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Packagehl7.fhir.us.ecr.r4
Resource TypeComposition
IdComposition-composition-rr-one-cond-one-pha.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Composition composition-rr-one-cond-one-pha

Composition Version Number: 1

US Public Health Information Recipient Extension: PractitionerRole Primary Care Clinic/Center

identifier: http://acme.org/identifiers/RR12347

status: Final

type: Reportability response report Document Public health

encounter: Ambulatory Office Visit

date: 2018-07-19 04:09:06+0000

author: Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999

title: Reportability Response - One Condition/One PHA example

custodian: Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999


Source1

{
  "resourceType": "Composition",
  "id": "composition-rr-one-cond-one-pha",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-composition"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber",
      "valueString": "1"
    },
    {
      "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-information-recipient-extension",
      "valueReference": {
        "reference": "PractitionerRole/practitionerrole-henry-seven"
      }
    }
  ],
  "identifier": {
    "system": "http://acme.org/identifiers",
    "value": "RR12347"
  },
  "status": "final",
  "type": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "88085-6",
        "display": "Reportability response report Document Public health"
      }
    ]
  },
  "subject": {
    "reference": "Patient/patient-ecr-eve-everywoman",
    "display": "Eve Everywoman"
  },
  "encounter": {
    "reference": "Encounter/encounter-eicr-eve-everywoman-outpatient",
    "display": "Ambulatory Office Visit"
  },
  "date": "2018-07-19T04:09:06Z",
  "author": [
    {
      "reference": "Organization/organization-ecr-health-authority-west",
      "display": "Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999"
    }
  ],
  "title": "Reportability Response - One Condition/One PHA example",
  "custodian": {
    "reference": "Organization/organization-ecr-health-authority-west",
    "display": "Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999"
  },
  "section": [
    {
      "title": "Reportability Response Subject Section",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "88084-9",
            "display": "Reportable condition response information and summary Document"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>Public Health Reporting Communication: one or more conditions are reportable, or may be reportable to public health</p>\n            </div>"
      }
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-extension",
          "extension": [
            {
              "url": "eICRProcessingStatus",
              "valueReference": {
                "reference": "Observation/observation-rr-eicr-processing-status",
                "display": "eICR was processed - with a warning"
              }
            },
            {
              "url": "eICRValidationOutput",
              "valueAttachment": {
                "contentType": "text/html",
                "data": "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"
              }
            }
          ]
        },
        {
          "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-receipt-time-extension",
          "valueDateTime": "2018-07-18T04:09:06Z"
        }
      ],
      "title": "Electronic Initial Case Report Section",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "88082-3",
            "display": "Initial case report processing information Document"
          }
        ]
      },
      "entry": [
        {
          "reference": "Bundle/bundle-eicr-document-zika",
          "identifier": {
            "system": "urn:ietf:rfc:3986",
            "value": "urn:uuid:0070e7b2-9893-4044-b255-73da1649c9fe"
          },
          "display": "bundle-eicr-document-zika.xml"
        }
      ]
    },
    {
      "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"
              }
            ]
          }
        }
      ],
      "title": "Reportability Response Summary Section",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "55112-7",
            "display": "Document summary"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>\n                    <b>Summary:</b>\n                </p>\n                <p>Your organization electronically submitted an initial case report to determine if reporting to public health is needed for a patient. &quot;Zika virus disease (disorder)&quot; is reportable to &quot;State\n                    Department of Health&quot;. An initial case report was sent to &quot;State Department of Health&quot;. Additional information may be required for this report. <br/>\n                    <br/>\n                </p>\n                <p>\n                    <b>&quot;Zika virus disease (disorder)&quot; for &quot;State Department of Health&quot;</b>\n                </p>\n                <p>Reporting is required within &quot;24 hours&quot;. Reporting to this Public Health Agency is based on &quot;both patient home address and provider facility address&quot;. </p>\n                <ul>\n                    <li>\n                        <p>Local mosquito-borne Zika virus transmission was reported in your area. Increased watchfulness for symptoms of Zika virus in your patients is warranted. (Immediate action\n                            requested)</p>\n                    </li>\n                    <li>\n                        <p>Additional information for the required reporting of Zika must be submitted to State Department of Health immediately. This additional information can be submitted here. ( <a href=\"http://statedepartmentofhealth.gov/epi/disease/zika/Supplemental_data_form.pdf\">Link</a> - Immediate action required) </p>\n                    </li>\n                    <li>\n                        <p>Zika has particular risks for pregnant women. Follow-up guidance for pregnant women and couples who are planning pregnancy. ( <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf\">Link</a> - Immediate action requested) </p>\n                    </li>\n                    <li>\n                        <p>Further Laboratory testing for Zika may be needed. Guidance for additional testing and specimen collection ( <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf\">Link</a> - Action requested) </p>\n                    </li>\n                    <li>\n                        <p>Forms for submitting further Zika laboratory testing ( <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/zika_test_request_form_UPHL.xlsx\">Link</a> - Information only)\n                        </p>\n                    </li>\n                    <li>\n                        <p>Treatment guidance ( <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf\">Link</a> - Information only) </p>\n                    </li>\n                    <li>\n                        <p>If you have additional questions regarding Zika or reporting, contact information for the State Department of Health is available here. ( <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf\">Link</a> - Information Only) </p>\n                    </li>\n                </ul>\n                <p>Additional Resources (Information only):</p>\n                <ul>\n                    <li>\n                        <p>Control and prevention information for providers ( <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/plan.pdf\">Link</a>) </p>\n                    </li>\n                    <li>\n                        <p>Detailed condition references ( <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/plan.pdf\">Link</a>) </p>\n                    </li>\n                    <li>\n                        <p>Prevalence in State ( <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/plan.pdf\">Link</a>) </p>\n                    </li>\n                    <li>\n                        <p>CDC webpage ( <a href=\"https://www.cdc.gov/zika/index.html\">Link</a>) </p>\n                    </li>\n                    <li>\n                        <p>Patient information factsheet ( <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/factsheet.pdf\">Link</a>) </p>\n                    </li>\n                    <li>\n                        <p>State Resident information ( <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/ZikaVirus_QA_StateDOH.pdf\">Link</a>) </p>\n                    </li>\n                </ul>\n            </div>"
      },
      "entry": [
        {
          "reference": "Observation/observation-rr-summary",
          "display": "Reportability Response Summary"
        },
        {
          "reference": "Observation/observation-rr-relevant-reportable-condition-observation",
          "display": "Relevant reportable condition: Zika"
        }
      ]
    }
  ]
}