{
  "description": "# Introduction and Purpose\\nWith the adoption and maturing of Electronic Health Records (EHRs) there are opportunities to better support public health surveillance as well as the delivery of relevant public health information to clinical care. Electronic Case Reporting (eCR) can provide more complete and timely case data, support disease / condition monitoring, and assist in outbreak management and control. It can also improve bidirectional communications through the delivery of public health information in the context of a patient's condition and local disease trends and by facilitating ad hoc communications. eCR will also reduce healthcare provider burden by automating the completion of legal reporting requirements.\\n\\nWith the advent of FHIR standards, there is a need for FHIR implementation guidance to specify appropriate resources and transactions needed for the eCR process. FHIR offers opportunities to further enable automated triggering and reporting of cases from EHRs, to ease implementation and integration, to support the acquisition of investigation supplemental data, and to connect public health information (e.g., guidelines) and clinical workflow. Over time, FHIR may also support the distribution of reporting rules to clinical care to better align data authorities and make broader clinical data available to public health decision support services inside the clinical care environment.\\n\\nFor more supporting information, use cases, and other background context and material, see Volume 1 of both the [HL7 CDA R2 Electronic Initial Case Report (eICR) Standard for Trial Use (STU) IG](http://www.hl7.org/implement/standards/product_brief.cfm?product_id=436) (see the link under \\\"STU Documents\\\" for STU 2.0) and the [HL7 CDA R2 Reportability Response (RR) STU IG](https://www.hl7.org/implement/standards/product_brief.cfm?product_id=470).\\n\\n# Stakeholders\\n* Regulatory Agencies\\n* Standards Development Organizations\\n* Vendors: EHR, PHR; Health Care IT; Clinical Decision Support Systems, Public Health Surveillance Systems\\n* Providers: Ambulatory and Healthcare Institutions (hospitals, long term care, mental health)\\n* Local, State, Tribal and Federal Public Health Agencies",
  "_filename": "ImplementationGuide-hl7.fhir.us.ecr.json",
  "package_name": "hl7.fhir.us.ecr",
  "definition": {
    "page": {
      "page": [ {
        "page": [ {
          "title": "Electronic Initial Case Report (eICR) Transaction and Profiles",
          "nameUrl": "Electronic_Initial_Case_Report_(eICR)_Transaction_and_Profiles.html",
          "generation": "markdown"
        }, {
          "title": "Reportability Response (RR) Transaction and Profiles",
          "nameUrl": "Reportability_Response_(RR)_Transaction_and_Profiles.html",
          "generation": "markdown"
        }, {
          "page": [ {
            "title": "Subscription Service",
            "nameUrl": "Subscription_Service.html",
            "generation": "markdown"
          } ],
          "title": "Electronic Reporting and Surveillance Distribution (eRSD) Transaction and Profiles",
          "nameUrl": "Electronic_Reporting_and_Surveillance_Distribution_(eRSD)_Transaction_and_Profiles.html",
          "generation": "markdown"
        }, {
          "title": "Transport Options",
          "nameUrl": "Transport_Options.html",
          "generation": "markdown"
        } ],
        "title": "profiles",
        "nameUrl": "profiles.html",
        "generation": "markdown"
      }, {
        "page": [ {
          "title": "Design Considerations",
          "nameUrl": "Design_Considerations.html",
          "generation": "markdown"
        }, {
          "title": "Reportability Response Narrative Guidance",
          "nameUrl": "Reportability_Response_Narrative_Guidance.html",
          "generation": "markdown"
        } ],
        "title": "Implementation Guidance",
        "nameUrl": "Implementation_Guidance.html",
        "generation": "markdown"
      }, {
        "title": "Relationship to Other Standards",
        "nameUrl": "Relationship_to_Other_Standards.html",
        "generation": "markdown"
      }, {
        "title": "Acknowledgements",
        "nameUrl": "Acknowledgements.html",
        "generation": "markdown"
      }, {
        "title": "History",
        "nameUrl": "History.html",
        "generation": "markdown"
      } ],
      "title": "Table of Contents",
      "nameUrl": "toc.md",
      "generation": "generated"
    },
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        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
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      } ],
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        "display": "Ecr_Organization",
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        "display": "Ecr_Patient",
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        "display": "Ecr_MessageHeader",
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        "display": "Ecr_Message_Bundle",
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        "display": "Eicr_Condition",
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      "exampleBoolean": false
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        "valueUri": "StructureDefinition-eicr-encounter.html"
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        "valueUri": "StructureDefinition-eicr-location.html"
      } ],
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        "display": "Eicr_Location",
