bundle-ecr-message-zika
type: Bundle
node role: treeRoot
id:
  v: bundle-ecr-message-zika
meta:
  profile:
    v: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-reporting-bundle
    l: us-ph-reporting-bundle
language:
  v: en
identifier:
  system:
    v: urn:ietf:rfc:3986
    l: 3986
type:
  v: message
entry:
  full url:
    v: http://example.org/fhir/MessageHeader/messageheader-ecr-requested-eicr
    l: messageheader-ecr-requested-eicr
  resource: messageheader-ecr-requested-eicr
entry:
  full url:
    v: http://example.org/fhir/Bundle/bundle-eicr-document-zika
    l: bundle-eicr-document-zika
  resource: bundle-eicr-document-zika
entry:
  full url:
    v: http://example.org/fhir/Device/device-ecr-software-ymca
    l: device-ecr-software-ymca
  resource: device-ecr-software-ymca
entry:
  full url:
    v: http://example.org/fhir/Organization/organization-ecr-salem-medical-center
    l: organization-ecr-salem-medical-center
  resource: organization-ecr-salem-medical-center

messageheader-ecr-requested-eicr
type: MessageHeader
id:
  v: messageheader-ecr-requested-eicr
meta:
  profile:
    v: http://hl7.org/fhir/us/ecr/StructureDefinition/ecr-messageheader
    l: ecr-messageheader
language:
  v: en
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: MessageHeader messageheader-ecr-requested-eicr Profile: eCR MessageHeader US Public Health Data Encrypted Extension: false US Public Health Message Processing Category Extension: consequence event: US Public Health CodeSystem - Message Types: eicr-case-report-message (Indicates a message containing electronic case report healthcare data sent from clinical care.) Destinations - Name Target Endpoint * YMCA Acme Message Gateway Device: identifier = http://example.org/software/client-ids#goodhealth_id; manufacturer = Acme Devices, Inc; type = ; contact = http://example.org; url = http://example.org/ymca/software/ http://example.org/ymca/fhir sender: Organization Salem Medical Center Sources - Name Software Version Contact Endpoint * Acme Central Patient Registry FooBar Patient Manager 3.1.45.AABB +1 (555) 123 4567 http://example.org/salem-medical-center/fhir reason: Indicates the close of an encounter focus: Bundle: identifier = UUID:2be4b4e4-6df1-4cb2-a947-c70fa0eda54b; type = document; timestamp = 2021-08-02 22:13:23+0000
extension:
  url:
    v: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-data-encrypted-extension
    l: us-ph-data-encrypted-extension
  value: Boolean
    v: false
extension:
  url:
    v: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-message-processing-category-extension
    l: us-ph-message-processing-category-extension
  value: Code
    v: consequence
event: Coding
  system:
    v: http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-message-types
    l: us-ph-codesystem-message-types
  code:
    v: eicr-case-report-message
  display:
    v: Indicates a message containing electronic case report healthcare data sent from clinical care.
destination:
  name:
    v: YMCA Acme Message Gateway
  target:
    l: device-ecr-software-ymca
    reference:
      v: Device/device-ecr-software-ymca
  endpoint:
    v: http://example.org/ymca/fhir
    l: fhir
sender:
  l: organization-ecr-salem-medical-center
  reference:
    v: Organization/organization-ecr-salem-medical-center
source:
  name:
    v: Acme Central Patient Registry
  software:
    v: FooBar Patient Manager
  version:
    v: 3.1.45.AABB
  contact:
    system:
      v: phone
    value:
      v: +1 (555) 123 4567
  endpoint:
    v: http://example.org/salem-medical-center/fhir
    l: fhir
reason:
  coding:
    system:
      v: http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-triggerdefinition-namedevents
      l: us-ph-codesystem-triggerdefinition-namedevents
    code:
      v: encounter-close
    display:
      v: Indicates the close of an encounter
focus:
  l: bundle-eicr-document-zika
  reference:
    v: Bundle/bundle-eicr-document-zika

bundle-eicr-document-zika
type: Bundle
id:
  v: bundle-eicr-document-zika
meta:
  profile:
    v: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-document-bundle
    l: eicr-document-bundle
language:
  v: en
identifier:
  system:
    v: urn:ietf:rfc:3986
    l: 3986
type:
  v: document
timestamp:
  v: 2021-08-02T22:13:23Z
entry:
  full url:
    v: http://example.org/fhir/Composition/composition-eicr-zika
    l: composition-eicr-zika
  resource: composition-eicr-zika
entry:
  full url:
    v: http://example.org/fhir/MedicationAdministration/medicationadministration-eve-everywoman-azithromycin
    l: medicationadministration-eve-everywoman-azithromycin
  resource: medicationadministration-eve-everywoman-azithromycin
entry:
  full url:
    v: http://example.org/fhir/Procedure/procedure-ecmo
    l: procedure-ecmo
  resource: procedure-ecmo
entry:
  full url:
    v: http://example.org/fhir/MedicationAdministration/medicationadministration-eve-everywoman-naloxone-response
    l: medicationadministration-eve-everywoman-naloxone-response
  resource: medicationadministration-eve-everywoman-naloxone-response
entry:
  full url:
    v: http://example.org/fhir/ServiceRequest/servicerequest-eicr-zika
    l: servicerequest-eicr-zika
  resource: servicerequest-eicr-zika
entry:
  full url:
    v: http://example.org/fhir/Condition/condition-eicr-eve-everywoman-common-cold
    l: condition-eicr-eve-everywoman-common-cold
  resource: condition-eicr-eve-everywoman-common-cold
entry:
  full url:
    v: http://example.org/fhir/Encounter/encounter-eicr-eve-everywoman-outpatient
    l: encounter-eicr-eve-everywoman-outpatient
  resource: encounter-eicr-eve-everywoman-outpatient
entry:
  full url:
    v: http://example.org/fhir/Observation/observation-pregnancy-status-eve-everywoman
    l: observation-pregnancy-status-eve-everywoman
  resource: observation-pregnancy-status-eve-everywoman
entry:
  full url:
    v: http://example.org/fhir/Observation/observation-vaccine-credential-assertion-eve-everywoman
    l: observation-vaccine-credential-assertion-eve-everywoman
  resource: observation-vaccine-credential-assertion-eve-everywoman
entry:
  full url:
    v: http://example.org/fhir/Observation/observation-us-ph-emergency-outbreak-info-eve-everywoman
    l: observation-us-ph-emergency-outbreak-info-eve-everywoman
  resource: observation-us-ph-emergency-outbreak-info-eve-everywoman
entry:
  full url:
    v: http://example.org/fhir/Observation/observation-country-of-nationality-eve-everywoman
    l: observation-country-of-nationality-eve-everywoman
  resource: observation-country-of-nationality-eve-everywoman
entry:
  full url:
    v: http://example.org/fhir/Patient/patient-ecr-eve-everywoman
    l: patient-ecr-eve-everywoman
  resource: patient-ecr-eve-everywoman
entry:
  full url:
    v: http://example.org/fhir/Immunization/immunization-ecr-pneumo
    l: immunization-ecr-pneumo
  resource: immunization-ecr-pneumo
entry:
  full url:
    v: http://example.org/fhir/Observation/observation-country-of-residence-eve-everywoman
    l: observation-country-of-residence-eve-everywoman
  resource: observation-country-of-residence-eve-everywoman
entry:
  full url:
    v: http://example.org/fhir/PractitionerRole/practitionerrole-henry-seven
    l: practitionerrole-henry-seven
  resource: practitionerrole-henry-seven
entry:
  full url:
    v: http://example.org/fhir/Observation/observation-blood-pressure-eve-everywoman
    l: observation-blood-pressure-eve-everywoman
  resource: observation-blood-pressure-eve-everywoman
entry:
  full url:
    v: http://example.org/fhir/Observation/observation-us-ph-exposure-contact-info-football-game
    l: observation-us-ph-exposure-contact-info-football-game
  resource: observation-us-ph-exposure-contact-info-football-game
entry:
  full url:
    v: http://example.org/fhir/Observation/observation-travel-history-eve-everywoman-201801
    l: observation-travel-history-eve-everywoman-201801
  resource: observation-travel-history-eve-everywoman-201801
entry:
  full url:
    v: http://example.org/fhir/Observation/observation-disability-status-eve-everywoman
    l: observation-disability-status-eve-everywoman
  resource: observation-disability-status-eve-everywoman
entry:
  full url:
    v: http://example.org/fhir/Observation/observation-us-ph-lab-result-eve-everywoman-lymphocytes
    l: observation-us-ph-lab-result-eve-everywoman-lymphocytes
  resource: observation-us-ph-lab-result-eve-everywoman-lymphocytes
entry:
  full url:
    v: http://example.org/fhir/Organization/organization-ecr-acme-laboratory
    l: organization-ecr-acme-laboratory
  resource: organization-ecr-acme-laboratory
entry:
  full url:
    v: http://example.org/fhir/Observation/observation-odh-usual-work-eve-everywoman
    l: observation-odh-usual-work-eve-everywoman
  resource: observation-odh-usual-work-eve-everywoman
entry:
  full url:
    v: http://example.org/fhir/Location/location-ecr-salem-medical-center
    l: location-ecr-salem-medical-center
  resource: location-ecr-salem-medical-center
entry:
  full url:
    v: http://example.org/fhir/Location/location-ecr-city-football-stadium
    l: location-ecr-city-football-stadium
  resource: location-ecr-city-football-stadium
entry:
  full url:
    v: http://example.org/fhir/Organization/organization-ecr-salem-medical-center
    l: organization-ecr-salem-medical-center
  resource: organization-ecr-salem-medical-center
entry:
  full url:
    v: http://example.org/fhir/Condition/condition-eicr-eve-everywoman-zika
    l: condition-eicr-eve-everywoman-zika
  resource: condition-eicr-eve-everywoman-zika
entry:
  full url:
    v: http://example.org/fhir/Practitioner/practitioner-us-core-henry-seven
    l: practitioner-us-core-henry-seven
  resource: practitioner-us-core-henry-seven
entry:
  full url:
    v: http://example.org/fhir/Device/device-ecmo
    l: device-ecmo
  resource: device-ecmo

