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
Indicates a message containing electronic case report healthcare data sent from clinical care.
Initial Public Health Case Report - Zika Example
title Reason for Visit Section code Reason for visit Narrative ( 29299-5 ) http://loinc.org Reason for Visit: Bad cough
title Chief complaint Narrative - Reported code Chief complaint Narrative - Reported ( 10154-3 ) http://loinc.org Chief Complaint: Bad cough
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
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
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
title Admission Medications Section code Medications on admission (narrative) ( 42346-7 ) http://loinc.org entry 1 ML naloxone hydrochloride 0.4 MG/ML Injection
1 ML naloxone hydrochloride 0.4 MG/ML Injection
title Medications Section code History of Medication use Narrative ( 10160-0 ) http://loinc.org entry Azithromycin 500 MG Oral Tablet
Relevant diagnostic tests/laboratory data note
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
Lymphocytes [#/​volume] in Blood by Automated count - Interpretation: High
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
Request for Zika virus envelope (E) gene [Presence] in Serum by Probe and target amplification method
title Immunizations Section code History of Immunization note ( 11369-6 ) http://loinc.org entry pneumococcal polysaccharide vaccine entry Vaccine Credential Patient Assertion Observation Example
Vaccine Credential Patient Assertion Observation Example
title Procedures Section code History of Procedures Document ( 47519-4 ) http://loinc.org entry Extracorporeal membrane oxygenation (procedure)
Extracorporeal membrane oxygenation (procedure)
title Vital Signs Section code Vital signs ( 8716-3 ) http://loinc.org entry Blood pressure systolic and diastolic
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
eICR Travel History: Eve Everywoman 2018-01
US Public Health Disability Status Example
US Public Health Exposure Contact Information Example
Country of Nationality Observation Example
Country of Residence Observation Example
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
title Emergency Outbreak Information Section code Public health Note ( 83910-0 ) http://loinc.org entry US Public Health Emergency Outbreak Information Example
US Public Health Emergency Outbreak Information Example
title Past Medical History Section code Past Medical History Narrative ( 11348-0 ) http://loinc.org Past medical history
title Review of Systems Section code Review of Systems Section Narrative ( 10187-3 ) http://loinc.org Review of systems
Swallow - dosing instruction imperative (qualifier value)
Inject - dosing instruction imperative (qualifier value)
Zika virus envelope E gene [Presence] in Serum by NAA with probe detection
Clinic Bldg A, Salem Medical Center, 4646 Brown Rd, Salem, MA 02368
Salem Medical Center, 22222 Health Authority Drive, Ann Arbor MI, 99999
Gestational age Estimated from patient reported estimated date of conception
Delivery date Estimated from date fundal height reaches umb
Ethnicity / related nationality data (observable entity)
Fort Mojave Indian Tribe of Arizona, California & Nevada
United Kingdom of Great Britain and Northern Ireland
Blood pressure panel with all children optional
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.
Severe acute respiratory syndrome coronavirus 2 (organism)
Are you deaf, or do you have serious difficulty hearing
Lymphocytes [#/volume] in Blood by Automated count
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
Extracorporeal membrane oxygenator (physical object)
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/