Consolidated CDA (C-CDA)
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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

: Continuity Of Care Document Complete Header Example - TTL Representation

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@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:        Continuity of Care Document (CCD)
 
 Taken from C-CDA 2.1 example in companion guide

 Updated for C-CDA R3.0 with a focus on header elements
  - required/suggested sections are populated with nullFlavor="NI"
	  to demonstrate WHICH sections should be included, but they
		all contain "No information" as this is an example of the header
  
 ********************************************************
Disclaimer: The data in this sample file is not intended to represent real patients, people or clinical events. 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. Dates and times also may not coorelate well from a temporal perspective.
This sample is designed to be used in conjunction with the HL7 CDA® R2 IG: C-CDA Templates for Clinical Notes Companion Guide, Release 4.
 ********************************************************
 
#  *************** US REALM HEADER (V4) *************** 

 a fhir:ClinicalDocument ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:realmCode ( [
fhir:code [ fhir:v "US" ]
  ] ) ; # 
  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 "2.16.840.1.113883.10.20.22.1.2" ]
  ] ) ; #  CCD template ID
  fhir:id [
fhir:extension [ fhir:v "TT988" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.19.5.99999.1" ]
  ] ; #  Globally unique identifier for the document  
  fhir:code [
fhir:code [ fhir:v "34133-9" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.1" ] ;
fhir:codeSystemName [ fhir:v "LOINC" ] ;
fhir:displayName [ fhir:v "Summarization of Episode Note" ]
  ] ; # 
  fhir:title [
fhir:xmlText [ fhir:v "Patient Summary" ]
  ] ; #  Title of this document 
  fhir:effectiveTime [
fhir:value [ fhir:v "2023-05-01T11:45:59-05:00"^^xsd:dateTime ]
  ] ; # 
  fhir:confidentialityCode [
fhir:code [ fhir:v "N" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.5.25" ] ;
fhir:codeSystemName [ fhir:v "Confidentiality" ] ;
fhir:displayName [ fhir:v "normal" ]
  ] ; # 
  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 ]
  ] ; #  Version of this document 
  fhir:recordTarget ( [
fhir:patientRole [
      ( fhir:id [
fhir:extension [ fhir:v "444222222" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.4.1" ]       ] ) ;
      ( fhir:addr [
        ( fhir:use [ fhir:v "HP" ] ) ;
        ( fhir:item [
fhir:streetAddressLine [
fhir:xmlText [ fhir:v "2222 Home Street" ]           ] #  HP is \"primary home\" from codeSystem 2.16.840.1.113883.5.1119          ] [
fhir:city [
fhir:xmlText [ fhir:v "Beaverton" ]           ]         ] [
fhir:state [
fhir:xmlText [ fhir:v "MD" ]           ]         ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "21014" ]           ]         ] [
fhir:country [
fhir:xmlText [ fhir:v "US" ]           ]         ] )       ] ) ; #  Example Social Security Number using the actual SSN OID. ,  US is \"United States\" from ISO 3166-1 Country Codes: 1.0.3166.1 
      ( fhir:telecom [
        ( fhir:use [ fhir:v "HP" ] ) ;
fhir:value [ fhir:v "tel:+1(555)555-2003"^^xsd:anyURI ]       ] ) ;
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" ] )             ] ) #  The \"SP\" is \"Spouse\" from HL7 Code System EntityNamePartQualifier 2.16.840.1.113883.5.43            ] )         ] ) ;
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 "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" ]         ] ; #  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 "2079-2" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.238" ] ;
fhir:codeSystemName [ fhir:v "Race & Ethnicity - CDC" ] ;
fhir:displayName [ fhir:v "Native Hawaiian" ]         ] [
