Consolidated CDA (C-CDA)
4.0.0-ballot - STU4 United States of America flag

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

: Progress Note Complete Header Example - JSON Representation

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// 
 Title:        Progress Note
 Based on:     C-CDA_R2_Progress_Note.xml

 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: This sample file contains representative data elements to represent a Progress 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.
 ********************************************************
 
{
  "resourceType" : "ClinicalDocument",
  "realmCode" : [
    //  ** CDA Header ** 
    {
      "code" : "US"
    }
  ],
  "typeId" : {
    "extension" : "POCD_HD000040",
    "root" : "2.16.840.1.113883.1.3"
  },
  "templateId" : [
    //  US General Header Template 
    {
      "extension" : "2024-05-01",
      "root" : "2.16.840.1.113883.10.20.22.1.1"
    },
    {
      "extension" : "2024-05-01",
      "root" : "2.16.840.1.113883.10.20.22.1.9"
    }
  ],
  "id" : //  Progress Note Template  
  {
    "extension" : "999022",
    "root" : "2.16.840.1.113883.19"
  },
  "sdtcCategory" : [
    {
      "code" : "11506-3",
      "codeSystem" : "2.16.840.1.113883.6.1",
      "displayName" : "Progress note"
    }
  ],
  "code" : {
    "code" : "11506-3",
    "codeSystem" : "2.16.840.1.113883.6.1",
    "codeSystemName" : "LOINC",
    "displayName" : "Progress note"
  },
  "title" : {
    "xmlText" : "Progress Note"
  },
  "effectiveTime" : {
    "value" : "2005-03-29T17:15:04-05:00"
  },
  "confidentialityCode" : {
    "code" : "N",
    "codeSystem" : "2.16.840.1.113883.5.25"
  },
  "languageCode" : {
    "code" : "en-US"
  },
  "setId" : {
    "extension" : "111199021",
    "root" : "2.16.840.1.113883.19"
  },
  "versionNumber" : {
    "value" : 1
  },
  "recordTarget" : [
    {
      "patientRole" : {
        "id" : [
          //  Fake ID using HL7 example OID. 
          {
            "extension" : "12345",
            "root" : "2.16.840.1.113883.19"
          },
          {
            "extension" : "111-00-1234",
            "root" : "2.16.840.1.113883.4.1"
          }
        ],
        "addr" : [
          //  Fake Social Security Number using the actual SSN OID. 
          //  HP is "primary home" from codeSystem 2.16.840.1.113883.5.1119 
          {
            "use" : [
              "HP"
            ],
            "item" : [
              {
                "streetAddressLine" : {
                  "xmlText" : "17 Daws Rd."
                }
              },
              {
                "city" : {
                  "xmlText" : "Blue Bell"
                }
              },
              {
                "state" : {
                  "xmlText" : "MA"
                }
              },
              {
                "postalCode" : {
                  "xmlText" : "02368"
                }
              },
              {
                "country" : //  US is "United States" from ISO 3166-1 Country Codes: 1.0.3166.1 
                {
                  "xmlText" : "US"
                }
              }
            ]
          }
        ],
        "telecom" : [
          {
            "use" : [
              "HP"
            ],
            "value" : "tel:(781)555-1212"
          }
        ],
        "patient" : //  HP is "primary home" from HL7 AddressUse 2.16.840.1.113883.5.1119 
        {
          "name" : [
            {
              "use" : [
                "L"
              ],
              "item" : [
                {
                  "prefix" : [
                    //  L is "Legal" from HL7 EntityNameUse 2.16.840.1.113883.5.45 
                    {
                      "xmlText" : "Mr."
