{
  "resourceType" : "Bundle",
  "id" : "bundle-document-zika-anon",
  "meta" : {
    "profile" : ["http://fhir.org/fhir/us/anonymized-eicr/StructureDefinition/eicr-anon-document-bundle"]
  },
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:2be4b4e4-6df1-4cb2-a947-c70fa0eda54d"
  },
  "type" : "document",
  "timestamp" : "2024-06-02T22:13:23Z",
  "entry" : [{
    "fullUrl" : "http://www.example.org/fhir/Composition/composition-zika-anon",
    "resource" : {
      "resourceType" : "Composition",
      "id" : "composition-zika-anon",
      "meta" : {
        "profile" : ["http://fhir.org/fhir/us/anonymized-eicr/StructureDefinition/eicr-anon-composition"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber",
        "valueString" : "1"
      }],
      "identifier" : {
        "value" : "c03eab8c-11e8-4d0c-ad2a-b385395e27db"
      },
      "status" : "final",
      "type" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "55751-2",
          "display" : "Public Health Case Report"
        }]
      },
      "subject" : {
        "reference" : "Patient/patient-anon"
      },
      "encounter" : {
        "reference" : "Encounter/encounter-outpatient-anon"
      },
      "date" : "2024-06-02T22:13:23Z",
      "author" : [{
        "reference" : "PractitionerRole/practitionerrole-anon"
      }],
      "title" : "Initial Public Health Case Report - Zika Example",
      "custodian" : {
        "reference" : "Organization/organization-custodian"
      },
      "relatesTo" : [{
        "code" : "transforms",
        "targetIdentifier" : {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:uuid:58fecd25-973e-4397-af68-1b7683758955"
        }
      }],
      "section" : [{
        "title" : "Reason for Visit Section",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "29299-5",
            "display" : "Reason for visit Narrative"
          }]
        },
        "text" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }],
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
        }
      },
      {
        "title" : "Chief Complaint",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "10154-3",
            "display" : "Chief complaint Narrative - Reported"
          }]
        },
        "text" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }],
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
        }
      },
      {
        "title" : "History of Present Illness Section",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "10164-2",
            "display" : "History of Present illness Narrative"
          }]
        },
        "text" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }],
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
        }
      },
      {
        "title" : "Problems Section",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "11450-4",
            "display" : "Problem list - Reported"
          }]
        },
        "text" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }],
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
        },
        "entry" : [{
          "reference" : "Condition/condition-common-cold-anon"
        }]
      },
      {
        "title" : "Medications Administered Section",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "29549-3",
            "display" : "Medication administered Narrative"
          }]
        },
        "text" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }],
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
        },
        "entry" : [{
          "reference" : "MedicationAdministration/medicationadministration-azithromycin-anon"
        }]
      },
      {
        "title" : "Results Section",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "30954-2",
            "display" : "Relevant diagnostic tests/laboratory data Narrative"
          }]
        },
        "text" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }],
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
        },
        "entry" : [{
          "reference" : "Observation/observation-lab-result-lymphocytes-anon"
        }]
      },
      {
        "title" : "Social History Section",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "29762-2",
            "display" : "Social history Narrative"
          }]
        },
        "text" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }],
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
        },
        "entry" : [{
          "reference" : "Observation/observation-travel-history-201801-anon"
        },
        {
          "reference" : "Observation/observation-odh-usual-work-anon"
        },
        {
          "reference" : "Observation/observation-past-or-present-job-anon"
        },
        {
          "reference" : "Observation/observation-disability-status-anon"
        },
        {
          "reference" : "Observation/observation-country-of-nationality-anon"
        },
        {
          "reference" : "Observation/observation-country-of-residence-anon"
        },
        {
          "reference" : "Observation/observation-calculated-age-anon"
        }]
      },
      {
        "title" : "Admission Medications Section",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "42346-7",
            "display" : "Medications on admission (narrative)"
          }]
        },
        "text" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }],
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
        },
        "entry" : [{
          "reference" : "MedicationAdministration/medicationadministration-naloxone-response-anon"
        }]
      },
      {
        "title" : "Medications Section",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "10160-0",
            "display" : "History of Medication use Narrative"
          }]
        },
        "text" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }],
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
        },
        "entry" : [{
          "reference" : "MedicationAdministration/medicationadministration-azithromycin-anon"
        }]
      },
      {
        "title" : "Plan of Treatment Section",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "18776-5",
            "display" : "Plan of care note"
          }]
        },
        "text" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }],
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
        },
        "entry" : [{
          "extension" : [{
            "extension" : [{
              "url" : "triggerCodeValueSet",
              "valueOid" : "urn:oid:2.16.840.1.114222.4.11.7508"
            },
            {
              "url" : "triggerCodeValueSetVersion",
              "valueString" : "19/05/2018"
            },
            {
              "url" : "triggerCode",
              "valueCoding" : {
                "system" : "http://snomed.info/sct",
                "code" : "3928002",
                "display" : "Zika virus disease (disorder)"
              }
            }],
            "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension"
          }],
