Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 4.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-ccda/ and changes regularly. See the Directory of published versions
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
#
Title: Consultation Note
Based on: C-CDA_R2_Consultation_Note.xml
Created by: Lantana Consulting Group, LLC
Updated for C-CDA R3.0 with a focus on header elements
********************************************************
Disclaimer: This sample file contains representative data elements to represent a Consultation Note.
The file depicts a fictional character's health data. Any resemblance to a real person is coincidental.
To illustrate as many data elements as possible, the clinical scenario may not be plausible.
The data in this sample file is not intended to represent real patients, people or clinical events.
This sample is designed to be used in conjunction with the C-CDA Clinical Notes Implementation Guide.
********************************************************
a fhir:ClinicalDocument ;
fhir:nodeRole fhir:treeRoot ;
fhir:realmCode ( [
fhir:code [ fhir:v "US" ]
] ) ; # ** CDA Header **
fhir:typeId [
fhir:extension [ fhir:v "POCD_HD000040" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.1.3" ]
] ; #
fhir:templateId ( [
fhir:extension [ fhir:v "2024-05-01" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.10.20.22.1.1" ]
] [
fhir:extension [ fhir:v "2024-05-01" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.10.20.22.1.4" ]
] ) ; # Identifies document as conformant to US Realm Header (V2) Template
fhir:id [
fhir:extension [ fhir:v "TT988" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.19.5.99999.1" ]
] ; #
fhir:sdtcCategory ( [
fhir:code [ fhir:v "11488-4" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.1" ] ;
fhir:displayName [ fhir:v "Consult note" ]
] ) ; #
fhir:code [
fhir:code [ fhir:v "11488-4" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.1" ] ;
fhir:codeSystemName [ fhir:v "LOINC" ] ;
fhir:displayName [ fhir:v "Consult Note" ]
] ; #
fhir:title [
fhir:xmlText [ fhir:v "Community Health Consult Note" ]
] ; #
fhir:effectiveTime [
fhir:value [ fhir:v "2013-08-01T05:00:00-08:00"^^xsd:dateTime ]
] ; #
fhir:confidentialityCode [
fhir:code [ fhir:v "N" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.5.25" ]
] ; #
fhir:languageCode [
fhir:code [ fhir:v "en-US" ]
] ; #
fhir:setId [
fhir:extension [ fhir:v "sTT988" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.19.5.99999.19" ]
] ; #
fhir:versionNumber [
fhir:value [ fhir:v "1"^^xsd:integer ]
] ; #
fhir:recordTarget ( [
fhir:patientRole [
( fhir:id [
fhir:extension [ fhir:v "444-22-2222" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.4.1" ] ] ) ; # Example Social Security Number using the actual SSN OID.
( fhir:addr [
( fhir:use [ fhir:v "HP" ] ) ;
( fhir:item [
fhir:streetAddressLine [
fhir:xmlText [ fhir:v "2222 Home Street" ] ] ] [
fhir:city [
fhir:xmlText [ fhir:v "Beaverton" ] ] ] [
fhir:state [
fhir:xmlText [ fhir:v "OR" ] ] ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "97867" ] ] ] [
fhir:country [
