EICRComposition

Electronic Initial Case Report Composition

activeElectronic Case Reporting2.1.2resource121 key elements

This Composition profile represents an electronic initial case report (eICR). It is based on and further constrains the US Public Health Composition.

Metadata

hl7.org/fhir
Canonical URL
http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-composition
ID
eicr-composition
Type
Base Definition
us-ph-composition
Derivation
constraint
Mandatory and Must-Support Elements

Elements with cardinality > 0 or marked as Must Support (S)

PathCard.TypeFlagsDescription
Composition
S
eICR Composition Profile
extension
S
:extensionEICRInitiationType0..1
Extension
S
Initial Case Report Initiation Type
:extensionEICRInitiationReason0..*
Extension
S
Initial Case Report Initiation Reason
type
S
Public Health Case Report
encounter
Reference
S1+
Encounter related to the public health event
custodian
S1+
relatesTo
S
:sliceTransformed0..1
S
Document or Composition that this Composition is transformed from
:sliceReplaced0..1
S
Document or Composition that this Composition replaces
section
S
:sliceReasonForVisitSection1..1
S1+
Reason for Visit Section
section.code
S1+
Reason for Visit code
section.text
S1+
Reason for Visit narrative
:sliceChiefComplaintSection1..1
S1+
Chief Complaint Section
section.code
S1+
Chief Complaint code
section.text
S1+
Chief Complaint narrative
:sliceHistoryOfPresentIllnessSection1..1
S1+
History of Present Illness Section
section.code
S1+
History of Present Illness code
section.text
S1+
History of Present Illness narrative
:sliceProblemSection1..1
S1+
Problem Section
section.code
S1+
Problem Section code
section.text
S1+
Problem Section narrative
section.entry
S
:sliceEICRCondition
Reference
S
eICR Condition entry
section.entry.extension
S
:sliceTriggerCondition
Extension
S
eICR Trigger Code Flag
:sliceMedicationsAdministeredSection1..1
S1+
Medications Administered Section
section.code
S1+
Medications Administered Section code
section.text
S1+
Medications Administered Section narrative
section.entry
S
:sliceMedicationAdministration
Reference
S
Medication Administration entry
section.entry.extension
S
:sliceTriggerMedicationAdministered
Extension
S
eICR Trigger Code Flag
:sliceAdmissionMedicationsSection0..1
S
Admission Medications Section
section.code
S1+
Admission Medications Section code
section.text
S1+
Admission Medications Section narrative
section.entry
S
:sliceMedication
Reference
S
Admission Medication entry
:sliceMedicationsSection0..1
S
Medications Section
section.code
S1+
Medications Section code
section.text
S1+
Medications Section narrative
section.entry
S
:sliceMedicationAdministration
Reference
S
Medication Administration entry
section.entry.extension
S
:sliceTriggerMedicationAdministered
Extension
S
eICR Trigger Code Flag
:sliceResultsSection1..1
S1+
Results Section
section.code
S1+
Results Section code
section.text
S1+
Results Section narrative
section.entry
S
:sliceUSPHLabResultObservation
Reference
S
The eICR Trigger Code Flag (extension) is present for a laboratory result, based on a trigger code match of either the lab test (observation.code) to the eRSD PlanDefinition Lab Obs Test Name Trigger or the lab test result (observation.value) to the eRSD PlanDefinition Organism Substance Trigger.
section.entry.extension
S
:sliceTriggerUSPHLabResultObservation
Extension
S
eICR Trigger Code Flag
:slicePlanOfTreatmentSection0..1
S
Plan of Treatment Section
section.code
S1+
Plan of Treatment code
section.text
S1+
Plan of Treatment narrative
section.entry
S1+
:sliceEICRServiceRequest
Reference
S
eICR Service Request entry
section.entry.extension
S
:sliceTriggerEICRServiceRequest
Extension
S
eICR Trigger Code Flag
:sliceUSCoreMedicationRequest
Reference
S
US Core Medication Request entry
section.entry.extension
S
:sliceTriggerUSCoreMedicationRequest
Extension
S
eICR Trigger Code Flag
:sliceImmunizationsSection
S
Immunizations Section
section.code
S1+
Immunizations code
section.text
S1+
Immunizations narrative
section.entry
S1+
:sliceUSCoreImmunization
Reference
S1+
Immunization entry
section.entry.extension
S
:sliceTriggerImmunization
Extension
S
eICR Trigger Code Flag
:sliceVaccineCredentialsPatientAssertion
Reference
S
:sliceProceduresSection0..1
S
This section describes all interventional, surgical, diagnostic, or therapeutic procedures or treatments pertinent to the patient historically at the time the document is generated.
section.code
S1+
Procedures Section code
section.text
S1+
Procedures Section narrative
section.entry
S1+
:sliceEICRProcedure
Reference
S1+
EICR Procedure entry
section.entry.extension
S
:sliceTriggerProcedure
Extension
S
eICR Trigger Code Flag
:sliceVitalSignsSection
S
Vital Signs Section
section.code
S1+
Vital Signs code
section.text
S1+
Vital Signs narrative
section.entry
S
:sliceVitalSigns
Reference
S
:sliceSocialHistorySection1..1
S1+
Social History Section
section.code
S1+
Social History Section code
section.text
S1+
Social History Section narrative
section.entry
S
:sliceCharacteristicsOfHomeEnvironment
Reference
S
Characteristics of Home Environment
:sliceODHPastOrPresentJob
Reference
S
ODH Past or Present Job entry
:sliceODHUsualWork
Reference
S
ODH Usual Work entry
:sliceODHEmploymentStatus
Reference
S
ODH Employment Status entry
:sliceTravelHistory
Reference
S
Travel History entry
:sliceDisabilityStatus
Reference
S
Disability Status entry
:sliceExposureContactInformation
Reference
S
Exposure Information entry
:sliceCountryOfResidence
Reference
S
Country of residence entry
:sliceCountryOfNationality
Reference
S
Country of nationality entry
:slicePregnancySection
S
Pregnancy Section
section.code
S1+
Pregnancy summary Document code
section.text1..1
S1+
Pregnancy summary Document narrative
section.entry
S1+
:slicePregnancyStatusObservation1..*
Reference
S1+
Pregnancy Status Observation entry
:slicePregnancyOutcome
Reference
S
Pregnancy Outcome entry
:sliceLastMenstrualPeriod
Reference
S
Last Menstrual Period entry
:slicePostpartumStatus
Reference
S
Postpartum Status entry
:sliceEmergencyOutbreakInformationSection0..1
S
Emergency Outbreak Information Section
section.code
S1+
Emergency Outbreak Information Section code
section.text
S1+
Emergency Outbreak Information Section narrative
section.entry
S
:sliceObservationEmergencyOutbreakInformation
Reference
S
:slicePastMedicalHistorySection0..1
S
Past Medical History Section
section.code
S1+
Past Medical History Section code
section.text
S1+
Past Medical History Section narrative
section.entry
S
:sliceUSCoreCondition
Reference
S
US Core Condition entry
:sliceReviewOfSystemsSection0..1
S
Review of Systems Section
section.code
S1+
Review of Systems code
section.text
S1+
Review of Systems narrative
:sliceReportabilityResponseInformationSection0..1
S
Reportability Response Information Section (for post-processing only)
section.code
S1+
Reportability response report Document Public health
section.text
S1+
Reportability Response Information Section narrative
:sliceReportabilityResponseRelevantCondition
Reference
S