          "reference" : "ServiceRequest/servicerequest-zika-anon"
        }]
      },
      {
        "title" : "Immunizations Section",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "11369-6",
            "display" : "History of Immunization Narrative"
          }]
        },
        "text" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }],
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
        },
        "entry" : [{
          "reference" : "Immunization/immunization-pneumo-anon"
        },
        {
          "reference" : "Observation/observation-vaccine-credential-assertion-anon"
        }]
      },
      {
        "title" : "Procedures Section",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "47519-4",
            "display" : "History of Procedures Document"
          }]
        },
        "text" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }],
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
        },
        "entry" : [{
          "reference" : "Procedure/procedure-ecmo-anon"
        }]
      },
      {
        "title" : "Vital Signs Section",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "8716-3",
            "display" : "Vital signs"
          }]
        },
        "text" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }],
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
        },
        "entry" : [{
          "reference" : "Observation/observation-blood-pressure-anon"
        }]
      },
      {
        "title" : "Pregnancy Section",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "90767-5",
            "display" : "Pregnancy summary Document"
          }]
        },
        "text" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }],
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
        },
        "entry" : [{
          "reference" : "Observation/observation-pregnancy-status-anon"
        }]
      },
      {
        "title" : "Emergency Outbreak Information Section",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "83910-0",
            "display" : "Public health Note"
          }]
        },
        "text" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }],
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
        },
        "entry" : [{
          "reference" : "Observation/observation-emergency-outbreak-info-anon"
        }]
      },
      {
        "title" : "Past Medical History Section",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "11348-0",
            "display" : "History of Past illness Narrative"
          }]
        },
        "text" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }],
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
        }
      },
      {
        "title" : "Review of Systems Section",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "10187-3",
            "display" : "Review of systems Narrative - Reported"
          }]
        },
        "text" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }],
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
        }
      },
      {
        "title" : "Reportability Response Information Section",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "88085-6",
            "display" : "Reportability response report Document Public health"
          }]
        },
        "text" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }],
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
        },
        "entry" : [{
          "reference" : "Observation/observation-rr-relevant-reportable-condition-anon"
        }]
      }]
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Condition/condition-zika-anon",
    "resource" : {
      "resourceType" : "Condition",
      "id" : "condition-zika-anon",
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
          "code" : "encounter-diagnosis",
          "display" : "Encounter Diagnosis"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "3928002",
          "display" : "Zika virus disease (disorder)"
        }]
      },
      "subject" : {
        "reference" : "Patient/patient-anon"
      },
      "onsetDateTime" : "2017-08-23",
      "asserter" : {
        "reference" : "Practitioner/practitioner-anon"
      }
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Condition/condition-common-cold-anon",
    "resource" : {
      "resourceType" : "Condition",
      "id" : "condition-common-cold-anon",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-condition"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
          "code" : "problem-list-item",
          "display" : "Problem List Item"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "82272006",
          "display" : "Common cold (disorder)"
        }]
      },
      "subject" : {
        "reference" : "Patient/patient-anon"
      },
      "onsetDateTime" : "2017-09-23",
      "asserter" : {
        "reference" : "Practitioner/practitioner-anon"
      }
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Device/device-ecmo-anon",
    "resource" : {
      "resourceType" : "Device",
      "id" : "device-ecmo-anon",
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "udiCarrier" : [{
        "deviceIdentifier" : "99863313444316",
        "carrierHRF" : "(01)99863313444316(17)220101(10)M320(21)AC222",
        "entryType" : "rfid"
      }],
      "status" : "active",
      "manufacturer" : "ACME Biomedical",
      "expirationDate" : "2022-01-01",
      "lotNumber" : "M320",
      "serialNumber" : "AC222",
      "deviceName" : [{
        "name" : "ACME Extracorporeal membrane oxygenator",
        "type" : "udi-label-name"
      }],
      "modelNumber" : "4.0",
      "type" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "469244005",
          "display" : "Extracorporeal membrane oxygenator (physical object)"
        }],
        "text" : "Extracorporeal membrane oxygenator (physical object)"
      },
      "patient" : {
        "reference" : "Patient/patient-anon"
      }
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Encounter/encounter-outpatient-anon",
    "resource" : {
      "resourceType" : "Encounter",
      "id" : "encounter-outpatient-anon",
      "meta" : {
        "profile" : ["http://fhir.org/fhir/us/anonymized-eicr/StructureDefinition/eicr-anon-encounter"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "identifier" : [{
        "system" : "http://hospital.smarthealthit.org",
        "value" : "9937012"
      }],
      "status" : "finished",
      "class" : {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "AMB",
        "display" : "ambulatory"
      },
      "type" : [{
        "coding" : [{
          "system" : "http://www.ama-assn.org/go/cpt",
          "code" : "99202"
        }],
        "text" : "Office Visit"
      }],
      "subject" : {
        "reference" : "Patient/patient-anon"
      },
      "participant" : [{
        "type" : [{
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
            "code" : "ATND",
            "display" : "attender"
          }]
        }],
        "individual" : {
