diff --git a/cqf-fhir-cr/src/main/java/org/opencds/cqf/fhir/cr/measure/constant/CareGapsConstants.java b/cqf-fhir-cr/src/main/java/org/opencds/cqf/fhir/cr/measure/constant/CareGapsConstants.java index b0770110d..390e1ed40 100644 --- a/cqf-fhir-cr/src/main/java/org/opencds/cqf/fhir/cr/measure/constant/CareGapsConstants.java +++ b/cqf-fhir-cr/src/main/java/org/opencds/cqf/fhir/cr/measure/constant/CareGapsConstants.java @@ -17,6 +17,8 @@ private CareGapsConstants() { "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm"; public static final String CARE_GAPS_DETECTED_ISSUE_PROFILE = "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm"; + public static final String CARE_GAPS_DETECTED_ISSUE_MR_GROUP_ID = + "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-mr-group-id-deqm"; public static final String CARE_GAPS_GAP_STATUS_EXTENSION = "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus"; public static final String CARE_GAPS_GAP_STATUS_SYSTEM = diff --git a/cqf-fhir-cr/src/main/java/org/opencds/cqf/fhir/cr/measure/constant/MeasureReportConstants.java b/cqf-fhir-cr/src/main/java/org/opencds/cqf/fhir/cr/measure/constant/MeasureReportConstants.java index 911339727..53dee7eda 100644 --- a/cqf-fhir-cr/src/main/java/org/opencds/cqf/fhir/cr/measure/constant/MeasureReportConstants.java +++ b/cqf-fhir-cr/src/main/java/org/opencds/cqf/fhir/cr/measure/constant/MeasureReportConstants.java @@ -10,6 +10,9 @@ private MeasureReportConstants() {} public static final String MEASUREREPORT_IMPROVEMENT_NOTATION_SYSTEM = "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"; + + public static final String MEASUREREPORT_IMPROVEMENT_NOTATION_EXTENSION = + "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation"; public static final String MEASUREREPORT_MEASURE_POPULATION_SYSTEM = "http://terminology.hl7.org/CodeSystem/measure-population"; public static final String MEASUREREPORT_MEASURE_SUPPLEMENTALDATA_EXTENSION = diff --git a/cqf-fhir-cr/src/main/java/org/opencds/cqf/fhir/cr/measure/r4/R4CareGapStatusEvaluator.java b/cqf-fhir-cr/src/main/java/org/opencds/cqf/fhir/cr/measure/r4/R4CareGapStatusEvaluator.java index 359ad5bda..de4c7ea8e 100644 --- a/cqf-fhir-cr/src/main/java/org/opencds/cqf/fhir/cr/measure/r4/R4CareGapStatusEvaluator.java +++ b/cqf-fhir-cr/src/main/java/org/opencds/cqf/fhir/cr/measure/r4/R4CareGapStatusEvaluator.java @@ -3,10 +3,13 @@ import static org.opencds.cqf.fhir.cr.measure.constant.MeasureReportConstants.MEASUREREPORT_IMPROVEMENT_NOTATION_SYSTEM; import static org.opencds.cqf.fhir.cr.measure.constant.MeasureReportConstants.MEASUREREPORT_MEASURE_POPULATION_SYSTEM; +import java.util.HashMap; +import java.util.Map; import org.apache.commons.lang3.tuple.MutablePair; import org.apache.commons.lang3.tuple.Pair; import org.hl7.fhir.r4.model.Measure; import org.hl7.fhir.r4.model.MeasureReport; +import org.hl7.fhir.r4.model.MeasureReport.MeasureReportGroupComponent; import org.opencds.cqf.fhir.cr.measure.enumeration.CareGapsStatusCode; /** @@ -28,8 +31,8 @@ public class R4CareGapStatusEvaluator { * Improvement Notation of Scoring Algorithm indicates whether the ratio of Numerator over Denominator populations represents a scenario to increase the Numerator to improve outcomes, or to decrease the Numerator count. If this value is not set on a Measure resource, then it is defaulted to 'Increase' under the IsPositive variable. *

