CDC FHIR® Implementation Guide: Anonymized Electronic Initial Case Reporting (eICR)
1.0.0 - ci-build
CDC FHIR® Implementation Guide: Anonymized Electronic Initial Case Reporting (eICR), published by APHL. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/lantanagroup/FHIR-us-eicr-anonymized/ and changes regularly. See the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "bundle-document-zika-anon",
"meta" : {
"profile" : [
🔗 "http://fhir.org/fhir/us/anonymized-eicr/StructureDefinition/eicr-anon-document-bundle"
]
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:2be4b4e4-6df1-4cb2-a947-c70fa0eda54d"
},
"type" : "document",
"timestamp" : "2024-06-02T22:13:23Z",
"entry" : [
{
"fullUrl" : "http://www.example.org/fhir/Composition/composition-zika-anon",
"resource" : {
"resourceType" : "Composition",
"id" : "composition-zika-anon",
"meta" : {
"profile" : [
🔗 "http://fhir.org/fhir/us/anonymized-eicr/StructureDefinition/eicr-anon-composition"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber",
"valueString" : "1"
}
],
"identifier" : {
"value" : "c03eab8c-11e8-4d0c-ad2a-b385395e27db"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "55751-2",
"display" : "Public Health Case Report"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-anon"
},
"encounter" : {
🔗 "reference" : "Encounter/encounter-outpatient-anon"
},
"date" : "2024-06-02T22:13:23Z",
"author" : [
{
🔗 "reference" : "PractitionerRole/practitionerrole-anon"
}
],
"title" : "Initial Public Health Case Report - Zika Example",
"custodian" : {
🔗 "reference" : "Organization/organization-custodian"
},
"relatesTo" : [
{
"code" : "transforms",
"targetIdentifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:58fecd25-973e-4397-af68-1b7683758955"
}
}
],
"section" : [
{
"title" : "Reason for Visit Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29299-5",
"display" : "Reason for visit Narrative"
}
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
}
},
{
"title" : "Chief Complaint",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10154-3",
"display" : "Chief complaint Narrative - Reported"
}
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
}
},
{
"title" : "History of Present Illness Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10164-2",
"display" : "History of Present illness Narrative"
}
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
}
},
{
"title" : "Problems Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11450-4",
"display" : "Problem list - Reported"
}
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"entry" : [
{
🔗 "reference" : "Condition/condition-common-cold-anon"
}
]
},
{
"title" : "Medications Administered Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29549-3",
"display" : "Medication administered Narrative"
}
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"entry" : [
{
🔗 "reference" : "MedicationAdministration/medicationadministration-azithromycin-anon"
}
]
},
{
"title" : "Results Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "30954-2",
"display" : "Relevant diagnostic tests/laboratory data Narrative"
}
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"entry" : [
{
🔗 "reference" : "Observation/observation-lab-result-lymphocytes-anon"
}
]
},
{
"title" : "Social History Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29762-2",
"display" : "Social history Narrative"
}
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"entry" : [
{
🔗 "reference" : "Observation/observation-travel-history-201801-anon"
},
{
🔗 "reference" : "Observation/observation-odh-usual-work-anon"
},
{
🔗 "reference" : "Observation/observation-past-or-present-job-anon"
},
{
🔗 "reference" : "Observation/observation-disability-status-anon"
},
{
🔗 "reference" : "Observation/observation-country-of-nationality-anon"
},
{
🔗 "reference" : "Observation/observation-country-of-residence-anon"
},
{
🔗 "reference" : "Observation/observation-calculated-age-anon"
}
]
},
{
"title" : "Admission Medications Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "42346-7",
"display" : "Medications on admission (narrative)"
}
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"entry" : [
{
🔗 "reference" : "MedicationAdministration/medicationadministration-naloxone-response-anon"
}
]
},
{
"title" : "Medications Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10160-0",
"display" : "History of Medication use Narrative"
}
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"entry" : [
{
🔗 "reference" : "MedicationAdministration/medicationadministration-azithromycin-anon"
}
]
},
{
"title" : "Plan of Treatment Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18776-5",
"display" : "Plan of care note"
}
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"entry" : [
{
🔗 "extension" : [
{
"extension" : [
{
"url" : "triggerCodeValueSet",
"valueOid" : "urn:oid:2.16.840.1.114222.4.11.7508"
},
{
"url" : "triggerCodeValueSetVersion",
"valueString" : "19/05/2018"
},
{
"url" : "triggerCode",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "3928002",
"display" : "Zika virus disease (disorder)"
}
}
],
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension"
}
],
"reference" : "ServiceRequest/servicerequest-zika-anon"
}
]
},
{
"title" : "Immunizations Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11369-6",
"display" : "History of Immunization Narrative"
}
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"entry" : [
