CDC FHIR® Implementation Guide: Anonymized Electronic Initial Case Reporting (eICR)
1.0.0 - ci-build United States of America flag

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

: eICR Anonymized Composition Example: Initial Public Health Case Report - Anonymized, Zika - JSON Representation

Raw json | Download


{
  "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"
        }
      ]
    }
  ]
}