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

Artifact Overview

Page standards status: Informative

Complying with this implementation guide means complying with a number of profiles, extensions, value sets and custom search parameters. This page provides an overview of where this information can be found.

The artifacts are of five types:

• Profiles constrain FHIR resources to reflect requirements for US Public Health concepts.
• Extensions define additional data elements that can be conveyed as part of a resource.
• Code Systems define guide-specific terminologies to be used in one or more of the profiles.
• Value Sets define the specific subsets of code systems that can be (or are recommended to be) used within one or more profile elements.
• Examples (instances) of the profiles defined in this guide and of profiles and resources defined elsewhere.

Profiles

Profiles: Electronic Initial Case Reporting (eICR)

• eICR Composition
• eICR Country of Residence Observation
• eICR Document Bundle
• eICR Encounter
• eICR Initiation Type Extension
• eICR Organism Detected Observation
• eICR Organism Susceptibility Observation
• eICR Procedure
• eICR ServiceRequest
• eCR MessageHeader

Profiles: Reportability Response (RR)

• RR Composition
• RR Document Bundle
• RR DocumentReference
• eICR Processing Status Observation
• eICR Processing Status Reason Observation
• eICR Receipt Time Extension
• RR Relevant Reportable Condition Observation
• RR Reportability Information Observation
• RR Responsible Agency Organization
• RRRouting Entity Organization
• RRRules Authoring Agency Organization
• RR Summary Observation

Profiles: Electronic Reporting and Surveillance Distribution (eRSD)

• eRSD PlanDefinition
• eRSD Supplemental Library

Profiles: Extensions

• RR External Resource Extension
• Reportability Response Priority Extension
• eICR Processing Status Extension
• eICR Trigger Code Flag Extension

Examples

Examples: eICR Bundles & Compositions

• Bundle - eCR Message for Zika Case
• Bundle - eICR Document for Zika Case
• Composition - Manually Initiated eICR for Zika Case
• Composition - eICR for Pertussis and Zika Case
• Composition - eICR for Zika Case

Examples: RR Bundles & Compositions

• RR Document Bundle Example: One Condition, One PHA
• Reportability Response - One Condition/One PHA with eICR Validation Output example
• Reportability Response Composition - One Condition/One PHA example

Examples: eICR

• Condition - Common Cold for Eve Everywoman
• Condition - Diabetes Mellitus for Eve Everywoman
• Condition - Pertussis for Eve Everywoman
• Condition - Zika Virus Disease for Eve Everywoman
• Country of Nationality Observation Example: Eve Everywoman
• Country of Residence Observation Example: Eve Everywoman
• Device - ACME Extracorporeal Membrane Oxygenator
• Device - YMCA EHR Software
• DocumentReference - Electronic Initial Case Report
• Encounter - Completed Inpatient Visit for Eve Everywoman
• Encounter - Current Inpatient Visit for Eve Everywoman
• Encounter - Outpatient Visit for Eve Everywoman
• Immunization - Pneumococcal Vaccine for Eve Everywoman
• MedicationAdministration - Azithromycin for Eve Everywoman
• MedicationAdministration - Naloxone for Eve Everywoman
• Observation - Blood Pressure for Eve Everywoman
• Observation - Characteristics of Home Environment for Eve Everywoman
• Observation - Disability Status for Eve Everywoman
• Observation - Lab Result Lymphocytes for Eve Everywoman
• Observation - Lab Result Pertussis Antibody for Eve Everywoman
• Observation - Last Menstrual Period for Eve Everywoman
• Observation - Meropenem Susceptibility for Eve Everywoman
• Observation - ODH Employment Status for Eve Everywoman
• Observation - ODH Past or Present Job for Eve Everywoman
• Observation - ODH Usual Work for Eve Everywoman
• Observation - Organism Detected Klebsiella-oxytoca for Eve Everywoman
• Observation - Pregnancy Outcome for Eve Everywoman
• Observation - Pregnancy Status for Eve Everywoman
• Observation - Travel History for Eve Everywoman (January 2018)
• Observation - Vaccine Credential Patient Assertion for Eve Everywoman
• Procedure - Extracorporeal Membrane Oxygenation (ECMO)
• US PH Encounter Example: encounter-eicr-eve-everywoman-external-encounter
• US PH Encounter Example: encounter-eicr-eve-everywoman-external-historical

Examples: RR

• Observation - RR Relevant Reportable Condition
• Observation - RR Reportability Information
• Observation - RR Summary
• RR DocumentReference example: Additional reporting needs
• RR DocumentReference example: Zika follow-up
• RR DocumentReference example: Zika info
• RR One Condition One PHA DocumentReference
• RR eICR Processing Status Example: observation-rr-eicr-processing-status
• RR eICR Processing Status Reason Example: observation-rr-eicr-processing-status-reason

Examples: eICR Entities

• Location - City Football Stadium
• Location - Salem Medical Center Clinic Building A
• Organization - Salem Medical Center
• Patient - Eve Everywoman
• Practitioner - Dr. Henry Seven
• PractitionerRole - Henry Seven

