C-CDA on FHIR, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ccda-on-fhir/ and changes regularly. See the Directory of published versions
| Page standards status: Informative | 
| Document Id | 12345 | 
| Document Created: | June 15, 2016, 16:14, PST | 
| Care Provision | Operation Note for Amy Shaw | 
| Performer | Ronald Boone, MD | 
| Author | Ronald Boone, MD | 
| Contact info | 1003 Healthcare Drive Amherst MA 01002, US Tel: +1(555)555-1003 | 
| Encounter Id | 9937012 2.16.840.1.113883.19 | 
| Event Type | Surgery | 
| Event Date | From June 15, 2016, 16:20 to June 15, 2016, 18:20 | 
| Encounter Location | Perioperative Department at Community Health and Hospitals | 
| Responsible party | Ronald Boone, MD | 
| Contact info | 1003 Healthcare Drive Amherst MA 01002, US Tel: +1(555)555-1003 | 
| Assigned entity | Community Health and Hospitals | 
| Emergency contact | Michael Shaw | 
| Contact info | 49 Meadow St Amherst MA 01003, US Tel: (555)555-1212 | 
| Care giver | Mrs. Lillian White | 
| Contact info | 49 Meadow St Amherst MA 01003, US Tel: (555)555-1215 | 
| Entered by | Sally Jones | 
| Contact info | 1003 Healthcare Drive Amherst MA 01002, US Tel: +1(555)555-1003 | 
| Signed | Ronald Boone at June 15, 2016 | 
| Contact info | 1003 Healthcare Drive Amherst MA 01002, US Tel: +1(555)555-1003 | 
| Informant | Henry Vincent, CPh | 
| Contact info | 1007 Pharmacy Drive Portland, OR 99123, US Tel: +1(555)555-1215 | 
| Information recipient: | Primary Physician, MD | 
| Contact info | 1005 St. Clair Avenue Amherst MA 01002, US Tel: +1(555)555-1666 | 
| Legal authenticator | Ronald Boone, MD signed at June 15, 2016 | 
| Contact info | 1003 Healthcare Drive Amherst MA 01002, US Tel: +1(555)555-1003 | 
| Document maintained by | Community Health and Hospitals | 
| Contact info | 1003 Healthcare Drive Amherst MA 01002, US Tel: +1(555)555-1003 |