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