From 5ef7709ebc1da729d4e6363c094e82e468443f1b Mon Sep 17 00:00:00 2001 From: Taha Date: Fri, 24 Nov 2023 17:09:06 -0800 Subject: [PATCH] v2 -> v1 plugin (#748) Added new eCR module with eRSD V2 to V1 conversion operation --------- Co-authored-by: taha.attari@smilecdr.com Co-authored-by: Adam Stevenson --- README.md | 7 +- ecr/Dockerfile | 3 + ecr/README.md | 15 + ecr/pom.xml | 66 + .../java/com/transform/TransformConfig.java | 21 + .../com/transform/TransformProperties.java | 28 + .../java/com/transform/TransformProvider.java | 169 + .../main/resources/META-INF/spring.factories | 2 + .../ersd-v1-plandefinition-skeleton.json | 495 + .../com/transform/TransformProviderIT.java | 105 + .../test/resources/ersd-bundle-example.json | 9753 +++++++++++++++++ .../ersd-v1-plandefinition-alternate.json | 483 + .../ersd-v1-plandefinition-skeleton.json | 495 + example/README.md | 4 + pom.xml | 1 - server/pom.xml | 4 +- 16 files changed, 11644 insertions(+), 7 deletions(-) create mode 100644 ecr/Dockerfile create mode 100644 ecr/README.md create mode 100644 ecr/pom.xml create mode 100644 ecr/src/main/java/com/transform/TransformConfig.java create mode 100644 ecr/src/main/java/com/transform/TransformProperties.java create mode 100644 ecr/src/main/java/com/transform/TransformProvider.java create mode 100644 ecr/src/main/resources/META-INF/spring.factories create mode 100644 ecr/src/main/resources/ersd-v1-plandefinition-skeleton.json create mode 100644 ecr/src/test/java/com/transform/TransformProviderIT.java create mode 100644 ecr/src/test/resources/ersd-bundle-example.json create mode 100644 ecr/src/test/resources/ersd-v1-plandefinition-alternate.json create mode 100644 ecr/src/test/resources/ersd-v1-plandefinition-skeleton.json diff --git a/README.md b/README.md index 604563a50..daf5eae09 100644 --- a/README.md +++ b/README.md @@ -8,8 +8,7 @@ --- -The cqf-ruler is based on the [HAPI FHIR JPA Server Starter](https://github.com/hapifhir/hapi-fhir-jpaserver-starter) and adds a set of plugins that provide an implementation of FHIR's [Clinical Reasoning Module]( -http://hl7.org/fhir/clinicalreasoning-module.html), serve as a +The cqf-ruler is based on the [HAPI FHIR JPA Server Starter](https://github.com/hapifhir/hapi-fhir-jpaserver-starter) and adds a set of plugins that provide an implementation of FHIR's [Clinical Reasoning Module](http://hl7.org/fhir/clinicalreasoning-module.html), serve as a knowledge artifact repository, and a [cds-hooks](https://cds-hooks.org/) compatible clinical decision support service. The cqf-ruler provides an [extensibility API](#plugins) to allow adding custom FHIR operations without the need to fork or clone the entire project. See the [wiki](https://github.com/DBCG/cqf-ruler/wiki/Home) for more information @@ -30,6 +29,7 @@ The public sandbox is not persistent, has no authentication, and is regularly re The easiest way to get started with the cqf-ruler is to pull and run the docker image. For avoiding to run docker container by default root user permission, the container from this image will run with a user named `cqfruler` + ```bash docker pull alphora/cqf-ruler docker run -p 8080:8080 alphora/cqf-ruler @@ -75,8 +75,7 @@ to clean up any unneeded or unused files, use: #### Java -Go to [http://www.oracle.com/technetwork/java/javase/downloads/]( -http://www.oracle.com/technetwork/java/javase/downloads/) and download the +Go to [http://www.oracle.com/technetwork/java/javase/downloads/](http://www.oracle.com/technetwork/java/javase/downloads/) and download the latest (version 11 or higher) JDK for your platform, and install it. #### Apache Maven diff --git a/ecr/Dockerfile b/ecr/Dockerfile new file mode 100644 index 000000000..a92848777 --- /dev/null +++ b/ecr/Dockerfile @@ -0,0 +1,3 @@ +FROM contentgroup/cqf-ruler:latest + +COPY ./target/cqf-ruler-*.jar plugin \ No newline at end of file diff --git a/ecr/README.md b/ecr/README.md new file mode 100644 index 000000000..d73e771b6 --- /dev/null +++ b/ecr/README.md @@ -0,0 +1,15 @@ +# Plugin + +This is a cqf-ruler plugin which takes an eRSD V2 Bundle and converts it to an eRSD V1 Bundle. + +## Build + +Use `mvn package` to build the jar files + +## Docker + +The Dockerfile builds on top of the base cqf-ruler image and simply copies the jar into the `plugin` directory of the image. + +## Setup + +A V1 PlanDefinition skeleton must be uploaded with ID : `plandefinition-ersd-skeleton` diff --git a/ecr/pom.xml b/ecr/pom.xml new file mode 100644 index 000000000..5c21024a8 --- /dev/null +++ b/ecr/pom.xml @@ -0,0 +1,66 @@ + + + 4.0.0 + + org.opencds.cqf.ruler + cqf-ruler + 0.15.0-SNAPSHOT + ../ + + + com.ecr + cqf-ruler-ecr + 1.0.0 + + + org.opencds.cqf.ruler + cqf-ruler-core + 0.15.0-SNAPSHOT + + + org.junit.jupiter + junit-jupiter-api + test + + + org.junit.jupiter + junit-jupiter-engine + test + + + org.opencds.cqf.ruler + cqf-ruler-test + 0.15.0-SNAPSHOT + test + + + org.springframework.boot + spring-boot-starter + test + + + org.springframework.boot + spring-boot-starter-web + test + + + org.springframework.boot + spring-boot-starter-test + test + + + + + + + org.sonatype.plugins + nexus-staging-maven-plugin + + true + true + + + + + + diff --git a/ecr/src/main/java/com/transform/TransformConfig.java b/ecr/src/main/java/com/transform/TransformConfig.java new file mode 100644 index 000000000..457a462eb --- /dev/null +++ b/ecr/src/main/java/com/transform/TransformConfig.java @@ -0,0 +1,21 @@ +package com.transform; + +import org.opencds.cqf.external.annotations.OnR4Condition; +import org.opencds.cqf.ruler.api.OperationProvider; +import org.springframework.context.annotation.Bean; +import org.springframework.context.annotation.Conditional; +import org.springframework.context.annotation.Configuration; + +@Configuration +public class TransformConfig { + @Bean + public TransformProperties transformProperties() { + return new TransformProperties(); + } + + @Bean + @Conditional(OnR4Condition.class) + public OperationProvider transformProvider() { + return new TransformProvider(); + } +} diff --git a/ecr/src/main/java/com/transform/TransformProperties.java b/ecr/src/main/java/com/transform/TransformProperties.java new file mode 100644 index 000000000..b4e88fa15 --- /dev/null +++ b/ecr/src/main/java/com/transform/TransformProperties.java @@ -0,0 +1,28 @@ +package com.transform; +import org.hl7.fhir.r5.model.IdType; +import org.opencds.cqf.ruler.behavior.DaoRegistryUser; +import org.springframework.beans.factory.annotation.Autowired; +import org.springframework.boot.context.properties.ConfigurationProperties; + +import ca.uhn.fhir.jpa.api.dao.DaoRegistry; + +@ConfigurationProperties(prefix = "transform") +public class TransformProperties implements DaoRegistryUser { + @Autowired + private DaoRegistry myDaoRegistry; + + public static final IdType v1PlanDefinitionId = new IdType("PlanDefinition", "plandefinition-ersd-skeleton"); + public static final String usPHTriggeringVSProfile = "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-triggering-valueset"; + public static final String usPHTriggeringVSLibProfile = "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-triggering-valueset-library"; + public static final String ersdVSLibProfile = "http://hl7.org/fhir/us/ecr/StructureDefinition/ersd-valueset-library"; + public static final String ersdVSProfile = "http://hl7.org/fhir/us/ecr/StructureDefinition/ersd-valueset"; + public static final String ersdPlanDefinitionProfile = "http://hl7.org/fhir/us/ecr/StructureDefinition/ersd-plandefinition"; + public static final String usPHSpecLibProfile = "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-specification-library"; + public static final String usPHUsageContextType = "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type"; + public static final String hl7UsageContextType = "http://terminology.hl7.org/CodeSystem/usage-context-type"; + public static final String usPHUsageContext = "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context"; + + public DaoRegistry getDaoRegistry() { + return myDaoRegistry; + } +} diff --git a/ecr/src/main/java/com/transform/TransformProvider.java b/ecr/src/main/java/com/transform/TransformProvider.java new file mode 100644 index 000000000..0985594ea --- /dev/null +++ b/ecr/src/main/java/com/transform/TransformProvider.java @@ -0,0 +1,169 @@ +package com.transform; + +import java.util.List; +import java.util.Optional; +import java.util.stream.Collectors; + +import org.hl7.fhir.instance.model.api.IBaseBundle; +import org.hl7.fhir.instance.model.api.IBaseResource; +import org.hl7.fhir.instance.model.api.IIdType; +import org.hl7.fhir.r4.model.Bundle; +import org.hl7.fhir.r4.model.Bundle.BundleEntryComponent; +import org.hl7.fhir.r4.model.CanonicalType; +import org.hl7.fhir.r4.model.Coding; +import org.hl7.fhir.r4.model.Meta; +import org.hl7.fhir.r4.model.MetadataResource; +import org.hl7.fhir.r4.model.PlanDefinition; +import org.hl7.fhir.r4.model.Reference; +import org.hl7.fhir.r4.model.ResourceType; +import org.hl7.fhir.r4.model.UsageContext; +import org.hl7.fhir.r4.model.ValueSet; +import org.opencds.cqf.ruler.api.OperationProvider; +import org.springframework.beans.factory.annotation.Autowired; + +import ca.uhn.fhir.model.api.annotation.Description; +import ca.uhn.fhir.rest.annotation.Operation; +import ca.uhn.fhir.rest.annotation.OperationParam; +import ca.uhn.fhir.rest.api.server.RequestDetails; +import ca.uhn.fhir.rest.server.exceptions.ResourceGoneException; +import ca.uhn.fhir.rest.server.exceptions.ResourceNotFoundException; +import ca.uhn.fhir.rest.server.exceptions.UnprocessableEntityException; + +public class TransformProvider implements OperationProvider { + @Autowired + TransformProperties transformProperties; + + /** + * Implements the $ersd-v2-to-v1-transform operation which transforms an ersd v2 Bundle + * into an ersd v1 compatible bundle + * @param requestDetails the incoming request details + * @param maybeBundle the v2 bundle to transform + * @param maybePlanDefinition the v1 PlanDefinition to include + * @return the v1 compatible bundle + */ + @Description(shortDefinition = "Converts a v2 ERSD bundle into a v1 ERSD bundle", value = "Converts a v2 ERSD bundle into a v1 ERSD bundle") + @Operation(idempotent = true, name = "$ersd-v2-to-v1-transform") + public Bundle convert_v1( + RequestDetails requestDetails, + @OperationParam(name = "bundle") IBaseResource maybeBundle, + @OperationParam(name = "planDefinition") IBaseResource maybePlanDefinition + ) throws UnprocessableEntityException { + if (maybeBundle == null) { + throw new UnprocessableEntityException("Resource is missing"); + } + if (!(maybeBundle instanceof IBaseBundle )) { + throw new UnprocessableEntityException("Resource is not a bundle"); + } + if (maybePlanDefinition != null && !(maybePlanDefinition instanceof PlanDefinition)) { + throw new UnprocessableEntityException("Provided v1 PlanDefinition is not a PlanDefinition resource"); + } + Bundle v2 = (Bundle) maybeBundle; + removeRootSpecificationLibrary(v2); + final PlanDefinition v1PlanDefinition = maybePlanDefinition != null ? (PlanDefinition) maybePlanDefinition : getV1PlanDefinition(requestDetails); + v2.getEntry().stream() + .forEach(entry -> { + if (entry.getResource() instanceof MetadataResource) { + MetadataResource resource = (MetadataResource) entry.getResource(); + checkAndUpdateV2PlanDefinition(entry, v1PlanDefinition); + updateV2GroupersUseContext(resource,v1PlanDefinition.getIdElement()); + updateV2TriggeringValueSets(resource, v1PlanDefinition.getUrl()); + updateV2TriggeringValueSetLibrary(resource); + resource.setExperimentalElement(null); + } + }); + return v2; + } + private void updateV2GroupersUseContext(MetadataResource resource, IIdType planDefinitionId) { + // if resourc is a vs + if (resource.getResourceType() == ResourceType.ValueSet) { + ValueSet valueSet = (ValueSet) resource; + // if vs is a grouper + if (valueSet.hasCompose() + && valueSet.getCompose().getIncludeFirstRep().getValueSet().size() > 0) { + List usageContexts = valueSet.getUseContext(); + UsageContext program = usageContexts.stream().filter(useContext -> useContext.getCode().getSystem().equals(TransformProperties.hl7UsageContextType) && useContext.getCode().getCode().equals("program")).findFirst().orElseGet(() -> { + UsageContext retval = new UsageContext(new Coding(TransformProperties.hl7UsageContextType, "program", null), null); + usageContexts.add(retval); + return retval; + }); + program.setValue(new Reference(planDefinitionId)); + } + } + } + private void removeRootSpecificationLibrary(Bundle v2) { + List filteredRootLib = v2.getEntry().stream() + .filter(entry -> entry.hasResource()) + .filter(entry -> !(entry.getResource().hasMeta() && entry.getResource().getMeta().hasProfile(TransformProperties.usPHSpecLibProfile))).collect(Collectors.toList()); + v2.setEntry(filteredRootLib); + } + private void checkAndUpdateV2PlanDefinition(BundleEntryComponent entry, PlanDefinition v1PlanDefinition) throws UnprocessableEntityException{ + if (entry.getResource().getResourceType() == ResourceType.PlanDefinition + && entry.getResource().hasMeta() + && entry.getResource().getMeta().getProfile().stream().anyMatch(canonical -> canonical.getValue().contains("/ersd-plandefinition"))) { + entry.setResource(v1PlanDefinition); + String url = Optional.ofNullable(v1PlanDefinition.getUrl()).orElseThrow(() -> new UnprocessableEntityException("URL missing from PlanDefinition")); + String version = Optional.ofNullable(v1PlanDefinition.getVersion()).orElseThrow(() -> new UnprocessableEntityException("Version missing from PlanDefinition")); + entry.setFullUrl(url + "|" + version); + } + } + /** + * Remove all instances of an old profile and add one instance of a new profile + * @param meta the meta object to update + * @param oldProfile the profile URL to remove + * @param newProfile the profile URL to add + */ + private void replaceProfile(Meta meta, String oldProfile, String newProfile) { + // remove all instances of old profile + List updatedProfiles = meta.getProfile().stream() + .filter(profile -> !profile.getValue().equals(oldProfile)).collect(Collectors.toList()); + // add the new profile if it doesn't exist + if (!updatedProfiles.stream().anyMatch(profile -> profile.getValue().equals(newProfile))) { + updatedProfiles.add(new CanonicalType(newProfile)); + } + meta.setProfile(updatedProfiles); + } + private void updateV2TriggeringValueSetLibrary(MetadataResource resource) { + if (resource.getResourceType() == ResourceType.Library + && resource.hasMeta() + && resource.getMeta().hasProfile(TransformProperties.usPHTriggeringVSLibProfile) + ) { + replaceProfile(resource.getMeta(), TransformProperties.usPHTriggeringVSLibProfile, TransformProperties.ersdVSLibProfile); + List filteredUseContexts = resource.getUseContext().stream() + .filter(useContext -> + !(useContext.getCode().getCode().equals("reporting") + && useContext.getValueCodeableConcept().hasCoding(TransformProperties.usPHUsageContext, "triggering")) + && !(useContext.getCode().getCode().equals("specification-type") + && useContext.getValueCodeableConcept().hasCoding(TransformProperties.usPHUsageContext, "value-set-library"))) + .collect(Collectors.toList()); + resource.setUseContext(filteredUseContexts); + } + } + private void updateV2TriggeringValueSets(MetadataResource resource, String v1PlanDefinitionUrl) { + if (resource.getResourceType() == ResourceType.ValueSet + && resource.hasMeta() + && resource.getMeta().hasProfile(TransformProperties.usPHTriggeringVSProfile)) { + replaceProfile(resource.getMeta(), TransformProperties.usPHTriggeringVSProfile, TransformProperties.ersdVSProfile); + List filteredUseContexts = resource.getUseContext().stream() + .filter(useContext -> + !(useContext.getCode().getCode().equals("reporting") + && useContext.getValueCodeableConcept().hasCoding(TransformProperties.usPHUsageContext, "triggering")) + && !(useContext.getCode().getCode().equals("priority") + && useContext.getValueCodeableConcept().hasCoding(TransformProperties.usPHUsageContext, "routine"))) + .collect(Collectors.toList()); + resource.setUseContext(filteredUseContexts); + } + } + private PlanDefinition getV1PlanDefinition(RequestDetails requestDetails) throws ResourceNotFoundException { + Optional maybePlanDefinition = Optional.ofNullable(null); + try { + PlanDefinition v1PlanDefinition = (PlanDefinition) transformProperties + .getDaoRegistry() + .getResourceDao(TransformProperties.v1PlanDefinitionId.getResourceType()) + .read(TransformProperties.v1PlanDefinitionId, requestDetails); + maybePlanDefinition = Optional.of(v1PlanDefinition); + } catch (ResourceNotFoundException | ResourceGoneException e) { + throw new ResourceNotFoundException("Could not find V1 PlanDefinition"); + } + return maybePlanDefinition.orElseThrow(() -> new ResourceNotFoundException("Could not find V1 PlanDefinition")); + } +} \ No newline at end of file diff --git a/ecr/src/main/resources/META-INF/spring.factories b/ecr/src/main/resources/META-INF/spring.factories new file mode 100644 index 000000000..c45c1a552 --- /dev/null +++ b/ecr/src/main/resources/META-INF/spring.factories @@ -0,0 +1,2 @@ +org.springframework.boot.autoconfigure.EnableAutoConfiguration=\ +com.transform.TransformConfig \ No newline at end of file diff --git a/ecr/src/main/resources/ersd-v1-plandefinition-skeleton.json b/ecr/src/main/resources/ersd-v1-plandefinition-skeleton.json new file mode 100644 index 000000000..a10fbc63b --- /dev/null +++ b/ecr/src/main/resources/ersd-v1-plandefinition-skeleton.json @@ -0,0 +1,495 @@ +{ + "resourceType": "PlanDefinition", + "id": "plandefinition-ersd-skeleton", + "_id": { + "fhir_comments": [ + " SG: changed id from plandefinition-ersd-instance " + ] + }, + "meta": { + "versionId": "45", + "lastUpdated": "2021-12-09T01:00:00.000-05:00", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/ersd-plandefinition" + ] + }, + "text": { + "fhir_comments": [ + " SG: changes in text to match changes in data " + ], + "status": "generated", + "div": "
\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
id\n
plandefinition-ersd-skeleton
\n
meta\n \n \n \n \n \n \n \n \n \n \n \n \n \n
versionId\n
13
\n
lastUpdated\n
2020-08-11T01:00:00.000-05:00
\n
profile\n
http://hl7.org/fhir/us/ecr/StructureDefinition/ersd-plandefinition
\n
\n
url\n
http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-skeleton
\n
version\n
1.2.0.0
\n
name\n
PlanDefinition_eRSD_Skeleton_Instance
\n
title\n
eRSD PlanDefinition Skeleton Instance
\n
type\n \n
status\n
active
\n
date\n
2020-07-29T01:00:00.000-05:00
\n
action\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
description\n
\n

This action represents the matching of a trigger code to one of the values in the eRSD value sets.