          "reference" : "PractitionerRole/practitionerrole-anon"
        }
      }],
      "period" : {
        "start" : "2018-04-01T10:00:00-05:00",
        "end" : "2018-04-02T10:15:00-05:00"
      },
      "diagnosis" : [{
        "extension" : [{
          "extension" : [{
            "url" : "triggerCodeValueSet",
            "valueOid" : "urn:oid:2.16.840.1.114222.4.11.7508"
          },
          {
            "url" : "triggerCodeValueSetVersion",
            "valueString" : "12/12/2018"
          },
          {
            "url" : "triggerCode",
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "3928002",
              "display" : "Zika virus disease (disorder)"
            }
          }],
          "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension"
        }],
        "condition" : {
          "reference" : "Condition/condition-zika-anon"
        }
      },
      {
        "condition" : {
          "reference" : "Condition/condition-common-cold-anon"
        }
      }],
      "location" : [{
        "location" : {
          "reference" : "Location/location-salem-medical-center"
        }
      }],
      "serviceProvider" : {
        "reference" : "Organization/organization-salem-medical-center"
      }
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Immunization/immunization-pneumo-anon",
    "resource" : {
      "resourceType" : "Immunization",
      "id" : "immunization-pneumo-anon",
      "meta" : {
        "profile" : ["http://fhir.org/fhir/us/anonymized-eicr/StructureDefinition/eicr-anon-immunization"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "status" : "completed",
      "vaccineCode" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/sid/cvx",
          "code" : "33",
          "display" : "pneumococcal polysaccharide PPV23"
        }]
      },
      "patient" : {
        "reference" : "Patient/patient-anon"
      },
      "occurrenceDateTime" : "2018-09-01",
      "primarySource" : true
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Location/location-salem-medical-center",
    "resource" : {
      "resourceType" : "Location",
      "id" : "location-salem-medical-center",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-location"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "identifier" : [{
        "system" : "http://hl7.org.fhir/sid/us-npi",
        "value" : "1144221995"
      }],
      "status" : "active",
      "name" : "Clinic Bldg A, Salem Medical Center",
      "type" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
          "code" : "HOSP",
          "display" : "Hospital"
        }]
      }],
      "telecom" : [{
        "system" : "phone",
        "value" : "(+1) (555)555-3001"
      },
      {
        "system" : "fax",
        "value" : "(+1) (555)555-3002"
      },
      {
        "system" : "email",
        "value" : "mail@smc.org"
      }],
      "address" : {
        "line" : ["Clinic Bldg A",
        "4444 Healthcare Drive"],
        "city" : "Ann Arbor",
        "state" : "MI",
        "postalCode" : "99999"
      },
      "managingOrganization" : {
        "reference" : "Organization/organization-salem-medical-center"
      }
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/MedicationAdministration/medicationadministration-azithromycin-anon",
    "resource" : {
      "resourceType" : "MedicationAdministration",
      "id" : "medicationadministration-azithromycin-anon",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-medicationadministration"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "status" : "completed",
      "medicationCodeableConcept" : {
        "coding" : [{
          "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
          "code" : "248656",
          "display" : "Azithromycin 500 MG Oral Tablet"
        }],
        "text" : "Azithromycin 500 MG Oral Tablet"
      },
      "subject" : {
        "reference" : "Patient/patient-anon"
      },
      "effectivePeriod" : {
        "start" : "2018-03-07",
        "end" : "2018-03-07"
      },
      "dosage" : {
        "text" : "Two tablets at once",
        "route" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "26643006",
            "display" : "Oral route"
          }]
        },
        "method" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "421521009",
            "display" : "Swallow - dosing instruction imperative (qualifier value)"
          }]
        },
        "dose" : {
          "value" : 2,
          "unit" : "TAB",
          "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
          "code" : "TAB"
        }
      }
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/MedicationAdministration/medicationadministration-naloxone-response-anon",
    "resource" : {
      "resourceType" : "MedicationAdministration",
      "id" : "medicationadministration-naloxone-response-anon",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-medicationadministration"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-therapeutic-medication-response-extension",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "268910001",
            "display" : "Patient's condition improved (finding)"
          }]
        }
      }],
      "status" : "completed",
      "medicationCodeableConcept" : {
        "coding" : [{
          "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
          "code" : "1659929",
          "display" : "1 ML naloxone hydrochloride 0.4 MG/ML Injection"
        }]
      },
      "subject" : {
        "reference" : "Patient/patient-anon"
      },
      "effectivePeriod" : {
        "start" : "2018-03-07",
        "end" : "2018-03-07"
      },
      "dosage" : {
        "route" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "206007",
            "display" : "Gluteus maximus muscle"
          }]
        },
        "method" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "422145002",
            "display" : "Inject - dosing instruction imperative (qualifier value)"
          }]
        },
        "dose" : {
          "value" : 1,
          "unit" : "mL",
          "system" : "http://unitsofmeasure.org",
          "code" : "mL"
        }
      }
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Observation/observation-blood-pressure-anon",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "observation-blood-pressure-anon",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "vital-signs",
          "display" : "Vital Signs"
        }],
        "text" : "Vital Signs"
      }],
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "85354-9",
          "display" : "Blood pressure panel with all children optional"
        }],
        "text" : "Blood pressure systolic and diastolic"
      },
      "subject" : {
        "reference" : "Patient/patient-anon"
      },
      "encounter" : {
        "display" : "GP Visit"
      },
      "effectiveDateTime" : "2020-07-02",
      "component" : [{
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "8480-6",
            "display" : "Systolic blood pressure"
          }],