* * */ - public CareGapsStatusCode getGapStatus(Measure measure, MeasureReport measureReport) { + public Map getGroupGapStatus(Measure measure, MeasureReport measureReport) { + Map groupStatus = new HashMap<>(); + + for (MeasureReportGroupComponent group : measureReport.getGroup()) { + var groupId = group.getId(); + var gapStatus = getGapStatus(measure, group); + + groupStatus.put(groupId, gapStatus); + } + return groupStatus; + } + + private CareGapsStatusCode getGapStatus(Measure measure, MeasureReportGroupComponent measureReportGroup) { Pair inNumerator = new MutablePair<>("numerator", false); Pair inDenominator = new MutablePair<>("denominator", false); - measureReport.getGroup().forEach(group -> group.getPopulation().forEach(population -> { + // get Numerator and Denominator membership + measureReportGroup.getPopulation().forEach(population -> { if (population.hasCode() && population.getCode().hasCoding(MEASUREREPORT_MEASURE_POPULATION_SYSTEM, inNumerator.getKey()) && population.getCount() == 1) { @@ -52,12 +68,15 @@ public CareGapsStatusCode getGapStatus(Measure measure, MeasureReport measureRep && population.getCount() == 1) { inDenominator.setValue(true); } - })); + }); // default improvementNotation boolean isPositive = true; - // if value is present, set value from measure if populated + // TODO: look for group specified 'improvement notation', if missing, then look on measure + /*if (groupHasImprovementNotation(measureReportGroup)) { + isPositive = groupImprovementNotationIsPositive(measureReportGroup); + } else if (measure.hasImprovementNotation()) {*/ if (measure.hasImprovementNotation()) { isPositive = measure.getImprovementNotation().hasCoding(MEASUREREPORT_IMPROVEMENT_NOTATION_SYSTEM, "increase"); @@ -75,4 +94,17 @@ public CareGapsStatusCode getGapStatus(Measure measure, MeasureReport measureRep return CareGapsStatusCode.CLOSED_GAP; } + + /* + // TODO implement Measure Group Level improvement notation extension + private boolean groupHasImprovementNotation(MeasureReportGroupComponent groupComponent) { + return groupComponent.getExtensionByUrl(MEASUREREPORT_IMPROVEMENT_NOTATION_EXTENSION) != null; + } + + private boolean groupImprovementNotationIsPositive(MeasureReportGroupComponent groupComponent) { + var code = (CodeableConcept) groupComponent + .getExtensionByUrl(MEASUREREPORT_IMPROVEMENT_NOTATION_EXTENSION) + .getValue(); + return code.hasCoding(MEASUREREPORT_IMPROVEMENT_NOTATION_SYSTEM, "increase"); + }*/ } diff --git a/cqf-fhir-cr/src/main/java/org/opencds/cqf/fhir/cr/measure/r4/R4CareGapsBundleBuilder.java b/cqf-fhir-cr/src/main/java/org/opencds/cqf/fhir/cr/measure/r4/R4CareGapsBundleBuilder.java index f9b6b7087..98077e26a 100644 --- a/cqf-fhir-cr/src/main/java/org/opencds/cqf/fhir/cr/measure/r4/R4CareGapsBundleBuilder.java +++ b/cqf-fhir-cr/src/main/java/org/opencds/cqf/fhir/cr/measure/r4/R4CareGapsBundleBuilder.java @@ -3,6 +3,7 @@ import static org.opencds.cqf.fhir.cr.measure.common.MeasureConstants.EXT_SDE_REFERENCE_URL; import static org.opencds.cqf.fhir.cr.measure.constant.CareGapsConstants.CARE_GAPS_BUNDLE_PROFILE; import static org.opencds.cqf.fhir.cr.measure.constant.CareGapsConstants.CARE_GAPS_COMPOSITION_PROFILE; +import static org.opencds.cqf.fhir.cr.measure.constant.CareGapsConstants.CARE_GAPS_DETECTED_ISSUE_MR_GROUP_ID; import static org.opencds.cqf.fhir.cr.measure.constant.CareGapsConstants.CARE_GAPS_DETECTED_ISSUE_PROFILE; import static org.opencds.cqf.fhir.cr.measure.constant.CareGapsConstants.CARE_GAPS_GAP_STATUS_EXTENSION; import static org.opencds.cqf.fhir.cr.measure.constant.CareGapsConstants.CARE_GAPS_GAP_STATUS_SYSTEM; @@ -17,6 +18,7 @@ import com.google.common.collect.ImmutableMap; import jakarta.annotation.Nullable; import java.util.ArrayList; +import java.util.Collections; import java.util.Date; import java.util.HashMap; import java.util.List; @@ -40,6 +42,7 @@ import org.hl7.fhir.r4.model.Patient; import org.hl7.fhir.r4.model.Reference; import org.hl7.fhir.r4.model.Resource; +import org.hl7.fhir.r4.model.StringType; import org.opencds.cqf.fhir.api.Repository; import org.opencds.cqf.fhir.cr.measure.CareGapsProperties; import org.opencds.cqf.fhir.cr.measure.MeasureEvaluationOptions; @@ -146,15 +149,22 @@ public Bundle makePatientBundle(Bundle bundle, List statuses, Patient pa addResourceId(mr); Measure measure = r4MeasureServiceUtils.resolveByUrl(mr.getMeasure()); // Applicable Reports per Gap-Status - var gapStatus = gapEvaluator.getGapStatus(measure, mr); - boolean keepResult = statuses.contains(gapStatus.toString()); - if (keepResult) { + var gapStatus = gapEvaluator.getGroupGapStatus(measure, mr); + var filteredGapStatus = filteredGapStatus(gapStatus, statuses); + if (!filteredGapStatus.isEmpty()) { // add Report to final Care-gap report measureReports.add(mr); - // Issue Detected for Report - DetectedIssue detectedIssue = getDetectedIssue(patient, mr, gapStatus); - detectedIssues.add(getDetectedIssue(patient, mr, gapStatus)); - composition.addSection(getSection(measure, mr, detectedIssue, gapStatus)); + // Issue(s) Detected from MeasureReport + for (Map.Entry item : filteredGapStatus.entrySet()) { + String groupId = item.getKey(); + CareGapsStatusCode careGapsStatusCode = item.getValue(); + // create DetectedIssue per gap-status and MeasureReport.groupId + DetectedIssue issue = getDetectedIssue(patient, mr, groupId, careGapsStatusCode); + // add DetectedIssue list to set on Bundle + detectedIssues.add(issue); + // add sections for DetectedIssues created + composition.addSection(getSection(measure, mr, issue, careGapsStatusCode)); + } // Track evaluated Resources populateEvaluatedResources(mr, evalPlusSDE); populateSDEResources(mr, evalPlusSDE); @@ -170,6 +180,20 @@ public Bundle makePatientBundle(Bundle bundle, List statuses, Patient pa } } + private Map filteredGapStatus( + Map careGapStatusPerGroupId, List statuses) { + Map filtered = new HashMap<>(); + for (Map.Entry entry : careGapStatusPerGroupId.entrySet()) { + String groupId = entry.getKey(); + CareGapsStatusCode careGapsStatusCode = entry.getValue(); + // check resulting status for report groups is in operation request 'statuses' + if (statuses.contains(careGapsStatusCode.toString())) { + filtered.put(groupId, careGapsStatusCode); + } + } + return filtered; + } + private Bundle.BundleEntryComponent getBundleEntry(String serverBase, Resource resource) { return new Bundle.BundleEntryComponent().setResource(resource).setFullUrl(getFullUrl(serverBase, resource)); } @@ -203,9 +227,17 @@ private Composition getComposition(Patient patient) { .build(); } + private boolean isMultiRateMeasure(MeasureReport measureReport) { + return measureReport.getGroup().size() > 1; + } + private DetectedIssue getDetectedIssue( - Patient patient, MeasureReport measureReport, CareGapsStatusCode careGapStatusCode) { - return new DetectedIssueBuilder<>(DetectedIssue.class) + Patient patient, + MeasureReport measureReport, + String measureReportGroupId, + CareGapsStatusCode careGapsStatusCode) { + + var detectedIssue = new DetectedIssueBuilder<>(DetectedIssue.class) .withProfile(CARE_GAPS_DETECTED_ISSUE_PROFILE) .withStatus(DetectedIssue.DetectedIssueStatus.FINAL.toString()) .withCode(CARE_GAPS_CODES.get("http://terminology.hl7.org/CodeSystem/v3-ActCode/CAREGAP")) @@ -216,9 +248,19 @@ private DetectedIssue getDetectedIssue( new CodeableConceptSettings() .add( CARE_GAPS_GAP_STATUS_SYSTEM, - careGapStatusCode.toString(), - careGapStatusCode.toDisplayString()))) + careGapsStatusCode.toString(), + careGapsStatusCode.toDisplayString()))) .build(); + + if (measureReportGroupId != null && isMultiRateMeasure(measureReport)) { + // MeasureReportGroupComponent.id value set here to differentiate between DetectedIssue resources for the + // same MeasureReport + Extension groupIdExt = new Extension(); + groupIdExt.setUrl(CARE_GAPS_DETECTED_ISSUE_MR_GROUP_ID); + groupIdExt.setValue(new StringType(measureReportGroupId)); + detectedIssue.setExtension(Collections.singletonList(groupIdExt)); + } + return detectedIssue; } private void populateEvaluatedResources(MeasureReport measureReport, Map resources) { diff --git a/cqf-fhir-cr/src/main/java/org/opencds/cqf/fhir/cr/measure/r4/R4CareGapsProcessor.java b/cqf-fhir-cr/src/main/java/org/opencds/cqf/fhir/cr/measure/r4/R4CareGapsProcessor.java index 94dd301a9..eb916f2f2 100644 --- a/cqf-fhir-cr/src/main/java/org/opencds/cqf/fhir/cr/measure/r4/R4CareGapsProcessor.java +++ b/cqf-fhir-cr/src/main/java/org/opencds/cqf/fhir/cr/measure/r4/R4CareGapsProcessor.java @@ -14,6 +14,7 @@ import org.hl7.fhir.r4.model.CanonicalType; import org.hl7.fhir.r4.model.IdType; import org.hl7.fhir.r4.model.Measure; +import org.hl7.fhir.r4.model.Measure.MeasureGroupComponent; import org.hl7.fhir.r4.model.Organization; import org.hl7.fhir.r4.model.Parameters; import org.hl7.fhir.r4.model.PrimitiveType; @@ -154,6 +155,34 @@ private void measureCompatibilityCheck(List measures) { for (Measure measure : measures) { checkMeasureScoringType(measure); checkMeasureImprovementNotation(measure); + checkMeasureBasis(measure); + checkMeasureGroupComponents(measure); + } + } + + private void checkMeasureBasis(Measure measure) { + R4MeasureBasisDef measureDef = new R4MeasureBasisDef(); + if (!measureDef.isBooleanBasis(measure)) { + throw new IllegalArgumentException( + String.format("CareGaps can't process Measure: %s, it is not Boolean basis.", measure.getIdPart())); + } + } + + /** + * MultiRate Measures require a unique 'id' per GroupComponent to uniquely identify results in Measure Report. + * This is helpful when creating DetectedIssues per GroupComponent so endUsers can attribute evidence of a Care-Gap to the specific MeasureReport result + * @param measure Measure resource + */ + private void checkMeasureGroupComponents(Measure measure) { + // if a Multi-rate Measure, enforce groupId to be populated + if (measure.getGroup().size() > 1) { + for (MeasureGroupComponent group : measure.getGroup()) { + if (measure.getGroup().size() > 1 + && (group.getId() == null || group.getId().isEmpty())) { + throw new IllegalArgumentException( + "Multi-rate Measure resources require unique 'id' for GroupComponents to be populated."); + } + } } } diff --git a/cqf-fhir-cr/src/test/java/org/opencds/cqf/fhir/cr/measure/r4/DataRequirementsTest.java b/cqf-fhir-cr/src/test/java/org/opencds/cqf/fhir/cr/measure/r4/DataRequirementsTest.java index 12d6cd965..fb2985fff 100644 --- a/cqf-fhir-cr/src/test/java/org/opencds/cqf/fhir/cr/measure/r4/DataRequirementsTest.java +++ b/cqf-fhir-cr/src/test/java/org/opencds/cqf/fhir/cr/measure/r4/DataRequirementsTest.java @@ -56,7 +56,7 @@ void dataRequirements_booleanBasisMeasure_noPeriod() { .DataRequirements() .then() .hasDataRequirementCount(1) - .hasParameterDefCount(11) + .hasParameterDefCount(13) .hasRelatedArtifactCount(1) .report(); } diff --git a/cqf-fhir-cr/src/test/java/org/opencds/cqf/fhir/cr/measure/r4/R4CareGapsTest.java b/cqf-fhir-cr/src/test/java/org/opencds/cqf/fhir/cr/measure/r4/R4CareGapsTest.java index 73d5e506a..f001799d7 100644 --- a/cqf-fhir-cr/src/test/java/org/opencds/cqf/fhir/cr/measure/r4/R4CareGapsTest.java +++ b/cqf-fhir-cr/src/test/java/org/opencds/cqf/fhir/cr/measure/r4/R4CareGapsTest.java @@ -507,4 +507,107 @@ void ContinuousVariable_ScoringTypeError() { "MeasureScoring type: Continuous Variable, is not an accepted Type for care-gaps service")); } } + + // MinimalProportionResourceBasisSingleGroup + @Test + void MinimalProportionResourceBasisSingleGroup_Subject() { + try { + GIVEN_REPO + .when() + .subject("Patient/female-1988") + .periodStart("2024-01-01") + .periodEnd("2024-12-31") + .measureIds("MinimalProportionResourceBasisSingleGroup") + .statuses("closed-gap") + .statuses("open-gap") + .getCareGapsReport() + .then() + .hasBundleCount(1); + fail("resource based measures should fail"); + } catch (IllegalArgumentException e) { + Assertions.assertTrue( + e.getMessage() + .contains( + "CareGaps can't process Measure: MinimalProportionResourceBasisSingleGroup, it is not Boolean basis")); + } + } + + @Test + void MinimalProportionBooleanBasisMultiGroup() { + GIVEN_REPO + .when() + .subject("Patient/female-1988") + .periodStart("2019-01-01") + .periodEnd("2019-12-31") + .measureIds("MinimalProportionBooleanBasisMultiGroup") + .statuses("closed-gap") + .statuses("open-gap") + .statuses("not-applicable") + .getCareGapsReport() + .then() + .hasBundleCount(1) + .firstParameter() + .detectedIssueCount(2); // 1 Detected issue per groupId + } + + @Test + void MinimalProportionBooleanBasisMultiGroupDifferentStatus() { + GIVEN_REPO + .when() + .subject("Patient/female-1988") + .periodStart("2019-01-01") + .periodEnd("2019-12-31") + .measureIds("MinimalProportionBooleanBasisMultiGroupDifferentStatus") + .statuses("closed-gap") + .getCareGapsReport() + .then() + .hasBundleCount(1) + .firstParameter() + .detectedIssueCount( + 1); // 2 Detected issue per groupId, 1 open-gap, 1 closed-gap. Only "closed-gap" should show + } + + @Test + void MinimalProportionBooleanBasisMultiGroup_NoId() { + try { + GIVEN_REPO + .when() + .subject("Patient/female-1988") + .periodStart("2019-01-01") + .periodEnd("2019-12-31") + .measureIds("MinimalProportionBooleanBasisMultiGroupNoGroupId") + .statuses("closed-gap") + .statuses("open-gap") + .statuses("not-applicable") + .getCareGapsReport() + .then() + .hasBundleCount(1) + .firstParameter() + .detectedIssueCount(2); // 1 Detected issue per groupId + fail("this should fail without a groupId"); + } catch (IllegalArgumentException e) { + Assertions.assertTrue(e.getMessage() + .contains("Multi-rate Measure resources require unique 'id' for GroupComponents to be populated.")); + } + } + + /* + // TODO implement Measure Group Level improvement notation extension + @Test + void MinimalProportionBooleanBasisMultiGroupGroupImpNotation() { + GIVEN_REPO + .when() + .subject("Patient/female-1988") + .periodStart("2019-01-01") + .periodEnd("2019-12-31") + .measureIds("MinimalProportionBooleanBasisMultiGroupGroupImpNotation") + .statuses("closed-gap") + .getCareGapsReport() + .then() + .hasBundleCount(1) + .firstParameter() + .detectedIssueCount( + 2); // 2 Detected issue per groupId, one is decrease, the other increase improvement Notation. Both should be closed-gap + } + */ } diff --git a/cqf-fhir-cr/src/test/resources/org/opencds/cqf/fhir/cr/measure/r4/MinimalMeasureEvaluation/cql/MinimalProportionBooleanBasisSingleGroup.cql b/cqf-fhir-cr/src/test/resources/org/opencds/cqf/fhir/cr/measure/r4/MinimalMeasureEvaluation/cql/MinimalProportionBooleanBasisSingleGroup.cql index cd1811a02..3a62ce8bb 100644 --- a/cqf-fhir-cr/src/test/resources/org/opencds/cqf/fhir/cr/measure/r4/MinimalMeasureEvaluation/cql/MinimalProportionBooleanBasisSingleGroup.cql +++ b/cqf-fhir-cr/src/test/resources/org/opencds/cqf/fhir/cr/measure/r4/MinimalMeasureEvaluation/cql/MinimalProportionBooleanBasisSingleGroup.cql @@ -32,4 +32,10 @@ define "Measure Population": "Denominator" define "date of compliance": - "Measurement Period" \ No newline at end of file + "Measurement Period" + +define "always false": + false + +define "always true": + true \ No newline at end of file diff --git a/cqf-fhir-cr/src/test/resources/org/opencds/cqf/fhir/cr/measure/r4/MinimalMeasureEvaluation/resources/measure/MinimalProportionBooleanBasisMultiGroup.json b/cqf-fhir-cr/src/test/resources/org/opencds/cqf/fhir/cr/measure/r4/MinimalMeasureEvaluation/resources/measure/MinimalProportionBooleanBasisMultiGroup.json new file mode 100644 index 000000000..0dca8e6cc --- /dev/null +++ b/cqf-fhir-cr/src/test/resources/org/opencds/cqf/fhir/cr/measure/r4/MinimalMeasureEvaluation/resources/measure/MinimalProportionBooleanBasisMultiGroup.json @@ -0,0 +1,224 @@ +{ + "id": "MinimalProportionBooleanBasisMultiGroup", + "resourceType": "Measure", + "url": "http://example.com/Measure/MinimalProportionBooleanBasisMultiGroup", + "library": [ + "http://example.com/Library/MinimalProportionBooleanBasisSingleGroup" + ], + "extension": [ { + "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis", + "valueCode": "boolean" + } ], + "scoring": { + "coding": [ + { + "system": "http://hl7.org/fhir/measure-scoring", + "code": "proportion" + } + ] + }, + "group": [ + { + "id" : "group-1", + "population": [ + { + "id": "initial-population-1", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "initial-population", + "display": "Initial Population" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Initial Population" + } + }, + { + "id": "denominator-1", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "denominator", + "display": "Denominator" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Denominator" + } + }, + { + "id": "denominator-exclusion-1", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "denominator-exclusion", + "display": "Denominator-Exclusion" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Denominator Exclusion" + } + }, + { + "id": "denominator-exception-1", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "denominator-exception", + "display": "Denominator-Exception" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Denominator Exception" + } + }, + { + "id": "numerator-exclusion-1", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "numerator-exclusion", + "display": "Numerator-Exclusion" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Numerator Exclusion" + } + }, + { + "id": "numerator-1", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "numerator", + "display": "Numerator" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Numerator" + } + } + ] + }, + { + "id" : "group-2", + "population": [ + { + "id": "initial-population-2", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "initial-population", + "display": "Initial Population" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Initial Population" + } + }, + { + "id": "denominator-2", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "denominator", + "display": "Denominator" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Denominator" + } + }, + { + "id": "denominator-exclusion-2", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "denominator-exclusion", + "display": "Denominator-Exclusion" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Denominator Exclusion" + } + }, + { + "id": "denominator-exception-2", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "denominator-exception", + "display": "Denominator-Exception" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Denominator Exception" + } + }, + { + "id": "numerator-exclusion-2", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "numerator-exclusion", + "display": "Numerator-Exclusion" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Numerator Exclusion" + } + }, + { + "id": "numerator-2", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "numerator", + "display": "Numerator" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Numerator" + } + } + ] + } + ] +} \ No newline at end of file diff --git a/cqf-fhir-cr/src/test/resources/org/opencds/cqf/fhir/cr/measure/r4/MinimalMeasureEvaluation/resources/measure/MinimalProportionBooleanBasisMultiGroupDifferentStatus.json b/cqf-fhir-cr/src/test/resources/org/opencds/cqf/fhir/cr/measure/r4/MinimalMeasureEvaluation/resources/measure/MinimalProportionBooleanBasisMultiGroupDifferentStatus.json new file mode 100644 index 000000000..2362b56f0 --- /dev/null +++ b/cqf-fhir-cr/src/test/resources/org/opencds/cqf/fhir/cr/measure/r4/MinimalMeasureEvaluation/resources/measure/MinimalProportionBooleanBasisMultiGroupDifferentStatus.json @@ -0,0 +1,224 @@ +{ + "id": "MinimalProportionBooleanBasisMultiGroupDifferentStatus", + "resourceType": "Measure", + "url": "http://example.com/Measure/MinimalProportionBooleanBasisMultiGroupDifferentStatus", + "library": [ + "http://example.com/Library/MinimalProportionBooleanBasisSingleGroup" + ], + "extension": [ { + "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis", + "valueCode": "boolean" + } ], + "scoring": { + "coding": [ + { + "system": "http://hl7.org/fhir/measure-scoring", + "code": "proportion" + } + ] + }, + "group": [ + { + "id" : "group-1", + "population": [ + { + "id": "initial-population-1", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "initial-population", + "display": "Initial Population" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "always true" + } + }, + { + "id": "denominator-1", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "denominator", + "display": "Denominator" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "always true" + } + }, + { + "id": "denominator-exclusion-1", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "denominator-exclusion", + "display": "Denominator-Exclusion" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Denominator Exclusion" + } + }, + { + "id": "denominator-exception-1", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "denominator-exception", + "display": "Denominator-Exception" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Denominator Exception" + } + }, + { + "id": "numerator-exclusion-1", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "numerator-exclusion", + "display": "Numerator-Exclusion" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Numerator Exclusion" + } + }, + { + "id": "numerator-1", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "numerator", + "display": "Numerator" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "always true" + } + } + ] + }, + { + "id" : "group-2", + "population": [ + { + "id": "initial-population-2", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "initial-population", + "display": "Initial Population" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "always true" + } + }, + { + "id": "denominator-2", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "denominator", + "display": "Denominator" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "always true" + } + }, + { + "id": "denominator-exclusion-2", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "denominator-exclusion", + "display": "Denominator-Exclusion" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Denominator Exclusion" + } + }, + { + "id": "denominator-exception-2", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "denominator-exception", + "display": "Denominator-Exception" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Denominator Exception" + } + }, + { + "id": "numerator-exclusion-2", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "numerator-exclusion", + "display": "Numerator-Exclusion" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Numerator Exclusion" + } + }, + { + "id": "numerator-2", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "numerator", + "display": "Numerator" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "always false" + } + } + ] + } + ] +} \ No newline at end of file diff --git a/cqf-fhir-cr/src/test/resources/org/opencds/cqf/fhir/cr/measure/r4/MinimalMeasureEvaluation/resources/measure/MinimalProportionBooleanBasisMultiGroupGroupImpNotation.json b/cqf-fhir-cr/src/test/resources/org/opencds/cqf/fhir/cr/measure/r4/MinimalMeasureEvaluation/resources/measure/MinimalProportionBooleanBasisMultiGroupGroupImpNotation.json new file mode 100644 index 000000000..33c5e5da3 --- /dev/null +++ b/cqf-fhir-cr/src/test/resources/org/opencds/cqf/fhir/cr/measure/r4/MinimalMeasureEvaluation/resources/measure/MinimalProportionBooleanBasisMultiGroupGroupImpNotation.json @@ -0,0 +1,248 @@ +{ + "id": "MinimalProportionBooleanBasisMultiGroupGroupImpNotation", + "resourceType": "Measure", + "url": "http://example.com/Measure/MinimalProportionBooleanBasisMultiGroupGroupImpNotation", + "library": [ + "http://example.com/Library/MinimalProportionBooleanBasisSingleGroup" + ], + "extension": [ { + "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis", + "valueCode": "boolean" + } ], + "scoring": { + "coding": [ + { + "system": "http://hl7.org/fhir/measure-scoring", + "code": "proportion" + } + ] + }, + "group": [ + { + "id" : "group-1", + "extension": [ { + "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation", + "code": "decrease", + "display": "decrease" + } + ] + } + } ], + "population": [ + { + "id": "initial-population-1", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "initial-population", + "display": "Initial Population" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Initial Population" + } + }, + { + "id": "denominator-1", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "denominator", + "display": "Denominator" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Denominator" + } + }, + { + "id": "denominator-exclusion-1", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "denominator-exclusion", + "display": "Denominator-Exclusion" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Denominator Exclusion" + } + }, + { + "id": "denominator-exception-1", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "denominator-exception", + "display": "Denominator-Exception" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Denominator Exception" + } + }, + { + "id": "numerator-exclusion-1", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "numerator-exclusion", + "display": "Numerator-Exclusion" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Numerator Exclusion" + } + }, + { + "id": "numerator-1", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "numerator", + "display": "Numerator" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Numerator" + } + } + ] + }, + { + "id" : "group-2", + "extension": [ { + "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation", + "code": "increase", + "display": "increase" + } + ] + } + } ], + "population": [ + { + "id": "initial-population-2", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "initial-population", + "display": "Initial Population" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Initial Population" + } + }, + { + "id": "denominator-2", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "denominator", + "display": "Denominator" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Denominator" + } + }, + { + "id": "denominator-exclusion-2", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "denominator-exclusion", + "display": "Denominator-Exclusion" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Denominator Exclusion" + } + }, + { + "id": "denominator-exception-2", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "denominator-exception", + "display": "Denominator-Exception" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Denominator Exception" + } + }, + { + "id": "numerator-exclusion-2", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "numerator-exclusion", + "display": "Numerator-Exclusion" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Numerator Exclusion" + } + }, + { + "id": "numerator-2", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "numerator", + "display": "Numerator" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Numerator" + } + } + ] + } + ] +} \ No newline at end of file diff --git