fhir:xmlText [ fhir:v "US" ] ] # US is \"United States\" from ISO 3166-1 Country Codes: 1.0.3166.1 ] ) ] ) ; # HP is \"primary home\" from codeSystem 2.16.840.1.113883.5.1119
( fhir:telecom [
( fhir:use [ fhir:v "HP" ] ) ;
fhir:value [ fhir:v "tel:+1(555)555-2003"^^xsd:anyURI ] ] ) ; # HP is \"primary home\" from HL7 AddressUse 2.16.840.1.113883.5.1119
fhir:patient [
( fhir:name [
( fhir:use [ fhir:v "L" ] ) ;
( fhir:item [
( fhir:given [
fhir:xmlText [ fhir:v "Eve" ] ] ) ] [
( fhir:family [
fhir:xmlText [ fhir:v "Betterhalf" ] ;
( fhir:qualifier [ fhir:v "SP" ] ) ] ) ] ) ] [
( fhir:use [ fhir:v "SRCH" ] ) ;
( fhir:item [
( fhir:given [
fhir:xmlText [ fhir:v "Eve" ] ] ) ] [
( fhir:family [
fhir:xmlText [ fhir:v "Everywoman" ] ;
( fhir:qualifier [ fhir:v "BR" ] ) ] ) ] ) ] ) ; # The first name element represents what the patient is known as
fhir:administrativeGenderCode [
fhir:code [ fhir:v "F" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.5.1" ] ;
fhir:codeSystemName [ fhir:v "AdministrativeGender" ] ;
fhir:displayName [ fhir:v "Female" ] ] ;
fhir:birthTime [
fhir:value [ fhir:v "1975-05-01"^^xsd:date ] ] ; # Date of birth need only be precise to the day
fhir:maritalStatusCode [
fhir:code [ fhir:v "M" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.5.2" ] ;
fhir:codeSystemName [ fhir:v "MaritalStatusCode" ] ;
fhir:displayName [ fhir:v "Married" ] ] ;
fhir:religiousAffiliationCode [
fhir:code [ fhir:v "1013" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.5.1076" ] ;
fhir:codeSystemName [ fhir:v "HL7 Religious Affiliation" ] ;
fhir:displayName [ fhir:v "Christian (non-Catholic, non-specific)" ] ] ;
fhir:raceCode [
fhir:code [ fhir:v "2106-3" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.238" ] ;
fhir:codeSystemName [ fhir:v "Race & Ethnicity - CDC" ] ;
fhir:displayName [ fhir:v "White" ] ] ; # CDC Race and Ethnicity code set contains the five minimum race and ethnicity \n categories defined by OMB Standards
( fhir:sdtcRaceCode [
fhir:code [ fhir:v "2076-8" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.238" ] ;
fhir:codeSystemName [ fhir:v "Race & Ethnicity - CDC" ] ;
fhir:displayName [ fhir:v "Native Hawaiian or Other Pacific Islander" ] ] ) ; # The raceCode extension is only used if raceCode is valued
fhir:ethnicGroupCode [
fhir:code [ fhir:v "2186-5" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.238" ] ;
fhir:codeSystemName [ fhir:v "Race & Ethnicity - CDC" ] ;
fhir:displayName [ fhir:v "Not Hispanic or Latino" ] ] ;
( fhir:guardian [
fhir:code [
fhir:code [ fhir:v "POWATT" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.5.111" ] ;
fhir:codeSystemName [ fhir:v "RoleCode" ] ;
fhir:displayName [ fhir:v "Power of Attorney" ] ] ;
( fhir:addr [
( fhir:use [ fhir:v "HP" ] ) ;
( fhir:item [
fhir:streetAddressLine [
fhir:xmlText [ fhir:v "2222 Home Street" ] ] ] [
fhir:city [
fhir:xmlText [ fhir:v "Beaverton" ] ] ] [
fhir:state [
fhir:xmlText [ fhir:v "OR" ] ] ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "97867" ] ] ] [
fhir:country [
fhir:xmlText [ fhir:v "US" ] ] ] ) ] ) ;
( fhir:telecom [
( fhir:use [ fhir:v "MC" ] ) ;
fhir:value [ fhir:v "tel:+1(555)555-2008"^^xsd:anyURI ] ] ) ;
fhir:guardianPerson [