composition-eicr-zika
type: Composition
id:
  v: composition-eicr-zika
meta:
  profile:
    v: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-composition
    l: eicr-composition
language:
  v: en
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
    l: composition-clinicaldocument-versionNumber
  value: String
    v: 1
status:
  v: final
type:
  coding: https://loinc.org/rdf/55751-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 55751-2
    display:
      v: Public Health Case Report
subject:
  l: patient-ecr-eve-everywoman
  reference:
    v: Patient/patient-ecr-eve-everywoman
  display:
    v: Eve Everywoman
encounter:
  l: encounter-eicr-eve-everywoman-outpatient
  reference:
    v: Encounter/encounter-eicr-eve-everywoman-outpatient
  display:
    v: Ambulatory Office Visit
date:
  v: 2018-01-02T22:13:23Z
author:
  l: practitionerrole-henry-seven
  reference:
    v: PractitionerRole/practitionerrole-henry-seven
  display:
    v: Henry Seven, MD
title:
  v: Initial Public Health Case Report - Zika Example
custodian:
  l: organization-ecr-salem-medical-center
  reference:
    v: Organization/organization-ecr-salem-medical-center
  display:
    v: Salem Medical Center
section:
  title:
    v: Reason for Visit Section
  code:
    coding: https://loinc.org/rdf/29299-5
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 29299-5
      display:
        v: Reason for visit Narrative
  text:
    status:
      v: generated
    div:
      v: title Reason for Visit Section code Reason for visit Narrative ( 29299-5 ) http://loinc.org Reason for Visit: Bad cough
section:
  title:
    v: Chief Complaint
  code:
    coding: https://loinc.org/rdf/10154-3
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 10154-3
      display:
        v: Chief complaint Narrative - Reported
  text:
    status:
      v: generated
    div:
      v: title Chief complaint Narrative - Reported code Chief complaint Narrative - Reported ( 10154-3 ) http://loinc.org Chief Complaint: Bad cough
section:
  title:
    v: History of Present Illness Section
  code:
    coding: https://loinc.org/rdf/10164-2
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 10164-2
      display:
        v: History of Present illness Narrative
  text:
    status:
      v: generated
    div:
      v: title History of Present Illness Section code History of Present illness Narrative ( 10164-2 ) http://loinc.org Persistent Cough REPORTED starting on 2018/03/05 Whooping Respiration not reported Paroxysms Of Coughing REPORTED starting on 2018/03/06 Post-tussive vomiting not reported
section:
  title:
    v: Problems Section
  code:
    coding: https://loinc.org/rdf/11450-4
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 11450-4
      display:
        v: Problem list - Reported
  text:
    status:
      v: generated
    div:
      v: title Problems Section code Problem list - Reported ( 11450-4 ) http://loinc.org entry Common cold (disorder) id condition-eicr-eve-everywoman-common-cold meta versionId 15 lastUpdated 2019-10-10T21:21:49.000-04:00 profile http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-condition category Problem List Item ( problem-list-item ) http://terminology.hl7.org/CodeSystem/condition-category code Common cold (disorder) ( 82272006 ) http://snomed.info/sct subject Eve Everywoman onsetDateTime 2017-09-23 asserter Henry Seven, MD
  entry:
    l: condition-eicr-eve-everywoman-common-cold
    reference:
      v: Condition/condition-eicr-eve-everywoman-common-cold
    display:
      v: Common cold (disorder)
section:
  title:
    v: Medications Administered Section
  code:
    coding: https://loinc.org/rdf/29549-3
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 29549-3
      display:
        v: Medication administered Narrative
  text:
    status:
      v: generated
    div:
      v: title Medications Administered Section code Medication administered Narrative ( 29549-3 ) http://loinc.org entry Azithromycin 500 MG Oral Tablet id medicationadministration-eve-everywoman-azithromycin meta versionId 10 lastUpdated 2019-10-05T03:11:22.000-04:00 status completed medicationCodeableConcept Azithromycin 500 MG Oral Tablet Azithromycin 500 MG Oral Tablet ( 248656 ) http://www.nlm.nih.gov/research/umls/rxnorm subject Eve Everywoman effectivePeriod start 2018-03-07 end 2018-03-07 dosage route Oral Route ( 26643006 ) http://snomed.info/sct method Swallow - dosing instruction imperative (qualifier value) ( 421521009 ) http://snomed.info/sct dose value 2 unit TAB system http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB
  entry:
    l: medicationadministration-eve-everywoman-azithromycin
    reference:
      v: MedicationAdministration/medicationadministration-eve-everywoman-azithromycin
    display:
      v: Azithromycin 500 MG Oral Tablet
section:
  title:
    v: Admission Medications Section
  code:
    coding: https://loinc.org/rdf/42346-7
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 42346-7
      display:
        v: Medications on admission (narrative)
  text:
    status:
      v: generated
    div:
      v: title Admission Medications Section code Medications on admission (narrative) ( 42346-7 ) http://loinc.org entry 1 ML naloxone hydrochloride 0.4 MG/ML Injection
  entry:
    l: medicationadministration-eve-everywoman-naloxone-response
    reference:
      v: MedicationAdministration/medicationadministration-eve-everywoman-naloxone-response
    display:
      v: 1 ML naloxone hydrochloride 0.4 MG/ML Injection
section:
  title:
    v: Medications Section
  code:
    coding: https://loinc.org/rdf/10160-0
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 10160-0
      display:
        v: History of Medication use Narrative
  text:
    status:
      v: generated
    div:
      v: title Medications Section code History of Medication use Narrative ( 10160-0 ) http://loinc.org entry Azithromycin 500 MG Oral Tablet
  entry:
    l: medicationadministration-eve-everywoman-azithromycin
    reference:
      v: MedicationAdministration/medicationadministration-eve-everywoman-azithromycin
    display:
      v: Azithromycin 500 MG Oral Tablet
section:
  title:
    v: Results Section
  code:
    coding: https://loinc.org/rdf/30954-2
      system:
        v: http://loinc.org
        l: loinc.org