a/cqf-fhir-cr/src/test/resources/org/opencds/cqf/fhir/cr/measure/r4/MinimalMeasureEvaluation/resources/measure/MinimalProportionBooleanBasisMultiGroupNoGroupId.json b/cqf-fhir-cr/src/test/resources/org/opencds/cqf/fhir/cr/measure/r4/MinimalMeasureEvaluation/resources/measure/MinimalProportionBooleanBasisMultiGroupNoGroupId.json new file mode 100644 index 000000000..7099eabe7 --- /dev/null +++ b/cqf-fhir-cr/src/test/resources/org/opencds/cqf/fhir/cr/measure/r4/MinimalMeasureEvaluation/resources/measure/MinimalProportionBooleanBasisMultiGroupNoGroupId.json @@ -0,0 +1,222 @@ +{ + "id": "MinimalProportionBooleanBasisMultiGroupNoGroupId", + "resourceType": "Measure", + "url": "http://example.com/Measure/MinimalProportionBooleanBasisMultiGroupNoGroupId", + "library": [ + "http://example.com/Library/MinimalProportionBooleanBasisSingleGroup" + ], + "extension": [ { + "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis", + "valueCode": "boolean" + } ], + "scoring": { + "coding": [ + { + "system": "http://hl7.org/fhir/measure-scoring", + "code": "proportion" + } + ] + }, + "group": [ + { + "population": [ + { + "id": "initial-population-1", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "initial-population", + "display": "Initial Population" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Initial Population" + } + }, + { + "id": "denominator-1", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "denominator", + "display": "Denominator" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Denominator" + } + }, + { + "id": "denominator-exclusion-1", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "denominator-exclusion", + "display": "Denominator-Exclusion" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Denominator Exclusion" + } + }, + { + "id": "denominator-exception-1", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "denominator-exception", + "display": "Denominator-Exception" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Denominator Exception" + } + }, + { + "id": "numerator-exclusion-1", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "numerator-exclusion", + "display": "Numerator-Exclusion" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Numerator Exclusion" + } + }, + { + "id": "numerator-1", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "numerator", + "display": "Numerator" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Numerator" + } + } + ] + }, + { + "population": [ + { + "id": "initial-population-2", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "initial-population", + "display": "Initial Population" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Initial Population" + } + }, + { + "id": "denominator-2", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "denominator", + "display": "Denominator" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Denominator" + } + }, + { + "id": "denominator-exclusion-2", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "denominator-exclusion", + "display": "Denominator-Exclusion" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Denominator Exclusion" + } + }, + { + "id": "denominator-exception-2", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "denominator-exception", + "display": "Denominator-Exception" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Denominator Exception" + } + }, + { + "id": "numerator-exclusion-2", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "numerator-exclusion", + "display": "Numerator-Exclusion" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Numerator Exclusion" + } + }, + { + "id": "numerator-2", + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "numerator", + "display": "Numerator" + } + ] + }, + "criteria": { + "language": "text/cql-identifier", + "expression": "Numerator" + } + } + ] + } + ] +} \ No newline at end of file diff --git a/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/BundleHelper.java b/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/BundleHelper.java index 5a64c8fb6..30d7f6a7a 100644 --- a/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/BundleHelper.java +++ b/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/BundleHelper.java @@ -1,16 +1,23 @@ package org.opencds.cqf.fhir.utility; import ca.uhn.fhir.context.FhirVersionEnum; +import ca.uhn.fhir.context.RuntimeSearchParam; +import ca.uhn.fhir.context.RuntimeSearchParam.RuntimeSearchParamStatusEnum; +import ca.uhn.fhir.rest.api.RestSearchParameterTypeEnum; import java.util.ArrayList; import java.util.List; import java.util.Optional; +import java.util.stream.Collectors; import org.hl7.fhir.dstu3.model.Bundle; import org.hl7.fhir.dstu3.model.IdType; +import org.hl7.fhir.dstu3.model.SearchParameter; +import org.hl7.fhir.dstu3.model.StringType; import org.hl7.fhir.instance.model.api.IBaseBackboneElement; 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.BundleEntryRequestComponent; +import org.hl7.fhir.r5.model.PrimitiveType; public class BundleHelper { private BundleHelper() {} @@ -640,4 +647,57 @@ public static IBaseBackboneElement setEntryRequest( String.format("Unsupported version of FHIR: %s", fhirVersion.getFhirVersionString())); } } + + public static RuntimeSearchParam resourceToRuntimeSearchParam(IBaseResource resource) { + var fhirVersion = resource.getStructureFhirVersionEnum(); + switch (fhirVersion) { + case DSTU3: + var res = (SearchParameter) resource; + return new RuntimeSearchParam( + res.getIdElement(), + res.getUrl(), + res.getCode(), + res.getDescription(), + res.getExpression(), + RestSearchParameterTypeEnum.REFERENCE, + null, + res.getTarget().stream().map(StringType::toString).collect(Collectors.toSet()), + RuntimeSearchParamStatusEnum.ACTIVE, + res.getBase().stream().map(StringType::toString).collect(Collectors.toList())); + case R4: + var resR4 = (org.hl7.fhir.r4.model.SearchParameter) resource; + return new RuntimeSearchParam( + resR4.getIdElement(), + resR4.getUrl(), + resR4.getCode(), + resR4.getDescription(), + resR4.getExpression(), + RestSearchParameterTypeEnum.REFERENCE, + null, + resR4.getTarget().stream() + .map(org.hl7.fhir.r4.model.StringType::toString) + .collect(Collectors.toSet()), + RuntimeSearchParamStatusEnum.ACTIVE, + resR4.getBase().stream() + .map(org.hl7.fhir.r4.model.StringType::toString) + .collect(Collectors.toList())); + case R5: + var resR5 = (org.hl7.fhir.r5.model.SearchParameter) resource; + return new RuntimeSearchParam( + resR5.getIdElement(), + resR5.getUrl(), + resR5.getCode(), + resR5.getDescription(), + resR5.getExpression(), + RestSearchParameterTypeEnum.REFERENCE, + null, + resR5.getTarget().stream().map(PrimitiveType::toString).collect(Collectors.toSet()), + RuntimeSearchParamStatusEnum.ACTIVE, + resR5.getBase().stream().map(PrimitiveType::toString).collect(Collectors.toList())); + + default: + throw new IllegalArgumentException( + String.format("Unsupported version of FHIR: %s", fhirVersion.getFhirVersionString())); + } + } } diff --git a/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/adapter/KnowledgeArtifactAdapter.java b/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/adapter/KnowledgeArtifactAdapter.java index 413939b19..b2df20d95 100644 --- a/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/adapter/KnowledgeArtifactAdapter.java +++ b/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/adapter/KnowledgeArtifactAdapter.java @@ -26,7 +26,7 @@ import org.hl7.fhir.instance.model.api.IPrimitiveType; import org.opencds.cqf.fhir.api.Repository; import org.opencds.cqf.fhir.utility.BundleHelper; -import org.opencds.cqf.fhir.utility.visitor.KnowledgeArtifactVisitor; +import org.opencds.cqf.fhir.utility.visitor.IKnowledgeArtifactVisitor; import org.slf4j.Logger; import org.slf4j.LoggerFactory; @@ -293,7 +293,8 @@ default List combineComponentsAndDependencies() { .collect(Collectors.toList()); } - default IBase accept(KnowledgeArtifactVisitor visitor, Repository repository, IBaseParameters operationParameters) { + default IBase accept( + IKnowledgeArtifactVisitor visitor, Repository repository, IBaseParameters operationParameters) { return visitor.visit(this, repository, operationParameters); } diff --git a/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/matcher/ResourceMatcher.java b/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/matcher/ResourceMatcher.java index 5bf3fd6d9..f5b290e60 100644 --- a/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/matcher/ResourceMatcher.java +++ b/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/matcher/ResourceMatcher.java @@ -1,6 +1,7 @@ package org.opencds.cqf.fhir.utility.matcher; import ca.uhn.fhir.context.FhirContext; +import ca.uhn.fhir.context.RuntimeSearchParam; import ca.uhn.fhir.fhirpath.IFhirPath; import ca.uhn.fhir.fhirpath.IFhirPath.IParsedExpression; import ca.uhn.fhir.model.api.IQueryParameterType; @@ -12,6 +13,7 @@ import ca.uhn.fhir.rest.param.TokenParamModifier; import ca.uhn.fhir.rest.param.UriParam; import java.util.Date; +import java.util.HashMap; import java.util.List; import java.util.Map; import org.apache.commons.lang3.NotImplementedException; @@ -69,12 +71,25 @@ public boolean equals(Object obj) { public Map getPathCache(); + public Map customSearchParams = new HashMap<>(); + + default void addCustomParameter(RuntimeSearchParam searchParam) { + this.customSearchParams.put(searchParam.getName(), searchParam); + } + + default Map getCustomParameters() { + return this.customSearchParams; + } + // The list here is an OR list. Meaning, if any element matches it's a match default boolean matches(String name, List params, IBaseResource resource) { boolean match = true; var context = getContext(); var s = context.getResourceDefinition(resource).getSearchParam(name); + if (s == null) { + s = this.getCustomParameters().get(name); + } if (s == null) { throw new RuntimeException(String.format( "The SearchParameter %s for Resource %s is not supported.", name, resource.fhirType())); diff --git a/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/repository/InMemoryFhirRepository.java b/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/repository/InMemoryFhirRepository.java index 289d44647..85e204129 100644 --- a/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/repository/InMemoryFhirRepository.java +++ b/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/repository/InMemoryFhirRepository.java @@ -107,7 +107,12 @@ public MethodOutcome update(T resource, Map findArtifactCommentsToUpdate( + IBaseResource artifact, String releaseVersion, Repository repository) { + if (artifact instanceof org.hl7.fhir.dstu3.model.MetadataResource) { + return org.opencds.cqf.fhir.utility.visitor.dstu3.ReleaseVisitor.findArtifactCommentsToUpdate( + (org.hl7.fhir.dstu3.model.MetadataResource) artifact, releaseVersion, repository) + .stream() + .map(r -> (IBaseBackboneElement) r) + .collect(Collectors.toList()); + } else if (artifact instanceof org.hl7.fhir.r4.model.MetadataResource) { + return org.opencds.cqf.fhir.utility.visitor.r4.ReleaseVisitor.findArtifactCommentsToUpdate( + (org.hl7.fhir.r4.model.MetadataResource) artifact, releaseVersion, repository) + .stream() + .map(r -> (IBaseBackboneElement) r) + .collect(Collectors.toList()); + } else if (artifact instanceof org.hl7.fhir.r5.model.MetadataResource) { + return org.opencds.cqf.fhir.utility.visitor.r5.ReleaseVisitor.findArtifactCommentsToUpdate( + (org.hl7.fhir.r5.model.MetadataResource) artifact, releaseVersion, repository) + .stream() + .map(r -> (IBaseBackboneElement) r) + .collect(Collectors.toList()); + } else { + throw new UnprocessableEntityException("Version not supported"); + } + } + + protected List getComponents( + KnowledgeArtifactAdapter adapter, Repository repository, ArrayList resourcesToUpdate) { + adapter.getOwnedRelatedArtifacts().stream().forEach(c -> { + final var preReleaseReference = KnowledgeArtifactAdapter.getRelatedArtifactReference(c); + Optional maybeArtifact = + VisitorHelper.tryGetLatestVersion(preReleaseReference, repository); + if (maybeArtifact.isPresent()) { + if (resourcesToUpdate.stream().noneMatch(rtu -> rtu.getId() + .equals(maybeArtifact.get().getId().toString()))) { + resourcesToUpdate.add(maybeArtifact.get().get()); + getComponents(maybeArtifact.get(), repository, resourcesToUpdate); + } + } else { + throw new ResourceNotFoundException("Unexpected resource not found when getting components"); + } + }); + + return resourcesToUpdate; + } +} diff --git a/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/ApproveVisitor.java b/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/ApproveVisitor.java index 1851ba156..abf3d867d 100644 --- a/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/ApproveVisitor.java +++ b/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/ApproveVisitor.java @@ -17,7 +17,7 @@ import org.opencds.cqf.fhir.utility.PackageHelper; import org.opencds.cqf.fhir.utility.adapter.KnowledgeArtifactAdapter; -public class ApproveVisitor implements KnowledgeArtifactVisitor { +public class ApproveVisitor implements IKnowledgeArtifactVisitor { @Override public IBase visit(KnowledgeArtifactAdapter adapter, Repository repository, IBaseParameters approveParameters) { Date currentDate = new Date(); diff --git a/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/DraftVisitor.java b/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/DraftVisitor.java index c38df830a..7e81dfd4e 100644 --- a/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/DraftVisitor.java +++ b/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/DraftVisitor.java @@ -25,7 +25,7 @@ import org.opencds.cqf.fhir.utility.adapter.KnowledgeArtifactAdapter; import org.opencds.cqf.fhir.utility.r4.PackageHelper; -public class DraftVisitor implements KnowledgeArtifactVisitor { +public class DraftVisitor implements IKnowledgeArtifactVisitor { @Override public IBase visit(KnowledgeArtifactAdapter adapter, Repository repository, IBaseParameters draftParameters) { var fhirVersion = adapter.get().getStructureFhirVersionEnum(); diff --git a/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/KnowledgeArtifactVisitor.java b/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/IKnowledgeArtifactVisitor.java similarity index 89% rename from cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/KnowledgeArtifactVisitor.java rename to cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/IKnowledgeArtifactVisitor.java index 256608680..9ce5de61a 100644 --- a/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/KnowledgeArtifactVisitor.java +++ b/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/IKnowledgeArtifactVisitor.java @@ -5,6 +5,6 @@ import org.opencds.cqf.fhir.api.Repository; import org.opencds.cqf.fhir.utility.adapter.KnowledgeArtifactAdapter; -public interface KnowledgeArtifactVisitor { +public interface IKnowledgeArtifactVisitor { IBase visit(KnowledgeArtifactAdapter knowledgeArtifact, Repository repository, IBaseParameters draftParameters); } diff --git a/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/PackageVisitor.java b/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/PackageVisitor.java index 2b37148a9..7adcca174 100644 --- a/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/PackageVisitor.java +++ b/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/PackageVisitor.java @@ -42,7 +42,7 @@ import org.opencds.cqf.fhir.utility.adapter.ValueSetAdapter; import org.opencds.cqf.fhir.utility.client.TerminologyServerClient; -public class PackageVisitor implements KnowledgeArtifactVisitor { +public class PackageVisitor implements IKnowledgeArtifactVisitor { protected final FhirContext fhirContext; protected final TerminologyServerClient terminologyServerClient; protected final ExpandHelper expandHelper; diff --git a/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/ReleaseVisitor.java b/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/ReleaseVisitor.java index d64848028..03053acd6 100644 --- a/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/ReleaseVisitor.java +++ b/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/ReleaseVisitor.java @@ -16,7 +16,6 @@ import java.util.stream.Collectors; import org.apache.commons.lang3.StringUtils; import org.hl7.fhir.instance.model.api.IBase; -import org.hl7.fhir.instance.model.api.IBaseBackboneElement; import org.hl7.fhir.instance.model.api.IBaseParameters; import org.hl7.fhir.instance.model.api.IBaseResource; import org.hl7.fhir.instance.model.api.ICompositeType; @@ -35,7 +34,7 @@ import org.slf4j.Logger; import org.slf4j.LoggerFactory; -public class ReleaseVisitor implements KnowledgeArtifactVisitor { +public class ReleaseVisitor extends AbstractKnowledgeArtifactVisitor { private Logger log = LoggerFactory.getLogger(ReleaseVisitor.class); @Override @@ -527,31 +526,6 @@ private void checkReleasePreconditions(KnowledgeArtifactAdapter artifact, Date a } } - private List findArtifactCommentsToUpdate( - IBaseResource artifact, String releaseVersion, Repository repository) { - if (artifact instanceof org.hl7.fhir.dstu3.model.MetadataResource) { - return org.opencds.cqf.fhir.utility.visitor.dstu3.ReleaseVisitor.findArtifactCommentsToUpdate( - (org.hl7.fhir.dstu3.model.MetadataResource) artifact, releaseVersion, repository) - .stream() - .map(r -> (IBaseBackboneElement) r) - .collect(Collectors.toList()); - } else if (artifact instanceof org.hl7.fhir.r4.model.MetadataResource) { - return org.opencds.cqf.fhir.utility.visitor.r4.ReleaseVisitor.findArtifactCommentsToUpdate( - (org.hl7.fhir.r4.model.MetadataResource) artifact, releaseVersion, repository) - .stream() - .map(r -> (IBaseBackboneElement) r) - .collect(Collectors.toList()); - } else if (artifact instanceof org.hl7.fhir.r5.model.MetadataResource) { - return org.opencds.cqf.fhir.utility.visitor.r5.ReleaseVisitor.findArtifactCommentsToUpdate( - (org.hl7.fhir.r5.model.MetadataResource) artifact, releaseVersion, repository) - .stream() - .map(r -> (IBaseBackboneElement) r) - .collect(Collectors.toList()); - } else { - throw new UnprocessableEntityException("Version not supported"); - } - } - private void checkReleaseVersion(String version, Optional versionBehavior) throws UnprocessableEntityException { if (!versionBehavior.isPresent()) { diff --git a/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/RetireVisitor.java b/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/RetireVisitor.java new file mode 100644 index 000000000..dc8391f79 --- /dev/null +++ b/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/RetireVisitor.java @@ -0,0 +1,48 @@ +package org.opencds.cqf.fhir.utility.visitor; + +import ca.uhn.fhir.rest.server.exceptions.PreconditionFailedException; +import java.util.ArrayList; +import java.util.Date; +import org.hl7.fhir.instance.model.api.IBase; +import org.hl7.fhir.instance.model.api.IBaseParameters; +import org.hl7.fhir.instance.model.api.IDomainResource; +import org.opencds.cqf.fhir.api.Repository; +import org.opencds.cqf.fhir.utility.BundleHelper; +import org.opencds.cqf.fhir.utility.PackageHelper; +import org.opencds.cqf.fhir.utility.adapter.AdapterFactory; +import org.opencds.cqf.fhir.utility.adapter.KnowledgeArtifactAdapter; + +public class RetireVisitor extends AbstractKnowledgeArtifactVisitor { + + @Override + public IBase visit( + KnowledgeArtifactAdapter rootAdapter, Repository repository, IBaseParameters operationParameters) { + if (!rootAdapter.getStatus().equals("draft")) { + throw new PreconditionFailedException("Cannot withdraw an artifact that is not in draft status"); + } + var fhirVersion = rootAdapter.get().getStructureFhirVersionEnum(); + var transactionBundle = BundleHelper.newBundle(fhirVersion, null, "transaction"); + + var resToUpdate = new ArrayList(); + resToUpdate.add(rootAdapter.get()); + + var resourcesToUpdate = getComponents(rootAdapter, repository, resToUpdate); + + var nowDate = new Date(); + + for (var resource : resourcesToUpdate) { + var artifact = AdapterFactory.forFhirVersion(resource.getStructureFhirVersionEnum()) + .createKnowledgeArtifactAdapter(resource); + updateMetadata(artifact, nowDate); + var entry = PackageHelper.createEntry(artifact.get(), true); + BundleHelper.addEntry(transactionBundle, entry); + } + + return repository.transaction(transactionBundle); + } + + private static void updateMetadata(KnowledgeArtifactAdapter artifactAdapter, Date date) { + artifactAdapter.setDate(date); + artifactAdapter.setStatus("retired"); + } +} diff --git a/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/WithdrawVisitor.java b/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/WithdrawVisitor.java index 09131046d..af388c3b4 100644 --- a/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/WithdrawVisitor.java +++ b/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/WithdrawVisitor.java @@ -2,9 +2,6 @@ import ca.uhn.fhir.rest.server.exceptions.PreconditionFailedException; import java.util.ArrayList; -import java.util.List; -import java.util.Optional; -import java.util.stream.Collectors; import org.hl7.fhir.instance.model.api.IBase; import org.hl7.fhir.instance.model.api.IBaseParameters; import org.hl7.fhir.instance.model.api.IDomainResource; @@ -12,12 +9,8 @@ import org.opencds.cqf.fhir.utility.BundleHelper; import org.opencds.cqf.fhir.utility.PackageHelper; import org.opencds.cqf.fhir.utility.adapter.KnowledgeArtifactAdapter; -import org.slf4j.Logger; -import org.slf4j.LoggerFactory; -public class WithdrawVisitor implements KnowledgeArtifactVisitor { - private Logger log = LoggerFactory.getLogger(WithdrawVisitor.class); - String isOwnedUrl = "http://hl7.org/fhir/StructureDefinition/crmi-isOwned"; +public class WithdrawVisitor extends AbstractKnowledgeArtifactVisitor { @Override public IBase visit( @@ -25,14 +18,21 @@ public IBase visit( if (!rootAdapter.getStatus().equals("draft")) { throw new PreconditionFailedException("Cannot withdraw an artifact that is not in draft status"); } + var fhirVersion = rootAdapter.get().getStructureFhirVersionEnum(); + var transactionBundle = BundleHelper.newBundle(fhirVersion, null, "transaction"); + var resToUpdate = new ArrayList(); resToUpdate.add(rootAdapter.get()); - var resourcesToUpdate = getComponents(rootAdapter, repository, resToUpdate); + findArtifactCommentsToUpdate(rootAdapter.get(), fhirVersion.getFhirVersionString(), repository) + .forEach(artifact -> { + var resource = BundleHelper.getEntryResource(fhirVersion, artifact); + var entry = PackageHelper.deleteEntry(resource); + BundleHelper.addEntry(transactionBundle, entry); + }); - var fhirVersion = rootAdapter.get().getStructureFhirVersionEnum(); + var resourcesToUpdate = getComponents(rootAdapter, repository, resToUpdate); - var transactionBundle = BundleHelper.newBundle(fhirVersion, null, "transaction"); for (var artifact : resourcesToUpdate) { var entry = PackageHelper.deleteEntry(artifact); BundleHelper.addEntry(transactionBundle, entry); @@ -40,27 +40,4 @@ public IBase visit( return repository.transaction(transactionBundle); } - - private List getComponents( - KnowledgeArtifactAdapter adapter, Repository repository, ArrayList resourcesToUpdate) { - adapter.getRelatedArtifactsOfType("composed-of").stream().forEach(c -> { - final var preReleaseReference = KnowledgeArtifactAdapter.getRelatedArtifactReference(c); - Optional maybeArtifact = - VisitorHelper.tryGetLatestVersion(preReleaseReference, repository); - if (maybeArtifact.isPresent()) { - if (resourcesToUpdate.stream() - .filter(rtu -> - rtu.getId().equals(maybeArtifact.get().getId().toString()) - && (rtu.getExtension().stream() - .anyMatch(ext -> ext.getUrl().equals(isOwnedUrl)))) - .collect(Collectors.toList()) - .isEmpty()) { - resourcesToUpdate.add(maybeArtifact.get().get()); - getComponents(maybeArtifact.get(), repository, resourcesToUpdate); - } - } - }); - - return resourcesToUpdate; - } } diff --git a/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/r4/ReleaseVisitor.java b/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/r4/ReleaseVisitor.java index a1bd7ffd8..7bf74d4e2 100644 --- a/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/r4/ReleaseVisitor.java +++ b/cqf-fhir-utility/src/main/java/org/opencds/cqf/fhir/utility/visitor/r4/ReleaseVisitor.java @@ -91,7 +91,7 @@ public static void updateReleaseLabel(MetadataResource artifact, String releaseL public static Bundle searchArtifactAssessmentForArtifact(IIdType reference, Repository repository) { Map> searchParams = new HashMap<>(); List urlList = new ArrayList<>(); - urlList.add(new ReferenceParam(reference)); + urlList.add(new ReferenceParam(reference.getResourceType() + "/" + reference.getIdPart())); searchParams.put("artifact", urlList); Bundle searchResultsBundle = repository.search(Bundle.class, Basic.class, searchParams); return searchResultsBundle; diff --git a/cqf-fhir-utility/src/test/java/org/opencds/cqf/fhir/utility/visitor/dstu3/DraftVisitorTests.java b/cqf-fhir-utility/src/test/java/org/opencds/cqf/fhir/utility/visitor/dstu3/DraftVisitorTests.java index 7cef08354..2368af34a 100644 --- a/cqf-fhir-utility/src/test/java/org/opencds/cqf/fhir/utility/visitor/dstu3/DraftVisitorTests.java +++ b/cqf-fhir-utility/src/test/java/org/opencds/cqf/fhir/utility/visitor/dstu3/DraftVisitorTests.java @@ -42,7 +42,7 @@ import org.opencds.cqf.fhir.utility.dstu3.MetadataResourceHelper; import org.opencds.cqf.fhir.utility.repository.InMemoryFhirRepository; import org.opencds.cqf.fhir.utility.visitor.DraftVisitor; -import org.opencds.cqf.fhir.utility.visitor.KnowledgeArtifactVisitor; +import org.opencds.cqf.fhir.utility.visitor.IKnowledgeArtifactVisitor; class DraftVisitorTests { private final FhirContext fhirContext = FhirContext.forDstu3Cached(); @@ -86,7 +86,7 @@ void library_draft_test() { Bundle bundle = (Bundle) jsonParser.parseResource(DraftVisitorTests.class.getResourceAsStream("Bundle-ersd-example.json")); spyRepository.transaction(bundle); - KnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); + IKnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); Library library = spyRepository .read(Library.class, new IdType("Library/SpecificationLibrary")) .copy(); @@ -149,7 +149,7 @@ void draftOperation_no_effectivePeriod_test() { .copy(); assertTrue(baseLib.hasEffectivePeriod()); LibraryAdapter libraryAdapter = new AdapterFactory().createLibrary(baseLib); - KnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); + IKnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); PlanDefinition planDef = spyRepository .read(PlanDefinition.class, new IdType("PlanDefinition/plandefinition-ersd-instance-example")) .copy(); @@ -182,7 +182,7 @@ void draftOperation_version_conflict_test() { .read(Library.class, new IdType(specificationLibReference)) .copy(); LibraryAdapter libraryAdapter = new AdapterFactory().createLibrary(baseLib); - KnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); + IKnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); try { libraryAdapter.accept(draftVisitor, spyRepository, params); @@ -205,7 +205,7 @@ void draftOperation_cannot_create_draft_of_draft_test() { .read(Library.class, new IdType("Library/SpecificationLibraryDraftVersion-1-0-0")) .copy(); LibraryAdapter