\n
\n
textEquivalent\n
Match of a code to one of the values in the eRSD value sets.
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
Condition
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
code
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/dxtc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
Immunization
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
vaccineCode
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/iztc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
ServiceRequest
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
code
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/lotc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
Observation
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
code
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/lrtc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
MedicationAdministration
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
code
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/mrtc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
Observation
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
value
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/ostc
\n
\n
\n
\n
\n
action\n \n \n \n \n \n \n \n \n \n \n \n \n \n
description\n
\n

This action represents the initial creation of the eICR.

\n
\n
textEquivalent\n
eICR construction delay (offsetDuration.value = x hours) - time after trigger event before an eICR should be created.
\n
relatedAction\n \n \n \n \n \n \n \n \n \n \n \n \n \n
actionId\n
match-trigger
\n
relationship\n
after
\n
offsetDuration\n \n \n \n \n \n \n \n \n \n
value\n
1
\n
unit\n
h
\n
\n
\n
\n
action\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
description\n
\n

This action represents the periodic recheck for matching of a trigger code to one of the values in the eRSD value sets.

\n
\n
textEquivalent\n
eICR periodic recheck for a trigger match (repeat.frequency = y hours) - the time after an initial match-trigger action.
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
periodic
\n
timingTiming\n \n \n \n \n \n
repeat\n \n \n \n \n \n \n \n \n \n \n \n \n \n
frequency\n
1
\n
period\n
12
\n
periodUnit\n
h
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
Condition
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
code
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/dxtc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
Immunization
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
vaccineCode
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/iztc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
ServiceRequest
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
code
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/lotc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
Observation
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
code
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/lrtc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
MedicationAdministration
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
code
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/mrtc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
Observation
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
value
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/ostc
\n
\n
\n
\n
condition\n \n \n \n \n \n \n \n \n \n
kind\n
start
\n
expression\n \n \n \n \n \n \n \n \n \n \n \n \n \n
description\n
\n

Encounter is active.

\n
\n
language\n
text/cql
\n
expression\n
encounter.period.start != null and encounter.period.end = null
\n
\n
\n
condition\n \n \n \n \n \n \n \n \n \n
kind\n
stop
\n
expression\n \n \n \n \n \n \n \n \n \n \n \n \n \n
description\n
\n

Encounter is closed.

\n
\n
language\n
text/cql
\n
expression\n
encounter.period.end != null
\n
\n
\n
relatedAction\n \n \n \n \n \n \n \n \n \n \n \n \n \n
actionId\n
match-trigger
\n
relationship\n
after
\n
offsetDuration\n \n \n \n \n \n \n \n \n \n
value\n
12
\n
unit\n
h
\n
\n
\n
\n
action\n \n \n \n \n \n \n \n \n \n \n \n \n \n
description\n
\n

This action represents the creation of the eICR after a trigger match recheck.

\n
\n
textEquivalent\n
eICR construction delay (offsetDuration.value = x hours) - time after trigger event before an eICR should be created.
\n
relatedAction\n \n \n \n \n \n \n \n \n \n
actionId\n
recheck-match-trigger
\n
relationship\n
after
\n
\n
\n
action\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
description\n
\n

This action represents the close out of an eICR encounter.

\n
\n
textEquivalent\n
eICR encounter close out (timingTiming.repeat.duration = z hours) - the time after the end of the encounter to create the final eICR when there have been\n one or more trigger events.
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-added
\n
data\n \n \n \n \n \n \n \n \n \n \n \n \n \n
type\n
Encounter
\n
profile\n
http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-encounter
\n
dateFilter\n \n \n \n \n \n
path\n
period.end
\n
\n
\n
\n
relatedAction\n \n \n \n \n \n \n \n \n \n
actionId\n
create-eicr
\n
relationship\n
after
\n
\n
timingTiming\n \n \n \n \n \n
repeat\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
count\n
1
\n
duration\n
72
\n
durationUnit\n
h
\n
frequency\n
1
\n
\n
\n
\n
action\n \n \n \n \n \n \n \n \n \n \n \n \n \n
description\n
\n

This action represents the validation of an eICR.

\n
\n
textEquivalent\n
Validate eICR.
\n
trigger\n \n \n \n \n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
name\n
eicr-created
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
Composition
\n
profile\n
http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-composition
\n
\n
\n
\n
action\n \n \n \n \n \n \n \n \n \n \n \n \n \n
description\n
\n

This action represents the routing and sending of an eICR.

\n
\n
textEquivalent\n
Route and send eICR
\n
relatedAction\n \n \n \n \n \n \n \n \n \n
actionId\n
validate-eicr
\n
relationship\n
after
\n
\n
\n
\n
" + }, + "url": "http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-skeleton", + "_url": { + "fhir_comments": [ + " SG: updated from plandefinition-ersd-instance " + ] + }, + "version": "1.2.0.0", + "name": "PlanDefinition_eRSD_Skeleton_Instance", + "_name": { + "fhir_comments": [ + " SG: added \"skeleton\" " + ] + }, + "title": "eRSD PlanDefinition Skeleton Instance", + "_title": { + "fhir_comments": [ + " SG: added \"skeleton\" " + ] + }, + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/plan-definition-type", + "code": "eca-rule", + "display": "ECA Rule" + } + ] + }, + "status": "active", + "date": "2023-03-10T13:46:37.516-05:00", + "effectivePeriod": { + "start": "2023-06-01" + }, + "relatedArtifact": [ + { + "type": "depends-on", + "label": "RCTC Value Set Library of Trigger Codes", + "resource": "http://ersd.aimsplatform.org/fhir/Library/rctc" + } + ], + "action": [ + { + "id": "match-trigger", + "description": "This action represents the matching of a trigger code to one of the values in the eRSD value sets.", + "textEquivalent": "Match of a code to one of the values in the eRSD value sets.", + "trigger": [ + { + "type": "data-changed", + "data": [ + { + "type": "Condition", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/dxtc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "fhir_comments": [ + " SG 202112: Added new suspected diagnosis value set " + ], + "type": "data-changed", + "data": [ + { + "type": "Condition", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/sdtc" + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "Immunization", + "codeFilter": [ + { + "path": "vaccineCode", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/iztc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "ServiceRequest", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/lotc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "Observation", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/lrtc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "MedicationAdministration", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/mrtc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "Observation", + "codeFilter": [ + { + "path": "value", + "_path": { + "fhir_comments": [ + " SG: update from code to value " + ] + }, + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/ostc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + } + ] + }, + { + "id": "create-eicr", + "description": "This action represents the initial creation of the eICR.", + "textEquivalent": "eICR construction delay (offsetDuration.value = x hours) - time after trigger event before an eICR should be created.", + "relatedAction": [ + { + "actionId": "match-trigger", + "relationship": "after", + "offsetDuration": { + "value": 1, + "unit": "h" + } + } + ] + }, + { + "id": "periodic-update-eicr", + "description": "This action represents the periodic recheck for matching of a trigger code to one of the values in the eRSD value sets.", + "textEquivalent": "eICR periodic recheck for a trigger match (repeat.frequency = y hours) - the time after an initial match-trigger action.", + "trigger": [ + { + "fhir_comments": [ + " 20200601: Updated Y timing to be every 6 hours ", + " SG 20220429: Updated Y timing from 6 to 12 hours " + ], + "type": "periodic", + "timingTiming": { + "repeat": { + "frequency": 1, + "period": 12, + "periodUnit": "h" + } + } + }, + { + "fhir_comments": [ + " SG: Added trigger code matches " + ], + "type": "data-changed", + "data": [ + { + "type": "Condition", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/dxtc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "fhir_comments": [ + " SG 202112: added new value set \"suspected diagnosis\" " + ], + "type": "data-changed", + "data": [ + { + "type": "Condition", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/sdtc" + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "Immunization", + "codeFilter": [ + { + "path": "vaccineCode", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/iztc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "ServiceRequest", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/lotc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "Observation", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/lrtc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "MedicationAdministration", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/mrtc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "Observation", + "codeFilter": [ + { + "path": "value", + "_path": { + "fhir_comments": [ + " SG: updated from code to value " + ] + }, + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/ostc" + } + ] + } + ] + } + ], + "condition": [ + { + "kind": "start", + "expression": { + "description": "Encounter is active.", + "language": "text/cql", + "expression": "encounter.period.start != null and encounter.period.end = null" + } + }, + { + "kind": "stop", + "expression": { + "description": "Encounter is closed.", + "language": "text/cql", + "expression": "encounter.period.end != null" + } + } + ], + "relatedAction": [ + { + "actionId": "match-trigger", + "relationship": "after", + "offsetDuration": { + "fhir_comments": [ + " SG 20220429: Updated from 6 to 12 hours " + ], + "value": 12, + "unit": "h" + } + } + ] + }, + { + "fhir_comments": [ + " 20200601 new action to create the eICR after a re-check for trigger codes " + ], + "id": "create-eicr-after-recheck", + "description": "This action represents the creation of the eICR after a trigger match recheck.", + "textEquivalent": "eICR construction delay (offsetDuration.value = x hours) - time after trigger event before an eICR should be created.", + "relatedAction": [ + { + "actionId": "recheck-match-trigger", + "relationship": "after" + } + ] + }, + { + "id": "close-out-eicr", + "description": "This action represents the close out of an eICR encounter.", + "textEquivalent": "eICR encounter close out (timingTiming.repeat.duration = z hours) - the time after the end of the encounter to create the final eICR when there have been one or more trigger events.", + "trigger": [ + { + "type": "data-added", + "data": [ + { + "type": "Encounter", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-encounter" + ], + "dateFilter": [ + { + "path": "period.end" + } + ] + } + ] + } + ], + "relatedAction": [ + { + "actionId": "create-eicr", + "relationship": "after" + } + ], + "timingTiming": { + "repeat": { + "count": 1, + "duration": 72, + "_duration": { + "fhir_comments": [ + " SG 20220429: Updated Z timing from 24 to 72 " + ] + }, + "durationUnit": "h", + "frequency": 1 + } + } + }, + { + "id": "validate-eicr", + "description": "This action represents the validation of an eICR.", + "textEquivalent": "Validate eICR.", + "trigger": [ + { + "type": "data-changed", + "name": "eicr-created", + "data": [ + { + "type": "Composition", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-composition" + ] + } + ] + } + ] + }, + { + "id": "route-and-send-eicr", + "description": "This action represents the routing and sending of an eICR.", + "textEquivalent": "Route and send eICR", + "relatedAction": [ + { + "actionId": "validate-eicr", + "relationship": "after" + } + ] + } + ] +} \ No newline at end of file diff --git a/ecr/src/test/java/com/transform/TransformProviderIT.java b/ecr/src/test/java/com/transform/TransformProviderIT.java new file mode 100644 index 000000000..7b3947ef4 --- /dev/null +++ b/ecr/src/test/java/com/transform/TransformProviderIT.java @@ -0,0 +1,105 @@ +package com.transform; + +import static org.junit.jupiter.api.Assertions.assertNotNull; +import static org.junit.jupiter.api.Assertions.assertTrue; + +import java.util.List; +import java.util.stream.Collectors; + +import org.hl7.fhir.r4.model.Bundle; +import org.hl7.fhir.r4.model.Bundle.BundleEntryComponent; +import org.hl7.fhir.r4.model.MetadataResource; +import org.hl7.fhir.r4.model.Parameters; +import org.hl7.fhir.r4.model.PlanDefinition; +import org.hl7.fhir.r4.model.ResourceType; +import org.junit.jupiter.api.Test; +import org.opencds.cqf.ruler.test.RestIntegrationTest; +import org.springframework.boot.test.context.SpringBootTest; + +@SpringBootTest(webEnvironment = SpringBootTest.WebEnvironment.RANDOM_PORT, classes = { + TransformConfig.class }, properties = { "hapi.fhir.fhir_version=r4" }) +class TransformProviderIT extends RestIntegrationTest { + @Test + void testTransformConfig() { + loadResource("ersd-v1-plandefinition-skeleton.json"); + Bundle v2Bundle = (Bundle) loadResource("ersd-bundle-example.json"); + Parameters v2BundleParams = new Parameters(); + v2BundleParams.addParameter() + .setName("bundle") + .setResource(v2Bundle); + Bundle v1Bundle = getClient() + .operation() + .onServer() + .named("$ersd-v2-to-v1-transform") + .withParameters(v2BundleParams) + .returnResourceType(Bundle.class) + .execute(); + + assertNotNull(v1Bundle); + List entries = v1Bundle.getEntry().stream().map(entry -> (MetadataResource) entry.getResource()).collect(Collectors.toList()); + List ersdValueSets = entries.stream().filter(entry -> entry.getResourceType() == ResourceType.ValueSet + && entry.hasMeta() + && entry.getMeta().hasProfile(TransformProperties.ersdVSProfile)).collect(Collectors.toList()); + List ersdValueSetLibrary = entries.stream().filter(entry -> entry.getResourceType() == ResourceType.Library + && entry.hasMeta() + && entry.getMeta().hasProfile(TransformProperties.ersdVSLibProfile)).collect(Collectors.toList()); + List containsSpecificationLibrary = entries.stream().filter(entry -> entry.getResourceType() == ResourceType.Library && entry.hasMeta() + && (entry.getMeta().hasProfile(TransformProperties.usPHSpecLibProfile) || entry.getUrl().equals("http://hl7.org/fhir/us/ecr/Library/SpecificationLibrary"))).collect(Collectors.toList()); + List containsV2PlanDefinition = entries.stream().filter(entry -> entry.getResourceType() == ResourceType.PlanDefinition && entry.hasMeta() + && entry.getMeta().hasProfile(TransformProperties.ersdPlanDefinitionProfile) && !entry.getName().equals("PlanDefinition_eRSD_Skeleton_Instance")).collect(Collectors.toList()); + List VSTriggeringUseContextsMissingV1PlanDefinitionReference = entries.stream().filter(entry -> entry.getResourceType() == ResourceType.ValueSet && entry.hasMeta() && entry.getMeta().hasProfile(TransformProperties.ersdVSProfile) + && entry.getUseContext().stream().anyMatch(useContext -> useContext.getCode().getCode().equals("program") && !useContext.getValueReference().getReference().equals("PlanDefinition/plandefinition-ersd-skeleton"))).collect(Collectors.toList()); + List containsV1PlanDefinition = entries.stream().filter(entry -> entry.getResourceType() == ResourceType.PlanDefinition && entry.hasMeta() + && entry.getMeta().hasProfile(TransformProperties.ersdPlanDefinitionProfile) && entry.getName().equals("PlanDefinition_eRSD_Skeleton_Instance")).collect(Collectors.toList()); + List planDefFullUrlUpdated = v1Bundle.getEntry().stream().filter(entry -> entry.getFullUrl().equals("http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-skeleton|1.2.0.0")).collect(Collectors.toList()); + List hasV2TriggeringVSLibUseContexts = entries.stream().filter(entry -> entry.getResourceType() == ResourceType.Library && entry.hasMeta() && entry.getMeta().hasProfile(TransformProperties.ersdVSLibProfile) + && entry.getUseContext().stream().anyMatch(useContext -> + (useContext.getCode().getCode().equals("reporting") + && useContext.getValueCodeableConcept().hasCoding(TransformProperties.usPHUsageContext, "triggering")) + || (useContext.getCode().getCode().equals("specification-type") + && useContext.getValueCodeableConcept().hasCoding(TransformProperties.usPHUsageContext, "value-set-library"))) + ).collect(Collectors.toList()); + List hasV2TriggeringVSUseContexts = entries.stream().filter(entry -> entry.getResourceType() == ResourceType.ValueSet && entry.hasMeta() && entry.getMeta().hasProfile(TransformProperties.ersdVSProfile) + && entry.getUseContext().stream().anyMatch(useContext -> + (useContext.getCode().getCode().equals("reporting") + && useContext.getValueCodeableConcept().hasCoding(TransformProperties.usPHUsageContext, "triggering")) + || (useContext.getCode().getCode().equals("priority") + && useContext.getValueCodeableConcept().hasCoding(TransformProperties.usPHUsageContext, "routine"))) + ).collect(Collectors.toList()); + List hasUSPHProfiles = entries.stream().filter(entry -> entry.getResourceType() == ResourceType.PlanDefinition && entry.hasMeta() && entry.getMeta().hasProfile() + && entry.getMeta().getProfile().stream().anyMatch(profile -> profile.getValueAsString().contains("us-ph"))).collect(Collectors.toList()); + List hasExperimental = entries.stream().filter(entry -> entry.hasExperimental()).collect(Collectors.toList()); + assertTrue(ersdValueSets.size() > 0); + assertTrue(ersdValueSetLibrary.size() > 0); + assertTrue(containsSpecificationLibrary.size() == 0); + assertTrue(containsV2PlanDefinition.size() == 0); + assertTrue(containsV1PlanDefinition.size() == 1); + assertTrue(planDefFullUrlUpdated.size() == 1); + assertTrue(VSTriggeringUseContextsMissingV1PlanDefinitionReference.size() == 0); + assertTrue(hasV2TriggeringVSLibUseContexts.size() == 0); + assertTrue(hasV2TriggeringVSUseContexts.size() == 0); + assertTrue(hasUSPHProfiles.size() == 0); + assertTrue(hasExperimental.size() == 0); + } + @Test + void testTransform_alternate_v1_skeleton() { + PlanDefinition planDef = (PlanDefinition) loadResource("ersd-v1-plandefinition-alternate.json"); + Bundle v2Bundle = (Bundle) loadResource("ersd-bundle-example.json"); + Parameters v2BundleParams = new Parameters(); + v2BundleParams.addParameter() + .setName("bundle") + .setResource(v2Bundle); + v2BundleParams.addParameter() + .setName("planDefinition") + .setResource(planDef); + Bundle v1Bundle = getClient() + .operation() + .onServer() + .named("$ersd-v2-to-v1-transform") + .withParameters(v2BundleParams) + .returnResourceType(Bundle.class) + .execute(); + List bundleContainsAlternatePlanDef = v1Bundle.getEntry().stream().filter(entry -> entry.getFullUrl().equals("http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-skeleton-alternate|1.2.0.0")).collect(Collectors.toList()); + assertTrue(bundleContainsAlternatePlanDef.size() == 1); + } +} diff --git a/ecr/src/test/resources/ersd-bundle-example.json b/ecr/src/test/resources/ersd-bundle-example.json new file mode 100644 index 000000000..07b9c1282 --- /dev/null +++ b/ecr/src/test/resources/ersd-bundle-example.json @@ -0,0 +1,9753 @@ +{ + "resourceType": "Bundle", + "id": "bundle-ersd-specification-example", + "meta": { + "versionId": "1", + "lastUpdated": "2022-04-15T18:26:27.000+00:00", + "source": "#8zRKOv2AelmrnTVL" + }, + "type": "collection", + "timestamp": "2022-04-05T10:06:42.482-04:00", + "entry": [ + { + "fullUrl": "http://hl7.org/fhir/us/ecr/Library/SpecificationLibrary", + "resource": { + "resourceType": "Library", + "id": "SpecificationLibrary", + "meta": { + "versionId": "1.0.0", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-specification-library" + ] + }, + "text": { + "status": "generated", + "div": "

Generated Narrative: Library

Resource Library \"SpecificationLibrary\" Version \"1.0.0\"

Profile: US Public Health Specification Library

url: http://hl7.org/fhir/us/ecr/Library/SpecificationLibrary

version: 1.0.0

name: SpecificationLibrary

title: Specification Library

status: active

experimental: true

type: Asset Collection (LibraryType#asset-collection)

publisher: eCR

description: Defines the asset-collection library containing the US Public Health specification assets.