{
🔗 "reference" : "Immunization/immunization-pneumo-anon"
},
{
🔗 "reference" : "Observation/observation-vaccine-credential-assertion-anon"
}
]
},
{
"title" : "Procedures Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "47519-4",
"display" : "History of Procedures Document"
}
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"entry" : [
{
🔗 "reference" : "Procedure/procedure-ecmo-anon"
}
]
},
{
"title" : "Vital Signs Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8716-3",
"display" : "Vital signs"
}
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"entry" : [
{
🔗 "reference" : "Observation/observation-blood-pressure-anon"
}
]
},
{
"title" : "Pregnancy Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "90767-5",
"display" : "Pregnancy summary Document"
}
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"entry" : [
{
🔗 "reference" : "Observation/observation-pregnancy-status-anon"
}
]
},
{
"title" : "Emergency Outbreak Information Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "83910-0",
"display" : "Public health Note"
}
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"entry" : [
{
🔗 "reference" : "Observation/observation-emergency-outbreak-info-anon"
}
]
},
{
"title" : "Past Medical History Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11348-0",
"display" : "History of Past illness Narrative"
}
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
}
},
{
"title" : "Review of Systems Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10187-3",
"display" : "Review of systems Narrative - Reported"
}
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
}
},
{
"title" : "Reportability Response Information Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "88085-6",
"display" : "Reportability response report Document Public health"
}
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"entry" : [
{
🔗 "reference" : "Observation/observation-rr-relevant-reportable-condition-anon"
}
]
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Condition/condition-zika-anon",
"resource" : {
"resourceType" : "Condition",
"id" : "condition-zika-anon",
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "encounter-diagnosis",
"display" : "Encounter Diagnosis"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "3928002",
"display" : "Zika virus disease (disorder)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-anon"
},
"onsetDateTime" : "2017-08-23",
"asserter" : {
🔗 "reference" : "Practitioner/practitioner-anon"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Condition/condition-common-cold-anon",
"resource" : {
"resourceType" : "Condition",
"id" : "condition-common-cold-anon",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-condition"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item",
"display" : "Problem List Item"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "82272006",
"display" : "Common cold (disorder)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-anon"
},
"onsetDateTime" : "2017-09-23",
"asserter" : {
🔗 "reference" : "Practitioner/practitioner-anon"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Device/device-ecmo-anon",
"resource" : {
"resourceType" : "Device",
"id" : "device-ecmo-anon",
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"udiCarrier" : [
{
"deviceIdentifier" : "99863313444316",
"carrierHRF" : "(01)99863313444316(17)220101(10)M320(21)AC222",
"entryType" : "rfid"
}
],
"status" : "active",
"manufacturer" : "ACME Biomedical",
"expirationDate" : "2022-01-01",
"lotNumber" : "M320",
"serialNumber" : "AC222",
"deviceName" : [
{
"name" : "ACME Extracorporeal membrane oxygenator",
"type" : "udi-label-name"
}
],
"modelNumber" : "4.0",
"type" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "469244005",
"display" : "Extracorporeal membrane oxygenator (physical object)"
}
],
"text" : "Extracorporeal membrane oxygenator (physical object)"
},
"patient" : {
🔗 "reference" : "Patient/patient-anon"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Encounter/encounter-outpatient-anon",
"resource" : {
"resourceType" : "Encounter",
"id" : "encounter-outpatient-anon",
"meta" : {
"profile" : [
🔗 "http://fhir.org/fhir/us/anonymized-eicr/StructureDefinition/eicr-anon-encounter"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"identifier" : [
{
"system" : "http://hospital.smarthealthit.org",
"value" : "9937012"
}
],
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB",
"display" : "ambulatory"
},
"type" : [
{
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "99202"
}
],
"text" : "Office Visit"
}
],
"subject" : {
🔗 "reference" : "Patient/patient-anon"
},
"participant" : [
{
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code" : "ATND",
"display" : "attender"
}
]
}
],
"individual" : {
🔗 "reference" : "PractitionerRole/practitionerrole-anon"
}
}
],
"period" : {
"start" : "2018-04-01T10:00:00-05:00",
"end" : "2018-04-02T10:15:00-05:00"
},
"diagnosis" : [
{
"extension" : [
{
"extension" : [
{
"url" : "triggerCodeValueSet",
"valueOid" : "urn:oid:2.16.840.1.114222.4.11.7508"
},
{
"url" : "triggerCodeValueSetVersion",
"valueString" : "12/12/2018"
},
{
"url" : "triggerCode",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "3928002",
"display" : "Zika virus disease (disorder)"
}
}
],
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension"
}
],
"condition" : {
