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

## : Transfer Summary - Composition - JSON Representation

Page standards status: Informative

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    {
      "resourceType" : "Composition",
      "id" : "Transfer-Summary-Example",
      "meta" : {
        "versionId" : "4",
        "lastUpdated" : "2020-08-12T21:30:12.324+00:00",
        "source" : "#csn482LCsnDWyxbW",
        "profile" : [
          🔗 "http://hl7.org/fhir/us/ccda/StructureDefinition/Transfer-Summary"
        ]
      },
      "language" : "en-US",
      "text" : {
        "status" : "generated",
        "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\">Transfer Summary 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\t\t\t\t\t\t\t\t\t\t\n                            <br/>Amherst MA 01002,\u00a0US \n                            <br/>Tel: +1(555)555-1003\n\t\t\t\t\t\t\t\t\t\t\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\">Transfer Summary</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\">\u00a0From\u00a0June 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\">Inpatient Care at Community\n                                        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\t\t\t\t\t\t\t\t\t\t\n                            <br/>Amherst MA 01002,\u00a0US \n                            <br/>Tel: +1(555)555-1003\n\t\t\t\t\t\t\t\t\t\t\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\t\t\t\t\t\t\t\t\t\t\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,\u00a0US \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,\u00a0US \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\t\t\t\t\t\t\t\t\t\t\n                            <br/>Amherst MA 01002,\u00a0US \n                            <br/>Tel: +1(555)555-1003\n\t\t\t\t\t\t\t\t\t\t\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\t\t\t\t\t\t\t\t\t</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\t\t\t\t\t\t\t\t\t\t\n                            <br/>Amherst MA 01002,\u00a0US \n                            <br/>Tel: +1(555)555-1003\n\t\t\t\t\t\t\t\t\t\t\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\t\t\t\t\t\t\t\t\t\t\n                            <br/>Portland,\u00a0OR\u00a099123,\u00a0US \n                            <br/>Tel: +1(555)555-1215\n\t\t\t\t\t\t\t\t\t\t\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\t\t\t\t\t\t\t\t\t\t\n                            <br/>Amherst MA 01002,\u00a0US \n                            <br/>Tel: +1(555)555-1666\n\t\t\t\t\t\t\t\t\t\t\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\t\t\t\t\t\t\t\t\t\t\n                            <br/>Amherst MA 01002,\u00a0US \n                            <br/>Tel: +1(555)555-1003\n\t\t\t\t\t\t\t\t\t\t\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\t\t\t\t\t\t\t\t\t\t\n                            <br/>Amherst MA 01002,\u00a0US \n                            <br/>Tel: +1(555)555-1003\n\t\t\t\t\t\t\t\t\t\t\n                            <br/>\n                        </td>\n                    </tr>\n                </tbody>\n            </table>\n        </div>"
      },
      "identifier" : {
        "system" : "urn:ietf:rfc:3986",
        "value" : "urn:uuid:e4edfcc8-bc7a-4c79-a844-42c83f209ddc"
      },
      "status" : "preliminary",
      "type" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "18761-7",
            "display" : "Transfer summary note"
          }
        ]
      },
      "subject" : {
        🔗 "reference" : "Patient/example",
        "display" : "Amy V. Shaw"
      },
      "date" : "2016-06-15T09:10:14Z",
      "author" : [
        {
          🔗 "reference" : "PractitionerRole/ccda-practitionerrole-example",
          "display" : "Ronald Bone, MD"
        }
      ],
      "title" : "Transfer Summary",
      "custodian" : {
        🔗 "reference" : "Organization/organization-1",
        "display" : "Acme Labs"
      },
      "event" : [
        {
          "code" : [
            {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "73761001",
                  "display" : "Colonoscopy"
                }
              ]
            }
          ],
          "period" : {
            "start" : "2016-06-15",
            "end" : "2016-06-15"
          }
        }
      ],
      "section" : [
        {
          "title" : "Allergies and Intolerances Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "48765-2",
                "display" : "Allergies and adverse reactions Document"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Substance</b>\n                        </td>\n                        <td>\n                            <b>Overall Severity</b>\n                        </td>\n                        <td>\n                            <b>Reaction</b>\n                        </td>\n                        <td>\n                            <b>Reaction Severity</b>\n                        </td>\n                        <td>\n                            <b>Status</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Cashew Nut</td>\n                        <td>Severe</td>\n                        <td>Anaphylactic reaction</td>\n                        <td>Mild</td>\n                        <td>Active</td>\n                    </tr>\n                </table>\n            </div>"
          },
          "entry" : [
            {
              🔗 "reference" : "AllergyIntolerance/allergy-intolerance"
            }
          ]
        },
        {
          "title" : "Advance Directives Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "42348-3",