( fhir:name [
( fhir:item [
( fhir:given [
fhir:xmlText [ fhir:v "Boris" ] ] ) ] [
( fhir:given [
fhir:xmlText [ fhir:v "Bo" ] ;
( fhir:qualifier [ fhir:v "CL" ] ) ] ) ] [
( fhir:family [
fhir:xmlText [ fhir:v "Betterhalf" ] ] ) ] ) ] ) ] ] ) ;
fhir:birthplace [
fhir:place [
fhir:addr [
( fhir:item [
fhir:streetAddressLine [
fhir:xmlText [ fhir:v "4444 Home Street" ] ] ] [
fhir:city [
fhir:xmlText [ fhir:v "Beaverton" ] ] ] [
fhir:state [
fhir:xmlText [ fhir:v "OR" ] ] ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "97867" ] ] ] [
fhir:country [
fhir:xmlText [ fhir:v "US" ] ] ] ) ] ] ] ;
( fhir:languageCommunication [
fhir:languageCode [
fhir:code [ fhir:v "en" ] ] ;
fhir:modeCode [
fhir:code [ fhir:v "ESP" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.5.60" ] ;
fhir:codeSystemName [ fhir:v "LanguageAbilityMode" ] ;
fhir:displayName [ fhir:v "Expressed spoken" ] ] ;
fhir:proficiencyLevelCode [
fhir:code [ fhir:v "G" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.5.61" ] ;
fhir:codeSystemName [ fhir:v "LanguageAbilityProficiency" ] ;
fhir:displayName [ fhir:v "Good" ] ] ;
fhir:preferenceInd [
fhir:value [ fhir:v "true"^^xsd:boolean ] ] # Patient's preferred language ] ) ] ;
fhir:providerOrganization [
( fhir:id [
fhir:extension [ fhir:v "219BX" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.4.6" ] ] ) ; # Organizations SHOULD have an NPI; this is a real root; fake extension
( fhir:name [
( fhir:item [
fhir:xmlText [ fhir:v "The DoctorsTogether Physician Group" ] ] ) ] ) ;
( fhir:telecom [
( fhir:use [ fhir:v "WP" ] ) ;
fhir:value [ fhir:v "tel:+1(555)555-5000"^^xsd:anyURI ] ] ) ;
( fhir:addr [
( fhir:use [ fhir:v "WP" ] ) ;
( fhir:item [
fhir:streetAddressLine [
fhir:xmlText [ fhir:v "1007 Health Drive" ] ] ] [
fhir:city [
fhir:xmlText [ fhir:v "Portland" ] ] ] [
fhir:state [
fhir:xmlText [ fhir:v "OR" ] ] ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "99123" ] ] ] [
fhir:country [
fhir:xmlText [ fhir:v "US" ] ] ] ) ] ) ] ]
] ) ; #
fhir:author ( [
fhir:time [
fhir:value [ fhir:v "2013-07-31T12:30:00-08:00"^^xsd:dateTime ] ] ;
fhir:assignedAuthor [
( fhir:id [
fhir:extension [ fhir:v "555555555" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.4.6" ] ] ) ;
fhir:code [
fhir:code [ fhir:v "207QA0505X" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.101" ] ;
fhir:codeSystemName [ fhir:v "Healthcare Provider Taxonomy (HIPAA)" ] ;
fhir:displayName [ fhir:v "Adult Medicine Physician" ] ] ;
( fhir:addr [
( fhir:use [ fhir:v "WP" ] ) ;
( fhir:item [
fhir:streetAddressLine [
fhir:xmlText [ fhir:v "1004 Healthcare Drive" ] ] ] [
fhir:city [
fhir:xmlText [ fhir:v "Portland" ] ] ] [
fhir:state [
fhir:xmlText [ fhir:v "OR" ] ] ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "99123" ] ] ] [
fhir:country [
fhir:xmlText [ fhir:v "US" ] ] ] ) ] ) ;
( fhir:telecom [
( fhir:use [ fhir:v "WP" ] ) ;
fhir:value [ fhir:v "tel:+1(555)-1004"^^xsd:anyURI ] ] ) ;
fhir:assignedPerson [
( fhir:name [
( fhir:item [
( fhir:given [
fhir:xmlText [ fhir:v "Patricia" ] ] ) ] [
( fhir:given [
fhir:xmlText [ fhir:v "Patty" ] ;
( fhir:qualifier [ fhir:v "CL" ] ) ] ) ] [
( fhir:family [
