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 Composition Example: Initial Public Health Case Report - Anonymized, Zika - JSON Representation

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    {
      "resourceType" : "Composition",
      "id" : "composition-zika-anon",
      "meta" : {
        "profile" : [
          🔗 "http://fhir.org/fhir/us/anonymized-eicr/StructureDefinition/eicr-anon-composition"
        ]
      },
      "text" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "masked"
          }
        ],
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
      },
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber",
          "valueString" : "1"
        }
      ],
      "identifier" : {
        "value" : "c03eab8c-11e8-4d0c-ad2a-b385395e27db"
      },
      "status" : "final",
      "type" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "55751-2",
            "display" : "Public Health Case Report"
          }
        ]
      },
      "subject" : {
        🔗 "reference" : "Patient/patient-anon"
      },
      "encounter" : {
        🔗 "reference" : "Encounter/encounter-outpatient-anon"
      },
      "date" : "2024-06-02T22:13:23Z",
      "author" : [
        {
          🔗 "reference" : "PractitionerRole/practitionerrole-anon"
        }
      ],
      "title" : "Initial Public Health Case Report - Zika Example",
      "custodian" : {
        🔗 "reference" : "Organization/organization-custodian"
      },
      "relatesTo" : [
        {
          "code" : "transforms",
          "targetIdentifier" : {
            "system" : "urn:ietf:rfc:3986",
            "value" : "urn:uuid:58fecd25-973e-4397-af68-1b7683758955"
          }
        }
      ],
      "section" : [
        {
          "title" : "Reason for Visit Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "29299-5",
                "display" : "Reason for visit Narrative"
              }
            ]
          },
          "text" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode" : "masked"
              }
            ],
            "status" : "empty",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
          }
        },
        {
          "title" : "Chief Complaint",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "10154-3",
                "display" : "Chief complaint Narrative - Reported"
              }
            ]
          },
          "text" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode" : "masked"
              }
            ],
            "status" : "empty",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
          }
        },
        {
          "title" : "History of Present Illness Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "10164-2",
                "display" : "History of Present illness Narrative"
              }
            ]
          },
          "text" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode" : "masked"
              }
            ],
            "status" : "empty",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
          }
        },
        {
          "title" : "Problems Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "11450-4",
                "display" : "Problem list - Reported"
              }
            ]
          },
          "text" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode" : "masked"
              }
            ],
            "status" : "empty",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
          },
          "entry" : [
            {
              🔗 "reference" : "Condition/condition-common-cold-anon"
            }
          ]
        },
        {
          "title" : "Medications Administered Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "29549-3",
                "display" : "Medication administered Narrative"
              }
            ]
          },
          "text" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode" : "masked"
              }
            ],
            "status" : "empty",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
          },
          "entry" : [
            {
              🔗 "reference" : "MedicationAdministration/medicationadministration-azithromycin-anon"
            }
          ]
        },
        {
          "title" : "Results Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "30954-2",
                "display" : "Relevant diagnostic tests/laboratory data Narrative"
              }
            ]
          },
          "text" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode" : "masked"
              }
            ],
            "status" : "empty",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
          },
          "entry" : [
            {
              🔗 "reference" : "Observation/observation-lab-result-lymphocytes-anon"
            }
          ]
        },
        {
          "title" : "Social History Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "29762-2",
                "display" : "Social history Narrative"
              }
            ]
          },
          "text" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode" : "masked"
              }
            ],
            "status" : "empty",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
          },
          "entry" : [
            {
              🔗 "reference" : "Observation/observation-travel-history-201801-anon"
            },
            {
              🔗 "reference" : "Observation/observation-odh-usual-work-anon"
            },
            {
              🔗 "reference" : "Observation/observation-past-or-present-job-anon"
            },
            {
              🔗 "reference" : "Observation/observation-disability-status-anon"
            },
            {
              🔗 "reference" : "Observation/observation-country-of-nationality-anon"
            },
            {
              🔗 "reference" : "Observation/observation-country-of-residence-anon"
            },
            {
              🔗 "reference" : "Observation/observation-calculated-age-anon"
            }
          ]
        },
        {
          "title" : "Admission Medications Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "42346-7",
                "display" : "Medications on admission (narrative)"
              }
            ]
          },
          "text" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode" : "masked"
              }
            ],
            "status" : "empty",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
          },
          "entry" : [
            {