🔗 "reference" : "Condition/condition-zika-anon"
}
},
{
"condition" : {
🔗 "reference" : "Condition/condition-common-cold-anon"
}
}
],
"location" : [
{
"location" : {
🔗 "reference" : "Location/location-salem-medical-center"
}
}
],
"serviceProvider" : {
🔗 "reference" : "Organization/organization-salem-medical-center"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Immunization/immunization-pneumo-anon",
"resource" : {
"resourceType" : "Immunization",
"id" : "immunization-pneumo-anon",
"meta" : {
"profile" : [
🔗 "http://fhir.org/fhir/us/anonymized-eicr/StructureDefinition/eicr-anon-immunization"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"status" : "completed",
"vaccineCode" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/cvx",
"code" : "33",
"display" : "pneumococcal polysaccharide PPV23"
}
]
},
"patient" : {
🔗 "reference" : "Patient/patient-anon"
},
"occurrenceDateTime" : "2018-09-01",
"primarySource" : true
}
},
{
"fullUrl" : "http://www.example.org/fhir/Location/location-salem-medical-center",
"resource" : {
"resourceType" : "Location",
"id" : "location-salem-medical-center",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-location"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org.fhir/sid/us-npi",
"value" : "1144221995"
}
],
"status" : "active",
"name" : "Clinic Bldg A, Salem Medical Center",
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "HOSP",
"display" : "Hospital"
}
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "(+1) (555)555-3001"
},
{
"system" : "fax",
"value" : "(+1) (555)555-3002"
},
{
"system" : "email",
"value" : "mail@smc.org"
}
],
"address" : {
"line" : [
"Clinic Bldg A",
"4444 Healthcare Drive"
],
"city" : "Ann Arbor",
"state" : "MI",
"postalCode" : "99999"
},
"managingOrganization" : {
🔗 "reference" : "Organization/organization-salem-medical-center"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/MedicationAdministration/medicationadministration-azithromycin-anon",
"resource" : {
"resourceType" : "MedicationAdministration",
"id" : "medicationadministration-azithromycin-anon",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-medicationadministration"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"status" : "completed",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "248656",
"display" : "Azithromycin 500 MG Oral Tablet"
}
],
"text" : "Azithromycin 500 MG Oral Tablet"
},
"subject" : {
🔗 "reference" : "Patient/patient-anon"
},
"effectivePeriod" : {
"start" : "2018-03-07",
"end" : "2018-03-07"
},
"dosage" : {
"text" : "Two tablets at once",
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "26643006",
"display" : "Oral route"
}
]
},
"method" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "421521009",
"display" : "Swallow - dosing instruction imperative (qualifier value)"
}
]
},
"dose" : {
"value" : 2,
"unit" : "TAB",
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
}
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/MedicationAdministration/medicationadministration-naloxone-response-anon",
"resource" : {
"resourceType" : "MedicationAdministration",
"id" : "medicationadministration-naloxone-response-anon",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-medicationadministration"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-therapeutic-medication-response-extension",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "268910001",
"display" : "Patient's condition improved (finding)"
}
]
}
}
],
"status" : "completed",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "1659929",
"display" : "naloxone HCl 0.4 MG in 1 ML Injection"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-anon"
},
"effectivePeriod" : {
"start" : "2018-03-07",
"end" : "2018-03-07"
},
"dosage" : {
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "206007",
"display" : "Gluteus maximus muscle"
}
]
},
"method" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "422145002",
"display" : "Inject - dosing instruction imperative (qualifier value)"
}
]
},
"dose" : {
"value" : 1,
"unit" : "mL",
"system" : "http://unitsofmeasure.org",
"code" : "mL"
}
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-blood-pressure-anon",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-blood-pressure-anon",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs",
"display" : "Vital Signs"
}
],
"text" : "Vital Signs"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "85354-9",
"display" : "Blood pressure panel with all children optional"
}
],
"text" : "Blood pressure systolic and diastolic"
},
"subject" : {
🔗 "reference" : "Patient/patient-anon"
},
"encounter" : {
"display" : "GP Visit"
},
"effectiveDateTime" : "2020-07-02",
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8480-6",
"display" : "Systolic blood pressure"
}
],
"text" : "Systolic blood pressure"
},
"valueQuantity" : {
"value" : 109,
"unit" : "mmHg",
"system" : "http://unitsofmeasure.org",
"code" : "mm[Hg]"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8462-4",
"display" : "Diastolic blood pressure"
}
],
"text" : "Diastolic blood pressure"
},
"valueQuantity" : {
"value" : 44,
"unit" : "mmHg",
"system" : "http://unitsofmeasure.org",
"code" : "mm[Hg]"
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-calculated-age-anon",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-calculated-age-anon",
"meta" : {
"profile" : [