libraryAdapter = new AdapterFactory().createLibrary(baseLib); - KnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); + IKnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); try { libraryAdapter.accept(draftVisitor, spyRepository, params); } catch (PreconditionFailedException e) { @@ -224,7 +224,7 @@ void draftOperation_version_format_test() { .read(Library.class, new IdType("Library/SpecificationLibraryDraftVersion-1-0-0")) .copy(); LibraryAdapter libraryAdapter = new AdapterFactory().createLibrary(baseLib); - KnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); + IKnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); for (String version : badVersionList) { UnprocessableEntityException maybeException = null; diff --git a/cqf-fhir-utility/src/test/java/org/opencds/cqf/fhir/utility/visitor/r4/DraftVisitorTests.java b/cqf-fhir-utility/src/test/java/org/opencds/cqf/fhir/utility/visitor/r4/DraftVisitorTests.java index 645460e37..c9eb212c5 100644 --- a/cqf-fhir-utility/src/test/java/org/opencds/cqf/fhir/utility/visitor/r4/DraftVisitorTests.java +++ b/cqf-fhir-utility/src/test/java/org/opencds/cqf/fhir/utility/visitor/r4/DraftVisitorTests.java @@ -42,7 +42,7 @@ import org.opencds.cqf.fhir.utility.r4.MetadataResourceHelper; import org.opencds.cqf.fhir.utility.repository.InMemoryFhirRepository; import org.opencds.cqf.fhir.utility.visitor.DraftVisitor; -import org.opencds.cqf.fhir.utility.visitor.KnowledgeArtifactVisitor; +import org.opencds.cqf.fhir.utility.visitor.IKnowledgeArtifactVisitor; class DraftVisitorTests { private final FhirContext fhirContext = FhirContext.forR4Cached(); @@ -86,7 +86,7 @@ void library_draft_test() { Bundle bundle = (Bundle) jsonParser.parseResource(DraftVisitorTests.class.getResourceAsStream("Bundle-ersd-example.json")); spyRepository.transaction(bundle); - KnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); + IKnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); Library library = spyRepository .read(Library.class, new IdType("Library/SpecificationLibrary")) .copy(); @@ -145,7 +145,7 @@ void draftOperation_no_effectivePeriod_test() { .copy(); assertTrue(baseLib.hasEffectivePeriod()); LibraryAdapter libraryAdapter = new AdapterFactory().createLibrary(baseLib); - KnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); + IKnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); PlanDefinition planDef = spyRepository .read(PlanDefinition.class, new IdType("PlanDefinition/plandefinition-ersd-instance-example")) .copy(); @@ -178,7 +178,7 @@ void draftOperation_version_conflict_test() { .read(Library.class, new IdType(specificationLibReference)) .copy(); LibraryAdapter libraryAdapter = new AdapterFactory().createLibrary(baseLib); - KnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); + IKnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); try { libraryAdapter.accept(draftVisitor, spyRepository, params); @@ -201,7 +201,7 @@ void draftOperation_cannot_create_draft_of_draft_test() { .read(Library.class, new IdType("Library/SpecificationLibraryDraftVersion-1-0-0")) .copy(); LibraryAdapter libraryAdapter = new AdapterFactory().createLibrary(baseLib); - KnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); + IKnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); try { libraryAdapter.accept(draftVisitor, spyRepository, params); } catch (PreconditionFailedException e) { @@ -220,7 +220,7 @@ void draftOperation_version_format_test() { .read(Library.class, new IdType("Library/SpecificationLibraryDraftVersion-1-0-0")) .copy(); LibraryAdapter libraryAdapter = new AdapterFactory().createLibrary(baseLib); - KnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); + IKnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); for (String version : badVersionList) { UnprocessableEntityException maybeException = null; diff --git a/cqf-fhir-utility/src/test/java/org/opencds/cqf/fhir/utility/visitor/r4/RetireVisitorTest.java b/cqf-fhir-utility/src/test/java/org/opencds/cqf/fhir/utility/visitor/r4/RetireVisitorTest.java new file mode 100644 index 000000000..f43c6dfb6 --- /dev/null +++ b/cqf-fhir-utility/src/test/java/org/opencds/cqf/fhir/utility/visitor/r4/RetireVisitorTest.java @@ -0,0 +1,114 @@ +package org.opencds.cqf.fhir.utility.visitor.r4; + +import static org.junit.jupiter.api.Assertions.fail; +import static org.mockito.ArgumentMatchers.any; +import static org.mockito.Mockito.doAnswer; +import static org.mockito.Mockito.spy; +import static org.opencds.cqf.fhir.utility.r4.Parameters.parameters; +import static org.opencds.cqf.fhir.utility.r4.Parameters.part; + +import ca.uhn.fhir.context.FhirContext; +import ca.uhn.fhir.parser.IParser; +import ca.uhn.fhir.rest.server.exceptions.PreconditionFailedException; +import java.util.HashMap; +import java.util.stream.Collectors; +import org.hl7.fhir.r4.model.Bundle; +import org.hl7.fhir.r4.model.Enumerations; +import org.hl7.fhir.r4.model.IdType; +import org.hl7.fhir.r4.model.Library; +import org.hl7.fhir.r4.model.Parameters; +import org.hl7.fhir.r4.model.PlanDefinition; +import org.hl7.fhir.r4.model.SearchParameter; +import org.hl7.fhir.r4.model.ValueSet; +import org.junit.jupiter.api.BeforeEach; +import org.junit.jupiter.api.Test; +import org.mockito.invocation.InvocationOnMock; +import org.mockito.stubbing.Answer; +import org.opencds.cqf.fhir.api.Repository; +import org.opencds.cqf.fhir.utility.adapter.LibraryAdapter; +import org.opencds.cqf.fhir.utility.adapter.r4.AdapterFactory; +import org.opencds.cqf.fhir.utility.repository.InMemoryFhirRepository; +import org.opencds.cqf.fhir.utility.visitor.IKnowledgeArtifactVisitor; +import org.opencds.cqf.fhir.utility.visitor.RetireVisitor; + +public class RetireVisitorTest { + + private final FhirContext fhirContext = FhirContext.forR4Cached(); + private Repository spyRepository; + private final IParser jsonParser = fhirContext.newJsonParser(); + + @BeforeEach + void setup() { + SearchParameter sp = (SearchParameter) jsonParser.parseResource( + ReleaseVisitorTests.class.getResourceAsStream("SearchParameter-artifactAssessment.json")); + spyRepository = spy(new InMemoryFhirRepository(fhirContext)); + spyRepository.update(sp); + doAnswer(new Answer() { + @Override + public Bundle answer(InvocationOnMock a) throws Throwable { + Bundle b = a.getArgument(0); + return InMemoryFhirRepository.transactionStub(b, spyRepository); + } + }) + .when(spyRepository) + .transaction(any()); + } + + @Test + void library_retire_test() { + Bundle bundle = + (Bundle) jsonParser.parseResource(WithdrawVisitorTests.class.getResourceAsStream("Bundle-retire.json")); + Bundle tsBundle = spyRepository.transaction(bundle); + // Resource is uploaded using POST - need to get id like this + String id = tsBundle.getEntry().get(0).getResponse().getLocation(); + String version = "1.1.0-draft"; + Library library = spyRepository.read(Library.class, new IdType(id)).copy(); + LibraryAdapter libraryAdapter = new AdapterFactory().createLibrary(library); + IKnowledgeArtifactVisitor retireVisitor = new RetireVisitor(); + Parameters params = parameters(part("version", version)); + Bundle returnedBundle = (Bundle) libraryAdapter.accept(retireVisitor, spyRepository, params); + + var res = returnedBundle.getEntry(); + + assert (res.size() == 9); + var libraries = spyRepository.search(Bundle.class, Library.class, new HashMap()).getEntry().stream() + .filter(x -> ((Library) x.getResource()).getStatus().equals(Enumerations.PublicationStatus.RETIRED)) + .collect(Collectors.toList()); + + var valueSets = spyRepository.search(Bundle.class, ValueSet.class, new HashMap()).getEntry().stream() + .filter(x -> ((ValueSet) x.getResource()).getStatus().equals(Enumerations.PublicationStatus.RETIRED)) + .collect(Collectors.toList()); + + var planDefinitions = + spyRepository.search(Bundle.class, PlanDefinition.class, new HashMap()).getEntry().stream() + .filter(x -> ((PlanDefinition) x.getResource()) + .getStatus() + .equals(Enumerations.PublicationStatus.RETIRED)) + .collect(Collectors.toList()); + + assert (libraries.size() == 2); + assert (valueSets.size() == 6); + assert (planDefinitions.size() == 1); + } + + @Test + void library_retire_no_draft_test() { + try { + Bundle bundle = (Bundle) jsonParser.parseResource( + WithdrawVisitorTests.class.getResourceAsStream("Bundle-ersd-example.json")); + spyRepository.transaction(bundle); + String version = "1.01.21"; + Library library = spyRepository + .read(Library.class, new IdType("Library/SpecificationLibrary")) + .copy(); + LibraryAdapter libraryAdapter = new AdapterFactory().createLibrary(library); + IKnowledgeArtifactVisitor retireVisitor = new RetireVisitor(); + Parameters params = parameters(part("version", version)); + libraryAdapter.accept(retireVisitor, spyRepository, params); + + fail("Trying to withdraw an active Library should throw an Exception"); + } catch (PreconditionFailedException e) { + assert (e.getMessage().contains("Cannot withdraw an artifact that is not in draft status")); + } + } +} diff --git a/cqf-fhir-utility/src/test/java/org/opencds/cqf/fhir/utility/visitor/r4/WithdrawVisitorTests.java b/cqf-fhir-utility/src/test/java/org/opencds/cqf/fhir/utility/visitor/r4/WithdrawVisitorTests.java index ea5caa345..85388817c 100644 --- a/cqf-fhir-utility/src/test/java/org/opencds/cqf/fhir/utility/visitor/r4/WithdrawVisitorTests.java +++ b/cqf-fhir-utility/src/test/java/org/opencds/cqf/fhir/utility/visitor/r4/WithdrawVisitorTests.java @@ -14,6 +14,7 @@ import org.hl7.fhir.r4.model.IdType; import org.hl7.fhir.r4.model.Library; import org.hl7.fhir.r4.model.Parameters; +import org.hl7.fhir.r4.model.SearchParameter; import org.junit.jupiter.api.BeforeEach; import org.junit.jupiter.api.Test; import org.mockito.invocation.InvocationOnMock; @@ -22,7 +23,7 @@ import org.opencds.cqf.fhir.utility.adapter.LibraryAdapter; import org.opencds.cqf.fhir.utility.adapter.r4.AdapterFactory; import org.opencds.cqf.fhir.utility.repository.InMemoryFhirRepository; -import org.opencds.cqf.fhir.utility.visitor.KnowledgeArtifactVisitor; +import org.opencds.cqf.fhir.utility.visitor.IKnowledgeArtifactVisitor; import org.opencds.cqf.fhir.utility.visitor.WithdrawVisitor; class WithdrawVisitorTests { @@ -32,7 +33,10 @@ class WithdrawVisitorTests { @BeforeEach void setup() { + SearchParameter sp = (SearchParameter) jsonParser.parseResource( + ReleaseVisitorTests.class.getResourceAsStream("SearchParameter-artifactAssessment.json")); spyRepository = spy(new InMemoryFhirRepository(fhirContext)); + spyRepository.update(sp); doAnswer(new Answer() { @Override public Bundle answer(InvocationOnMock a) throws Throwable { @@ -54,7 +58,7 @@ void library_withdraw_test() { String version = "1.1.0-draft"; Library library = spyRepository.read(Library.class, new IdType(id)).copy(); LibraryAdapter libraryAdapter = new AdapterFactory().createLibrary(library); - KnowledgeArtifactVisitor withdrawVisitor = new WithdrawVisitor(); + IKnowledgeArtifactVisitor withdrawVisitor = new WithdrawVisitor(); Parameters params = parameters(part("version", version)); Bundle returnedBundle = (Bundle) libraryAdapter.accept(withdrawVisitor, spyRepository, params); @@ -63,6 +67,28 @@ void library_withdraw_test() { assert (res.size() == 9); } + @Test + void library_withdraw_with_approval_test() throws Exception { + Bundle bundle = (Bundle) jsonParser.parseResource( + WithdrawVisitorTests.class.getResourceAsStream("Bundle-withdraw-with-approval.json")); + SearchParameter sp = (SearchParameter) jsonParser.parseResource( + ReleaseVisitorTests.class.getResourceAsStream("SearchParameter-artifactAssessment.json")); + Bundle tsBundle = spyRepository.transaction(bundle); + spyRepository.update(sp); + // Resource is uploaded using POST - need to get id like this + String id = tsBundle.getEntry().get(0).getResponse().getLocation(); + String version = "1.1.0-draft"; + Library library = spyRepository.read(Library.class, new IdType(id)).copy(); + LibraryAdapter libraryAdapter = new AdapterFactory().createLibrary(library); + IKnowledgeArtifactVisitor withdrawVisitor = new WithdrawVisitor(); + Parameters params = parameters(part("version", version)); + Bundle returnedBundle = (Bundle) libraryAdapter.accept(withdrawVisitor, spyRepository, params); + + var res = returnedBundle.getEntry(); + + assert (res.size() == 10); + } + @Test void library_withdraw_No_draft_test() { try { @@ -74,7 +100,7 @@ void library_withdraw_No_draft_test() { .read(Library.class, new IdType("Library/SpecificationLibrary")) .copy(); LibraryAdapter libraryAdapter = new AdapterFactory().createLibrary(library); - KnowledgeArtifactVisitor withdrawVisitor = new WithdrawVisitor(); + IKnowledgeArtifactVisitor withdrawVisitor = new WithdrawVisitor(); Parameters params = parameters(part("version", version)); libraryAdapter.accept(withdrawVisitor, spyRepository, params); diff --git a/cqf-fhir-utility/src/test/java/org/opencds/cqf/fhir/utility/visitor/r5/DraftVisitorTests.java b/cqf-fhir-utility/src/test/java/org/opencds/cqf/fhir/utility/visitor/r5/DraftVisitorTests.java index 02c62c5e7..e6bf3b586 100644 --- a/cqf-fhir-utility/src/test/java/org/opencds/cqf/fhir/utility/visitor/r5/DraftVisitorTests.java +++ b/cqf-fhir-utility/src/test/java/org/opencds/cqf/fhir/utility/visitor/r5/DraftVisitorTests.java @@ -42,7 +42,7 @@ import org.opencds.cqf.fhir.utility.r5.MetadataResourceHelper; import org.opencds.cqf.fhir.utility.repository.InMemoryFhirRepository; import org.opencds.cqf.fhir.utility.visitor.DraftVisitor; -import org.opencds.cqf.fhir.utility.visitor.KnowledgeArtifactVisitor; +import org.opencds.cqf.fhir.utility.visitor.IKnowledgeArtifactVisitor; class DraftVisitorTests { private final FhirContext fhirContext = FhirContext.forR5Cached(); @@ -86,7 +86,7 @@ void library_draft_test() { Bundle bundle = (Bundle) jsonParser.parseResource(DraftVisitorTests.class.getResourceAsStream("Bundle-ersd-example.json")); spyRepository.transaction(bundle); - KnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); + IKnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); Library library = spyRepository .read(Library.class, new IdType("Library/SpecificationLibrary")) .copy(); @@ -145,7 +145,7 @@ void draftOperation_no_effectivePeriod_test() { .copy(); assertTrue(baseLib.hasEffectivePeriod()); LibraryAdapter libraryAdapter = new AdapterFactory().createLibrary(baseLib); - KnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); + IKnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); PlanDefinition planDef = spyRepository .read(PlanDefinition.class, new IdType("PlanDefinition/plandefinition-ersd-instance-example")) .copy(); @@ -178,7 +178,7 @@ void draftOperation_version_conflict_test() { .read(Library.class, new IdType(specificationLibReference)) .copy(); LibraryAdapter libraryAdapter = new AdapterFactory().createLibrary(baseLib); - KnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); + IKnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); try { libraryAdapter.accept(draftVisitor, spyRepository, params); @@ -201,7 +201,7 @@ void draftOperation_cannot_create_draft_of_draft_test() { .read(Library.class, new IdType("Library/SpecificationLibraryDraftVersion-1-0-0-23")) .copy(); LibraryAdapter libraryAdapter = new AdapterFactory().createLibrary(baseLib); - KnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); + IKnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); try { libraryAdapter.accept(draftVisitor, spyRepository, params); } catch (PreconditionFailedException e) { @@ -220,7 +220,7 @@ void draftOperation_version_format_test() { .read(Library.class, new IdType("Library/SpecificationLibraryDraftVersion-1-0-0-23")) .copy(); LibraryAdapter libraryAdapter = new AdapterFactory().createLibrary(baseLib); - KnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); + IKnowledgeArtifactVisitor draftVisitor = new DraftVisitor(); for (String version : badVersionList) { UnprocessableEntityException maybeException = null; diff --git a/cqf-fhir-utility/src/test/resources/org/opencds/cqf/fhir/utility/visitor/r4/Bundle-retire.json b/cqf-fhir-utility/src/test/resources/org/opencds/cqf/fhir/utility/visitor/r4/Bundle-retire.json new file mode 100644 index 000000000..31bd6b42f --- /dev/null +++ b/cqf-fhir-utility/src/test/resources/org/opencds/cqf/fhir/utility/visitor/r4/Bundle-retire.json @@ -0,0 +1,12379 @@ +{ + "resourceType": "Bundle", + "type": "transaction", + "entry": [ + { + "fullUrl": "http://hl7.org/fhir/us/ecr/Library/SpecificationLibrary|1.1.0-draft", + "resource": { + "resourceType": "Library", + "id": "748", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-10T15:28:33.850+00:00", + "source": "#XghutEewdEdyyY1l" + }, + "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": "1.1.0-draft", + "name": "SpecificationLibrary", + "title": "Specification Library", + "status": "draft", + "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": [ + { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/crmi-isOwned", + "valueBoolean": true + } + ], + "type": "composed-of", + "resource": "http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-instance-example|1.1.0-draft" + }, + { + "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|1.1.0-draft" + }, + { + "type": "composed-of", + "resource": "http://notOwnedTest.com/Library/notOwnedRoot|0.1.1" + }, + { + "type": "depends-on", + "resource": "http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-instance-example|1.1.0-draft" + }, + { + "type": "depends-on", + "resource": "http://hl7.org/fhir/us/ecr/Library/library-rctc-example|1.1.0-draft" + }, + { + "type": "depends-on", + "resource": "http://notOwnedTest.com/Library/notOwnedRoot|0.1.1" + }, + { + "type": "depends-on", + "resource": "http://notOwnedTest.com/Library/notOwnedLeaf|0.1.1" + }, + { + "extension": [ + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "Routine" + } + } + ], + "type": "depends-on", + "resource": "http://hl7.org/fhir/us/ecr/ValueSet/dxtc|1.1.0-draft" + }, + { + "extension": [ + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "Routine" + } + } + ], + "type": "depends-on", + "resource": "http://hl7.org/fhir/us/ecr/ValueSet/ostc|1.1.0-draft" + }, + { + "extension": [ + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "Routine" + } + } + ], + "type": "depends-on", + "resource": "http://hl7.org/fhir/us/ecr/ValueSet/lotc|1.1.0-draft" + }, + { + "extension": [ + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "Routine" + } + } + ], + "type": "depends-on", + "resource": "http://hl7.org/fhir/us/ecr/ValueSet/lrtc|1.1.0-draft" + }, + { + "extension": [ + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "Routine" + } + } + ], + "type": "depends-on", + "resource": "http://hl7.org/fhir/us/ecr/ValueSet/mrtc|1.1.0-draft" + }, + { + "extension": [ + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "Routine" + } + } + ], + "type": "depends-on", + "resource": "http://hl7.org/fhir/us/ecr/ValueSet/sdtc|1.1.0-draft" + }, + { + "type": "depends-on", + "resource": "http://notOwnedTest.com/Library/notOwnedLeaf1|0.1.1" + }, + { + "extension": [ + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "emergent" + } + ], + "text": "Emergent" + } + }, + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "49649001" + } + ], + "text": "Infection caused by Acanthamoeba (disorder)" + } + }, + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "767146004" + } + ], + "text": "Toxic effect of arsenic and/or arsenic compound" + } + } + ], + "type": "depends-on", + "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1506|20220118" + }, + { + "extension": [ + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "767146004" + } + ], + "text": "Toxic effect of arsenic and/or arsenic compound" + } + }, + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "emergent" + } + ], + "text": "Emergent" + } + } + ], + "type": "depends-on", + "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1505|20240123" + }, + { + "extension": [ + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "767146004" + } + ], + "text": "Toxic effect of arsenic and/or arsenic compound" + } + }, + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "Routine" + } + } + ], + "type": "depends-on", + "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1508|20220118" + }, + { + "extension": [ + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "767146004" + } + ], + "text": "Toxic effect of arsenic and/or arsenic compound" + } + }, + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "Routine" + } + } + ], + "type": "depends-on", + "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1507|20230125" + }, + { + "extension": [ + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "767146004" + } + ], + "text": "Toxic effect of arsenic and/or arsenic compound" + } + }, + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "Routine" + } + } + ], + "type": "depends-on", + "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.6|20230602" + }, + { + "extension": [ + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "38362002" + } + ], + "text": "Dengue (disorder)" + } + }, + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "Routine" + } + } + ], + "type": "depends-on", + "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.528|20200516" + }, + { + "extension": [ + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "38362002" + } + ], + "text": "Dengue (disorder)" + } + }, + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "Routine" + } + } + ], + "type": "depends-on", + "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.408|20230122" + }, + { + "extension": [ + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "50711007" + } + ], + "text": "Viral hepatitis type C (disorder)" + } + }, + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "Routine" + } + } + ], + "type": "depends-on", + "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.409|20210527" + }, + { + "extension": [ + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "406575008" + } + ], + "text": "Infection caused by vancomycin resistant enterococcus (disorder)" + } + }, + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "Routine" + } + } + ], + "type": "depends-on", + "resource": 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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": "1.1.0-draft", + "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": "draft", + "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" + } + ], + "relatedArtifact": [ + { + "type": "depends-on", + "label": "RCTC Value Set Library of Trigger Codes", + "resource": "http://hl7.org/fhir/us/ecr/Library/library-rctc-example|1.1.0-draft" + }, + { + "type": "composed-of", + "resource": "http://notOwnedTest.com/Library/notOwnedLeaf|0.1.1" + } + ], + "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|1.1.0-draft" + } + ] + }, + { + "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|1.1.0-draft" + } + ] + }, + { + "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|1.1.0-draft" + } + ] + } + ], + "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|1.1.0-draft" + } + ] + }, + { + "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|1.1.0-draft" + } + ] + }, + { + "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|1.1.0-draft" + } + ] + }, + { + "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|1.1.0-draft" + } + ] + }, + { + "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|1.1.0-draft" + } + ] + }, + { + "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|1.1.0-draft" + } + ] + }, + { + "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/pctc|1.0.0" + } + ] + }, + { + "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/pctc|1.0.0" + } + ] + }, + { + "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|1.1.0-draft" + } + ] + }, + { + "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|1.1.0-draft" + } + ] + }, + { + "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|1.1.0-draft" + } + ] + }, + { + "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|1.1.0-draft" + } + ] + }, + { + "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|1.1.0-draft" + } + ] + } + ], + "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" + } + ] + } + ] + }, + "request": { + "method": "POST", + "url": "PlanDefinition", + "ifNoneExist": "url=http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-instance-example&version=1.1.0-draft" + } + }, + { + "fullUrl": "http://hl7.org/fhir/us/ecr/Library/library-rctc-example|1.1.0-draft", + "resource": { + "resourceType": "Library", + "id": "750", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-10T15:28:33.850+00:00", + "source": "#XghutEewdEdyyY1l", + "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": "1.1.0-draft", + "name": "Reportable_Condition_Trigger_Codes", + "title": "Reportable Condition Trigger Codes (RCTC) Example Library", + "status": "draft", + "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", + "relatedArtifact": [ + { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/crmi-isOwned", + "valueBoolean": true + } + ], + "type": "composed-of", + "resource": "http://hl7.org/fhir/us/ecr/ValueSet/dxtc|1.1.0-draft" + }, + { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/crmi-isOwned", + "valueBoolean": true + } + ], + "type": "composed-of", + "resource": "http://hl7.org/fhir/us/ecr/ValueSet/ostc|1.1.0-draft" + }, + { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/crmi-isOwned", + "valueBoolean": true + } + ], + "type": "composed-of", + "resource": "http://hl7.org/fhir/us/ecr/ValueSet/lotc|1.1.0-draft" + }, + { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/crmi-isOwned", + "valueBoolean": true + } + ], + "type": "composed-of", + "resource": "http://hl7.org/fhir/us/ecr/ValueSet/lrtc|1.1.0-draft" + }, + { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/crmi-isOwned", + "valueBoolean": true + } + ], + "type": "composed-of", + "resource": "http://hl7.org/fhir/us/ecr/ValueSet/mrtc|1.1.0-draft" + }, + { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/crmi-isOwned", + "valueBoolean": true + } + ], + "type": "composed-of", + "resource": "http://hl7.org/fhir/us/ecr/ValueSet/sdtc|1.1.0-draft" + }, + { + "type": "composed-of", + "resource": "http://notOwnedTest.com/Library/notOwnedLeaf1|0.1.1" + } + ] + }, + "request": { + "method": "POST", + "url": "Library", + "ifNoneExist": "url=http://hl7.org/fhir/us/ecr/Library/library-rctc-example&version=1.1.0-draft" + } + }, + { + "fullUrl": "http://hl7.org/fhir/us/ecr/ValueSet/dxtc|1.1.0-draft", + "resource": { + "resourceType": "ValueSet", + "id": "751", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-10T15:28:33.850+00:00", + "source": "#XghutEewdEdyyY1l", + "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/StructureDefinition/valueset-authoritativeSource", + "valueUri": "https://www.test.com/fhir/ValueSet/dxtc" + } + ], + "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": "1.1.0-draft", + "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. 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Resource ValueSet "2.16.840.1.113762.1.4.1146.1506"