        "reference": "StructureDefinition/eicr-location"
      },
      "exampleBoolean": false
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      "name": "Eicr_Composition",
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        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-eicr-composition.html"
      } ],
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        "display": "Eicr_Composition",
        "reference": "StructureDefinition/eicr-composition"
      },
      "exampleBoolean": false
    }, {
      "name": "Eicr_Document_Bundle",
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        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-eicr-document-bundle.html"
      } ],
      "reference": {
        "display": "Eicr_Document_Bundle",
        "reference": "StructureDefinition/eicr-document-bundle"
      },
      "exampleBoolean": false
    }, {
      "name": "Eicr_Trigger_Code_Flag_Extension",
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        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
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      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-eicr-trigger-code-flag-extension.html"
      } ],
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        "display": "Eicr_Trigger_Code_Flag_Extension",
        "reference": "StructureDefinition/eicr-trigger-code-flag-extension"
      },
      "exampleBoolean": false
    }, {
      "name": "Relates_To_Extension",
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        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
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        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-relates-to-extension.html"
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        "display": "Relates_To_Extension",
        "reference": "StructureDefinition/relates-to-extension"
      },
      "exampleBoolean": false
    }, {
      "name": "RR_Relevant_Reportable_Condition_Plandefinition",
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        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-rr-relevant-reportable-condition-plandefinition.html"
      } ],
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        "display": "RR_Relevant_Reportable_Condition_Plandefinition",
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      "name": "RR_Communication",
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        "valueUri": "StructureDefinition-rr-communication.html"
      } ],
      "reference": {
        "display": "RR_Communication",
        "reference": "StructureDefinition/rr-communication"
      },
      "exampleBoolean": false
    }, {
      "name": "RR_Eicr_Processing_Status_Reason_Observation",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
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        "valueUri": "StructureDefinition-rr-eicr-processing-status-reason-observation.html"
      } ],
      "reference": {
        "display": "RR_Eicr_Processing_Status_Reason_Observation",
        "reference": "StructureDefinition/rr-eicr-processing-status-reason-observation"
      },
      "exampleBoolean": false
    }, {
      "name": "RR_Responsible_Agency_Organization",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-rr-responsible-agency-organization.html"
      } ],
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        "display": "RR_Responsible_Agency_Organization",
        "reference": "StructureDefinition/rr-responsible-agency-organization"
      },
      "exampleBoolean": false
    }, {
      "name": "RR_Rules_Authoring_Agency_Organization",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-rr-rules-authoring-agency-organization.html"
      } ],
      "reference": {
        "display": "RR_Rules_Authoring_Agency_Organization",
        "reference": "StructureDefinition/rr-rules-authoring-agency-organization"
      },
      "exampleBoolean": false
    }, {
      "name": "RR_Routing_Entity_Organization",
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        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-rr-routing-entity-organization.html"
      } ],
      "reference": {
        "display": "RR_Routing_Entity_Organization",
        "reference": "StructureDefinition/rr-routing-entity-organization"
      },
      "exampleBoolean": false
    }, {
      "name": "RR_Eicr_Processing_Status_Observation",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-rr-eicr-processing-status-observation.html"
      } ],
      "reference": {
        "display": "RR_Eicr_Processing_Status_Observation",
        "reference": "StructureDefinition/rr-eicr-processing-status-observation"
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      "exampleBoolean": false
    }, {
      "name": "RR_Determination_of_Reportability_Rule_Extension",
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        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
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        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-rr-determination-of-reportability-rule-extension.html"
      } ],
      "reference": {
        "display": "RR_Determination_of_Reportability_Rule_Extension",
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      "exampleBoolean": false
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      "name": "RR_Determination_of_Reportability_Reason_Extension",
      "extension": [ {