" + }, + "url": "http://hl7.org/fhir/us/ecr/Library/SpecificationLibrary", + "version": "1.0.0", + "name": "SpecificationLibrary", + "title": "Specification Library", + "status": "active", + "experimental": true, + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/library-type", + "code": "asset-collection" + } + ] + }, + "publisher": "eCR", + "description": "Defines the asset-collection library containing the US Public Health specification assets.", + "useContext": [ + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "reporting" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "triggering" + } + ] + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "specification-type" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "program" + } + ] + } + } + ], + "relatedArtifact": [ + { + "type": "composed-of", + "resource": "http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-instance-example", + "extension":[ + { + "url":"http://hl7.org/fhir/StructureDefinition/crmi-isOwned", + "valueBoolean": true + } + ] + }, + { + "type": "composed-of", + "resource": "http://hl7.org/fhir/us/ecr/Library/library-rctc-example", + "extension":[ + { + "url":"http://hl7.org/fhir/StructureDefinition/crmi-isOwned", + "valueBoolean": true + } + ] + } + ] + } + }, + { + "fullUrl": "http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-instance-example", + "resource": { + "resourceType": "PlanDefinition", + "id": "plandefinition-ersd-instance-example", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/ersd-plandefinition" + ] + }, + "text": { + "status": "extensions", + "div": "

Generated Narrative: PlanDefinition

Resource PlanDefinition \"plandefinition-ersd-instance-example\"

Profile: eRSD PlanDefinition

Variable: 14(normalReportingDuration)

url: http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-instance-example

version: 0.1

name: PlanDefinition_eRSD_Instance_Example

title: eRSD PlanDefinition Instance Example

type: Workflow Definition (PlanDefinitionType#workflow-definition)

status: active

experimental: true

date: 2020-07-31 12:32:29-0500

publisher: HL7 Public Health Work Group

description: An example ersd PlanDefinition

jurisdiction: United States of America (unknown#US)

effectivePeriod: 2020-12-01 --> (ongoing)

action

description: This action represents the start of the reporting workflow in response to the encounter-start event.

textEquivalent: Start the reporting workflow in response to an encounter-start event

code: Initiate a reporting workflow (US Public Health PlanDefinition Action Codes#initiate-reporting-workflow)

RelatedActions

-ActionIdRelationshipOffset[x]
*check-suspected-disorderbefore-start1 h (Details: UCUM code h = 'h')

action

description: This action represents the start of the check suspected disorder reporting workflow in response to the encounter-start event.

textEquivalent: Check suspected disorders for immediate reportability and setup jobs for future reportability checks.

code: Execute a series of actions to accomplish reporting (US Public Health PlanDefinition Action Codes#execute-reporting-workflow)

action

description: This action represents the check for suspected disorder reportability to create the patients eICR.

textEquivalent: Check Trigger Codes based on Suspected Reportable Value set.

code: Evaluate candidate patient's data against trigger codes to determine reportability (US Public Health PlanDefinition Action Codes#check-trigger-codes)

action

code: Evaluate condition to determine reportability (US Public Health PlanDefinition Action Codes#evaluate-condition)

action

description: This action represents the check for suspected reportability of the eICR.

textEquivalent: Check Reportability and setup jobs for future reportability checks.

code: Execute a series of actions to accomplish reporting (US Public Health PlanDefinition Action Codes#execute-reporting-workflow)

action

description: This action represents the check for reportability to create the patients eICR.

textEquivalent: Check Trigger Codes based on RCTC Value sets.

code: Evaluate candidate patient's data against trigger codes to determine reportability (US Public Health PlanDefinition Action Codes#check-trigger-codes)

action

code: Evaluate condition to determine reportability (US Public Health PlanDefinition Action Codes#evaluate-condition)

action

code: Evaluate condition to determine reportability (US Public Health PlanDefinition Action Codes#evaluate-condition)

action

code: Complete reporting for the patient (US Public Health PlanDefinition Action Codes#complete-reporting)

action

description: This action represents the creation of the eICR. It subsequently calls validate.

textEquivalent: Create eICR

code: Create a Report containing Patient's data for patients who passed the check-reportability test (US Public Health PlanDefinition Action Codes#create-report)

RelatedActions

-ActionIdRelationship
*validate-eicrbefore-start

action

description: This action represents the validation of the eICR. It subsequently calls route-and-send.

textEquivalent: Validate eICR

code: Validate Report against specified profiles and terminologies. (US Public Health PlanDefinition Action Codes#validate-report)

RelatedActions

-ActionIdRelationship
*route-and-send-eicrbefore-start

action

description: This action represents the routing and sending of the eICR.

textEquivalent: Route and send eICR

code: Submit the report to specified endpoint (US Public Health PlanDefinition Action Codes#submit-report)

action

description: This action represents the start of the reporting workflow in response to the encounter-modified event

textEquivalent: Start the reporting workflow in response to an encounter-modified event

code: Initiate a reporting workflow (US Public Health PlanDefinition Action Codes#initiate-reporting-workflow)

condition

kind: applicability

RelatedActions

-ActionIdRelationship
*create-eicrbefore-start
" + }, + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/variable", + "valueExpression": { + "name": "normalReportingDuration", + "language": "text/fhirpath", + "expression": "14" + } + } + ], + "url": "http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-instance-example", + "version": "0.1", + "name": "PlanDefinition_eRSD_Instance_Example", + "title": "eRSD PlanDefinition Instance Example", + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/plan-definition-type", + "code": "workflow-definition", + "display": "Workflow Definition" + } + ] + }, + "status": "active", + "experimental": true, + "date": "2020-07-31T12:32:29.858-05:00", + "publisher": "HL7 Public Health Work Group", + "description": "An example ersd PlanDefinition", + "jurisdiction": [ + { + "coding": [ + { + "system": "urn:iso:std:iso:3166", + "code": "US", + "display": "United States of America" + } + ], + "text": "United States of America" + } + ], + "effectivePeriod": { + "start": "2020-12-01" + }, + "relatedArtifact": [ + { + "type": "depends-on", + "label": "RCTC Value Set Library of Trigger Codes", + "resource": "http://hl7.org/fhir/us/ecr/Library/library-rctc-example|2022-01-01" + } + ], + "action": [ + { + "id": "start-workflow", + "description": "This action represents the start of the reporting workflow in response to the encounter-start event.", + "textEquivalent": "Start the reporting workflow in response to an encounter-start event", + "code": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions", + "code": "initiate-reporting-workflow", + "display": "Initiate a reporting workflow" + } + ] + } + ], + "trigger": [ + { + "id": "encounter-start", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-named-eventtype-extension", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-triggerdefinition-namedevents", + "code": "encounter-start", + "display": "Indicates the start of an encounter" + } + ] + } + } + ], + "type": "named-event", + "name": "encounter-start" + } + ], + "input": [ + { + "id": "patient", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension", + "valueString": "Patient/{{context.patientId}}" + } + ], + "type": "Patient" + }, + { + "id": "encounter", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension", + "valueString": "Encounter/{{context.encounterId}}" + } + ], + "type": "Encounter" + } + ], + "relatedAction": [ + { + "actionId": "check-suspected-disorder", + "relationship": "before-start", + "offsetDuration": { + "value": 1, + "system": "http://unitsofmeasure.org", + "code": "h" + } + } + ] + }, + { + "id": "check-suspected-disorder", + "description": "This action represents the start of the check suspected disorder reporting workflow in response to the encounter-start event.", + "textEquivalent": "Check suspected disorders for immediate reportability and setup jobs for future reportability checks.", + "code": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions", + "code": "execute-reporting-workflow" + } + ] + } + ], + "action": [ + { + "id": "is-encounter-suspected-disorder", + "description": "This action represents the check for suspected disorder reportability to create the patients eICR.", + "textEquivalent": "Check Trigger Codes based on Suspected Reportable Value set.", + "code": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions", + "code": "check-trigger-codes" + } + ] + } + ], + "condition": [ + { + "kind": "applicability", + "expression": { + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-alternative-expression-extension", + "valueExpression": { + "language": "text/cql-identifier", + "expression": "Is Suspected Disorder?", + "reference": "http://hl7.org/fhir/us/ecr/Library/RuleFilters|2.1.0" + } + } + ], + "language": "text/fhirpath", + "expression": "%modifiedConditions.exists() or %modifiedLabResults.exists() or %modifiedMedicationOrders.exists()" + } + } + ], + "input": [ + { + "id": "modifiedConditions", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension", + "valueString": "Condition?patient=Patient/{{context.patientId}}" + } + ], + "type": "Condition", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://hl7.org/fhir/us/ecr/ValueSet/sdtc" + } + ] + }, + { + "id": "modifiedLabResults", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension", + "valueString": "Observation?patient=Patient/{{context.patientId}}" + } + ], + "type": "Observation", + "codeFilter": [ + { + "path": "value", + "valueSet": "http://hl7.org/fhir/us/ecr/ValueSet/lotc" + } + ] + }, + { + "id": "modifiedMedicationOrders", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension", + "valueString": "MedicationRequest?patient=Patient/{{context.patientId}}" + } + ], + "type": "MedicationRequest", + "codeFilter": [ + { + "path": "medication", + "valueSet": "http://hl7.org/fhir/us/ecr/ValueSet/mrtc" + } + ] + } + ], + "relatedAction": [ + { + "actionId": "create-eicr", + "relationship": "before-start" + } + ] + }, + { + "id": "continue-check-reportable", + "code": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions", + "code": "evaluate-condition" + } + ] + } + ], + "condition": [ + { + "kind": "applicability", + "expression": { + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-alternative-expression-extension", + "valueExpression": { + "language": "text/cql-identifier", + "expression": "Is Encounter In Progress and Within Normal Reporting Duration or 72h or less after end of encounter?", + "reference": "http://hl7.org/fhir/us/ecr/Library/RuleFilters|2.1.0" + } + } + ], + "language": "text/fhirpath", + "expression": "%encounter.where((status = 'in-progress' and period.start + 1 day * %normalReportingDuration >= now()) or (status = 'finished' and period.end + 72 hours >= now())).select(true)" + } + } + ], + "relatedAction": [ + { + "actionId": "check-reportable", + "relationship": "before-start", + "offsetDuration": { + "value": 6, + "comparator": "<=", + "system": "http://unitsofmeasure.org", + "code": "h" + } + } + ] + } + ] + }, + { + "id": "check-reportable", + "description": "This action represents the check for suspected reportability of the eICR.", + "textEquivalent": "Check Reportability and setup jobs for future reportability checks.", + "code": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions", + "code": "execute-reporting-workflow" + } + ] + } + ], + "action": [ + { + "id": "is-encounter-reportable", + "description": "This action represents the check for reportability to create the patients eICR.", + "textEquivalent": "Check Trigger Codes based on RCTC Value sets.", + "code": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions", + "code": "check-trigger-codes" + } + ] + } + ], + "condition": [ + { + "kind": "applicability", + "expression": { + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-alternative-expression-extension", + "valueExpression": { + "language": "text/cql-identifier", + "expression": "Is Encounter Reportable and Within Normal Reporting Duration?", + "reference": "http://hl7.org/fhir/us/ecr/Library/RuleFilters|2.1.0" + } + } + ], + "language": "text/fhirpath", + "expression": "%encounter.where(period.start + 1 day * %normalReportingDuration >= now()).select(true) and (%conditions.exists() or %encounters.exists() or %immunizations.exists() or %procedures.exists() or %procedureOrders.exists() or %labOrders.exists() or %labTests.exists() or %labResults.exists() or %medicationAdministrations.exists() or %medicationOrders.exists() or %medicationDispenses.exists())" + } + } + ], + "input": [ + { + "id": "conditions", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension", + "valueString": "Condition?patient=Patient/{{context.patientId}}" + } + ], + "type": "Condition", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://hl7.org/fhir/us/ecr/ValueSet/dxtc" + } + ] + }, + { + "id": "encounters", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension", + "valueString": "encounter" + } + ], + "type": "Encounter", + "codeFilter": [ + { + "path": "reasonCode", + "valueSet": "http://hl7.org/fhir/us/ecr/ValueSet/dxtc" + } + ] + }, + { + "id": "immunizations", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension", + "valueString": "Immunization?patient=Patient/{{context.patientId}}" + } + ], + "type": "Immunization", + "codeFilter": [ + { + "path": "vaccineCode", + "valueSet": "http://hl7.org/fhir/us/ecr/ValueSet/mrtc" + } + ] + }, + { + "id": "labOrders", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension", + "valueString": "ServiceRequest?patient=Patient/{{context.patientId}}" + } + ], + "type": "ServiceRequest", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://hl7.org/fhir/us/ecr/ValueSet/lotc" + } + ] + }, + { + "id": "labTests", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension", + "valueString": "Observation?patient=Patient/{{context.patientId}}" + } + ], + "type": "Observation", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://hl7.org/fhir/us/ecr/ValueSet/lotc" + } + ] + }, + { + "id": "diagnosticOrders", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension", + "valueString": "DiagnosticReport?patient=Patient/{{context.patientId}}" + } + ], + "type": "DiagnosticReport", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://hl7.org/fhir/us/ecr/ValueSet/lotc" + } + ] + }, + { + "id": "procedureOrders", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension", + "valueString": "ServiceRequest?patient=Patient/{{context.patientId}}" + } + ], + "type": "ServiceRequest", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://hl7.org/fhir/us/ecr/ValueSet/valueset-pctc-example" + } + ] + }, + { + "id": "procedures", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension", + "valueString": "Procedure?patient=Patient/{{context.patientId}}" + } + ], + "type": "Procedure", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://hl7.org/fhir/us/ecr/ValueSet/valueset-pctc-example" + } + ] + }, + { + "id": "medicationOrders", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension", + "valueString": "MedicationRequest?patient=Patient/{{context.patientId}}" + } + ], + "type": "MedicationRequest", + "codeFilter": [ + { + "path": "medication", + "valueSet": "http://hl7.org/fhir/us/ecr/ValueSet/mrtc" + } + ] + }, + { + "id": "medicationDispenses", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension", + "valueString": "MedicationDispense?patient=Patient/{{context.patientId}}" + } + ], + "type": "MedicationDispense", + "codeFilter": [ + { + "path": "medication", + "valueSet": "http://hl7.org/fhir/us/ecr/ValueSet/mrtc" + } + ] + }, + { + "id": "medicationAdministrations", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-fhirquerypattern-extension", + "valueString": "MedicationAdministration?patient=Patient/{{context.patientId}}" + } + ], + "type": "MedicationAdministration", + "codeFilter": [ + { + "path": "medication", + "valueSet": "http://hl7.org/fhir/us/ecr/ValueSet/mrtc" + } + ] + }, + { + "id": "labResults", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension", + "valueString": "labTests" + } + ], + "type": "Observation", + "codeFilter": [ + { + "path": "value", + "valueSet": "http://hl7.org/fhir/us/ecr/ValueSet/ostc" + } + ] + }, + { + "id": "diagnosticResults", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension", + "valueString": "diagnosticOrders" + } + ], + "type": "DiagnosticReport", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://hl7.org/fhir/us/ecr/ValueSet/ostc" + } + ] + } + ], + "relatedAction": [ + { + "actionId": "create-eicr", + "relationship": "before-start" + } + ] + }, + { + "id": "check-update-eicr", + "code": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions", + "code": "evaluate-condition" + } + ] + } + ], + "condition": [ + { + "kind": "applicability", + "expression": { + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-alternative-expression-extension", + "valueExpression": { + "language": "text/cql-identifier", + "expression": "Most recent eICR sent over 72 hours ago?", + "reference": "http://hl7.org/fhir/us/ecr/Library/RuleFilters|2.1.0" + } + } + ], + "language": "text/fhirpath", + "expression": "((%lasteicr.last().entry[2].resource as Bundle).entry.first().resource as Composition).date < now() - 72 hours" + } + } + ], + "input": [ + { + "id": "lasteicr", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension", + "valueString": "eicrreport" + } + ], + "type": "Bundle", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-document-bundle" + ] + } + ], + "relatedAction": [ + { + "actionId": "create-eicr", + "relationship": "before-start" + } + ] + }, + { + "id": "is-encounter-in-progress", + "code": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions", + "code": "evaluate-condition" + } + ] + } + ], + "condition": [ + { + "kind": "applicability", + "expression": { + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-alternative-expression-extension", + "valueExpression": { + "language": "text/cql-identifier", + "expression": "Is Encounter In Progress and Within Normal Reporting Duration or 72h or less after end of encounter?", + "reference": "http://hl7.org/fhir/us/ecr/Library/RuleFilters|2.1.0" + } + } + ], + "language": "text/fhirpath", + "expression": "%inprogressencounter.where(status = 'in-progress' and period.start + 1 day * %normalReportingDuration >= now() or (status = 'finished' and period.end + 72 hours >= now())).exists()" + } + } + ], + "input": [ + { + "id": "inprogressencounter", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension", + "valueString": "encounter" + } + ], + "type": "Encounter" + } + ], + "relatedAction": [ + { + "actionId": "check-reportable", + "relationship": "before-start", + "offsetDuration": { + "value": 6, + "comparator": "<=", + "system": "http://unitsofmeasure.org", + "code": "h" + } + } + ] + }, + { + "id": "is-encounter-completed", + "code": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions", + "code": "complete-reporting" + } + ] + } + ], + "condition": [ + { + "kind": "applicability", + "expression": { + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-alternative-expression-extension", + "valueExpression": { + "language": "text/cql-identifier", + "expression": "Is Encounter Complete", + "reference": "http://aphl.org/fhir/ecr/Library/RuleFilters|2.1.0" + } + } + ], + "language": "text/fhirpath", + "expression": "%completedEncounter.exists(status = 'finished')" + } + } + ], + "input": [ + { + "id": "completedEncounter", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension", + "valueString": "encounter" + } + ], + "type": "Encounter" + } + ] + } + ] + }, + { + "id": "create-eicr", + "description": "This action represents the creation of the eICR. It subsequently calls validate.", + "textEquivalent": "Create eICR", + "code": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions", + "code": "create-report" + } + ] + } + ], + "input": [ + { + "id": "patientdata", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension", + "valueString": "patient" + } + ], + "type": "Patient", + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient" + ] + }, + { + "id": "conditiondata", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension", + "valueString": "conditions" + } + ], + "type": "Condition", + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition" + ] + }, + { + "id": "encounterdata", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension", + "valueString": "encounter" + } + ], + "type": "Encounter", + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" + ] + }, + { + "id": "mrdata", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension", + "valueString": "medicationOrders" + } + ], + "type": "MedicationRequest", + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" + ] + }, + { + "id": "immzdata", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension", + "valueString": "immunizations" + } + ], + "type": "Immunization", + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" + ] + }, + { + "id": "procdata", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension", + "valueString": "procedures" + } + ], + "type": "Procedure", + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" + ] + }, + { + "id": "labResultdata", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension", + "valueString": "labResults" + } + ], + "type": "Observation", + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" + ] + }, + { + "id": "labOrderdata", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension", + "valueString": "labOrders" + } + ], + "type": "ServiceRequest", + "profile": [ + "http://hl7.org/fhir/StructureDefinition/ServiceRequest" + ] + }, + { + "id": "diagnosticResultdata", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension", + "valueString": "diagnosticResults" + } + ], + "type": "DiagnosticReport", + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab" + ] + }, + { + "id": "diagnosticOrderdata", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension", + "valueString": "diagnosticOrders" + } + ], + "type": "DiagnosticReport", + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab" + ] + } + ], + "output": [ + { + "id": "eicrreport", + "type": "Bundle", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-document-bundle" + ] + } + ], + "relatedAction": [ + { + "actionId": "validate-eicr", + "relationship": "before-start" + } + ] + }, + { + "id": "validate-eicr", + "description": "This action represents the validation of the eICR. It subsequently calls route-and-send.", + "textEquivalent": "Validate eICR", + "code": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions", + "code": "validate-report" + } + ] + } + ], + "input": [ + { + "id": "generatedeicrreport", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension", + "valueString": "eicrreport" + } + ], + "type": "Bundle", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-document-bundle" + ] + } + ], + "output": [ + { + "id": "valideicrreport", + "type": "Bundle", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-document-bundle" + ] + } + ], + "relatedAction": [ + { + "actionId": "route-and-send-eicr", + "relationship": "before-start" + } + ] + }, + { + "id": "route-and-send-eicr", + "description": "This action represents the routing and sending of the eICR.", + "textEquivalent": "Route and send eICR", + "code": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions", + "code": "submit-report" + } + ] + } + ], + "input": [ + { + "id": "validatedeicrreport", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension", + "valueString": "valideicrreport" + } + ], + "type": "Bundle", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-document-bundle" + ] + } + ], + "output": [ + { + "id": "submittedeicrreport", + "type": "Bundle", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-document-bundle" + ] + } + ] + }, + { + "id": "encounter-modified", + "description": "This action represents the start of the reporting workflow in response to the encounter-modified event", + "textEquivalent": "Start the reporting workflow in response to an encounter-modified event", + "code": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-plandefinition-actions", + "code": "initiate-reporting-workflow", + "display": "Initiate a reporting workflow" + } + ] + } + ], + "trigger": [ + { + "id": "encounter-modified-trigger", + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-named-eventtype-extension", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-triggerdefinition-namedevents", + "code": "encounter-modified", + "display": "Indicates modifications to data elements of an encounter" + } + ] + } + } + ], + "type": "named-event", + "name": "encounter-modified" + } + ], + "condition": [ + { + "kind": "applicability", + "expression": { + "extension": [ + { + "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-alternative-expression-extension", + "valueExpression": { + "language": "text/cql-identifier", + "expression": "Is Encounter Longer Than Normal Reporting Duration?", + "reference": "http://hl7.org/fhir/us/ecr/Library/RuleFilters|2.1.0" + } + } + ], + "language": "text/fhirpath", + "expression": "%encounter.where(period.start + 1 day * %normalReportingDuration < now()).select(true)" + } + } + ], + "relatedAction": [ + { + "actionId": "create-eicr", + "relationship": "before-start" + } + ] + } + ] + } + }, + { + "fullUrl": "http://hl7.org/fhir/us/ecr/Library/library-rctc-example", + "resource": { + "resourceType": "Library", + "id": "library-rctc-example", + "meta": { + "versionId": "2", + "lastUpdated": "2021-08-20T01:12:21.049-06:00", + "source": "#zJ5jHSo1bnD4qTAW", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-triggering-valueset-library" + ] + }, + "text": { + "status": "generated", + "div": "

