<section xmlns="urn:hl7-org:v3">
  <templateId root="2.16.840.1.113883.10.20.22.2.500" extension="2019-07-01"/>
  <templateId root="2.16.840.1.113883.10.20.22.2.500" extension="2022-06-01"/>
  <code displayName="Patient Care team information" codeSystemName="LOINC"
        codeSystem="2.16.840.1.113883.6.1" code="85847-2"/>
  <title>Care Team Information</title>
  <text>
    <list listType="unordered">
      <item ID="CareTeam1">
        <table>
          <thead>
            <tr>
              <th>Name</th>
              <th>Focus</th>
              <th>Nature</th>
              <th>Time</th>
            </tr>
          </thead>
          <tbody>
            <tr ID="CareTeamName1">
              <td>My Care Team</td>
            </tr>
            <tr>
              <td>Care Coordination</td>
            </tr>
            <tr>
              <td>Integrated</td>
            </tr>
            <tr>
              <td>Oct 2018 - present</td>
            </tr>
          </tbody>
        </table>
        <table>
          <thead>
            <tr>
              <th>Name</th>
              <th>Role</th>
              <th>Specialty</th>
              <th>Address</th>
              <th>Phone</th>
              <th>Email</th>
              <th>Organization</th>
              <th>Dates</th>
            </tr>
          </thead>
          <tbody>
            <tr ID="CareTeamParticipants1">
              <td>John D Smith, MD</td>
              <td>PCP</td>
              <td>Internal Medicine</td>
              <td>100 Main St. Suite 100, Hope Valley, RI 02832</td>
              <td>(401)539-2461</td>
              <td>johndsmith@direct.aclinic.org</td>
              <td>Hope Woods Health Services</td>
              <td>Oct 8, 2018 - present</td>
            </tr>
          </tbody>
        </table>
      </item>
    </list>
  </text>
  <entry>
    <!-- Care Team Organizer -->
    <organizer moodCode="EVN" classCode="CLUSTER">
      <templateId root="2.16.840.1.113883.10.20.22.4.500"
                  extension="2022-06-01"/>
      <templateId root="2.16.840.1.113883.10.20.22.4.500"
                  extension="2019-07-01"/>
      <id root="c37b6e41-8d99-496f-afba-b97383da63eb"/>
      <code displayName="Care Team" codeSystemName="LOINC"
            codeSystem="2.16.840.1.113883.6.1" code="86744-0">
        <originalText>
          <reference value="#CareTeamName1"/>
        </originalText>
      </code>
      <sdtc:sdtcText xmlns:sdtc="urn:hl7-org:sdtc">
        <reference value="#CareTeamParticipants1"/>
      </sdtc:sdtcText>
      <!-- Care Team Status -->
      <statusCode code="active"/>
      <effectiveTime>
        <low value="20181008142600-0500"/>
      </effectiveTime>
      <!--  This participant is the Care Team Lead (1..1) -->
      <!--  Care Team Lead is one of the contained care team members in the list of care team members -->
      <participant typeCode="PPRF">
        <participantRole>
          <!-- <This id matches at least one of the member's id in the Care Team Member act template -->
          <id root="1.5.5.5.5.5.5"/>
        </participantRole>
      </participant>
      <!--  #1 Care Team Member Act - This component is a care team member who is a provider  -->
      <component>
        <act moodCode="EVN" classCode="PCPR">
          <templateId root="2.16.840.1.113883.10.20.22.4.500.1"
                      extension="2022-06-01"/>
          <templateId root="2.16.840.1.113883.10.20.22.4.500.1"
                      extension="2024-05-01"/>
          <id root="1.5.5.5.5.5.5"/>
          <!--  Note in C-CDA 2.1, templateId version 2022-06-01, this code had to be 85847-2  -->
          <code displayName="Care Team Information panel"
                codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1" code="92707-9"/>
          <text>
            <reference value="#CareTeamParticipants1"/>
          </text>
          <!-- Care Team Member Status -->
          <statusCode code="active"/>
          <effectiveTime>
            <low value="20181008142600-0500"/>
          </effectiveTime>
          <!-- Attributes about the provider member - name -->
          <performer typeCode="PRF">
            <sdtc:sdtcFunctionCode xmlns:sdtc="urn:hl7-org:sdtc"
                                   displayName="primary care physician" codeSystemName="ParticipationFunction"
                                   codeSystem="2.16.840.1.113883.5.88" code="PCP"/>
            <assignedEntity>
              <!--  This is a fictional NPI so it will not validate if checked  -->
              <id root="2.16.840.1.113883.4.6" extension="5555555555"/>
              <addr use="WP">
                <streetAddressLine>100 Main St. Suite 100</streetAddressLine>
                <city>Hope Valley</city>
                <state>RI</state>
                <postalCode>02832</postalCode>
                <country>US</country>
              </addr>
              <telecom value="tel:+1(401)539-2461" use="WP"/>
              <telecom value="mailto:johndsmith@direct.aclinic.org"/>
              <assignedPerson>
                <name>
                  <given>John</given>
                  <given>D</given>
                  <family>Smith</family>
                  <suffix>MD</suffix>
                </name>
              </assignedPerson>
              <representedOrganization>
                <id root="1.2.16.840.1.113883.4.6" extension="219BX"/>
                <name>Hope Woods Health Services</name>
                <telecom value="tel:+1(401)539-2461" use="WP"/>
                <addr nullFlavor="UNK"/>
              </representedOrganization>
            </assignedEntity>
          </performer>
        </act>
      </component>
    </organizer>
  </entry>
</section>