          "text" : "Systolic blood pressure"
        },
        "valueQuantity" : {
          "value" : 109,
          "unit" : "mmHg",
          "system" : "http://unitsofmeasure.org",
          "code" : "mm[Hg]"
        }
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "8462-4",
            "display" : "Diastolic blood pressure"
          }],
          "text" : "Diastolic blood pressure"
        },
        "valueQuantity" : {
          "value" : 44,
          "unit" : "mmHg",
          "system" : "http://unitsofmeasure.org",
          "code" : "mm[Hg]"
        }
      }]
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Observation/observation-calculated-age-anon",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "observation-calculated-age-anon",
      "meta" : {
        "profile" : ["http://fhir.org/fhir/us/anonymized-eicr/StructureDefinition/eicr-anon-caculated-age"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "29553-5",
          "display" : "Age calculated"
        }]
      },
      "subject" : {
        "reference" : "Patient/patient-anon"
      },
      "effectiveDateTime" : "2024-06-02T22:13:23Z",
      "valueQuantity" : {
        "value" : 35,
        "unit" : "year",
        "system" : "http://unitsofmeasure.org",
        "code" : "a"
      }
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Observation/observation-country-of-nationality-anon",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "observation-country-of-nationality-anon",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-country-of-nationality"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "186034007",
          "display" : "Ethnicity / related nationality data (observable entity)"
        }]
      },
      "subject" : {
        "reference" : "Patient/patient-anon"
      },
      "effectiveDateTime" : "2020-11-10T22:33:22Z",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "urn:iso:std:iso:3166",
          "code" : "AU",
          "display" : "Australia"
        }]
      }
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Observation/observation-country-of-residence-anon",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "observation-country-of-residence-anon",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-country-of-residence"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "77983-5",
          "display" : "Country of usual residence"
        }]
      },
      "subject" : {
        "reference" : "Patient/patient-anon"
      },
      "effectiveDateTime" : "2020-11-10T22:33:22Z",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "urn:iso:std:iso:3166",
          "code" : "GB",
          "display" : "United Kingdom of Great Britain and Northern Ireland"
        }]
      }
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Observation/observation-disability-status-anon",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "observation-disability-status-anon",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-disability-status"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "69856-3",
          "display" : "Are you deaf, or do you have serious difficulty hearing"
        }]
      },
      "subject" : {
        "reference" : "Patient/patient-anon"
      },
      "effectiveDateTime" : "2020-11-10T22:33:22Z",
      "valueBoolean" : true
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Observation/observation-odh-usual-work-anon",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "observation-odh-usual-work-anon",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/odh/StructureDefinition/odh-UsualWork"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "21843-8",
          "display" : "History of Usual occupation"
        }]
      },
      "subject" : {
        "reference" : "Patient/patient-anon"
      },
      "effectivePeriod" : {
        "start" : "2015-01-01",
        "end" : "2018-03-07"
      },
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "urn:oid:2.16.840.1.114222.4.5.314",
          "code" : "0136",
          "display" : "Human Resources Managers"
        }]
      },
      "component" : [{
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "21844-6",
            "display" : "History of Usual industry"
          }]
        },
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "urn:oid:2.16.840.1.114222.4.5.315",
            "code" : "8190",
            "display" : "Hospitals"
          }]
        }
      }]
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Observation/observation-past-or-present-job-anon",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "observation-past-or-present-job-anon",
      "meta" : {
        "profile" : ["http://fhir.org/fhir/us/anonymized-eicr/StructureDefinition/eicr-anon-past-or-present-job"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/odh/StructureDefinition/odh-Employer-extension",
        "valueReference" : {
          "reference" : "Organization/organization-name-tele-addr-anon"
        }
      }],
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "11341-5",
          "display" : "History of Occupation"
        }]
      },
      "subject" : {
        "reference" : "Patient/patient-anon"
      },
      "focus" : [{
        "reference" : "RelatedPerson/relatedperson-anon"
      }],
      "effectivePeriod" : {
        "start" : "2015-04-24"
      },
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/PHOccupationCDCCensus2010",
          "code" : "3600",
          "display" : "Nursing, psychiatric, and home health aides"
        }]
      },
      "component" : [{
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "86188-0",
            "display" : "History of Occupation industry"
          }]
        },
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/PHIndustryCDCCensus2010",
            "code" : "8270",
            "display" : "Nursing care facilities"
          }]
        }
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "87729-0",
            "display" : "History of Occupational hazard"
          }]
        },
        "valueString" : "Asbestos"
      }]
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Observation/observation-pregnancy-status-anon",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "observation-pregnancy-status-anon",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-pregnancy-status-observation"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-date-recorded-extension",
        "valueDateTime" : "2017-10-01"
      },
      {
        "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-date-determined-extension",
        "valueDateTime" : "2017-10-01"
      }],
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "82810-3",
          "display" : "Pregnancy status"
        }]
      },
      "subject" : {
        "reference" : "Patient/patient-anon"
      },
      "effectivePeriod" : {
        "start" : "2017-08-26"
      },
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "77386006",
          "display" : "Pregnancy (finding)"
        }]
      },