Generated Narrative: Library

Resource Library \"library-rctc-example\" Version \"2\" Updated \"2021-08-20 01:12:21-0600\"

Information Source: #zJ5jHSo1bnD4qTAW!

Profile: US Public Health Triggering ValueSet Library

url: http://hl7.org/fhir/us/ecr/Library/library-rctc-example

identifier: id: urn:oid:2.16.840.1.114222.4.11.7508

version: 2019-06-17

name: Reportable_Condition_Trigger_Codes

title: Reportable Condition Trigger Codes (RCTC) Example Library

status: active

experimental: true

type: Asset Collection (LibraryType#asset-collection)

publisher: {site.data.fhir.ig.publisher}

description: This release includes code updates for the existing conditions and adds codes for Parkinson’s disease and 13 enteric conditions. Medication codes have also been added to this version.

jurisdiction: United States of America (unknown#US)

purpose: Triggers for initiating decision support for electronic case reports

effectivePeriod: 2019-11-01 --> (ongoing)

" + }, + "url": "http://hl7.org/fhir/us/ecr/Library/library-rctc-example", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "urn:oid:2.16.840.1.114222.4.11.7508" + } + ], + "version": "2019-06-17", + "name": "Reportable_Condition_Trigger_Codes", + "title": "Reportable Condition Trigger Codes (RCTC) Example Library", + "status": "active", + "experimental": true, + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/library-type", + "code": "asset-collection" + } + ] + }, + "publisher": "{site.data.fhir.ig.publisher}", + "description": "This release includes code updates for the existing conditions and adds codes for Parkinson’s disease and 13 enteric conditions. Medication codes have also been added to this version.", + "useContext": [ + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "reporting", + "display": "Reporting" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "triggering", + "display": "Triggering" + } + ] + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "specification-type", + "display": "Specification Type" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "value-set-library", + "display": "ValueSet Library" + } + ] + } + } + ], + "jurisdiction": [ + { + "coding": [ + { + "system": "urn:iso:std:iso:3166", + "code": "US", + "display": "United States of America" + } + ], + "text": "United States of America" + } + ], + "purpose": "Triggers for initiating decision support for electronic case reports", + "effectivePeriod": { + "start": "2019-11-01" + }, + "relatedArtifact": [ + { + "type": "composed-of", + "resource": "http://hl7.org/fhir/us/ecr/ValueSet/dxtc", + "extension":[ + { + "url":"http://hl7.org/fhir/StructureDefinition/crmi-isOwned", + "valueBoolean": true + } + ] + }, + { + "type": "composed-of", + "resource": "http://hl7.org/fhir/us/ecr/ValueSet/ostc", + "extension":[ + { + "url":"http://hl7.org/fhir/StructureDefinition/crmi-isOwned", + "valueBoolean": true + } + ] + }, + { + "type": "composed-of", + "resource": "http://hl7.org/fhir/us/ecr/ValueSet/lotc", + "extension":[ + { + "url":"http://hl7.org/fhir/StructureDefinition/crmi-isOwned", + "valueBoolean": true + } + ] + }, + { + "type": "composed-of", + "resource": "http://hl7.org/fhir/us/ecr/ValueSet/lrtc", + "extension":[ + { + "url":"http://hl7.org/fhir/StructureDefinition/crmi-isOwned", + "valueBoolean": true + } + ] + }, + { + "type": "composed-of", + "resource": "http://hl7.org/fhir/us/ecr/ValueSet/mrtc", + "extension":[ + { + "url":"http://hl7.org/fhir/StructureDefinition/crmi-isOwned", + "valueBoolean": true + } + ] + }, + { + "type": "composed-of", + "resource": "http://hl7.org/fhir/us/ecr/ValueSet/sdtc", + "extension":[ + { + "url":"http://hl7.org/fhir/StructureDefinition/crmi-isOwned", + "valueBoolean": true + } + ] + } + ] + } + }, + { + "fullUrl": "http://hl7.org/fhir/us/ecr/ValueSet/dxtc", + "resource": { + "resourceType": "ValueSet", + "id": "dxtc", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-triggering-valueset" + ] + }, + "text": { + "status": "extensions", + "div": "

Generated Narrative: ValueSet

Resource ValueSet \"dxtc\"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

url: http://hl7.org/fhir/us/ecr/ValueSet/dxtc

identifier: id: urn:oid:2.16.840.1.113762.1.4.1146.627

version: 1.0.0

name: Diagnosis_ProblemTriggersforPublicHealthReporting

title: Diagnosis_Problem Triggers for Public Health Reporting

status: draft

experimental: true

publisher: eCR

description: Purpose: Clinical Focus - This set of values contains diagnoses or problems that represent that the patient may have a potentially reportable condition. For example, these may be diagnoses recorded in an EHR problem list and diagnosis codes used for billing for the encounter. Purpose: Data Element Scope - Diagnoses or problems documented in a clinical record. Purpose: Inclusion Criteria - See individual value sets. Purpose: Exclusion Criteria - See individual value sets. Note - Includes codes from selected value sets used in the Reportable Condition Knowledge Management System (RCKMS) reporting logic. RCKMS value sets in VSAC are for informational use only. When implementing trigger codes for electronic case reporting, use the Reportable Condition Trigger Codes (RCTC) file.

purpose: Diagnoses or problems documented in a clinical record.

compose

include

valueSet: Acanthamoeba Disease [Keratitis] (Disorders) (ICD10CM)

include

valueSet: Acanthamoeba Disease [Keratitis] (Disorders) (SNOMED)

include

valueSet: Arsenic Exposure and Toxicity (Disorders) (ICD10CM)

include

valueSet: Arsenic Exposure and Toxicity (Disorders) (SNOMED)

include

valueSet: Diphtheria (Disorders) (SNOMED)

expansion

timestamp: 2022-04-05 10:06:43-0400

contains

system: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)

version: Provisional_2022-01-12

code: B60.12

contains

system: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)

version: Provisional_2022-01-12

code: B60.13

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 127631000119105

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 15693201000119102

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 15693241000119100

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 15693281000119105

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 15698841000119105

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 15698881000119100

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 231896005

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 711645008

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 840444002

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 840484006

contains

system: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)

version: Provisional_2022-01-12

code: T57.0X

contains

system: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)

version: Provisional_2022-01-12

code: T57.0X1

contains

system: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)

version: Provisional_2022-01-12

code: T57.0X1A

contains

system: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)

version: Provisional_2022-01-12

code: T57.0X1D

contains

system: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)

version: Provisional_2022-01-12

code: T57.0X1S

contains

system: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)

version: Provisional_2022-01-12

code: T57.0X4

contains

system: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)

version: Provisional_2022-01-12

code: T57.0X4A

contains

system: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)

version: Provisional_2022-01-12

code: T57.0X4D

contains

system: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)

version: Provisional_2022-01-12

code: T57.0X4S

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 212516009

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 216792005

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 216794006

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 216795007

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 241770003

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 241771004

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 360406006

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 36730005

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 403740003

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 403741004

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 403743001

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 403744007

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 403745008

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 418685002

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 62210001

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 72501006

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 767146004

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 871783000

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 89738003

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 403742006

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 1086051000119107

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 1086061000119109

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 1086071000119103

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 1090211000119102

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 129667001

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 13596001

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 15682004

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 186347006

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 18901009

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 194945009

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 230596007

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 240422004

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 26117009

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 276197005

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 3419005

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 397428000

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 397430003

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 48278001

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 50215002

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 715659006

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 75589004

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 7773002

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 789005009

" + }, + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/valueset-author", + "valueContactDetail": { + "name": "CSTE Author" + } + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/valueset-steward", + "valueContactDetail": { + "name": "CSTE Steward" + } + } + ], + "url": "http://hl7.org/fhir/us/ecr/ValueSet/dxtc", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "urn:oid:2.16.840.1.113762.1.4.1146.627" + } + ], + "version": "1.0.0", + "name": "Diagnosis_ProblemTriggersforPublicHealthReporting", + "title": "Diagnosis_Problem Triggers for Public Health Reporting", + "status": "draft", + "experimental": true, + "publisher": "eCR", + "description": "Purpose: Clinical Focus - This set of values contains diagnoses or problems that represent that the patient may have a potentially reportable condition. For example, these may be diagnoses recorded in an EHR problem list and diagnosis codes used for billing for the encounter. Purpose: Data Element Scope - Diagnoses or problems documented in a clinical record. Purpose: Inclusion Criteria - See individual value sets. Purpose: Exclusion Criteria - See individual value sets. Note - Includes codes from selected value sets used in the Reportable Condition Knowledge Management System (RCKMS) reporting logic. RCKMS value sets in VSAC are for informational use only. When implementing trigger codes for electronic case reporting, use the Reportable Condition Trigger Codes (RCTC) file.", + "useContext": [ + { + "code": { + "system": "http://terminology.hl7.org/CodeSystem/usage-context-type", + "code": "program" + }, + "valueReference": { + "reference": "http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-instance-example" + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "reporting" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "triggering" + } + ] + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "priority" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ] + } + } + ], + "purpose": "Diagnoses or problems documented in a clinical 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"version": "Provisional_2022-01-12", + "code": "T57.0X4S" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "212516009" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "216792005" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "216794006" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "216795007" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "241770003" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "241771004" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "360406006" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "36730005" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "403740003" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "403741004" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "403743001" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "403744007" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "403745008" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "418685002" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "62210001" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "72501006" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "767146004" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + 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"text": { + "status": "extensions", + "div": "

Generated Narrative: ValueSet

Resource ValueSet \"lotc\"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

url: http://hl7.org/fhir/us/ecr/ValueSet/lotc

identifier: id: urn:oid:2.16.840.1.113762.1.4.1146.1056

version: 1.0.0

name: LabOrderTestTriggersforPublicHealthReporting

title: Lab Order Test Triggers for Public Health Reporting

status: draft

experimental: true

publisher: eCR

description: Purpose: Clinical Focus - This set of values contains laboratory test names that may be used for placing a lab order for a test that represents that the patient may have a potentially reportable condition. These pertain to laboratory orders placed, coded in LOINC, where the lab order includes at least one test for a condition reportable upon suspicion of the condition. Purpose: Data Element Scope - Laboratory test names used in orders documented in a clinical record. Purpose: Inclusion Criteria - See individual value sets. Purpose: Exclusion Criteria - See individual value sets. Note - Includes codes from selected value sets used in the Reportable Condition Knowledge Management System (RCKMS) reporting logic. RCKMS value sets in VSAC are for informational use only. When implementing trigger codes for electronic case reporting, use the Reportable Condition Trigger Codes (RCTC) file.

purpose: Laboratory test names used in orders documented in a clinical record.