🔗 "http://fhir.org/fhir/us/anonymized-eicr/StructureDefinition/eicr-anon-caculated-age"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29553-5",
"display" : "Age calculated"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-anon"
},
"effectiveDateTime" : "2024-06-02T22:13:23Z",
"valueQuantity" : {
"value" : 35,
"unit" : "year",
"system" : "http://unitsofmeasure.org",
"code" : "a"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-country-of-nationality-anon",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-country-of-nationality-anon",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-country-of-nationality"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "186034007",
"display" : "Ethnicity / related nationality data (observable entity)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-anon"
},
"effectiveDateTime" : "2020-11-10T22:33:22Z",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "AU",
"display" : "Australia"
}
]
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-country-of-residence-anon",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-country-of-residence-anon",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-country-of-residence"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "77983-5",
"display" : "Country of usual residence"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-anon"
},
"effectiveDateTime" : "2020-11-10T22:33:22Z",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "GB",
"display" : "United Kingdom of Great Britain and Northern Ireland"
}
]
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-disability-status-anon",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-disability-status-anon",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-disability-status"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69856-3",
"display" : "Are you deaf, or do you have serious difficulty hearing"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-anon"
},
"effectiveDateTime" : "2020-11-10T22:33:22Z",
"valueBoolean" : true
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-odh-usual-work-anon",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-odh-usual-work-anon",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/odh/StructureDefinition/odh-UsualWork"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "21843-8",
"display" : "History of Usual occupation"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-anon"
},
"effectivePeriod" : {
"start" : "2015-01-01",
"end" : "2018-03-07"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.114222.4.5.314",
"code" : "0136",
"display" : "Human Resources Managers"
}
]
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "21844-6",
"display" : "History of Usual industry"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.114222.4.5.315",
"code" : "8190",
"display" : "Hospitals"
}
]
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-past-or-present-job-anon",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-past-or-present-job-anon",
"meta" : {
"profile" : [
🔗 "http://fhir.org/fhir/us/anonymized-eicr/StructureDefinition/eicr-anon-past-or-present-job"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/odh/StructureDefinition/odh-Employer-extension",
"valueReference" : {
🔗 "reference" : "Organization/organization-name-tele-addr-anon"
}
}
],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11341-5",
"display" : "History of Occupation"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-anon"
},
"focus" : [
{
🔗 "reference" : "RelatedPerson/relatedperson-anon"
}
],
"effectivePeriod" : {
"start" : "2015-04-24"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/PHOccupationCDCCensus2010",
"code" : "3600",
"display" : "Nursing, psychiatric, and home health aides"
}
]
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "86188-0",
"display" : "History of Occupation industry"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/PHIndustryCDCCensus2010",
"code" : "8270",
"display" : "Nursing care facilities"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "87729-0",
"display" : "History of Occupational hazard"
}
]
},
"valueString" : "Asbestos"
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-pregnancy-status-anon",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-pregnancy-status-anon",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-pregnancy-status-observation"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-date-recorded-extension",
"valueDateTime" : "2017-10-01"
},
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-date-determined-extension",
"valueDateTime" : "2017-10-01"
}
],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "82810-3",
"display" : "Pregnancy status"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-anon"
},
"effectivePeriod" : {
"start" : "2017-08-26"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "77386006",
"display" : "Pregnancy (finding)"
}
]
},
"method" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "16310003",
"display" : "Ultrasonography (procedure)"
}
]
},
"component" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-date-determined-extension",
"valueDateTime" : "2017-10-01"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "53691-2",
"display" : "Gestational age Estimated from patient reported estimated date of conception"
}
]
},
"valueQuantity" : {
"value" : 143,
"unit" : "d"
}
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-date-determined-extension",