medicationadministration-eve-everywoman-azithromycin
type: MedicationAdministration
id:
  v: medicationadministration-eve-everywoman-azithromycin
meta:
  profile:
    v: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-medicationadministration
    l: us-ph-medicationadministration
language:
  v: en
status:
  v: completed
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 248656
    display:
      v: Azithromycin 500 MG Oral Tablet
  text:
    v: Azithromycin 500 MG Oral Tablet
subject:
  l: patient-ecr-eve-everywoman
  reference:
    v: Patient/patient-ecr-eve-everywoman
  display:
    v: Eve Everywoman
effective: Period
  start:
    v: 2018-03-07
  end:
    v: 2018-03-07
dosage:
  text:
    v: Two tablets at once
  route:
    coding: http://snomed.info/id/26643006
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 26643006
      display:
        v: Oral route
  method:
    coding: http://snomed.info/id/421521009
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 421521009
      display:
        v: Swallow - dosing instruction imperative (qualifier value)
  dose:
    value:
      v: 2
    unit:
      v: TAB
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm
      l: v3-orderableDrugForm
    code:
      v: TAB

procedure-ecmo
type: Procedure
id:
  v: procedure-ecmo
meta:
  profile:
    v: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-procedure
    l: eicr-procedure
language:
  v: en
identifier:
  system:
    v: urn:ietf:rfc:3986
    l: 3986
status:
  v: completed
code:
  coding: http://snomed.info/id/233573008
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 233573008
    display:
      v: Extracorporeal membrane oxygenation (procedure)
  text:
    v: Extracorporeal membrane oxygenation (procedure)
subject:
  l: patient-ecr-eve-everywoman
  reference:
    v: Patient/patient-ecr-eve-everywoman
performed: Period
  start:
    v: 2020-11-01T12:55:26-07:00
  end:
    v: 2020-11-01T13:25:26-07:00
focal device:
  manipulated:
    l: device-ecmo
    reference:
      v: Device/device-ecmo

medicationadministration-eve-everywoman-naloxone-response
type: MedicationAdministration
id:
  v: medicationadministration-eve-everywoman-naloxone-response
meta:
  profile:
    v: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-medicationadministration
    l: us-ph-medicationadministration
language:
  v: en
extension:
  url:
    v: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-therapeutic-medication-response-extension
    l: us-ph-therapeutic-medication-response-extension
  value: CodeableConcept
    coding: http://snomed.info/id/268910001
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 268910001
      display:
        v: Patient's condition improved (finding)
status:
  v: completed
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
      l: rxnorm
    code:
      v: 1659929
    display:
      v: 1 ML naloxone hydrochloride 0.4 MG/ML Injection
subject:
  l: patient-ecr-eve-everywoman
  reference:
    v: Patient/patient-ecr-eve-everywoman
  display:
    v: Eve Everywoman
effective: Period
  start:
    v: 2018-03-07
  end:
    v: 2018-03-07
dosage:
  route:
    coding: http://snomed.info/id/206007
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 206007
      display:
        v: Gluteus maximus muscle
  method:
    coding: http://snomed.info/id/422145002
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 422145002
      display:
        v: Inject - dosing instruction imperative (qualifier value)
  dose:
    value:
      v: 1
    unit:
      v: mL
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: mL

servicerequest-eicr-zika
type: ServiceRequest
id:
  v: servicerequest-eicr-zika
meta:
  profile:
    v: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-servicerequest
    l: eicr-servicerequest
language:
  v: en
identifier:
  system:
    v: http://example.org/lab.smarthealthit.org
    l: lab.smarthealthit.org
status:
  v: completed
intent:
  v: order
category:
  coding: http://snomed.info/id/103693007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 103693007
    display:
      v: Diagnostic procedure (procedure)
  text:
    v: Diagnostics Procedure
code:
  coding: https://loinc.org/rdf/80825-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 80825-3
    display:
      v: Zika virus envelope E gene [Presence] in Serum by NAA with probe detection
  text:
    v: Zika RT-PCR
subject:
  l: patient-ecr-eve-everywoman
  reference:
    v: Patient/patient-ecr-eve-everywoman
  display:
    v: Eve Everywoman
performer:
  l: organization-ecr-acme-laboratory
  reference:
    v: Organization/organization-ecr-acme-laboratory
  display:
    v: Acme Labs

condition-eicr-eve-everywoman-common-cold
type: Condition
id:
  v: condition-eicr-eve-everywoman-common-cold
meta:
  profile:
    v: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-condition-encounter-diagnosis
    l: us-ph-condition-encounter-diagnosis
language:
  v: en
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
      l: condition-category
    code:
      v: encounter-diagnosis
code:
  coding: http://snomed.info/id/82272006
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 82272006
    display:
      v: Common cold (disorder)
subject:
  l: patient-ecr-eve-everywoman
  reference:
    v: Patient/patient-ecr-eve-everywoman
  display:
    v: Eve Everywoman
onset: DateTime
  v: 2017-09-23
asserter:
  l: practitioner-us-core-henry-seven
  reference:
    v: Practitioner/practitioner-us-core-henry-seven
  display:
    v: Henry Seven, MD