compose

include

valueSet: Anthrax (Tests for Bacillis anthracis Antigen)

include

valueSet: Anthrax (Tests for Bacillis anthracis Antibody)

include

valueSet: Mumps (Test Panels for mumps virus Nucleic Acid)

include

valueSet: COVID_19 (Tests for SARS_CoV_2 by Culture and Identification Method)

include

valueSet: Mumps (Test Panels for mumps virus IgM IgG Antibody)

expansion

timestamp: 2022-04-05 10:06:43-0400

contains

system: Logical Observation Identifiers, Names and Codes (LOINC)

version: Provisional_2021-12-30

code: 22866-8

contains

system: Logical Observation Identifiers, Names and Codes (LOINC)

version: Provisional_2021-12-30

code: 22867-6

contains

system: Logical Observation Identifiers, Names and Codes (LOINC)

version: Provisional_2021-12-30

code: 31726-3

contains

system: Logical Observation Identifiers, Names and Codes (LOINC)

version: Provisional_2021-12-30

code: 44269-9

contains

system: Logical Observation Identifiers, Names and Codes (LOINC)

version: Provisional_2021-12-30

code: 44270-7

contains

system: Logical Observation Identifiers, Names and Codes (LOINC)

version: Provisional_2021-12-30

code: 51976-9

contains

system: Logical Observation Identifiers, Names and Codes (LOINC)

version: Provisional_2021-12-30

code: 22860-1

contains

system: Logical Observation Identifiers, Names and Codes (LOINC)

version: Provisional_2021-12-30

code: 22861-9

contains

system: Logical Observation Identifiers, Names and Codes (LOINC)

version: Provisional_2021-12-30

code: 22862-7

contains

system: Logical Observation Identifiers, Names and Codes (LOINC)

version: Provisional_2021-12-30

code: 22863-5

contains

system: Logical Observation Identifiers, Names and Codes (LOINC)

version: Provisional_2021-12-30

code: 22864-3

contains

system: Logical Observation Identifiers, Names and Codes (LOINC)

version: Provisional_2021-12-30

code: 11467-8

contains

system: Logical Observation Identifiers, Names and Codes (LOINC)

version: Provisional_2021-12-30

code: 11468-6

contains

system: Logical Observation Identifiers, Names and Codes (LOINC)

version: Provisional_2021-12-30

code: 22109-3

contains

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version: Provisional_2021-12-30

code: 22859-3

contains

system: Logical Observation Identifiers, Names and Codes (LOINC)

version: Provisional_2021-12-30

code: 22865-0

contains

system: Logical Observation Identifiers, Names and Codes (LOINC)

version: Provisional_2021-12-30

code: 5055-9

contains

system: Logical Observation Identifiers, Names and Codes (LOINC)

version: Provisional_2021-12-30

code: 7814-7

contains

system: Logical Observation Identifiers, Names and Codes (LOINC)

version: Provisional_2021-12-30

code: 85808-4

contains

system: Logical Observation Identifiers, Names and Codes (LOINC)

version: Provisional_2021-12-30

code: 93750-8

contains

system: Logical Observation Identifiers, Names and Codes (LOINC)

version: Provisional_2021-12-30

code: 94763-0

contains

system: Logical Observation Identifiers, Names and Codes (LOINC)

version: Provisional_2021-12-30

code: 94764-8

contains

system: Logical Observation Identifiers, Names and Codes (LOINC)

version: Provisional_2021-12-30

code: 77250-9

contains

system: Logical Observation Identifiers, Names and Codes (LOINC)

version: Provisional_2021-12-30

code: 77398-6

contains

system: Logical Observation Identifiers, Names and Codes (LOINC)

version: Provisional_2021-12-30

code: 88458-5

contains

system: Logical Observation Identifiers, Names and Codes (LOINC)

version: Provisional_2021-12-30

code: 92929-9

" + }, + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/valueset-author", + "valueContactDetail": { + "name": "CSTE Author" + } + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/valueset-steward", + "valueContactDetail": { + "name": "CSTE Steward" + } + } + ], + "url": "http://hl7.org/fhir/us/ecr/ValueSet/lotc", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "urn:oid:2.16.840.1.113762.1.4.1146.1056" + } + ], + "version": "1.0.0", + "name": "LabOrderTestTriggersforPublicHealthReporting", + "title": "Lab Order Test Triggers for Public Health Reporting", + "status": "draft", + "experimental": true, + "publisher": "eCR", + "description": "Purpose: Clinical Focus - This set of values contains laboratory test names that may be used for placing a lab order for a test that represents that the patient may have a potentially reportable condition. These pertain to laboratory orders placed, coded in LOINC, where the lab order includes at least one test for a condition reportable upon suspicion of the condition. Purpose: Data Element Scope - Laboratory test names used in orders documented in a clinical record. Purpose: Inclusion Criteria - See individual value sets. Purpose: Exclusion Criteria - See individual value sets. Note - Includes codes from selected value sets used in the Reportable Condition Knowledge Management System (RCKMS) reporting logic. RCKMS value sets in VSAC are for informational use only. When implementing trigger codes for electronic case reporting, use the Reportable Condition Trigger Codes (RCTC) file.", + "useContext": [ + { + "code": { + "system": "http://terminology.hl7.org/CodeSystem/usage-context-type", + "code": "program" + }, + "valueReference": { + "reference": "http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-instance-example" + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "reporting" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "triggering" + } + ] + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "priority" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ] + } + } + ], + "purpose": "Laboratory test names used in orders documented in a clinical record.", + "compose": { + "include": [ + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.480" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.481" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.761" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1223" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.762" + ] + } + ] + }, + "expansion": { + "timestamp": "2022-04-05T10:06:43-04:00", + "contains": [ + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "code": "22866-8" + }, + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "code": "22867-6" + }, + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "code": "31726-3" + }, + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "code": "44269-9" + }, + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "code": "44270-7" + }, + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "code": "51976-9" + }, + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "code": "22860-1" + }, + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "code": "22861-9" + }, + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "code": "22862-7" + }, + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "code": "22863-5" + }, + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "code": "22864-3" + }, + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "code": "11467-8" + }, + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "code": "11468-6" + }, + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "code": "22109-3" + }, + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "code": "22859-3" + }, + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "code": "22865-0" + }, + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "code": "5055-9" + }, + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "code": "7814-7" + }, + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "code": "85808-4" + }, + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "code": "93750-8" + }, + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "code": "94763-0" + }, + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "code": "94764-8" + }, + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "code": "77250-9" + }, + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "code": "77398-6" + }, + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "code": "88458-5" + }, + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "code": "92929-9" + } + ] + } + } + }, + { + "fullUrl": "http://hl7.org/fhir/us/ecr/ValueSet/lrtc", + "resource": { + "resourceType": "ValueSet", + "id": "lrtc", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-triggering-valueset" + ] + }, + "text": { + "status": "extensions", + "div": "

Generated Narrative: ValueSet

Resource ValueSet \"lrtc\"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

url: http://hl7.org/fhir/us/ecr/ValueSet/lrtc

identifier: id: urn:oid:2.16.840.1.113762.1.4.1146.1057

version: 1.0.0

name: LabObsTestTriggersforPublicHealthReporting

title: Lab Obs Test Triggers for Public Health Reporting

status: draft

experimental: true

publisher: eCR

description: Purpose: Clinical Focus - This set of values contains laboratory observation test names that may represent that the patient may have a potentially reportable condition. These pertain to resulted laboratory reports, where the lab test name, coded in LOINC, is specific to a reportable condition. Purpose: Data Element Scope - Laboratory test names used in observations documented in a clinical record. Purpose: Inclusion Criteria - See individual value sets. Purpose: Exclusion Criteria - See individual value sets. Note - Includes codes from selected value sets used in the Reportable Condition Knowledge Management System (RCKMS) reporting logic. RCKMS value sets in VSAC are for informational use only. When implementing trigger codes for electronic case reporting, use the Reportable Condition Trigger Codes (RCTC) file.

purpose: Laboratory test names used in observations documented in a clinical record.

compose

include

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valueSet: Anthrax (Tests for Bacillis anthracis Antigen)

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valueSet: California Serogroup Virus Diseases (Tests for California Serogroup Virus Antibody [Quantitative])

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expansion

timestamp: 2022-04-05 10:06:43-0400

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Generated Narrative: ValueSet

Resource ValueSet \"mrtc\"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

url: http://hl7.org/fhir/us/ecr/ValueSet/mrtc

identifier: id: urn:oid:2.16.840.1.113762.1.4.1146.1060

version: 1.0.0

name: MedicationsTriggersforPublicHealthReporting

title: Medications Triggers for Public Health Reporting

status: draft

experimental: true

publisher: eCR

description: Purpose: Clinical Focus - This set of values contains CVX,RXNORM,SNOMED medication codes that may represent that the patient may have a potentially reportable condition. These pertain to medications administered and medications prescribed, where the medication, coded in CVX,RXNORM,SNOMED, may be indicative of a reportable condition. Purpose: Data Element Scope - Prescription drugs names used in observations documented in a clinical record. Purpose: Inclusion Criteria - See individual value sets. Purpose: Exclusion Criteria - See individual value sets. Note - Includes codes from selected value sets used in the Reportable Condition Knowledge Management System (RCKMS) reporting logic. RCKMS value sets in VSAC are for informational use only. When implementing trigger codes for electronic case reporting, use the Reportable Condition Trigger Codes (RCTC) file.

purpose: Prescription drugs names used in observations documented in a clinical record.

compose

include

valueSet: HIV Infection (ARV Boosters [CYP3A4 Inhibitor]) (RXNORM)

include

valueSet: HIV Infection (ARV Integrase Strand Transfer Inhibitors [INSTIs]) (RXNORM)

include

valueSet: HIV Infection (ARV Attachment Inhibitors) (RXNORM)

include

valueSet: HIV Infection (ARV Postattachment Inhibitors) (RXNORM)

include

valueSet: Anthrax Vaccine (RXNORM)

expansion

timestamp: 2022-04-05 10:06:43-0400

contains

system: RxNorm

version: 2022-01

code: 1551993

contains

system: RxNorm

version: 2022-01

code: 1551999

contains

system: RxNorm

version: 2022-01

code: 152970

contains

system: RxNorm

version: 2022-01

code: 152971

contains

system: RxNorm

version: 2022-01

code: 1926066

contains

system: RxNorm

version: 2022-01

code: 1926069

contains

system: RxNorm

version: 2022-01

code: 199249

contains

system: RxNorm

version: 2022-01

code: 317150

contains

system: RxNorm

version: 2022-01

code: 900575

contains

system: RxNorm

version: 2022-01

code: 900577

contains

system: RxNorm

version: 2022-01

code: 1235588

contains

system: RxNorm

version: 2022-01

code: 1235591

contains

system: RxNorm

version: 2022-01

code: 1235593

contains

system: RxNorm

version: 2022-01

code: 1235595

contains

system: RxNorm

version: 2022-01

code: 1433873

contains

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contains

system: RxNorm

version: 2022-01

code: 1486838

contains

system: RxNorm

version: 2022-01

code: 1486841

contains

system: RxNorm

version: 2022-01

code: 1796077

contains

system: RxNorm

version: 2022-01

code: 1796079

contains

system: RxNorm

version: 2022-01

code: 1796081

contains

system: RxNorm

version: 2022-01

code: 1796083

contains

system: RxNorm

version: 2022-01

code: 1924313

contains

system: RxNorm

version: 2022-01

code: 1924315

contains

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code: 2374562

contains

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version: 2022-01

code: 2475199

contains

system: RxNorm

version: 2022-01

code: 2475205

contains

system: RxNorm

version: 2022-01

code: 744842

contains

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version: 2022-01

code: 744846

contains

system: RxNorm

version: 2022-01

code: 1999667

contains

system: RxNorm

version: 2022-01

code: 1999673

contains

system: RxNorm

version: 2022-01

code: 2380549

contains

system: RxNorm

version: 2022-01

code: 2380551

contains

system: RxNorm

version: 2022-01

code: 2043317

contains

system: RxNorm

version: 2022-01

code: 2043322

contains

system: RxNorm

version: 2022-01

code: 832679

contains

system: RxNorm

version: 2022-01

code: 832682

" + }, + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/valueset-author", + "valueContactDetail": { + "name": "CSTE Author" + } + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/valueset-steward", + "valueContactDetail": { + "name": "CSTE Steward" + } + } + ], + "url": "http://hl7.org/fhir/us/ecr/ValueSet/mrtc", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "urn:oid:2.16.840.1.113762.1.4.1146.1060" + } + ], + "version": "1.0.0", + "name": "MedicationsTriggersforPublicHealthReporting", + "title": "Medications Triggers for Public Health Reporting", + "status": "draft", + "experimental": true, + "publisher": "eCR", + "description": "Purpose: Clinical Focus - This set of values contains CVX,RXNORM,SNOMED medication codes that may represent that the patient may have a potentially reportable condition. These pertain to medications administered and medications prescribed, where the medication, coded in CVX,RXNORM,SNOMED, may be indicative of a reportable condition. Purpose: Data Element Scope - Prescription drugs names used in observations documented in a clinical record. Purpose: Inclusion Criteria - See individual value sets. Purpose: Exclusion Criteria - See individual value sets. Note - Includes codes from selected value sets used in the Reportable Condition Knowledge Management System (RCKMS) reporting logic. RCKMS value sets in VSAC are for informational use only. When implementing trigger codes for electronic case reporting, use the Reportable Condition Trigger Codes (RCTC) file.", + "useContext": [ + { + "code": { + "system": "http://terminology.hl7.org/CodeSystem/usage-context-type", + "code": "program" + }, + "valueReference": { + "reference": "http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-instance-example" + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "reporting" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "triggering" + } + ] + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "priority" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ] + } + } + ], + "purpose": "Prescription drugs names used in observations documented in a clinical record.", + "compose": { + "include": [ + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1601" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1600" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1603" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1602" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1082" + ] + } + ] + }, + "expansion": { + "timestamp": "2022-04-05T10:06:43-04:00", + "contains": [ + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "1551993" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "1551999" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "152970" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "152971" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "1926066" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "1926069" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "199249" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "317150" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "900575" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "900577" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "1235588" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "1235591" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "1235593" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "1235595" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "1433873" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "1433879" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "1486838" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "1486841" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "1796077" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "1796079" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "1796081" + 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"744846" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "1999667" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "1999673" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "2380549" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "2380551" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "2043317" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "2043322" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "832679" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "832682" + } + ] + } + } + }, + { + "fullUrl": "http://hl7.org/fhir/us/ecr/ValueSet/ostc", + "resource": { + "resourceType": "ValueSet", + "id": "ostc", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-triggering-valueset" + ] + }, + "text": { + "status": "extensions", + "div": "

Generated Narrative: ValueSet

Resource ValueSet \"ostc\"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

url: http://hl7.org/fhir/us/ecr/ValueSet/ostc

identifier: id: urn:oid:2.16.840.1.113762.1.4.1146.1059

version: 1.0.0

name: Organism_SubstanceReleaseTriggersforPublicHealthReporting

title: Organism_Substance Release Triggers for Public Health Reporting

status: draft

experimental: true

publisher: eCR

description: Purpose: Clinical Focus - This set of values contains organism and substance names received in a laboratory results report, that may represent that the patient has a potentially reportable condition. These pertain to resulted laboratory reports, where the test method is a non-specific test (e.g., general cultures not specific to a condition) and the result value, coded in SNOMED, includes the organism or substance name. Purpose: Data Element Scope - Nominal laboratory result values documented in a clinical record. Purpose: Inclusion Criteria - See individual value sets. Purpose: Exclusion Criteria - See individual value sets. Note - Includes codes from selected value sets used in the Reportable Condition Knowledge Management System (RCKMS) reporting logic. RCKMS value sets in VSAC are for informational use only. When implementing trigger codes for electronic case reporting, use the Reportable Condition Trigger Codes (RCTC) file.

purpose: Nominal laboratory result values documented in a clinical record.

compose

include

valueSet: Dengue Virus Infection (Organism or Substance in Lab Results)

include

valueSet: Hepatitis B Virus Infection (Organism or Substance in Lab Results)

include

valueSet: Hepatitis C Virus Infection (Organism or Substance in Lab Results)

include

valueSet: Enterococcus faecium or E. faecalis (Organism or Substance in Lab Results)

include

valueSet: Enterococcus gallinarum or E. casseliflavus/E. flavescens (Organism or Substance in Lab Results)

expansion

timestamp: 2022-04-05 10:06:43-0400

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 121020003

contains

system: SNOMED CT (all versions)

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contains

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contains

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code: 243604005

contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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code: 73661005

contains

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code: 81665004

contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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contains

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" + }, + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/valueset-author", + "valueContactDetail": { + "name": "CSTE Author" + } + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/valueset-steward", + "valueContactDetail": { + "name": "CSTE Steward" + } + } + ], + "url": "http://hl7.org/fhir/us/ecr/ValueSet/ostc", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "urn:oid:2.16.840.1.113762.1.4.1146.1059" + } + ], + "version": "1.0.0", + "name": "Organism_SubstanceReleaseTriggersforPublicHealthReporting", + "title": "Organism_Substance Release Triggers for Public Health Reporting", + "status": "draft", + "experimental": true, + "publisher": "eCR", + "description": "Purpose: Clinical Focus - This set of values contains organism and substance names received in a laboratory results report, that may represent that the patient has a potentially reportable condition. These pertain to resulted laboratory reports, where the test method is a non-specific test (e.g., general cultures not specific to a condition) and the result value, coded in SNOMED, includes the organism or substance name. Purpose: Data Element Scope - Nominal laboratory result values documented in a clinical record. Purpose: Inclusion Criteria - See individual value sets. Purpose: Exclusion Criteria - See individual value sets. Note - Includes codes from selected value sets used in the Reportable Condition Knowledge Management System (RCKMS) reporting logic. RCKMS value sets in VSAC are for informational use only. When implementing trigger codes for electronic case reporting, use the Reportable Condition Trigger Codes (RCTC) file.", + "useContext": [ + { + "code": { + "system": "http://terminology.hl7.org/CodeSystem/usage-context-type", + "code": "program" + }, + "valueReference": { + "reference": "http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-instance-example" + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "reporting" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "triggering" + } + ] + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "priority" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ] + } + } + ], + "purpose": "Nominal laboratory result values documented in a clinical record.", + "compose": { + "include": [ + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.528" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.408" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.409" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1469" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1468" + ] + } + ] + }, + "expansion": { + "timestamp": "2022-04-05T10:06:43-04:00", + "contains": [ + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "121020003" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "121182007" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "121192004" + }, + { + "system": 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Generated Narrative: ValueSet

Resource ValueSet \"sdtc\"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

url: http://hl7.org/fhir/us/ecr/ValueSet/sdtc

identifier: id: urn:oid:2.16.840.1.113762.1.4.1146.1479

version: 1.0.0

name: Suspected_DisorderTriggersforPublicHealthReporting

title: Suspected_Disorder Triggers for Public Health Reporting

status: draft

experimental: true

publisher: eCR

description: Purpose: Clinical Focus - This set of values contains suspected diagnoses or problems that represent that the patient may have a potentially reportable condition. For example, these may be diagnoses recorded in an EHR problem list and diagnosis codes used for billing for the encounter. Purpose: Data Element Scope - Suspected diagnoses or problems documented in a clinical record. Purpose: Inclusion Criteria - See individual value sets. Purpose: Exclusion Criteria - See individual value sets. Note - Includes codes from selected value sets used in the Reportable Condition Knowledge Management System (RCKMS) reporting logic. RCKMS value sets in VSAC are for informational use only. When implementing trigger codes for electronic case reporting, use the Reportable Condition Trigger Codes (RCTC) file.

purpose: Suspected diagnoses or problems documented in a clinical record.

compose

include

valueSet: Rabies [Suspected] (Disorders) (SNOMED)

include

valueSet: Measles [Suspected] (Disorders) (SNOMED)

include

valueSet: Diphtheria [Suspected] (Disorders) (SNOMED)

include

valueSet: Viral Hemorrhagic Fever [Suspected] (Disorders) (SNOMED)

include

valueSet: Poliomyelitis [Suspected] (Disorders) (SNOMED)

expansion

timestamp: 2022-04-05 10:06:43-0400

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 722545003

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 722546002

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 772152006

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 772150003

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 772158005

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 772155008

" + }, + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/valueset-author", + "valueContactDetail": { + "name": "CSTE Author" + } + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/valueset-steward", + "valueContactDetail": { + "name": "CSTE Steward" + } + } + ], + "url": "http://hl7.org/fhir/us/ecr/ValueSet/sdtc", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "urn:oid:2.16.840.1.113762.1.4.1146.1479" + } + ], + "version": "1.0.0", + "name": "Suspected_DisorderTriggersforPublicHealthReporting", + "title": "Suspected_Disorder Triggers for Public Health Reporting", + "status": "draft", + "experimental": true, + "publisher": "eCR", + "description": "Purpose: Clinical Focus - This set of values contains suspected diagnoses or problems that represent that the patient may have a potentially reportable condition. For example, these may be diagnoses recorded in an EHR problem list and diagnosis codes used for billing for the encounter. Purpose: Data Element Scope - Suspected diagnoses or problems documented in a clinical record. Purpose: Inclusion Criteria - See individual value sets. Purpose: Exclusion Criteria - See individual value sets. Note - Includes codes from selected value sets used in the Reportable Condition Knowledge Management System (RCKMS) reporting logic. RCKMS value sets in VSAC are for informational use only. When implementing trigger codes for electronic case reporting, use the Reportable Condition Trigger Codes (RCTC) file.", + "useContext": [ + { + "code": { + "system": "http://terminology.hl7.org/CodeSystem/usage-context-type", + "code": "program" + }, + "valueReference": { + "reference": "http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-instance-example" + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "reporting" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "triggering" + } + ] + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "priority" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ] + } + } + ], + "purpose": "Suspected diagnoses or problems documented in a clinical record.", + "compose": { + "include": [ + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1439" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1436" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1435" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1446" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1438" + ] + } + ] + }, + "expansion": { + "timestamp": "2022-04-05T10:06:43-04:00", + "contains": [ + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "722545003" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "722546002" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "772152006" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "772150003" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "772158005" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "772155008" + } + ] + } + } + }, + { + "fullUrl": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1506", + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113762.1.4.1146.1506", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-triggering-valueset" + ] + }, + "text": { + "status": "extensions", + "div": "

