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

## : Continuity of Care Document - Composition - XML Representation

Page standards status: Informative

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    <Composition xmlns="http://hl7.org/fhir">
      <id value="Continuity-of-Care-Document-Example"/>
      <meta>
        <versionId value="3"/>
        <lastUpdated value="2020-08-12T21:30:17.571+00:00"/>
        <source value="#csn482LCsnDWyxbW"/>
        <profile
                 value="http://hl7.org/fhir/us/ccda/StructureDefinition/Continuity-of-Care-Document"/>
      </meta>
      <language value="en-US"/>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-US" lang="en-US">
                <table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
                    <tbody>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Document Id</span>
                            </td>
                            <td class="td_header_role_value">12345</td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Document Created:</span>
                            </td>
                            <td class="td_header_role_value">June 15, 2016, 16:14, PST </td>
                        </tr>
                    </tbody>
                </table>
                <table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
                    <tbody>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Care Provision</span>
                            </td>
                            <td class="td_header_role_value">Summary of Episode for Amy
                                            Shaw</td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Performer </span>
                            </td>
                            <td class="td_header_role_value">Ronald Boone, MD</td>
                        </tr>
                    </tbody>
                </table>
                <table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
                    <tbody>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Author</span>
                            </td>
                            <td class="td_header_role_value">Ronald Boone, MD</td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Contact info</span>
                            </td>
                            <td class="td_header_role_value">1003 Healthcare Drive

                                <br/>Amherst MA 01002, US
                                <br/>Tel: +1(555)555-1003

                                <br/>
                            </td>
                        </tr>
                    </tbody>
                </table>
                <table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
                    <tbody>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Encounter Id</span>
                            </td>
                            <td class="td_header_role_value">9937012
                                            2.16.840.1.113883.19</td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Event Type</span>
                            </td>
                            <td class="td_header_role_value">Summary of Episode</td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Event Date</span>
                            </td>
                            <td class="td_header_role_value"> From June 15, 2016, 16:20 to
                                            June 15, 2016, 18:20 </td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Encounter Location</span>
                            </td>
                            <td class="td_header_role_value">Ambulatory Care at Community
                                            Health and Hospitals</td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Responsible party</span>
                            </td>
                            <td class="td_header_role_value">Ronald Boone, MD</td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Contact info</span>
                            </td>
                            <td class="td_header_role_value">1003 Healthcare Drive

                                <br/>Amherst MA 01002, US
                                <br/>Tel: +1(555)555-1003

                                <br/>
                            </td>
                        </tr>
                    </tbody>
                </table>
                <table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
                    <tbody>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Assigned entity</span>
                            </td>
                            <td class="td_header_role_value">Community Health and Hospitals

                                <br/>
                            </td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Emergency contact</span>
                            </td>
                            <td class="td_header_role_value">Michael Shaw
                                <br/>
                                <br/>
                            </td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Contact info</span>
                            </td>
                            <td class="td_header_role_value">49 Meadow St
                                <br/>Amherst MA
                                            01003, US
                                <br/>Tel: (555)555-1212
                                <br/>
                            </td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Care giver</span>
                            </td>
                            <td class="td_header_role_value">Mrs. Lillian White
                                <br/>
                            </td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Contact info</span>
                            </td>
                            <td class="td_header_role_value">49 Meadow St
                                <br/>Amherst MA
                                            01003, US
                                <br/>Tel: (555)555-1215
                                <br/>
                            </td>
                        </tr>
                    </tbody>
                </table>
                <table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
                    <tbody>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Entered by</span>
                            </td>
                            <td class="td_header_role_value">Sally Jones</td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Contact info</span>
                            </td>
                            <td class="td_header_role_value">1003 Healthcare Drive

                                <br/>Amherst MA 01002, US
                                <br/>Tel: +1(555)555-1003