              🔗 "reference" : "MedicationAdministration/medicationadministration-naloxone-response-anon"
            }
          ]
        },
        {
          "title" : "Medications Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "10160-0",
                "display" : "History of Medication use Narrative"
              }
            ]
          },
          "text" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode" : "masked"
              }
            ],
            "status" : "empty",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
          },
          "entry" : [
            {
              🔗 "reference" : "MedicationAdministration/medicationadministration-azithromycin-anon"
            }
          ]
        },
        {
          "title" : "Plan of Treatment Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "18776-5",
                "display" : "Plan of care note"
              }
            ]
          },
          "text" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode" : "masked"
              }
            ],
            "status" : "empty",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
          },
          "entry" : [
            {
              🔗 "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "triggerCodeValueSet",
                      "valueOid" : "urn:oid:2.16.840.1.114222.4.11.7508"
                    },
                    {
                      "url" : "triggerCodeValueSetVersion",
                      "valueString" : "19/05/2018"
                    },
                    {
                      "url" : "triggerCode",
                      "valueCoding" : {
                        "system" : "http://snomed.info/sct",
                        "code" : "3928002",
                        "display" : "Zika virus disease (disorder)"
                      }
                    }
                  ],
                  "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension"
                }
              ],
              "reference" : "ServiceRequest/servicerequest-zika-anon"
            }
          ]
        },
        {
          "title" : "Immunizations Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "11369-6",
                "display" : "History of Immunization Narrative"
              }
            ]
          },
          "text" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode" : "masked"
              }
            ],
            "status" : "empty",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
          },
          "entry" : [
            {
              🔗 "reference" : "Immunization/immunization-pneumo-anon"
            },
            {
              🔗 "reference" : "Observation/observation-vaccine-credential-assertion-anon"
            }
          ]
        },
        {
          "title" : "Procedures Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "47519-4",
                "display" : "History of Procedures Document"
              }
            ]
          },
          "text" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode" : "masked"
              }
            ],
            "status" : "empty",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
          },
          "entry" : [
            {
              🔗 "reference" : "Procedure/procedure-ecmo-anon"
            }
          ]
        },
        {
          "title" : "Vital Signs Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "8716-3",
                "display" : "Vital signs"
              }
            ]
          },
          "text" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode" : "masked"
              }
            ],
            "status" : "empty",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
          },
          "entry" : [
            {
              🔗 "reference" : "Observation/observation-blood-pressure-anon"
            }
          ]
        },
        {
          "title" : "Pregnancy Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "90767-5",
                "display" : "Pregnancy summary Document"
              }
            ]
          },
          "text" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode" : "masked"
              }
            ],
            "status" : "empty",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
          },
          "entry" : [
            {
              🔗 "reference" : "Observation/observation-pregnancy-status-anon"
            }
          ]
        },
        {
          "title" : "Emergency Outbreak Information Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "83910-0",
                "display" : "Public health Note"
              }
            ]
          },
          "text" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode" : "masked"
              }
            ],
            "status" : "empty",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
          },
          "entry" : [
            {
              🔗 "reference" : "Observation/observation-emergency-outbreak-info-anon"
            }
          ]
        },
        {
          "title" : "Past Medical History Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "11348-0",
                "display" : "History of Past illness Narrative"
              }
            ]
          },
          "text" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode" : "masked"
              }
            ],
            "status" : "empty",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
          }
        },
        {
          "title" : "Review of Systems Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "10187-3",
                "display" : "Review of systems Narrative - Reported"
              }
            ]
          },
          "text" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode" : "masked"
              }
            ],
            "status" : "empty",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
          }
        },
        {
          "title" : "Reportability Response Information Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "88085-6",
                "display" : "Reportability response report Document Public health"
              }
            ]
          },
          "text" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                "valueCode" : "masked"
              }
            ],
            "status" : "empty",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
          },
          "entry" : [
            {
              🔗 "reference" : "Observation/observation-rr-relevant-reportable-condition-anon"
            }
          ]
        }
      ]
    }