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: Discharge Summary Based on: C-CDA_R2_Discharge_Summary.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 Discharge Summary. 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 "2.16.840.1.113883.10.20.22.1.8" ] ] ) ; # US General Header 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 "18842-5" ] ; fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.1" ] ; fhir:displayName [ fhir:v "Discharge summary" ] ] ) ; # fhir:code [ fhir:code [ fhir:v "18842-5" ] ; fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.1" ] ; fhir:codeSystemName [ fhir:v "LOINC" ] ; fhir:displayName [ fhir:v "Discharge summary" ] ] ; # fhir:title [ fhir:xmlText [ fhir:v "Community Health and Hospitals: Discharge Summary" ] ] ; # fhir:effectiveTime [ fhir:value [ fhir:v "2014-09-17T19:04:00+05:00"^^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 "998991" ] ; fhir:root [ fhir:v "2.16.840.1.113883.19.5.99999.2" ] ] [ fhir:extension [ fhir:v "111-00-2330" ] ; 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 "1357 Amber Drive" ] ] # 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" ] ] ] ) ] ) ; # Fake 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:(816)276-6909"^^xsd:anyURI ] ] ) ; fhir:patient [ ( fhir:name [ ( fhir:use [ fhir:v "L" ] ) ; ( fhir:item [ ( fhir:given [ fhir:xmlText [ fhir:v "Isabella" ] ] ) # L is \"Legal\" from HL7 EntityNameUse 2.16.840.1.113883.5.45 ] [ ( fhir:family [ fhir:xmlText [ fhir:v "Jones" ] ] ) ] ) ] ) ; fhir:administrativeGenderCode [ fhir:code [ fhir:v "F" ] ; fhir:codeSystem [ fhir:v "2.16.840.1.113883.5.1" ] ; fhir:displayName [ fhir:v "Female" ] ] ; fhir:birthTime [ fhir:value [ fhir:v "2005-05-01"^^xsd:date ] ] ; 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 "2028-9" ] ; fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.238" ] ; fhir:codeSystemName [ fhir:v "Race & Ethnicity - CDC" ] ; fhir:displayName [ fhir:v "Asian" ] ] ; 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 "GRPRN" ] ; fhir:codeSystem [ fhir:v "2.16.840.1.113883.5.111" ] ; fhir:codeSystemName [ fhir:v "HL7 Role code" ] ; fhir:displayName [ fhir:v "Grandparent" ] ] ; ( fhir:addr [ ( fhir:use [ fhir:v "HP" ] ) ; ( fhir:item [ fhir:streetAddressLine [ fhir:xmlText [ fhir:v "1357 Amber Drive" ] ] # 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" ] ] ] ) ] ) ; # 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:(816)276-6909"^^xsd:anyURI ] ] ) ; fhir:guardianPerson [ ( fhir:name [ ( fhir:item [ ( fhir:given [ fhir:xmlText [ fhir:v "Ralph" ] ] ) ] [ ( fhir:family [ fhir:xmlText [ fhir:v "Jones" ] ] ) ] ) ] ) ] ] ) ; fhir:birthplace [ fhir:place [ fhir:addr [ ( fhir:item [ 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 ] ] ] ) ] ; # HP is \"primary home\" from HL7 AddressUse 2.16.840.1.113883.5.1119 fhir:providerOrganization [ ( fhir:id [ fhir:root [ fhir:v "2.16.840.1.113883.19.5.9999.1393" ] ] ) ; ( fhir:name [ ( fhir:item [ fhir:xmlText [ fhir:v "Community Health and Hospitals" ] ] ) ] ) ; ( fhir:telecom [ ( fhir:use [ fhir:v "WP" ] ) ; fhir:value [ fhir:v "tel:555-555-5000"^^xsd:anyURI ] ] ) ; ( fhir:addr [ ( fhir:use [ fhir:v "WP" ] ) ; ( fhir:item [ fhir:streetAddressLine [ fhir:xmlText [ fhir:v "1001 Village Avenue" ] ] ] [ 