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        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-rr-determination-of-reportability-reason-extension.html"
      } ],
      "reference": {
        "display": "RR_Determination_of_Reportability_Reason_Extension",
        "reference": "StructureDefinition/rr-determination-of-reportability-reason-extension"
      },
      "exampleBoolean": false
    }, {
      "name": "RR_Location_Relevance_Extension",
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        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
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      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-rr-location-relevance-extension.html"
      } ],
      "reference": {
        "display": "RR_Location_Relevance_Extension",
        "reference": "StructureDefinition/rr-location-relevance-extension"
      },
      "exampleBoolean": false
    }, {
      "name": "RR_Eicr_Receipt_Time_Extension",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-rr-eicr-receipt-time-extension.html"
      } ],
      "reference": {
        "display": "RR_Eicr_Receipt_Time_Extension",
        "reference": "StructureDefinition/rr-eicr-receipt-time-extension"
      },
      "exampleBoolean": false
    }, {
      "name": "RR_Eicr_Processing_Status_Extension",
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        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
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        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-rr-eicr-processing-status-extension.html"
      } ],
      "reference": {
        "display": "RR_Eicr_Processing_Status_Extension",
        "reference": "StructureDefinition/rr-eicr-processing-status-extension"
      },
      "exampleBoolean": false
    }, {
      "name": "RR_External_Resource_Type_Extension",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
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      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-rr-external-resource-type-extension.html"
      } ],
      "reference": {
        "display": "RR_External_Resource_Type_Extension",
        "reference": "StructureDefinition/rr-external-resource-type-extension"
      },
      "exampleBoolean": false
    }, {
      "name": "RR_Priority_Extension",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-rr-priority-extension.html"
      } ],
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        "display": "RR_Priority_Extension",
        "reference": "StructureDefinition/rr-priority-extension"
      },
      "exampleBoolean": false
    }, {
      "name": "RR_Determination_of_Reportability_Extension",
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        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
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      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-rr-determination-of-reportability-extension.html"
      } ],
      "reference": {
        "display": "RR_Determination_of_Reportability_Extension",
        "reference": "StructureDefinition/rr-determination-of-reportability-extension"
      },
      "exampleBoolean": false
    }, {
      "name": "Travel_History_Observation",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-travel-history-observation.html"
      } ],
      "reference": {
        "display": "Travel_History_Observation",
        "reference": "StructureDefinition/travel-history-observation"
      },
      "exampleBoolean": false
    }, {
      "name": "Travel_History_Address_Extension",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
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      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-travel-history-address-extension.html"
      } ],
      "reference": {
        "display": "Travel_History_Address_Extension",
        "reference": "StructureDefinition/travel-history-address-extension"
      },
      "exampleBoolean": false
    }, {
      "name": "bundle-eicr-document-zika",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Bundle"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Bundle-bundle-eicr-document-zika.html"
      } ],
      "reference": {
        "display": "bundle-eicr-document-zika",
        "reference": "Bundle/bundle-eicr-document-zika"
      },
      "exampleCanonical": "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-document-bundle"
    }, {
      "name": "bundle-ecr-message-zika",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Bundle"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Bundle-bundle-ecr-message-zika.html"
      } ],
      "reference": {
        "display": "bundle-ecr-message-zika",
        "reference": "Bundle/bundle-ecr-message-zika"
      },
      "exampleCanonical": "http://hl7.org/fhir/us/ecr/StructureDefinition/ecr-message-bundle"
    }, {
      "name": "Initial Public Health Case Report",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Composition"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Composition-composition-eicr-zika.html"
      } ],
      "reference": {
        "display": "Initial Public Health Case Report",
        "reference": "Composition/composition-eicr-zika"
      },
      "exampleCanonical": "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-composition"
    }, {
      "name": "Initial Public Health Case Report - Manually Initiated",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Composition"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Composition-composition-eicr-zika-manual-initiation.html"