                    }
                  ]
                },
                {
                  "given" : [
                    {
                      "xmlText" : "Adam"
                    }
                  ]
                },
                {
                  "given" : [
                    {
                      "xmlText" : "Frankie",
                      "qualifier" : [
                        "CL"
                      ]
                    }
                  ]
                },
                {
                  "family" : [
                    //  CL is "Call me" from HL7 EntityNamePartQualifier 2.16.840.1.113883.5.43 
                    {
                      "xmlText" : "Everyman"
                    }
                  ]
                }
              ]
            }
          ],
          "administrativeGenderCode" : {
            "code" : "M",
            "codeSystem" : "2.16.840.1.113883.5.1",
            "displayName" : "Male"
          },
          "birthTime" : {
            "value" : "1954-11-25"
          },
          "maritalStatusCode" : {
            "code" : "M",
            "codeSystem" : "2.16.840.1.113883.5.2",
            "codeSystemName" : "MaritalStatusCode",
            "displayName" : "Married"
          },
          "religiousAffiliationCode" : {
            "code" : "1013",
            "codeSystem" : "2.16.840.1.113883.5.1076",
            "codeSystemName" : "HL7 Religious Affiliation",
            "displayName" : "Christian (non-Catholic, non-specific)"
          },
          "raceCode" : {
            "code" : "2106-3",
            "codeSystem" : "2.16.840.1.113883.6.238",
            "codeSystemName" : "Race & Ethnicity - CDC",
            "displayName" : "White"
          },
          "ethnicGroupCode" : {
            "code" : "2186-5",
            "codeSystem" : "2.16.840.1.113883.6.238",
            "codeSystemName" : "Race & Ethnicity - CDC",
            "displayName" : "Not Hispanic or Latino"
          },
          "guardian" : [
            {
              "code" : {
                "code" : "GRFTH",
                "codeSystem" : "2.16.840.1.113883.5.111",
                "codeSystemName" : "HL7 Role code",
                "displayName" : "Grandfather"
              },
              "addr" : [
                //  US is "United States" from ISO 3166-1 Country Codes: 1.0.3166.1 
                {
                  "use" : [
                    "HP"
                  ],
                  "item" : [
                    {
                      "streetAddressLine" : //  HP is "primary home" from codeSystem 2.16.840.1.113883.5.1119 
                      {
                        "xmlText" : "17 Daws Rd."
                      }
                    },
                    {
                      "city" : {
                        "xmlText" : "Blue Bell"
                      }
                    },
                    {
                      "state" : {
                        "xmlText" : "MA"
                      }
                    },
                    {
                      "postalCode" : {
                        "xmlText" : "02368"
                      }
                    },
                    {
                      "country" : {
                        "xmlText" : "US"
                      }
                    }
                  ]
                }
              ],
              "telecom" : [
                {
                  "use" : [
                    "HP"
                  ],
                  "value" : "tel:(781)555-1212"
                }
              ],
              "guardianPerson" : {
                "name" : [
                  {
                    "item" : [
                      {
                        "given" : [
                          {
                            "xmlText" : "Ralph"
                          }
                        ]
                      },
                      {
                        "family" : [
                          {
                            "xmlText" : "Relative"
                          }
                        ]
                      }
                    ]
                  }
                ]
              }
            }
          ],
          "birthplace" : {
            "place" : {
              "addr" : {
                "item" : [
                  {
                    "state" : {
                      "xmlText" : "MA"
                    }
                  },
                  {
                    "postalCode" : {
                      "xmlText" : "02368"
                    }
                  },
                  {
                    "country" : {
                      "xmlText" : "USA"
                    }
                  }
                ]
              }
            }
          },
          "languageCommunication" : [
            {
              "languageCode" : {
                "code" : "fr-CN"
              },
              "modeCode" : {
                "code" : "RWR",
                "codeSystem" : "2.16.840.1.113883.5.60",
                "codeSystemName" : "LanguageAbilityMode",
                "displayName" : "Received Written"
              },
              "preferenceInd" : {
                "value" : true
