{
  "resourceType": "Composition",
  "id": "eicr-composition-zika",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2018-09-29T20:45:08.719+00:00",
    "profile": [
      "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-composition"
    ]
  },
  "language": "en-US",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"grid\"><tr><th>Id:</th><td>Id: eicr-composition-zika</td></tr><tr><th>Meta:</th><td>http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-composition</td></tr><tr><th>Language:</th><td>en-US</td></tr><tr><th>Date:</th><td>2018-01-02T22:13:23Z</td></tr><tr><th>Type:</th><td><span title=\"Code: 55751-2 Code system: http://loinc.org\">Public Health Case Report</span></td></tr><tr><th>Title:</th><td>Initial Public Health Case Report</td></tr><tr><th>Status:</th><td>final</td></tr><tr><th>Subject:</th><td><a href=\"Patient-ecr-patient-eve-everywoman.html\">Eve Everywoman</a></td></tr><tr><th>Author:</th><td><a href=\"Practitioner-ecr-practitioner-henry-seven.html\">Henry Seven, MD</a></td></tr><tr><th>Encounter:</th><td><a href=\"Encounter-eicr-encounter-eve-everywoman-20180401.html\">Ambulatory Office Visit, Apr 1, 2018, 10:00am</a></td></tr><tr><th>Section:</th><td><table class=\"grid\"><tr><th>Code:</th><td><span title=\"Code: 46240-8 Code system: http://loinc.org\">Encounters</span></td></tr><tr><th>Text:</th><td><table><thead><tr><th>Encounter</th><th>Date(s)</th><th>Location</th></tr></thead><tbody><tr><td>Office outpatient visit 15 minutes</td><td>MAR 7, 2018</td><td><ul><li>Urgent Care Center</li></ul></td></tr><tr><td colspan=\"20\"><ul><li><table><thead><tr><th>Encounter Diagnosis Type</th></tr></thead><tbody><tr><td>Diagnosis</td></tr><tr><td colspan=\"20\"><ul><li><table><thead><tr><th>Initial Case Report Trigger Code Problem Observation </th><th>Problem</th><th>Trigger Code</th><th>Trigger Code codeSystem</th><th>RCTC OID</th><th>RCTC Version</th><th>Date(s)</th></tr></thead><tbody><tr><td>Diagnosis</td><td>Pertussis (disorder)</td><td>27836007</td><td>SNOMED CT</td><td>2.16.840.1.114222.4.11.7508</td><td>19/03/2018</td><td>MAR 7, 2018</td></tr></tbody></table><table><thead><tr><th>Encounter Diagnosis Type</th></tr></thead><tbody><tr><td>Diagnosis</td></tr><tr><td colspan=\"20\"><ul><li><table><thead><tr><th>Problem Type</th><th>Problem</th><th>Date(s)</th></tr></thead><tbody><tr><td>Diagnosis</td><td>A non-trigger code diagnosis (disorder)</td><td>MAR 7, 2018</td></tr></tbody></table></li></ul></td></tr></tbody></table></li></ul></td></tr></tbody></table></li></ul></td></tr></tbody></table></td></tr></table></td></tr><tr><th>Section:</th><td><table class=\"grid\"><tr><th>Code:</th><td><span title=\"Code: 10164-2 Code system: http://loinc.org\">History of Present illness Narrative</span></td></tr><tr><th>Text:</th><td>generated</td></tr></table></td></tr><tr><th>Section:</th><td><table class=\"grid\"><tr><th>Code:</th><td><span title=\"Code: 29299-5 Code system: http://loinc.org\">Reason for visit Narrative</span></td></tr><tr><th>Text:</th><td>generated</td></tr></table></td></tr><tr><th>Section:</th><td><table class=\"grid\"><tr><th>Title:</th><td>Social History Section</td></tr><tr><th>Code:</th><td><span title=\"Code: 29762-2 Code system: http://loinc.org\">Social history Narrative</span></td></tr><tr><th>Text:</th><td>generated</td></tr><tr><th>Entry:</th><td><a href=\"Observation-eicr-travel-history-eve-everywoman-201801.html\">eICR Travel History: Eve Everywoman 2018-01</a></td></tr><tr><th>Entry:</th><td><a href=\"Observation-eicr-pregnancy-status-eve-everywoman.html\">eICR Pregnancy Status Example 1</a></td></tr><tr><th>Entry:</th><td><a href=\"Observation-eicr-occupation-history-eve-everywoman.html\">eICR Occupation History: Eve Everywoman</a></td></tr></table></td></tr><tr><th>Section:</th><td><table class=\"grid\"><tr><th>Title:</th><td>Problems Section</td></tr><tr><th>Code:</th><td><span title=\"Code: 11450-4 Code system: http://loinc.org\">Problem list - Reported</span></td></tr><tr><th>Text:</th><td>generated</td></tr><tr><th>Entry:</th><td><a href=\"Condition-eicr-condition-eve-everywoman-common-cold.html\">Common cold (disorder)</a></td></tr></table></td></tr><tr><th>Section:</th><td><table class=\"grid\"><tr><th>Title:</th><td>Medications Administered Section</td></tr><tr><th>Code:</th><td><span title=\"Code: 29549-3 Code system: http://loinc.org\">Medication