C-CDA on FHIR
2.0.0-ballot - STU 2 Ballot

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

## : Operative Note - Composition - TTL Representation

Page standards status: Informative

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix loinc: <https://loinc.org/rdf/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix sct: <http://snomed.info/id/> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:Composition ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "Operative-Note-Example"] ; #
      fhir:meta [
    fhir:versionId [ fhir:v "4" ] ;
    fhir:lastUpdated [ fhir:v "2020-08-12T21:30:19.501+00:00"^^xsd:dateTime ] ;
    fhir:source [ fhir:v "#csn482LCsnDWyxbW"^^xsd:anyURI ] ;
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/ccda/StructureDefinition/Operative-Note"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/Operative-Note>     ] )
      ] ; #
      fhir:language [ fhir:v "en-US"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\">\n            <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n                <tbody>\n                    <tr>\n                        <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                            <span class=\"td_label\">Document Id</span>\n                        </td>\n                        <td class=\"td_header_role_value\">12345</td>\n                    </tr>\n                    <tr>\n                        <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                            <span class=\"td_label\">Document Created:</span>\n                        </td>\n                        <td class=\"td_header_role_value\">June 15, 2016, 16:14, PST </td>\n                    </tr>\n                </tbody>\n            </table>\n            <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n                <tbody>\n                    <tr>\n                        <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                            <span class=\"td_label\">Care Provision</span>\n                        </td>\n                        <td class=\"td_header_role_value\">Operation Note for Amy\n                                        Shaw</td>\n                    </tr>\n                    <tr>\n                        <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                            <span class=\"td_label\">Performer </span>\n                        </td>\n                        <td class=\"td_header_role_value\">Ronald Boone, MD</td>\n                    </tr>\n                </tbody>\n            </table>\n            <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n                <tbody>\n                    <tr>\n                        <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                            <span class=\"td_label\">Author</span>\n                        </td>\n                        <td class=\"td_header_role_value\">Ronald Boone, MD</td>\n                    </tr>\n                    <tr>\n                        <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                            <span class=\"td_label\">Contact info</span>\n                        </td>\n                        <td class=\"td_header_role_value\">1003 Healthcare Drive\n										\n                            <br/>Amherst MA 01002, US \n                            <br/>Tel: +1(555)555-1003\n										\n                            <br/>\n                        </td>\n                    </tr>\n                </tbody>\n            </table>\n            <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n                <tbody>\n                    <tr>\n                        <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                            <span class=\"td_label\">Encounter Id</span>\n                        </td>\n                        <td class=\"td_header_role_value\">9937012\n                                        2.16.840.1.113883.19</td>\n                    </tr>\n                    <tr>\n                        <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                            <span class=\"td_label\">Event Type</span>\n                        </td>\n                        <td class=\"td_header_role_value\">Surgery</td>\n                    </tr>\n                    <tr>\n                        <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                            <span class=\"td_label\">Event Date</span>\n                        </td>\n                        <td class=\"td_header_role_value\"> From June 15, 2016, 16:20 to\n                                        June 15, 2016, 18:20 </td>\n                    </tr>\n                    <tr>\n                        <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                            <span class=\"td_label\">Encounter Location</span>\n                        </td>\n                        <td class=\"td_header_role_value\">Perioperative Department at\n                                        Community Health and Hospitals</td>\n                    </tr>\n                    <tr>\n                        <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                            <span class=\"td_label\">Responsible party</span>\n                        </td>\n                        <td class=\"td_header_role_value\">Ronald Boone, MD</td>\n                    </tr>\n                    <tr>\n                        <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                            <span class=\"td_label\">Contact info</span>\n                        </td>\n                        <td class=\"td_header_role_value\">1003 Healthcare Drive\n										\n                            <br/>Amherst MA 01002, US \n                            <br/>Tel: +1(555)555-1003\n										\n                            <br/>\n                        </td>\n                    </tr>\n                </tbody>\n            </table>\n            <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n                <tbody>\n                    <tr>\n                        <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                            <span class=\"td_label\">Assigned