Electronic Case Reporting (eCR)
3.0.0-ballot - United States of America flag

Electronic Case Reporting (eCR), published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 3.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/case-reporting/ and changes regularly. See the Directory of published versions

Extension: eICR Processing Status Extension

Official URL: http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-extension Version: 3.0.0-ballot
Standards status: Trial-use Active as of 2025-11-20 Maturity Level: 3 Computable Name: RREicrProcessingStatusExtension
Other Identifiers: OID:2.16.840.1.113883.4.642.40.46.42.17

This Extension profile represents the eICR processing status.

Context of Use

If the eICR was not processed or was processed with a warning, the reason will be contained in the eICR Processing Status Reason. If there is any output from a validator, that output will be contained in the eICR Validation Output.

If any of the trigger codes used to generate the eICR are from an outdated version of the RCTC or the codes are deprecated by the coding system in the latest version of the RCTC (inactive status), these are flagged and and the eICR Processing Status Reason Detail will hold the details of the outdated and expected versions of the RCTC. Inactive status in the RCTC signifies that a code as been deprecated by the source coding system. Codes with an inactive status will remain in the RCTC and be available for triggering because EHR systems do not update to the most recent version of the coding systems immediately, and thus may continue to trigger on a deprecated code.

Usage info

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Extension Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension(4.0.1) eICR Processing Status
... extension 1..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:eICRProcessingStatus 1..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "eICRProcessingStatus"
..... value[x] 1..1 Reference(eICR Processing Status Observation(3.0.0-ballot)) Value of extension
.... extension:eICRValidationOutput 0..* Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "eICRValidationOutput"
..... value[x] 1..1 Value of extension
...... valueMarkdown markdown
...... valueString string
...... valueAttachment Attachment
... url 1..1 uri "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-extension"

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension(4.0.1) eICR Processing Status
Constraints: ext-1
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:eICRProcessingStatus 1..1 Extension Extension
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... url 1..1 uri "eICRProcessingStatus"
..... value[x] 1..1 Reference(eICR Processing Status Observation(3.0.0-ballot)) Value of extension
.... extension:eICRValidationOutput 0..* Extension Extension
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... url 1..1 uri "eICRValidationOutput"
..... value[x] 1..1 Value of extension
...... valueMarkdown markdown
...... valueString string
...... valueAttachment Attachment
... url 1..1 uri "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-extension"

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
ele-1 error Extension, Extension.extension, Extension.extension:eICRProcessingStatus, Extension.extension:eICRProcessingStatus.value[x], Extension.extension:eICRValidationOutput, Extension.extension:eICRValidationOutput.value[x] All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Extension, Extension.extension, Extension.extension:eICRProcessingStatus, Extension.extension:eICRValidationOutput Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

Complex Extension: This Extension profile represents the eICR processing status.

  • eICRProcessingStatus: Reference: An Extension
  • eICRValidationOutput: markdown, string, Attachment: Contains eICR validation output - this could be the actual output from a validator, or a link to a validation output file

Maturity: 3

Differential ViewDifferential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension(4.0.1) eICR Processing Status
... extension 1..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:eICRProcessingStatus 1..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "eICRProcessingStatus"
..... value[x] 1..1 Reference(eICR Processing Status Observation(3.0.0-ballot)) Value of extension
.... extension:eICRValidationOutput 0..* Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "eICRValidationOutput"
..... value[x] 1..1 Value of extension
...... valueMarkdown markdown
...... valueString string
...... valueAttachment Attachment
... url 1..1 uri "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-extension"

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension(4.0.1) eICR Processing Status
Constraints: ext-1
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:eICRProcessingStatus 1..1 Extension Extension
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... url 1..1 uri "eICRProcessingStatus"
..... value[x] 1..1 Reference(eICR Processing Status Observation(3.0.0-ballot)) Value of extension
.... extension:eICRValidationOutput 0..* Extension Extension
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... url 1..1 uri "eICRValidationOutput"
..... value[x] 1..1 Value of extension
...... valueMarkdown markdown
...... valueString string
...... valueAttachment Attachment
... url 1..1 uri "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-extension"

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
ele-1 error Extension, Extension.extension, Extension.extension:eICRProcessingStatus, Extension.extension:eICRProcessingStatus.value[x], Extension.extension:eICRValidationOutput, Extension.extension:eICRValidationOutput.value[x] All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Extension, Extension.extension, Extension.extension:eICRProcessingStatus, Extension.extension:eICRValidationOutput Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

Complex Extension: This Extension profile represents the eICR processing status.

  • eICRProcessingStatus: Reference: An Extension
  • eICRValidationOutput: markdown, string, Attachment: Contains eICR validation output - this could be the actual output from a validator, or a link to a validation output file

Maturity: 3

 

Other representations of profile: CSV, Excel, Schematron