                                <br/>
                            </td>
                        </tr>
                    </tbody>
                </table>
                <table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
                    <tbody>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Signed </span>
                            </td>
                            <td class="td_header_role_value">Ronald Boone at June 15, 2016
    									</td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Contact info</span>
                            </td>
                            <td class="td_header_role_value">1003 Healthcare Drive

                                <br/>Amherst MA 01002, US
                                <br/>Tel: +1(555)555-1003

                                <br/>
                            </td>
                        </tr>
                    </tbody>
                </table>
                <table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
                    <tbody>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Informant</span>
                            </td>
                            <td class="td_header_role_value">Henry Vincent, CPh</td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Contact info</span>
                            </td>
                            <td class="td_header_role_value">1007 Pharmacy Drive

                                <br/>Portland, OR 99123, US
                                <br/>Tel: +1(555)555-1215

                                <br/>
                            </td>
                        </tr>
                    </tbody>
                </table>
                <table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
                    <tbody>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Information recipient:</span>
                            </td>
                            <td class="td_header_role_value">Primary Physician, MD</td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Contact info</span>
                            </td>
                            <td class="td_header_role_value">1005 St. Clair Avenue

                                <br/>Amherst MA 01002, US
                                <br/>Tel: +1(555)555-1666

                                <br/>
                            </td>
                        </tr>
                    </tbody>
                </table>
                <table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
                    <tbody>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Legal authenticator</span>
                            </td>
                            <td class="td_header_role_value">Ronald Boone, MD signed at June
                                            15, 2016 </td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Contact info</span>
                            </td>
                            <td class="td_header_role_value">1003 Healthcare Drive

                                <br/>Amherst MA 01002, US
                                <br/>Tel: +1(555)555-1003

                                <br/>
                            </td>
                        </tr>
                    </tbody>
                </table>
                <table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
                    <tbody>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Document maintained by</span>
                            </td>
                            <td class="td_header_role_value">Community Health and
                                            Hospitals</td>
                        </tr>
                        <tr>
                            <td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
                                <span class="td_label">Contact info</span>
                            </td>
                            <td class="td_header_role_value">1003 Healthcare Drive

                                <br/>Amherst MA 01002, US
                                <br/>Tel: +1(555)555-1003