              }
            }
          ]
        },
        "providerOrganization" : {
          "id" : [
            //  Organizations SHOULD have an NPI; this is a real root; fake extension 
            {
              "extension" : "111122223333",
              "root" : "2.16.840.1.113883.4.6"
            }
          ],
          "name" : [
            {
              "item" : [
                {
                  "xmlText" : "Good Health Clinic"
                }
              ]
            }
          ],
          "telecom" : [
            {
              "use" : [
                "WP"
              ],
              "value" : "tel:(781)555-1212"
            }
          ],
          "addr" : [
            {
              "use" : [
                "WP"
              ],
              "item" : [
                {
                  "streetAddressLine" : {
                    "xmlText" : "21 North Ave"
                  }
                },
                {
                  "city" : {
                    "xmlText" : "Burlington"
                  }
                },
                {
                  "state" : {
                    "xmlText" : "MA"
                  }
                },
                {
                  "postalCode" : {
                    "xmlText" : "02368"
                  }
                },
                {
                  "country" : {
                    "xmlText" : "USA"
                  }
                }
              ]
            }
          ]
        }
      }
    }
  ],
  "author" : [
    {
      "time" : {
        "value" : "2005-03-29T22:44:11+05:00"
      },
      "assignedAuthor" : {
        "id" : [
          {
            "extension" : "999999999",
            "root" : "2.16.840.1.113883.4.6"
          }
        ],
        "code" : {
          "code" : "200000000X",
          "codeSystem" : "2.16.840.1.113883.6.101",
          "displayName" : "Allopathic & Osteopathic Physicians"
        },
        "addr" : [
          {
            "use" : [
              "WP"
            ],
            "item" : [
              {
                "streetAddressLine" : {
                  "xmlText" : "21 North Ave."
                }
              },
              {
                "city" : {
                  "xmlText" : "Burlington"
                }
              },
              {
                "state" : {
                  "xmlText" : "MA"
                }
              },
              {
                "postalCode" : {
                  "xmlText" : "02368"
                }
              },
              {
                "country" : {
                  "xmlText" : "USA"
                }
              }
            ]
          }
        ],
        "telecom" : [
          {
            "use" : [
              "WP"
            ],
            "value" : "tel:(555)555-1003"
          }
        ],
        "assignedPerson" : {
          "name" : [
            {
              "item" : [
                {
                  "given" : [
                    {
                      "xmlText" : "Henry"
                    }
                  ]
                },
                {
                  "family" : [
                    {
                      "xmlText" : "Seven"
                    }
                  ]
                }
              ]
            }
          ]
        }
      }
    }
  ],
  "dataEnterer" : {
    "assignedEntity" : {
      "id" : [
        {
          "extension" : "999999999",
          "root" : "2.16.840.1.113883.4.6"
        }
      ],
      "addr" : [
        {
          "use" : [
            "WP"
          ],
          "item" : [
            {
              "streetAddressLine" : {
                "xmlText" : "21 North Ave."
              }
            },
            {
              "city" : {
                "xmlText" : "Burlington"
              }
            },
            {
              "state" : {
                "xmlText" : "MA"
              }
            },
            {
              "postalCode" : {
                "xmlText" : "02368"
              }
            },
            {
              "country" : {
                "xmlText" : "USA"
              }
            }
          ]
        }
      ],
      "telecom" : [
        {
          "use" : [
            "WP"
          ],
          "value" : "tel:(555)555-1003"
        }
      ],
      "assignedPerson" : {
        "name" : [
          {
            "item" : [
              {
                "given" : [
                  {
                    "xmlText" : "Henry"
                  }
                ]
              },
              {
                "family" : [
                  {
                    "xmlText" : "Seven"
                  }
                ]
              }
            ]
          }
        ]
      }
    }
  },
  "informant" : [
    {
      "assignedEntity" : {
        "id" : [
          {
            "extension" : "999999999",
            "root" : "2.16.840.1.113883.4.6"
          }
        ],
        "addr" : [
          {
            "use" : [
              "WP"
            ],
            "item" : [
              {
                "streetAddressLine" : {
                  "xmlText" : "21 North Ave."
