2..*	UsageContext	The context that the content is intended to support Slice: Unordered, Open by pattern:code
useContext:reportingContext		1..1	UsageContext	The context that the content is intended to support
code		1..1	Coding	Type of context being specified Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: reporting
value[x]		1..1	CodeableConcept	value set useContext Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context
code		1..1	code	Symbol in syntax defined by the system Fixed Value: triggering
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ValueSet	C	1..1	USPublicHealthValueSet	US Public Health Triggering ValueSet vsd-0: Name should be usable as an identifier for the module by machine processing applications such as code generation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extensionValueSetSteward	S	1..1	ContactDetail	Value set steward URL: http://hl7.org/fhir/StructureDefinition/valueset-steward
extensionValueSetAuthor	S	1..1	ContactDetail	Value set author URL: http://hl7.org/fhir/StructureDefinition/valueset-author
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
url	Σ	1..1	uri	Canonical identifier for this value set, represented as a URI (globally unique)
identifier	SΣ	0..*	Identifier	Value set identifier used by public health (e.g. RCTC OID)
version	Σ	1..1	string	Business version of the value set
name	SΣC	1..1	string	Value set name
title	SΣ	1..1	string	Value set title
status	?!SΣ	1..1	code	Value set definition version Binding: PublicationStatus (required): The lifecycle status of an artifact.
experimental	Σ	1..1	boolean	For testing purposes, not real usage
publisher	SΣ	1..1	string	The entity that is responsible for the content of the Value Set Definition
description	S	1..1	markdown	Value set description
Slices for useContext	Σ	2..*	UsageContext	The context that the content is intended to support Slice: Unordered, Open by pattern:code
useContext:priorityContext	Σ	1..1	UsageContext	The context that the content is intended to support
code	Σ	1..1	Coding	Type of context being specified Binding: UsageContextType (extensible): A code that specifies a type of context being specified by a usage context. Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: priority
value[x]	Σ	1..1	CodeableConcept	Release priority of the ValueSet Binding: US Public Health ValueSet Priority (required): US PH ValueSet Release Priority Codes.
useContext:focusConditionContext	SΣ	0..*	UsageContext	The context that the content is intended to support
code	Σ	1..1	Coding	Type of context being specified Binding: UsageContextType (extensible): A code that specifies a type of context being specified by a usage context. Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: focus
value[x]	Σ	1..1	CodeableConcept	Clinical condition that is the focus of the codes in this value set Binding: Condition/Problem/DiagnosisCodes (example): Condition/Problem/Diagnosis Codes.
useContext:reportingContext	Σ	1..1	UsageContext	The context that the content is intended to support
code	Σ	1..1	Coding	Type of context being specified Binding: UsageContextType (extensible): A code that specifies a type of context being specified by a usage context. Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: reporting
value[x]	Σ	1..1	CodeableConcept	value set useContext Binding: Context of Use ValueSet (example): A code that defines the specific value for the context being specified. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context
code		1..1	code	Symbol in syntax defined by the system Fixed Value: triggering
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ValueSet.status	required	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status|4.0.1 from the FHIR Standard
ValueSet.useContext:priorityContext.code	extensible	Pattern: priority http://hl7.org/fhir/ValueSet/usage-context-type from the FHIR Standard
ValueSet.useContext:priorityContext.value[x]	required	USPublicHealthValueSetPriority http://hl7.org/fhir/us/ecr/ValueSet/us-ph-valueset-priority from this IG
ValueSet.useContext:focusConditionContext.code	extensible	Pattern: focus http://hl7.org/fhir/ValueSet/usage-context-type from the FHIR Standard
ValueSet.useContext:focusConditionContext.value[x]	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
ValueSet.useContext:reportingContext.code	extensible	Pattern: reporting http://hl7.org/fhir/ValueSet/usage-context-type from the FHIR Standard
ValueSet.useContext:reportingContext.value[x]	example	Pattern: triggering http://hl7.org/fhir/ValueSet/use-context from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ValueSet	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ValueSet	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ValueSet	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ValueSet	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ValueSet	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
vsd-0	warning	ValueSet	Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ValueSet	C	1..1	USPublicHealthValueSet	US Public Health Triggering ValueSet vsd-0: Name should be usable as an identifier for the module by machine processing applications such as code generation
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extensionValueSetSteward	S	1..1	ContactDetail	Value set steward URL: http://hl7.org/fhir/StructureDefinition/valueset-steward
extensionValueSetAuthor	S	1..1	ContactDetail	Value set author URL: http://hl7.org/fhir/StructureDefinition/valueset-author
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
url	Σ	1..1	uri	Canonical identifier for this value set, represented as a URI (globally unique)
identifier	SΣ	0..*	Identifier	Value set identifier used by public health (e.g. RCTC OID)
version	Σ	1..1	string	Business version of the value set
name	SΣC	1..1	string	Value set name
title	SΣ	1..1	string	Value set title
status	?!SΣ	1..1	code	Value set definition version Binding: PublicationStatus (required): The lifecycle status of an artifact.
