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 -------------------------------------------------------------------
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" ]
] ) ; # US Realm Header Template
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 Chart Summary" ]
] ; # Title of the document
fhir:effectiveTime [
fhir:value [ fhir:v "2012-09-15T10:30:00-08:00"^^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 the 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 "OR" ] ] ] [
fhir:postalCode [
fhir:xmlText [ fhir:v "97867" ] ] ] [
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" ] ] ; # <sdtc:multipleBirthOrderNumber value=\"2\" \/>
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" ] ] ; # \"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:author ( [
fhir:time [
fhir:value [ fhir:v "2013-08-15T10:30:00-08:00"^^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 "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)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" ] ) ] ) ] ) ] ) ] ]
] ) ; # The author represents the person who provides the content in the document
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)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" ] ] ] ) ] ] ]
] ; # The custodian represents the organization charged with maintaining the original source document
fhir:informationRecipient ( [
fhir:intendedRecipient [
fhir:classCode [ fhir:v "ASSIGNED" ] ;
( fhir:addr [
( 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:component [
fhir:structuredBody [
( fhir:component [
fhir:section [ ] ] ) ]
] . #
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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