      } ],
      "reference": {
        "display": "Initial Public Health Case Report",
        "reference": "Composition/composition-eicr-zika-manual-initiation"
      },
      "exampleCanonical": "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-composition"
    }, {
      "name": "Initial Public Health Case Report",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Composition"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Composition-composition-eicr-pertussis-zika.html"
      } ],
      "reference": {
        "display": "Initial Public Health Case Report",
        "reference": "Composition/composition-eicr-pertussis-zika"
      },
      "exampleCanonical": "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-composition"
    }, {
      "name": "device-ecr-software-ymca",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Device"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Device-device-ecr-software-ymca.html"
      } ],
      "reference": {
        "display": "device-ecr-software-ymca",
        "reference": "Device/device-ecr-software-ymca"
      },
      "exampleBoolean": true
    }, {
      "name": "endpoint-ecr-ymca",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Endpoint"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Endpoint-endpoint-ecr-ymca.html"
      } ],
      "reference": {
        "display": "endpoint-ecr-ymca",
        "reference": "Endpoint/endpoint-ecr-ymca"
      },
      "exampleBoolean": true
    }, {
      "name": "endpoint-ecr-salem-medical-center",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Endpoint"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Endpoint-endpoint-ecr-salem-medical-center.html"
      } ],
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        "display": "endpoint-ecr-salem-medical-center",
        "reference": "Endpoint/endpoint-ecr-salem-medical-center"
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    }, {
      "name": "immunization-ecr-pneumo",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Immunization"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Immunization-immunization-ecr-pneumo.html"
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        "display": "immunization-ecr-pneumo",
        "reference": "Immunization/immunization-ecr-pneumo"
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      "exampleBoolean": true
    }, {
      "name": "Clinic Bldg A, Salem Medical Center",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Location"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Location-location-ecr-salem-medical-center.html"
      } ],
      "reference": {
        "display": "Clinic Bldg A, Salem Medical Center",
        "reference": "Location/location-ecr-salem-medical-center"
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      "exampleCanonical": "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-location"
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      "name": "observation-rr-eicr-processing-status",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
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        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Observation-observation-rr-eicr-processing-status.html"
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      "reference": {
        "display": "observation-rr-eicr-processing-status",
        "reference": "Observation/observation-rr-eicr-processing-status"
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      "name": "observation-rr-eicr-processing-status-reason",
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        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Observation-observation-rr-eicr-processing-status-reason.html"
      } ],
      "reference": {
        "display": "observation-rr-eicr-processing-status-reason",
        "reference": "Observation/observation-rr-eicr-processing-status-reason"
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    }, {
      "name": "observation-pregnancy-status-eve-everywoman",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Observation-observation-pregnancy-status-eve-everywoman.html"
      } ],
      "reference": {
        "display": "observation-pregnancy-status-eve-everywoman",
        "reference": "Observation/observation-pregnancy-status-eve-everywoman"
      },
      "exampleCanonical": "http://hl7.org/fhir/us/ecr/StructureDefinition/pregnancy-status-observation"
    }, {
      "name": "observation-travel-history-eve-everywoman-201801",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Observation-observation-travel-history-eve-everywoman-201801.html"
      } ],
      "reference": {
        "display": "observation-travel-history-eve-everywoman-201801",
        "reference": "Observation/observation-travel-history-eve-everywoman-201801"
      },
      "exampleCanonical": "http://hl7.org/fhir/us/ecr/StructureDefinition/travel-history-observation"
    }, {
      "name": "observation-travel-history-eve-everywoman-1999",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Observation-observation-travel-history-eve-everywoman-1999.html"
      } ],
      "reference": {
        "display": "observation-travel-history-eve-everywoman-1999",
        "reference": "Observation/observation-travel-history-eve-everywoman-1999"
      },
      "exampleCanonical": "http://hl7.org/fhir/us/ecr/StructureDefinition/travel-history-observation"