fhir:xmlText [ fhir:v "Primary" ] ] ) ] [
( fhir:suffix [
fhir:xmlText [ fhir:v "M.D." ] ;
( fhir:qualifier [ fhir:v "AC" ] ) ] ) ] ) ] ) ] ]
] ) ; #
fhir:dataEnterer [
fhir:assignedEntity [
( fhir:id [
fhir:extension [ fhir:v "333777777" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.4.6" ] ] ) ;
( fhir:addr [
( fhir:use [ fhir:v "WP" ] ) ;
( fhir:item [
fhir:streetAddressLine [
fhir:xmlText [ fhir:v "1007 Healthcare Drive" ] ] ] [
fhir:city [
fhir:xmlText [ fhir:v "Portland" ] ] ] [
fhir:state [
fhir:xmlText [ fhir:v "OR" ] ] ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "99123" ] ] ] [
fhir:country [
fhir:xmlText [ fhir:v "US" ] ] ] ) ] ) ;
( fhir:telecom [
( fhir:use [ fhir:v "WP" ] ) ;
fhir:value [ fhir:v "tel:+1(555)-1050"^^xsd:anyURI ] ] ) ;
fhir:assignedPerson [
( fhir:name [
( fhir:item [
( fhir:given [
fhir:xmlText [ fhir:v "Ellen" ] ] ) ] [
( fhir:family [
fhir:xmlText [ fhir:v "Enter" ] ] ) ] ) ] ) ] ]
] ; #
fhir:informant ( [
fhir:assignedEntity [
( fhir:id [
fhir:extension [ fhir:v "888888888" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.19.5" ] ] ) ;
( fhir:addr [
( fhir:use [ fhir:v "WP" ] ) ;
( fhir:item [
fhir:streetAddressLine [
fhir:xmlText [ fhir:v "1007 Healthcare Drive" ] ] ] [
fhir:city [
fhir:xmlText [ fhir:v "Portland" ] ] ] [
fhir:state [
fhir:xmlText [ fhir:v "OR" ] ] ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "99123" ] ] ] [
fhir:country [
fhir:xmlText [ fhir:v "US" ] ] ] ) ] ) ;
( fhir:telecom [
( fhir:use [ fhir:v "WP" ] ) ;
fhir:value [ fhir:v "tel:+1(555)-1003"^^xsd:anyURI ] ] ) ;
fhir:assignedPerson [
( fhir:name [
( fhir:item [
( fhir:given [
fhir:xmlText [ fhir:v "Harold" ] ] ) ] [
( fhir:family [
fhir:xmlText [ fhir:v "Hippocrates" ] ] ) ] [
( fhir:suffix [
fhir:xmlText [ fhir:v "D.O." ] ;
( fhir:qualifier [ fhir:v "AC" ] ) ] ) ] ) ] ) ] ]
] ) ; #
fhir:custodian [
fhir:assignedCustodian [
fhir:representedCustodianOrganization [
( fhir:id [
fhir:extension [ fhir:v "321CX" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.4.6" ] ] ) ;
fhir:name [
( fhir:item [
fhir:xmlText [ fhir:v "Good Health HIE" ] ] ) ] ;
fhir:telecom [
( fhir:use [ fhir:v "WP" ] ) ;
fhir:value [ fhir:v "tel:+1(555)-1009"^^xsd:anyURI ] ] ;
fhir:addr [
( fhir:use [ fhir:v "WP" ] ) ;
( fhir:item [
fhir:streetAddressLine [
fhir:xmlText [ fhir:v "1009 Healthcare Drive" ] ] ] [
fhir:city [
fhir:xmlText [ fhir:v "Portland" ] ] ] [
fhir:state [
fhir:xmlText [ fhir:v "OR" ] ] ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "99123" ] ] ] [
fhir:country [
fhir:xmlText [ fhir:v "US" ] ] ] ) ] ] ]
] ; #
fhir:informationRecipient ( [
fhir:intendedRecipient [
fhir:informationRecipient [
( fhir:name [
( fhir:item [
( fhir:given [
fhir:xmlText [ fhir:v "Sara" ] ] ) ] [
( fhir:family [
fhir:xmlText [ fhir:v "Specialize" ] ] ) ] [
( fhir:suffix [
fhir:xmlText [ fhir:v "M.D." ] ;
( fhir:qualifier [ fhir:v "AC" ] ) ] ) ] ) ] ) ] ;
fhir:receivedOrganization [
( fhir:name [
( fhir:item [
fhir:xmlText [ fhir:v "The DoctorsApart Physician Group" ] ] ) ] ) ] ]
] ) ; #
fhir:legalAuthenticator [
fhir:time [
fhir:value [ fhir:v "2013-08-01T22:36:15-08:00"^^xsd:dateTime ] ] ;
fhir:signatureCode [