                                <br/>
                            </td>
                        </tr>
                    </tbody>
                </table>
            </div>
      </text>
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value value="urn:uuid:7e63fe21-7285-46c6-b72f-e58a61341195"/>
      </identifier>
      <status value="preliminary"/>
      <type>
        <coding>
          <system value="http://loinc.org"/>
          <code value="34133-9"/>
          <display value="Summary of episode note"/>
        </coding>
      </type>
      <subject>🔗
        <reference value="Patient/example"/>
        <display value="Amy V. Shaw"/>
      </subject>
      <date value="2016-02-28T09:10:14Z"/>
      <author>🔗
        <reference value="PractitionerRole/ccda-practitionerrole-example"/>
        <display value="Ronald Bone, MD"/>
      </author>
      <title value="Continuity of Care Document"/>
      <attester>
        <mode value="legal"/>
        <time value="2016-06-15T09:10:14Z"/>
        <party>🔗
          <reference value="PractitionerRole/ccda-practitionerrole-example"/>
          <display value="Ronald Boone, MD"/>
        </party>
      </attester>
      <custodian>🔗
        <reference value="Organization/organization-2"/>
        <display value="Acme Clinic"/>
      </custodian>
      <event>
        <code>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-ActClass"/>
            <code value="PCPR"/>
            <display value="Care Provision"/>
          </coding>
        </code>
        <period>
          <start value="2016-06-15"/>
          <end value="2016-08-20"/>
        </period>
      </event>
      <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>
      <section>
        <title value="Medication Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="10160-0"/>
            <display value="History of Medication use Narrative"/>
          </coding>
        </code>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
                    <table>
                        <tr>
                            <td>
                                <b>Medication</b>
                            </td>
                            <td>
                                <b>Directions</b>
                            </td>
                            <td>
                                <b>Start Date</b>
                            </td>
                            <td>
                                <b>Status</b>
                            </td>
                            <td>
                                <b>Indications</b>
                            </td>
                            <td>
                                <b>Fill Instructions</b>
                            </td>
                        </tr>
                        <tr>
                            <td>Amoxicillin</td>
                            <td>Amoxicillin Powder, for Suspension 250mg/5ml</td>
                            <td>2016/02/28</td>
                            <td>Active</td>
                            <td>Pneumonia</td>
                            <td>Generic substitution allowed</td>
                        </tr>
                    </table>
                </div>
        </text>
        <entry>🔗
          <reference value="MedicationStatement/medication-statement"/>
        </entry>
      </section>
      <section>
        <title value="Problem Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="11450-4"/>
            <display value="Problem list - Reported"/>
          </coding>
        </code>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
                    <table>
                        <tr>
                            <td>
                                <b>Problem Name</b>
                            </td>
                            <td>
                                <b>Type</b>
                            </td>
                            <td>
                                <b>Onset Date</b>
                            </td>
                            <td>
                                <b>Abatement Date</b>
                            </td>
                            <td>
                                <b>Status</b>
                            </td>
                        </tr>
                        <tr>
                            <td>Fever</td>
                            <td>Condition</td>
                            <td>2016/02/28</td>
                            <td>2016/03/01</td>
                            <td>Complete</td>
                        </tr>
                    </table>
                </div>
        </text>
        <entry>🔗
          <reference value="Condition/condition-problem"/>
        </entry>
      </section>
      <section>
        <title value="Procedures Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="47519-4"/>
            <display value="History of Procedures Document"/>
          </coding>
        </code>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
                    <table>
                        <tr>
                            <td>
                                <b>Procedure Name</b>
                            </td>
                            <td>
                                <b>Body Site</b>
                            </td>
                            <td>
                                <b>Performer</b>
                            </td>
                            <td>
                                <b>Date Performed</b>
                            </td>
                            <td>
                                <b>Reason</b>
                            </td>
                        </tr>
                        <tr>
                            <td>Appendectomy (Procedure)</td>
                            <td>Abdomen</td>
                            <td>Dr. Adam Everyman</td>
                            <td>2016/06/15</td>
                            <td>Generalized abdominal pain 24 hours. Localized in RIF with
                                            rebound and guarding</td>
                        </tr>
                    </table>
                </div>
        </text>
        <entry>🔗
          <reference value="Procedure/procedure-rehab"/>
        </entry>
      </section>
      <section>
        <title value="Results Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="30954-2"/>
            <display value="Relevant diagnostic tests/laboratory data Narrative"/>
          </coding>
        </code>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
                    <table>
                        <tr>
                            <td>
                                <b>Result Type</b>
                            </td>
                            <td>
                                <b>Quantity Value</b>
                            </td>
                            <td>
                                <b>Date</b>
                            </td>
                            <td>
                                <b>Status</b>
                            </td>
                        </tr>
                        <tr>
                            <td>Glucose [Moles/volume] in Blood</td>