    }, {
      "name": "observation-travel-history-eve-everywoman-201610",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Observation-observation-travel-history-eve-everywoman-201610.html"
      } ],
      "reference": {
        "display": "observation-travel-history-eve-everywoman-201610",
        "reference": "Observation/observation-travel-history-eve-everywoman-201610"
      },
      "exampleCanonical": "http://hl7.org/fhir/us/ecr/StructureDefinition/travel-history-observation"
    }, {
      "name": "observation-us-core-results-eve-everywoman-lymphocytes",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Observation-observation-us-core-results-eve-everywoman-lymphocytes.html"
      } ],
      "reference": {
        "display": "observation-us-core-results-eve-everywoman-lymphocytes",
        "reference": "Observation/observation-us-core-results-eve-everywoman-lymphocytes"
      },
      "exampleBoolean": true
    }, {
      "name": "Health Authority West",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Organization"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Organization-organization-ecr-health-authority-west.html"
      } ],
      "reference": {
        "display": "Health Authority West",
        "reference": "Organization/organization-ecr-health-authority-west"
      },
      "exampleCanonical": "http://hl7.org/fhir/us/ecr/StructureDefinition/ecr-organization"
    }, {
      "name": "Health Authority West Responsible Agency",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Organization"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Organization-organization-rr-responsible-agency-haw.html"
      } ],
      "reference": {
        "display": "Health Authority West Responsible Agency",
        "reference": "Organization/organization-rr-responsible-agency-haw"
      },
      "exampleCanonical": "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-responsible-agency-organization"
    }, {
      "name": "Health Authority West Routing Entity",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Organization"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Organization-organization-rr-routing-entity-haw.html"
      } ],
      "reference": {
        "display": "Health Authority West Routing Entity",
        "reference": "Organization/organization-rr-routing-entity-haw"
      },
      "exampleCanonical": "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-routing-entity-organization"
    }, {
      "name": "Health Authority West Rules Authoring Agency",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Organization"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Organization-organization-rr-rules-authoring-agency-haw.html"
      } ],
      "reference": {
        "display": "Health Authority West Rules Authoring Agency",
        "reference": "Organization/organization-rr-rules-authoring-agency-haw"
      },
      "exampleCanonical": "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-rules-authoring-agency-organization"
    }, {
      "name": "organization-ecr-salem-medical-center",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Organization"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Organization-organization-ecr-salem-medical-center.html"
      } ],
      "reference": {
        "display": "organization-ecr-salem-medical-center",
        "reference": "Organization/organization-ecr-salem-medical-center"
      },
      "exampleCanonical": "http://hl7.org/fhir/us/ecr/StructureDefinition/ecr-organization"
    }, {
      "name": "Patient Eve L Everywoman",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Patient"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Patient-patient-ecr-eve-everywoman.html"
      } ],
      "reference": {
        "display": "Patient Eve L Everywoman",
        "reference": "Patient/patient-ecr-eve-everywoman"
      },
      "exampleCanonical": "http://hl7.org/fhir/us/ecr/StructureDefinition/ecr-patient"
    }, {
      "name": "ReportableConditionDetermination",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "PlanDefinition"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "PlanDefinition-plandefinition-rr-relevant-reportable-condition.html"
      } ],
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        "display": "ReportableConditionDetermination",
        "reference": "PlanDefinition/plandefinition-rr-relevant-reportable-condition"
      },
      "exampleCanonical": "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-condition"
    }, {
      "name": "Practitioner Seven Henry",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Practitioner"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Practitioner-practitioner-us-core-henry-seven.html"
      } ],
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        "display": "Practitioner Seven Henry",
        "reference": "Practitioner/practitioner-us-core-henry-seven"
      },
      "exampleBoolean": true
    }, {
      "name": "servicerequest-eicr-zika",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ServiceRequest"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "ServiceRequest-servicerequest-eicr-zika.html"
      } ],
      "reference": {
        "display": "servicerequest-eicr-zika",
        "reference": "ServiceRequest/servicerequest-eicr-zika"
      },
      "exampleCanonical": "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-servicerequest"
    }, {