                "display" : "Advance directives"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Name</b>\n                        </td>\n                        <td>\n                            <b>Applies Period</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Resuscitation</td>\n                        <td>2015/01/01 - 2016/12/31</td>\n                    </tr>\n                </table>\n            </div>"
          }
        },
        {
          "title" : "Assessment Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "51848-0",
                "display" : "Evaluation note"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>Obesity.</p>\n                <p>Uncontrolled brittle Type II diabetic.</p>\n                <p>Shortness of breath, mild wheezing.</p>\n                <p>Pressure ulder on left knee.</p>\n            </div>"
          }
        },
        {
          "title" : "Assessment and Plan Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "51847-2",
                "display" : "Evaluation + Plan note"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>Recurrent GI bleed of unknown etiology; hypotension perhaps secondary\n                                to this but as likely secondary to polypharmacy</p>\n                <p>Acute on chronic anemia secondary to #1.</p>\n                <p>Azotemia, acute renal failure with volume loss secondary tom#1.</p>\n                <p>Hyperkalemia secondary to #3 and on ACE and K+ supplement.</p>\n                <p>Other chronic diagnoses as noted above, currently stable.</p>\n            </div>"
          }
        },
        {
          "title" : "Admission Diagnosis Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "46241-6",
                "display" : "Hospital admission diagnosis Narrative - Reported"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>Appendicitis</p>\n            </div>"
          }
        },
        {
          "title" : "Admission Medications Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "42346-7",
                "display" : "Medications on admission (narrative)"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Medication</b>\n                        </td>\n                        <td>\n                            <b>Directions</b>\n                        </td>\n                        <td>\n                            <b>Start Date</b>\n                        </td>\n                        <td>\n                            <b>Status</b>\n                        </td>\n                        <td>\n                            <b>Indications</b>\n                        </td>\n                        <td>\n                            <b>Fill Instructions</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Pepcid Complete (MAGNESIUM HYDROXIDE0</td>\n                        <td>Chew one tablet completely and swallow as needed </td>\n                        <td>20160615</td>\n                        <td>Active</td>\n                        <td>Bloating</td>\n                        <td>Generic substitution allowed</td>\n                    </tr>\n                </table>\n            </div>"
          }
        },
        {
          "title" : "Encounters Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "46240-8",
                "display" : "History of Hospitalizations+Outpatient visits Narrative"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Encounter</b>\n                        </td>\n                        <td>\n                            <b>Performer</b>\n                        </td>\n                        <td>\n                            <b>Location</b>\n                        </td>\n                        <td>\n                            <b>Date</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Checkup Examination</td>\n                        <td>Dr. S. Steene</td>\n                        <td>Community Urgent Care Center</td>\n                        <td>2015/09/26</td>\n                    </tr>\n                </table>\n            </div>"
          }
        },
        {
          "title" : "Past Medical History Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "11348-0",
                "display" : "History of Past illness Narrative"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Problem Name</b>\n                        </td>\n                        <td>\n                            <b>Type</b>\n                        </td>\n                        <td>\n                            <b>Onset Date</b>\n                        </td>\n                        <td>\n                            <b>Abatement Date</b>\n                        </td>\n                        <td>\n                            <b>Status</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Fever</td>\n                        <td>Condition</td>\n                        <td>2016-04-01</td>\n                        <td>2016-04-14</td>\n                        <td>Complete</td>\n                    </tr>\n                </table>\n            </div>"
          },
          "entry" : [
            {
              🔗 "reference" : "Condition/condition-problem"
            }
          ]
        },
        {
          "title" : "History of Present Illness Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "10164-2",
