Source | hl7.fhir.us.ecr#current:HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm (v4.0.1) |
resourceType | StructureDefinition |
id | eicr-composition |
canonical | http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-composition |
version | 2.1.0 |
status | active |
publisher | HL7 Public Health Work Group (http://www.hl7.org/Special/committees/pher/index.cfm) |
name | EICRComposition |
title | Electronic Initial Case Report Composition |
date | 2023-03-21T02:41:38+00:00 |
experimental | false |
description | This Composition profile represents an electronic initial case report (eICR). It is based on and further constrains the US Public Health Composition. |
jurisdictions | us |
fhirVersion | 4.0.1 |
kind | resource |
abstract | false |
sdTtype | Composition |
derivation | constraint |
base | http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-composition |
Usages |
|
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | S | USPublicHealthComposition | eICR Composition Profile | |
Slices for extension | S | Slice: Unordered, Open by value:url | ||
extensionEICRInitiationType | S | 0..1 | CodeableConcept |
Initial Case Report Initiation Type URL: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-initiation-type-extension Binding: eICR Initiation ( extensible ): Initiation Types |
extensionEICRInitiationReason | S | 0..* | string, CodeableConcept |
Initial Case Report Initiation Reason URL: http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-initiation-reason-extension |
type | S |
Public Health Case Report Required Pattern: At least the following |
||
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 55751-2 |
|
encounter | S | 1.. | Reference (eICR Encounter) | Encounter related to the public health event |
author | The author(s) of the document. Where a trigger occurs outside of an encounter the author will be a US Public Health PractitionerRole and represent the Provider and Facility for reporting purposes. | |||
custodian | S | 1.. | ||
Slices for relatesTo | S | Slice: Unordered, Open by value:code | ||
relatesTo:sliceTransformed | S | 0..1 | Document or Composition that this Composition is transformed from | |
code | Fixed Value: transforms | |||
target[x] | Identifier | Identifier of the Document or Composition transformed | ||
relatesTo:sliceReplaced | S | 0..1 | Document or Composition that this Composition replaces | |
code | Fixed Value: replaces | |||
target[x] | Identifier/Reference to the Document or Composition transformed | |||
Slices for section | S | Slice: Unordered, Open by value:code | ||
section:sliceReasonForVisitSection | S | 1..1 | Reason for Visit Section | |
code | S | 1.. |
Reason for Visit code Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 29299-5 |
|
text | S | 1.. | Reason for Visit narrative | |
section:sliceChiefComplaintSection | S | 1..1 | Chief Complaint Section | |
code | S | 1.. |
Chief Complaint code Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 10154-3 |
|
text | S | 1.. | Chief Complaint narrative | |
section:sliceHistoryOfPresentIllnessSection | S | 1..1 | History of Present Illness Section | |
code | S | 1.. |
History of Present Illness code Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 10164-2 |
|
text | S | 1.. | History of Present Illness narrative | |
section:sliceProblemSection | S | 1..1 | Problem Section | |
code | S | 1.. |
Problem Section code Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 11450-4 |
|
text | S | 1.. | Problem Section narrative | |
Slices for entry | S | 1 .. | Slice: Unordered, Open by profile:resolve() | |
entry:sliceEICRCondition | S | 1.. | Reference (US Public Health Condition) | eICR Condition entry |
Slices for extension | S | Slice: Unordered, Open by value:url | ||
sliceTriggerCondition | S | 0..1 | (Complex) |
eICR Trigger Code Flag URL: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension |
section:sliceMedicationsAdministeredSection | S | 1..1 | Medications Administered Section | |
code | S | 1.. |
Medications Administered Section code Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 29549-3 |
|
text | S | 1.. | Medications Administered Section narrative | |
Slices for entry | S | Slice: Unordered, Open by profile:resolve() | ||
entry:sliceMedicationAdministration | S | Reference (US Public Health MedicationAdministration) | Medication Administration entry | |