Generated Narrative: ValueSet

Resource ValueSet \"2.16.840.1.113762.1.4.1146.1506\"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

url: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1506

identifier: id: urn:oid:2.16.840.1.113762.1.4.1146.1506

version: 1.0.0

name: AcanthamoebaDiseaseKeratitisDisordersICD10CM

title: Acanthamoeba Disease [Keratitis] (Disorders) (ICD10CM)

status: active

experimental: true

publisher: eCR

description: Acanthamoeba Disease [Keratitis] (Disorders) (ICD10CM)

compose

include

system: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)

version: Provisional_2022-01-12

concept

code: B60.12

display: Conjunctivitis due to Acanthamoeba

concept

code: B60.13

display: Keratoconjunctivitis due to Acanthamoeba

expansion

timestamp: 2022-04-05 10:06:43-0400

contains

system: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)

version: Provisional_2022-01-12

code: B60.12

contains

system: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)

version: Provisional_2022-01-12

code: B60.13

" + }, + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/valueset-author", + "valueContactDetail": { + "name": "CSTE Author" + } + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/valueset-steward", + "valueContactDetail": { + "name": "CSTE Steward" + } + } + ], + "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1506", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "urn:oid:2.16.840.1.113762.1.4.1146.1506" + } + ], + "version": "1.0.0", + "name": "AcanthamoebaDiseaseKeratitisDisordersICD10CM", + "title": "Acanthamoeba Disease [Keratitis] (Disorders) (ICD10CM)", + "status": "active", + "experimental": true, + "publisher": "eCR", + "description": "Acanthamoeba Disease [Keratitis] (Disorders) (ICD10CM)", + "useContext": [ + { + "code": { + "system": "http://terminology.hl7.org/CodeSystem/usage-context-type", + "code": "focus" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "49649001" + } + ], + "text": "Infection caused by Acanthamoeba (disorder)" + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "reporting" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "triggering" + } + ] + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "priority" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ] + } + } + ], + "compose": { + "include": [ + { + "system": "http://hl7.org/fhir/sid/icd-10-cm", + "version": "Provisional_2022-01-12", + "concept": [ + { + "code": "B60.12", + "display": "Conjunctivitis due to Acanthamoeba" + }, + { + "code": "B60.13", + "display": "Keratoconjunctivitis due to Acanthamoeba" + } + ] + } + ] + }, + "expansion": { + "timestamp": "2022-04-05T10:06:43-04:00", + "contains": [ + { + "system": "http://hl7.org/fhir/sid/icd-10-cm", + "version": "Provisional_2022-01-12", + "code": "B60.12" + }, + { + "system": "http://hl7.org/fhir/sid/icd-10-cm", + "version": "Provisional_2022-01-12", + "code": "B60.13" + } + ] + } + } + }, + { + "fullUrl": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1505", + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113762.1.4.1146.1505", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-triggering-valueset" + ] + }, + "text": { + "status": "extensions", + "div": "

Generated Narrative: ValueSet

Resource ValueSet \"2.16.840.1.113762.1.4.1146.1505\"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

url: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1505

identifier: id: urn:oid:2.16.840.1.113762.1.4.1146.1505

version: 1.0.0

name: AcanthamoebaDiseaseKeratitisDisordersSNOMED

title: Acanthamoeba Disease [Keratitis] (Disorders) (SNOMED)

status: active

experimental: true

publisher: eCR

description: Acanthamoeba Disease [Keratitis] (Disorders) (SNOMED)

compose

include

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

concept

code: 127631000119105

display: Corneal ulcer due to acanthamoeba (disorder)

concept

code: 15693201000119102

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Generated Narrative: ValueSet

Resource ValueSet \"2.16.840.1.113762.1.4.1146.480\"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

url: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.480

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name: AnthraxTestsforBacillisanthracisAntigen

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code: 31726-3

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expansion

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Generated Narrative: ValueSet

Resource ValueSet \"2.16.840.1.113762.1.4.1146.481\"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

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Generated Narrative: ValueSet

Resource ValueSet \"2.16.840.1.113762.1.4.1146.1184\"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

url: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1184

identifier: id: urn:oid:2.16.840.1.113762.1.4.1146.1184

version: 1.0.0

name: CaliforniaSerogroupVirusDiseasesTestsforCaliforniaSerogroupVirusAntibodyQuantitative

title: California Serogroup Virus Diseases (Tests for California Serogroup Virus Antibody [Quantitative])

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experimental: true

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description: California Serogroup Virus Diseases (Tests for California Serogroup Virus Antibody [Quantitative])

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expansion

timestamp: 2022-04-05 10:06:43-0400

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" + }, + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/valueset-author", + "valueContactDetail": { + "name": "CSTE Author" + } + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/valueset-steward", + "valueContactDetail": { + "name": "CSTE Steward" + } + } + ], + "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1602", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "urn:oid:2.16.840.1.113762.1.4.1146.1602" + } + ], + "version": "1.0.0", + "name": "HIVInfectionARVPostattachmentInhibitorsRXNORM", + "title": "HIV Infection (ARV Postattachment Inhibitors) (RXNORM)", + "status": "active", + "experimental": true, + "publisher": "eCR", + "description": "HIV Infection (ARV Postattachment Inhibitors) (RXNORM)", + "useContext": [ + { + "code": { + "system": "http://terminology.hl7.org/CodeSystem/usage-context-type", + "code": "focus" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "76981000119106" + } + ], + "text": "Human immunodeficiency virus (HIV) infection category B1 (disorder)" + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "reporting" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "triggering" + } + ] + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "priority" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ] + } + } + ], + "compose": { + "include": [ + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "concept": [ + { + "code": "2043317", + "display": "1.33 ML ibalizumab-uiyk 150 MG/ML Injection" + }, + { + "code": "2043322", + "display": "1.33 ML ibalizumab-uiyk 150 MG/ML Injection [Trogarzo]" + } + ] + } + ] + }, + "expansion": { + "timestamp": "2022-04-05T10:06:43-04:00", + "contains": [ + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "2043317" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "code": "2043322" + } + ] + } + } + }, + { + "fullUrl": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1082", + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113762.1.4.1146.1082", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-triggering-valueset" + ] + }, + "text": { + "status": "extensions", + "div": "

Generated Narrative: ValueSet

Resource ValueSet \"2.16.840.1.113762.1.4.1146.1082\"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

url: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1082

identifier: id: urn:oid:2.16.840.1.113762.1.4.1146.1082

version: 1.0.0

name: AnthraxVaccineRXNORM

title: Anthrax Vaccine (RXNORM)

status: active

experimental: true

publisher: eCR

description: Anthrax Vaccine (RXNORM)

compose

include

system: RxNorm

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concept

code: 832679

display: Bacillus anthracis strain V770-NP1-R antigens 0.1 MG/ML Injectable Suspension

concept

code: 832682

display: Bacillus anthracis strain V770-NP1-R antigens 0.1 MG/ML Injectable Suspension [Biothrax]

expansion

timestamp: 2022-04-05 10:06:43-0400

contains

system: RxNorm

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code: 832679

contains

system: RxNorm

version: 2022-01

code: 832682

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Generated Narrative: ValueSet

Resource ValueSet \"2.16.840.1.113762.1.4.1146.528\"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

url: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.528

identifier: id: urn:oid:2.16.840.1.113762.1.4.1146.528

version: 1.0.0

name: DengueVirusInfectionOrganismorSubstanceinLabResults

title: Dengue Virus Infection (Organism or Substance in Lab Results)

status: active

experimental: true

publisher: eCR

description: Dengue Virus Infection (Organism or Substance in Lab Results)

compose

include

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

concept

code: 121020003

display: Antigen of Dengue virus (substance)

concept

code: 121182007

display: Deoxyribonucleic acid of Dengue virus (substance)

concept

code: 121192004

display: Dengue virus types 1-4 ribonucleic acid (substance)

concept

code: 243604005

display: Dengue virus subgroup (organism)

concept

code: 34348001

display: Dengue virus (organism)

concept

code: 36700002

display: Dengue virus, type 4 (organism)

concept

code: 41328007

display: Dengue virus, type 2 (organism)

concept

code: 60588009

display: Dengue virus, type 1 (organism)

concept

code: 707875002

display: Ribonucleic acid of Dengue virus 1 (substance)

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code: 707876001

display: Ribonucleic acid of Dengue virus 2 (substance)

concept

code: 707877005

display: Ribonucleic acid of Dengue virus 3 (substance)

concept

code: 707878000

display: Ribonucleic acid of Dengue virus 4 (substance)

concept

code: 783725005

display: Ribonucleic acid of Dengue virus (substance)

concept

code: 8467002

display: Dengue virus, type 3 (organism)

expansion

timestamp: 2022-04-05 10:06:43-0400

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 121020003

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 121182007

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 121192004

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 243604005

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 34348001

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 36700002

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 41328007

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 60588009

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 707875002

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system: SNOMED CT (all versions)

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code: 707876001

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system: SNOMED CT (all versions)

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code: 707877005

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system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 707878000

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version: Provisional_2022-01-10

code: 783725005

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 8467002

" + }, + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/valueset-author", + "valueContactDetail": { + "name": "CSTE Author" + } + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/valueset-steward", + "valueContactDetail": { + "name": "CSTE Steward" + } + } + ], + "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.528", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "urn:oid:2.16.840.1.113762.1.4.1146.528" + } + ], + "version": "1.0.0", + "name": "DengueVirusInfectionOrganismorSubstanceinLabResults", + "title": "Dengue Virus Infection (Organism or Substance in Lab Results)", + "status": "active", + "experimental": true, + "publisher": "eCR", + "description": "Dengue Virus Infection (Organism or Substance in Lab Results)", + "useContext": [ + { + "code": { + "system": "http://terminology.hl7.org/CodeSystem/usage-context-type", + "code": "focus" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "38362002" + } + ], + "text": "Dengue (disorder)" + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "reporting" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "triggering" + } + ] + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "priority" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ] + } + } + ], + "compose": { + "include": [ + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "concept": [ + { + "code": "121020003", + "display": "Antigen of Dengue virus (substance)" + }, + { + "code": "121182007", + "display": "Deoxyribonucleic acid of Dengue virus (substance)" + }, + { + "code": "121192004", + "display": "Dengue virus types 1-4 ribonucleic acid (substance)" + }, + { + "code": "243604005", + "display": "Dengue virus subgroup (organism)" + }, + { + "code": "34348001", + "display": "Dengue virus (organism)" + }, + { + "code": "36700002", + "display": "Dengue virus, type 4 (organism)" + }, + { + "code": "41328007", + "display": "Dengue virus, type 2 (organism)" + }, + { + "code": "60588009", + "display": "Dengue virus, type 1 (organism)" + }, + { + "code": "707875002", + "display": "Ribonucleic acid of Dengue virus 1 (substance)" + }, + { + "code": "707876001", + "display": "Ribonucleic acid of Dengue virus 2 (substance)" + }, + { + "code": "707877005", + "display": "Ribonucleic acid of Dengue virus 3 (substance)" + }, + { + "code": "707878000", + "display": "Ribonucleic acid of Dengue virus 4 (substance)" + }, + { + "code": "783725005", + "display": "Ribonucleic acid of Dengue virus (substance)" + }, + { + "code": "8467002", + "display": "Dengue virus, type 3 (organism)" + } + ] + } + ] + }, + "expansion": { + "timestamp": "2022-04-05T10:06:43-04:00", + "contains": [ + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "121020003" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "121182007" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "121192004" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "243604005" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "34348001" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "36700002" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "41328007" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "60588009" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "707875002" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "707876001" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "707877005" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "707878000" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "783725005" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "8467002" + } + ] + } + } + }, + { + "fullUrl": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.408", + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113762.1.4.1146.408", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-triggering-valueset" + ] + }, + "text": { + "status": "extensions", + "div": "

Generated Narrative: ValueSet

Resource ValueSet \"2.16.840.1.113762.1.4.1146.408\"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

url: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.408

identifier: id: urn:oid:2.16.840.1.113762.1.4.1146.408

version: 1.0.0

name: HepatitisBVirusInfectionOrganismorSubstanceinLabResults

title: Hepatitis B Virus Infection (Organism or Substance in Lab Results)

status: active

experimental: true

publisher: eCR

description: Hepatitis B Virus Infection (Organism or Substance in Lab Results)

compose

include

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

concept

code: 121112003

display: Deoxyribonucleic acid of Hepatitis B virus (substance)

concept

code: 121184008

display: Ribosomal ribonucleic acid of Hepatitis B virus (substance)

concept

code: 13105002

display: Antigen of Hepatitis B virus subtype ayr surface protein (substance)

concept

code: 22290004

display: Antigen of Hepatitis B virus surface protein (substance)

concept

code: 303233001

display: Antigen of Hepatitis B virus (substance)

concept

code: 39082004

display: Antigen of Hepatitis B virus core protein (substance)

concept

code: 52680001

display: Antigen of Hepatitis B virus subtype adr surface protein (substance)

concept

code: 60605004

display: Antigen of Hepatitis B virus e protein (substance)

concept

code: 63350005

display: Antigen of Hepatitis B virus subtype adw surface protein (substance)

concept

code: 703886001

display: Hepatitis B virus genotype A (organism)

concept

code: 703887005

display: Hepatitis B virus genotype B (organism)

concept

code: 703888000

display: Hepatitis B virus genotype C (organism)

concept

code: 703889008

display: Hepatitis B virus genotype D (organism)

concept

code: 703890004

display: Hepatitis B virus genotype E (organism)

concept

code: 703891000

display: Hepatitis B virus genotype F (organism)

concept

code: 703892007

display: Hepatitis B virus genotype G (organism)

concept

code: 703893002

display: Hepatitis B virus genotype H (organism)

concept

code: 708281003

display: Deoxyribonucleic acid of Hepatitis B virus polymerase (substance)

concept

code: 716076002

display: Antigen of Hepatitis B virus recombinant surface protein (substance)

concept

code: 73661005

display: Antigen of Hepatitis B virus subtype ayw surface protein (substance)

concept

code: 81665004

display: Hepatitis B virus (organism)

expansion

timestamp: 2022-04-05 10:06:43-0400

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 121112003

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 121184008

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 13105002

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 22290004

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 303233001

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 39082004

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 52680001

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 60605004

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 63350005

contains

system: SNOMED CT (all versions)

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code: 703886001

contains

system: SNOMED CT (all versions)

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code: 703887005

contains

system: SNOMED CT (all versions)

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code: 703888000

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 703889008

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 703890004

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 703891000

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 703892007

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 703893002

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 708281003

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 716076002

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 73661005

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 81665004

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Generated Narrative: ValueSet

Resource ValueSet \"2.16.840.1.113762.1.4.1146.1469\"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

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identifier: id: urn:oid:2.16.840.1.113762.1.4.1146.1469

version: 1.0.0

name: EnterococcusfaeciumorEfaecalisOrganismorSubstanceinLabResults

title: Enterococcus faecium or E. faecalis (Organism or Substance in Lab Results)

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experimental: true

publisher: eCR

description: Enterococcus faecium or E. faecalis (Organism or Substance in Lab Results)

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version: Provisional_2022-01-10

concept

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display: Enterococcus faecalis variant (organism)

concept

code: 708244002

display: Deoxyribonucleic acid of Enterococcus faecalis (substance)

concept

code: 708245001

display: Deoxyribonucleic acid of Enterococcus faecium (substance)

concept

code: 712664000

display: Vancomycin intermediate Enterococcus faecalis (organism)

concept

code: 712666003

display: Vancomycin intermediate Enterococcus faecium (organism)

concept

code: 78065002

display: Enterococcus faecalis (organism)

concept

code: 782956001

display: Vancomycin susceptible Enterococcus faecium (organism)

concept

code: 782958000

display: Vancomycin susceptible Enterococcus faecalis (organism)

concept

code: 90272000

display: Enterococcus faecium (organism)

concept

code: 928051771000087103

display: Enterococcus faecalis type 2 (organism)

concept

code: 707768008

display: Enterococcus faecium genotype vanA (organism)

concept

code: 707769000

display: Enterococcus faecium genotype vanB (organism)

concept

code: 712663006

display: Vancomycin resistant Enterococcus faecalis (organism)

concept

code: 712665004

display: Vancomycin resistant Enterococcus faecium (organism)

expansion

timestamp: 2022-04-05 10:06:43-0400

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 416397000

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 708244002

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 708245001

contains

system: SNOMED CT (all versions)

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contains

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contains

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contains

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code: 782956001

contains

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version: Provisional_2022-01-10

code: 782958000

contains

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contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

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contains

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contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 707769000

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 712663006

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 712665004

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Generated Narrative: ValueSet

Resource ValueSet \"2.16.840.1.113762.1.4.1146.1468\"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

url: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1468

identifier: id: urn:oid:2.16.840.1.113762.1.4.1146.1468

version: 1.0.0

name: EnterococcusgallinarumorEcasseliflavusEflavescensOrganismorSubstanceinLabResults

title: Enterococcus gallinarum or E. casseliflavus/E. flavescens (Organism or Substance in Lab Results)

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experimental: true

publisher: eCR

description: Enterococcus gallinarum or E. casseliflavus/E. flavescens (Organism or Substance in Lab Results)

compose

include

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

concept

code: 30949009

display: Enterococcus casseliflavus (organism)

concept

code: 53233007

display: Enterococcus gallinarum (organism)

concept

code: 703032005

display: Enterococcus casseliflavus or Enterococcus gallinarum (finding)

expansion

timestamp: 2022-04-05 10:06:43-0400

contains

system: SNOMED CT (all versions)