Profile: US Public Health Triggering ValueSet

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steward: CSTE Steward:

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name: AcanthamoebaDiseaseKeratitisDisordersICD10CM

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expansion

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

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Resource ValueSet "2.16.840.1.113762.1.4.1146.1505"

Profile: US Public Health Triggering ValueSet

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version: 1.0.0

name: AcanthamoebaDiseaseKeratitisDisordersSNOMED

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

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diphtheritic (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "230596007", + "display": "Diphtheritic neuropathy (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "240422004", + "display": "Tracheobronchial diphtheria (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "26117009", + "display": "Diphtheritic myocarditis (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "276197005", + "display": "Infection caused by Corynebacterium diphtheriae (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "3419005", + "display": "Faucial diphtheria (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "397430003", + "display": "Diphtheria caused by Corynebacterium diphtheriae (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "48278001", + "display": "Diphtheritic cystitis (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "50215002", + "display": "Laryngeal diphtheria (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "715659006", + "display": "Diphtheria of respiratory system (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "75589004", + "display": "Nasopharyngeal diphtheria (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "7773002", + "display": "Conjunctival diphtheria (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "789005009", + "display": "Paralysis of uvula after diphtheria (disorder)" + } + ] + } + }, + "request": { + "method": "POST", + "url": "ValueSet", + "ifNoneExist": "url=http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.6&version=20230602" + } + }, + { + "fullUrl": "http://hl7.org/fhir/us/ecr/ValueSet/ostc|1.1.0-draft", + "resource": { + "resourceType": "ValueSet", + "id": "752", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-10T15:28:33.850+00:00", + "source": "#XghutEewdEdyyY1l", + "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)

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

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 707876001

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 707877005

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 707878000

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 783725005

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 8467002

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)

version: Provisional_2022-01-10

code: 703886001

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 703887005

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

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

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 121022006

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 121185009

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 121204002

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 371140008

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 603413005

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 603414004

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 603415003

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 603416002

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 603417006

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 603418001

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 603419009

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 603420003

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 603421004

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 603422006

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 603423001

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 603424007

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 603425008

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 603426009

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 603427000

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 603428005

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 603429002

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 603430007

contains

system: SNOMED CT (all versions)

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code: 603431006

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 603432004

contains

system: SNOMED CT (all versions)

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code: 603433009

contains

system: SNOMED CT (all versions)

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code: 62944002

contains

system: SNOMED CT (all versions)

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code: 711331006

contains

system: SNOMED CT (all versions)

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code: 726592002

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 781245007

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 781276001

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 416397000

contains

system: SNOMED CT (all versions)

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code: 708244002

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 708245001

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 712664000

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 712666003

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 78065002

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 782956001

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 782958000

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 90272000

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 928051771000087103

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 707768008

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

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

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://hl7.org/fhir/StructureDefinition/valueset-authoritativeSource", + "valueUri": "https://www.test.com/fhir/ValueSet/ostc" + } + ], + "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": "1.1.0-draft", + "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": "PlanDefinition/749" + } + }, + { + "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://aphl.org/fhir/vsm/CodeSystem/usage-context-type", + "code": "grouper-type" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://aphl.org/fhir/vsm/CodeSystem/usage-context-type", + "code": "model-grouper" + } + ], + "text": "Model Grouper" + } + }, + { + "code": { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context-type", + 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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)

concept

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

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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

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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)

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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)

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code: 60605004

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code: 703886001

display: Hepatitis B virus genotype A (organism)

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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

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] + } + ] + }, + "expansion": { + "identifier": "urn:uuid:d65eee70-7de9-4742-ac6b-b282d6e19f6e", + "timestamp": "2024-09-10T11:35:55-04:00", + "total": 23, + "offset": 0, + "parameter": [ + { + "name": "count", + "valueInteger": 1000 + }, + { + "name": "offset", + "valueInteger": 0 + } + ], + "contains": [ + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "121112003", + "display": "Deoxyribonucleic acid of Hepatitis B virus (substance)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "121184008", + "display": "Ribosomal ribonucleic acid of Hepatitis B virus (substance)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "13105002", + "display": "Antigen of Hepatitis B virus subtype ayr surface protein (substance)" + }, + { + "system": "http://snomed.info/sct", + 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Generated Narrative: ValueSet

Resource ValueSet "2.16.840.1.113762.1.4.1146.409"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

url: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.409

identifier: id: urn:oid:2.16.840.1.113762.1.4.1146.409

version: 1.0.0

name: HepatitisCVirusInfectionOrganismorSubstanceinLabResults

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

status: active

experimental: true

publisher: eCR

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

compose

include

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

concept

code: 121022006

display: Antigen of Hepacivirus C (substance)

concept

code: 121185009

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

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code: 121204002

display: Ribonucleic acid of Hepatitis C virus (substance)

concept

code: 371140008

display: Polymerase chain reaction positive for hepatitis C viral ribonucleic acid genotype 1A (finding)

concept

code: 603413005

display: Hepatitis C virus subtype 1a (organism)

concept

code: 603414004

display: Hepatitis C virus subtype 1b (organism)

concept

code: 603415003

display: Hepatitis C virus subtype 2a (organism)

concept

code: 603416002

display: Hepatitis C virus subtype 2b (organism)

concept

code: 603417006

display: Hepatitis C virus subtype 3a (organism)

concept

code: 603418001

display: Hepatitis C virus subtype 3b (organism)

concept

code: 603419009

display: Hepatitis C virus subtype 5a (organism)

concept

code: 603420003

display: Hepatitis C virus subtype 6a (organism)

concept

code: 603421004

display: Hepatitis C virus subtype 4a (organism)

concept

code: 603422006

display: Hepatitis C virus genotype 1 (organism)

concept

code: 603423001

display: Hepatitis C virus genotype 2 (organism)

concept

code: 603424007

display: Hepatitis C virus genotype 3 (organism)

concept

code: 603425008

display: Hepatitis C virus genotype 4 (organism)

concept

code: 603426009

display: Hepatitis C virus genotype 5 (organism)

concept

code: 603427000

display: Hepatitis C virus genotype 6 (organism)

concept

code: 603428005

display: Hepatitis C virus subtype 1c (organism)

concept

code: 603429002

display: Hepatitis C virus subtype 2c (organism)

concept

code: 603430007

display: Hepatitis C virus subtype 4b (organism)

concept

code: 603431006

display: Hepatitis C virus subtype 4c (organism)

concept

code: 603432004

display: Hepatitis C virus subtype 4d (organism)

concept

code: 603433009

display: Hepatitis C virus subtype 4e (organism)

concept

code: 62944002

display: Hepatitis C virus (organism)

concept

code: 711331006

display: Polymerase chain reaction test for Hepatitis C positive (finding)

concept

code: 726592002

display: Antigen of Hepatitis C virus core (substance)

concept

code: 781245007

display: Hepatitis C virus genotype 4h (organism)

concept

code: 781276001

display: Hepatitis C virus genotype 3c (organism)

expansion

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

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contains

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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:

url: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1469

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)

status: active

experimental: true

publisher: eCR

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

compose

include

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

concept

code: 416397000

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)

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code: 782958000

display: Vancomycin susceptible Enterococcus faecalis (organism)

concept

code: 90272000

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code: 928051771000087103

display: Enterococcus faecalis type 2 (organism)

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code: 707768008

display: Enterococcus faecium genotype vanA (organism)

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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

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version: Provisional_2022-01-10

code: 712665004

" + }, + "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/StructureDefinition/valueset-authoritativeSource", + "valueUri": "https://cts.nlm.nih.gov/fhir" + } + ], + "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1469", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "urn:oid:2.16.840.1.113762.1.4.1146.1469" + } + ], + "version": "20230122", + "name": "EnterococcusfaeciumorEfaecalisOrganismorSubstanceinLabResults", + "title": "Enterococcus faecium or E. faecalis (Organism or Substance in Lab Results)", + "status": "active", + "experimental": true, + "publisher": "eCR", + "description": "Enterococcus faecium or E. faecalis (Organism or Substance in Lab Results)", + "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://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": "priority" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "Routine" + } + } + ], + "compose": { + "include": [ + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "concept": [ + { + "code": "416397000", + "display": "Enterococcus faecalis variant (organism)" + }, + { + "code": "708244002", + "display": "Deoxyribonucleic acid of Enterococcus faecalis (substance)" + }, + { + "code": "708245001", + "display": "Deoxyribonucleic acid of Enterococcus faecium (substance)" + }, + { + "code": "712664000", + "display": "Vancomycin intermediate Enterococcus faecalis (organism)" + }, + { + "code": "712666003", + "display": "Vancomycin intermediate Enterococcus faecium (organism)" + }, + { + "code": "78065002", + "display": "Enterococcus faecalis (organism)" + }, + { + "code": "782956001", + "display": "Vancomycin susceptible Enterococcus faecium (organism)" + }, + { + "code": "782958000", + "display": "Vancomycin susceptible Enterococcus faecalis (organism)" + }, + { + "code": "90272000", + "display": "Enterococcus faecium (organism)" + }, + { + "code": "928051771000087103", + "display": "Enterococcus faecalis type 2 (organism)" + }, + { + "code": 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"416397000", + "display": "Enterococcus faecalis variant (organism)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "707768008", + "display": "Enterococcus faecium genotype vanA (organism)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "707769000", + "display": "Enterococcus faecium genotype vanB (organism)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "708244002", + "display": "Deoxyribonucleic acid of Enterococcus faecalis (substance)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "708245001", + "display": "Deoxyribonucleic acid of Enterococcus faecium (substance)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "712663006", + "display": "Vancomycin resistant Enterococcus faecalis (organism)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "712664000", + "display": "Vancomycin intermediate Enterococcus faecalis (organism)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "712665004", + "display": "Vancomycin resistant Enterococcus faecium (organism)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "712666003", + "display": "Vancomycin intermediate Enterococcus faecium (organism)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "78065002", + "display": "Enterococcus faecalis (organism)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "782956001", + "display": "Vancomycin susceptible Enterococcus faecium (organism)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "782958000", + "display": "Vancomycin susceptible Enterococcus faecalis (organism)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "90272000", + "display": "Enterococcus faecium (organism)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "928051771000087103", + "display": "Enterococcus faecalis type 2 (organism)" + } + ] + } + }, + "request": { + "method": "POST", + "url": "ValueSet", + "ifNoneExist": "url=http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1469&version=20230122" + } + }, + { + "fullUrl": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1468|20240123", + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113762.1.4.1146.1468", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-10T15:28:19.036+00:00", + "source": "#kT7kUZP81jReWYsE", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-triggering-valueset" + ] + }, + "text": { + "status": "extensions", + "div": "

Generated Narrative: ValueSet

Resource ValueSet "2.16.840.1.113762.1.4.1146.1468"

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)

status: active

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)

version: Provisional_2022-01-10

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://hl7.org/fhir/StructureDefinition/valueset-authoritativeSource", + "valueUri": "https://cts.nlm.nih.gov/fhir" + } + ], + "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": "20240123", + "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://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://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": "priority" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "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": { + "identifier": "urn:uuid:4343de59-e317-4e13-b35a-d99f5cc3d819", + "timestamp": "2024-09-10T11:35:57-04:00", + "total": 4, + "offset": 0, + "parameter": [ + { + "name": "count", + "valueInteger": 1000 + }, + { + "name": "offset", + "valueInteger": 0 + } + ], + "contains": [ + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "1117501000112104", + "display": "Vancomycin resistant Enterococcus casseliflavus (organism)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "30949009", + "display": "Enterococcus casseliflavus (organism)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "53233007", + "display": "Enterococcus gallinarum (organism)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "703032005", + "display": "Enterococcus casseliflavus or Enterococcus gallinarum (finding)" + } + ] + } + }, + "request": { + "method": "POST", + "url": "ValueSet", + "ifNoneExist": "url=http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1468&version=20240123" + } + }, + { + "fullUrl": "http://hl7.org/fhir/us/ecr/ValueSet/lotc|1.1.0-draft", + "resource": { + "resourceType": "ValueSet", + "id": "753", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-10T15:28:33.850+00:00", + "source": "#XghutEewdEdyyY1l", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-triggering-valueset" + ] + }, + "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

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

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/StructureDefinition/valueset-authoritativeSource", + "valueUri": "https://www.test.com/fhir/ValueSet/lotc" + } + ], + "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": "1.1.0-draft", + "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. 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"2.77", + "code": "22859-3", + "display": "Bacillus anthracis Ab [Titer] in Serum" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "22860-1", + "display": "Bacillus anthracis Ab [Presence] in Serum" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "22861-9", + "display": "Bacillus anthracis Ab [Presence] in Serum by Immune diffusion (ID)" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "22862-7", + "display": "Bacillus anthracis Ab [Presence] in Serum by Agglutination" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "22863-5", + "display": "Bacillus anthracis Ab [Presence] in Serum by Immunoassay" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "22864-3", + "display": "Bacillus anthracis Ab [Presence] in Serum by Complement fixation" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "22865-0", + "display": "Bacillus anthracis Ab [Titer] in Serum by Immune diffusion (ID)" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "5055-9", + "display": "Bacillus anthracis Ab [Units/volume] in Serum by Hemagglutination" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "7814-7", + "display": "Bacillus anthracis Ab [Units/volume] in Serum" + } + ] + } + }, + "request": { + "method": "POST", + "url": "ValueSet", + "ifNoneExist": "url=http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.481&version=20180620" + } + }, + { + "fullUrl": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.761|20220119", + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113762.1.4.1146.761", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-10T15:28:19.036+00:00", + "source": "#kT7kUZP81jReWYsE", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-triggering-valueset" + ] + }, + "text": { + "status": "extensions", + "div": "

Generated Narrative: ValueSet

Resource ValueSet "2.16.840.1.113762.1.4.1146.761"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

url: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.761

identifier: id: urn:oid:2.16.840.1.113762.1.4.1146.761

version: 1.0.0

name: MumpsTestPanelsformumpsvirusNucleicAcid

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

status: active

experimental: true

publisher: eCR

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

compose

include

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

version: Provisional_2021-12-30

concept

code: 85808-4

display: Mumps virus RNA and SH gene panel - Specimen by NAA with probe detection

concept

code: 93750-8

display: Mumps virus RNA and N gene panel - Specimen

expansion

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

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

" + }, + "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/StructureDefinition/valueset-authoritativeSource", + "valueUri": "https://cts.nlm.nih.gov/fhir" + } + ], + "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.761", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "urn:oid:2.16.840.1.113762.1.4.1146.761" + } + ], + "version": "20220119", + "name": "MumpsTestPanelsformumpsvirusNucleicAcid", + "title": "Mumps (Test Panels for mumps virus Nucleic Acid)", + "status": "active", + "experimental": true, + "publisher": "eCR", + "description": "Mumps (Test Panels for mumps virus Nucleic Acid)", + "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://terminology.hl7.org/CodeSystem/usage-context-type", + "code": "focus" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "36989005" + } + ], + "text": "Mumps (disorder)" + } + }, + { + "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" + } + ], + "text": "Routine" + } + } + ], + "compose": { + "include": [ + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "concept": [ + { + "code": "85808-4", + "display": "Mumps virus RNA and SH gene panel - Specimen by NAA with probe detection" + }, + { + "code": "93750-8", + "display": "Mumps virus RNA and N gene panel - Specimen" + } + ] + } + ] + }, + "expansion": { + "identifier": "urn:uuid:c09d3d79-36d7-4869-96e1-1c96c394d3f2", + "timestamp": "2024-09-10T11:35:59-04:00", + "total": 2, + "offset": 0, + "parameter": [ + { + "name": "count", + "valueInteger": 1000 + }, + { + "name": "offset", + "valueInteger": 0 + } + ], + "contains": [ + { + "system": "http://loinc.org", + "version": "2.77", + "code": "85808-4", + "display": "Mumps virus RNA and SH gene panel - Specimen by NAA with probe detection" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "93750-8", + "display": "Mumps virus RNA and N gene panel - Specimen" + } + ] + } + }, + "request": { + "method": "POST", + "url": "ValueSet", + "ifNoneExist": "url=http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.761&version=20220119" + } + }, + { + "fullUrl": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1223|20210528", + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113762.1.4.1146.1223", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-10T15:28:19.036+00:00", + "source": "#kT7kUZP81jReWYsE", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-triggering-valueset" + ] + }, + "text": { + "status": "extensions", + "div": "

Generated Narrative: ValueSet

Resource ValueSet "2.16.840.1.113762.1.4.1146.1223"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

url: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1223

identifier: id: urn:oid:2.16.840.1.113762.1.4.1146.1223

version: 1.0.0

name: COVID_19TestsforSARS_CoV_2byCultureandIdentificationMethod

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

status: active

experimental: true

publisher: eCR

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

compose

include

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

version: Provisional_2021-12-30

concept

code: 94763-0

display: SARS-CoV-2 (COVID-19) [Presence] in Specimen by Organism specific culture

concept

code: 94764-8

display: SARS-CoV-2 (COVID-19) whole genome [Nucleotide sequence] in Isolate or Specimen by Sequencing

expansion

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

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

" + }, + "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/StructureDefinition/valueset-authoritativeSource", + "valueUri": "https://cts.nlm.nih.gov/fhir" + } + ], + "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1223", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "urn:oid:2.16.840.1.113762.1.4.1146.1223" + } + ], + "version": "20210528", + "name": "COVID_19TestsforSARS_CoV_2byCultureandIdentificationMethod", + "title": "COVID_19 (Tests for SARS_CoV_2 by Culture and Identification Method)", + "status": "active", + "experimental": true, + "publisher": "eCR", + "description": "COVID_19 (Tests for SARS_CoV_2 by Culture and Identification Method)", + "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://terminology.hl7.org/CodeSystem/usage-context-type", + "code": "focus" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "840539006" + } + ], + "text": "Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)" + } + }, + { + "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" + } + ], + "text": "Routine" + } + } + ], + "compose": { + "include": [ + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "concept": [ + { + "code": "94763-0", + "display": "SARS-CoV-2 (COVID-19) [Presence] in Specimen by Organism specific culture" + }, + { + "code": "94764-8", + "display": "SARS-CoV-2 (COVID-19) whole genome [Nucleotide sequence] in Isolate or Specimen by Sequencing" + } + ] + } + ] + }, + "expansion": { + "identifier": "urn:uuid:fea7fe01-b4b1-44a9-993f-aa7b7c8a36d2", + "timestamp": "2024-09-10T11:36:00-04:00", + "total": 2, + "offset": 0, + "parameter": [ + { + "name": "count", + "valueInteger": 1000 + }, + { + "name": "offset", + "valueInteger": 0 + } + ], + "contains": [ + { + "system": "http://loinc.org", + "version": "2.77", + "code": "94763-0", + "display": "SARS-CoV-2 (COVID-19) [Presence] in Specimen by Organism specific culture" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "94764-8", + "display": "SARS-CoV-2 (COVID-19) whole genome [Nucleotide sequence] in Isolate or Specimen by Sequencing" + } + ] + } + }, + "request": { + "method": "POST", + "url": "ValueSet", + "ifNoneExist": "url=http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1223&version=20210528" + } + }, + { + "fullUrl": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.762|20191227", + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113762.1.4.1146.762", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-10T15:28:19.036+00:00", + "source": "#kT7kUZP81jReWYsE", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-triggering-valueset" + ] + }, + "text": { + "status": "extensions", + "div": "

Generated Narrative: ValueSet

Resource ValueSet "2.16.840.1.113762.1.4.1146.762"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

url: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.762

identifier: id: urn:oid:2.16.840.1.113762.1.4.1146.762

version: 1.0.0

name: MumpsTestPanelsformumpsvirusIgMIgGAntibody

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

status: active

experimental: true

publisher: eCR

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

compose

include

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

version: Provisional_2021-12-30

concept

code: 77250-9

display: Mumps virus IgG and IgM panel - Serum

concept

code: 77398-6

display: Mumps virus IgG and IgM index panel - Serum

concept

code: 88458-5

display: Mumps virus Ab.IgG and IgM panel - Cerebral spinal fluid by Immunofluorescence

concept

code: 92929-9

display: Measles, Mumps and Rubella virus IgG panel [Units/volume] - Serum or Plasma

expansion

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

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/StructureDefinition/valueset-authoritativeSource", + "valueUri": "https://cts.nlm.nih.gov/fhir" + } + ], + "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.762", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "urn:oid:2.16.840.1.113762.1.4.1146.762" + } + ], + "version": "20191227", + "name": "MumpsTestPanelsformumpsvirusIgMIgGAntibody", + "title": "Mumps (Test Panels for mumps virus IgM IgG Antibody)", + "status": "active", + "experimental": true, + "publisher": "eCR", + "description": "Mumps (Test Panels for mumps virus IgM IgG Antibody)", + "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://terminology.hl7.org/CodeSystem/usage-context-type", + "code": "focus" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "36989005" + } + ], + "text": "Mumps (disorder)" + } + }, + { + "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" + } + ], + "text": "Routine" + } + } + ], + "compose": { + "include": [ + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "concept": [ + { + "code": "77250-9", + "display": "Mumps virus IgG and IgM panel - Serum" + }, + { + "code": "77398-6", + "display": "Mumps virus IgG and IgM index panel - Serum" + }, + { + "code": "88458-5", + "display": "Mumps virus Ab.IgG and IgM panel - Cerebral spinal fluid by Immunofluorescence" + }, + { + "code": "92929-9", + "display": "Measles, Mumps and Rubella virus IgG panel [Units/volume] - Serum or Plasma" + } + ] + } + ] + }, + "expansion": { + "identifier": "urn:uuid:ea7b8318-7513-436f-a120-13b2da278214", + "timestamp": "2024-09-10T11:36:01-04:00", + "total": 4, + "offset": 0, + "parameter": [ + { + "name": "count", + "valueInteger": 1000 + }, + { + "name": "offset", + "valueInteger": 0 + } + ], + "contains": [ + { + "system": "http://loinc.org", + "version": "2.77", + "code": "77250-9", + "display": "Mumps virus IgG and IgM panel - Serum" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "77398-6", + "display": "Mumps virus IgG and IgM index panel - Serum" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "88458-5", + "display": "Mumps virus Ab.IgG and IgM panel - Cerebral spinal fluid by Immunofluorescence" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "92929-9", + "display": "Measles, Mumps and Rubella virus IgG panel [Units/volume] - Serum or Plasma" + } + ] + } + }, + "request": { + "method": "POST", + "url": "ValueSet", + "ifNoneExist": "url=http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.762&version=20191227" + } + }, + { + "fullUrl": "http://hl7.org/fhir/us/ecr/ValueSet/lrtc|1.1.0-draft", + "resource": { + "resourceType": "ValueSet", + "id": "754", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-10T15:28:33.850+00:00", + "source": "#XghutEewdEdyyY1l", + "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

valueSet: Powassan Virus Disease (Tests for Powassan Virus Antibody [Quantitative])

include

valueSet: Eastern Equine Encephalitis Virus Disease (Tests for Eastern Equine Encephalitis Virus Antibody [Quantitative])

include

valueSet: Anthrax (Tests for Bacillis anthracis Antigen)

include

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

include

valueSet: Anthrax (Tests for Bacillis anthracis 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: 29564-2

contains

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

version: Provisional_2021-12-30

code: 30177-0

contains

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

version: Provisional_2021-12-30

code: 31573-9

contains

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

version: Provisional_2021-12-30

code: 31574-7

contains

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

version: Provisional_2021-12-30

code: 40504-3

contains

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

version: Provisional_2021-12-30

code: 40513-4

contains

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

version: Provisional_2021-12-30

code: 42973-8

contains

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

version: Provisional_2021-12-30

code: 42974-6

contains

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

version: Provisional_2021-12-30

code: 42975-3

contains

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

version: Provisional_2021-12-30

code: 95647-4

contains

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

version: Provisional_2021-12-30

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Generated Narrative: ValueSet