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 "2014-09-17T19:04:00+05:00"^^xsd:dateTime ] ] ; fhir:assignedAuthor [ ( 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 "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:555-555-1002"^^xsd:anyURI ] ] ) ; fhir:assignedPerson [ ( fhir:name [ ( fhir:item [ ( fhir:given [ fhir:xmlText [ fhir:v "Henry" ] ] ) ] [ ( fhir:family [ fhir:xmlText [ fhir:v "Seven" ] ] ) ] ) ] ) ] ] ] [ fhir:time [ fhir:value [ fhir:v "2014-09-17T19:04:00+05:00"^^xsd:dateTime ] ] ; fhir:assignedAuthor [ ( fhir:id [ fhir:nullFlavor [ fhir:v "NI" ] ] ) ; ( fhir:addr [ ( fhir:use [ fhir:v "WP" ] ) ; ( fhir:item [ fhir:streetAddressLine [ fhir:xmlText [ fhir:v "1001 Village Avenue" ] ] ] [ 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:assignedAuthoringDevice [ fhir:manufacturerModelName [ fhir:xmlText [ fhir:v "Generic EHR Clinical System 2.0.0.0.0.0" ] ] ; fhir:softwareName [ fhir:xmlText [ fhir:v "Generic EHR C-CDA Factory 2.0.0.0.0.0 - C-CDA Transform 2.0.0.0.0" ] ] ] ; fhir:representedOrganization [ ( fhir:id [ fhir:root [ fhir:v "2.16.840.1.113883.19.5.9999.1393" ] ] ) ; ( fhir:name [ ( fhir:item [ fhir:xmlText [ fhir:v "Community Health and Hospitals" ] ] ) ] ) ; ( 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 "1001 Village Avenue" ] ] ] [ 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:dataEnterer [ fhir:assignedEntity [ ( fhir:id [ fhir:extension [ fhir:v "999999943252" ] ; 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 "1001 Village Avenue" ] ] ] [ 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:555-555-1002"^^xsd:anyURI ] ] ) ; fhir:assignedPerson [ ( fhir:name [ ( fhir:item [ ( fhir:given [ fhir:xmlText [ fhir:v "Henry" ] ] ) ] [ ( fhir:family [ fhir:xmlText [ fhir:v "Seven" ] ] ) ] ) ] ) ] ] ] ; # fhir:informant ( [ fhir:assignedEntity [ ( fhir:id [ fhir:extension [ fhir:v "KP00017" ] ; 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 "1001 Village Avenue" ] ] ] [ 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:555-555-1002"^^xsd:anyURI ] ] ) ; fhir:assignedPerson [ ( fhir:name [ ( fhir:item [ ( fhir:given [ fhir:xmlText [ fhir:v "Henry" ] ] ) ] [ ( fhir:family [ fhir:xmlText [ fhir:v "Seven" ] ] ) ] ) ] ) ] ] ] [ 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\n the patient. fhir:relatedPerson [ ( fhir:name [ ( fhir:item [ ( fhir:given [ fhir:xmlText [ fhir:v "Frank" ] ] ) ] [ ( fhir:family [ fhir:xmlText [ fhir:v "Jones" ] ] ) ] ) ] ) ] ] ] ) ; # fhir:custodian [ fhir:assignedCustodian [ fhir:representedCustodianOrganization [ ( fhir:id [ fhir:extension [ fhir:v "99999999" ] ; fhir:root [ fhir:v "2.16.840.1.113883.4.6" ] ] ) ; fhir:name [ ( fhir:item [ fhir:xmlText [ fhir:v "Community Health and Hospitals" ] ] ) ] ; fhir:telecom [ ( fhir:use [ fhir:v "WP" ] ) ; fhir:value [ fhir:v "tel:555-555-1002"^^xsd:anyURI ] ] ; fhir:addr [ ( fhir:use [ fhir:v "WP" ] ) ; ( fhir:item [ fhir:streetAddressLine [ fhir:xmlText [ fhir:v "1001 Village Avenue" ] ] ] [ 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 "Henry" ] ] ) ] [ ( fhir:family [ fhir:xmlText [ fhir:v "Seven" ] ] ) ] ) ] ) ] ; fhir:receivedOrganization [ ( fhir:name [ ( fhir:item [ fhir:xmlText [ fhir:v "Community Health and Hospitals" ] ] ) ] ) ] ] ] ) ; # fhir:legalAuthenticator [ fhir:time [ fhir:value [ fhir:v "2014-09-17T19:04:00+05:00"^^xsd:dateTime ] ] ; fhir:signatureCode [ fhir:code [ fhir:v "S" ] ] ; fhir:assignedEntity [ ( fhir:id [ fhir:extension [ fhir:v "999999999" ] ; 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 "1001 Village Avenue" ] ] ] [ 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:555-555-1002"^^xsd:anyURI ] ] ) ; fhir:assignedPerson [ ( fhir:name [ ( fhir:item [ ( fhir:given [ fhir:xmlText [ fhir:v "Henry" ] ] ) ] [ ( fhir:family [ fhir:xmlText [ fhir:v "Seven" ] ] ) ] ) ] ) ] ] ] ; # fhir:authenticator ( [ fhir:time [ fhir:value [ fhir:v "2014-09-17T19:04:00+05:00"^^xsd:dateTime ] ] ; fhir:signatureCode [ fhir:code [ fhir:v "S" ] ] ; fhir:assignedEntity [ ( fhir:id [ fhir:extension [ fhir:v "999999999" ] ; 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 "1001 Village Avenue" ] ] ] [ 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:555-555-1002"^^xsd:anyURI ] ] ) ; fhir:assignedPerson [ ( fhir:name [ ( fhir:item [ ( fhir:given [ fhir:xmlText [ fhir:v "Henry" ] ] ) ] [ ( fhir:family [ fhir:xmlText [ fhir:v "Seven" ] ] ) ] ) ] ) ] ] ] ) ; # fhir:participant ( [ fhir:typeCode [ fhir:v "IND" ] ; fhir:time [ fhir:low [ fhir:value [ fhir:v "1989-01-01"^^xsd:date ] ] ; fhir:high [ fhir:value [ fhir:v "2014-09-16"^^xsd:date ] ] ] ; fhir:associatedEntity [ fhir:classCode [ fhir:v "NOK" ] ; fhir:code [ fhir:code [ fhir:v "MTH" ] ; fhir:codeSystem [ fhir:v "2.16.840.1.113883.5.111" ] ] ; ( fhir:addr [ ( fhir:item [ fhir:streetAddressLine [ fhir:xmlText [ fhir:v "17 Daws Rd." ] ] ] [ 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 "WP" ] ) ; fhir:value [ fhir:v "tel:(999)555-1212"^^xsd:anyURI ] ] ) ; fhir:associatedPerson [ ( fhir:name [ ( fhir:item [ ( fhir:prefix [ fhir:xmlText [ fhir:v "Mrs." ] ] ) ] [ ( fhir:given [ fhir:xmlText [ fhir:v "Martha" ] ] ) ] [ ( fhir:family [ fhir:xmlText [ fhir:v "Jones" ] ] ) ] ) ] ) ] ] ] ) ; # fhir:documentationOf ( [ fhir:typeCode [ fhir:v "DOC" ] ; fhir:serviceEvent [ fhir:classCode [ fhir:v "PCPR" ] ; fhir:code [ fhir:code [ fhir:v "6025007" ] ; fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.96" ] ; fhir:codeSystemName [ fhir:v "SNOMED CT" ] ; fhir:displayName [ fhir:v "Laparoscopic appendectomy" ] ] ; fhir:effectiveTime [ fhir:low [ fhir:value [ fhir:v "2014-09-09T19:04:00+05:00"^^xsd:dateTime ] ] ; fhir:high [ fhir:value [ fhir:v "2014-09-16T19:04:00+05:00"^^xsd:dateTime ] ] ] ; ( fhir:performer [ fhir:typeCode [ fhir:v "PRF" ] ; fhir:functionCode [ fhir:code [ fhir:v "PP" ] ; fhir:codeSystem [ fhir:v "2.16.840.1.113883.12.443" ] ; fhir:codeSystemName [ fhir:v "Provider Role" ] ; fhir:displayName [ fhir:v "Primary Care Provider" ] ; fhir:originalText [ fhir:xmlText [ fhir:v "Primary Care Provider" ] ] ] ; fhir:time [ fhir:low [ fhir:value [ fhir:v "2014-09-09T19:04:00+05:00"^^xsd:dateTime ] ] ; fhir:high [ fhir:value [ fhir:v "2014-09-16T19:04:00+05:00"^^xsd:dateTime ] ] ] ; fhir:assignedEntity [ ( fhir:id [ fhir:extension [ fhir:v "PseudoMD-1" ] ; fhir:root [ fhir:v "2.16.840.1.113883.4.6" ] ] ) ; fhir:code [ fhir:code [ fhir:v "207RG0100X" ] ; fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.101" ] ; fhir:codeSystemName [ fhir:v "Provider Codes" ] ; fhir:displayName [ fhir:v "Gastroenterology