encounter-eicr-eve-everywoman-outpatient
type: Encounter
id:
  v: encounter-eicr-eve-everywoman-outpatient
meta:
  profile:
    v: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-encounter
    l: eicr-encounter
language:
  v: en
identifier:
  system:
    v: http://example.org/hospital.smarthealthit.org
    l: hospital.smarthealthit.org
  value:
    v: 9937012
status:
  v: finished
class:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActCode
    l: v3-ActCode
  code:
    v: AMB
  display:
    v: ambulatory
type:
  coding:
    system:
      v: http://www.ama-assn.org/go/cpt
      l: cpt
    code:
      v: 99202
  text:
    v: Office Visit
subject:
  l: patient-ecr-eve-everywoman
  reference:
    v: Patient/patient-ecr-eve-everywoman
  display:
    v: Eve Everywoman
participant:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
        l: v3-ParticipationType
      code:
        v: ATND
      display:
        v: attender
  individual:
    l: practitionerrole-henry-seven
    reference:
      v: PractitionerRole/practitionerrole-henry-seven
    display:
      v: Henry Seven, MD
period:
  start:
    v: 2018-04-01T10:00:00-05:00
  end:
    v: 2018-04-02T10:15:00-05:00
diagnosis:
  extension:
    extension:
      url:
        v: triggerCodeValueSet
        l: triggerCodeValueSet
      value: Oid
        v: urn:oid:2.16.840.1.114222.4.11.7508
        l: 2.16.840.1.114222.4.11.7508
    extension:
      url:
        v: triggerCodeValueSetVersion
        l: triggerCodeValueSetVersion
      value: String
        v: 12/12/2018
    extension:
      url:
        v: triggerCode
        l: triggerCode
      value: Coding
        type: http://snomed.info/id/3928002
    url:
      v: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension
      l: eicr-trigger-code-flag-extension
  condition:
    l: condition-eicr-eve-everywoman-zika
    reference:
      v: Condition/condition-eicr-eve-everywoman-zika
diagnosis:
  condition:
    l: condition-eicr-eve-everywoman-common-cold
    reference:
      v: Condition/condition-eicr-eve-everywoman-common-cold
location:
  location:
    l: location-ecr-salem-medical-center
    reference:
      v: Location/location-ecr-salem-medical-center
    display:
      v: Clinic Bldg A, Salem Medical Center, 4646 Brown Rd, Salem, MA 02368
service provider:
  l: organization-ecr-salem-medical-center
  reference:
    v: Organization/organization-ecr-salem-medical-center
  display:
    v: Salem Medical Center, 22222 Health Authority Drive, Ann Arbor MI, 99999

observation-pregnancy-status-eve-everywoman
type: Observation
id:
  v: observation-pregnancy-status-eve-everywoman
meta:
  profile:
    v: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-pregnancy-status-observation
    l: us-ph-pregnancy-status-observation
language:
  v: en
extension:
  url:
    v: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-date-determined-extension
    l: us-ph-date-determined-extension
  value: DateTime
    v: 2017-10-01
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: social-history
code:
  coding: https://loinc.org/rdf/82810-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 82810-3
    display:
      v: Pregnancy status
subject:
  l: patient-ecr-eve-everywoman
  reference:
    v: Patient/patient-ecr-eve-everywoman
  display:
    v: Eve Everywoman
effective: DateTime
  v: 2017-08-26
performer:
  l: practitionerrole-henry-seven
  reference:
    v: PractitionerRole/practitionerrole-henry-seven
value: CodeableConcept
  coding: http://snomed.info/id/77386006
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 77386006
    display:
      v: Pregnancy (finding)
method:
  coding: http://snomed.info/id/16310003
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 16310003
    display:
      v: Ultrasonography (procedure)
component:
  extension:
    url:
      v: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-date-determined-extension
      l: us-ph-date-determined-extension
    value: DateTime
      v: 2017-10-01
  code:
    coding: https://loinc.org/rdf/53691-2
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 53691-2
      display:
        v: Gestational age Estimated from patient reported estimated date of conception
  value: Quantity
    value:
      v: 143
    unit:
      v: d
component:
  extension:
    url:
      v: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-date-determined-extension
      l: us-ph-date-determined-extension
    value: DateTime
      v: 2017-10-01
  code:
    coding: https://loinc.org/rdf/57064-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 57064-8
      display:
        v: Delivery date Estimated from date fundal height reaches umb
  value: DateTime
    v: 2018-05-01

observation-vaccine-credential-assertion-eve-everywoman
type: Observation
id:
  v: observation-vaccine-credential-assertion-eve-everywoman
meta:
  profile:
    v: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-vaccine-credential-patient-assertion
    l: eicr-vaccine-credential-patient-assertion
language:
  v: en
status:
  v: final
code:
  coding: https://loinc.org/rdf/11370-4
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 11370-4
    display:
      v: Immunization status - Reported
subject:
  l: patient-ecr-eve-everywoman
  reference:
    v: Patient/patient-ecr-eve-everywoman
  display:
    v: Eve Everywoman
effective: DateTime
  v: 2020-11-10T22:33:22Z
performer:
  l: practitionerrole-henry-seven
  reference:
    v: PractitionerRole/practitionerrole-henry-seven
value: CodeableConcept
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0532
      l: v2-0532
    code:
      v: Y
    display:
      v: Yes

observation-us-ph-emergency-outbreak-info-eve-everywoman
type: Observation
id:
  v: observation-us-ph-emergency-outbreak-info-eve-everywoman
meta:
  profile:
    v: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-emergency-outbreak-information
    l: us-ph-emergency-outbreak-information
language:
  v: en
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: social-history
code:
  text:
    v: Employee desk distance from mail sorter
subject:
  l: patient-ecr-eve-everywoman
  reference:
    v: Patient/patient-ecr-eve-everywoman
  display:
    v: Eve Everywoman
effective: DateTime
  v: 2020-11-18T22:33:22Z
performer:
  l: practitionerrole-henry-seven
  reference:
    v: PractitionerRole/practitionerrole-henry-seven
value: Quantity
  value:
    v: 2
  unit:
    v: m

observation-country-of-nationality-eve-everywoman
type: Observation
id:
  v: observation-country-of-nationality-eve-everywoman
meta:
  profile:
    v: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-country-of-nationality
    l: us-ph-country-of-nationality
language:
  v: en
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: social-history
    display:
      v: Social History
code:
  coding: http://snomed.info/id/186034007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 186034007
    display:
      v: Ethnicity / related nationality data (observable entity)
subject:
  l: patient-ecr-eve-everywoman
  reference:
    v: Patient/patient-ecr-eve-everywoman
  display:
    v: Eve Everywoman
effective: DateTime
  v: 2020-11-10T22:33:22Z
performer:
  l: practitionerrole-henry-seven
  reference:
    v: PractitionerRole/practitionerrole-henry-seven
value: CodeableConcept
  coding:
    system:
      v: urn:iso:std:iso:3166
      l: 3166
    code:
      v: AU
    display:
      v: Australia