      "method" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "16310003",
          "display" : "Ultrasonography (procedure)"
        }]
      },
      "component" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-date-determined-extension",
          "valueDateTime" : "2017-10-01"
        }],
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "53691-2",
            "display" : "Gestational age Estimated from patient reported estimated date of conception"
          }]
        },
        "valueQuantity" : {
          "value" : 143,
          "unit" : "d"
        }
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-date-determined-extension",
          "valueDateTime" : "2017-10-01"
        }],
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "57064-8",
            "display" : "Delivery date Estimated from date fundal height reaches umb"
          }]
        },
        "valueDateTime" : "2018-05-01"
      }]
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Observation/observation-travel-history-201801-anon",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "observation-travel-history-201801-anon",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-travel-history"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "420008001",
          "display" : "Travel"
        }],
        "text" : "Travel History"
      },
      "subject" : {
        "reference" : "Patient/patient-anon"
      },
      "effectivePeriod" : {
        "start" : "2018-01-15",
        "end" : "2018-01-30"
      },
      "component" : [{
        "code" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
            "code" : "LOC",
            "display" : "Location"
          }]
        },
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "urn:oid:1.0.3166.1",
            "code" : "VUT",
            "display" : "Vanuatu"
          }]
        }
      },
      {
        "code" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "280147009",
            "display" : "Type of activity (attribute)"
          }]
        },
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "702348006",
            "display" : "Active duty military (occupation)"
          }]
        }
      }]
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Observation/observation-emergency-outbreak-info-anon",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "observation-emergency-outbreak-info-anon",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-emergency-outbreak-information"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "status" : "final",
      "code" : {
        "text" : "Employee desk distance from mail sorter"
      },
      "subject" : {
        "reference" : "Patient/patient-anon"
      },
      "effectiveDateTime" : "2020-11-18T22:33:22Z",
      "valueQuantity" : {
        "value" : 2,
        "unit" : "m"
      }
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Observation/observation-lab-result-lymphocytes-anon",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "observation-lab-result-lymphocytes-anon",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "laboratory",
          "display" : "Laboratory"
        }],
        "text" : "Laboratory"
      }],
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "731-0",
          "display" : "Lymphocytes [#/volume] in Blood by Automated count"
        }]
      },
      "subject" : {
        "reference" : "Patient/patient-anon"
      },
      "effectiveDateTime" : "2018-03-07",
      "valueQuantity" : {
        "value" : 5.2,
        "system" : "http://unitsofmeasure.org",
        "code" : "10*3/uL"
      },
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "H",
          "display" : "High"
        }]
      }],
      "referenceRange" : [{
        "low" : {
          "value" : 1,
          "system" : "http://unitsofmeasure.org",
          "code" : "10*3/uL"
        },
        "high" : {
          "value" : 4.8,
          "system" : "http://unitsofmeasure.org",
          "code" : "10*3/uL"
        }
      }]
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Observation/observation-vaccine-credential-assertion-anon",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "observation-vaccine-credential-assertion-anon",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-vaccine-credential-patient-assertion"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "11370-4",
          "display" : "Immunization status - Reported"
        }]
      },
      "subject" : {
        "reference" : "Patient/patient-anon"
      },
      "effectiveDateTime" : "2020-11-10T22:33:22Z",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0532",
          "code" : "Y",
          "display" : "Yes"
        }]
      }
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Organization/organization-acme-laboratory",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "organization-acme-laboratory",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-organization"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "identifier" : [{
        "system" : "http://hl7.org.fhir/sid/us-npi",
        "value" : "1144221999"
      }],
      "active" : true,
      "type" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
          "code" : "OUTLAB",
          "display" : "outpatient laboratory"
        }]
      }],
      "name" : "Acme Labs",
      "telecom" : [{
        "system" : "phone",
        "value" : "+1-555-555-2222"
      },
      {
        "system" : "email",
        "value" : "mail@acmelabs.com"
      }],
      "address" : [{
        "line" : ["7777 Laboratory Drive"],
        "city" : "Ann Arbor",
        "state" : "MI",
        "postalCode" : "99999"
      }]
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Organization/organization-name-tele-addr-anon",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "organization-name-tele-addr-anon",
      "meta" : {
        "profile" : ["http://fhir.org/fhir/us/anonymized-eicr/StructureDefinition/eicr-anon-organization"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "identifier" : [{
        "system" : "http://hl7.org.fhir/sid/us-npi",
        "value" : "7878787878"
      }],
      "active" : true,
      "_name" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }]
      },
      "telecom" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }]
      }],
      "address" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }]
      }]
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Organization/organization-custodian",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "organization-custodian",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-organization"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "identifier" : [{
        "system" : "http://hl7.org.fhir/sid/us-npi",
        "value" : "545454545"
      }],
      "active" : true,
      "name" : "Custodian Organization",
      "telecom" : [{
        "system" : "phone",
        "value" : "+1-555-555-4545"
      },
      {
        "system" : "email",
        "value" : "mail@custodianorganization.com"
      }],