                "display" : "History of Present illness Narrative"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>This patient was only recently discharged for a recurrent GI bleed as\n                                described below. </p>\n                <p>He presented to the ER today c/o a dark stool yesterday but a normal\n                                brown stool today. On exam he was hypotensive in the 80?s resolved\n                                after .... .... .... </p>\n                <p>Lab at discharge: Glucose 112, BUN 16, creatinine 1.1, electrolytes\n                                normal. H. pylori antibody pending. Admission hematocrit 16%,\n                                discharge hematocrit 29%. WBC 7300, platelet count 256,000.\n                                Urinalysis normal. Urine culture: No growth. INR 1.1, PTT 40. </p>\n                <p>He was transfused with 6 units of packed red blood cells with ....\n                                .... .... </p>\n                <p>GI evaluation 12 September: Colonoscopy showed single red clot in\n                                .... ........ </p>\n            </div>"
          }
        },
        {
          "title" : "Family History Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "10157-6",
                "display" : "History of family member diseases Narrative"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Relationship</b>\n                        </td>\n                        <td>\n                            <b>Diagnosis</b>\n                        </td>\n                        <td>\n                            <b>Age at Onset</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Father</td>\n                        <td>Myocardial Infarction(cause of Death)</td>\n                        <td>57</td>\n                    </tr>\n                    <tr>\n                        <td>Father</td>\n                        <td>Diabetes</td>\n                        <td>40</td>\n                    </tr>\n                </table>\n            </div>"
          }
        },
        {
          "title" : "Social History Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "29762-2",
                "display" : "Social history Narrative"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Social History Element</b>\n                        </td>\n                        <td>\n                            <b>Description</b>\n                        </td>\n                        <td>\n                            <b>Effective Dates</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Smoking</td>\n                        <td>1 pack tobacco per day</td>\n                        <td>2005/05/01 - 2010/02/28</td>\n                    </tr>\n                </table>\n            </div>"
          },
          "entry" : [
            {
              🔗 "reference" : "Observation/observation-smoker"
            }
          ]
        },
        {
          "title" : "Functional Status Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "47420-5",
                "display" : "Functional status assessment note"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Functional or Cognitive Finding</b>\n                        </td>\n                        <td>\n                            <b>Observation</b>\n                        </td>\n                        <td>\n                            <b>Observation Date</b>\n                        </td>\n                        <td>\n                            <b>Condition Status</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Ambulation (Dependent to Independent</td>\n                        <td>Independently able</td>\n                        <td>2010/03/11</td>\n                        <td>Active</td>\n                    </tr>\n                    <tr>\n                        <td>Finding of Functional Performance and Activity</td>\n                        <td>Dyspnea</td>\n                        <td>2008/02/16</td>\n                        <td>Active</td>\n                    </tr>\n                    <tr>\n                        <td>Cognitive Function Finding</td>\n                        <td>Memory Impairment</td>\n                        <td>2014/04/29</td>\n                        <td>Active</td>\n                    </tr>\n                </table>\n            </div>"
          }
        },
        {
          "title" : "General Status Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "10210-3",
                "display" : "Physical findings of General status Narrative"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>Alert and in good spirits, no acute distress.</p>\n            </div>"
          }
        },
        {
          "title" : "Mental Status Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "10190-7",
                "display" : "Mental status"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table border=\"1\" width=\"100%\">\n                    <thead>\n                        <tr>\n                            <td>\n                                <b>Mental Status Findings</b>\n                            </td>\n                            <td>\n                                <b>Effective Dates</b>\n                            </td>\n                            <td>\n                                <b>Condition Status</b>\n                            </td>\n                        </tr>\n                    </thead>\n                    <tr>\n                        <td>Mental Function</td>\n                        <td>July 31, 2013</td>\n                        <td>Impaired</td>\n                    </tr>\n                    <tr>\n                        <td>Cognitive Abilities</td>\n                        <td>July 31, 2013</td>\n                        <td>Judgement, Intact</td>\n                    </tr>\n                    <tr>\n                        <td>Cognitive Function</td>\n                        <td>July 31, 2013</td>\n                        <td>Aggressive Behavior</td>\n                    </tr>\n                    <tr>\n                        <td>Cognitive Function</td>\n                        <td>July 31, 2013</td>\n                        <td>Difficulty understanding own emotions</td>\n                    </tr>\n                    <tr>\n                        <td>Cognitive Function</td>\n                        <td>July 31, 2013</td>\n                        <td>Difficulty communicating Thoughts </td>\n                    </tr>\n                </table>\n            </div>"
          }
        },
        {
          "title" : "Medical Equipment Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "46264-8",
                "display" : "History of medical device use"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Supply/Device</b>\n                        </td>\n                        <td>\n                            <b>Date Supplied</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Automatic Implantable cardioverter/defbrillator</td>\n                        <td>2008/11/16</td>\n                    </tr>\n                    <tr>\n                        <td>Wheelchair</td>\n                        <td>1999/12/01</td>\n                    </tr>\n                </table>\n            </div>"
          }
        },
        {
          "title" : "Medication Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "10160-0",
                "display" : "History of Medication use Narrative"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Medication</b>\n                        </td>\n                        <td>\n                            <b>Directions</b>\n                        </td>\n                        <td>\n                            <b>Start Date</b>\n                        </td>\n                        <td>\n                            <b>Status</b>\n                        </td>\n                        <td>\n                            <b>Indications</b>\n                        </td>\n                        <td>\n                            <b>Fill Instructions</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Amoxicillin</td>\n                        <td>Amoxicillin Powder, for Suspension 250mg/5ml</td>\n                        <td>20160401</td>\n                        <td>Active</td>\n                        <td>Pneumonia</td>\n                        <td>Generic substitution allowed</td>\n                    </tr>\n                </table>\n            </div>"
          },
          "entry" : [
            {
              🔗 "reference" : "MedicationStatement/medication-statement"
            }
          ]
        },
        {
          "title" : "Payers Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "48768-6",
                "display" : "Payment sources Document"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Payer Name</b>\n                        </td>\n                        <td>\n                            <b>Policy ID</b>\n                        </td>\n                        <td>\n                            <b>Policy Holder</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>United Healthcare</td>\n                        <td>12341</td>\n                        <td>Self</td>\n                    </tr>\n                    <tr>\n                        <td>Cigna</td>\n                        <td>53123</td>\n                        <td>Spouse</td>\n                    </tr>\n                </table>\n            </div>"
          }
        },
        {
          "title" : "Plan of Treatment Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "18776-5",
                "display" : "Plan of care note"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "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>2016/08/16 - 2016/08/16</td>\n                        <td>Completed</td>\n                    </tr>\n                    <tr>\n                        <td>Recommendation to Exercise</td>\n                        <td>2016/10/29</td>\n                        <td>Ongoing</td>\n                    </tr>\n                </table>\n            </div>"
          }
        },
        {
          "title" : "Problem Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "11450-4",
                "display" : "Problem list - Reported"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Problem Name</b>\n                        </td>\n                        <td>\n                            <b>Type</b>\n                        </td>\n                        <td>\n                            <b>Onset Date</b>\n                        </td>\n                        <td>\n                            <b>Abatement Date</b>\n                        </td>\n                        <td>\n                            <b>Status</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Fever</td>\n                        <td>Condition</td>\n                        <td>2016-04-01</td>\n                        <td>2016-04-14</td>\n                        <td>Complete</td>\n                    </tr>\n                </table>\n            </div>"
          },
          "entry" : [
            {