Resource ValueSet "2.16.840.1.113762.1.4.1146.1181"

Profile: US Public Health Triggering ValueSet

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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])

status: active

experimental: true

publisher: eCR

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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+ "text": { + "status": "extensions", + "div": "

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

system: RxNorm

version: 2022-01

code: 1433879

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

system: RxNorm

version: 2022-01

code: 2374562

contains

system: RxNorm

version: 2022-01

code: 2374566

contains

system: RxNorm

version: 2022-01

code: 2475199

contains

system: RxNorm

version: 2022-01

code: 2475205

contains

system: RxNorm

version: 2022-01

code: 744842

contains

system: RxNorm

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

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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": "PlanDefinition/749" + } + }, + { + "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://aphl.org/fhir/vsm/CodeSystem/usage-context-type", + "code": "grouper-type" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://aphl.org/fhir/vsm/CodeSystem/usage-context-type", + "code": "model-grouper" + } + ], + "text": "Model Grouper" + } + }, + { + "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" + } + ], + "text": "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|20220118" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1600|20230602" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1603|20220118" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1602|20220118" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1082|20200513" + ] + } + ] + }, + "expansion": { + "timestamp": "2024-09-10T15:36:03+00:00", + "contains": [ + { + "system": 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Tablet for Oral Suspension [Tivicay]" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "08052024", + "code": "2475199", + "display": "cabotegravir 30 MG Oral Tablet" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "08052024", + "code": "2475205", + "display": "cabotegravir 30 MG Oral Tablet [Vocabria]" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "08052024", + "code": "2588077", + "display": "3 ML cabotegravir 200 MG/ML Injection" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "08052024", + "code": "2588080", + "display": "3 ML cabotegravir 200 MG/ML Injection [Apretude]" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "08052024", + "code": "2594978", + "display": "2 ML cabotegravir 200 MG/ML Injection" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "08052024", + "code": "744842", + "display": "raltegravir 400 MG Oral Tablet" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "08052024", + "code": "744846", + "display": "raltegravir 400 MG Oral Tablet [Isentress]" + } + ] + } + }, + "request": { + "method": "POST", + "url": "ValueSet", + "ifNoneExist": "url=http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1600&version=20230602" + } + }, + { + "fullUrl": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1603|20220118", + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113762.1.4.1146.1603", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-10T15:28:19.036+00:00", + "source": "#kT7kUZP81jReWYsE", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-triggering-valueset" + ] + }, + "text": { + "status": "extensions", + "div": "

Generated Narrative: ValueSet

Resource ValueSet "2.16.840.1.113762.1.4.1146.1603"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

url: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1603

identifier: id: urn:oid:2.16.840.1.113762.1.4.1146.1603

version: 1.0.0

name: HIVInfectionARVAttachmentInhibitorsRXNORM

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

status: active

experimental: true

publisher: eCR

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

compose

include

system: RxNorm

version: 2022-01

concept

code: 2380549

display: 12 HR fostemsavir 600 MG Extended Release Oral Tablet

concept

code: 2380551

display: 12 HR fostemsavir 600 MG Extended Release Oral Tablet [Rukobia]

expansion

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

contains

system: RxNorm

version: 2022-01

code: 2380549

contains

system: RxNorm

version: 2022-01

code: 2380551

" + }, + "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/StructureDefinition/valueset-authoritativeSource", + "valueUri": "https://cts.nlm.nih.gov/fhir" + } + ], + "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1603", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "urn:oid:2.16.840.1.113762.1.4.1146.1603" + } + ], + "version": "20220118", + "name": "HIVInfectionARVAttachmentInhibitorsRXNORM", + "title": "HIV Infection (ARV Attachment Inhibitors) (RXNORM)", + "status": "active", + "experimental": true, + "publisher": "eCR", + "description": "HIV Infection (ARV Attachment Inhibitors) (RXNORM)", + "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://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": "priority" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "Routine" + } + } + ], + "compose": { + "include": [ + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "concept": [ + { + "code": "2380549", + "display": "12 HR fostemsavir 600 MG Extended Release Oral Tablet" + }, + { + "code": "2380551", + "display": "12 HR fostemsavir 600 MG Extended Release Oral Tablet [Rukobia]" + } + ] + } + ] + }, + "expansion": { + "identifier": "urn:uuid:a4dcd27a-8fae-41d5-97fb-d66810084f16", + "timestamp": "2024-09-10T11:36:05-04:00", + "total": 2, + "offset": 0, + "parameter": [ + { + "name": "count", + "valueInteger": 1000 + }, + { + "name": "offset", + "valueInteger": 0 + } + ], + "contains": [ + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "08052024", + "code": "2380549", + "display": "12 HR fostemsavir 600 MG Extended Release Oral Tablet" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "08052024", + "code": "2380551", + "display": "12 HR fostemsavir 600 MG Extended Release Oral Tablet [Rukobia]" + } + ] + } + }, + "request": { + "method": "POST", + "url": "ValueSet", + "ifNoneExist": "url=http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1603&version=20220118" + } + }, + { + "fullUrl": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1602|20220118", + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113762.1.4.1146.1602", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-10T15:28:19.036+00:00", + "source": "#kT7kUZP81jReWYsE", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-triggering-valueset" + ] + }, + "text": { + "status": "extensions", + "div": "

Generated Narrative: ValueSet

Resource ValueSet "2.16.840.1.113762.1.4.1146.1602"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

url: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1602

identifier: id: 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)

compose

include

system: RxNorm

version: 2022-01

concept

code: 2043317

display: 1.33 ML ibalizumab-uiyk 150 MG/ML Injection

concept

code: 2043322

display: 1.33 ML ibalizumab-uiyk 150 MG/ML Injection [Trogarzo]

expansion

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

contains

system: RxNorm

version: 2022-01

code: 2043317

contains

system: RxNorm

version: 2022-01

code: 2043322

" + }, + "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/StructureDefinition/valueset-authoritativeSource", + "valueUri": "https://cts.nlm.nih.gov/fhir" + } + ], + "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": "20220118", + "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://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://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": "priority" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "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": { + "identifier": "urn:uuid:f63cc0cf-2a91-4ddf-80c9-7d70defb67aa", + "timestamp": "2024-09-10T11:36:06-04:00", + "total": 2, + "offset": 0, + "parameter": [ + { + "name": "count", + "valueInteger": 1000 + }, + { + "name": "offset", + "valueInteger": 0 + } + ], + "contains": [ + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "08052024", + "code": "2043317", + "display": "1.33 ML ibalizumab-uiyk 150 MG/ML Injection" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "08052024", + "code": "2043322", + "display": "1.33 ML ibalizumab-uiyk 150 MG/ML Injection [Trogarzo]" + } + ] + } + }, + "request": { + "method": "POST", + "url": "ValueSet", + "ifNoneExist": "url=http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1602&version=20220118" + } + }, + { + "fullUrl": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1082|20200513", + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113762.1.4.1146.1082", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-10T15:28:19.036+00:00", + "source": "#kT7kUZP81jReWYsE", + "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

version: 2022-01

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

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/StructureDefinition/valueset-authoritativeSource", + "valueUri": "https://cts.nlm.nih.gov/fhir" + } + ], + "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1082", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "urn:oid:2.16.840.1.113762.1.4.1146.1082" + } + ], + "version": "20200513", + "name": "AnthraxVaccineRXNORM", + "title": "Anthrax Vaccine (RXNORM)", + "status": "active", + "experimental": true, + "publisher": "eCR", + "description": "Anthrax Vaccine (RXNORM)", + "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://terminology.hl7.org/CodeSystem/usage-context-type", + "code": "focus" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "409498004" + } + ], + "text": "Anthrax (disorder)" + } + }, + { + "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" + } + ], + "text": "Routine" + } + } + ], + "compose": { + "include": [ + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "concept": [ + { + "code": "832679", + "display": "Bacillus anthracis strain V770-NP1-R antigens 0.1 MG/ML Injectable Suspension" + }, + { + "code": "832682", + "display": "Bacillus anthracis strain V770-NP1-R antigens 0.1 MG/ML Injectable Suspension [Biothrax]" + } + ] + } + ] + }, + "expansion": { + "identifier": "urn:uuid:c467af2a-6f9d-4349-ab63-7dc649b9e551", + "timestamp": "2024-09-10T11:36:06-04:00", + "total": 2, + "offset": 0, + "parameter": [ + { + "name": "count", + "valueInteger": 1000 + }, + { + "name": "offset", + "valueInteger": 0 + } + ], + "contains": [ + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "08052024", + "code": "832679", + "display": "Bacillus anthracis strain V770-NP1-R antigens 0.1 MG/ML Injectable Suspension" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "08052024", + "code": "832682", + "display": "Bacillus anthracis strain V770-NP1-R antigens 0.1 MG/ML Injectable Suspension [Biothrax]" + } + ] + } + }, + "request": { + "method": "POST", + "url": "ValueSet", + "ifNoneExist": "url=http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1082&version=20200513" + } + }, + { + "fullUrl": "http://hl7.org/fhir/us/ecr/ValueSet/sdtc|1.1.0-draft", + "resource": { + "resourceType": "ValueSet", + "id": "756", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-10T15:28:33.850+00:00", + "source": "#XghutEewdEdyyY1l", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-triggering-valueset" + ] + }, + "text": { + "status": "extensions", + "div": "

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/StructureDefinition/valueset-authoritativeSource", + "valueUri": "https://www.test.com/fhir/ValueSet/sdtc" + } + ], + "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": "1.1.0-draft", + "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": "PlanDefinition/749" + } + }, + { + "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://aphl.org/fhir/vsm/CodeSystem/usage-context-type", + "code": "grouper-type" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://aphl.org/fhir/vsm/CodeSystem/usage-context-type", + "code": "model-grouper" + } + ], + "text": "Model Grouper" + } + }, + { + "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" + } + ], + "text": "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|20220118" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1436|20220118" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1435|20220118" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1446|20230122" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1438|20220118" + ] + } + ] + }, + "expansion": { + "timestamp": "2024-09-10T15:36:06+00:00", + "contains": [ + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "722545003", + "display": "Suspected rabies (situation)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "722546002", + "display": "Probable rabies (situation)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "772152006", + "display": "Measles suspected (situation)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "772150003", + "display": "Diphtheria suspected (situation)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "707860005", + "display": "Suspected Ebola virus disease (situation)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "772158005", + "display": "Viral hemorrhagic fever suspected (situation)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "772155008", + "display": "Acute poliomyelitis suspected (situation)" + } + ] + } + }, + "request": { + "method": "POST", + "url": "ValueSet", + "ifNoneExist": "url=http://hl7.org/fhir/us/ecr/ValueSet/sdtc&version=1.1.0-draft" + } + }, + { + "fullUrl": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1439|20220118", + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113762.1.4.1146.1439", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-10T15:28:19.036+00:00", + "source": "#kT7kUZP81jReWYsE", + "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://hl7.org/fhir/StructureDefinition/valueset-authoritativeSource", + "valueUri": "https://cts.nlm.nih.gov/fhir" + } + ], + "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": "20220118", + "name": "RabiesSuspectedDisordersSNOMED", + "title": "Rabies [Suspected] (Disorders) (SNOMED)", + "status": "active", + "experimental": true, + "publisher": "eCR", + "description": "Rabies [Suspected] (Disorders) (SNOMED)", + "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://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": "priority" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "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": { + "identifier": "urn:uuid:660dd840-5884-4d4d-b27a-2ae935ef6e7f", + "timestamp": "2024-09-10T11:36:07-04:00", + "total": 2, + "offset": 0, + "parameter": [ + { + "name": "count", + "valueInteger": 1000 + }, + { + "name": "offset", + "valueInteger": 0 + } + ], + "contains": [ + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "722545003", + "display": "Suspected rabies (situation)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "722546002", + "display": "Probable rabies (situation)" + } + ] + } + }, + "request": { + "method": "POST", + "url": "ValueSet", + "ifNoneExist": "url=http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1439&version=20220118" + } + }, + { + "fullUrl": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1436|20220118", + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113762.1.4.1146.1436", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-10T15:28:19.036+00:00", + "source": "#kT7kUZP81jReWYsE", + "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

-CodeDisplay
*772152006Measles suspected (situation)

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://hl7.org/fhir/StructureDefinition/valueset-authoritativeSource", + "valueUri": "https://cts.nlm.nih.gov/fhir" + } + ], + "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": "20220118", + "name": "MeaslesSuspectedDisordersSNOMED", + "title": "Measles [Suspected] (Disorders) (SNOMED)", + "status": "active", + "experimental": true, + "publisher": "eCR", + "description": "Measles [Suspected] (Disorders) (SNOMED)", + "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://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": "priority" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "Routine" + } + } + ], + "compose": { + "include": [ + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "concept": [ + { + "code": "772152006", + "display": "Measles suspected (situation)" + } + ] + } + ] + }, + "expansion": { + "identifier": "urn:uuid:732a6eb7-853e-4287-a091-1c2c213bf8c8", + "timestamp": "2024-09-10T11:36:07-04:00", + "total": 1, + "offset": 0, + "parameter": [ + { + "name": "count", + "valueInteger": 1000 + }, + { + "name": "offset", + "valueInteger": 0 + } + ], + "contains": [ + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "772152006", + "display": "Measles suspected (situation)" + } + ] + } + }, + "request": { + "method": "POST", + "url": "ValueSet", + "ifNoneExist": "url=http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1436&version=20220118" + } + }, + { + "fullUrl": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1435|20220118", + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113762.1.4.1146.1435", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-10T15:28:19.036+00:00", + "source": "#kT7kUZP81jReWYsE", + "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://hl7.org/fhir/StructureDefinition/valueset-authoritativeSource", + "valueUri": "https://cts.nlm.nih.gov/fhir" + } + ], + "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": "20220118", + "name": "DiphtheriaSuspectedDisordersSNOMED", + "title": "Diphtheria [Suspected] (Disorders) (SNOMED)", + "status": "active", + "experimental": true, + "publisher": "eCR", + "description": "Diphtheria [Suspected] (Disorders) (SNOMED)", + "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://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": "priority" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "Routine" + } + } + ], + "compose": { + "include": [ + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "concept": [ + { + "code": "772150003", + "display": "Diphtheria suspected (situation)" + } + ] + } + ] + }, + "expansion": { + "identifier": "urn:uuid:84dc1251-531c-4b8c-b1b2-91058f4df23e", + "timestamp": "2024-09-10T11:36:08-04:00", + "total": 1, + "offset": 0, + "parameter": [ + { + "name": "count", + "valueInteger": 1000 + }, + { + "name": "offset", + "valueInteger": 0 + } + ], + "contains": [ + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "772150003", + "display": "Diphtheria suspected (situation)" + } + ] + } + }, + "request": { + "method": "POST", + "url": "ValueSet", + "ifNoneExist": "url=http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1435&version=20220118" + } + }, + { + "fullUrl": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1446|20230122", + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113762.1.4.1146.1446", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-10T15:28:19.036+00:00", + "source": "#kT7kUZP81jReWYsE", + "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

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"text": "Anthrax (disorder)" + } + }, + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "Routine" + } + } + ], + "type": "depends-on", + "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.480|20180620" + }, + { + "extension": [ + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "409498004" + } + ], + "text": "Anthrax (disorder)" + } + }, + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "Routine" + } + } + ], + "type": "depends-on", + "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.481|20180620" + }, + { + "extension": [ + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "36989005" + } + ], + "text": "Mumps (disorder)" + } + }, + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "Routine" + } + } + ], + "type": "depends-on", + "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.761|20220119" + }, + { + "extension": [ + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "840539006" + } + ], + "text": "Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)" + } + }, + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "Routine" + } + } + ], + "type": "depends-on", + "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1223|20210528" + }, + { + "extension": [ + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "36989005" + } + ], + "text": "Mumps (disorder)" + } + }, + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "Routine" + } + } + ], + "type": "depends-on", + "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.762|20191227" + }, + { + "extension": [ + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "416707008" + } + ], + "text": "Powassan encephalitis virus infection (disorder)" + } + }, + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "Routine" + } + } + ], + "type": "depends-on", + "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1182|20220602" + }, + { + "extension": [ + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "416925005" + } + ], + "text": "Eastern equine encephalitis virus infection (disorder)" + } + }, + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "Routine" + } + } + ], + "type": "depends-on", + "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1181|20210526" + }, + { + "extension": [ + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "418182000" + } + ], + "text": "Disease caused by California serogroup virus (disorder)" + } + }, + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "Routine" + } + } 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"http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "409498004" + } + ], + "text": "Anthrax (disorder)" + } + }, + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "Routine" + } + } + ], + "type": "depends-on", + "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1082|20200513" + }, + { + "extension": [ + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "14168008" + } + ], + "text": "Rabies (disorder)" + } + }, + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority", + "valueCodeableConcept": { + "coding": [ + { 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"http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "Routine" + } + } + ], + "type": "depends-on", + "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1446|20230122" + }, + { + "extension": [ + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "767146004" + } + ], + "text": "Toxic effect of arsenic and/or arsenic compound" + } + }, + { + "url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-priority", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "Routine" + } + } + ], + "type": "depends-on", + "resource": 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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": "1.1.0-draft", + "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": "draft", + "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" + } + ], + "relatedArtifact": [ + { + "type": "depends-on", + "label": "RCTC Value Set Library of Trigger Codes", + "resource": "http://hl7.org/fhir/us/ecr/Library/library-rctc-example|1.1.0-draft" + }, + { + "type": "composed-of", + "resource": "http://notOwnedTest.com/Library/notOwnedLeaf|0.1.1" + } + ], + "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|1.1.0-draft" + } + ] + }, + { + "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|1.1.0-draft" + } + ] + }, + { + "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|1.1.0-draft" + } + ] + } + ], + "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|1.1.0-draft" + } + ] + }, + { + "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|1.1.0-draft" + } + ] + }, + { + "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|1.1.0-draft" + } + ] + }, + { + "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|1.1.0-draft" + } + ] + }, + { + "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|1.1.0-draft" + } + ] + }, + { + "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|1.1.0-draft" + } + ] + }, + { + "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/pctc|1.0.0" + } + ] + }, + { + "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/pctc|1.0.0" + } + ] + }, + { + "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|1.1.0-draft" + } + ] + }, + { + "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|1.1.0-draft" + } + ] + }, + { + "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|1.1.0-draft" + } + ] + }, + { + "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|1.1.0-draft" + } + ] + }, + { + "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|1.1.0-draft" + } + ] + } + ], + "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" + } + ] + } + ] + }, + "request": { + "method": "POST", + "url": "PlanDefinition", + "ifNoneExist": "url=http://hl7.org/fhir/us/ecr/PlanDefinition/plandefinition-ersd-instance-example&version=1.1.0-draft" + } + }, + { + "fullUrl": "http://hl7.org/fhir/us/ecr/Library/library-rctc-example|1.1.0-draft", + "resource": { + "resourceType": "Library", + "id": "1568", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-17T18:35:49.593+00:00", + "source": "#ePndIxbTQhnEGRiK", + "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": "1.1.0-draft", + "name": "Reportable_Condition_Trigger_Codes", + "title": "Reportable Condition Trigger Codes (RCTC) Example Library", + "status": "draft", + "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", + "relatedArtifact": [ + { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/crmi-isOwned", + "valueBoolean": true + } + ], + "type": "composed-of", + "resource": "http://hl7.org/fhir/us/ecr/ValueSet/dxtc|1.1.0-draft" + }, + { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/crmi-isOwned", + "valueBoolean": true + } + ], + "type": "composed-of", + "resource": "http://hl7.org/fhir/us/ecr/ValueSet/ostc|1.1.0-draft" + }, + { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/crmi-isOwned", + "valueBoolean": true + } + ], + "type": "composed-of", + "resource": "http://hl7.org/fhir/us/ecr/ValueSet/lotc|1.1.0-draft" + }, + { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/crmi-isOwned", + "valueBoolean": true + } + ], + "type": "composed-of", + "resource": "http://hl7.org/fhir/us/ecr/ValueSet/lrtc|1.1.0-draft" + }, + { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/crmi-isOwned", + "valueBoolean": true + } + ], + "type": "composed-of", + "resource": "http://hl7.org/fhir/us/ecr/ValueSet/mrtc|1.1.0-draft" + }, + { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/crmi-isOwned", + "valueBoolean": true + } + ], + "type": "composed-of", + "resource": "http://hl7.org/fhir/us/ecr/ValueSet/sdtc|1.1.0-draft" + }, + { + "type": "composed-of", + "resource": "http://notOwnedTest.com/Library/notOwnedLeaf1|0.1.1" + } + ] + }, + "request": { + "method": "POST", + "url": "Library", + "ifNoneExist": "url=http://hl7.org/fhir/us/ecr/Library/library-rctc-example&version=1.1.0-draft" + } + }, + { + "fullUrl": "http://hl7.org/fhir/us/ecr/ValueSet/dxtc|1.1.0-draft", + "resource": { + "resourceType": "ValueSet", + "id": "1569", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-17T18:35:49.593+00:00", + "source": "#ePndIxbTQhnEGRiK", + "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)