fhir:code [ fhir:v "1074-4" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.238" ] ;
fhir:codeSystemName [ fhir:v "Race & Ethnicity - CDC" ] ;
fhir:displayName [ fhir:v "Spanish American Indian" ]         ] ) ;
fhir:ethnicGroupCode [
fhir:code [ fhir:v "2135-2" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.238" ] ;
fhir:codeSystemName [ fhir:v "Race & Ethnicity - CDC" ] ;
fhir:displayName [ fhir:v "Hispanic or Latino" ]         ] ;
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 "MD" ]                 ]               ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "21014" ]                 ]               ] [
fhir:country [
fhir:xmlText [ fhir:v "US" ]                 ]               ] )             ]           ]         ] ; #  If a patient has a guardian, the guardian's information would be included here. , 		<guardian>\n					<code code=\"POWATT\" displayName=\"Power of Attorney\" codeSystem=\"2.16.840.1.113883.5.111\" codeSystemName=\"RoleCode\"\/>\n					<addr use=\"HP\">\n						<streetAddressLine>2222 Home Street<\/streetAddressLine>\n						<city>Beaverton<\/city>\n						<state>MD<\/state>\n						<postalCode>21014<\/postalCode>\n						<country>US<\/country>\n					<\/addr>\n					<telecom value=\"tel:+1(555)555-2016\" use=\"MC\"\/>\n					<guardianPerson>\n						<name>\n							<given>Boris<\/given>\n							<given qualifier=\"CL\">Bo<\/given>\n							<family>Betterhalf<\/family>\n						<\/name>\n					<\/guardianPerson>\n				<\/guardian>
        ( 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" ]           ] ; #  \"en\" is ISO 639-1 alpha-2 code for \"English\" 
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          ] )       ] ; #  HP is \"primary home\" from HL7 AddressUse 2.16.840.1.113883.5.1119 
fhir:providerOrganization [
        ( fhir:id [
fhir:extension [ fhir:v "219BX" ] ;
fhir:root [ fhir:v "1.1.1.1.1.1.1.1.2" ]         ] ) ;
        ( fhir:name [
          ( fhir:item [
fhir:xmlText [ fhir:v "The DoctorsTogether Physician Group" ]           ] )         ] ) ;
        ( fhir:telecom [
          ( fhir:use [ fhir:v "WP" ] ) ;
fhir:value [ fhir:v "tel:+(555)-555-5000"^^xsd:anyURI ]         ] ) ;
        ( fhir:addr [
          ( 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:templateId [
fhir:extension [ fhir:v "2019-10-01" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.10.20.22.5.6" ]     ] ) ;
fhir:time [
fhir:value [ fhir:v "2023-05-01T11:45:59-05:00"^^xsd:dateTime ]     ] ;
fhir:assignedAuthor [
      ( fhir:id [
fhir:extension [ fhir:v "5555555555" ] ;
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 "MD" ]           ]         ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "21014" ]           ]         ] [
fhir:country [
fhir:xmlText [ fhir:v "US" ]           ]         ] )       ] ) ;
      ( fhir:telecom [
        ( fhir:use [ fhir:v "WP" ] ) ;
fhir:value [ fhir:v "tel:+1(555)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 "Colon" ]             ] )           ] [
            ( fhir:suffix [
fhir:xmlText [ fhir:v "M.D." ] ;
              ( fhir:qualifier [ fhir:v "AC" ] )             ] )           ] )         ] )       ] ;
fhir:representedOrganization [
        ( fhir:id [
fhir:extension [ fhir:v "6555555556" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.4.6" ]         ] [
fhir:extension [ fhir:v "999-99-7777" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.4.2" ]         ] ) ;
        ( fhir:name [
          ( fhir:item [
fhir:xmlText [ fhir:v "Good Health Hospital System" ]           ] )         ] ) ;
        ( fhir:telecom [
          ( fhir:use [ fhir:v "WP" ] ) ;
fhir:value [ fhir:v "tel:+1(555)555-1000"^^xsd:anyURI ]         ] ) ;
        ( fhir:addr [
          ( fhir:item [
fhir:streetAddressLine [
fhir:xmlText [ fhir:v "101 Somewhere" ]             ]           ] [