      "address" : [{
        "line" : ["11111 Custodian Drive"],
        "city" : "Ann Arbor",
        "state" : "MI",
        "postalCode" : "99999"
      }]
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Organization/organization-salem-medical-center",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "organization-salem-medical-center",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-organization"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "identifier" : [{
        "system" : "http://hl7.org.fhir/sid/us-npi",
        "value" : "55555555"
      }],
      "active" : true,
      "name" : "Salem Medical Center",
      "telecom" : [{
        "system" : "phone",
        "value" : "+1-555-555-1111"
      },
      {
        "system" : "email",
        "value" : "mail@salemmedicalcenter.com"
      }],
      "address" : [{
        "line" : ["22222 Health Authority Drive"],
        "city" : "Ann Arbor",
        "state" : "MI",
        "postalCode" : "99999"
      }]
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Patient/patient-anon",
    "resource" : {
      "resourceType" : "Patient",
      "id" : "patient-anon",
      "meta" : {
        "profile" : ["http://fhir.org/fhir/us/anonymized-eicr/StructureDefinition/eicr-anon-patient"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "extension" : [{
        "extension" : [{
          "url" : "text",
          "valueString" : "White"
        },
        {
          "url" : "ombCategory",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "2106-3",
            "display" : "White"
          }
        }],
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
      },
      {
        "extension" : [{
          "url" : "text",
          "valueString" : "Not Hispanic or Latino"
        },
        {
          "url" : "ombCategory",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "2186-5",
            "display" : "Not Hispanic or Latino"
          }
        }],
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
      },
      {
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
        "valueCode" : "F"
      },
      {
        "extension" : [{
          "url" : "value",
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
              "code" : "ASKU",
              "display" : "asked but unknown"
            }],
            "text" : "asked but unknown"
          }
        }],
        "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-genderidentity-extension"
      },
      {
        "extension" : [{
          "url" : "TribeName",
          "valueCoding" : {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS",
            "code" : "91",
            "display" : "Fort Mojave Indian Tribe of Arizona, California & Nevada"
          }
        },
        {
          "url" : "EnrolledTribeMember",
          "valueBoolean" : true
        }],
        "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-tribal-affiliation-extension"
      }],
      "identifier" : [{
        "use" : "usual",
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MR",
            "display" : "Medical Record Number"
          }]
        },
        "_system" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }]
        },
        "_value" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }]
        }
      }],
      "active" : true,
      "name" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }]
      }],
      "telecom" : [{
        "system" : "phone",
        "_value" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }]
        },
        "use" : "home"
      },
      {
        "system" : "email",
        "_value" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }]
        }
      }],
      "gender" : "female",
      "_birthDate" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }]
      },
      "deceasedBoolean" : false,
      "address" : [{
        "_line" : [{
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }]
        }],
        "city" : "Atlanta",
        "state" : "GA",
        "postalCode" : "30300",
        "country" : "US"
      }],
      "contact" : [{
        "relationship" : [{
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleClass",
            "code" : "GUARD"
          }]
        }],
        "name" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }]
        },
        "telecom" : [{
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }]
        }],
        "address" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }]
        }
      }],
      "communication" : [{
        "language" : {
          "coding" : [{
            "system" : "urn:ietf:bcp:47",
            "code" : "en",
            "display" : "English"
          }]
        }
      }]
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Practitioner/practitioner-anon",
    "resource" : {
      "resourceType" : "Practitioner",
      "id" : "practitioner-anon",
      "meta" : {
        "profile" : ["http://fhir.org/fhir/us/anonymized-eicr/StructureDefinition/eicr-anon-practitioner"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "identifier" : [{
        "system" : "http://hl7.org/fhir/sid/us-npi",
        "value" : "9941339108"
      }],
      "name" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "_family" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }]
        }
      }],
      "telecom" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }]
      }],
      "address" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }]
      }]
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/PractitionerRole/practitionerrole-anon",
    "resource" : {
      "resourceType" : "PractitionerRole",
      "id" : "practitionerrole-anon",
      "meta" : {
        "profile" : ["http://fhir.org/fhir/us/anonymized-eicr/StructureDefinition/eicr-anon-practitionerrole"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "identifier" : [{
        "system" : "http://hl7.org/fhir/sid/us-npi",
        "value" : "9941339108"
      }],
      "practitioner" : {
        "reference" : "Practitioner/practitioner-anon"
      },
      "organization" : {
        "reference" : "Organization/organization-salem-medical-center"
      },
      "code" : [{
        "coding" : [{
          "system" : "http://nucc.org/provider-taxonomy",
          "code" : "261QP2300X",
          "display" : "Primary Care Clinic/Center"
        }]
      }],
      "specialty" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "419772000",
          "display" : "Family practice"
        }]
      }],
      "location" : [{
        "reference" : "Location/location-salem-medical-center"
      }],
      "telecom" : [{
        "system" : "email",
        "_value" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }]
        }
      }]
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Procedure/procedure-ecmo-anon",
    "resource" : {
      "resourceType" : "Procedure",
      "id" : "procedure-ecmo-anon",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-procedure"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "identifier" : [{