administered Narrative</span></td></tr><tr><th>Text:</th><td>generated</td></tr><tr><th>Entry:</th><td><a href=\"MedicationStatement-us-core-medicationstatement-eve-everywoman-azithromycin.html\">Azithromycin 500 MG Oral Tablet</a></td></tr></table></td></tr><tr><th>Section:</th><td><table class=\"grid\"><tr><th>Title:</th><td>Results Section</td></tr><tr><th>Code:</th><td><span title=\"Code: 30954-2 Code system: http://loinc.org\">Relevant diagnostic tests/​laboratory data Narrative</span></td></tr><tr><th>Text:</th><td>generated</td></tr><tr><th>Entry:</th><td><a href=\"Observation-us-core-observation-results-eve-everywoman-lymphocytes.html\">Lymphocytes [#/​volume] in Blood by Automated count - Interpretation: High</a></td></tr></table></td></tr><tr><th>Section:</th><td><table class=\"grid\"><tr><th>Title:</th><td>Plan of Treatment Section</td></tr><tr><th>Code:</th><td><span title=\"Code: 18776-5 Code system: http://loinc.org\">Plan of Treatment</span></td></tr><tr><th>Text:</th><td>generated</td></tr><tr><th>Entry:</th><td>urn:oid:2.16.840.1.114222.4.11.750819/05/2018<a href=\"ProcedureRequest-eicr-procedurerequest-zika.html\">Request for Zika virus envelope (E) gene [Presence] in Serum by Probe and target amplification method</a></td></tr></table></td></tr></table>    <!-- <table class=\"header_table\" style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\">\n        <tbody>\n          <tr>\n            <td class=\"td_header_role_name\"\n              style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\">\n              <span class=\"td_label\">Document Title</span>\n            </td>\n            <td class=\"td_header_role_value\">Initial Public Health Case Report</td>\n          </tr>\n          <tr>\n            <td class=\"td_header_role_name\"\n              style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\">\n              <span class=\"td_label\">Document Id</span>\n            </td>\n            <td class=\"td_header_role_value\">id</td>\n          </tr>\n          <tr>\n            <td class=\"td_header_role_name\"\n              style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\">\n              <span class=\"td_label\">Document Created:</span>\n            </td>\n            <td class=\"td_header_role_value\">November 6, 2017, 22:23, PST </td>\n          </tr>\n        </tbody>\n      </table>\n      <table class=\"header_table\" style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\">\n        <tbody>\n          <tr>\n            <td class=\"td_header_role_name\"\n              style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\">\n              <span class=\"td_label\">Author</span>\n            </td>\n            <td class=\"td_header_role_value\">Henry Seven, MD</td>\n          </tr>\n\n        </tbody>\n      </table>\n      <table class=\"header_table\" style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\">\n        <tbody>\n          <tr>\n            <td class=\"td_header_role_name\"\n              style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\">\n              <span class=\"td_label\">Encounter Id</span>\n            </td>\n            <td class=\"td_header_role_value\">eicr-encounter-eve-everywoman-20180401</td>\n          </tr>\n          <tr>\n            <td class=\"td_header_role_name\"\n              style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\">\n              <span class=\"td_label\">Event Type</span>\n            </td>\n            <td class=\"td_header_role_value\">Ambulatory, Office Visit</td>\n          </tr>\n          <tr>\n            <td class=\"td_header_role_name\"\n              style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\">\n              <span class=\"td_label\">Event Date</span>\n            </td>\n            <td class=\"td_header_role_value\">March 7, 2018 10:00:00 AM to Nov 7, 2015 10:15:00 AM</td>\n          </tr>\n          <tr>\n            <td class=\"td_header_role_name\"\n              style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\">\n              <span class=\"td_label\">Encounter Location</span>\n            </td>\n            <td class=\"td_header_role_value\">Salem Medical Center, 4646 Brown Rd, Salem, MA 02368</td>\n          </tr>\n        </tbody>\n      </table> --></div>"
  },
  "status": "final",