patient-ecr-eve-everywoman
type: Patient
id:
  v: patient-ecr-eve-everywoman
meta:
  profile:
    v: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient
    l: us-ph-patient
language:
  v: en
extension:
  extension:
    url:
      v: ombCategory
      l: ombCategory
    value: Coding
      system:
        v: urn:oid:2.16.840.1.113883.6.238
        l: 2.16.840.1.113883.6.238
      code:
        v: 2106-3
      display:
        v: White
  extension:
    url:
      v: text
      l: text
    value: String
      v: White
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
    l: us-core-race
extension:
  extension:
    url:
      v: ombCategory
      l: ombCategory
    value: Coding
      system:
        v: urn:oid:2.16.840.1.113883.6.238
        l: 2.16.840.1.113883.6.238
      code:
        v: 2186-5
      display:
        v: Not Hispanic or Latino
  extension:
    url:
      v: text
      l: text
    value: String
      v: Not Hispanic or Latino
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
    l: us-core-ethnicity
extension:
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex
    l: us-core-birthsex
  value: Code
    v: F
extension:
  extension:
    url:
      v: tribalAffiliation
      l: tribalAffiliation
    value: CodeableConcept
  extension:
    url:
      v: isEnrolled
      l: isEnrolled
    value: Boolean
      v: true
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation
    l: us-core-tribal-affiliation
identifier:
  use:
    v: usual
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: MR
      display:
        v: Medical Record Number
  system:
    v: http://example.org/hospital-smarthealthit
    l: hospital-smarthealthit
  value:
    v: 1032702
active:
  v: true
name:
  family:
    v: Everywoman
  given:
    v: Eve
  given:
    v: L
telecom:
  system:
    v: phone
  value:
    v: 1-(404)555-1212
  use:
    v: home
telecom:
  system:
    v: email
gender:
  v: female
birth date:
  v: 1974-11-24
deceased: Boolean
  v: false
address:
  line:
    v: 2222 Home Street
  city:
    v: Ann Arbor
  state:
    v: MI
  postal code:
    v: 99999
  country:
    v: US
communication:
  language:
    coding:
      system:
        v: urn:ietf:bcp:47
        l: 47
      code:
        v: en
      display:
        v: English

immunization-ecr-pneumo
type: Immunization
id:
  v: immunization-ecr-pneumo
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization|6.1.0
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization
language:
  v: en
status:
  v: completed
vaccine code:
  coding:
    system:
      v: http://hl7.org/fhir/sid/cvx
      l: cvx
    code:
      v: 33
    display:
      v: pneumococcal polysaccharide PPV23
patient:
  l: patient-ecr-eve-everywoman
  reference:
    v: Patient/patient-ecr-eve-everywoman
  display:
    v: Eve Everywoman
occurrence: DateTime
  v: 2018-09-01
primary source:
  v: true

observation-country-of-residence-eve-everywoman
type: Observation
id:
  v: observation-country-of-residence-eve-everywoman
meta:
  profile:
    v: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-country-of-residence
    l: eicr-country-of-residence
language:
  v: en
status:
  v: final
code:
  coding: https://loinc.org/rdf/77983-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 77983-5
    display:
      v: Country of usual residence
subject:
  l: patient-ecr-eve-everywoman
  reference:
    v: Patient/patient-ecr-eve-everywoman
  display:
    v: Eve Everywoman
effective: DateTime
  v: 2020-11-10T22:33:22Z
performer:
  l: practitionerrole-henry-seven
  reference:
    v: PractitionerRole/practitionerrole-henry-seven
value: CodeableConcept
  coding:
    system:
      v: urn:iso:std:iso:3166
      l: 3166
    code:
      v: GB
    display:
      v: United Kingdom of Great Britain and Northern Ireland

practitionerrole-henry-seven
type: PractitionerRole
id:
  v: practitionerrole-henry-seven
meta:
  profile:
    v: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-practitionerrole
    l: us-ph-practitionerrole
language:
  v: en
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
    l: us-npi
  value:
    v: 9941339108
practitioner:
  l: practitioner-us-core-henry-seven
  reference:
    v: Practitioner/practitioner-us-core-henry-seven
  display:
    v: Henry Seven, MD
organization:
  l: organization-ecr-salem-medical-center
  reference:
    v: Organization/organization-ecr-salem-medical-center
  display:
    v: Salem Medical Center
code:
  coding:
    system:
      v: http://nucc.org/provider-taxonomy
      l: provider-taxonomy
    code:
      v: 261QP2300X
    display:
      v: Primary Care Clinic/Center
specialty:
  coding: http://snomed.info/id/419772000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 419772000
    display:
      v: Family practice
location:
  l: location-ecr-salem-medical-center
  reference:
    v: Location/location-ecr-salem-medical-center
  display:
    v: Salem Medical Center
telecom:
  system:
    v: email

observation-blood-pressure-eve-everywoman
type: Observation
id:
  v: observation-blood-pressure-eve-everywoman
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure|6.1.0
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure
language:
  v: en
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: vital-signs
    display:
      v: Vital Signs
  text:
    v: Vital Signs
code:
  coding: https://loinc.org/rdf/85354-9
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 85354-9
    display:
      v: Blood pressure panel with all children optional
  text:
    v: Blood pressure systolic and diastolic
subject:
  l: patient-ecr-eve-everywoman
  reference:
    v: Patient/patient-ecr-eve-everywoman
  display:
    v: Eve Everywoman
encounter:
  display:
    v: GP Visit
effective: DateTime
  v: 2020-07-02
performer:
  l: practitionerrole-henry-seven
  reference:
    v: PractitionerRole/practitionerrole-henry-seven
component:
  code:
    coding: https://loinc.org/rdf/8480-6
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 8480-6
      display:
        v: Systolic blood pressure
    text:
      v: Systolic blood pressure
  value: Quantity
    value:
      v: 109
    unit:
      v: mmHg
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: mm[Hg]
component:
  code:
    coding: https://loinc.org/rdf/8462-4
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 8462-4
      display:
        v: Diastolic blood pressure
    text:
      v: Diastolic blood pressure
  value: Quantity
    value:
      v: 44
    unit:
      v: mmHg
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: mm[Hg]

observation-us-ph-exposure-contact-info-football-game
type: Observation
id:
  v: observation-us-ph-exposure-contact-info-football-game
meta:
  profile:
    v: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-exposure-contact-information
    l: us-ph-exposure-contact-information
language:
  v: en
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      l: v3-ActClass
    code:
      v: EXPOS
    display:
      v: exposure
  text:
    v: An interaction between entities that provides opportunity for transmission of a physical, chemical, or biological agent from an exposure source entity to an exposure target entity.
code:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/umls
      l: umls
    code:
      v: C3841750
    display:
      v: Mass gathering
  text:
    v: Mass gathering (football game)
subject:
  l: patient-ecr-eve-everywoman
  reference:
    v: Patient/patient-ecr-eve-everywoman
  display:
    v: Eve Everywoman
focus:
  l: location-ecr-city-football-stadium
  reference:
    v: Location/location-ecr-city-football-stadium
  display:
    v: City Football Stadium
effective: Period
  start:
    v: 2020-01-11T18:00:00Z
  end:
    v: 2020-01-11T21:30:00Z
performer:
  l: practitionerrole-henry-seven
  reference:
    v: PractitionerRole/practitionerrole-henry-seven
value: CodeableConcept
  coding: http://snomed.info/id/264379009
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 264379009
    display:
      v: Sports stadium (environment)
  text:
    v: City Football Stadium
component:
  code:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
        l: v3-ParticipationType
      code:
        v: EXPAGNT
      display:
        v: ExposureAgent
  value: CodeableConcept
    coding: http://snomed.info/id/840533007
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 840533007
      display:
        v: Severe acute respiratory syndrome coronavirus 2 (organism)