                }
              },
              {
                "city" : {
                  "xmlText" : "Burlington"
                }
              },
              {
                "state" : {
                  "xmlText" : "MA"
                }
              },
              {
                "postalCode" : {
                  "xmlText" : "02368"
                }
              },
              {
                "country" : {
                  "xmlText" : "USA"
                }
              }
            ]
          }
        ],
        "telecom" : [
          {
            "value" : "tel:(555)555-1003"
          }
        ],
        "assignedPerson" : {
          "name" : [
            {
              "item" : [
                {
                  "given" : [
                    {
                      "xmlText" : "Henry"
                    }
                  ]
                },
                {
                  "family" : [
                    {
                      "xmlText" : "Seven"
                    }
                  ]
                }
              ]
            }
          ]
        }
      }
    },
    {
      "relatedEntity" : {
        "classCode" : "PRS",
        "code" : //  classCode PRS represents a person with personal relationship with the patient. 
        {
          "code" : "SPS",
          "codeSystem" : "2.16.840.1.113883.1.11.19563",
          "codeSystemName" : "Personal Relationship Role Type Value Set",
          "displayName" : "SPOUSE"
        },
        "relatedPerson" : {
          "name" : [
            {
              "item" : [
                {
                  "given" : [
                    {
                      "xmlText" : "Rose"
                    }
                  ]
                },
                {
                  "family" : [
                    {
                      "xmlText" : "Everyman"
                    }
                  ]
                }
              ]
            }
          ]
        }
      }
    }
  ],
  "custodian" : {
    "assignedCustodian" : {
      "representedCustodianOrganization" : {
        "id" : [
          {
            "extension" : "444444444",
            "root" : "2.16.840.1.113883.4.6"
          }
        ],
        "name" : {
          "item" : [
            {
              "xmlText" : "Good Health Clinic"
            }
          ]
        },
        "telecom" : {
          "use" : [
            "WP"
          ],
          "value" : "tel:(555)555-1212"
        },
        "addr" : {
          "use" : [
            "WP"
          ],
          "item" : [
            {
              "streetAddressLine" : {
                "xmlText" : "17 Daws Rd."
              }
            },
            {
              "city" : {
                "xmlText" : "Blue Bell"
              }
            },
            {
              "state" : {
                "xmlText" : "MA"
              }
            },
            {
              "postalCode" : {
                "xmlText" : "02368"
              }
            },
            {
              "country" : {
                "xmlText" : "USA"
              }
            }
          ]
        }
      }
    }
  },
  "informationRecipient" : [
    {
      "intendedRecipient" : {
        "informationRecipient" : {
          "name" : [
            {
              "item" : [
                {
                  "given" : [
                    {
                      "xmlText" : "Henry"
                    }
                  ]
                },
                {
                  "family" : [
                    {
                      "xmlText" : "Seven"
                    }
                  ]
                }
              ]
            }
          ]
        },
        "receivedOrganization" : {
          "name" : [
            {
              "item" : [
                {
                  "xmlText" : "Good Health Clinic"
                }
              ]
            }
          ]
        }
      }
    }
  ],
  "legalAuthenticator" : {
    "time" : {
      "value" : "2005-03-29T22:44:11+05:00"
    },
    "signatureCode" : {
      "code" : "S"
    },
    "assignedEntity" : {
      "id" : [
        {
          "extension" : "444444444",
          "root" : "2.16.840.1.113883.4.6"
        }
      ],
      "addr" : [
        {
          "use" : [
            "WP"
          ],
          "item" : [
            {
              "streetAddressLine" : {
                "xmlText" : "21 North Ave."
              }
            },
            {
              "city" : {
                "xmlText" : "Burlington"
              }
            },
            {
              "state" : {
                "xmlText" : "MA"
              }
            },
            {
              "postalCode" : {
                "xmlText" : "02368"
              }
            },
            {
              "country" : {
                "xmlText" : "USA"
              }
            }
          ]
        }
      ],
      "telecom" : [
        {
          "use" : [
            "WP"
          ],
          "value" : "tel:(555)555-1003"
        }
      ],
      "assignedPerson" : {
        "name" : [
          {
            "item" : [
              {
                "given" : [
                  {
                    "xmlText" : "Henry"
                  }
                ]
              },
              {
                "family" : [
                  {
                    "xmlText" : "Seven"
                  }
                ]
              }
            ]
          }
        ]
      }
    }
  },
  "authenticator" : [
    {
      "time" : {
        "value" : "2005-03-29T22:44:11+05:00"
      },
      "signatureCode" : {
        "code" : "S"
      },
      "assignedEntity" : {
        "id" : [
          {
            "extension" : "444444444",
            "root" : "2.16.840.1.113883.4.6"
          }
        ],
        "addr" : [
          {
            "use" : [
              "WP"
            ],
            "item" : [
              {
                "streetAddressLine" : {
                  "xmlText" : "21 North Ave."