  "type": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "55751-2",
        "display": "Public Health Case Report"
      }
    ]
  },
  "subject": {
    "reference": "Patient/ecr-patient-eve-everywoman",
    "display": "Eve Everywoman"
  },
  "encounter": {
    "reference": "Encounter/eicr-encounter-eve-everywoman-20180401",
    "display": "Ambulatory Office Visit, Apr 1, 2018, 10:00am"
  },
  "date": "2018-01-02T22:13:23Z",
  "author": [
    {
      "reference": "Practitioner/ecr-practitioner-henry-seven",
      "display": "Henry Seven, MD"
    }
  ],
  "title": "Initial Public Health Case Report",
  "section": [
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "46240-8",
            "display": "Encounters"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><thead><tr><th>Encounter</th><th>Date(s)</th><th>Location</th></tr></thead><tbody><tr><td>Office outpatient visit 15 minutes</td><td>MAR 7, 2018</td><td><ul><li>Urgent Care Center</li></ul></td></tr><tr><td colspan=\"20\"><ul><li><table><thead><tr><th>Encounter Diagnosis Type</th></tr></thead><tbody><tr><td>Diagnosis</td></tr><tr><td colspan=\"20\"><ul><li><table><thead><tr><th>Initial Case Report Trigger Code Problem Observation </th><th>Problem</th><th>Trigger Code</th><th>Trigger Code codeSystem</th><th>RCTC OID</th><th>RCTC Version</th><th>Date(s)</th></tr></thead><tbody><tr><td>Diagnosis</td><td>Pertussis (disorder)</td><td>27836007</td><td>SNOMED CT</td><td>2.16.840.1.114222.4.11.7508</td><td>19/03/2018</td><td>MAR 7, 2018</td></tr></tbody></table><table><thead><tr><th>Encounter Diagnosis Type</th></tr></thead><tbody><tr><td>Diagnosis</td></tr><tr><td colspan=\"20\"><ul><li><table><thead><tr><th>Problem Type</th><th>Problem</th><th>Date(s)</th></tr></thead><tbody><tr><td>Diagnosis</td><td>A non-trigger code diagnosis (disorder)</td><td>MAR 7, 2018</td></tr></tbody></table></li></ul></td></tr></tbody></table></li></ul></td></tr></tbody></table></li></ul></td></tr></tbody></table></div>"
      },
      "entry": [
        {
          "reference": "Encounter/eicr-encounter-diagnosis-eve-everywoman-20180401",
          "display": "eICR Encounter Diagnosis: Eve Everywoman 20180401"
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "10164-2",
            "display": "History of Present illness Narrative"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Persistent Cough REPORTED starting on 2018/03/05<br/> Whooping Respiration not reported<br/> Paroxysms Of\n      Coughing REPORTED starting on 2018/03/06<br/> Post-tussive vomiting not reported<br/></div>"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "29299-5",
            "display": "Reason for visit Narrative"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Bad cough<br/></div>"
      }
    },
    {
      "title": "Social History Section",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "29762-2",
            "display": "Social history Narrative"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><thead><tr><th>Travel History: Date(s)</th><th>Location</th></tr></thead><tbody><tr><td>APR 29, 2016 to OCT 30, 2016</td><td>Nadi,&nbsp;Fiji</td></tr></tbody></table><table><thead><tr><th>Pregnancy Status</th><th>Date(s)</th></tr></thead><tbody><tr><td>Not Pregnant</td><td>JAN 1, 2016 to MAR 7, 2018</td></tr></tbody></table><table><thead><tr><th>Occupation</th><th>Date(s)</th></tr></thead><tbody><tr><td>Human Resource Manager</td><td>JAN 1, 2016 to NOV 7, 2018</td></tr></tbody></table></div>"
      },
      "entry": [
        {
          "reference": "Observation/eicr-travel-history-eve-everywoman-201801",
          "display": "eICR Travel History: Eve Everywoman 2018-01"
        },
        {
          "reference": "Observation/eicr-pregnancy-status-eve-everywoman",
          "display": "eICR Pregnancy Status Example 1"
        },
        {
          "reference": "Observation/eicr-occupation-history-eve-everywoman",
          "display": "eICR Occupation History: Eve Everywoman"
        }
      ]
    },
    {
      "title": "Problems Section",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "11450-4",
            "display": "Problem list - Reported"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><thead><tr><th>Condition</th><th>id</th><th>Trigger Condition</th><th>Condition Category</th><th>Condition Code/Code System</th><th>Date(s)</th><th>Asserter</th></tr></thead><tbody><tr><td>Common cold (disorder)</td><td>16</td><td>FALSE</td><td>Encounter Diagnosis</td><td>82272006 / SNOMED CT</td><td>MAR 6, 2018</td><td>Henry Seven, MD</td></tr></tbody></table></div>"