fhir:code [ fhir:v "S" ] ] ;
fhir:assignedEntity [
( fhir:id [
fhir:extension [ fhir:v "555555555" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.4.6" ] ] ) ;
fhir:code [
fhir:code [ fhir:v "207QA0505X" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.101" ] ;
fhir:codeSystemName [ fhir:v "Healthcare Provider Taxonomy (HIPAA)" ] ;
fhir:displayName [ fhir:v "Adult Medicine Physician" ] ] ;
( fhir:addr [
( fhir:use [ fhir:v "WP" ] ) ;
( fhir:item [
fhir:streetAddressLine [
fhir:xmlText [ fhir:v "1004 Healthcare Drive" ] ] ] [
fhir:city [
fhir:xmlText [ fhir:v "Portland" ] ] ] [
fhir:state [
fhir:xmlText [ fhir:v "OR" ] ] ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "99123" ] ] ] [
fhir:country [
fhir:xmlText [ fhir:v "US" ] ] ] ) ] ) ;
( fhir:telecom [
( fhir:use [ fhir:v "WP" ] ) ;
fhir:value [ fhir:v "tel:+1(555)-1004"^^xsd:anyURI ] ] ) ;
fhir:assignedPerson [
( fhir:name [
( fhir:item [
( fhir:given [
fhir:xmlText [ fhir:v "Patricia" ] ] ) ] [
( fhir:given [
fhir:xmlText [ fhir:v "Patty" ] ;
( fhir:qualifier [ fhir:v "CL" ] ) ] ) ] [
( fhir:family [
fhir:xmlText [ fhir:v "Primary" ] ] ) ] [
( fhir:suffix [
fhir:xmlText [ fhir:v "M.D." ] ;
( fhir:qualifier [ fhir:v "AC" ] ) ] ) ] ) ] ) ] ]
] ; #
fhir:authenticator ( [
fhir:time [
fhir:value [ fhir:v "2013-08-01T10:30:00-08:00"^^xsd:dateTime ] ] ;
fhir:signatureCode [
fhir:code [ fhir:v "S" ] ] ;
fhir:assignedEntity [
( fhir:id [
fhir:extension [ fhir:v "555555555" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.4.6" ] ] ) ;
fhir:code [
fhir:code [ fhir:v "207QA0505X" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.101" ] ;
fhir:codeSystemName [ fhir:v "Healthcare Provider Taxonomy (HIPAA)" ] ;
fhir:displayName [ fhir:v "Adult Medicine Physician" ] ] ;
( fhir:addr [
( fhir:use [ fhir:v "WP" ] ) ;
( fhir:item [
fhir:streetAddressLine [
fhir:xmlText [ fhir:v "1004 Healthcare Drive" ] ] ] [
fhir:city [
fhir:xmlText [ fhir:v "Portland" ] ] ] [
fhir:state [
fhir:xmlText [ fhir:v "OR" ] ] ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "99123" ] ] ] [
fhir:country [
fhir:xmlText [ fhir:v "US" ] ] ] ) ] ) ;
( fhir:telecom [
( fhir:use [ fhir:v "WP" ] ) ;
fhir:value [ fhir:v "tel:+1(555)-1004"^^xsd:anyURI ] ] ) ;
fhir:assignedPerson [
( fhir:name [
( fhir:item [
( fhir:given [
fhir:xmlText [ fhir:v "Patricia" ] ] ) ] [
( fhir:given [
fhir:xmlText [ fhir:v "Patty" ] ;
( fhir:qualifier [ fhir:v "CL" ] ) ] ) ] [
( fhir:family [
fhir:xmlText [ fhir:v "Primary" ] ] ) ] [
( fhir:suffix [
fhir:xmlText [ fhir:v "M.D." ] ;
( fhir:qualifier [ fhir:v "AC" ] ) ] ) ] ) ] ) ] ]
] ) ; #
fhir:participant ( [
fhir:typeCode [ fhir:v "CALLBCK" ] ;
fhir:time [
fhir:value [ fhir:v "2005-03-29T22:44:11+05:00"^^xsd:dateTime ] ] ;
fhir:associatedEntity [
fhir:classCode [ fhir:v "ASSIGNED" ] ;
( fhir:id [
fhir:extension [ fhir:v "99999999" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.4.6" ] ] ) ;
fhir:code [
fhir:code [ fhir:v "200000000X" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.101" ] ;
fhir:displayName [ fhir:v "Allopathic & Osteopathic Physicians" ] ] ;
( fhir:addr [
( fhir:use [ fhir:v "WP" ] ) ;
( fhir:item [