experimental	Σ	1..1	boolean	For testing purposes, not real usage
date	Σ	0..1	dateTime	Date last changed
publisher	SΣ	1..1	string	The entity that is responsible for the content of the Value Set Definition
contact	Σ	0..*	ContactDetail	Contact details for the publisher
description	S	1..1	markdown	Value set description
Slices for useContext	Σ	2..*	UsageContext	The context that the content is intended to support Slice: Unordered, Open by pattern:code
useContext:priorityContext	Σ	1..1	UsageContext	The context that the content is intended to support
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
code	Σ	1..1	Coding	Type of context being specified Binding: UsageContextType (extensible): A code that specifies a type of context being specified by a usage context. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: priority
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
value[x]	Σ	1..1	CodeableConcept	Release priority of the ValueSet Binding: US Public Health ValueSet Priority (required): US PH ValueSet Release Priority Codes.
useContext:focusConditionContext	SΣ	0..*	UsageContext	The context that the content is intended to support
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
code	Σ	1..1	Coding	Type of context being specified Binding: UsageContextType (extensible): A code that specifies a type of context being specified by a usage context. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: focus
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
value[x]	Σ	1..1	CodeableConcept	Clinical condition that is the focus of the codes in this value set Binding: Condition/Problem/DiagnosisCodes (example): Condition/Problem/Diagnosis Codes.
useContext:reportingContext	Σ	1..1	UsageContext	The context that the content is intended to support
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
code	Σ	1..1	Coding	Type of context being specified Binding: UsageContextType (extensible): A code that specifies a type of context being specified by a usage context. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: reporting
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
value[x]	Σ	1..1	CodeableConcept	value set useContext Binding: Context of Use ValueSet (example): A code that defines the specific value for the context being specified. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: triggering
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
jurisdiction	Σ	0..*	CodeableConcept	Intended jurisdiction for value set (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.
immutable	Σ	0..1	boolean	Indicates whether or not any change to the content logical definition may occur
purpose		0..1	markdown	Why this value set is defined
copyright		0..1	markdown	Use and/or publishing restrictions
compose		0..1	BackboneElement	Content logical definition of the value set (CLD)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
lockedDate	Σ	0..1	date	Fixed date for references with no specified version (transitive)
inactive	Σ	0..1	boolean	Whether inactive codes are in the value set
include	ΣC	1..*	BackboneElement	Include one or more codes from a code system or other value set(s) vsd-1: A value set include/exclude SHALL have a value set or a system vsd-2: A value set with concepts or filters SHALL include a system vsd-3: Cannot have both concept and filter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
system	ΣC	0..1	uri	The system the codes come from
version	Σ	0..1	string	Specific version of the code system referred to
concept	C	0..*	BackboneElement	A concept defined in the system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	Code or expression from system
display		0..1	string	Text to display for this code for this value set in this valueset
designation		0..*	BackboneElement	Additional representations for this concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		0..1	code	Human language of the designation Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
use		0..1	Coding	Types of uses of designations Binding: DesignationUse (extensible): Details of how a designation would be used.
value		1..1	string	The text value for this designation
filter	ΣC	0..*	BackboneElement	Select codes/concepts by their properties (including relationships)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
property	Σ	1..1	code	A property/filter defined by the code system
op	Σ	1..1	code	= | is-a | descendent-of | is-not-a | regex | in | not-in | generalizes | exists Binding: FilterOperator (required): The kind of operation to perform as a part of a property based filter.