                            <td>6.3 mmol/l</td>
                            <td>2016/06/15</td>
                            <td>Final</td>
                        </tr>
                    </table>
                </div>
        </text>
        <entry>🔗
          <reference value="Observation/observation-lab-urine"/>
        </entry>
      </section>
      <section>
        <title value="Advance Directives Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="42348-3"/>
            <display value="Advance directives"/>
          </coding>
        </code>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
                    <table>
                        <tr>
                            <td>
                                <b>Name</b>
                            </td>
                            <td>
                                <b>Applies Period</b>
                            </td>
                        </tr>
                        <tr>
                            <td>Resuscitation</td>
                            <td>2010/01/01 - 2025/01/01</td>
                        </tr>
                    </table>
                </div>
        </text>
      </section>
      <section>
        <title value="Encounters Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="46240-8"/>
            <display
                     value="History of Hospitalizations+Outpatient visits Narrative"/>
          </coding>
        </code>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
                    <table>
                        <tr>
                            <td>
                                <b>Encounter</b>
                            </td>
                            <td>
                                <b>Performer</b>
                            </td>
                            <td>
                                <b>Location</b>
                            </td>
                            <td>
                                <b>Date</b>
                            </td>
                        </tr>
                        <tr>
                            <td>Checkup Examination</td>
                            <td>Dr. S. Steene</td>
                            <td>Community Urgent Care Center</td>
                            <td>2016/04/18</td>
                        </tr>
                    </table>
                </div>
        </text>
      </section>
      <section>
        <title value="Family History Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="10157-6"/>
            <display value="History of family member diseases Narrative"/>
          </coding>
        </code>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
                    <table>
                        <tr>
                            <td>
                                <b>Relationship</b>
                            </td>
                            <td>
                                <b>Diagnosis</b>
                            </td>
                            <td>
                                <b>Age at Onset</b>
                            </td>
                        </tr>
                        <tr>
                            <td>Father</td>
                            <td>Myocardial Infarction(cause of Death)</td>
                            <td>57</td>
                        </tr>
                        <tr>
                            <td>Father</td>
                            <td>Diabetes</td>
                            <td>40</td>
                        </tr>
                    </table>
                </div>
        </text>
      </section>
      <section>
        <title value="Functional Status Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="47420-5"/>
            <display value="Functional status assessment note"/>
          </coding>
        </code>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
                    <table>
                        <tr>
                            <td>
                                <b>Functional or Cognitive Finding</b>
                            </td>
                            <td>
                                <b>Observation</b>
                            </td>
                            <td>
                                <b>Observation Date</b>
                            </td>
                            <td>
                                <b>Condition Status</b>
                            </td>
                        </tr>
                        <tr>
                            <td>Ambulation (Dependent to Independent</td>
                            <td>Independently able</td>
                            <td>2016/06/15</td>
                            <td>Active</td>
                        </tr>
                        <tr>
                            <td>Finding of Functional Performance and Activity</td>
                            <td>Dyspnea</td>
                            <td>2016/06/15</td>
                            <td>Active</td>
                        </tr>
                        <tr>
                            <td>Cognitive Function Finding</td>
                            <td>Memory Impairment</td>
                            <td>2010/04/17</td>
                            <td>Active</td>
                        </tr>
                    </table>
                </div>
        </text>
      </section>
      <section>
        <title value="Immunizations Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="11369-6"/>
            <display value="History of Immunization Narrative"/>
          </coding>
        </code>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
                    <table>
                        <tr>
                            <td>
                                <b>Vaccine</b>
                            </td>
                            <td>
                                <b>Date</b>
                            </td>
                            <td>
                                <b>Status</b>
                            </td>
                        </tr>
                        <tr>
                            <td>Fluvax (Influenza)</td>
                            <td>2014/05/29</td>
                            <td>Completed</td>
                        </tr>
                    </table>
                </div>
        </text>
        <entry>🔗
          <reference value="Immunization/immunization"/>
        </entry>
      </section>
      <section>
        <title value="Nutrition Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="61144-2"/>
            <display value="Diet and nutrition Narrative"/>
          </coding>
        </code>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
                    <table>
                        <tr>
                            <td>
                                <b>Date</b>
                            </td>
                            <td>
                                <b>Nutritional Status</b>
                            </td>
                            <td>
                                <b>Diet</b>
                            </td>
                        </tr>
                        <tr>
                            <td>2016/06/15</td>