      "name": "servicerequest-eicr-eve-everywoman-zika",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ServiceRequest"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "ServiceRequest-servicerequest-eicr-eve-everywoman-zika.html"
      } ],
      "reference": {
        "display": "servicerequest-eicr-eve-everywoman-zika",
        "reference": "ServiceRequest/servicerequest-eicr-eve-everywoman-zika"
      },
      "exampleCanonical": "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-servicerequest"
    }, {
      "name": "communication-rr-single-single-html-validation-output",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Communication"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Communication-communication-rr-single-single-html-validation-output.html"
      } ],
      "reference": {
        "display": "communication-rr-single-single-html-validation-output",
        "reference": "Communication/communication-rr-single-single-html-validation-output"
      },
      "exampleCanonical": "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-communication"
    }, {
      "name": "ERSD_PlanDefinition",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-ersd-plandefinition.html"
      } ],
      "reference": {
        "display": "ERSD_PlanDefinition",
        "reference": "StructureDefinition/ersd-plandefinition"
      },
      "exampleBoolean": false
    }, {
      "name": "bundle-eRSD",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Bundle"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Bundle-bundle-eRSD.html"
      } ],
      "reference": {
        "display": "bundle-eRSD",
        "reference": "Bundle/bundle-eRSD"
      },
      "exampleBoolean": true
    }, {
      "name": "CapabilityStatement_eRSD_Client",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "CapabilityStatement"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "CapabilityStatement-capabilitystatement-ersd-client.html"
      } ],
      "reference": {
        "display": "CapabilityStatement_eRSD_Client",
        "reference": "CapabilityStatement/capabilitystatement-ersd-client"
      },
      "exampleBoolean": false
    }, {
      "name": "Therapeutic_Medication_Response_Extension",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-therapeutic-medication-response-extension.html"
      } ],
      "reference": {
        "display": "Therapeutic_Medication_Response_Extension",
        "reference": "StructureDefinition/therapeutic-medication-response-extension"
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      "exampleBoolean": false
    }, {
      "name": "Pregnancy Status",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ValueSet"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "ValueSet-valueset-pregnancy-status.html"
      } ],
      "reference": {
        "display": "Pregnancy Status",
        "reference": "ValueSet/valueset-pregnancy-status"
      },
      "exampleBoolean": false
    }, {
      "name": "Pregnancy_Status_Observation",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-pregnancy-status-observation.html"
      } ],
      "reference": {
        "display": "Pregnancy_Status_Observation",
        "reference": "StructureDefinition/pregnancy-status-observation"
      },
      "exampleBoolean": false
    }, {
      "name": "Pregnancy_Outcome_Observation",
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        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-pregnancy-outcome-observation.html"
      } ],
      "reference": {
        "display": "Pregnancy_Outcome_Observation",
        "reference": "StructureDefinition/pregnancy-outcome-observation"
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      "exampleBoolean": false
    }, {
      "name": "Eicr_Initiation_Reason_Extension",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-eicr-initiation-reason-extension.html"
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      "reference": {
        "display": "Eicr_Initiation_Reason_Extension",
        "reference": "StructureDefinition/eicr-initiation-reason-extension"
      },
      "exampleBoolean": false
    }, {
      "name": "Last_Menstrual_Period",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-last-menstrual-period.html"
      } ],
      "reference": {
        "display": "Last_Menstrual_Period",
        "reference": "StructureDefinition/last-menstrual-period"
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      "exampleBoolean": false
    }, {
      "name": "observation-last-menstrual-period-eve-everywoman",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Observation-observation-last-menstrual-period-eve-everywoman.html"
      } ],
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        "display": "observation-last-menstrual-period-eve-everywoman",
        "reference": "Observation/observation-last-menstrual-period-eve-everywoman"
      },
      "exampleCanonical": "http://hl7.org/fhir/us/ecr/StructureDefinition/last-menstrual-period"
    }, {
      "name": "Postpartum_Status",
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        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-postpartum-status.html"
      } ],
      "reference": {
        "display": "Postpartum_Status",
        "reference": "StructureDefinition/postpartum-status"
      },
      "exampleBoolean": false
    }, {
      "name": "observation-us-core-results-eve-everywoman-pertussis",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Observation-observation-us-core-results-eve-everywoman-pertussis.html"
      } ],