              🔗 "reference" : "Condition/condition-problem"
            }
          ]
        },
        {
          "title" : "Procedures Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "47519-4",
                "display" : "History of Procedures Document"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Procedure Name</b>\n                        </td>\n                        <td>\n                            <b>Body Site</b>\n                        </td>\n                        <td>\n                            <b>Performer</b>\n                        </td>\n                        <td>\n                            <b>Date Performed</b>\n                        </td>\n                        <td>\n                            <b>Reason</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Appendectomy (Procedure)</td>\n                        <td>Abdomen</td>\n                        <td>Dr. Adam Everyman</td>\n                        <td>20160405</td>\n                        <td>Generalized abdominal pain 24 hours. Localized in RIF with\n                                        rebound and guarding</td>\n                    </tr>\n                </table>\n            </div>"
          },
          "entry" : [
            {
              🔗 "reference" : "Procedure/procedure-rehab"
            }
          ]
        },
        {
          "title" : "Discharge Diagnosis Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "11535-2",
                "display" : "Hospital discharge Dx Narrative"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>Diverticula of intestine</p>\n            </div>"
          }
        },
        {
          "title" : "Immunizations Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "11369-6",
                "display" : "History of Immunization Narrative"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Vaccine</b>\n                        </td>\n                        <td>\n                            <b>Date</b>\n                        </td>\n                        <td>\n                            <b>Status</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Fluvax (Influenza)</td>\n                        <td>2016-04-05</td>\n                        <td>Completed</td>\n                    </tr>\n                </table>\n            </div>"
          },
          "entry" : [
            {
              🔗 "reference" : "Immunization/immunization"
            }
          ]
        },
        {
          "title" : "Nutrition Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "61144-2",
                "display" : "Diet and nutrition Narrative"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Date</b>\n                        </td>\n                        <td>\n                            <b>Nutritional Status</b>\n                        </td>\n                        <td>\n                            <b>Diet</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>2005/12/29</td>\n                        <td>Well nourished</td>\n                        <td>Low sodium diet, excessive carbohydrate</td>\n                    </tr>\n                    <tr>\n                        <td>2010/05/26</td>\n                        <td>Slight dehydration</td>\n                        <td>High protein, low fibre</td>\n                    </tr>\n                </table>\n            </div>"
          }
        },
        {
          "title" : "Reason for Referral Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "42349-1",
                "display" : "Reason for referral (narrative)"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>Colonoscopy</p>\n            </div>"
          }
        },
        {
          "title" : "Results Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "30954-2",
                "display" : "Relevant diagnostic tests/laboratory data Narrative"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Result Type</b>\n                        </td>\n                        <td>\n                            <b>Quantity Value</b>\n                        </td>\n                        <td>\n                            <b>Date</b>\n                        </td>\n                        <td>\n                            <b>Status</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Glucose [Moles/volume] in Blood</td>\n                        <td>6.3 mmol/l</td>\n                        <td>2016/06/15</td>\n                        <td>Final</td>\n                    </tr>\n                </table>\n            </div>"
          },
          "entry" : [
            {
              🔗 "reference" : "Observation/observation-lab-urine"
            }
          ]
        },
        {
          "title" : "Vital Signs Section",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "8716-3",
                "display" : "Vital signs"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Vital Sign</b>\n                        </td>\n                        <td>\n                            <b>Date</b>\n                        </td>\n                        <td>\n                            <b>Value</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Temperature</td>\n                        <td>2016/06/15</td>\n                        <td>39 Degrees Celcius</td>\n                    </tr>\n                </table>\n            </div>"
          },
          "entry" : [
            {
              🔗 "reference" : "Observation/observation-vitals-temp"
            }
          ]
        }
      ]
    }