        "system" : "urn:ietf:rfc:3986",
        "value" : "urn:uuid:b2a737f2-2fdb-49c1-b097-dac173d07afd"
      }],
      "status" : "completed",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "233573008",
          "display" : "Extracorporeal membrane oxygenation (procedure)"
        }],
        "text" : "Extracorporeal membrane oxygenation (procedure)"
      },
      "subject" : {
        "reference" : "Patient/patient-anon"
      },
      "performedPeriod" : {
        "start" : "2020-11-01T12:55:26-07:00",
        "end" : "2020-11-01T13:25:26-07:00"
      },
      "focalDevice" : [{
        "manipulated" : {
          "reference" : "Device/device-ecmo-anon"
        }
      }]
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/RelatedPerson/relatedperson-anon",
    "resource" : {
      "resourceType" : "RelatedPerson",
      "id" : "relatedperson-anon",
      "meta" : {
        "profile" : ["http://fhir.org/fhir/us/anonymized-eicr/StructureDefinition/eicr-anon-relatedperson"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "identifier" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }]
      }],
      "active" : true,
      "patient" : {
        "reference" : "Patient/patient-anon"
      },
      "relationship" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
          "code" : "GESTM",
          "display" : "gestational mother"
        }],
        "text" : "Gestational Mother"
      }],
      "name" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }]
      }],
      "telecom" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }]
      }],
      "gender" : "female",
      "_birthDate" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }]
      },
      "address" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }]
      }]
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/ServiceRequest/servicerequest-zika-anon",
    "resource" : {
      "resourceType" : "ServiceRequest",
      "id" : "servicerequest-zika-anon",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-servicerequest"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "identifier" : [{
        "system" : "http://lab.smarthealthit.org",
        "value" : "061ef612-344f-4e7b-81a8-1059ae7bbe11"
      }],
      "status" : "completed",
      "intent" : "order",
      "category" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "103693007",
          "display" : "Diagnostic procedure (procedure)"
        }],
        "text" : "Diagnostics Procedure"
      }],
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "80825-3",
          "display" : "Zika virus envelope E gene [Presence] in Serum by NAA with probe detection"
        }],
        "text" : "Zika RT-PCR"
      },
      "subject" : {
        "reference" : "Patient/patient-anon"
      },
      "performer" : [{
        "reference" : "Organization/organization-acme-laboratory"
      }]
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Observation/observation-rr-relevant-reportable-condition-anon",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "observation-rr-relevant-reportable-condition-anon",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/rr-relevant-reportable-condition-observation"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "64572001"
        },
        {
          "system" : "http://loinc.org",
          "code" : "75323-6"
        }],
        "text" : "Condition"
      },
      "subject" : {
        "reference" : "Patient/patient-anon"
      },
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "3928002",
          "display" : "Zika virus disease (disorder)"
        }]
      },
      "hasMember" : [{
        "reference" : "Observation/observation-rr-reportability-information-anon"
      }]
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Observation/observation-rr-reportability-information-anon",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "observation-rr-reportability-information-anon",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/rr-reportability-information-observation"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-extension",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "urn:oid:2.16.840.1.114222.4.5.274",
            "code" : "RRVS1",
            "display" : "Reportable"
          }]
        }
      },
      {
        "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-reason-extension",
        "valueString" : "Condition is reportable"
      },
      {
        "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-determination-of-reportability-rule-extension",
        "valueString" : "Description of rule used in reportability determination"
      },
      {
        "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-external-resource-extension",
        "valueReference" : {
          "reference" : "DocumentReference/documentreference-add-reporting-needs-pdf"
        }
      },
      {
        "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-external-resource-extension",
        "valueReference" : {
          "reference" : "DocumentReference/documentreference-zika-info-pdf"
        }
      },
      {
        "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-external-resource-extension",
        "valueReference" : {
          "reference" : "DocumentReference/documentreference-zika-follow-up-pdf"
        }
      }],
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "urn:oid:2.16.840.1.114222.4.5.274",
          "code" : "RRVS5",
          "display" : "Patient home address"
        }]
      },
      "subject" : {
        "reference" : "Patient/patient-anon"
      },
      "performer" : [{
        "reference" : "Organization/organization-rr-rules-authoring-agency-haw"
      },
      {
        "reference" : "Organization/organization-rr-routing-entity-haw"
      },
      {
        "reference" : "Organization/organization-rr-responsible-agency-haw"
      }],
      "component" : [{
        "code" : {
          "coding" : [{
            "system" : "urn:oid:2.16.840.1.114222.4.5.232",
            "code" : "RR4",
            "display" : "Timeframe to report (urgency)"
          }]
        },
        "valueQuantity" : {
          "value" : 24,
          "unit" : "H",
          "system" : "http://unitsofmeasure.org",
          "code" : "H"
        }
      }]
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Organization/organization-rr-responsible-agency-haw",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "organization-rr-responsible-agency-haw",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/rr-responsible-agency-organization"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "identifier" : [{
        "system" : "http://hl7.org.fhir/sid/us-npi",
        "value" : "99996666"
      }],
      "active" : true,
      "type" : [{
        "coding" : [{
          "system" : "urn:oid:2.16.840.1.114222.4.5.232",
          "code" : "RR8",
          "display" : "Responsible Agency"
        }]
      }],
      "name" : "Health Authority West Responsible Agency",
      "telecom" : [{