observation-travel-history-eve-everywoman-201801
type: Observation
id:
  v: observation-travel-history-eve-everywoman-201801
meta:
  profile:
    v: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-travel-history
    l: us-ph-travel-history
language:
  v: en
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: social-history
code:
  coding: http://snomed.info/id/420008001
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 420008001
    display:
      v: Travel
  text:
    v: Travel History
subject:
  l: patient-ecr-eve-everywoman
  reference:
    v: Patient/patient-ecr-eve-everywoman
  display:
    v: Eve Everywoman
effective: Period
  start:
    v: 2018-01-15
  end:
    v: 2018-01-30
performer:
  l: practitionerrole-henry-seven
  reference:
    v: PractitionerRole/practitionerrole-henry-seven
component:
  code:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
        l: v3-ParticipationType
      code:
        v: LOC
      display:
        v: Location
  value: CodeableConcept
    coding:
      system:
        v: urn:oid:1.0.3166.1
        l: 1.0.3166.1
      code:
        v: VUT
      display:
        v: Vanuatu
component:
  code:
    coding: http://snomed.info/id/280147009
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 280147009
      display:
        v: Type of activity (attribute)
  value: CodeableConcept
    coding: http://snomed.info/id/702348006
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 702348006
      display:
        v: Active duty military (occupation)

observation-disability-status-eve-everywoman
type: Observation
id:
  v: observation-disability-status-eve-everywoman
meta:
  profile:
    v: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-disability-status
    l: us-ph-disability-status
language:
  v: en
status:
  v: final
category:
  coding:
    system:
      v: http://hl7.org/fhir/us/core/CodeSystem/us-core-category
      l: us-core-category
    code:
      v: disability-status
    display:
      v: Disability Status
  text:
    v: Disability Status
code:
  coding: https://loinc.org/rdf/69856-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 69856-3
    display:
      v: Are you deaf, or do you have serious difficulty hearing
subject:
  l: patient-ecr-eve-everywoman
  reference:
    v: Patient/patient-ecr-eve-everywoman
  display:
    v: Eve Everywoman
effective: DateTime
  v: 2020-11-10T22:33:22Z
performer:
  l: practitionerrole-henry-seven
  reference:
    v: PractitionerRole/practitionerrole-henry-seven
value: CodeableConcept
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0532
      l: v2-0532
    code:
      v: Y
    display:
      v: Yes

observation-us-ph-lab-result-eve-everywoman-lymphocytes
type: Observation
id:
  v: observation-us-ph-lab-result-eve-everywoman-lymphocytes
meta:
  profile:
    v: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-lab-result-observation
    l: us-ph-lab-result-observation
language:
  v: en
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
    display:
      v: Laboratory
  text:
    v: Laboratory
code:
  coding: https://loinc.org/rdf/731-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 731-0
    display:
      v: Lymphocytes [#/volume] in Blood by Automated count
subject:
  l: patient-ecr-eve-everywoman
  reference:
    v: Patient/patient-ecr-eve-everywoman
  display:
    v: Eve Everywoman
effective: DateTime
  v: 2018-03-07
performer:
  l: organization-ecr-acme-laboratory
  reference:
    v: Organization/organization-ecr-acme-laboratory
value: Quantity
  value:
    v: 5.2
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: 10*3/uL
interpretation:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
      l: v3-ObservationInterpretation
    code:
      v: H
    display:
      v: High
reference range:
  low:
    value:
      v: 1
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: 10*3/uL
  high:
    value:
      v: 4.8
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: 10*3/uL

organization-ecr-acme-laboratory
type: Organization
id:
  v: organization-ecr-acme-laboratory
meta:
  profile:
    v: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-organization
    l: us-ph-organization
language:
  v: en
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
    l: us-npi
  value:
    v: 1144221847
active:
  v: true
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
      l: v3-RoleCode
    code:
      v: OUTLAB
    display:
      v: outpatient laboratory
name:
  v: Acme_Labs
telecom:
  system:
    v: phone
  value:
    v: +1-555-555-4444
telecom:
  system:
    v: email
address:
  line:
    v: 7777 Laboratory Drive
  city:
    v: Ann Arbor
  state:
    v: MI
  postal code:
    v: 99999

observation-odh-usual-work-eve-everywoman
type: Observation
id:
  v: observation-odh-usual-work-eve-everywoman
meta:
  profile:
    v: http://hl7.org/fhir/us/odh/StructureDefinition/odh-UsualWork
    l: odh-UsualWork
language:
  v: en
status:
  v: final
code:
  coding: https://loinc.org/rdf/21843-8
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 21843-8
    display:
      v: History of Usual occupation
subject:
  l: patient-ecr-eve-everywoman
  reference:
    v: Patient/patient-ecr-eve-everywoman
  display:
    v: Eve Everywoman
effective: Period
  start:
    v: 2015-01-01
  end:
    v: 2018-03-07
performer:
  l: practitioner-us-core-henry-seven
  reference:
    v: Practitioner/practitioner-us-core-henry-seven
value: CodeableConcept
  coding:
    system:
      v: urn:oid:2.16.840.1.114222.4.5.314
      l: 2.16.840.1.114222.4.5.314
    code:
      v: 0136
    display:
      v: Human Resources Managers
component:
  code:
    coding: https://loinc.org/rdf/21844-6
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 21844-6
      display:
        v: History of Usual industry
  value: CodeableConcept
    coding:
      system:
        v: urn:oid:2.16.840.1.114222.4.5.315
        l: 2.16.840.1.114222.4.5.315
      code:
        v: 8190
      display:
        v: Hospitals

location-ecr-salem-medical-center
type: Location
id:
  v: location-ecr-salem-medical-center
meta:
  profile:
    v: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-location
    l: us-ph-location
language:
  v: en
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
    l: us-npi
  value:
    v: 1144221995
status:
  v: active
name:
  v: Clinic Bldg A, Salem Medical Center
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
      l: v3-RoleCode
    code:
      v: HOSP
    display:
      v: Hospital
telecom:
  system:
    v: phone
  value:
    v: (+1) (555)555-3001
telecom:
  system:
    v: fax
  value:
    v: (+1) (555)555-3002
telecom:
  system:
    v: email
address:
  line:
    v: Clinic Bldg A
  line:
    v: 4444 Healthcare Drive
  city:
    v: Ann Arbor
  state:
    v: MI
  postal code:
    v: 99999
managing organization:
  l: organization-ecr-salem-medical-center
  reference:
    v: Organization/organization-ecr-salem-medical-center

location-ecr-city-football-stadium
type: Location
id:
  v: location-ecr-city-football-stadium
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-location|6.1.0
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-location
language:
  v: en
status:
  v: active
name:
  v: City Football Stadium
type:
  coding: http://snomed.info/id/264379009
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 264379009
    display:
      v: Sports stadium (environment)
  text:
    v: City Football Stadium
address:
  line:
    v: 99 Football Stadium Road
  city:
    v: My City
  state:
    v: AZ
  postal code:
    v: 8562