                }
              },
              {
                "city" : {
                  "xmlText" : "Burlington"
                }
              },
              {
                "state" : {
                  "xmlText" : "MA"
                }
              },
              {
                "postalCode" : {
                  "xmlText" : "02368"
                }
              },
              {
                "country" : {
                  "xmlText" : "USA"
                }
              }
            ]
          }
        ],
        "telecom" : [
          {
            "use" : [
              "WP"
            ],
            "value" : "tel:(555)555-1003"
          }
        ],
        "assignedPerson" : {
          "name" : [
            {
              "item" : [
                {
                  "given" : [
                    {
                      "xmlText" : "Henry"
                    }
                  ]
                },
                {
                  "family" : [
                    {
                      "xmlText" : "Seven"
                    }
                  ]
                }
              ]
            }
          ]
        }
      }
    }
  ],
  "participant" : [
    {
      "typeCode" : "IND",
      "associatedEntity" : {
        "classCode" : "NOK",
        "code" : {
          "code" : "MTH",
          "codeSystem" : "2.16.840.1.113883.5.111"
        },
        "addr" : [
          {
            "use" : [
              "WP"
            ],
            "item" : [
              {
                "streetAddressLine" : {
                  "xmlText" : "17 Daws Rd."
                }
              },
              {
                "city" : {
                  "xmlText" : "Blue Bell"
                }
              },
              {
                "state" : {
                  "xmlText" : "MA"
                }
              },
              {
                "postalCode" : {
                  "xmlText" : "02368"
                }
              },
              {
                "country" : {
                  "xmlText" : "USA"
                }
              }
            ]
          }
        ],
        "telecom" : [
          {
            "use" : [
              "WP"
            ],
            "value" : "tel:(999)555-1212"
          }
        ],
        "associatedPerson" : {
          "name" : [
            {
              "item" : [
                {
                  "prefix" : [
                    {
                      "xmlText" : "Mrs."
                    }
                  ]
                },
                {
                  "given" : [
                    {
                      "xmlText" : "Abigail"
                    }
                  ]
                },
                {
                  "family" : [
                    {
                      "xmlText" : "Ruth"
                    }
                  ]
                }
              ]
            }
          ]
        }
      }
    }
  ],
  "inFulfillmentOf" : [
    {
      "typeCode" : "FLFS",
      "order" : {
        "classCode" : "ACT",
        "moodCode" : "RQO",
        "id" : [
          {
            "extension" : "12345-67890",
            "root" : "2.16.840.1.113883.19"
          }
        ]
      }
    }
  ],
  "documentationOf" : [
    {
      "typeCode" : "DOC",
      "serviceEvent" : {
        "classCode" : "PCPR",
        "templateId" : [
          {
            "root" : "2.16.840.1.113883.10.20.21.3.1"
          }
        ],
        "effectiveTime" : {
          "low" : {
            "value" : "2010-06-01T10:35:00-05:00"
          },
          "high" : {
            "value" : "2010-09-15T22:00:00-05:00"
          }
        },
        "performer" : [
          {
            "typeCode" : "PRF",
            "functionCode" : {
              "code" : "PCP",
              "codeSystem" : "2.16.840.1.113883.5.88",
              "codeSystemName" : "ParticipationFunction",
              "displayName" : "Primary Care Provider",
              "originalText" : {
                "xmlText" : "Primary Care Provider"
              }
            },
            "time" : {
              "low" : {
                "value" : "2002-07-16T10:35:00-05:00"
              },
              "high" : {
                "value" : "2007-09-15T22:00:00-05:00"
              }
            },
            "assignedEntity" : {
              "id" : [
                {
                  "extension" : "555555555",
                  "root" : "2.16.840.1.113883.4.6"
                }
              ],
              "code" : {
                "code" : "207R00000X",
                "codeSystem" : "2.16.840.1.113883.6.101",
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              ],
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                  "use" : [
                    "HP"
                  ],
                  "value" : "tel:+1-301-975-3251"
                }
              ],
              "assignedPerson" : {
                "name" : [
                  {
                    "item" : [
                      {
                        "prefix" : [
                          {
                            "xmlText" : "Dr."