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code: 62210001

contains

system: SNOMED CT (all versions)

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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)

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code: 129667001

contains

system: SNOMED CT (all versions)

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code: 13596001

contains

system: SNOMED CT (all versions)

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code: 15682004

contains

system: SNOMED CT (all versions)

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code: 186347006

contains

system: SNOMED CT (all versions)

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code: 18901009

contains

system: SNOMED CT (all versions)

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code: 194945009

contains

system: SNOMED CT (all versions)

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code: 230596007

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system: SNOMED CT (all versions)

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code: 240422004

contains

system: SNOMED CT (all versions)

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code: 26117009

contains

system: SNOMED CT (all versions)

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code: 276197005

contains

system: SNOMED CT (all versions)

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code: 3419005

contains

system: SNOMED CT (all versions)

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code: 397428000

contains

system: SNOMED CT (all versions)

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code: 397430003

contains

system: SNOMED CT (all versions)

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code: 48278001

contains

system: SNOMED CT (all versions)

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code: 50215002

contains

system: SNOMED CT (all versions)

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code: 715659006

contains

system: SNOMED CT (all versions)

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code: 75589004

contains

system: SNOMED CT (all versions)

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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/StructureDefinition/valueset-authoritativeSource", + "valueUri": "https://www.test.com/fhir/ValueSet/dxtc" + } + ], + "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": "1.1.0-draft", + "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": "PlanDefinition/1567" + } + }, + { + "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://aphl.org/fhir/vsm/CodeSystem/usage-context-type", + "code": "grouper-type" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://aphl.org/fhir/vsm/CodeSystem/usage-context-type", + "code": "model-grouper" + } + ], + "text": "Model Grouper" + } + }, + { + "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" + } + ], + "text": "Routine" + } + } + ], + "purpose": "Diagnoses or problems documented in a clinical record.", + "compose": { + "include": [ + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1506|20220118" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1505|20240123" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1508|20220118" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1507|20230125" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.6|20230602" + ] + } + ] + }, + "expansion": { + "timestamp": "2024-09-17T22:36:32+00:00", + "contains": [ + { + "system": "http://hl7.org/fhir/sid/icd-10-cm", + "version": "2025", + "code": "B60.12", + "display": "Conjunctivitis due to Acanthamoeba" + }, + { + "system": "http://hl7.org/fhir/sid/icd-10-cm", + "version": "2025", + "code": "B60.13", + "display": "Keratoconjunctivitis due to Acanthamoeba" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "15693201000119102", + "display": "Keratitis of bilateral eyes caused by Acanthamoeba (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "15693241000119100", + "display": "Keratitis of left eye caused by Acanthamoeba (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "15693281000119105", + "display": "Keratitis of right eye caused by Acanthamoeba (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": 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"display": "Malignant neoplasm of skin caused by arsenic (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "403743001", + "display": "Arsenic-induced skin pigmentation (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "403744007", + "display": "Arsenic-induced rain-drop hypomelanosis (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "403745008", + "display": "Skin sign from acute arsenic toxicity (finding)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "62210001", + "display": "Inorganic arsenic poisoning (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "72501006", + "display": "Anemia caused by arsenic hydride (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "767146004", + "display": "Toxic effect of arsenic and/or arsenic compound (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "871783000", + "display": "Adverse reaction to arsenic and/or arsenic compound (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "89738003", + "display": "Organic arsenic poisoning (disorder)" + } + ] + } + }, + "request": { + "method": "POST", + "url": "ValueSet", + "ifNoneExist": "url=http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1507&version=20230125" + } + }, + { + "fullUrl": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.6|20230602", + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113762.1.4.1146.6", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-17T15:47:39.304+00:00", + "source": "#CxIqmz1z5zi7bitc", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-triggering-valueset" + ] + }, + "text": { + "status": "extensions", + "div": "

Generated Narrative: ValueSet

Resource ValueSet "2.16.840.1.113762.1.4.1146.6"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

url: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.6

identifier: id: urn:oid:2.16.840.1.113762.1.4.1146.6

version: 1.0.0

name: DiphtheriaDisordersSNOMED

title: Diphtheria (Disorders) (SNOMED)

status: active

experimental: true

publisher: eCR

description: Diphtheria (Disorders) (SNOMED)

compose

include

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

concept

code: 1086051000119107

display: Cardiomyopathy due to diphtheria (disorder)

concept

code: 1086061000119109

display: Diphtheria radiculomyelitis (disorder)

concept

code: 1086071000119103

display: Diphtheria tubulointerstitial nephropathy (disorder)

concept

code: 1090211000119102

display: Pharyngeal diphtheria (disorder)

concept

code: 129667001

display: Diphtheritic peripheral neuritis (disorder)

concept

code: 13596001

display: Diphtheritic peritonitis (disorder)

concept

code: 15682004

display: Anterior nasal diphtheria (disorder)

concept

code: 186347006

display: Diphtheria of penis (disorder)

concept

code: 18901009

display: Cutaneous diphtheria (disorder)

concept

code: 194945009

display: Acute myocarditis - diphtheritic (disorder)

concept

code: 230596007

display: Diphtheritic neuropathy (disorder)

concept

code: 240422004

display: Tracheobronchial diphtheria (disorder)

concept

code: 26117009

display: Diphtheritic myocarditis (disorder)

concept

code: 276197005

display: Infection caused by Corynebacterium diphtheriae (disorder)

concept

code: 3419005

display: Faucial diphtheria (disorder)

concept

code: 397428000

display: Diphtheria (disorder)

concept

code: 397430003

display: Diphtheria caused by Corynebacterium diphtheriae (disorder)

concept

code: 48278001

display: Diphtheritic cystitis (disorder)

concept

code: 50215002

display: Laryngeal diphtheria (disorder)

concept

code: 715659006

display: Diphtheria of respiratory system (disorder)

concept

code: 75589004

display: Nasopharyngeal diphtheria (disorder)

concept

code: 7773002

display: Conjunctival diphtheria (disorder)

concept

code: 789005009

display: Paralysis of uvula after diphtheria (disorder)

expansion

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

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/StructureDefinition/valueset-authoritativeSource", + "valueUri": "https://cts.nlm.nih.gov/fhir" + } + ], + "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.6", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "urn:oid:2.16.840.1.113762.1.4.1146.6" + } + ], + "version": "20230602", + "name": "DiphtheriaDisordersSNOMED", + "title": "Diphtheria (Disorders) (SNOMED)", + "status": "active", + "experimental": true, + "publisher": "eCR", + "description": "Diphtheria (Disorders) (SNOMED)", + "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://terminology.hl7.org/CodeSystem/usage-context-type", + "code": "focus" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "767146004" + } + ], + "text": "Toxic effect of arsenic and/or arsenic compound" + } + }, + { + "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" + } + ], + "text": "Routine" + } + } + ], + "compose": { + "include": [ + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "concept": [ + { + "code": "1086051000119107", + "display": "Cardiomyopathy due to diphtheria (disorder)" + }, + { + "code": "1086061000119109", + "display": "Diphtheria radiculomyelitis (disorder)" + }, + { + "code": "1086071000119103", + "display": "Diphtheria tubulointerstitial nephropathy (disorder)" + }, + { + "code": "1090211000119102", + "display": "Pharyngeal diphtheria (disorder)" + }, + { + "code": "129667001", + "display": "Diphtheritic peripheral neuritis (disorder)" + }, + { + "code": "13596001", + "display": "Diphtheritic peritonitis (disorder)" + }, + { + "code": "15682004", + "display": "Anterior nasal diphtheria (disorder)" + }, + { + "code": "186347006", + "display": "Diphtheria of penis (disorder)" + }, + { + "code": "18901009", + "display": "Cutaneous diphtheria (disorder)" + }, + { + "code": "194945009", + "display": "Acute myocarditis - diphtheritic (disorder)" + }, + { + "code": "230596007", + "display": "Diphtheritic neuropathy (disorder)" + }, + { + "code": "240422004", + "display": "Tracheobronchial diphtheria (disorder)" + }, + { + "code": "26117009", + "display": "Diphtheritic myocarditis (disorder)" + }, + { + "code": "276197005", + "display": "Infection caused by Corynebacterium diphtheriae (disorder)" + }, + { + "code": "3419005", + "display": "Faucial diphtheria (disorder)" + }, + { + "code": "397428000", + "display": "Diphtheria (disorder)" + }, + { + "code": "397430003", + "display": "Diphtheria caused by Corynebacterium diphtheriae (disorder)" + }, + { + "code": "48278001", + "display": "Diphtheritic cystitis (disorder)" + }, + { + "code": "50215002", + "display": "Laryngeal diphtheria (disorder)" + }, + { + "code": "715659006", + "display": "Diphtheria of respiratory system (disorder)" + }, + { + "code": "75589004", + "display": "Nasopharyngeal diphtheria (disorder)" + }, + { + "code": "7773002", + "display": "Conjunctival diphtheria (disorder)" + }, + { + "code": "789005009", + "display": "Paralysis of uvula after diphtheria (disorder)" + } + ] + } + ] + }, + "expansion": { + "identifier": "urn:uuid:3b33f827-b49c-4228-848d-d7863c6c40cf", + "timestamp": "2024-09-17T18:36:37-04:00", + "total": 24, + "offset": 0, + "parameter": [ + { + "name": "count", + "valueInteger": 1000 + }, + { + "name": "offset", + "valueInteger": 0 + } + ], + "contains": [ + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "1086051000119107", + "display": "Cardiomyopathy due to diphtheria (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "1086061000119109", + "display": "Diphtheria radiculomyelitis (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "1086071000119103", + "display": "Diphtheria tubulointerstitial nephropathy (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "1090211000119102", + "display": "Pharyngeal diphtheria (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "1177005009", + "display": "Diphtheria of eye region caused by Corynebacterium diphtheriae (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "1259059003", + "display": "Disorder of autonomic nervous system due to diphtheria (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "129667001", + "display": "Diphtheritic peripheral neuritis (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "13596001", + "display": "Diphtheritic peritonitis (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "15682004", + "display": "Anterior nasal diphtheria (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "186347006", + "display": "Diphtheria of penis (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "18901009", + "display": "Cutaneous diphtheria (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "194945009", + "display": "Acute myocarditis - diphtheritic (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "230596007", + "display": "Diphtheritic neuropathy (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "240422004", + "display": "Tracheobronchial diphtheria (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "26117009", + "display": "Diphtheritic myocarditis (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "276197005", + "display": "Infection caused by Corynebacterium diphtheriae (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "3419005", + "display": "Faucial diphtheria (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "397430003", + "display": "Diphtheria caused by Corynebacterium diphtheriae (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "48278001", + "display": "Diphtheritic cystitis (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "50215002", + "display": "Laryngeal diphtheria (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "715659006", + "display": "Diphtheria of respiratory system (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "75589004", + "display": "Nasopharyngeal diphtheria (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "7773002", + "display": "Conjunctival diphtheria (disorder)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "789005009", + "display": "Paralysis of uvula after diphtheria (disorder)" + } + ] + } + }, + "request": { + "method": "POST", + "url": "ValueSet", + "ifNoneExist": "url=http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.6&version=20230602" + } + }, + { + "fullUrl": "http://hl7.org/fhir/us/ecr/ValueSet/ostc|1.1.0-draft", + "resource": { + "resourceType": "ValueSet", + "id": "1570", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-17T18:35:49.593+00:00", + "source": "#ePndIxbTQhnEGRiK", + "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)

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

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 707876001

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 707877005

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 707878000

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 783725005

contains

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

code: 8467002

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

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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

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version: Provisional_2022-01-10

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code: 121192004

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

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code: 243604005

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code: 34348001

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code: 36700002

display: Dengue virus, type 4 (organism)

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code: 41328007

display: Dengue virus, type 2 (organism)

concept

code: 60588009

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code: 707875002

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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

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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

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contains

system: SNOMED CT (all versions)

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contains

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contains

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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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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: 708281003

contains

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code: 716076002

contains

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code: 73661005

contains

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code: 81665004

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Generated Narrative: ValueSet

Resource ValueSet "2.16.840.1.113762.1.4.1146.409"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

url: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.409

identifier: id: urn:oid:2.16.840.1.113762.1.4.1146.409

version: 1.0.0

name: HepatitisCVirusInfectionOrganismorSubstanceinLabResults

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

status: active

experimental: true

publisher: eCR

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

compose

include

system: SNOMED CT (all versions)

version: Provisional_2022-01-10

concept

code: 121022006

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concept

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

concept

code: 121204002

display: Ribonucleic acid of Hepatitis C virus (substance)

concept

code: 371140008

display: Polymerase chain reaction positive for hepatitis C viral ribonucleic acid genotype 1A (finding)

concept

code: 603413005

display: Hepatitis C virus subtype 1a (organism)

concept

code: 603414004

display: Hepatitis C virus subtype 1b (organism)

concept

code: 603415003

display: Hepatitis C virus subtype 2a (organism)

concept

code: 603416002

display: Hepatitis C virus subtype 2b (organism)

concept

code: 603417006

display: Hepatitis C virus subtype 3a (organism)

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code: 603418001

display: Hepatitis C virus subtype 3b (organism)

concept

code: 603419009

display: Hepatitis C virus subtype 5a (organism)

concept

code: 603420003

display: Hepatitis C virus subtype 6a (organism)

concept

code: 603421004

display: Hepatitis C virus subtype 4a (organism)

concept

code: 603422006

display: Hepatitis C virus genotype 1 (organism)

concept

code: 603423001

display: Hepatitis C virus genotype 2 (organism)

concept

code: 603424007

display: Hepatitis C virus genotype 3 (organism)

concept

code: 603425008

display: Hepatitis C virus genotype 4 (organism)

concept

code: 603426009

display: Hepatitis C virus genotype 5 (organism)

concept

code: 603427000

display: Hepatitis C virus genotype 6 (organism)

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code: 603429002

display: Hepatitis C virus subtype 2c (organism)

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display: Hepatitis C virus subtype 4b (organism)

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display: Hepatitis C virus subtype 4c (organism)

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display: Hepatitis C virus subtype 4e (organism)

concept

code: 62944002

display: Hepatitis C virus (organism)

concept

code: 711331006

display: Polymerase chain reaction test for Hepatitis C positive (finding)

concept

code: 726592002

display: Antigen of Hepatitis C virus core (substance)

concept

code: 781245007

display: Hepatitis C virus genotype 4h (organism)

concept

code: 781276001

display: Hepatitis C virus genotype 3c (organism)

expansion

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

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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:

url: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1469

identifier: id: urn:oid:2.16.840.1.113762.1.4.1146.1469

version: 1.0.0

name: EnterococcusfaeciumorEfaecalisOrganismorSubstanceinLabResults

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experimental: true

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display: Enterococcus faecium genotype vanA (organism)

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display: Enterococcus faecium genotype vanB (organism)

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display: Vancomycin resistant Enterococcus faecalis (organism)

concept

code: 712665004

display: Vancomycin resistant Enterococcus faecium (organism)

expansion

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

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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)

status: active

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)

version: Provisional_2022-01-10

code: 30949009

contains

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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://hl7.org/fhir/StructureDefinition/valueset-authoritativeSource", + "valueUri": "https://cts.nlm.nih.gov/fhir" + } + ], + "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": "20240123", + "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://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://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": "priority" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "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": { + "identifier": "urn:uuid:07e29c68-b3b0-40df-9f3d-304c648b40f5", + "timestamp": "2024-09-17T18:36:41-04:00", + "total": 4, + "offset": 0, + "parameter": [ + { + "name": "count", + "valueInteger": 1000 + }, + { + "name": "offset", + "valueInteger": 0 + } + ], + "contains": [ + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "1117501000112104", + "display": "Vancomycin resistant Enterococcus casseliflavus (organism)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "30949009", + "display": "Enterococcus casseliflavus (organism)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "53233007", + "display": "Enterococcus gallinarum (organism)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "703032005", + "display": "Enterococcus casseliflavus or Enterococcus gallinarum (finding)" + } + ] + } + }, + "request": { + "method": "POST", + "url": "ValueSet", + "ifNoneExist": "url=http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1468&version=20240123" + } + }, + { + "fullUrl": "http://hl7.org/fhir/us/ecr/ValueSet/lotc|1.1.0-draft", + "resource": { + "resourceType": "ValueSet", + "id": "1571", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-17T18:35:49.593+00:00", + "source": "#ePndIxbTQhnEGRiK", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-triggering-valueset" + ] + }, + "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

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

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/StructureDefinition/valueset-authoritativeSource", + "valueUri": "https://www.test.com/fhir/ValueSet/lotc" + } + ], + "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": "1.1.0-draft", + "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": "PlanDefinition/1567" + } + }, + { + "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://aphl.org/fhir/vsm/CodeSystem/usage-context-type", + "code": "grouper-type" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://aphl.org/fhir/vsm/CodeSystem/usage-context-type", + "code": "model-grouper" + } + ], + "text": "Model Grouper" + } + }, + { + "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" + } + ], + "text": "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|20180620" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.481|20180620" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.761|20220119" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1223|20210528" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.762|20191227" + ] + } + ] + }, + "expansion": { + "timestamp": "2024-09-17T22:36:41+00:00", + "contains": [ + { + "system": "http://loinc.org", + "version": "2.77", + "code": "22866-8", + "display": "Bacillus anthracis Ag [Presence] in Tissue by Immunofluorescence" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "22867-6", + "display": "Bacillus anthracis Ag [Presence] in Specimen by Immunofluorescence" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "31726-3", + "display": "Bacillus anthracis Ag [Presence] in Specimen" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "44269-9", + "display": "Bacillus anthracis cell wall Ag [Presence] in Specimen by Immunofluorescence" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "44270-7", + "display": "Bacillus anthracis spore Ag [Presence] in Specimen by Immunofluorescence" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "51976-9", + "display": "Bacillus anthracis capsule Ag [Presence] in Specimen by Immunofluorescence" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "11467-8", + "display": "Bacillus anthracis Ab [Units/volume] in Serum by Immunoblot" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "11468-6", + "display": "Bacillus anthracis Ab [Units/volume] in Specimen by Immunofluorescence" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "22109-3", + "display": "Bacillus anthracis Ab [Units/volume] in Specimen" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "22859-3", + "display": "Bacillus anthracis Ab [Titer] in Serum" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "22860-1", + "display": "Bacillus anthracis Ab [Presence] in Serum" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "22861-9", + "display": "Bacillus anthracis Ab [Presence] in Serum by Immune diffusion (ID)" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "22862-7", + "display": "Bacillus anthracis Ab [Presence] in Serum by Agglutination" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "22863-5", + "display": "Bacillus anthracis Ab [Presence] in Serum by Immunoassay" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "22864-3", + "display": "Bacillus anthracis Ab [Presence] in Serum by Complement fixation" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "22865-0", + "display": "Bacillus anthracis Ab [Titer] in Serum by Immune diffusion (ID)" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "5055-9", + "display": "Bacillus anthracis Ab [Units/volume] in Serum by Hemagglutination" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "7814-7", + "display": "Bacillus anthracis Ab [Units/volume] in Serum" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "85808-4", + "display": "Mumps virus RNA and SH gene panel - Specimen by NAA with probe detection" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "93750-8", + "display": "Mumps virus RNA and N gene panel - Specimen" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "94763-0", + "display": "SARS-CoV-2 (COVID-19) [Presence] in Specimen by Organism specific culture" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "94764-8", + "display": "SARS-CoV-2 (COVID-19) whole genome [Nucleotide sequence] in Isolate or Specimen by Sequencing" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "77250-9", + "display": "Mumps virus IgG and IgM panel - Serum" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "77398-6", + "display": "Mumps virus IgG and IgM index panel - Serum" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "88458-5", + "display": "Mumps virus Ab.IgG and IgM panel - Cerebral spinal fluid by Immunofluorescence" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "92929-9", + "display": "Measles, Mumps and Rubella virus IgG panel [Units/volume] - Serum or Plasma" + } + ] + } + }, + "request": { + "method": "POST", + "url": "ValueSet", + "ifNoneExist": "url=http://hl7.org/fhir/us/ecr/ValueSet/lotc&version=1.1.0-draft" + } + }, + { + "fullUrl": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.480|20180620", + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113762.1.4.1146.480", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-17T15:47:39.304+00:00", + "source": "#CxIqmz1z5zi7bitc", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-triggering-valueset" + ] + }, + "text": { + "status": "extensions", + "div": "