Physician" ] ] ; ( fhir:addr [ ( fhir:use [ fhir:v "WP" ] ) ; ( fhir:item [ fhir:streetAddressLine [ fhir:xmlText [ fhir:v "1001 Village Avenue" ] ] ] [ 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:+1-555-555-5000"^^xsd:anyURI ] ] ) ; fhir:assignedPerson [ ( fhir:name [ ( fhir:item [ ( fhir:prefix [ fhir:xmlText [ fhir:v "Dr." ] ] ) ] [ ( fhir:given [ fhir:xmlText [ fhir:v "Henry" ] ] ) ] [ ( fhir:family [ fhir:xmlText [ fhir:v "Seven" ] ] ) ] ) ] ) ] ; fhir:representedOrganization [ ( fhir:id [ fhir:root [ fhir:v "2.16.840.1.113883.19.5.9999.1393" ] ] ) ; ( fhir:name [ ( fhir:item [ fhir:xmlText [ fhir:v "Community Health and Hospitals" ] ] ) ] ) ; ( fhir:telecom [ ( fhir:use [ fhir:v "WP" ] ) ; fhir:value [ fhir:v "tel:+1-555-555-5000"^^xsd:anyURI ] ] ) ; ( fhir:addr [ ( fhir:item [ fhir:streetAddressLine [ fhir:xmlText [ fhir:v "1001 Village Avenue" ] ] ] [ 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:typeCode [ fhir:v "PPRF" ] ; fhir:functionCode [ fhir:code [ fhir:v "PP" ] ; fhir:codeSystem [ fhir:v "2.16.840.1.113883.12.443" ] ; fhir:codeSystemName [ fhir:v "Provider Role" ] ; fhir:displayName [ fhir:v "Primary Performer" ] ; fhir:originalText [ fhir:xmlText [ fhir:v "Primary Care Provider" ] ] ] ; fhir:time [ fhir:low [ fhir:value [ fhir:v "2014-09-09T19:04:00+05:00"^^xsd:dateTime ] ] ; fhir:high [ fhir:value [ fhir:v "2014-09-16T19:04:00+05:00"^^xsd:dateTime ] ] ] ; fhir:assignedEntity [ ( fhir:id [ fhir:extension [ fhir:v "PseudoMD-3" ] ; fhir:root [ fhir:v "2.16.840.1.113883.4.6" ] ] ) ; fhir:code [ fhir:code [ fhir:v "207RG0100X" ] ; fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.101" ] ; fhir:codeSystemName [ fhir:v "Provider Codes" ] ; fhir:displayName [ fhir:v "Gastroenterology Physician" ] ] ; ( fhir:addr [ ( fhir:use [ fhir:v "WP" ] ) ; ( fhir:item [ fhir:streetAddressLine [ fhir:xmlText [ fhir:v "1001 Village Avenue" ] ] ] [ 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 "HP" ] ) ; fhir:value [ fhir:v "tel:+1-555-555-5000"^^xsd:anyURI ] ] ) ; fhir:assignedPerson [ ( fhir:name [ ( fhir:item [ ( fhir:prefix [ fhir:xmlText [ fhir:v "Dr." ] ] ) ] [ ( fhir:given [ fhir:xmlText [ fhir:v "Herman" ] ] ) ] [ ( fhir:family [ fhir:xmlText [ fhir:v "Eight" ] ] ) ] ) ] ) ] ; fhir:representedOrganization [ ( fhir:id [ fhir:root [ fhir:v "2.16.840.1.113883.19.5.9999.1393" ] ] ) ; ( fhir:name [ ( fhir:item [ fhir:xmlText [ fhir:v "Community Health and Hospitals" ] ] ) ] ) ; ( fhir:telecom [ ( fhir:use [ fhir:v "HP" ] ) ; 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 "1001 Village Avenue" ] ] ] [ 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:componentOf [ fhir:encompassingEncounter [ ( fhir:id [ fhir:extension [ fhir:v "9937012" ] ; fhir:root [ fhir:v "2.16.840.1.113883.19" ] ] ) ; fhir:effectiveTime [ fhir:low [ fhir:value [ fhir:v "2014-09-09T19:04:00+05:00"^^xsd:dateTime ] ] ; # This is the admission date of the hospitalization fhir:high [ fhir:value [ fhir:v "2014-09-16T19:04:00+05:00"^^xsd:dateTime ] ] # This is the discharge date of the hospitalization ] ; # \n <code codeSystem=\"2.16.840.1.113883.6.12\" codeSystemName=\"CPT-4\" code=\"99213\" displayName=\"Evaluation and Management\"\/>\n fhir:dischargeDispositionCode [ fhir:code [ fhir:v "01" ] ; fhir:codeSystem [ fhir:v "2.16.840.1.113883.12.112" ] ; fhir:codeSystemName [ fhir:v "HL7 Discharge Disposition" ] ; fhir:displayName [ fhir:v "Routine Discharge" ] ] ; 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:root [ fhir:v "1.3.6.1.4.1.19376.1.5.3.1.3.5" ] ] ) ; fhir:code [ fhir:code [ fhir:v "8648-8" ] ; fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.1" ] ; fhir:codeSystemName [ fhir:v "LOINC" ] ; fhir:displayName [ fhir:v "HOSPITAL COURSE" ] ] ; fhir:title [ fhir:xmlText [ fhir:v "Hospital Course" ] ] ; 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 "2.16.840.1.113883.10.20.22.2.24" ] ] ) ; fhir:code [ fhir:code [ fhir:v "11535-2" ] ; fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.1" ] ; fhir:codeSystemName [ fhir:v "LOINC" ] ; fhir:displayName [ fhir:v "Hospital Discharge Diagnosis" ] ; ( fhir:translation [ fhir:code [ fhir:v "78375-3" ] ; fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.1" ] ; fhir:codeSystemName [ fhir:v "LOINC" ] ; fhir:displayName [ fhir:v "Discharge Diagnosis" ] ] ) ] ; fhir:title [ fhir:xmlText [ fhir:v "Discharge Diagnosis" ] ] ; 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 "2.16.840.1.113883.10.20.22.2.10" ] ] ) ; fhir:code [ fhir:code [ fhir:v "18776-5" ] ; fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.1" ] ; fhir:codeSystemName [ fhir:v "LOINC" ] ; fhir:displayName [ fhir:v "Treatment plan" ] ] ; fhir:title [ fhir:xmlText [ fhir:v "TREATMENT 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 "2.16.840.1.113883.10.20.22.2.42" ] ] ) ; fhir:code [ fhir:code [ fhir:v "18841-7" ] ; fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.1" ] ; fhir:codeSystemName [ fhir:v "LOINC" ] ; fhir:displayName [ fhir:v "Hospital Consultations Section" ] ] ; fhir:title [ fhir:xmlText [ fhir:v "HOSPITAL CONSULTATIONS" ] ] ; 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 "2.16.840.1.113883.10.20.22.2.11.1" ] ] ) ; fhir:code [ fhir:code [ fhir:v "10183-2" ] ; fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.1" ] ; fhir:codeSystemName [ fhir:v "LOINC" ] ; fhir:displayName [ fhir:v "Hospital Discharge Medications" ] ; ( fhir:translation [ fhir:code [ fhir:v "75311-1" ] ; fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.1" ] ; fhir:codeSystemName [ fhir:v "LOINC" ] ; fhir:displayName [ fhir:v "Discharge Medications" ] ] ) ] ; fhir:title [ fhir:xmlText [ fhir:v "Discharge 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 "2.16.840.1.113883.10.20.22.2.6.1" ] ] ) ; 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 "2.16.840.1.113883.10.20.22.2.3.1" ] ] ) ; 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:extension [ fhir:v "2014-06-09" ] ; fhir:root [ fhir:v "2.16.840.1.113883.10.20.22.2.7.1" ] ] ) ; fhir:code [ fhir:code [ fhir:v "47519-4" ] ; fhir:codeSystem [ fhir:v "2.16.840.1.113883.6.1" ] ; fhir:codeSystemName [ fhir:v "LOINC" ] ; fhir:displayName [ fhir:v "PROCEDURES" ] ] ; fhir:title [ fhir:xmlText [ fhir:v "Procedures" ] ] ; fhir:text "<div xmlns=\"http://www.w3.org/1999/xhtml\">No information</div>" ] ] ) ] # All sections are set to nullFlavor \/ text = No information, \n as this is a header example, not a complete body example ] . #
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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