entity</span>\n                        </td>\n                        <td class=\"td_header_role_value\">Community Health and Hospitals\n										\n                            <br/>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                            <span class=\"td_label\">Emergency contact</span>\n                        </td>\n                        <td class=\"td_header_role_value\">Michael Shaw \n                            <br/>\n                            <br/>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                            <span class=\"td_label\">Contact info</span>\n                        </td>\n                        <td class=\"td_header_role_value\">49 Meadow St \n                            <br/>Amherst MA\n                                        01003, US \n                            <br/>Tel: (555)555-1212 \n                            <br/>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                            <span class=\"td_label\">Care giver</span>\n                        </td>\n                        <td class=\"td_header_role_value\">Mrs. Lillian White \n                            <br/>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                            <span class=\"td_label\">Contact info</span>\n                        </td>\n                        <td class=\"td_header_role_value\">49 Meadow St \n                            <br/>Amherst MA\n                                        01003, US \n                            <br/>Tel: (555)555-1215 \n                            <br/>\n                        </td>\n                    </tr>\n                </tbody>\n            </table>\n            <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n                <tbody>\n                    <tr>\n                        <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                            <span class=\"td_label\">Entered by</span>\n                        </td>\n                        <td class=\"td_header_role_value\">Sally Jones</td>\n                    </tr>\n                    <tr>\n                        <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                            <span class=\"td_label\">Contact info</span>\n                        </td>\n                        <td class=\"td_header_role_value\">1003 Healthcare Drive\n										\n                            <br/>Amherst MA 01002, US \n                            <br/>Tel: +1(555)555-1003\n										\n                            <br/>\n                        </td>\n                    </tr>\n                </tbody>\n            </table>\n            <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n                <tbody>\n                    <tr>\n                        <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                            <span class=\"td_label\">Signed </span>\n                        </td>\n                        <td class=\"td_header_role_value\">Ronald Boone at June 15, 2016\n									</td>\n                    </tr>\n                    <tr>\n                        <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                            <span class=\"td_label\">Contact info</span>\n                        </td>\n                        <td class=\"td_header_role_value\">1003 Healthcare Drive\n										\n                            <br/>Amherst MA 01002, US \n                            <br/>Tel: +1(555)555-1003\n										\n                            <br/>\n                        </td>\n                    </tr>\n                </tbody>\n            </table>\n            <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n                <tbody>\n                    <tr>\n                        <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                            <span class=\"td_label\">Informant</span>\n                        </td>\n                        <td class=\"td_header_role_value\">Henry Vincent, CPh</td>\n                    </tr>\n                    <tr>\n                        <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                            <span class=\"td_label\">Contact info</span>\n                        </td>\n                        <td class=\"td_header_role_value\">1007 Pharmacy Drive\n										\n                            <br/>Portland, OR 99123, US \n                            <br/>Tel: +1(555)555-1215\n										\n                            <br/>\n                        </td>\n                    </tr>\n                </tbody>\n            </table>\n            <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n                <tbody>\n                    <tr>\n                        <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                            <span class=\"td_label\">Information recipient:</span>\n                        </td>\n                        <td class=\"td_header_role_value\">Primary Physician, MD</td>\n                    </tr>\n                    <tr>\n                        <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                            <span class=\"td_label\">Contact info</span>\n                        </td>\n                        <td class=\"td_header_role_value\">1005 St. Clair Avenue\n										\n                            <br/>Amherst MA 01002, US \n                            <br/>Tel: +1(555)555-1666\n										\n                            <br/>\n                        </td>\n                    </tr>\n                </tbody>\n            </table>\n            <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n                <tbody>\n                    <tr>\n                        <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                            <span class=\"td_label\">Legal authenticator</span>\n                        </td>\n                        <td class=\"td_header_role_value\">Ronald Boone, MD signed at June\n                                        15, 2016 </td>\n                    </tr>\n                    <tr>\n                        <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                            <span