Slices for extension | S | Slice: Unordered, Open by value:url | ||
sliceTriggerMedicationAdministered | S | 0..1 | (Complex) |
eICR Trigger Code Flag URL: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension |
section:sliceAdmissionMedicationsSection | S | 0..1 | Admission Medications Section | |
code | S | 1.. |
Admission Medications Section code Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 42346-7 |
|
text | S | 1.. | Admission Medications Section narrative | |
Slices for entry | S | Slice: Unordered, Open by profile:resolve() | ||
entry:sliceMedication | S | Reference ( MedicationAdministration ) | Admission Medication entry | |
section:sliceMedicationsSection | S | 0..1 | Medications Section | |
code | S | 1.. |
Medications Section code Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 10160-0 |
|
text | S | 1.. | Medications Section narrative | |
Slices for entry | S | Slice: Unordered, Open by profile:resolve() | ||
entry:sliceMedicationAdministration | S | Reference ( MedicationAdministration ) | Medication Administration entry | |
Slices for extension | S | Slice: Unordered, Open by value:url | ||
sliceTriggerMedicationAdministered | S | 0..1 | (Complex) |
eICR Trigger Code Flag URL: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension |
section:sliceResultsSection | S | 1..1 | Results Section | |
code | S | 1.. |
Results Section code Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 30954-2 |
|
text | S | 1.. | Results Section narrative | |
Slices for entry | S | 1 .. | Slice: Unordered, Open by profile:resolve() | |
entry:sliceUSCoreObservationResults | S | 1.. | Reference (US Core Laboratory Result Observation Profile) | |
Slices for extension | S | Slice: Unordered, Open by value:url | ||
sliceTriggerUSCoreObservationResults | S | 0..* | (Complex) |
eICR Trigger Code Flag URL: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension |
section:slicePlanOfTreatmentSection | S | 0..1 | Plan of Treatment Section | |
code | S | 1.. |
Plan of Treatment code Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 18776-5 |
|
text | S | 1.. | Plan of Treatment narrative | |
Slices for entry | S | 1 .. | Slice: Unordered, Open by profile:resolve() | |
entry:sliceEICRServiceRequest | S | Reference (eICR ServiceRequest) | eICR Service Request entry | |
Slices for extension | S | Slice: Unordered, Open by value:url | ||
sliceTriggerEICRServiceRequest | S | 0..1 | (Complex) |
eICR Trigger Code Flag URL: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension |
entry:sliceUSCoreMedicationRequest | S | Reference (US Core MedicationRequest Profile) | US Core Medication Request entry | |
Slices for extension | S | Slice: Unordered, Open by value:url | ||
sliceTriggerUSCoreMedicationRequest | S | 0..1 | (Complex) |
eICR Trigger Code Flag URL: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension |
section:sliceImmunizationsSection | S | ..1 | Immunizations Section | |
code | S | 1.. |
Immunizations code Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 11369-6 |
|
text | S | 1.. | Immunizations narrative | |
Slices for entry | S | 1 .. | Slice: Unordered, Open by profile:resolve() | |
entry:sliceUSCoreImmunization | S | 1.. | Reference (US Core Immunization Profile) | Immunization entry |
Slices for extension | S | Slice: Unordered, Open by value:url | ||
sliceTriggerImmunization | S | 0..1 | (Complex) |
eICR Trigger Code Flag URL: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension |
entry:sliceVaccineCredentialsPatientAssertion | S | Reference (eICR Vaccine Credential Patient Assertion) | ||
section:sliceProceduresSection | S | 0..1 | This section describes all interventional, surgical, diagnostic, or therapeutic procedures or treatments pertinent to the patient historically at the time the document is generated. | |
code | S | 1.. |
Procedures Section code Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 47519-4 |
|
text | S | 1.. | Procedures Section narrative | |
Slices for entry | S | 1 .. | Slice: Unordered, Open by profile:resolve() | |
entry:sliceEICRProcedure | S | 1.. | Reference (eICR Procedure) | EICR Procedure entry |
Slices for extension | S | Slice: Unordered, Open by value:url | ||
sliceTriggerProcedure | S | 0..1 | (Complex) |
eICR Trigger Code Flag URL: http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension |
section:sliceVitalSignsSection | S | ..1 | Vital Signs Section | |
code | S | 1.. |
Vital Signs code Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 8716-3 |
|
text | S | 1.. | Vital Signs narrative | |
Slices for entry | S | Slice: Unordered, Open by profile:resolve() | ||
entry:sliceVitalSigns | S | Reference (US Core Vital Signs Profile) | ||
section:sliceSocialHistorySection | S | 1..1 | Social History Section | |
code | S | 1.. |
Social History Section code Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 29762-2 |
|
text | S | 1.. | Social History Section narrative | |
Slices for entry | S | Slice: Unordered, Open by profile:resolve() | ||
entry:sliceCharacteristicsOfHomeEnvironment | S | Reference (US Public Health Characteristics of Home Environment) | Characteristics of Home Environment | |
entry:sliceODHPastOrPresentJob | S | Reference (Past Or Present Job) | ODH Past or Present Job entry | |
entry:sliceODHUsualWork | S | Reference (Usual Work) | ODH Usual Work entry | |
entry:sliceODHEmploymentStatus | S | Reference (Employment Status) | ODH Employment Status entry | |
entry:sliceTravelHistory | S | Reference (US Public Health Travel History) | Travel History entry | |
entry:sliceDisabilityStatus | S | Reference (US Public Health Disability Status) | Disability Status entry | |
entry:sliceExposureContactInformation | S | Reference (US Public Health Exposure Contact Information) | Exposure Information entry | |
entry:sliceCountryOfResidence | S | Reference (eICR Country of Residence) | Country of residence entry | |
entry:sliceCountryOfNationality | S | Reference (eICR Country of Nationality) | Country of nationality entry | |
section:slicePregnancySection | S | ..1 | Pregnancy Section | |
code | S | 1.. |
Pregnancy summary Document code Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 90767-5 |
|
text | S | 1..1 | Pregnancy summary Document narrative | |
Slices for entry | S | Slice: Unordered, Open by profile:resolve() | ||
entry:slicePregnancyStatusObservation | S | 1..* | Reference (US Public Health Pregnancy Status Observation) |
Pregnancy Status Observation entry |
entry:slicePregnancyOutcome | S | Reference (US Public Health Pregnancy Outcome Observation) | Pregnancy Outcome entry | |
entry:sliceLastMenstrualPeriod | S | Reference (http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-last-menstrual-period) | Last Menstrual Period entry | |
entry:slicePostpartumStatus | S | Reference (US Public Health Postpartum Status) | Postpartum Status entry | |
section:sliceEmergencyOutbreakInformationSection | S | 0..1 | Emergency Outbreak Information Section | |
code | S | 1.. |
Emergency Outbreak Information Section code Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 83910-0 |
|
text | S | 1.. | Emergency Outbreak Information Section narrative | |
Slices for entry | S | Slice: Unordered, Open by profile:resolve() | ||
entry:sliceObservationEmergencyOutbreakInformation | S | Reference (US Public Health Emergency Outbreak Information) | ||
section:slicePastMedicalHistorySection | S | 0..1 | Past Medical History Section | |
code | S | 1.. |
Past Medical History Section code Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 11348-0 |
|
text | S | 1.. | Past Medical History Section narrative | |
Slices for entry | S | Slice: Unordered, Open by profile:resolve() | ||
entry:sliceUSCoreCondition | S | Reference (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition) | US Core Condition entry | |
section:sliceReviewOfSystemsSection | S | 0..1 | Review of Systems Section | |
code | S | 1.. |
Review of Systems code Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 10187-3 |
|
text | S | 1.. | Review of Systems narrative | |
section:sliceReportabilityResponseInformationSection | S | 0..1 | Reportability Response Information Section (for post-processing only) | |
code | S | 1.. |
Reportability response report Document Public health Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 88085-6 |
|
text | S | 1.. | Reportability Response Information Section narrative | |
Slices for entry | Slice: Unordered, Open by profile:resolve() | |||
entry:sliceReportabilityResponseRelevantCondition | S | Reference (RR Relevant Reportable Condition Observation) | ||
Documentation for this format |
Produced 06 Apr 2023