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code: 30949009

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 53233007

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 703032005

" + }, + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/valueset-author", + "valueContactDetail": { + "name": "CSTE Author" + } + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/valueset-steward", + "valueContactDetail": { + "name": "CSTE Steward" + } + } + ], + "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1468", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "urn:oid:2.16.840.1.113762.1.4.1146.1468" + } + ], + "version": "1.0.0", + "name": "EnterococcusgallinarumorEcasseliflavusEflavescensOrganismorSubstanceinLabResults", + "title": "Enterococcus gallinarum or E. casseliflavus/E. flavescens (Organism or Substance in Lab Results)", + "status": "active", + "experimental": true, + "publisher": "eCR", + "description": "Enterococcus gallinarum or E. casseliflavus/E. flavescens (Organism or Substance in Lab Results)", + "useContext": [ + { + "code": { + "system": "http://terminology.hl7.org/CodeSystem/usage-context-type", + "code": "focus" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "406575008" + } + ], + "text": "Infection caused by vancomycin resistant enterococcus (disorder)" + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "reporting" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "triggering" + } + ] + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "priority" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ] + } + } + ], + "compose": { + "include": [ + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "concept": [ + { + "code": "30949009", + "display": "Enterococcus casseliflavus (organism)" + }, + { + "code": "53233007", + "display": "Enterococcus gallinarum (organism)" + }, + { + "code": "703032005", + "display": "Enterococcus casseliflavus or Enterococcus gallinarum (finding)" + } + ] + } + ] + }, + "expansion": { + "timestamp": "2022-04-05T10:06:43-04:00", + "contains": [ + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "30949009" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "53233007" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "703032005" + } + ] + } + } + }, + { + "fullUrl": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1439", + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113762.1.4.1146.1439", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-triggering-valueset" + ] + }, + "text": { + "status": "extensions", + "div": "

Generated Narrative: ValueSet

Resource ValueSet \"2.16.840.1.113762.1.4.1146.1439\"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

url: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1439

identifier: id: urn:oid:2.16.840.1.113762.1.4.1146.1439

version: 1.0.0

name: RabiesSuspectedDisordersSNOMED

title: Rabies [Suspected] (Disorders) (SNOMED)

status: active

experimental: true

publisher: eCR

description: Rabies [Suspected] (Disorders) (SNOMED)

compose

include

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

concept

code: 722545003

display: Suspected rabies (situation)

concept

code: 722546002

display: Probable rabies (situation)

expansion

timestamp: 2022-04-05 10:06:43-0400

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 722545003

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 722546002

" + }, + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/valueset-author", + "valueContactDetail": { + "name": "CSTE Author" + } + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/valueset-steward", + "valueContactDetail": { + "name": "CSTE Steward" + } + } + ], + "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1439", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "urn:oid:2.16.840.1.113762.1.4.1146.1439" + } + ], + "version": "1.0.0", + "name": "RabiesSuspectedDisordersSNOMED", + "title": "Rabies [Suspected] (Disorders) (SNOMED)", + "status": "active", + "experimental": true, + "publisher": "eCR", + "description": "Rabies [Suspected] (Disorders) (SNOMED)", + "useContext": [ + { + "code": { + "system": "http://terminology.hl7.org/CodeSystem/usage-context-type", + "code": "focus" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "14168008" + } + ], + "text": "Rabies (disorder)" + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "reporting" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "triggering" + } + ] + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "priority" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ] + } + } + ], + "compose": { + "include": [ + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "concept": [ + { + "code": "722545003", + "display": "Suspected rabies (situation)" + }, + { + "code": "722546002", + "display": "Probable rabies (situation)" + } + ] + } + ] + }, + "expansion": { + "timestamp": "2022-04-05T10:06:43-04:00", + "contains": [ + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "722545003" + }, + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "722546002" + } + ] + } + } + }, + { + "fullUrl": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1436", + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113762.1.4.1146.1436", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-triggering-valueset" + ] + }, + "text": { + "status": "extensions", + "div": "

Generated Narrative: ValueSet

Resource ValueSet \"2.16.840.1.113762.1.4.1146.1436\"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

url: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1436

identifier: id: urn:oid:2.16.840.1.113762.1.4.1146.1436

version: 1.0.0

name: MeaslesSuspectedDisordersSNOMED

title: Measles [Suspected] (Disorders) (SNOMED)

status: active

experimental: true

publisher: eCR

description: Measles [Suspected] (Disorders) (SNOMED)

compose

include

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

Concepts

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expansion

timestamp: 2022-04-05 10:06:43-0400

Contains

-SystemVersionCode
*SNOMED CT (all versions)Provisional_2022-01-10772152006
" + }, + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/valueset-author", + "valueContactDetail": { + "name": "CSTE Author" + } + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/valueset-steward", + "valueContactDetail": { + "name": "CSTE Steward" + } + } + ], + "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1436", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "urn:oid:2.16.840.1.113762.1.4.1146.1436" + } + ], + "version": "1.0.0", + "name": "MeaslesSuspectedDisordersSNOMED", + "title": "Measles [Suspected] (Disorders) (SNOMED)", + "status": "active", + "experimental": true, + "publisher": "eCR", + "description": "Measles [Suspected] (Disorders) (SNOMED)", + "useContext": [ + { + "code": { + "system": "http://terminology.hl7.org/CodeSystem/usage-context-type", + "code": "focus" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "14189004" + } + ], + "text": "Measles (disorder)" + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "reporting" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "triggering" + } + ] + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "priority" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ] + } + } + ], + "compose": { + "include": [ + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "concept": [ + { + "code": "772152006", + "display": "Measles suspected (situation)" + } + ] + } + ] + }, + "expansion": { + "timestamp": "2022-04-05T10:06:43-04:00", + "contains": [ + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "772152006" + } + ] + } + } + }, + { + "fullUrl": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1435", + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113762.1.4.1146.1435", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-triggering-valueset" + ] + }, + "text": { + "status": "extensions", + "div": "

Generated Narrative: ValueSet

Resource ValueSet \"2.16.840.1.113762.1.4.1146.1435\"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

url: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1435

identifier: id: urn:oid:2.16.840.1.113762.1.4.1146.1435

version: 1.0.0

name: DiphtheriaSuspectedDisordersSNOMED

title: Diphtheria [Suspected] (Disorders) (SNOMED)

status: active

experimental: true

publisher: eCR

description: Diphtheria [Suspected] (Disorders) (SNOMED)

compose

include

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

Concepts

-CodeDisplay
*772150003Diphtheria suspected (situation)

expansion

timestamp: 2022-04-05 10:06:43-0400

Contains

-SystemVersionCode
*SNOMED CT (all versions)Provisional_2022-01-10772150003
" + }, + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/valueset-author", + "valueContactDetail": { + "name": "CSTE Author" + } + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/valueset-steward", + "valueContactDetail": { + "name": "CSTE Steward" + } + } + ], + "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1435", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "urn:oid:2.16.840.1.113762.1.4.1146.1435" + } + ], + "version": "1.0.0", + "name": "DiphtheriaSuspectedDisordersSNOMED", + "title": "Diphtheria [Suspected] (Disorders) (SNOMED)", + "status": "active", + "experimental": true, + "publisher": "eCR", + "description": "Diphtheria [Suspected] (Disorders) (SNOMED)", + "useContext": [ + { + "code": { + "system": "http://terminology.hl7.org/CodeSystem/usage-context-type", + "code": "focus" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "276197005" + } + ], + "text": "Infection caused by Corynebacterium diphtheriae (disorder)" + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "reporting" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "triggering" + } + ] + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "priority" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ] + } + } + ], + "compose": { + "include": [ + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "concept": [ + { + "code": "772150003", + "display": "Diphtheria suspected (situation)" + } + ] + } + ] + }, + "expansion": { + "timestamp": "2022-04-05T10:06:43-04:00", + "contains": [ + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "772150003" + } + ] + } + } + }, + { + "fullUrl": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1446", + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113762.1.4.1146.1446", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-triggering-valueset" + ] + }, + "text": { + "status": "extensions", + "div": "

Generated Narrative: ValueSet

Resource ValueSet \"2.16.840.1.113762.1.4.1146.1446\"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

url: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1446

identifier: id: urn:oid:2.16.840.1.113762.1.4.1146.1446

version: 1.0.0

name: ViralHemorrhagicFeverSuspectedDisordersSNOMED

title: Viral Hemorrhagic Fever [Suspected] (Disorders) (SNOMED)

status: active

experimental: true

publisher: eCR

description: Viral Hemorrhagic Fever [Suspected] (Disorders) (SNOMED)

compose

include

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

Concepts

-CodeDisplay
*772158005Viral hemorrhagic fever suspected (situation)

expansion

timestamp: 2022-04-05 10:06:43-0400

Contains

-SystemVersionCode
*SNOMED CT (all versions)Provisional_2022-01-10772158005
" + }, + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/valueset-author", + "valueContactDetail": { + "name": "CSTE Author" + } + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/valueset-steward", + "valueContactDetail": { + "name": "CSTE Steward" + } + } + ], + "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1446", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "urn:oid:2.16.840.1.113762.1.4.1146.1446" + } + ], + "version": "1.0.0", + "name": "ViralHemorrhagicFeverSuspectedDisordersSNOMED", + "title": "Viral Hemorrhagic Fever [Suspected] (Disorders) (SNOMED)", + "status": "active", + "experimental": true, + "publisher": "eCR", + "description": "Viral Hemorrhagic Fever [Suspected] (Disorders) (SNOMED)", + "useContext": [ + { + "code": { + "system": "http://terminology.hl7.org/CodeSystem/usage-context-type", + "code": "focus" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "240523007" + } + ], + "text": "Viral hemorrhagic fever (disorder)" + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "reporting" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "triggering" + } + ] + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "priority" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ] + } + } + ], + "compose": { + "include": [ + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "concept": [ + { + "code": "772158005", + "display": "Viral hemorrhagic fever suspected (situation)" + } + ] + } + ] + }, + "expansion": { + "timestamp": "2022-04-05T10:06:43-04:00", + "contains": [ + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "772158005" + } + ] + } + } + }, + { + "fullUrl": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1438", + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113762.1.4.1146.1438", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-triggering-valueset" + ] + }, + "text": { + "status": "extensions", + "div": "

Generated Narrative: ValueSet

Resource ValueSet \"2.16.840.1.113762.1.4.1146.1438\"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

url: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1438

identifier: id: urn:oid:2.16.840.1.113762.1.4.1146.1438

version: 1.0.0

name: PoliomyelitisSuspectedDisordersSNOMED

title: Poliomyelitis [Suspected] (Disorders) (SNOMED)

status: active

experimental: true

publisher: eCR

description: Poliomyelitis [Suspected] (Disorders) (SNOMED)

compose

include

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

Concepts

-CodeDisplay
*772155008Acute poliomyelitis suspected (situation)

expansion

timestamp: 2022-04-05 10:06:43-0400

Contains

-SystemVersionCode
*SNOMED CT (all versions)Provisional_2022-01-10772155008
" + }, + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/valueset-author", + "valueContactDetail": { + "name": "CSTE Author" + } + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/valueset-steward", + "valueContactDetail": { + "name": "CSTE Steward" + } + } + ], + "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1438", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "urn:oid:2.16.840.1.113762.1.4.1146.1438" + } + ], + "version": "1.0.0", + "name": "PoliomyelitisSuspectedDisordersSNOMED", + "title": "Poliomyelitis [Suspected] (Disorders) (SNOMED)", + "status": "active", + "experimental": true, + "publisher": "eCR", + "description": "Poliomyelitis [Suspected] (Disorders) (SNOMED)", + "useContext": [ + { + "code": { + "system": "http://terminology.hl7.org/CodeSystem/usage-context-type", + "code": "focus" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "398102009" + } + ], + "text": "Acute poliomyelitis (disorder)" + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "reporting" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "triggering" + } + ] + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + "code": "priority" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ] + } + } + ], + "compose": { + "include": [ + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "concept": [ + { + "code": "772155008", + "display": "Acute poliomyelitis suspected (situation)" + } + ] + } + ] + }, + "expansion": { + "timestamp": "2022-04-05T10:06:43-04:00", + "contains": [ + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "code": "772155008" + } + ] + } + } + } + ] +} diff --git a/ecr/src/test/resources/ersd-v1-plandefinition-alternate.json b/ecr/src/test/resources/ersd-v1-plandefinition-alternate.json new file mode 100644 index 000000000..532fec9f4 --- /dev/null +++ b/ecr/src/test/resources/ersd-v1-plandefinition-alternate.json @@ -0,0 +1,483 @@ +{ + "resourceType": "PlanDefinition", + "id": "plandefinition-ersd-skeleton-alternate", + "_id": { + "fhir_comments": [" SG: changed id from plandefinition-ersd-instance "] + }, + "meta": { + "versionId": "45", + "lastUpdated": "2021-12-09T01:00:00.000-05:00", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/ersd-plandefinition" + ] + }, + "text": { + "fhir_comments": [" SG: changes in text to match changes in data "], + "status": "generated", + "div": "
\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
id\n
plandefinition-ersd-skeleton-alternate
\n
meta\n \n \n \n \n \n \n \n \n \n \n \n \n \n
versionId\n
13
\n
lastUpdated\n
2020-08-11T01:00:00.000-05:00
\n
profile\n
http://hl7.org/fhir/us/ecr/StructureDefinition/ersd-plandefinition
\n
\n
url\n
http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-skeleton-alternate
\n
version\n
1.2.0.0
\n
name\n
PlanDefinition_eRSD_Skeleton_Instance
\n
title\n
eRSD PlanDefinition Skeleton Instance
\n
type\n \n
status\n
active
\n
date\n
2020-07-29T01:00:00.000-05:00
\n
action\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
description\n
\n

This action represents the matching of a trigger code to one of the values in the eRSD value sets.

\n
\n
textEquivalent\n
Match of a code to one of the values in the eRSD value sets.
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
Condition
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
code
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/dxtc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
Immunization
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
vaccineCode
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/iztc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
ServiceRequest
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
code
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/lotc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
Observation
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
code
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/lrtc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
MedicationAdministration
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
code
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/mrtc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
Observation
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
value
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/ostc
\n
\n
\n
\n
\n
action\n \n \n \n \n \n \n \n \n \n \n \n \n \n
description\n
\n

This action represents the initial creation of the eICR.

\n
\n
textEquivalent\n
eICR construction delay (offsetDuration.value = x hours) - time after trigger event before an eICR should be created.
\n
relatedAction\n \n \n \n \n \n \n \n \n \n \n \n \n \n
actionId\n
match-trigger
\n
relationship\n
after
\n
offsetDuration\n \n \n \n \n \n \n \n \n \n
value\n
1
\n
unit\n
h
\n
\n
\n
\n
action\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
description\n
\n

This action represents the periodic recheck for matching of a trigger code to one of the values in the eRSD value sets.

\n
\n
textEquivalent\n
eICR periodic recheck for a trigger match (repeat.frequency = y hours) - the time after an initial match-trigger action.
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
periodic
\n
timingTiming\n \n \n \n \n \n
repeat\n \n \n \n \n \n \n \n \n \n \n \n \n \n
frequency\n
1
\n
period\n
12
\n
periodUnit\n
h
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
Condition
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
code
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/dxtc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
Immunization
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
vaccineCode
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/iztc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
ServiceRequest
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
code
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/lotc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
Observation
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
code
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/lrtc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
MedicationAdministration
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
code
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/mrtc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
Observation
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
value
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/ostc
\n
\n
\n
\n
condition\n \n \n \n \n \n \n \n \n \n
kind\n
start
\n
expression\n \n \n \n \n \n \n \n \n \n \n \n \n \n
description\n
\n

Encounter is active.

\n
\n
language\n
text/cql
\n
expression\n
encounter.period.start != null and encounter.period.end = null
\n
\n
\n
condition\n \n \n \n \n \n \n \n \n \n
kind\n
stop
\n
expression\n \n \n \n \n \n \n \n \n \n \n \n \n \n
description\n
\n

Encounter is closed.

\n
\n
language\n
text/cql
\n
expression\n
encounter.period.end != null
\n
\n
\n
relatedAction\n \n \n \n \n \n \n \n \n \n \n \n \n \n
actionId\n
match-trigger
\n
relationship\n
after
\n
offsetDuration\n \n \n \n \n \n \n \n \n \n
value\n
12
\n
unit\n
h
\n
\n
\n
\n
action\n \n \n \n \n \n \n \n \n \n \n \n \n \n
description\n
\n

This action represents the creation of the eICR after a trigger match recheck.

\n
\n
textEquivalent\n
eICR construction delay (offsetDuration.value = x hours) - time after trigger event before an eICR should be created.
\n
relatedAction\n \n \n \n \n \n \n \n \n \n
actionId\n
recheck-match-trigger
\n
relationship\n
after
\n
\n
\n
action\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
description\n
\n

This action represents the close out of an eICR encounter.

\n
\n
textEquivalent\n
eICR encounter close out (timingTiming.repeat.duration = z hours) - the time after the end of the encounter to create the final eICR when there have been\n one or more trigger events.
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-added
\n
data\n \n \n \n \n \n \n \n \n \n \n \n \n \n
type\n
Encounter
\n
profile\n
http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-encounter
\n
dateFilter\n \n \n \n \n \n
path\n
period.end
\n
\n
\n
\n
relatedAction\n \n \n \n \n \n \n \n \n \n
actionId\n
create-eicr
\n
relationship\n
after
\n
\n
timingTiming\n \n \n \n \n \n
repeat\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
count\n
1
\n
duration\n
72
\n
durationUnit\n
h
\n
frequency\n
1
\n
\n
\n
\n
action\n \n \n \n \n \n \n \n \n \n \n \n \n \n
description\n
\n

This action represents the validation of an eICR.

\n
\n
textEquivalent\n
Validate eICR.
\n
trigger\n \n \n \n \n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
name\n
eicr-created
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
Composition
\n
profile\n
http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-composition
\n
\n
\n
\n
action\n \n \n \n \n \n \n \n \n \n \n \n \n \n
description\n
\n

This action represents the routing and sending of an eICR.