Examples: RR Entities

• RR Responsible Agency Organization Example: Health Authority West Responsible Agency
• RR Routing Entity Organization Example: Health Authority West Routing Entity
• RR Rules Authoring Agency Organization Example: Health Authority West Rules Authoring Agency

Examples: eRSD

• Library - Reportable Condition Trigger Codes (RCTC)
• Library - US Public Health Specification Library
• Library - US Public Health Supplemental Library
• Library - US Public Health Supplemental ValueSet Library
• Library - US Public Health ValueSet Library
• Library - eRSD Specification Library
• Library - eRSD Supplemental Library
• Library Packaging
• PlanDefinition - eRSD Instance with RelatedData Extension
• PlanDefinition Instance NamedEvent Example
• eRSD PlanDefinition Instance Example
• eRSD PlanDefinition Instance Simple Example
• eRSD Specification Bundle Example
• eRSD Supplemental Bundle Example

Examples: Subscription

• Subscription - Diagnosis Problem Trigger Codes
• Subscription - Lab Order Test Trigger Codes
• Subscription - Organism Substance Trigger Codes

Examples: Transport

• Endpoint - Salem Medical Center
• Endpoint - YMCA Center
• MessageHeader - Requested eICR

Examples: Supporting

• Parameters - eCR Expansion Parameters
• US PH Organization Example: Acme Labs
• US PH Organization Example: Health Authority West
• US PH Organization Example: YMCA
• US Public Health Emergency Outbreak Information Example: Eve Everywoman
• US Public Health Exposure Contact Information Example: Football Game
• US Public Health PlanDefinition Example
• US Public Health Postpartum Status Example: observation-postpartum-status-eve-everywoman
• US Public Health Transportation Example: Eve Everywoman

Terminology

Examples: ValueSets

• Acanthamoeba Disease [Keratitis] (Disorders)(ICD10CM)
• Acanthamoeba Disease [Keratitis] (Disorders)(SNOMED)
• Anthrax (Tests for Bacillis anthracis Antibody)
• Anthrax (Tests for Bacillis anthracis Antigen)
• Anthrax Vaccine (RXNORM)
• Arsenic Exposure and Toxicity (Disorders)(ICD10CM)
• Arsenic Exposure and Toxicity (Disorders)(SNOMED)
• California Serogroup Virus Diseases (Tests for California Serogroup Virus Antibody [Quantitative])
• COVID_19 (Tests for SARS_CoV_2 by Culture and Identification Method)
• Dengue Virus Infection (Organism or Substance in Lab Results)
• Diphtheria (Disorders)(SNOMED)
• Diphtheria [Suspected] (Disorders)(SNOMED)
• Eastern Equine Encephalitis Virus Disease (Tests for Eastern Equine Encephalitis Virus Antibody [Quantitative])
• Enterococcus faecium or E. faecalis (Organism or Substance in Lab Results)
• Enterococcus gallinarum or E. casseliflavus/E. flavescens (Organism or Substance in Lab Results)
• Example Chlamydia Lab Obs Test Name Triggers for Public Health Reporting
• eRSD ValueSet - Jurisdiction Types Example
• Example Chlamydia Supplemental Value Set for Public Health Reporting
• Example DXTC for Public Health Reporting
• Example Diagnosis Problem Triggers for Public Health Reporting
• Example LOTC Triggers for Public Health Reporting
• Example LRTC Triggers for Public Health Reporting
• Example Lab Obs Test Name Triggers for Public Health Reporting
• Example Lab Order Test Triggers for Public Health Reporting
• Example MRTC Triggers for Public Health Reporting
• Example Medications Triggers for Public Health Reporting
• Example OSTC Triggers for Public Health Reporting
• Example Organism Substance Triggers for Public Health Reporting
• Example Procedure Triggers for Public Health Reporting
• Example SDTC Triggers for Public Health Reporting
• Example Suspected Disorder Triggers for Public Health Reporting
• Executable Rule Filters Example Library
• HIV Infection (ARV Attachment Inhibitors)(RXNORM)
• HIV Infection (ARV Boosters [CYP3A4 Inhibitor])(RXNORM)
• HIV Infection (ARV Integrase Strand Transfer Inhibitors [INSTIs])(RXNORM)
• HIV Infection (ARV Postattachment Inhibitors)(RXNORM)
• Hepatitis B Virus Infection (Organism or Substance in Lab Results)
• Hepatitis C Virus Infection (Organism or Substance in Lab Results)
• Indeterminate or Equivocal Lab Result Value
• Measles [Suspected] (Disorders)(SNOMED)
• Mumps (Test Panels for mumps virus IgM IgG Antibody)
• Mumps (Test Panels for mumps virus Nucleic Acid)
• Negative or Undetected Lab Result Value
• Poliomyelitis [Suspected] (Disorders)(SNOMED)
• Powassan Virus Disease (Tests for Powassan Virus Antibody [Quantitative])
• Rabies [Suspected] (Disorders)(SNOMED)
• US Public Health ValueSet - Example
• Viral Hemorrhagic Fever [Suspected] (Disorders)(SNOMED)

Examples: CodeSystems

• CodeSystem Properties Example
• eRSD Jurisdiction Types Example
• eRSD Jurisdictions Example