Generated Narrative: ValueSet

Resource ValueSet "2.16.840.1.113762.1.4.1146.480"

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

identifier: id: urn:oid:2.16.840.1.113762.1.4.1146.480

version: 1.0.0

name: AnthraxTestsforBacillisanthracisAntigen

title: Anthrax (Tests for Bacillis anthracis Antigen)

status: active

experimental: true

publisher: eCR

description: Anthrax (Tests for Bacillis anthracis Antigen)

compose

include

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

version: Provisional_2021-12-30

concept

code: 22866-8

display: Bacillus anthracis Ag [Presence] in Tissue by Immunofluorescence

concept

code: 22867-6

display: Bacillus anthracis Ag [Presence] in Specimen by Immunofluorescence

concept

code: 31726-3

display: Bacillus anthracis Ag [Presence] in Specimen

concept

code: 44269-9

display: Bacillus anthracis cell wall Ag [Presence] in Specimen by Immunofluorescence

concept

code: 44270-7

display: Bacillus anthracis spore Ag [Presence] in Specimen by Immunofluorescence

concept

code: 51976-9

display: Bacillus anthracis capsule Ag [Presence] in Specimen by Immunofluorescence

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)

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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/StructureDefinition/valueset-authoritativeSource", + "valueUri": "https://cts.nlm.nih.gov/fhir" + } + ], + "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1223", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "urn:oid:2.16.840.1.113762.1.4.1146.1223" + } + ], + "version": "20210528", + "name": "COVID_19TestsforSARS_CoV_2byCultureandIdentificationMethod", + "title": "COVID_19 (Tests for SARS_CoV_2 by Culture and Identification Method)", + "status": "active", + "experimental": true, + "publisher": "eCR", + "description": "COVID_19 (Tests for SARS_CoV_2 by Culture and Identification Method)", + "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://terminology.hl7.org/CodeSystem/usage-context-type", + "code": "focus" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "840539006" + } + ], + "text": "Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)" + } + }, + { + "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" + } + ], + "text": "Routine" + } + } + ], + "compose": { + "include": [ + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "concept": [ + { + "code": "94763-0", + "display": "SARS-CoV-2 (COVID-19) [Presence] in Specimen by Organism specific culture" + }, + { + "code": "94764-8", + "display": "SARS-CoV-2 (COVID-19) whole genome [Nucleotide sequence] in Isolate or Specimen by Sequencing" + } + ] + } + ] + }, + "expansion": { + "identifier": "urn:uuid:353006ef-8bad-4218-a834-14afdd9d2eef", + "timestamp": "2024-09-17T18:36:44-04:00", + "total": 2, + "offset": 0, + "parameter": [ + { + "name": "count", + "valueInteger": 1000 + }, + { + "name": "offset", + "valueInteger": 0 + } + ], + "contains": [ + { + "system": "http://loinc.org", + "version": "2.77", + "code": "94763-0", + "display": "SARS-CoV-2 (COVID-19) [Presence] in Specimen by Organism specific culture" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "94764-8", + "display": "SARS-CoV-2 (COVID-19) whole genome [Nucleotide sequence] in Isolate or Specimen by Sequencing" + } + ] + } + }, + "request": { + "method": "POST", + "url": "ValueSet", + "ifNoneExist": "url=http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1223&version=20210528" + } + }, + { + "fullUrl": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.762|20191227", + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113762.1.4.1146.762", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-17T15:47:39.304+00:00", + "source": "#CxIqmz1z5zi7bitc", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-triggering-valueset" + ] + }, + "text": { + "status": "extensions", + "div": "

Generated Narrative: ValueSet

Resource ValueSet "2.16.840.1.113762.1.4.1146.762"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

url: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.762

identifier: id: urn:oid:2.16.840.1.113762.1.4.1146.762

version: 1.0.0

name: MumpsTestPanelsformumpsvirusIgMIgGAntibody

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

status: active

experimental: true

publisher: eCR

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

compose

include

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

version: Provisional_2021-12-30

concept

code: 77250-9

display: Mumps virus IgG and IgM panel - Serum

concept

code: 77398-6

display: Mumps virus IgG and IgM index panel - Serum

concept

code: 88458-5

display: Mumps virus Ab.IgG and IgM panel - Cerebral spinal fluid by Immunofluorescence

concept

code: 92929-9

display: Measles, Mumps and Rubella virus IgG panel [Units/volume] - Serum or Plasma

expansion

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

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/StructureDefinition/valueset-authoritativeSource", + "valueUri": "https://cts.nlm.nih.gov/fhir" + } + ], + "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.762", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "urn:oid:2.16.840.1.113762.1.4.1146.762" + } + ], + "version": "20191227", + "name": "MumpsTestPanelsformumpsvirusIgMIgGAntibody", + "title": "Mumps (Test Panels for mumps virus IgM IgG Antibody)", + "status": "active", + "experimental": true, + "publisher": "eCR", + "description": "Mumps (Test Panels for mumps virus IgM IgG Antibody)", + "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://terminology.hl7.org/CodeSystem/usage-context-type", + "code": "focus" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "36989005" + } + ], + "text": "Mumps (disorder)" + } + }, + { + "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" + } + ], + "text": "Routine" + } + } + ], + "compose": { + "include": [ + { + "system": "http://loinc.org", + "version": "Provisional_2021-12-30", + "concept": [ + { + "code": "77250-9", + "display": "Mumps virus IgG and IgM panel - Serum" + }, + { + "code": "77398-6", + "display": "Mumps virus IgG and IgM index panel - Serum" + }, + { + "code": "88458-5", + "display": "Mumps virus Ab.IgG and IgM panel - Cerebral spinal fluid by Immunofluorescence" + }, + { + "code": "92929-9", + "display": "Measles, Mumps and Rubella virus IgG panel [Units/volume] - Serum or Plasma" + } + ] + } + ] + }, + "expansion": { + "identifier": "urn:uuid:982b59c2-3734-4240-85be-75d0170f1bba", + "timestamp": "2024-09-17T18:36:44-04:00", + "total": 4, + "offset": 0, + "parameter": [ + { + "name": "count", + "valueInteger": 1000 + }, + { + "name": "offset", + "valueInteger": 0 + } + ], + "contains": [ + { + "system": "http://loinc.org", + "version": "2.77", + "code": "77250-9", + "display": "Mumps virus IgG and IgM panel - Serum" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "77398-6", + "display": "Mumps virus IgG and IgM index panel - Serum" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "88458-5", + "display": "Mumps virus Ab.IgG and IgM panel - Cerebral spinal fluid by Immunofluorescence" + }, + { + "system": "http://loinc.org", + "version": "2.77", + "code": "92929-9", + "display": "Measles, Mumps and Rubella virus IgG panel [Units/volume] - Serum or Plasma" + } + ] + } + }, + "request": { + "method": "POST", + "url": "ValueSet", + "ifNoneExist": "url=http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.762&version=20191227" + } + }, + { + "fullUrl": "http://hl7.org/fhir/us/ecr/ValueSet/lrtc|1.1.0-draft", + "resource": { + "resourceType": "ValueSet", + "id": "1572", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-17T18:35:49.593+00:00", + "source": "#ePndIxbTQhnEGRiK", + "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

valueSet: Powassan Virus Disease (Tests for Powassan Virus Antibody [Quantitative])

include

valueSet: Eastern Equine Encephalitis Virus Disease (Tests for Eastern Equine Encephalitis Virus Antibody [Quantitative])

include

valueSet: Anthrax (Tests for Bacillis anthracis Antigen)

include

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

include

valueSet: Anthrax (Tests for Bacillis anthracis 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: 29564-2

contains

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

version: Provisional_2021-12-30

code: 30177-0

contains

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

version: Provisional_2021-12-30

code: 31573-9

contains

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

version: Provisional_2021-12-30

code: 31574-7

contains

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

version: Provisional_2021-12-30

code: 40504-3

contains

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

version: Provisional_2021-12-30

code: 40513-4

contains

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

version: Provisional_2021-12-30

code: 42973-8

contains

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

version: Provisional_2021-12-30

code: 42974-6

contains

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

version: Provisional_2021-12-30

code: 42975-3

contains

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

version: Provisional_2021-12-30

code: 95647-4

contains

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

version: Provisional_2021-12-30

code: 30179-6

contains

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

version: Provisional_2021-12-30

code: 31575-4

contains

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

version: Provisional_2021-12-30

code: 31576-2

contains

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

version: Provisional_2021-12-30

code: 42971-2

contains

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version: Provisional_2021-12-30

code: 42972-0

contains

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

version: Provisional_2021-12-30

code: 10896-9

contains

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

version: Provisional_2021-12-30

code: 10897-7

contains

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

version: Provisional_2021-12-30

code: 13228-2

contains

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

version: Provisional_2021-12-30

code: 13918-8

contains

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

version: Provisional_2021-12-30

code: 20795-1

contains

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

version: Provisional_2021-12-30

code: 22257-0

contains

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

version: Provisional_2021-12-30

code: 22258-8

contains

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

version: Provisional_2021-12-30

code: 22259-6

contains

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

version: Provisional_2021-12-30

code: 23042-5

contains

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

version: Provisional_2021-12-30

code: 24213-1

contains

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

version: Provisional_2021-12-30

code: 24214-9

contains

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

version: Provisional_2021-12-30

code: 24287-5

contains

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

version: Provisional_2021-12-30

code: 24288-3

contains

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

version: Provisional_2021-12-30

code: 34723-7

contains

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

version: Provisional_2021-12-30

code: 38764-7

contains

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

version: Provisional_2021-12-30

code: 43329-2

contains

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

version: Provisional_2021-12-30

code: 5134-2

contains

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

version: Provisional_2021-12-30

code: 7860-0

contains

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

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code: 95654-0

contains

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

version: Provisional_2021-12-30

code: 10898-5

contains

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

version: Provisional_2021-12-30

code: 10899-3

contains

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

version: Provisional_2021-12-30

code: 13229-0

contains

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

version: Provisional_2021-12-30

code: 22260-4

contains

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

version: Provisional_2021-12-30

code: 22261-2

contains

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

version: Provisional_2021-12-30

code: 38763-9

contains

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

version: Provisional_2021-12-30

code: 43330-0

contains

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

version: Provisional_2021-12-30

code: 7861-8

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)

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code: 22867-6

contains

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

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code: 31726-3

contains

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

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code: 44269-9

contains

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

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code: 44270-7

contains

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

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code: 51976-9

contains

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

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code: 10904-1

contains

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

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code: 17036-5

contains

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

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code: 17037-3

contains

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

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code: 17038-1

contains

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

version: Provisional_2021-12-30

code: 22373-5

contains

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

version: Provisional_2021-12-30

code: 24209-9

contains

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

version: Provisional_2021-12-30

code: 24210-7

contains

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

version: Provisional_2021-12-30

code: 24283-4

contains

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

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code: 24284-2

contains

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

version: Provisional_2021-12-30

code: 29561-8

contains

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

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code: 29562-6

contains

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

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code: 29563-4

contains

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

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code: 29782-0

contains

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

version: Provisional_2021-12-30

code: 29788-7

contains

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

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code: 29795-2

contains

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

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code: 29801-8

contains

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

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code: 29808-3

contains

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

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code: 29814-1

contains

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

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contains

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contains

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contains

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code: 29839-8

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

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

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code: 35696-4

contains

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

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code: 35697-2

contains

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

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code: 35709-5

contains

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

version: Provisional_2021-12-30

code: 40506-8

contains

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

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code: 40507-6

contains

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

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code: 40510-0

contains

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

version: Provisional_2021-12-30

code: 40511-8

contains

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

version: Provisional_2021-12-30

code: 42952-2

contains

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

version: Provisional_2021-12-30

code: 43004-1

contains

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

version: Provisional_2021-12-30

code: 43005-8

contains

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

version: Provisional_2021-12-30

code: 43006-6

contains

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

version: Provisional_2021-12-30

code: 43132-0

contains

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

version: Provisional_2021-12-30

code: 43931-5

contains

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

version: Provisional_2021-12-30

code: 44746-6

contains

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

version: Provisional_2021-12-30

code: 44748-2

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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

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Generated Narrative: ValueSet

Resource ValueSet "2.16.840.1.113762.1.4.1146.1601"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

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

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Generated Narrative: ValueSet

Resource ValueSet "2.16.840.1.113762.1.4.1146.1600"

Profile: US Public Health Triggering ValueSet

author: CSTE Author:

steward: CSTE Steward:

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code: 1796077

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display: dolutegravir 10 MG Oral Tablet [Tivicay]

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code: 1796081

display: dolutegravir 25 MG Oral Tablet

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code: 1796083

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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/StructureDefinition/valueset-authoritativeSource", + "valueUri": "https://cts.nlm.nih.gov/fhir" + } + ], + "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1082", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "urn:oid:2.16.840.1.113762.1.4.1146.1082" + } + ], + "version": "20200513", + "name": "AnthraxVaccineRXNORM", + "title": "Anthrax Vaccine (RXNORM)", + "status": "active", + "experimental": true, + "publisher": "eCR", + "description": "Anthrax Vaccine (RXNORM)", + "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://terminology.hl7.org/CodeSystem/usage-context-type", + "code": "focus" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "409498004" + } + ], + "text": "Anthrax (disorder)" + } + }, + { + "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" + } + ], + "text": "Routine" + } + } + ], + "compose": { + "include": [ + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2022-01", + "concept": [ + { + "code": "832679", + "display": "Bacillus anthracis strain V770-NP1-R antigens 0.1 MG/ML Injectable Suspension" + }, + { + "code": "832682", + "display": "Bacillus anthracis strain V770-NP1-R antigens 0.1 MG/ML Injectable Suspension [Biothrax]" + } + ] + } + ] + }, + "expansion": { + "identifier": "urn:uuid:2b4bee20-3d52-41b4-8a65-ad85de1b2088", + "timestamp": "2024-09-17T18:36:50-04:00", + "total": 2, + "offset": 0, + "parameter": [ + { + "name": "count", + "valueInteger": 1000 + }, + { + "name": "offset", + "valueInteger": 0 + } + ], + "contains": [ + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "08052024", + "code": "832679", + "display": "Bacillus anthracis strain V770-NP1-R antigens 0.1 MG/ML Injectable Suspension" + }, + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "08052024", + "code": "832682", + "display": "Bacillus anthracis strain V770-NP1-R antigens 0.1 MG/ML Injectable Suspension [Biothrax]" + } + ] + } + }, + "request": { + "method": "POST", + "url": "ValueSet", + "ifNoneExist": "url=http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1082&version=20200513" + } + }, + { + "fullUrl": "http://hl7.org/fhir/us/ecr/ValueSet/sdtc|1.1.0-draft", + "resource": { + "resourceType": "ValueSet", + "id": "1574", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-17T18:35:49.593+00:00", + "source": "#ePndIxbTQhnEGRiK", + "profile": [ + "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-triggering-valueset" + ] + }, + "text": { + "status": "extensions", + "div": "

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/StructureDefinition/valueset-authoritativeSource", + "valueUri": "https://www.test.com/fhir/ValueSet/sdtc" + } + ], + "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": "1.1.0-draft", + "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": "PlanDefinition/1567" + } + }, + { + "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://aphl.org/fhir/vsm/CodeSystem/usage-context-type", + "code": "grouper-type" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://aphl.org/fhir/vsm/CodeSystem/usage-context-type", + "code": "model-grouper" + } + ], + "text": "Model Grouper" + } + }, + { + "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" + } + ], + "text": "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|20220118" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1436|20220118" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1435|20220118" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1446|20230122" + ] + }, + { + "valueSet": [ + "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1438|20220118" + ] + } + ] + }, + "expansion": { + "timestamp": "2024-09-17T22:36:50+00:00", + "contains": [ + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "722545003", + "display": "Suspected rabies (situation)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "722546002", + "display": "Probable rabies (situation)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "772152006", + "display": "Measles suspected (situation)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "772150003", + "display": "Diphtheria suspected (situation)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "707860005", + "display": "Suspected Ebola virus disease (situation)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "772158005", + "display": "Viral hemorrhagic fever suspected (situation)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "772155008", + "display": "Acute poliomyelitis suspected (situation)" + } + ] + } + }, + "request": { + "method": "POST", + "url": "ValueSet", + "ifNoneExist": "url=http://hl7.org/fhir/us/ecr/ValueSet/sdtc&version=1.1.0-draft" + } + }, + { + "fullUrl": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1439|20220118", + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113762.1.4.1146.1439", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-17T15:47:39.304+00:00", + "source": "#CxIqmz1z5zi7bitc", + "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://hl7.org/fhir/StructureDefinition/valueset-authoritativeSource", + "valueUri": "https://cts.nlm.nih.gov/fhir" + } + ], + "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": "20220118", + "name": "RabiesSuspectedDisordersSNOMED", + "title": "Rabies [Suspected] (Disorders) (SNOMED)", + "status": "active", + "experimental": true, + "publisher": "eCR", + "description": "Rabies [Suspected] (Disorders) (SNOMED)", + "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://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": "priority" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "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": { + "identifier": "urn:uuid:1401ef67-f309-4b4d-b456-c53686511a7b", + "timestamp": "2024-09-17T18:36:51-04:00", + "total": 2, + "offset": 0, + "parameter": [ + { + "name": "count", + "valueInteger": 1000 + }, + { + "name": "offset", + "valueInteger": 0 + } + ], + "contains": [ + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "722545003", + "display": "Suspected rabies (situation)" + }, + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "722546002", + "display": "Probable rabies (situation)" + } + ] + } + }, + "request": { + "method": "POST", + "url": "ValueSet", + "ifNoneExist": "url=http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1439&version=20220118" + } + }, + { + "fullUrl": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1436|20220118", + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113762.1.4.1146.1436", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-17T15:47:39.304+00:00", + "source": "#CxIqmz1z5zi7bitc", + "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

-CodeDisplay
*772152006Measles suspected (situation)

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://hl7.org/fhir/StructureDefinition/valueset-authoritativeSource", + "valueUri": "https://cts.nlm.nih.gov/fhir" + } + ], + "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": "20220118", + "name": "MeaslesSuspectedDisordersSNOMED", + "title": "Measles [Suspected] (Disorders) (SNOMED)", + "status": "active", + "experimental": true, + "publisher": "eCR", + "description": "Measles [Suspected] (Disorders) (SNOMED)", + "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://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": "priority" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/ecr/CodeSystem/us-ph-usage-context", + "code": "routine" + } + ], + "text": "Routine" + } + } + ], + "compose": { + "include": [ + { + "system": "http://snomed.info/sct", + "version": "Provisional_2022-01-10", + "concept": [ + { + "code": "772152006", + "display": "Measles suspected (situation)" + } + ] + } + ] + }, + "expansion": { + "identifier": "urn:uuid:5b22846b-d4d9-45b9-86f5-3fdd6837a229", + "timestamp": "2024-09-17T18:36:51-04:00", + "total": 1, + "offset": 0, + "parameter": [ + { + "name": "count", + "valueInteger": 1000 + }, + { + "name": "offset", + "valueInteger": 0 + } + ], + "contains": [ + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108/version/20240301", + "code": "772152006", + "display": "Measles suspected (situation)" + } + ] + } + }, + "request": { + "method": "POST", + "url": "ValueSet", + "ifNoneExist": "url=http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1436&version=20220118" + } + }, + { + "fullUrl": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1435|20220118", + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113762.1.4.1146.1435", + "meta": { + "versionId": "1", + "lastUpdated": "2024-09-17T15:47:39.304+00:00", + "source": "#CxIqmz1z5zi7bitc", + "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
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timestamp: 2022-04-05 10:06:43-0400

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expansion

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

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