\n
\n
textEquivalent\n
Route and send eICR
\n
relatedAction\n \n \n \n \n \n \n \n \n \n
actionId\n
validate-eicr
\n
relationship\n
after
\n
\n
\n
\n
" + }, + "url": "http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-skeleton-alternate", + "_url": { + "fhir_comments": [" SG: updated from plandefinition-ersd-instance "] + }, + "version": "1.2.0.0", + "name": "PlanDefinition_eRSD_Skeleton_Instance", + "_name": { + "fhir_comments": [" SG: added \"skeleton\" "] + }, + "title": "eRSD PlanDefinition Skeleton Instance", + "_title": { + "fhir_comments": [" SG: added \"skeleton\" "] + }, + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/plan-definition-type", + "code": "eca-rule", + "display": "ECA Rule" + } + ] + }, + "status": "active", + "date": "2023-03-10T13:46:37.516-05:00", + "effectivePeriod": { + "start": "2023-06-01" + }, + "relatedArtifact": [ + { + "type": "depends-on", + "label": "RCTC Value Set Library of Trigger Codes", + "resource": "http://ersd.aimsplatform.org/fhir/Library/rctc" + } + ], + "action": [ + { + "id": "match-trigger", + "description": "This action represents the matching of a trigger code to one of the values in the eRSD value sets.", + "textEquivalent": "Match of a code to one of the values in the eRSD value sets.", + "trigger": [ + { + "type": "data-changed", + "data": [ + { + "type": "Condition", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/dxtc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "fhir_comments": [ + " SG 202112: Added new suspected diagnosis value set " + ], + "type": "data-changed", + "data": [ + { + "type": "Condition", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/sdtc" + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "Immunization", + "codeFilter": [ + { + "path": "vaccineCode", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/iztc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "ServiceRequest", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/lotc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "Observation", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/lrtc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "MedicationAdministration", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/mrtc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "Observation", + "codeFilter": [ + { + "path": "value", + "_path": { + "fhir_comments": [ + " SG: update from code to value " + ] + }, + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/ostc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + } + ] + }, + { + "id": "create-eicr", + "description": "This action represents the initial creation of the eICR.", + "textEquivalent": "eICR construction delay (offsetDuration.value = x hours) - time after trigger event before an eICR should be created.", + "relatedAction": [ + { + "actionId": "match-trigger", + "relationship": "after", + "offsetDuration": { + "value": 1, + "unit": "h" + } + } + ] + }, + { + "id": "periodic-update-eicr", + "description": "This action represents the periodic recheck for matching of a trigger code to one of the values in the eRSD value sets.", + "textEquivalent": "eICR periodic recheck for a trigger match (repeat.frequency = y hours) - the time after an initial match-trigger action.", + "trigger": [ + { + "fhir_comments": [ + " 20200601: Updated Y timing to be every 6 hours ", + " SG 20220429: Updated Y timing from 6 to 12 hours " + ], + "type": "periodic", + "timingTiming": { + "repeat": { + "frequency": 1, + "period": 12, + "periodUnit": "h" + } + } + }, + { + "fhir_comments": [" SG: Added trigger code matches "], + "type": "data-changed", + "data": [ + { + "type": "Condition", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/dxtc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "fhir_comments": [ + " SG 202112: added new value set \"suspected diagnosis\" " + ], + "type": "data-changed", + "data": [ + { + "type": "Condition", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/sdtc" + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "Immunization", + "codeFilter": [ + { + "path": "vaccineCode", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/iztc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "ServiceRequest", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/lotc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "Observation", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/lrtc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "MedicationAdministration", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/mrtc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "Observation", + "codeFilter": [ + { + "path": "value", + "_path": { + "fhir_comments": [ + " SG: updated from code to value " + ] + }, + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/ostc" + } + ] + } + ] + } + ], + "condition": [ + { + "kind": "start", + "expression": { + "description": "Encounter is active.", + "language": "text/cql", + "expression": "encounter.period.start != null and encounter.period.end = null" + } + }, + { + "kind": "stop", + "expression": { + "description": "Encounter is closed.", + "language": "text/cql", + "expression": "encounter.period.end != null" + } + } + ], + "relatedAction": [ + { + "actionId": "match-trigger", + "relationship": "after", + "offsetDuration": { + "fhir_comments": [ + " SG 20220429: Updated from 6 to 12 hours " + ], + "value": 12, + "unit": "h" + } + } + ] + }, + { + "fhir_comments": [ + " 20200601 new action to create the eICR after a re-check for trigger codes " + ], + "id": "create-eicr-after-recheck", + "description": "This action represents the creation of the eICR after a trigger match recheck.", + "textEquivalent": "eICR construction delay (offsetDuration.value = x hours) - time after trigger event before an eICR should be created.", + "relatedAction": [ + { + "actionId": "recheck-match-trigger", + "relationship": "after" + } + ] + }, + { + "id": "close-out-eicr", + "description": "This action represents the close out of an eICR encounter.", + "textEquivalent": "eICR encounter close out (timingTiming.repeat.duration = z hours) - the time after the end of the encounter to create the final eICR when there have been one or more trigger events.", + "trigger": [ + { + "type": "data-added", + "data": [ + { + "type": "Encounter", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-encounter" + ], + "dateFilter": [ + { + "path": "period.end" + } + ] + } + ] + } + ], + "relatedAction": [ + { + "actionId": "create-eicr", + "relationship": "after" + } + ], + "timingTiming": { + "repeat": { + "count": 1, + "duration": 72, + "_duration": { + "fhir_comments": [ + " SG 20220429: Updated Z timing from 24 to 72 " + ] + }, + "durationUnit": "h", + "frequency": 1 + } + } + }, + { + "id": "validate-eicr", + "description": "This action represents the validation of an eICR.", + "textEquivalent": "Validate eICR.", + "trigger": [ + { + "type": "data-changed", + "name": "eicr-created", + "data": [ + { + "type": "Composition", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-composition" + ] + } + ] + } + ] + }, + { + "id": "route-and-send-eicr", + "description": "This action represents the routing and sending of an eICR.", + "textEquivalent": "Route and send eICR", + "relatedAction": [ + { + "actionId": "validate-eicr", + "relationship": "after" + } + ] + } + ] +} diff --git a/ecr/src/test/resources/ersd-v1-plandefinition-skeleton.json b/ecr/src/test/resources/ersd-v1-plandefinition-skeleton.json new file mode 100644 index 000000000..a10fbc63b --- /dev/null +++ b/ecr/src/test/resources/ersd-v1-plandefinition-skeleton.json @@ -0,0 +1,495 @@ +{ + "resourceType": "PlanDefinition", + "id": "plandefinition-ersd-skeleton", + "_id": { + "fhir_comments": [ + " SG: changed id from plandefinition-ersd-instance " + ] + }, + "meta": { + "versionId": "45", + "lastUpdated": "2021-12-09T01:00:00.000-05:00", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/ersd-plandefinition" + ] + }, + "text": { + "fhir_comments": [ + " SG: changes in text to match changes in data " + ], + "status": "generated", + "div": "
\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
id\n
plandefinition-ersd-skeleton
\n
meta\n \n \n \n \n \n \n \n \n \n \n \n \n \n
versionId\n
13
\n
lastUpdated\n
2020-08-11T01:00:00.000-05:00
\n
profile\n
http://hl7.org/fhir/us/ecr/StructureDefinition/ersd-plandefinition
\n
\n
url\n
http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-skeleton
\n
version\n
1.2.0.0
\n
name\n
PlanDefinition_eRSD_Skeleton_Instance
\n
title\n
eRSD PlanDefinition Skeleton Instance
\n
type\n \n
status\n
active
\n
date\n
2020-07-29T01:00:00.000-05:00
\n
action\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
description\n
\n

This action represents the matching of a trigger code to one of the values in the eRSD value sets.

\n
\n
textEquivalent\n
Match of a code to one of the values in the eRSD value sets.
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
Condition
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
code
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/dxtc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
Immunization
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
vaccineCode
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/iztc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
ServiceRequest
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
code
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/lotc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
Observation
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
code
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/lrtc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
MedicationAdministration
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
code
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/mrtc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
Observation
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
value
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/ostc
\n
\n
\n
\n
\n
action\n \n \n \n \n \n \n \n \n \n \n \n \n \n
description\n
\n

This action represents the initial creation of the eICR.

\n
\n
textEquivalent\n
eICR construction delay (offsetDuration.value = x hours) - time after trigger event before an eICR should be created.
\n
relatedAction\n \n \n \n \n \n \n \n \n \n \n \n \n \n
actionId\n
match-trigger
\n
relationship\n
after
\n
offsetDuration\n \n \n \n \n \n \n \n \n \n
value\n
1
\n
unit\n
h
\n
\n
\n
\n
action\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
description\n
\n

This action represents the periodic recheck for matching of a trigger code to one of the values in the eRSD value sets.

\n
\n
textEquivalent\n
eICR periodic recheck for a trigger match (repeat.frequency = y hours) - the time after an initial match-trigger action.
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
periodic
\n
timingTiming\n \n \n \n \n \n
repeat\n \n \n \n \n \n \n \n \n \n \n \n \n \n
frequency\n
1
\n
period\n
12
\n
periodUnit\n
h
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
Condition
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
code
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/dxtc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
Immunization
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
vaccineCode
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/iztc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
ServiceRequest
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
code
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/lotc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
Observation
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
code
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/lrtc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
MedicationAdministration
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
code
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/mrtc
\n
\n
\n
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
Observation
\n
codeFilter\n \n \n \n \n \n \n \n \n \n
path\n
value
\n
valueSet\n
http://ersd.aimsplatform.org/fhir/ValueSet/ostc
\n
\n
\n
\n
condition\n \n \n \n \n \n \n \n \n \n
kind\n
start
\n
expression\n \n \n \n \n \n \n \n \n \n \n \n \n \n
description\n
\n

Encounter is active.

\n
\n
language\n
text/cql
\n
expression\n
encounter.period.start != null and encounter.period.end = null
\n
\n
\n
condition\n \n \n \n \n \n \n \n \n \n
kind\n
stop
\n
expression\n \n \n \n \n \n \n \n \n \n \n \n \n \n
description\n
\n

Encounter is closed.

\n
\n
language\n
text/cql
\n
expression\n
encounter.period.end != null
\n
\n
\n
relatedAction\n \n \n \n \n \n \n \n \n \n \n \n \n \n
actionId\n
match-trigger
\n
relationship\n
after
\n
offsetDuration\n \n \n \n \n \n \n \n \n \n
value\n
12
\n
unit\n
h
\n
\n
\n
\n
action\n \n \n \n \n \n \n \n \n \n \n \n \n \n
description\n
\n

This action represents the creation of the eICR after a trigger match recheck.

\n
\n
textEquivalent\n
eICR construction delay (offsetDuration.value = x hours) - time after trigger event before an eICR should be created.
\n
relatedAction\n \n \n \n \n \n \n \n \n \n
actionId\n
recheck-match-trigger
\n
relationship\n
after
\n
\n
\n
action\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
description\n
\n

This action represents the close out of an eICR encounter.

\n
\n
textEquivalent\n
eICR encounter close out (timingTiming.repeat.duration = z hours) - the time after the end of the encounter to create the final eICR when there have been\n one or more trigger events.
\n
trigger\n \n \n \n \n \n \n \n \n \n
type\n
data-added
\n
data\n \n \n \n \n \n \n \n \n \n \n \n \n \n
type\n
Encounter
\n
profile\n
http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-encounter
\n
dateFilter\n \n \n \n \n \n
path\n
period.end
\n
\n
\n
\n
relatedAction\n \n \n \n \n \n \n \n \n \n
actionId\n
create-eicr
\n
relationship\n
after
\n
\n
timingTiming\n \n \n \n \n \n
repeat\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
count\n
1
\n
duration\n
72
\n
durationUnit\n
h
\n
frequency\n
1
\n
\n
\n
\n
action\n \n \n \n \n \n \n \n \n \n \n \n \n \n
description\n
\n

This action represents the validation of an eICR.

\n
\n
textEquivalent\n
Validate eICR.
\n
trigger\n \n \n \n \n \n \n \n \n \n \n \n \n \n
type\n
data-changed
\n
name\n
eicr-created
\n
data\n \n \n \n \n \n \n \n \n \n
type\n
Composition
\n
profile\n
http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-composition
\n
\n
\n
\n
action\n \n \n \n \n \n \n \n \n \n \n \n \n \n
description\n
\n

This action represents the routing and sending of an eICR.

\n
\n
textEquivalent\n
Route and send eICR
\n
relatedAction\n \n \n \n \n \n \n \n \n \n
actionId\n
validate-eicr
\n
relationship\n
after
\n
\n
\n
\n
" + }, + "url": "http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-skeleton", + "_url": { + "fhir_comments": [ + " SG: updated from plandefinition-ersd-instance " + ] + }, + "version": "1.2.0.0", + "name": "PlanDefinition_eRSD_Skeleton_Instance", + "_name": { + "fhir_comments": [ + " SG: added \"skeleton\" " + ] + }, + "title": "eRSD PlanDefinition Skeleton Instance", + "_title": { + "fhir_comments": [ + " SG: added \"skeleton\" " + ] + }, + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/plan-definition-type", + "code": "eca-rule", + "display": "ECA Rule" + } + ] + }, + "status": "active", + "date": "2023-03-10T13:46:37.516-05:00", + "effectivePeriod": { + "start": "2023-06-01" + }, + "relatedArtifact": [ + { + "type": "depends-on", + "label": "RCTC Value Set Library of Trigger Codes", + "resource": "http://ersd.aimsplatform.org/fhir/Library/rctc" + } + ], + "action": [ + { + "id": "match-trigger", + "description": "This action represents the matching of a trigger code to one of the values in the eRSD value sets.", + "textEquivalent": "Match of a code to one of the values in the eRSD value sets.", + "trigger": [ + { + "type": "data-changed", + "data": [ + { + "type": "Condition", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/dxtc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "fhir_comments": [ + " SG 202112: Added new suspected diagnosis value set " + ], + "type": "data-changed", + "data": [ + { + "type": "Condition", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/sdtc" + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "Immunization", + "codeFilter": [ + { + "path": "vaccineCode", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/iztc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "ServiceRequest", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/lotc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "Observation", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/lrtc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "MedicationAdministration", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/mrtc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "Observation", + "codeFilter": [ + { + "path": "value", + "_path": { + "fhir_comments": [ + " SG: update from code to value " + ] + }, + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/ostc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + } + ] + }, + { + "id": "create-eicr", + "description": "This action represents the initial creation of the eICR.", + "textEquivalent": "eICR construction delay (offsetDuration.value = x hours) - time after trigger event before an eICR should be created.", + "relatedAction": [ + { + "actionId": "match-trigger", + "relationship": "after", + "offsetDuration": { + "value": 1, + "unit": "h" + } + } + ] + }, + { + "id": "periodic-update-eicr", + "description": "This action represents the periodic recheck for matching of a trigger code to one of the values in the eRSD value sets.", + "textEquivalent": "eICR periodic recheck for a trigger match (repeat.frequency = y hours) - the time after an initial match-trigger action.", + "trigger": [ + { + "fhir_comments": [ + " 20200601: Updated Y timing to be every 6 hours ", + " SG 20220429: Updated Y timing from 6 to 12 hours " + ], + "type": "periodic", + "timingTiming": { + "repeat": { + "frequency": 1, + "period": 12, + "periodUnit": "h" + } + } + }, + { + "fhir_comments": [ + " SG: Added trigger code matches " + ], + "type": "data-changed", + "data": [ + { + "type": "Condition", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/dxtc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "fhir_comments": [ + " SG 202112: added new value set \"suspected diagnosis\" " + ], + "type": "data-changed", + "data": [ + { + "type": "Condition", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/sdtc" + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "Immunization", + "codeFilter": [ + { + "path": "vaccineCode", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/iztc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "ServiceRequest", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/lotc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "Observation", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/lrtc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "MedicationAdministration", + "codeFilter": [ + { + "path": "code", + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/mrtc", + "_valueSet": { + "fhir_comments": [ + " SG: removed \"-example\" from end of url " + ] + } + } + ] + } + ] + }, + { + "type": "data-changed", + "data": [ + { + "type": "Observation", + "codeFilter": [ + { + "path": "value", + "_path": { + "fhir_comments": [ + " SG: updated from code to value " + ] + }, + "valueSet": "http://ersd.aimsplatform.org/fhir/ValueSet/ostc" + } + ] + } + ] + } + ], + "condition": [ + { + "kind": "start", + "expression": { + "description": "Encounter is active.", + "language": "text/cql", + "expression": "encounter.period.start != null and encounter.period.end = null" + } + }, + { + "kind": "stop", + "expression": { + "description": "Encounter is closed.", + "language": "text/cql", + "expression": "encounter.period.end != null" + } + } + ], + "relatedAction": [ + { + "actionId": "match-trigger", + "relationship": "after", + "offsetDuration": { + "fhir_comments": [ + " SG 20220429: Updated from 6 to 12 hours " + ], + "value": 12, + "unit": "h" + } + } + ] + }, + { + "fhir_comments": [ + " 20200601 new action to create the eICR after a re-check for trigger codes " + ], + "id": "create-eicr-after-recheck", + "description": "This action represents the creation of the eICR after a trigger match recheck.", + "textEquivalent": "eICR construction delay (offsetDuration.value = x hours) - time after trigger event before an eICR should be created.", + "relatedAction": [ + { + "actionId": "recheck-match-trigger", + "relationship": "after" + } + ] + }, + { + "id": "close-out-eicr", + "description": "This action represents the close out of an eICR encounter.", + "textEquivalent": "eICR encounter close out (timingTiming.repeat.duration = z hours) - the time after the end of the encounter to create the final eICR when there have been one or more trigger events.", + "trigger": [ + { + "type": "data-added", + "data": [ + { + "type": "Encounter", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-encounter" + ], + "dateFilter": [ + { + "path": "period.end" + } + ] + } + ] + } + ], + "relatedAction": [ + { + "actionId": "create-eicr", + "relationship": "after" + } + ], + "timingTiming": { + "repeat": { + "count": 1, + "duration": 72, + "_duration": { + "fhir_comments": [ + " SG 20220429: Updated Z timing from 24 to 72 " + ] + }, + "durationUnit": "h", + "frequency": 1 + } + } + }, + { + "id": "validate-eicr", + "description": "This action represents the validation of an eICR.", + "textEquivalent": "Validate eICR.", + "trigger": [ + { + "type": "data-changed", + "name": "eicr-created", + "data": [ + { + "type": "Composition", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-composition" + ] + } + ] + } + ] + }, + { + "id": "route-and-send-eicr", + "description": "This action represents the routing and sending of an eICR.", + "textEquivalent": "Route and send eICR", + "relatedAction": [ + { + "actionId": "validate-eicr", + "relationship": "after" + } + ] + } + ] +} \ No newline at end of file diff --git a/example/README.md b/example/README.md index 89a5877c0..75e47da60 100644 --- a/example/README.md +++ b/example/README.md @@ -19,6 +19,10 @@ This system is very basic. It does not support runtime addition or removal of pl NOTE: This plugin is for demonstration purposes only. It's never intended to be published +## Build + +Use `mvn package` to build the jar files + ## Docker The Dockerfile builds on top of the base cqf-ruler image and simply copies the jar into the `plugin` directory of the image. diff --git a/pom.xml b/pom.xml index d3f69afb1..2077df66d 100644 --- a/pom.xml +++ b/pom.xml @@ -62,7 +62,6 @@ - example external test core diff --git a/server/pom.xml b/server/pom.xml index a13379a16..b5cf7f9ef 100644 --- a/server/pom.xml +++ b/server/pom.xml @@ -242,6 +242,8 @@ javax.servlet-api provided + + org.opencds.cqf.ruler cqf-ruler-case-reporting @@ -272,8 +274,6 @@ 0.15.0-SNAPSHOT runtime - - org.opencds.cqf.ruler cqf-ruler-ra