      },
      "entry": [
        {
          "reference": "Condition/eicr-condition-eve-everywoman-common-cold",
          "display": "Common cold (disorder)"
        }
      ]
    },
    {
      "title": "Medications Administered Section",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "29549-3",
            "display": "Medication administered Narrative"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><thead><tr><th>id</th><th>Medication</th><th>Dose</th><th>Duration</th><th>Route</th></tr></thead><tbody><tr><td>MedicationStatement-us-core-medicationstatement-eve-everywoman-azithromycin</td><td>Azithromycin 500 MG Oral Tablet</td><td>1 TAB</td><td>MAR 7, 2018 11:25</td><td>ORALLY</td></tr></tbody></table></div>"
      },
      "entry": [
        {
          "reference": "MedicationStatement/us-core-medicationstatement-eve-everywoman-azithromycin",
          "display": "Azithromycin 500 MG Oral Tablet"
        }
      ]
    },
    {
      "title": "Results Section",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "30954-2",
            "display": "Relevant diagnostic tests/​laboratory data Narrative"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: us-core-observation-results-eve-everywoman-lymphocytes</p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/observation-category code 'laboratory' = 'Laboratory', given as 'Laboratory'})</span></p><p><b>code</b>: Lymphocytes [#/​volume] in Blood by Automated count <span style=\"background: LightGoldenRodYellow\">(Details : {LOINC code '731-0' = 'Lymphocytes [#/​volume] in Blood by Automated count'})</span></p><p><b>trigger result</b>: FALSE</p><p><b>effective</b>: Mar 6, 2018</p><p><b>value</b>: 5.2 10*3/uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code 10*3/uL')</span></p><p><b>interpretation</b>: High<span style=\"background: LightGoldenRodYellow\"> (Details: http://hl7.org/fhir/v2/0078 code 'H' = 'High')</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td>-</td><td><b>Low</b><b>High</b></td></tr><tr><td>*</td><td>1.0 10*3/uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code 10*3/uL')</span></td><td>4.8 10*3/uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code 10*3/uL')</span></td></tr></table></div>"
      },
      "entry": [
        {
          "reference": "Observation/us-core-observation-results-eve-everywoman-lymphocytes",
          "display": "Lymphocytes [#/​volume] in Blood by Automated count - Interpretation: High"
        }
      ]
    },
    {
      "title": "Plan of Treatment Section",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "18776-5",
            "display": "Plan of Treatment"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>id</b>: 5</p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>priority</b>: asap</p><p><b>category</b>: Diagnostics Procedure <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '103693007' = 'Diagnostic procedure', given as 'Diagnostic procedure (procedure)'})</span></p><p><b>code</b>: Zika RT-PCR <span style=\"background: LightGoldenRodYellow\">(Details : {LOINC code '80825-3' = 'Zika virus envelope (E) gene [Presence] in Serum by Probe and target amplification method', given as 'Zika virus envelope (E) gene [Presence] in Serum by Probe and target amplification method'})</span></p><p><b>trigger lab order</b>: TRUE</p><p><b>trigger value set/version</b>: urn:oid:2.16.840.1.114222.4.11.7508 / 19/05/2018</p><p><b>performer</b>: <a href=\"Organization/acme-labs\">Acme Labs</a></p></div>"
      },
      "entry": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/extension-eicr-trigger-code-flag",
              "extension": [
                {
                  "url": "triggerCodeValueSet",
                  "valueOid": "urn:oid:2.16.840.1.114222.4.11.7508"
                },
                {
                  "url": "triggerCodeValueSetVersion",
                  "valueString": "19/05/2018"
                }
              ]
            }
          ],
          "reference": "ProcedureRequest/eicr-procedurerequest-zika",
          "display": "Request for Zika virus envelope (E) gene [Presence] in Serum by Probe and target amplification method"
        }
      ]
    }
  ]
}