fhir:city [
fhir:xmlText [ fhir:v "Portland" ]             ]           ] [
fhir:state [
fhir:xmlText [ fhir:v "MD" ]             ]           ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "21014" ]             ]           ] [
fhir:country [
fhir:xmlText [ fhir:v "USA" ]             ]           ] )         ] )       ]     ]
  ] [
fhir:time [
fhir:value [ fhir:v "2023-05-01T11:45:59-05:00"^^xsd:dateTime ]     ] ;
fhir:assignedAuthor [
      ( fhir:id [
fhir:extension [ fhir:v "8.3" ] ;
fhir:root [ fhir:v "1.2.840.114350.1.1" ]       ] ) ;
      ( fhir:addr [
        ( fhir:use [ fhir:v "WP" ] ) ;
        ( fhir:item [
fhir:streetAddressLine [
fhir:xmlText [ fhir:v "101 Somewhere" ]           ]         ] [
fhir:city [
fhir:xmlText [ fhir:v "Madison" ]           ]         ] [
fhir:state [
fhir:xmlText [ fhir:v "WI" ]           ]         ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "53558" ]           ]         ] [
fhir:country [
fhir:xmlText [ fhir:v "USA" ]           ]         ] )       ] ) ;
      ( fhir:telecom [
fhir:nullFlavor [ fhir:v "NA" ]       ] ) ;
fhir:assignedAuthoringDevice [
fhir:manufacturerModelName [
fhir:xmlText [ fhir:v "PMEHR - Version 8.3" ]         ] ;
fhir:softwareName [
fhir:xmlText [ fhir:v "PMEHR - Version 8.3" ]         ]       ] ;
fhir:representedOrganization [
        ( fhir:id [
fhir:extension [ fhir:v "6500" ] ;
fhir:root [ fhir:v "1.2.840.114350.1.13.6289.1.7.2.688879" ]         ] ) ;
        ( fhir:name [
          ( fhir:item [
fhir:xmlText [ fhir:v "Good Health Hospital System" ]           ] )         ] ) ;
        ( fhir:telecom [
          ( fhir:use [ fhir:v "WP" ] ) ;
fhir:value [ fhir:v "tel:+1(555)555-1000"^^xsd:anyURI ]         ] ) ;
        ( fhir:addr [
          ( fhir:item [
fhir:streetAddressLine [
fhir:xmlText [ fhir:v "101 Somewhere" ]             ]           ] [
fhir:city [
fhir:xmlText [ fhir:v "Portland" ]             ]           ] [
fhir:state [
fhir:xmlText [ fhir:v "MD" ]             ]           ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "21014" ]             ]           ] [
fhir:country [
fhir:xmlText [ fhir:v "USA" ]             ]           ] )         ] )       ]     ]
  ] ) ; #  The author represents the person who provides the content in the document   
  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 "MD" ]           ]         ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "21014" ]           ]         ] [
fhir:country [
fhir:xmlText [ fhir:v "US" ]           ]         ] )       ] ) ;
      ( fhir:telecom [
        ( fhir:use [ fhir:v "WP" ] ) ;
fhir:value [ fhir:v "tel:+1(555)555-1050"^^xsd:anyURI ]       ] ) ;
fhir:assignedPerson [
        ( fhir:name [
          ( fhir:item [
            ( fhir:given [
fhir:xmlText [ fhir:v "Ellen" ]             ] )           ] [
            ( fhir:family [
fhir:xmlText [ fhir:v "Enter" ]             ] )           ] )         ] )       ]     ]
  ] ; #  The dataEnterer transferred the content created by the author into the document 
  fhir:informant ( [
fhir:assignedEntity [
      ( fhir:id [
fhir:extension [ fhir:v "888888888" ] ;
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 "MD" ]           ]         ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "21014" ]           ]         ] [
fhir:country [
fhir:xmlText [ fhir:v "US" ]           ]         ] )       ] ) ;
      ( fhir:telecom [
        ( fhir:use [ fhir:v "WP" ] ) ;
fhir:value [ fhir:v "tel:+1(555)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 "M.D." ] ;
              ( fhir:qualifier [ fhir:v "AC" ] )             ] )           ] )         ] )       ] ;
fhir:representedOrganization [
        ( fhir:name [
          ( fhir:item [
fhir:xmlText [ fhir:v "The DoctorsApart Physician Group" ]           ] )         ] )       ]     ] #  A practitioner from another organization. 