value	Σ	1..1	string	Code from the system, or regex criteria, or boolean value for exists
valueSet	ΣC	0..*	canonical(ValueSet)	Select the contents included in this value set
exclude	C	0..*	See include (ValueSet)	Explicitly exclude codes from a code system or other value sets
expansion		0..1	BackboneElement	Used when the value set is "expanded"
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier		0..1	uri	Identifies the value set expansion (business identifier)
timestamp		1..1	dateTime	Time ValueSet expansion happened
total		0..1	integer	Total number of codes in the expansion
offset		0..1	integer	Offset at which this resource starts
parameter		0..*	BackboneElement	Parameter that controlled the expansion process
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name		1..1	string	Name as assigned by the client or server
value[x]		0..1		Value of the named parameter
valueString			string
valueBoolean			boolean
valueInteger			integer
valueDecimal			decimal
valueUri			uri
valueCode			code
valueDateTime			dateTime
contains	C	0..*	BackboneElement	Codes in the value set vsd-6: SHALL have a code or a display vsd-9: Must have a code if not abstract vsd-10: Must have a system if a code is present
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
system		0..1	uri	System value for the code
abstract		0..1	boolean	If user cannot select this entry
inactive		0..1	boolean	If concept is inactive in the code system
version		0..1	string	Version in which this code/display is defined
code	C	0..1	code	Code - if blank, this is not a selectable code
display	C	0..1	string	User display for the concept
designation		0..*	See designation (ValueSet)	Additional representations for this item
contains		0..*	See contains (ValueSet)	Codes contained under this entry
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ValueSet.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
ValueSet.status	required	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status|4.0.1 from the FHIR Standard
ValueSet.useContext:priorityContext.code	extensible	Pattern: priority http://hl7.org/fhir/ValueSet/usage-context-type from the FHIR Standard
ValueSet.useContext:priorityContext.value[x]	required	USPublicHealthValueSetPriority http://hl7.org/fhir/us/ecr/ValueSet/us-ph-valueset-priority from this IG
ValueSet.useContext:focusConditionContext.code	extensible	Pattern: focus http://hl7.org/fhir/ValueSet/usage-context-type from the FHIR Standard
ValueSet.useContext:focusConditionContext.value[x]	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
ValueSet.useContext:reportingContext.code	extensible	Pattern: reporting http://hl7.org/fhir/ValueSet/usage-context-type from the FHIR Standard
ValueSet.useContext:reportingContext.value[x]	example	Pattern: triggering http://hl7.org/fhir/ValueSet/use-context from the FHIR Standard
ValueSet.jurisdiction	extensible	Jurisdiction ValueSet http://hl7.org/fhir/ValueSet/jurisdiction from the FHIR Standard
ValueSet.compose.include.concept.designation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
ValueSet.compose.include.concept.designation.use	extensible	DesignationUse http://hl7.org/fhir/ValueSet/designation-use from the FHIR Standard
ValueSet.compose.include.filter.op	required	FilterOperator http://hl7.org/fhir/ValueSet/filter-operator|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ValueSet	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ValueSet	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ValueSet	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ValueSet	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ValueSet	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
vsd-0	warning	ValueSet	Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}')
vsd-1	error	ValueSet.compose.include	A value set include/exclude SHALL have a value set or a system : valueSet.exists() or system.exists()
vsd-2	error	ValueSet.compose.include	A value set with concepts or filters SHALL include a system : (concept.exists() or filter.exists()) implies system.exists()
vsd-3	error	ValueSet.compose.include	Cannot have both concept and filter : concept.empty() or filter.empty()
vsd-6	error	ValueSet.expansion.contains	SHALL have a code or a display : code.exists() or display.exists()
vsd-9	error	ValueSet.expansion.contains	Must have a code if not abstract : code.exists() or abstract = true
vsd-10	error	ValueSet.expansion.contains	Must have a system if a code is present : code.empty() or system.exists()

This structure is derived from USPublicHealthValueSet

Summary

Mandatory: 3 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ValueSet.useContext

Other representations of profile: CSV, Excel, Schematron