"valueDateTime" : "2017-10-01"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "57064-8",
"display" : "Delivery date Estimated from date fundal height reaches umb"
}
]
},
"valueDateTime" : "2018-05-01"
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-travel-history-201801-anon",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-travel-history-201801-anon",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-travel-history"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "420008001",
"display" : "Travel"
}
],
"text" : "Travel History"
},
"subject" : {
🔗 "reference" : "Patient/patient-anon"
},
"effectivePeriod" : {
"start" : "2018-01-15",
"end" : "2018-01-30"
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code" : "LOC",
"display" : "Location"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:1.0.3166.1",
"code" : "VUT",
"display" : "Vanuatu"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "280147009",
"display" : "Type of activity (attribute)"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "702348006",
"display" : "Active duty military (occupation)"
}
]
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-emergency-outbreak-info-anon",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-emergency-outbreak-info-anon",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-emergency-outbreak-information"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"status" : "final",
"code" : {
"text" : "Employee desk distance from mail sorter"
},
"subject" : {
🔗 "reference" : "Patient/patient-anon"
},
"effectiveDateTime" : "2020-11-18T22:33:22Z",
"valueQuantity" : {
"value" : 2,
"unit" : "m"
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-lab-result-lymphocytes-anon",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-lab-result-lymphocytes-anon",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
"display" : "Laboratory"
}
],
"text" : "Laboratory"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "731-0",
"display" : "Lymphocytes [#/volume] in Blood by Automated count"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-anon"
},
"effectiveDateTime" : "2018-03-07",
"valueQuantity" : {
"value" : 5.2,
"system" : "http://unitsofmeasure.org",
"code" : "10*3/uL"
},
"interpretation" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code" : "H",
"display" : "High"
}
]
}
],
"referenceRange" : [
{
"low" : {
"value" : 1,
"system" : "http://unitsofmeasure.org",
"code" : "10*3/uL"
},
"high" : {
"value" : 4.8,
"system" : "http://unitsofmeasure.org",
"code" : "10*3/uL"
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-vaccine-credential-assertion-anon",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-vaccine-credential-assertion-anon",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-vaccine-credential-patient-assertion"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11370-4",
"display" : "Immunization status - Reported"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-anon"
},
"effectiveDateTime" : "2020-11-10T22:33:22Z",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0532",
"code" : "Y",
"display" : "Yes"
}
]
}
}
},
{
"fullUrl" : "http://www.example.org/fhir/Organization/organization-acme-laboratory",
"resource" : {
"resourceType" : "Organization",
"id" : "organization-acme-laboratory",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-organization"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org.fhir/sid/us-npi",
"value" : "1144221999"
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "OUTLAB",
"display" : "outpatient laboratory"
}
]
}
],
"name" : "Acme Labs",
"telecom" : [
{
"system" : "phone",
"value" : "+1-555-555-2222"
},
{
"system" : "email",
"value" : "mail@acmelabs.com"
}
],
"address" : [
{
"line" : [
"7777 Laboratory Drive"
],
"city" : "Ann Arbor",
"state" : "MI",
"postalCode" : "99999"
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Organization/organization-name-tele-addr-anon",
"resource" : {
"resourceType" : "Organization",
"id" : "organization-name-tele-addr-anon",
"meta" : {
"profile" : [
🔗 "http://fhir.org/fhir/us/anonymized-eicr/StructureDefinition/eicr-anon-organization"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org.fhir/sid/us-npi",
"value" : "7878787878"
}
],
"active" : true,
"_name" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
]
},
"telecom" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
]
}
],
"address" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
]
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Organization/organization-custodian",
"resource" : {
"resourceType" : "Organization",
"id" : "organization-custodian",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-organization"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org.fhir/sid/us-npi",
"value" : "545454545"
}
],
"active" : true,
"name" : "Custodian Organization",
"telecom" : [
{
"system" : "phone",
"value" : "+1-555-555-4545"
},
{
"system" : "email",
"value" : "mail@custodianorganization.com"
}
],
"address" : [
{
"line" : [
"11111 Custodian Drive"
],
"city" : "Ann Arbor",
"state" : "MI",
"postalCode" : "99999"
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Organization/organization-salem-medical-center",
"resource" : {
"resourceType" : "Organization",
"id" : "organization-salem-medical-center",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-organization"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org.fhir/sid/us-npi",