class=\"td_label\">Contact info</span>\n                        </td>\n                        <td class=\"td_header_role_value\">1003 Healthcare Drive\n										\n                            <br/>Amherst MA 01002, US \n                            <br/>Tel: +1(555)555-1003\n										\n                            <br/>\n                        </td>\n                    </tr>\n                </tbody>\n            </table>\n            <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n                <tbody>\n                    <tr>\n                        <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                            <span class=\"td_label\">Document maintained by</span>\n                        </td>\n                        <td class=\"td_header_role_value\">Community Health and\n                                        Hospitals</td>\n                    </tr>\n                    <tr>\n                        <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                            <span class=\"td_label\">Contact info</span>\n                        </td>\n                        <td class=\"td_header_role_value\">1003 Healthcare Drive\n										\n                            <br/>Amherst MA 01002, US \n                            <br/>Tel: +1(555)555-1003\n										\n                            <br/>\n                        </td>\n                    </tr>\n                </tbody>\n            </table>\n        </div>"^^rdf:XMLLiteral
      ] ; #
      fhir:identifier [
    fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "urn:uuid:75a12dcd-f85d-4c7f-b1de-38a1a2b7498f" ]
      ] ; #
      fhir:status [ fhir:v "preliminary"] ; #
      fhir:type [
        ( fhir:coding [
    a loinc:11504-8 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "11504-8" ] ;
    fhir:display [ fhir:v "Surgical operation note" ]     ] )
      ] ; #
      fhir:subject [
    fhir:reference [ fhir:v "Patient/example" ] ;
    fhir:display [ fhir:v "Amy V. Shaw" ]
      ] ; #
      fhir:date [ fhir:v "2016-06-15T09:10:14Z"^^xsd:dateTime] ; #
      fhir:author ( [
    fhir:reference [ fhir:v "PractitionerRole/ccda-practitionerrole-example" ] ;
    fhir:display [ fhir:v "Ronald Bone, MD" ]
      ] ) ; #
      fhir:title [ fhir:v "Operative Note"] ; #
      fhir:attester ( [
    fhir:mode [ fhir:v "legal" ] ;
    fhir:time [ fhir:v "2016-06-15T09:10:14Z"^^xsd:dateTime ] ;
    fhir:party [
    fhir:reference [ fhir:v "PractitionerRole/ccda-practitionerrole-example" ] ;
    fhir:display [ fhir:v "Ronald Boone, MD" ]     ]
      ] ) ; #
      fhir:custodian [
    fhir:reference [ fhir:v "Organization/organization-1" ] ;
    fhir:display [ fhir:v "Community Health and Hospitals" ]
      ] ; #
      fhir:event ( [
        ( fhir:code [
          ( fhir:coding [
    a sct:73761001 ;
    fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "73761001" ] ;
    fhir:display [ fhir:v "Colonoscopy" ]       ] )     ] ) ;
    fhir:period [
    fhir:start [ fhir:v "2016-06-15"^^xsd:date ] ;
    fhir:end [ fhir:v "2016-06-15"^^xsd:date ]     ]
      ] ) ; #
      fhir:section ( [
    fhir:title [ fhir:v "Anesthesia Section" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:59774-0 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "59774-0" ] ;
    fhir:display [ fhir:v "Anesthesia" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>Conscious sedation with propofol 200 mg IV</p>\n            </div>"^^rdf:XMLLiteral     ]
      ] [
    fhir:title [ fhir:v "Complications Section" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:55109-3 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "55109-3" ] ;
    fhir:display [ fhir:v "Complications Document" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>Asthmatic symptoms while under general anesthesia.</p>\n            </div>"^^rdf:XMLLiteral     ] ;
        ( fhir:entry [
    fhir:reference [ fhir:v "Condition/condition-problem" ]     ] )
      ] [
    fhir:title [ fhir:v "Preoperative Diagnosis Section" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:10219-4 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "10219-4" ] ;
    fhir:display [ fhir:v "Surgical operation note preoperative diagnosis Narrative" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>Appendicitis</p>\n            </div>"^^rdf:XMLLiteral     ]
      ] [
    fhir:title [ fhir:v "Operative Note Surgical Procedure Section" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:10223-6 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "10223-6" ] ;
    fhir:display [ fhir:v "Surgical operation note surgical procedure Narrative" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>Laparoscopic Appendectomy</p>\n            </div>"^^rdf:XMLLiteral     ]
      ] [
    fhir:title [ fhir:v "Planned Procedure Section" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:59772-4 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "59772-4" ] ;
    fhir:display [ fhir:v "Planned procedure" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>Colonoscopy</p>\n            </div>"^^rdf:XMLLiteral     ]
      ] [
    fhir:title [ fhir:v "Procedure Indications Section" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:59768-2 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "59768-2" ] ;
    fhir:display [ fhir:v "Procedure indications [Interpretation] Narrative" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>The procedure is performed for screening in a low risk\n                                individual.</p>\n            </div>"^^rdf:XMLLiteral     ]
      ] [
    fhir:title [ fhir:v "Procedure Description Section" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:29554-3 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "29554-3" ] ;
    fhir:display [ fhir:v "Procedure Narrative" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>The patient was brought to the operating room, placed in the supine\n                                position, and general anesthesia was induced. A detailed technical\n                                narrative of a laparoscopic appendectomy from initial incision to\n                                placement of any dressings follows. </p>\n            </div>"^^rdf:XMLLiteral     ]