organization-ecr-salem-medical-center
type: Organization
id:
  v: organization-ecr-salem-medical-center
id:
  v: organization-ecr-salem-medical-center
meta:
  profile:
    v: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-organization
    l: us-ph-organization
meta:
  profile:
    v: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-organization
    l: us-ph-organization
language:
  v: en
language:
  v: en
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
    l: us-npi
  value:
    v: 1144221847
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
    l: us-npi
  value:
    v: 1144221847
active:
  v: true
active:
  v: true
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
      l: v3-RoleCode
    code:
      v: OF
    display:
      v: Outpatient facility
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
      l: v3-RoleCode
    code:
      v: OF
    display:
      v: Outpatient facility
name:
  v: Salem Medical Center
name:
  v: Salem Medical Center
telecom:
  system:
    v: phone
  value:
    v: +1-555-555-1111
telecom:
  system:
    v: email
telecom:
  system:
    v: phone
  value:
    v: +1-555-555-1111
telecom:
  system:
    v: email
address:
  line:
    v: 22222 Health Authority Drive
  city:
    v: Ann Arbor
  state:
    v: MI
  postal code:
    v: 99999
address:
  line:
    v: 22222 Health Authority Drive
  city:
    v: Ann Arbor
  state:
    v: MI
  postal code:
    v: 99999
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Organization organization-ecr-salem-medical-center Profile: US Public Health Organization identifier: United States National Provider Identifier/1144221847 active: true type: Outpatient facility name: Salem Medical Center telecom: +1-555-555-1111, mail@salemmedicalcenter.com address: 22222 Health Authority Drive Ann Arbor MI 99999

condition-eicr-eve-everywoman-zika
type: Condition
id:
  v: condition-eicr-eve-everywoman-zika
meta:
  profile:
    v: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-condition-encounter-diagnosis
    l: us-ph-condition-encounter-diagnosis
language:
  v: en
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
      l: condition-category
    code:
      v: encounter-diagnosis
code:
  coding: http://snomed.info/id/3928002
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 3928002
    display:
      v: Zika virus disease (disorder)
subject:
  l: patient-ecr-eve-everywoman
  reference:
    v: Patient/patient-ecr-eve-everywoman
  display:
    v: Eve Everywoman
onset: DateTime
  v: 2017-08-23
asserter:
  l: practitioner-us-core-henry-seven
  reference:
    v: Practitioner/practitioner-us-core-henry-seven
  display:
    v: Henry Seven, MD

practitioner-us-core-henry-seven
type: Practitioner
id:
  v: practitioner-us-core-henry-seven
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner
language:
  v: en
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
    l: us-npi
  value:
    v: 9941339100
name:
  family:
    v: Henry
  given:
    v: Seven
  suffix:
    v: M.D.
telecom:
  system:
    v: email
address:
  line:
    v: 1002 Healthcare Drive
  city:
    v: Ann Arbor
  state:
    v: MI
  postal code:
    v: 99999
  country:
    v: US

device-ecmo
type: Device
id:
  v: device-ecmo
language:
  v: en
udi carrier:
  device identifier:
    v: 99863313444316
  entry type:
    v: rfid
status:
  v: active
manufacturer:
  v: ACME Biomedical
expiration date:
  v: 2022-01-01
lot number:
  v: M320
serial number:
  v: AC222
device name:
  name:
    v: ACME Extracorporeal membrane oxygenator
  type:
    v: udi-label-name
model number:
  v: 4.0
type:
  coding: http://snomed.info/id/469244005
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 469244005
    display:
      v: Extracorporeal membrane oxygenator (physical object)
  text:
    v: Extracorporeal membrane oxygenator (physical object)
patient:
  l: patient-ecr-eve-everywoman
  reference:
    v: Patient/patient-ecr-eve-everywoman
  display:
    v: Eve Everywoman

device-ecr-software-ymca
type: Device
id:
  v: device-ecr-software-ymca
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Device device-ecr-software-ymca identifier: http://example.org/software/client-ids/goodhealth_id manufacturer: Acme Devices, Inc type: EHR Versions - Value * 10.23-23423 contact: http://example.org url: http://example.org/ymca/software/
identifier:
  system:
    v: http://example.org/software/client-ids
    l: client-ids
  value:
    v: goodhealth_id
manufacturer:
  v: Acme Devices, Inc
type:
  text:
    v: EHR
version:
  value:
    v: 10.23-23423
contact:
  system:
    v: url
  value:
    v: http://example.org
url:
  v: http://example.org/ymca/software/
  l: software

v: 30954-2

v: Relevant diagnostic tests/laboratory data note

status:
  v: generated
div:
  v: title Results Section code Relevant Dx tests/lab data ( 30954-2 ) http://loinc.org entry Lymphocytes [#/​volume] in Blood by Automated count - Interpretation: High id observation-us-ph-lab-result-eve-everywoman-lymphocytes meta versionId 10 lastUpdated 2019-10-05T02:50:13.000-04:00 profile http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-lab-result-observation status final category Laboratory Laboratory ( laboratory ) http://terminology.hl7.org/CodeSystem/observation-category code Lymphocytes [#/volume] in Blood by Automated count ( 731-0 ) http://loinc.org subject Eve Everywoman effectiveDateTime 2018-03-07 valueQuantity 5.2 http://unitsofmeasure.org 10*3/uL interpretation High ( H ) http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation referenceRange low value 1 system http://unitsofmeasure.org code 10*3/uL high value 4.8 system http://unitsofmeasure.org code 10*3/uL

l: observation-us-ph-lab-result-eve-everywoman-lymphocytes
reference:
  v: Observation/observation-us-ph-lab-result-eve-everywoman-lymphocytes
display:
  v: Lymphocytes [#/​volume] in Blood by Automated count - Interpretation: High

title:
  v: Plan of Treatment Section
code:
  coding: https://loinc.org/rdf/18776-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 18776-5
    display:
      v: Plan of care note
text:
  status:
    v: generated
  div:
    v: title Plan of Treatment Section code Plan of care note ( 18776-5 ) http://loinc.org entry Trigger code Trigger Code: Trigger Code Display: Trigger Code System: Trigger Code Value Set: urn:oid:2.16.840.1.114222.4.11.7508 Trigger Code Value Set Version: 19/05/2018 Request for Zika virus envelope (E) gene [Presence] in Serum by Probe and target amplification method id servicerequest-eicr-zika meta versionId 9 lastUpdated 2019-10-23T13:56:36.000-04:00 profile http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-servicerequest status completed intent order category Diagnostics Procedure Diagnostic procedure (procedure) ( 103693007 ) http://snomed.info/sct code Zika RT-PCR Zika virus envelope E gene [Presence] in Serum by NAA with probe detection ( 80825-3 ) http://loinc.org subject Eve Everywoman performer Acme Labs
entry:
  l: servicerequest-eicr-zika
  extension:
    extension:
      url:
        v: triggerCodeValueSet
        l: triggerCodeValueSet
      value: Oid
        v: urn:oid:2.16.840.1.114222.4.11.7508
        l: 2.16.840.1.114222.4.11.7508
    extension:
      url:
        v: triggerCodeValueSetVersion
        l: triggerCodeValueSetVersion
      value: String
        v: 19/05/2018
    extension:
      url:
        v: triggerCode
        l: triggerCode
      value: Coding
        type: http://snomed.info/id/3928002
    url:
      v: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension
      l: eicr-trigger-code-flag-extension
  reference:
    v: ServiceRequest/servicerequest-eicr-zika
  display:
    v: Request for Zika virus envelope (E) gene [Presence] in Serum by Probe and target amplification method

v: 3928002

v: Zika virus disease (disorder)