fhir:streetAddressLine [
fhir:xmlText [ fhir:v "1002 Healthcare Drive" ] ] ] [
fhir:city [
fhir:xmlText [ fhir:v "Ann Arbor" ] ] ] [
fhir:state [
fhir:xmlText [ fhir:v "MI" ] ] ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "97857" ] ] ] [
fhir:country [
fhir:xmlText [ fhir:v "US" ] ] ] ) ] ) ;
( fhir:telecom [
( fhir:use [ fhir:v "WP" ] ) ;
fhir:value [ fhir:v "tel:555-555-1002"^^xsd:anyURI ] ] ) ;
fhir:associatedPerson [
( fhir:name [
( fhir:item [
( fhir:given [
fhir:xmlText [ fhir:v "Henry" ] ] ) ] [
( fhir:family [
fhir:xmlText [ fhir:v "Seven" ] ] ) ] [
( fhir:suffix [
fhir:xmlText [ fhir:v "DO" ] ] ) ] ) ] ) ] ]
] ) ; # This participant represents the person to contact for questions about the consult summary
fhir:inFulfillmentOf ( [
fhir:typeCode [ fhir:v "FLFS" ] ;
fhir:order [
fhir:classCode [ fhir:v "ACT" ] ;
fhir:moodCode [ fhir:v "RQO" ] ;
( fhir:id [
fhir:extension [ fhir:v "1298989898" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.6.96" ] ] ) ;
fhir:code [
fhir:code [ fhir:v "388975008" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.96" ] ;
fhir:codeSystemName [ fhir:v "SNOMED CT" ] ;
fhir:displayName [ fhir:v "Weight Reduction Consultation" ] ] ]
] ) ; # Describes prior orders that are fulfilled (in whole or part) by the service events described in the Consultation Note
fhir:componentOf [
fhir:encompassingEncounter [
( fhir:id [
fhir:extension [ fhir:v "9937012" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.19" ] ] ) ;
fhir:code [
fhir:code [ fhir:v "99213" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.12" ] ;
fhir:codeSystemName [ fhir:v "CPT-4" ] ] ;
fhir:effectiveTime [
fhir:low [
fhir:value [ fhir:v "2013-07-31T09:00:00-08:00"^^xsd:dateTime ] ] ;
fhir:high [
fhir:value [ fhir:v "2013-07-31T10:30:00-08:00"^^xsd:dateTime ] ] ] ;
fhir:location [
fhir:healthCareFacility [
( fhir:id [
fhir:root [ fhir:v "2.16.540.1.113883.19.2" ] ] ) ] ] ]
] ; #
fhir:component [
fhir:structuredBody [
( fhir:component [
fhir:section [
fhir:nullFlavor [ fhir:v "NI" ] ;
( fhir:templateId [
fhir:extension [ fhir:v "2015-08-01" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.10.20.22.2.6.1" ] ] ) ;
fhir:code [
fhir:code [ fhir:v "48765-2" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.1" ] ;
fhir:codeSystemName [ fhir:v "LOINC" ] ] ;
fhir:title [
fhir:xmlText [ fhir:v "ALLERGIES AND ADVERSE REACTIONS" ] ] ;
fhir:text "<div xmlns=\"http://www.w3.org/1999/xhtml\">No information</div>" ] ] [
fhir:section [
fhir:nullFlavor [ fhir:v "NI" ] ;
( fhir:templateId [
fhir:extension [ fhir:v "2015-08-01" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.10.20.22.2.5.1" ] ] ) ;
fhir:code [
fhir:code [ fhir:v "11450-4" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.1" ] ;
fhir:codeSystemName [ fhir:v "LOINC" ] ;
fhir:displayName [ fhir:v "PROBLEM LIST" ] ] ;
fhir:title [
fhir:xmlText [ fhir:v "PROBLEMS" ] ] ;
fhir:text "<div xmlns=\"http://www.w3.org/1999/xhtml\">No information</div>" ] ] [
fhir:section [
fhir:nullFlavor [ fhir:v "NI" ] ;
( fhir:templateId [
fhir:extension [ fhir:v "2014-06-09" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.10.20.22.2.1.1" ] ] ) ;