      ] [
    fhir:title [ fhir:v "Procedure Estimated Blood Loss Section" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:59770-8 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "59770-8" ] ;
    fhir:display [ fhir:v "Procedure estimated blood loss Narrative" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>Minimal</p>\n            </div>"^^rdf:XMLLiteral     ]
      ] [
    fhir:title [ fhir:v "Procedure Findings Section" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:59776-5 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "59776-5" ] ;
    fhir:display [ fhir:v "Procedure findings Narrative" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>A 6 mm sessile polyp was found in the ascending colon and removed by\n                                snare, no cautery. Bleeding was controlled. Moderate diverticulosis\n                                and hemorrhoids were incidentally noted.</p>\n            </div>"^^rdf:XMLLiteral     ] ;
        ( fhir:entry [
    fhir:reference [ fhir:v "Condition/condition-problem" ]     ] )
      ] [
    fhir:title [ fhir:v "Procedure Specimens Taken Section" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:59773-2 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "59773-2" ] ;
    fhir:display [ fhir:v "Procedure specimens taken Narrative" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>Ascending colon polyp</p>\n            </div>"^^rdf:XMLLiteral     ]
      ] [
    fhir:title [ fhir:v "Operative Note Fluids Section" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:10216-0 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "10216-0" ] ;
    fhir:display [ fhir:v "Operative Note Fluids" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>250 ML Ringers Lactate</p>\n            </div>"^^rdf:XMLLiteral     ]
      ] [
    fhir:title [ fhir:v "Surgical Drains Section" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:11537-8 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "11537-8" ] ;
    fhir:display [ fhir:v "Surgical Drains" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>Penrose drain placed</p>\n            </div>"^^rdf:XMLLiteral     ]
      ] [
    fhir:title [ fhir:v "Procedure Implants Section" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:59771-6 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "59771-6" ] ;
    fhir:display [ fhir:v "Procedure implants Narrative" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>No implants were placed.</p>\n            </div>"^^rdf:XMLLiteral     ]
      ] [
    fhir:title [ fhir:v "Procedure Disposition Section" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:59775-7 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "59775-7" ] ;
    fhir:display [ fhir:v "Procedure disposition Narrative" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>The patient was taken to the Endoscopy Recovery Unit in stable\n                                condition.</p>\n            </div>"^^rdf:XMLLiteral     ]
      ] [
    fhir:title [ fhir:v "Postoperative Diagnosis Section" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:10218-6 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "10218-6" ] ;
    fhir:display [ fhir:v "Surgical operation note postoperative diagnosis Narrative" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>Appendicitis with periappendiceal abscess</p>\n            </div>"^^rdf:XMLLiteral     ]
      ] [
    fhir:title [ fhir:v "Plan of Treatment Section" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:18776-5 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "18776-5" ] ;
    fhir:display [ fhir:v "Plan of care note" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Planned Activity</b>\n                        </td>\n                        <td>\n                            <b>Period</b>\n                        </td>\n                        <td>\n                            <b>Status</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Colonoscopy</td>\n                        <td>2016/09/17 - 2010/09/17</td>\n                        <td>Planned</td>\n                    </tr>\n                    <tr>\n                        <td>Recommendation to Exercise</td>\n                        <td>2016/06/25</td>\n                        <td>Ongoing</td>\n                    </tr>\n                </table>\n            </div>"^^rdf:XMLLiteral     ]
      ] ) . #
    #    <section>
    #        <title value="Allergies and Intolerances Section"/>
    #        <code>
    #            <coding>
    #                <system value="http://loinc.org"/>
    #                <code value="48765-2"/>
    #                <display value="Allergies and adverse reactions Document"/>
    #            </coding>
    #        </code>
    #        <text>
    #            <status value="generated"/>
    #            <div
    #                xmlns="http://www.w3.org/1999/xhtml">
    #                <table>
    #                    <tr>
    #                        <td>
    #                            <b>Substance</b>
    #                        </td>
    #                        <td>
    #                            <b>Overall Severity</b>
    #                        </td>
    #                        <td>
    #                            <b>Reaction</b>
    #                        </td>
    #                        <td>
    #                            <b>Reaction Severity</b>
    #                        </td>
    #                        <td>
    #                            <b>Status</b>
    #                        </td>
    #                    </tr>
    #                    <tr>
    #                        <td>Cashew Nut</td>
    #                        <td>Severe</td>
    #                        <td>Anaphylactic reaction</td>
    #                        <td>Mild</td>
    #                        <td>Active</td>
    #                    </tr>
    #                </table>
    #            </div>
    #        </text>
    #        <entry>
    #            <reference value="AllergyIntolerance/allergy-intolerance"/>
    #        </entry>
    #    </section>
    #	,
    #        <entry>
    #            <reference value="Condition/condition-problem"/>
    #        </entry>
    #