title:
  v: Immunizations Section
code:
  coding: https://loinc.org/rdf/11369-6
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 11369-6
    display:
      v: History of Immunization note
text:
  status:
    v: generated
  div:
    v: title Immunizations Section code History of Immunization note ( 11369-6 ) http://loinc.org entry pneumococcal polysaccharide vaccine entry Vaccine Credential Patient Assertion Observation Example
entry:
  l: immunization-ecr-pneumo
  reference:
    v: Immunization/immunization-ecr-pneumo
  display:
    v: pneumococcal polysaccharide vaccine
entry:
  l: observation-vaccine-credential-assertion-eve-everywoman
  reference:
    v: Observation/observation-vaccine-credential-assertion-eve-everywoman
  display:
    v: Vaccine Credential Patient Assertion Observation Example

title:
  v: Procedures Section
code:
  coding: https://loinc.org/rdf/47519-4
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 47519-4
    display:
      v: History of Procedures Document
text:
  status:
    v: generated
  div:
    v: title Procedures Section code History of Procedures Document ( 47519-4 ) http://loinc.org entry Extracorporeal membrane oxygenation (procedure)
entry:
  l: procedure-ecmo
  reference:
    v: Procedure/procedure-ecmo
  display:
    v: Extracorporeal membrane oxygenation (procedure)

title:
  v: Vital Signs Section
code:
  coding: https://loinc.org/rdf/8716-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 8716-3
    display:
      v: Vital signs note
text:
  status:
    v: generated
  div:
    v: title Vital Signs Section code Vital signs ( 8716-3 ) http://loinc.org entry Blood pressure systolic and diastolic
entry:
  l: observation-blood-pressure-eve-everywoman
  reference:
    v: Observation/observation-blood-pressure-eve-everywoman
  display:
    v: Blood pressure systolic and diastolic

title:
  v: Social History Section
code:
  coding: https://loinc.org/rdf/29762-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 29762-2
    display:
      v: Social history note
text:
  status:
    v: generated
  div:
    v: title Social History Section code Social history note ( 29762-2 ) http://loinc.org entry eICR Travel History: Eve Everywoman 2018-01 id observation-travel-history-eve-everywoman-201801 meta versionId 11 lastUpdated 2019-10-05T03:15:42.000-04:00 profile http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-travel-history status final code Travel History Travel ( 420008001 ) http://snomed.info/sct subject Eve Everywoman effectivePeriod start 2018-01-15 end 2018-01-30 component code Location ( LOC ) http://terminology.hl7.org/CodeSystem/v3-ParticipationType valueCodeableConcept Fiji ( FJI ) urn:iso:std:iso:3166 component code Location ( LOC ) http://terminology.hl7.org/CodeSystem/v3-ParticipationType valueCodeableConcept Vanuatu ( VUT ) https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=1.0.3166.1 entry ODH Usual Work Example id observation-odh-usual-work-eve-everywoman meta versionId 2 lastUpdated 2019-10-20T10:53:14.000-04:00 profile http://hl7.org/fhir/us/odh/StructureDefinition/odh-UsualWork status final code History of Usual occupation ( 21843-8 ) http://loinc.org subject Eve Everywoman effectivePeriod start 2015-01-01 end 2018-03-07 valueCodeableConcept Human Resources Managers ( 0136 ) https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.114222.4.5.314 component code History of Usual industry ( 21844-6 ) http://loinc.org valueCodeableConcept Hospitals ( 8190 ) https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.114222.4.5.315
entry:
  l: observation-travel-history-eve-everywoman-201801
  reference:
    v: Observation/observation-travel-history-eve-everywoman-201801
  display:
    v: eICR Travel History: Eve Everywoman 2018-01
entry:
  l: observation-odh-usual-work-eve-everywoman
  reference:
    v: Observation/observation-odh-usual-work-eve-everywoman
  display:
    v: ODH Usual Work Example
entry:
  l: observation-disability-status-eve-everywoman
  reference:
    v: Observation/observation-disability-status-eve-everywoman
  display:
    v: US Public Health Disability Status Example
entry:
  l: observation-us-ph-exposure-contact-info-football-game
  reference:
    v: Observation/observation-us-ph-exposure-contact-info-football-game
  display:
    v: US Public Health Exposure Contact Information Example
entry:
  l: observation-country-of-nationality-eve-everywoman
  reference:
    v: Observation/observation-country-of-nationality-eve-everywoman
  display:
    v: Country of Nationality Observation Example
entry:
  l: observation-country-of-residence-eve-everywoman
  reference:
    v: Observation/observation-country-of-residence-eve-everywoman
  display:
    v: Country of Residence Observation Example

title:
  v: Pregnancy Section
code:
  coding: https://loinc.org/rdf/90767-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 90767-5
    display:
      v: Pregnancy summary Document
text:
  status:
    v: generated
  div:
    v: title Pregnancy Section code Pregnancy summary Document ( 90767-5 ) http://loinc.org entry eICR Pregnancy Status Example id observation-pregnancy-status-eve-everywoman meta versionId 13 lastUpdated 2019-10-05T03:15:42.000-04:00 profile http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-pregnancy-status-observation us-ph-date-recorded-extension 2017-10-01 date-determined-extension 2017-10-01 status final code Pregnancy Status ( 82810-3 ) http://loinc.org subject Eve Everywoman effectivePeriod start 2017-08-26 valueCodeableConcept Pregnancy (finding) ( 77386006 ) http://snomed.info/sct method Ultrasonography (procedure) ( 16310003 ) http://snomed.info/sct component date-determined-extension 2017-10-01 code Gestational age Estimated from patient reported estimated date of conception ( 53691-2 ) http://loinc.org valueQuantity 143 d component date-determined-extension 2017-10-01 code Delivery date Estimated from date fundal height reaches umb ( 57064-8 ) http://loinc.org valueDateTime 2018-05-01
entry:
  l: observation-pregnancy-status-eve-everywoman
  reference:
    v: Observation/observation-pregnancy-status-eve-everywoman
  display:
    v: eICR Pregnancy Status Example

title:
  v: Emergency Outbreak Information Section
code:
  coding: https://loinc.org/rdf/83910-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 83910-0
    display:
      v: Public health Note
text:
  status:
    v: generated
  div:
    v: title Emergency Outbreak Information Section code Public health Note ( 83910-0 ) http://loinc.org entry US Public Health Emergency Outbreak Information Example
entry:
  l: observation-us-ph-emergency-outbreak-info-eve-everywoman
  reference:
    v: Observation/observation-us-ph-emergency-outbreak-info-eve-everywoman
  display:
    v: US Public Health Emergency Outbreak Information Example

title:
  v: Past Medical History Section
code:
  coding: https://loinc.org/rdf/11348-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 11348-0
    display:
      v: History of Past illness note
text:
  status:
    v: generated
  div:
    v: title Past Medical History Section code Past Medical History Narrative ( 11348-0 ) http://loinc.org Past medical history

title:
  v: Review of Systems Section
code:
  coding: https://loinc.org/rdf/10187-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 10187-3
    display:
      v: Review of systems Narrative - Reported
text:
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    v: generated
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    v: title Review of Systems Section code Review of Systems Section Narrative ( 10187-3 ) http://loinc.org Review of systems

v: 3928002

v: Zika virus disease (disorder)

v: 91

v: Fort Mojave Indian Tribe of Arizona, California & Nevada