fhir:code [
fhir:code [ fhir:v "10160-0" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.1" ] ;
fhir:codeSystemName [ fhir:v "LOINC" ] ;
fhir:displayName [ fhir:v "HISTORY OF MEDICATION USE" ] ] ;
fhir:title [
fhir:xmlText [ fhir:v "MEDICATIONS" ] ] ;
fhir:text "<div xmlns=\"http://www.w3.org/1999/xhtml\">No information</div>" ] ] [
fhir:section [
fhir:nullFlavor [ fhir:v "NI" ] ;
( fhir:templateId [
fhir:extension [ fhir:v "2014-06-09" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.10.20.22.2.9" ] ] ) ;
fhir:code [
fhir:code [ fhir:v "51847-2" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.1" ] ;
fhir:codeSystemName [ fhir:v "LOINC" ] ;
fhir:displayName [ fhir:v "Evaluation + Plan note" ] ] ;
fhir:title [
fhir:xmlText [ fhir:v "Assessment and Plan" ] ] ;
fhir:text "<div xmlns=\"http://www.w3.org/1999/xhtml\">No information</div>" ] ] [
fhir:section [
fhir:nullFlavor [ fhir:v "NI" ] ;
( fhir:templateId [
fhir:root [ fhir:v "1.3.6.1.4.1.19376.1.5.3.1.3.4" ] ] ) ;
fhir:code [
fhir:code [ fhir:v "10164-2" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.1" ] ;
fhir:codeSystemName [ fhir:v "LOINC" ] ;
fhir:displayName [ fhir:v "History of Present illness Narrative" ] ] ;
fhir:title [
fhir:xmlText [ fhir:v "History of Present Illness" ] ] ;
fhir:text "<div xmlns=\"http://www.w3.org/1999/xhtml\">No information</div>" ] ] [
fhir:section [
fhir:nullFlavor [ fhir:v "NI" ] ;
( fhir:templateId [
fhir:extension [ fhir:v "2015-08-01" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.10.20.22.2.3.1" ] ] ) ;
fhir:code [
fhir:code [ fhir:v "30954-2" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.1" ] ;
fhir:codeSystemName [ fhir:v "LOINC" ] ;
fhir:displayName [ fhir:v "RESULTS" ] ] ;
fhir:title [
fhir:xmlText [ fhir:v "RESULTS" ] ] ;
fhir:text "<div xmlns=\"http://www.w3.org/1999/xhtml\">No information</div>" ] ] [
fhir:section [
fhir:nullFlavor [ fhir:v "NI" ] ;
( fhir:templateId [
fhir:root [ fhir:v "2.16.840.1.113883.10.20.22.2.12" ] ] ) ;
fhir:code [
fhir:code [ fhir:v "29299-5" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.1" ] ;
fhir:codeSystemName [ fhir:v "LOINC" ] ;
fhir:displayName [ fhir:v "Reason for visit Narrative" ] ] ;
fhir:title [
fhir:xmlText [ fhir:v "Reason for Visit" ] ] ;
fhir:text "<div xmlns=\"http://www.w3.org/1999/xhtml\">No information</div>" ] ] [
fhir:section [
fhir:nullFlavor [ fhir:v "NI" ] ;
( fhir:templateId [
fhir:extension [ fhir:v "2015-08-01" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.10.20.2.10" ] ] ) ;
fhir:code [
fhir:code [ fhir:v "29545-1" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.1" ] ;
fhir:codeSystemName [ fhir:v "LOINC" ] ;
fhir:displayName [ fhir:v "Physical Findings" ] ] ;
fhir:title [
fhir:xmlText [ fhir:v "Physical Examination" ] ] ;
fhir:text "<div xmlns=\"http://www.w3.org/1999/xhtml\">No information</div>" ] ] ) ]
] . #
#*******************************************************
# CDA Body
#*******************************************************
#
IG © 2019+ Health Level Seven. Package hl7.cda.us.ccda#4.0.0-ballot based on FHIR 5.0.0. Generated 2024-11-21
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