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                        ]
                      },
                      {
                        "given" : [
                          {
                            "xmlText" : "Pseudo"
                          }
                        ]
                      },
                      {
                        "family" : [
                          {
                            "xmlText" : "Physician-1"
                          }
                        ]
                      }
                    ]
                  }
                ]
              },
              "representedOrganization" : {
                "id" : [
                  {
                    "root" : "2.16.840.1.113883.3.72.5"
                  }
                ],
                "name" : [
                  {
                    "item" : [
                      {
                        "xmlText" : "NIST HL7 Test Laboratory"
                      }
                    ]
                  }
                ],
                "telecom" : [
                  {
                    "nullFlavor" : "UNK"
                  }
                ],
                "addr" : [
                  {
                    "nullFlavor" : "UNK"
                  }
                ]
              }
            }
          },
          {
            "typeCode" : "PRF",
            "functionCode" : {
              "code" : "PP",
              "codeSystem" : "2.16.840.1.113883.12.443",
              "codeSystemName" : "Provider Role",
              "displayName" : "Primary Care Provider",
              "originalText" : {
                "xmlText" : "Primary Care Provider"
              }
            },
            "time" : {
              "low" : {
                "value" : "2002-07-16T10:35:00-05:00"
              },
              "high" : {
                "value" : "2007-09-15T22:00:00-05:00"
              }
            },
            "assignedEntity" : {
              "id" : [
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                  "extension" : "666666666",
                  "root" : "2.16.840.1.113883.4.6"
                },
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                  "extension" : "PseudoMD-3",
                  "root" : "2.16.840.1.113883.19"
                }
              ],
              "code" : {
                "code" : "207R00000X",
                "codeSystem" : "2.16.840.1.113883.6.101",
                "displayName" : "Internal Medicine Physician"
              },
              "addr" : [
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              ],
              "telecom" : [
                {
                  "use" : [
                    "HP"
                  ],
                  "value" : "tel:+1-301-975-3251"
                }
              ],
              "assignedPerson" : {
                "name" : [
                  {
                    "item" : [
                      {
                        "prefix" : [
                          {
                            "xmlText" : "Dr."