        "system" : "phone",
        "value" : "+1-555-555-3555"
      },
      {
        "system" : "email",
        "value" : "mail@healthauthoritywest.gov"
      }],
      "address" : [{
        "line" : ["7777 Health Authority Drive"],
        "city" : "Ann Arbor",
        "state" : "MI",
        "postalCode" : "99999"
      }]
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Organization/organization-rr-routing-entity-haw",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "organization-rr-routing-entity-haw",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/rr-routing-entity-organization"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "identifier" : [{
        "system" : "http://hl7.org.fhir/sid/us-npi",
        "value" : "43214321"
      }],
      "active" : true,
      "type" : [{
        "coding" : [{
          "system" : "urn:oid:2.16.840.1.114222.4.5.232",
          "code" : "RR7",
          "display" : "Routing Entity"
        }]
      }],
      "name" : "Health Authority West Routing Entity",
      "telecom" : [{
        "system" : "phone",
        "value" : "+1-555-555-3555"
      },
      {
        "system" : "email",
        "value" : "mail@healthauthoritywest.gov"
      }],
      "address" : [{
        "line" : ["7777 Health Authority Drive"],
        "city" : "Ann Arbor",
        "state" : "MI",
        "postalCode" : "99999"
      }]
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/Organization/organization-rr-rules-authoring-agency-haw",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "organization-rr-rules-authoring-agency-haw",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/rr-rules-authoring-agency-organization"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "identifier" : [{
        "system" : "http://hl7.org.fhir/sid/us-npi",
        "value" : "12341234"
      }],
      "active" : true,
      "type" : [{
        "coding" : [{
          "system" : "urn:oid:2.16.840.1.114222.4.5.232",
          "code" : "RR12",
          "display" : "Rules Authoring Agency"
        }]
      }],
      "name" : "Health Authority West Rules Authoring Agency",
      "telecom" : [{
        "system" : "phone",
        "value" : "+1-555-555-3555"
      },
      {
        "system" : "email",
        "value" : "mail@healthauthoritywest.gov"
      }],
      "address" : [{
        "line" : ["7777 Health Authority Drive"],
        "city" : "Ann Arbor",
        "state" : "MI",
        "postalCode" : "99999"
      }]
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/DocumentReference/documentreference-add-reporting-needs-pdf",
    "resource" : {
      "resourceType" : "DocumentReference",
      "id" : "documentreference-add-reporting-needs-pdf",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/rr-documentreference"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-priority-extension",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "urn:oid:2.16.840.1.114222.4.5.274",
            "code" : "RRVS16",
            "display" : "Action requested"
          }]
        }
      }],
      "status" : "current",
      "type" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "83910-0",
          "display" : "Public health Note"
        }],
        "text" : "Public health information"
      },
      "category" : [{
        "coding" : [{
          "system" : "urn:oid:2.16.840.1.114222.4.5.274",
          "code" : "RRVS8",
          "display" : "Additional reporting needs"
        }],
        "text" : "Additional reporting needs"
      }],
      "subject" : {
        "reference" : "Patient/patient-anon"
      },
      "description" : "Additional information for the required reporting of Zika must be submitted to State Department of Health immediately. This additional information can be submitted here.",
      "content" : [{
        "attachment" : {
          "contentType" : "application/pdf",
          "url" : "http://statedepartmentofhealth.gov/epi/disease/zika/Supplemental_data_form.pdf"
        }
      }]
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/DocumentReference/documentreference-zika-follow-up-pdf",
    "resource" : {
      "resourceType" : "DocumentReference",
      "id" : "documentreference-zika-follow-up-pdf",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/rr-documentreference"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-priority-extension",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "urn:oid:2.16.840.1.114222.4.5.274",
            "code" : "RRVS18",
            "display" : "Immediate action requested"
          }]
        }
      }],
      "status" : "current",
      "type" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "83910-0",
          "display" : "Public health Note"
        }],
        "text" : "Public health information"
      },
      "category" : [{
        "coding" : [{
          "system" : "urn:oid:2.16.840.1.114222.4.5.274",
          "code" : "RRVS10",
          "display" : "Treatment and/or prevention"
        }],
        "text" : "Treatment and/or prevention"
      }],
      "subject" : {
        "reference" : "Patient/patient-anon"
      },
      "description" : "Zika has particular risks for pregnant women. Follow-up guidance for pregnant women and couples who are planning pregnancy.",
      "content" : [{
        "attachment" : {
          "contentType" : "application/pdf",
          "url" : "http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf"
        }
      }]
    }
  },
  {
    "fullUrl" : "http://www.example.org/fhir/DocumentReference/documentreference-zika-info-pdf",
    "resource" : {
      "resourceType" : "DocumentReference",
      "id" : "documentreference-zika-info-pdf",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/rr-documentreference"]
      },
      "text" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "masked"
        }],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-priority-extension",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "urn:oid:2.16.840.1.114222.4.5.274",
            "code" : "RRVS17",
            "display" : "Immediate action required"
          }]
        }
      }],
      "status" : "current",
      "type" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "83910-0",
          "display" : "Public health Note"
        }],
        "text" : "Public health information"
      },
      "category" : [{
        "coding" : [{
          "system" : "urn:oid:2.16.840.1.114222.4.5.274",
          "code" : "RRVS13",
          "display" : "Outbreak- or Cluster Related"
        }],
        "text" : "Outbreak- or Cluster Related"
      }],
      "subject" : {
        "reference" : "Patient/patient-anon"
      },
      "description" : "Local mosquito-borne Zika virus creation was reported in your area. Increased watchfulness for symptoms of Zika virus in your patients is warranted.",
      "content" : [{
        "attachment" : {
          "contentType" : "application/pdf",
          "url" : "http://statedepartmentofhealth.gov/epi/disease/zika/outbreakinfo.pdf"
        }
      }]
    }
  }]
}