  ] [
fhir:assignedEntity [
      ( fhir:id [
fhir:extension [ fhir:v "222223333" ] ;
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 "1025 Health Drive" ]           ]         ] [
fhir:city [
fhir:xmlText [ fhir:v "Portland" ]           ]         ] [
fhir:state [
fhir:xmlText [ fhir:v "MD" ]           ]         ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "21014" ]           ]         ] [
fhir:country [
fhir:xmlText [ fhir:v "US" ]           ]         ] )       ] ) ;
      ( fhir:telecom [
        ( fhir:use [ fhir:v "WP" ] ) ;
fhir:value [ fhir:v "tel:+1(555)555-1025"^^xsd:anyURI ]       ] ) ;
fhir:assignedPerson [
        ( fhir:name [
          ( fhir:item [
            ( fhir:given [
fhir:xmlText [ fhir:v "Ramsey" ]             ] )           ] [
            ( fhir:family [
fhir:xmlText [ fhir:v "Reaction" ]             ] )           ] [
            ( fhir:suffix [
fhir:xmlText [ fhir:v "M.D." ] ;
              ( fhir:qualifier [ fhir:v "AC" ] )             ] )           ] )         ] )       ] ;
fhir:representedOrganization [
        ( fhir:name [
          ( fhir:item [
fhir:xmlText [ fhir:v "The DoctorsApart Physician Group" ]           ] )         ] )       ]     ] #  A practitioner from another organization. 
  ] [
fhir:assignedEntity [
      ( fhir:id [
fhir:extension [ fhir:v "333444444" ] ;
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 "1017 Health Drive" ]           ]         ] [
fhir:city [
fhir:xmlText [ fhir:v "Portland" ]           ]         ] [
fhir:state [
fhir:xmlText [ fhir:v "MD" ]           ]         ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "21014" ]           ]         ] [
fhir:country [
fhir:xmlText [ fhir:v "US" ]           ]         ] )       ] ) ;
      ( fhir:telecom [
        ( fhir:use [ fhir:v "WP" ] ) ;
fhir:value [ fhir:v "tel:+1(555)555-1017"^^xsd:anyURI ]       ] ) ;
fhir:assignedPerson [
        ( fhir:name [
          ( fhir:item [
            ( fhir:given [
fhir:xmlText [ fhir:v "William" ]             ] )           ] [
            ( fhir:given [
fhir:xmlText [ fhir:v "Bill" ] ;
              ( fhir:qualifier [ fhir:v "CL" ] )             ] )           ] [
            ( fhir:family [
fhir:xmlText [ fhir:v "Beaker" ]             ] )           ] )         ] )       ] ;
fhir:representedOrganization [
        ( fhir:name [
          ( fhir:item [
fhir:xmlText [ fhir:v "Good Health Laboratory" ]           ] )         ] )       ]     ] #  A practitioner from another organization. 
  ] [
fhir:assignedEntity [
      ( fhir:id [
fhir:extension [ fhir:v "333222222" ] ;
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 "1016 Health Drive" ]           ]         ] [
fhir:city [
fhir:xmlText [ fhir:v "Portland" ]           ]         ] [
fhir:state [
fhir:xmlText [ fhir:v "MD" ]           ]         ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "21014" ]           ]         ] [
fhir:country [
fhir:xmlText [ fhir:v "US" ]           ]         ] )       ] ) ;
      ( fhir:telecom [
        ( fhir:use [ fhir:v "WP" ] ) ;
fhir:value [ fhir:v "tel:+1(555)555-1016"^^xsd:anyURI ]       ] ) ;
fhir:assignedPerson [
        ( fhir:name [
          ( fhir:item [
            ( fhir:given [
fhir:xmlText [ fhir:v "Susan" ]             ] )           ] [
            ( fhir:family [
fhir:xmlText [ fhir:v "Script" ]             ] )           ] [
            ( fhir:suffix [
fhir:xmlText [ fhir:v "Pharm.D." ] ;
              ( fhir:qualifier [ fhir:v "AC" ] )             ] )           ] )         ] )       ] ;
fhir:representedOrganization [
        ( fhir:name [
          ( fhir:item [
fhir:xmlText [ fhir:v "People's Pharmacy" ]           ] )         ] )       ]     ] #  A practitioner from another organization. 
  ] [
fhir:assignedEntity [
      ( fhir:id [
fhir:extension [ fhir:v "222334444" ] ;
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 "1027 Health Drive" ]           ]         ] [
fhir:city [
fhir:xmlText [ fhir:v "Portland" ]           ]         ] [
fhir:state [
fhir:xmlText [ fhir:v "MD" ]           ]         ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "21014" ]           ]         ] [
fhir:country [
fhir:xmlText [ fhir:v "US" ]           ]         ] )       ] ) ;
      ( fhir:telecom [
        ( fhir:use [ fhir:v "WP" ] ) ;
fhir:value [ fhir:v "tel:+1(555)555-1027"^^xsd:anyURI ]       ] ) ;
fhir:assignedPerson [
        ( fhir:name [
          ( fhir:item [
            ( fhir:given [
fhir:xmlText [ fhir:v "Patrick" ]             ] )           ] [
            ( fhir:family [
fhir:xmlText [ fhir:v "Pump" ]             ] )           ] [
            ( fhir:suffix [
fhir:xmlText [ fhir:v "M.D." ] ;
              ( fhir:qualifier [ fhir:v "AC" ] )             ] )           ] )         ] )       ] ;
fhir:representedOrganization [
        ( fhir:name [
          ( fhir:item [
fhir:xmlText [ fhir:v "The DoctorsApart Physician Group" ]           ] )         ] )       ]     ] #  A practitioner from another organization. 