                            <td>Well nourished</td>
                            <td>Low sodium diet, excessive carbohydrate</td>
                        </tr>
                        <tr>
                            <td>2016/06/15</td>
                            <td>Slight dehydration</td>
                            <td>High protein, low fibre</td>
                        </tr>
                    </table>
                </div>
        </text>
      </section>
      <section>
        <title value="Mental Status Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="10190-7"/>
            <display value="Mental status"/>
          </coding>
        </code>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
                    <table>
                        <tr>
                            <td>
                                <b>Date</b>
                            </td>
                            <td>
                                <b>Mental Status</b>
                            </td>
                            <td>
                                <b>Support System</b>
                            </td>
                        </tr>
                        <tr>
                            <td>2016/06/15</td>
                            <td>Good</td>
                            <td>Not required</td>
                        </tr>
                        <tr>
                            <td>2012/04/29</td>
                            <td>Dimentia</td>
                            <td>Daily Home Care</td>
                        </tr>
                    </table>
                </div>
        </text>
      </section>
      <section>
        <title value="Social History Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="29762-2"/>
            <display value="Social history Narrative"/>
          </coding>
        </code>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
                    <table>
                        <tr>
                            <td>
                                <b>Social History Element</b>
                            </td>
                            <td>
                                <b>Description</b>
                            </td>
                            <td>
                                <b>Effective Dates</b>
                            </td>
                        </tr>
                        <tr>
                            <td>Smoking</td>
                            <td>1 pack tobacco per day</td>
                            <td>2010/01/01 - 2016/06/15</td>
                        </tr>
                    </table>
                </div>
        </text>
        <entry>🔗
          <reference value="Observation/observation-smoker"/>
        </entry>
      </section>
      <section>
        <title value="Plan of Treatment Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="18776-5"/>
            <display value="Plan of care note"/>
          </coding>
        </code>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
                    <table>
                        <tr>
                            <td>
                                <b>Planned Activity</b>
                            </td>
                            <td>
                                <b>Period</b>
                            </td>
                            <td>
                                <b>Status</b>
                            </td>
                        </tr>
                        <tr>
                            <td>Colonoscopy</td>
                            <td>2016/06/15 - 2015/06/15</td>
                            <td>Completed</td>
                        </tr>
                        <tr>
                            <td>Recommendation to Exercise</td>
                            <td>2016/06/15</td>
                            <td>Ongoing</td>
                        </tr>
                    </table>
                </div>
        </text>
      </section>
      <section>
        <title value="Payers Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="48768-6"/>
            <display value="Payment sources Document"/>
          </coding>
        </code>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
                    <table>
                        <tr>
                            <td>
                                <b>Payer Name</b>
                            </td>
                            <td>
                                <b>Policy ID</b>
                            </td>
                            <td>
                                <b>Policy Holder</b>
                            </td>
                        </tr>
                        <tr>
                            <td>United Healthcare</td>
                            <td>12341</td>
                            <td>Self</td>
                        </tr>
                        <tr>
                            <td>Cigna</td>
                            <td>53123</td>
                            <td>Spouse</td>
                        </tr>
                    </table>
                </div>
        </text>
      </section>
      <section>
        <title value="Medical Equipment Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="46264-8"/>
            <display value="History of medical device use"/>
          </coding>
        </code>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
                    <table>
                        <tr>
                            <td>
                                <b>Supply/Device</b>
                            </td>
                            <td>
                                <b>Date Supplied</b>
                            </td>
                        </tr>
                        <tr>
                            <td>Automatic Implantable cardioverter/defbrillator</td>
                            <td>2015/05/29</td>
                        </tr>
                        <tr>
                            <td>Wheelchair</td>
                            <td>2016/06/15</td>
                        </tr>
                    </table>
                </div>
        </text>
      </section>
      <section>
        <title value="Vital Signs Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="8716-3"/>
            <display value="Vital signs"/>
          </coding>
        </code>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
                    <table>
                        <tr>
                            <td>
                                <b>Vital Sign</b>
                            </td>
                            <td>
                                <b>Date</b>
                            </td>
                            <td>
                                <b>Value</b>
                            </td>
                        </tr>
                        <tr>
                            <td>Temperature</td>
                            <td>2016/06/15</td>
                            <td>39 Degrees Celcius</td>
                        </tr>
                    </table>
                </div>
        </text>
        <entry>🔗
          <reference value="Observation/observation-vitals-temp"/>
        </entry>
      </section>
    </Composition>