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 Patient Example: Anonymized - XML Representation

Raw xml | Download

    <Patient xmlns="http://hl7.org/fhir">
      <id value="patient-anon"/>
      <meta>
        <profile
                 value="http://fhir.org/fhir/us/anonymized-eicr/StructureDefinition/eicr-anon-patient"/>
      </meta>
      <text>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
          <valueCode value="masked"/>
        </extension>
        <status value="empty"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p>MASKED</p></div>
      </text>
      <extension
                 url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
        <extension url="text">
          <valueString value="White"/>
        </extension>
        <extension url="ombCategory">
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.6.238"/>
            <code value="2106-3"/>
            <display value="White"/>
          </valueCoding>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
        <extension url="text">
          <valueString value="Not Hispanic or Latino"/>
        </extension>
        <extension url="ombCategory">
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.6.238"/>
            <code value="2186-5"/>
            <display value="Not Hispanic or Latino"/>
          </valueCoding>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
        <valueCode value="F"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-genderidentity-extension">
        <extension url="value">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
              <code value="ASKU"/>
              <display value="asked but unknown"/>
            </coding>
            <text value="asked but unknown"/>
          </valueCodeableConcept>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-tribal-affiliation-extension">
        <extension url="TribeName">
          <valueCoding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS"/>
            <code value="91"/>
            <display
                     value="Fort Mojave Indian Tribe of Arizona, California &amp; Nevada"/>
          </valueCoding>
        </extension>
        <extension url="EnrolledTribeMember">
          <valueBoolean value="true"/>
        </extension>
      </extension>
      <identifier>
        <use value="usual"/>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
            <code value="MR"/>
            <display value="Medical Record Number"/>
          </coding>
        </type>
        <system>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
            <valueCode value="masked"/>
          </extension>
        </system>
        <value>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
            <valueCode value="masked"/>
          </extension>
        </value>
      </identifier>
      <active value="true"/>
      <name>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
          <valueCode value="masked"/>
        </extension>
      </name>
      <telecom>
        <system value="phone"/>
        <value>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
            <valueCode value="masked"/>
          </extension>
        </value>
        <use value="home"/>
      </telecom>
      <telecom>
        <system value="email"/>
        <value>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
            <valueCode value="masked"/>
          </extension>
        </value>
      </telecom>
      <gender value="female"/>
      <birthDate>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
          <valueCode value="masked"/>
        </extension>
      </birthDate>
      <deceasedBoolean value="false"/>
      <address>
        <line>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
            <valueCode value="masked"/>
          </extension>
        </line>
        <city value="Atlanta"/>
        <state value="GA"/>
        <postalCode value="30300"/>
        <country value="US"/>
      </address>
      <contact>
        <relationship>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"/>
            <code value="GUARD"/>
          </coding>
        </relationship>
        <name>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
            <valueCode value="masked"/>
          </extension>
        </name>
        <telecom>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
            <valueCode value="masked"/>
          </extension>
        </telecom>
        <address>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
            <valueCode value="masked"/>
          </extension>
        </address>
      </contact>
      <communication>
        <language>
          <coding>
            <system value="urn:ietf:bcp:47"/>
            <code value="en"/>
            <display value="English"/>
          </coding>
        </language>
      </communication>
    </Patient>