  ] [
fhir:relatedEntity [
fhir:classCode [ fhir:v "PRS" ] ;
fhir:code [
fhir:code [ fhir:v "SPS" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.1.11.19563" ] ;
fhir:codeSystemName [ fhir:v "Personal Relationship Role Type Value Set" ] ;
fhir:displayName [ fhir:v "SPOUSE" ]       ] ; #  classCode \"PRS\" represents a person with personal relationship with the patient 
fhir:relatedPerson [
        ( 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" ]             ] )           ] )         ] )       ]     ] #  A related person. 
  ] ) ; #  The informant represents any sources of information for document content. ,  A number of examples are included to show how to represent different possible types of informants 
#		who may be involved with providing information used to create this documentation. 
  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 Hospital HIE" ]           ] )         ] ;
fhir:telecom [
          ( fhir:use [ fhir:v "WP" ] ) ;
fhir:value [ fhir:v "tel:+1(555)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 "MD" ]             ]           ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "21014" ]             ]           ] [
fhir:country [
fhir:xmlText [ fhir:v "US" ]             ]           ] )         ]       ]     ]
  ] ; #  The custodian represents the organization charged with maintaining the original source document 
  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" ]           ] )         ] )       ]     ]
  ] ) ; #  The informationRecipient represents the intended recipient of the document 
  fhir:legalAuthenticator [
fhir:time [
fhir:value [ fhir:v "2015-06-25T15:00:00-05:00"^^xsd:dateTime ]     ] ;
fhir:signatureCode [
fhir:code [ fhir:v "S" ]     ] ;
fhir:assignedEntity [
      ( fhir:id [
fhir:extension [ fhir:v "5555555555" ] ;
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 "MD" ]           ]         ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "21014" ]           ]         ] [
fhir:country [
fhir:xmlText [ fhir:v "US" ]           ]         ] )       ] ) ;
      ( fhir:telecom [
        ( fhir:use [ fhir:v "WP" ] ) ;
fhir:value [ fhir:v "tel:+1(555)555-1004"^^xsd:anyURI ]       ] ) ;
fhir:assignedPerson [
        ( fhir:name [
          ( fhir:item [
            ( fhir:given [
fhir:xmlText [ fhir:v "Wilma" ]             ] )           ] [
            ( fhir:family [
fhir:xmlText [ fhir:v "Colon" ]             ] )           ] [
            ( fhir:suffix [
fhir:xmlText [ fhir:v "M.D." ] ;
              ( fhir:qualifier [ fhir:v "AC" ] )             ] )           ] )         ] )       ]     ]
  ] ; #  The legalAuthenticator represents the individual who is responsible for the document 
  fhir:authenticator ( [
fhir:time [
fhir:value [ fhir:v "2015-06-25T15:00:00-05:00"^^xsd:dateTime ]     ] ;
fhir:signatureCode [
fhir:code [ fhir:v "S" ]     ] ;
fhir:assignedEntity [
      ( fhir:id [
fhir:extension [ fhir:v "5555555555" ] ;
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 "MD" ]           ]         ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "21014" ]           ]         ] [
fhir:country [
fhir:xmlText [ fhir:v "US" ]           ]         ] )       ] ) ;
      ( fhir:telecom [
        ( fhir:use [ fhir:v "WP" ] ) ;
fhir:value [ fhir:v "tel:+1(555)555-1004"^^xsd:anyURI ]       ] ) ;
fhir:assignedPerson [
        ( fhir:name [
          ( fhir:item [
            ( fhir:given [
fhir:xmlText [ fhir:v "Wilma" ]             ] )           ] [
            ( fhir:family [
fhir:xmlText [ fhir:v "Colon" ]             ] )           ] [
            ( fhir:suffix [
fhir:xmlText [ fhir:v "M.D." ] ;
              ( fhir:qualifier [ fhir:v "AC" ] )             ] )           ] )         ] )       ]     ]
  ] ) ; #  The authenticator represents the individual attesting to the accuracy of information in the document
  fhir:participant ( [
fhir:typeCode [ fhir:v "IND" ] ;
fhir:associatedEntity [
fhir:classCode [ fhir:v "NOK" ] ;
