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

## Example Composition: Continuity of Care Document - Composition

Page standards status: Informative

Document Id | 12345
Document Created: | June 15, 2016, 16:14, PST

Care Provision | Summary of Episode 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
Event Type | Summary of Episode
Event Date | From June 15, 2016, 16:20 to June 15, 2016, 18:20
Encounter Location | Ambulatory Care at Community Health and Hospitals
Responsible party | Ronald Boone, MD
Contact info | 1003 Healthcare Drive Amherst MA 01002, US Tel: +1(555)555-1003

Assigned entity | Community Health and Hospitals
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 | Community Health and Hospitals
Contact info | 1003 Healthcare Drive Amherst MA 01002, US Tel: +1(555)555-1003