C-CDA on FHIR
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C-CDA on FHIR, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ccda-on-fhir/ and changes regularly. See the Directory of published versions

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Document Details

version: 4; Last updated: 2020-08-19 05:53:55+0000;

Information Source: #7jwafzgbwz3cPoym

Preliminary Document at 2016-06-15 09:10:14+0000 by Brenda Jennings Richard MD for Amy V. Shaw

Document Subject

Amy V. SHAW
Identifier 1032702
Address 49 Meadow St
Mounds OK US
Date of birth 20 February 2007

Document Content

Document Id 12345
Document Created: June 15, 2016, 16:14, PST
Care Provision Care Plan for Amy Shaw
Performer Ronald Boone, MD
Author Ronald Boone, MD
Contact info 1003 Healthcare Drive
Amherst MA 01002, US
Tel: +1(555)555-1003
Encounter Id 9937012 2.16.840.1.113883.19
Encounter Type Care Plan
Encounter Period From June 15, 2016, 16:20 to Sept 18, 2016, 18:20
Encounter Location Ambulatory Care at Acme Laboratories
Responsible party Ronald Boone, MD
Contact info 1003 Healthcare Drive
Amherst MA 01002, US
Tel: +1(555)555-1003
Assigned entity Acme Laboratories
Emergency contact Michael Shaw

Contact info 49 Meadow St
Amherst MA 01003, US
Tel: (555)555-1212
Care giver Mrs. Lillian White
Contact info 49 Meadow St
Amherst MA 01003, US
Tel: (555)555-1215
Entered by Sally Jones
Contact info 1003 Healthcare Drive
Amherst MA 01002, US
Tel: +1(555)555-1003
Signed Ronald Boone at June 15, 2016
Contact info 1003 Healthcare Drive
Amherst MA 01002, US
Tel: +1(555)555-1003
Informant Henry Vincent, CPh
Contact info 1007 Pharmacy Drive
Portland, OR 99123, US
Tel: +1(555)555-1215
Information recipient: Primary Physician, MD
Contact info 1005 St. Clair Avenue
Amherst MA 01002, US
Tel: +1(555)555-1666
Legal authenticator Ronald Boone, MD signed at June 15, 2016
Contact info 1003 Healthcare Drive
Amherst MA 01002, US
Tel: +1(555)555-1003
Document maintained by Acme Laboratories
Contact info 1003 Healthcare Drive
Amherst MA 01002, US
Tel: +1(555)555-1003

Health Concerns Section

Concern Status Date
Current every day smoker Active Concern from June 16, 2015
Respiratory insufficiency Completed Concern from June 13, 2015
Pneumonia Completed June 16, 2015

Goals Section

Goal Value Date
Pulse oximetry 92% September 2, 2015

Interventions Section

Planned Intervention Status Date
Elevate head of bed active June 18, 2016
Oxygen administration by nasal cannula active June 18, 2016
pulse oximetry monitoring active June 18, 2016

Health Status Evaluations and Outcomes Section

Item Outcome Date
Pulse oximetry 95% June 20, 2016

Additional Resources Included in Document

Entry 2 - fullUrl = urn:uuid:23d3a2c1-44ae-491b-94d3-764d2a9d8f8c

Resource PractitionerRole:

practitioner: Brenda Jennings Richard MD

organization: Acme Lab

Entry 3 - fullUrl = urn:uuid:d0dbd5a1-0bd7-4205-b936-09482c02c6d9

Resource Patient:

Amy V. SHAW
Identifier 1032702
Address 49 Meadow St
Mounds OK US
Date of birth 20 February 2007

Entry 4 - fullUrl = urn:uuid:58d390ba-6348-4b0d-b85f-7fbd94223718

Resource Organization:

identifier: http://hl7.org.fhir/sid/us-npi/1144221847, http://www.acme.org/organization/2523423456

active: true

type: Healthcare Provider

name: Acme Labs

contact

telecom: ph: (+1) 734-677-7777, hq@acme.org

address: 3300 Washtenaw Avenue, Suite 227 Amherst MA 01002 USA

Entry 5 - fullUrl = urn:uuid:51819bca-6cdd-4a9c-a76f-51b4f50e7fd2

Resource Practitioner:

identifier: US National Provider Identifier/9999991011 (use: official, )

name: Brenda Jennings Richard

telecom: ph: 313-555-6868(Home), ph: 313-555-6443(Work)

gender: Female

birthDate: 1976-11-15

address: 346 W Plum Avenu Dearborn MI 48123