      ( 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 "MD" ]           ]         ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "21014" ]           ]         ] [
fhir:country [
fhir:xmlText [ fhir:v "US" ]           ]         ] )       ] ) ; #  classCode \"NOK\" represents the patient's next of kin
      ( fhir:telecom [
        ( fhir:use [ fhir:v "MC" ] ) ;
fhir:value [ fhir:v "tel:+1(555)555-2016"^^xsd:anyURI ]       ] ) ;
fhir:associatedPerson [
        ( 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" ]             ] )           ] )         ] )       ]     ] #  typeCode \"IND\" represents an individual 
  ] [
fhir:typeCode [ fhir:v "IND" ] ;
fhir:associatedEntity [
fhir:classCode [ fhir:v "ECON" ] ;
      ( 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 "MD" ]           ]         ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "21014" ]           ]         ] [
fhir:country [
fhir:xmlText [ fhir:v "US" ]           ]         ] )       ] ) ; #  classCode \"ECON\" represents an emergency contact 
      ( fhir:telecom [
        ( fhir:use [ fhir:v "MC" ] ) ;
fhir:value [ fhir:v "tel:+1(555)555-2016"^^xsd:anyURI ]       ] ) ;
fhir:associatedPerson [
        ( 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:typeCode [ fhir:v "IND" ] ;
    ( fhir:templateId [
fhir:extension [ fhir:v "2023-05-01" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.10.20.22.5.8" ]     ] ) ;
fhir:associatedEntity [
fhir:classCode [ fhir:v "PRS" ] ;
fhir:code [
fhir:code [ fhir:v "MTH" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.5.111" ]       ] ; #  This associatedEntity\/code represents the person's relationship to the patient (Personal And Legal Relationship Role Type Value Set) 
      ( 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" ]           ]         ] )       ] ) ; #  OPTIONAL ADDRESS 
      ( fhir:telecom [
        ( fhir:use [ fhir:v "MC" ] ) ;
fhir:value [ fhir:v "tel:+1(555)555-2008"^^xsd:anyURI ]       ] ) ; #  OPTIONAL TELECOM 
fhir:associatedPerson [
        ( 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" ]             ] )           ] )         ] ) #  SHALL REQUIRED US Realm Person Name Format        ]     ] #  This associatedEntity SHALL contain exactly one [1..1] @classCode=\"PRS\" Person (CodeSystem: HL7RoleCode urn:oid:2.16.840.1.113883.5.111) (CONF:4537-33076). 
  ] ) ; #  The participant represents supporting entities 
  fhir:documentationOf ( [
fhir:serviceEvent [
fhir:classCode [ fhir:v "PCPR" ] ;
fhir:effectiveTime [
fhir:low [
fhir:value [ fhir:v "1975-05-01"^^xsd:date ]         ] ;
fhir:high [
fhir:value [ fhir:v "2016-04-12"^^xsd:date ]         ] #  The low value represents when the summarized provision of care began. \n					In this scenario, the patient's date of birth        ] ; #  The effectiveTime reflects the provision of care summarized in the document. \n				In this scenario, the provision of care summarized is the lifetime for the patient ,  Note, that by limitting the scope of the document to only the most recent encounter\n			    The providers listed as performing care services would only include providers involved\n			    in that most recent encounter. ,  Best practive for including documentation of a patient's care team members is to \n				use the Care Teams Section. ,  The high value represents when the summarized provision of care being ended. \n					In this scenario, when chart summary was created 
      ( fhir:performer [
fhir:typeCode [ fhir:v "PRF" ] ;
fhir:functionCode [
fhir:code [ fhir:v "ATTPHYS" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.5.88" ] ;
fhir:codeSystemName [ fhir:v "ParticipationFunction" ] ;
fhir:displayName [ fhir:v "attending physician" ] ;
fhir:originalText [
fhir:xmlText [ fhir:v "Attending Physician" ]           ]         ] ;
fhir:assignedEntity [
fhir:classCode [ fhir:v "ASSIGNED" ] ;
          ( fhir:id [
fhir:extension [ fhir:v "811111111" ] ;
