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VA Technical Reference Model v 26.1

HL7 FHIR Electronic Case Reporting (eCR)
HL7 FHIR Electronic Case Reporting (eCR) Standard or Specification

General Information

Technologies must be operated and maintained in accordance with Federal and Department security and privacy policies and guidelines. More information on the proper use of the TRM can be found on the TRM Proper Use Tab/Section.

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Description: The FHIR Implementation Guide (IG) specifies a US Realm FHIR electronic Case Reporting (eCR) implementation guide. It profiles FHIR for electronic initial case report (eICR), Reportability Response and trigger code / business logic distribution with FHIR resources. With 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.
Technology/Standard Usage Requirements: Users must ensure their use of this technology/standard is consistent with VA policies and standards, including, but not limited to, VA Handbooks 6102 and 6500; VA Directives 6004, 6513, and 6517; and National Institute of Standards and Technology (NIST) standards, including Federal Information Processing Standards (FIPS). Users must ensure sensitive data is properly protected in compliance with all VA regulations. Prior to use of this technology, users should check with their supervisor, Information System Security Officer (ISSO), Facility Chief Information Officer (CIO), or local Office of Information and Technology (OI&T) representative to ensure that all actions are consistent with current VA policies and procedures prior to implementation.
Section 508 Information:
Decision: View Decisions
Decision Source: TRM Mgmt Group
Decision Process: One-VA TRM v25.11
Decision Date: 11/21/2025 at 17:32:11 UTC
Aliases: "HL7 FHIR Implementation Guide: Electronic Case Reporting (eCR), Release 2.1.2 - US Realm", "FHIR IG: eCR, R1-US Realm", Electronic Case Report, eCR, Reportability Response, RR, eICR, Electronic Initial Case Report
Introduced By: TRM Request
Standards Body: HL7
Cage Code: 3ZPX5
- The information contained on this page is accurate as of the Decision Date (11/21/2025 at 17:32:11 UTC).