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                      },
                      {
                        "given" : [
                          {
                            "xmlText" : "Pseudo"
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                        ]
                      },
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                        "family" : [
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                            "xmlText" : "Physician-3"
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                        ]
                      }
                    ]
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                ]
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                "id" : [
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                "name" : [
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                    "item" : [
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                        "xmlText" : "HL7 Test Laboratory"
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                  }
                ],
                "telecom" : [
                  {
                    "nullFlavor" : "UNK"
                  }
                ],
                "addr" : [
                  {
                    "nullFlavor" : "UNK"
                  }
                ]
              }
            }
          }
        ]
      }
    }
  ],
  "componentOf" : {
    "encompassingEncounter" : {
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          "extension" : "9937012",
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        }
      ],
      "code" : {
        "code" : "99213",
        "codeSystem" : "2.16.840.1.113883.6.12",
        "codeSystemName" : "CPT-4"
      },
      "effectiveTime" : {
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        },
        "high" : {
          "value" : "2005-03-29T22:00:00-05:00"
        }
      },
      "location" : {
        "healthCareFacility" : {
          "id" : [
            {
              "root" : "2.16.540.1.113883.19.2"
            }
          ]
        }
      }
    }
  },
  "component" : {
    "structuredBody" : //  All sections are set to nullFlavor / text = No information, 
        as this is a header example, not a complete body example 
    {
      "component" : [
        //  Assessment & Plan (or Assessment Section + Plan Section 
        {
          "section" : {
            "nullFlavor" : "NI",
            "templateId" : [
              {
                "extension" : "2014-06-09",
                "root" : "2.16.840.1.113883.10.20.22.2.9"
              }
            ],
            "code" : {
              "code" : "51847-2",
              "codeSystem" : "2.16.840.1.113883.6.1",
              "codeSystemName" : "LOINC",
              "displayName" : "Evaluation + Plan note"
            },
            "title" : {
              "xmlText" : "ASSESSMENT AND PLAN"
            },
            "text" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">No information</div>"
          }
        },
        {
          "section" : {
            "templateId" : [
              //  Notes Section 
              {
                "extension" : "2016-11-01",
                "root" : "2.16.840.1.113883.10.20.22.2.65"
              }
            ],
            "code" : {
              "code" : "11488-4",
              "codeSystem" : "2.16.840.1.113883.6.1",
              "codeSystemName" : "LOINC",
              "displayName" : "Consult note"
            },
            "title" : {
              "xmlText" : "Consultation Notes"
            },
            "text" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li id=\"ConsultNote1\"><p>Dr. Specialist - September 8, 2016</p><p>Evaluated patient due to symptoms of...</p></li></ul></div>",
            "entry" : [
              //  Note Activity entry 
              {
                "act" : {
                  "classCode" : "ACT",
                  "moodCode" : "EVN",
                  "templateId" : [
                    {
                      "extension" : "2016-11-01",
                      "root" : "2.16.840.1.113883.10.20.22.4.202"
                    }
                  ],
                  "code" : {
                    "code" : "34109-9",
                    "codeSystem" : "2.16.840.1.113883.6.1",
                    "codeSystemName" : "LOINC",
                    "displayName" : "Note",
                    "translation" : [
                      {
                        "code" : "28570-0",
                        "codeSystem" : "2.16.840.1.113883.6.1",
                        "codeSystemName" : "LOINC",
                        "displayName" : "Procedure note"
                      }
                    ]
                  },
                  "text" : {
                    "reference" : {
                      "value" : "#ProcedureNote1"
                    }
                  },
                  "statusCode" : {
                    "code" : "completed"
                  },
                  "effectiveTime" : //  Clinically-relevant time of the note 
                  {
                    "value" : "2014-02-03"
                  },
                  "author" : [
                    //  Author Participation 
                    {
                      "templateId" : [
                        {
                          "root" : "2.16.840.1.113883.10.20.22.4.119"
                        }
                      ],
                      "time" : //  Time note was actually written 
                      {
                        "value" : "2014-02-04T08:32:15-05:00"
                      },
                      "assignedAuthor" : {
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                          {
                            "root" : "20cf14fb-b65c-4c8c-a54d-b0cca834c18c"
                          }
                        ],
                        "addr" : [
                          {
                            "use" : [
                              "WP"
                            ],
                            "item" : [
                              {
                                "streetAddressLine" : {
                                  "xmlText" : "1001 Hospital Lane"
                                }
                              },
                              {
                                "city" : {
                                  "xmlText" : "Ann Arbor"
                                }
                              },
                              {
                                "state" : {
                                  "xmlText" : "MI"
                                }
                              },
                              {
                                "postalCode" : {
                                  "xmlText" : "99999"
                                }
                              },
                              {
                                "country" : {
                                  "xmlText" : "US"
                                }
                              }
                            ]
                          }
                        ],
                        "telecom" : [
                          {
                            "value" : "tel:(999)555-1212"
                          }
                        ],
                        "assignedPerson" : {
                          "name" : [
                            {
                              "item" : [
                                {
                                  "xmlText" : "Dr. Physician"
                                }
                              ]
                            }
                          ]
                        }
                      }
                    }
                  ]
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            ]
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      ]
    }
  }
}