"value" : "55555555"
}
],
"active" : true,
"name" : "Salem Medical Center",
"telecom" : [
{
"system" : "phone",
"value" : "+1-555-555-1111"
},
{
"system" : "email",
"value" : "mail@salemmedicalcenter.com"
}
],
"address" : [
{
"line" : [
"22222 Health Authority Drive"
],
"city" : "Ann Arbor",
"state" : "MI",
"postalCode" : "99999"
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Patient/patient-anon",
"resource" : {
"resourceType" : "Patient",
"id" : "patient-anon",
"meta" : {
"profile" : [
🔗 "http://fhir.org/fhir/us/anonymized-eicr/StructureDefinition/eicr-anon-patient"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"extension" : [
{
"extension" : [
{
"url" : "text",
"valueString" : "White"
},
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2106-3",
"display" : "White"
}
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
},
{
"extension" : [
{
"url" : "text",
"valueString" : "Not Hispanic or Latino"
},
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2186-5",
"display" : "Not Hispanic or Latino"
}
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode" : "F"
},
{
"extension" : [
{
"url" : "value",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"code" : "ASKU",
"display" : "asked but unknown"
}
],
"text" : "asked but unknown"
}
}
],
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-genderidentity-extension"
},
{
"extension" : [
{
"url" : "TribeName",
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS",
"code" : "91",
"display" : "Fort Mojave Indian Tribe of Arizona, California & Nevada"
}
},
{
"url" : "EnrolledTribeMember",
"valueBoolean" : true
}
],
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-tribal-affiliation-extension"
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical Record Number"
}
]
},
"_system" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
]
},
"_value" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
]
}
}
],
"active" : true,
"name" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
]
}
],
"telecom" : [
{
"system" : "phone",
"_value" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
]
},
"use" : "home"
},
{
"system" : "email",
"_value" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
]
}
}
],
"gender" : "female",
"_birthDate" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
]
},
"deceasedBoolean" : false,
"address" : [
{
"_line" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
]
}
],
"city" : "Atlanta",
"state" : "GA",
"postalCode" : "30302",
"country" : "US"
}
],
"contact" : [
{
"relationship" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleClass",
"code" : "GUARD"
}
]
}
],
"name" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
]
},
"telecom" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
]
}
],
"address" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
]
}
}
],
"communication" : [
{
"language" : {
"coding" : [
{
"system" : "urn:ietf:bcp:47",
"code" : "en",
"display" : "English"
}
]
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Practitioner/practitioner-anon",
"resource" : {
"resourceType" : "Practitioner",
"id" : "practitioner-anon",
"meta" : {
"profile" : [
🔗 "http://fhir.org/fhir/us/anonymized-eicr/StructureDefinition/eicr-anon-practitioner"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "9941339108"
}
],
"name" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"_family" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
]
}
}
],
"telecom" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
]
}
],
"address" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
]
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/PractitionerRole/practitionerrole-anon",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "practitionerrole-anon",
"meta" : {
"profile" : [
🔗 "http://fhir.org/fhir/us/anonymized-eicr/StructureDefinition/eicr-anon-practitionerrole"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "9941339108"
}
],
"practitioner" : {
🔗 "reference" : "Practitioner/practitioner-anon"
},
"organization" : {
🔗 "reference" : "Organization/organization-salem-medical-center"
},
"code" : [
{
"coding" : [
{
"system" : "http://nucc.org/provider-taxonomy",
"code" : "261QP2300X",
"display" : "Primary Care Clinic/Center"
}
]
}
],
"specialty" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "419772000",
"display" : "Family practice"
}
]
}
],
"location" : [
{
🔗 "reference" : "Location/location-salem-medical-center"
}
],
"telecom" : [
{
"system" : "email",
"_value" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
]
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Procedure/procedure-ecmo-anon",
"resource" : {
"resourceType" : "Procedure",
"id" : "procedure-ecmo-anon",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-procedure"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:b2a737f2-2fdb-49c1-b097-dac173d07afd"
}
],
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "233573008",
"display" : "Extracorporeal membrane oxygenation (procedure)"
}
],
"text" : "Extracorporeal membrane oxygenation (procedure)"
},
"subject" : {
🔗 "reference" : "Patient/patient-anon"
},
"performedPeriod" : {
"start" : "2020-11-01T12:55:26-07:00",
"end" : "2020-11-01T13:25:26-07:00"
},
"focalDevice" : [
{
"manipulated" : {
🔗 "reference" : "Device/device-ecmo-anon"