      "reference": {
        "display": "observation-us-core-results-eve-everywoman-pertussis",
        "reference": "Observation/observation-us-core-results-eve-everywoman-pertussis"
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      "exampleBoolean": true
    }, {
      "name": "observation-postpartum-status-eve-everywoman",
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        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Observation-observation-postpartum-status-eve-everywoman.html"
      } ],
      "reference": {
        "display": "observation-postpartum-status-eve-everywoman",
        "reference": "Observation/observation-postpartum-status-eve-everywoman"
      },
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    }, {
      "name": "communication-rr-one-cond-one-pha",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Communication"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Communication-communication-rr-one-cond-one-pha.html"
      } ],
      "reference": {
        "display": "communication-rr-one-cond-one-pha",
        "reference": "Communication/communication-rr-one-cond-one-pha"
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      "exampleCanonical": "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-communication"
    }, {
      "name": "library-rctc",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Library"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Library-library-rctc.html"
      } ],
      "reference": {
        "display": "library-rctc",
        "reference": "Library/library-rctc"
      },
      "exampleCanonical": "http://hl7.org/fhir/us/ecr/StructureDefinition/ersd-valueset-library"
    }, {
      "name": "medicationadministration-eve-everywoman-azithromycin",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "MedicationAdministration"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "MedicationAdministration-medicationadministration-eve-everywoman-azithromycin.html"
      } ],
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        "display": "medicationadministration-eve-everywoman-azithromycin",
        "reference": "MedicationAdministration/medicationadministration-eve-everywoman-azithromycin"
      },
      "exampleBoolean": true
    }, {
      "name": "task-ecr-ehr-requested-eicr",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Task"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Task-task-ecr-ehr-requested-eicr.html"
      } ],
      "reference": {
        "display": "task-ecr-ehr-requested-eicr",
        "reference": "Task/task-ecr-ehr-requested-eicr"
      },
      "exampleCanonical": "http://hl7.org/fhir/us/ecr/StructureDefinition/ecr-task"
    }, {
      "name": "Ersd_Valueset_Library",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-ersd-valueset-library.html"
      } ],
      "reference": {
        "display": "Ersd_Valueset_Library",
        "reference": "StructureDefinition/ersd-valueset-library"
      },
      "exampleBoolean": false
    }, {
      "name": "PlanDefinition_eRSD_Instance",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "PlanDefinition"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "PlanDefinition-plandefinition-ersd-instance.html"
      } ],
      "reference": {
        "display": "PlanDefinition_eRSD_Instance",
        "reference": "PlanDefinition/plandefinition-ersd-instance"
      },
      "exampleCanonical": "http://hl7.org/fhir/us/ecr/StructureDefinition/ersd-plandefinition"
    }, {
      "name": "YMCA",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Organization"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Organization-organization-ecr-ymca-center.html"
      } ],
      "reference": {
        "display": "YMCA",
        "reference": "Organization/organization-ecr-ymca-center"
      },
      "exampleCanonical": "http://hl7.org/fhir/us/ecr/StructureDefinition/ecr-organization"
    }, {
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      "name": "practitionerrole-henry-seven",
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      "name": "observation-odh-usual-work-eve-everywoman",
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    }, {
      "name": "observation-characteristics-of-home-environment-eve-everywoman",
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    }, {
      "name": "MessageHeader Event Code System",
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  },
  "date": "2020-01-29T20:30:08+00:00",
  "meta": {
    "versionId": "366",
    "lastUpdated": "2019-12-17T04:52:42.000+00:00"
  },
  "publisher": "HL7 International - Public Health Work Group",
  "fhirVersion": [ "4.0.0" ],
  "license": "CC0-1.0",
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    "version": "3.0.0",
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    "packageId": "hl7.fhir.us.odh"
  } ],
  "name": "ElectronicCaseReporting",
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  "experimental": "false",
  "resourceType": "ImplementationGuide",
  "title": "HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm",
  "package_version": "1.0.0",
  "status": "draft",
  "id": "dbd78210-71d6-4f08-9c09-4017a7e866fc",
  "kind": null,
  "url": "http://hl7.org/fhir/us/ecr/ImplementationGuide/hl7.fhir.us.ecr",
  "version": "1.0.0",
  "packageId": "hl7.fhir.us.ecr",
  "contact": [ {
    "name": "HL7 International - Public Health Work Group",
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/pher/index.cfm",
      "system": "url"
    } ]
  } ]
}