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 - XML Representation

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