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/RelatedPerson/relatedperson-anon",
"resource" : {
"resourceType" : "RelatedPerson",
"id" : "relatedperson-anon",
"meta" : {
"profile" : [
🔗 "http://fhir.org/fhir/us/anonymized-eicr/StructureDefinition/eicr-anon-relatedperson"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"identifier" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
]
}
],
"active" : true,
"patient" : {
🔗 "reference" : "Patient/patient-anon"
},
"relationship" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "GESTM",
"display" : "gestational mother"
}
],
"text" : "Gestational Mother"
}
],
"name" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
]
}
],
"telecom" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
]
}
],
"gender" : "female",
"_birthDate" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
]
},
"address" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
]
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/ServiceRequest/servicerequest-zika-anon",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "servicerequest-zika-anon",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-servicerequest"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"identifier" : [
{
"system" : "http://lab.smarthealthit.org",
"value" : "061ef612-344f-4e7b-81a8-1059ae7bbe11"
}
],
"status" : "completed",
"intent" : "order",
"category" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "103693007",
"display" : "Diagnostic procedure (procedure)"
}
],
"text" : "Diagnostics Procedure"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "80825-3",
"display" : "Zika virus envelope E gene [Presence] in Serum by NAA with probe detection"
}
],
"text" : "Zika RT-PCR"
},
"subject" : {
🔗 "reference" : "Patient/patient-anon"
},
"performer" : [
{
🔗 "reference" : "Organization/organization-acme-laboratory"
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-rr-relevant-reportable-condition-anon",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-rr-relevant-reportable-condition-anon",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-relevant-reportable-condition-observation"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "64572001"
},
{
"system" : "http://loinc.org",
"code" : "75323-6"
}
],
"text" : "Condition"
},
"subject" : {
🔗 "reference" : "Patient/patient-anon"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "3928002",
"display" : "Zika virus disease (disorder)"
}
]
},
"hasMember" : [
{
🔗 "reference" : "Observation/observation-rr-reportability-information-anon"
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Observation/observation-rr-reportability-information-anon",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-rr-reportability-information-anon",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-reportability-information-observation"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-extension",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.114222.4.5.274",
"code" : "RRVS1",
"display" : "Reportable"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-reason-extension",
"valueString" : "Condition is reportable"
},
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-rule-extension",
"valueString" : "Description of rule used in reportability determination"
},
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-external-resource-extension",
"valueReference" : {
🔗 "reference" : "DocumentReference/documentreference-add-reporting-needs-pdf"
}
},
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-external-resource-extension",
"valueReference" : {
🔗 "reference" : "DocumentReference/documentreference-zika-info-pdf"
}
},
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-external-resource-extension",
"valueReference" : {
🔗 "reference" : "DocumentReference/documentreference-zika-follow-up-pdf"
}
}
],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.114222.4.5.274",
"code" : "RRVS5",
"display" : "Patient home address"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-anon"
},
"performer" : [
{
🔗 "reference" : "Organization/organization-rr-rules-authoring-agency-haw"
},
{
🔗 "reference" : "Organization/organization-rr-routing-entity-haw"
},
{
🔗 "reference" : "Organization/organization-rr-responsible-agency-haw"
}
],
"component" : [
{
"code" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.114222.4.5.232",
"code" : "RR4",
"display" : "Timeframe to report (urgency)"
}
]
},
"valueQuantity" : {
"value" : 24,
"unit" : "H",
"system" : "http://unitsofmeasure.org",
"code" : "H"
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Organization/organization-rr-responsible-agency-haw",
"resource" : {
"resourceType" : "Organization",
"id" : "organization-rr-responsible-agency-haw",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-responsible-agency-organization"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org.fhir/sid/us-npi",
"value" : "99996666"
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "urn:oid:2.16.840.1.114222.4.5.232",
"code" : "RR8",
"display" : "Responsible Agency"
}
]
}
],
"name" : "Health Authority West Responsible Agency",
"telecom" : [
{
"system" : "phone",
"value" : "+1-555-555-3555"
},
{
"system" : "email",
"value" : "mail@healthauthoritywest.gov"
}
],
"address" : [
{
"line" : [
"7777 Health Authority Drive"
],
"city" : "Ann Arbor",
"state" : "MI",
"postalCode" : "99999"
