CDC FHIR® IG: Anonymized Electronic Initial Case Reporting (eICR)
1.0.1 - release

CDC FHIR® IG: Anonymized Electronic Initial Case Reporting (eICR) - Local Development build (v1.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## : eICR Anonymized Document Bundle Example: bundle-eicr-document-zika-anon - JSON Representation

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    {
      "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"
                }
              }
            ]
          }
        }
      ]
    }