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:item [
fhir:streetAddressLine [
fhir:xmlText [ fhir:v "8333 Clairemont Mesa Blvd." ]               ]             ] [
fhir:city [
fhir:xmlText [ fhir:v "Bel Air" ]               ]             ] [
fhir:state [
fhir:xmlText [ fhir:v "MD" ]               ]             ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "21014" ]               ]             ] )           ] ) ;
          ( fhir:telecom [
            ( fhir:use [ fhir:v "WP" ] ) ;
fhir:value [ fhir:v "tel:+1-410-555-5544"^^xsd:anyURI ]           ] ) ;
fhir:assignedPerson [
            ( fhir:name [
              ( fhir:item [
                ( fhir:given [
fhir:xmlText [ fhir:v "Wilma" ]                 ] )               ] [
                ( fhir:family [
fhir:xmlText [ fhir:v "Colon" ]                 ] )               ] )             ] )           ] ;
fhir:representedOrganization [
fhir:classCode [ fhir:v "ORG" ] ;
            ( fhir:name [
              ( fhir:item [
fhir:xmlText [ fhir:v "Good Health Hospital" ]               ] )             ] ) ;
            ( fhir:telecom [
              ( fhir:use [ fhir:v "WP" ] ) ;
fhir:value [ fhir:v "tel:+1-410-555-5544"^^xsd:anyURI ]             ] ) ;
            ( fhir:addr [
              ( fhir:item [
fhir:streetAddressLine [
fhir:xmlText [ fhir:v "8333 Clairemont Mesa Blvd." ]                 ]               ] [
fhir:city [
fhir:xmlText [ fhir:v "Bel Air" ]                 ]               ] [
fhir:state [
fhir:xmlText [ fhir:v "MD" ]                 ]               ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "21014" ]                 ]               ] )             ] )           ]         ]       ] )     ]
  ] ) ; # 
  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 "2.16.840.1.113883.10.20.22.2.22.1" ]           ] ) ; #  *** Encounters section (entries required) (V3) *** 
fhir:code [
fhir:code [ fhir:v "46240-8" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.1" ] ;
fhir:codeSystemName [ fhir:v "LOINC" ] ;
fhir:displayName [ fhir:v "History of encounters" ]           ] ;
fhir:title [
fhir:xmlText [ fhir:v "ENCOUNTERS" ]           ] ;
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 "2.16.840.1.113883.10.20.22.2.17" ]           ] ) ; #   ** Social History Section (V3) ** 
fhir:code [
fhir:code [ fhir:v "29762-2" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.1" ] ;
fhir:codeSystemName [ fhir:v "LOINC" ] ;
fhir:displayName [ fhir:v "Social History" ]           ] ;
fhir:title [
fhir:xmlText [ fhir:v "SOCIAL HISTORY" ]           ] ;
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 "2.16.840.1.113883.10.20.22.2.6.1" ]           ] ) ; #  *** Allergies and Intolerances Section (entries required) (V3) *** 
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" ]           ] ) ; #   *** Problem Section (entries required) (V3) *** 
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" ]           ] ) ; #  *** Medications Section (entries required) (V2) *** 
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 "2015-08-01" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.10.20.22.2.3.1" ]           ] ) ; #  Results Section (entries required) (V3) 
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:extension [ fhir:v "2015-08-01" ] ;
fhir:root [ fhir:v "2.16.840.1.113883.10.20.22.2.4.1" ]           ] ) ; #  ** Vital Signs Section (entries required) (V3) ** 
fhir:code [
fhir:code [ fhir:v "8716-3" ] ;
fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.1" ] ;
fhir:codeSystemName [ fhir:v "LOINC" ] ;
fhir:displayName [ fhir:v "VITAL SIGNS" ]           ] ;
fhir:title [
fhir:xmlText [ fhir:v "VITAL SIGNS" ]           ] ;
fhir:text "<div xmlns=\"http://www.w3.org/1999/xhtml\">No information</div>"         ]       ] ) #  ******************** ENCOUNTERS ************************      ] #  All sections are set to nullFlavor \/ text = No information, \n            as this is a header example, not a complete body example 
  ] . #