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Organization/organization-rr-routing-entity-haw",
"resource" : {
"resourceType" : "Organization",
"id" : "organization-rr-routing-entity-haw",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-routing-entity-organization"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org.fhir/sid/us-npi",
"value" : "43214321"
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "urn:oid:2.16.840.1.114222.4.5.232",
"code" : "RR7",
"display" : "Routing Entity"
}
]
}
],
"name" : "Health Authority West Routing Entity",
"telecom" : [
{
"system" : "phone",
"value" : "+1-555-555-3555"
},
{
"system" : "email",
"value" : "mail@healthauthoritywest.gov"
}
],
"address" : [
{
"line" : [
"7777 Health Authority Drive"
],
"city" : "Ann Arbor",
"state" : "MI",
"postalCode" : "99999"
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/Organization/organization-rr-rules-authoring-agency-haw",
"resource" : {
"resourceType" : "Organization",
"id" : "organization-rr-rules-authoring-agency-haw",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-rules-authoring-agency-organization"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org.fhir/sid/us-npi",
"value" : "12341234"
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "urn:oid:2.16.840.1.114222.4.5.232",
"code" : "RR12",
"display" : "Rules Authoring Agency"
}
]
}
],
"name" : "Health Authority West Rules Authoring Agency",
"telecom" : [
{
"system" : "phone",
"value" : "+1-555-555-3555"
},
{
"system" : "email",
"value" : "mail@healthauthoritywest.gov"
}
],
"address" : [
{
"line" : [
"7777 Health Authority Drive"
],
"city" : "Ann Arbor",
"state" : "MI",
"postalCode" : "99999"
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/DocumentReference/documentreference-add-reporting-needs-pdf",
"resource" : {
"resourceType" : "DocumentReference",
"id" : "documentreference-add-reporting-needs-pdf",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-documentreference"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-priority-extension",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.114222.4.5.274",
"code" : "RRVS16",
"display" : "Action requested"
}
]
}
}
],
"status" : "current",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "83910-0",
"display" : "Public health Note"
}
],
"text" : "Public health information"
},
"category" : [
{
"coding" : [
{
"system" : "urn:oid:2.16.840.1.114222.4.5.274",
"code" : "RRVS8",
"display" : "Additional reporting needs"
}
],
"text" : "Additional reporting needs"
}
],
"subject" : {
🔗 "reference" : "Patient/patient-anon"
},
"description" : "Additional information for the required reporting of Zika must be submitted to State Department of Health immediately. This additional information can be submitted here.",
"content" : [
{
"attachment" : {
"contentType" : "application/pdf",
"url" : "http://statedepartmentofhealth.gov/epi/disease/zika/Supplemental_data_form.pdf"
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/DocumentReference/documentreference-zika-follow-up-pdf",
"resource" : {
"resourceType" : "DocumentReference",
"id" : "documentreference-zika-follow-up-pdf",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-documentreference"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-priority-extension",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.114222.4.5.274",
"code" : "RRVS18",
"display" : "Immediate action requested"
}
]
}
}
],
"status" : "current",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "83910-0",
"display" : "Public health Note"
}
],
"text" : "Public health information"
},
"category" : [
{
"coding" : [
{
"system" : "urn:oid:2.16.840.1.114222.4.5.274",
"code" : "RRVS10",
"display" : "Treatment and/or prevention"
}
],
"text" : "Treatment and/or prevention"
}
],
"subject" : {
🔗 "reference" : "Patient/patient-anon"
},
"description" : "Zika has particular risks for pregnant women. Follow-up guidance for pregnant women and couples who are planning pregnancy.",
"content" : [
{
"attachment" : {
"contentType" : "application/pdf",
"url" : "http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf"
}
}
]
}
},
{
"fullUrl" : "http://www.example.org/fhir/DocumentReference/documentreference-zika-info-pdf",
"resource" : {
"resourceType" : "DocumentReference",
"id" : "documentreference-zika-info-pdf",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-documentreference"
]
},
"text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "masked"
}
],
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-priority-extension",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.114222.4.5.274",
"code" : "RRVS17",
"display" : "Immediate action required"
}
]
}
}
],
"status" : "current",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "83910-0",
"display" : "Public health Note"
}
],
"text" : "Public health information"
},
"category" : [
{
"coding" : [
{
"system" : "urn:oid:2.16.840.1.114222.4.5.274",
"code" : "RRVS13",
"display" : "Outbreak- or Cluster Related"
}
],
"text" : "Outbreak- or Cluster Related"
}
],
"subject" : {
🔗 "reference" : "Patient/patient-anon"
},
"description" : "Local mosquito-borne Zika virus creation was reported in your area. Increased watchfulness for symptoms of Zika virus in your patients is warranted.",
"content" : [
{
"attachment" : {
"contentType" : "application/pdf",
"url" : "http://statedepartmentofhealth.gov/epi/disease/zika/outbreakinfo.pdf"
}
}
]
}
}
]
}