{"resourceType":"Composition","status":"preliminary","subject":{"display":"","reference":""},"date":"2022-09-20","author":[{"display":"","reference":""}],"title":"Continuity of Care Document","section":[{"reference":"Patient/john-doe"},{"reference":"CarePlan/ExampleCarePlan"},{"reference":"Condition/JohnDoe-diabetes"},{"reference":"Consent/ExampleConsent"},{"reference":"Communication/ExampleCommunication"},{"reference":"Device/ExampleDevice"},{"reference":"DiagnosticReport/ExampleDiagnosticReport"},{"reference":"Immunization/immunization"},{"reference":"Medication/Medication-1"},{"reference":"MedicationStatement/medication-statement"},{"reference":"Observation/observation-lab-urine"},{"reference":"Observation/observation-smoker"},{"reference":"Observation/observation-vitals-temp"},{"reference":"Organization/organization-1"},{"reference":"Procedure/procedure-rehab"}]} {"resourceType":"Patient","id":"john-doe","text":{"status":"generated","div":"

Johnny male, DoB: 1954-09-17

"},"active":true,"name":[{"use":"official","family":"Doe","given":["John"]},{"use":"usual","given":["Johnny"]}],"telecom":[{"use":"home"},{"system":"phone","value":"(+1) 555 6473","use":"work","rank":1}],"gender":"male","birthDate":"1954-09-17","deceasedBoolean":false,"_id":"K7GNYY39v2tTNHtHg"} {"resourceType":"CarePlan","id":"ExampleCarePlan","meta":{"profile":["https://gitlab.mitre.org/awatson/sphr/StructureDefinition/PhrCarePlan"]},"text":{"status":"generated","div":"

Generated Narrative

Resource \"ExampleCarePlan\"

Profile: PhrCarePlan

status: active

intent: plan

subject: Patient/john-doe: John Doe \" DOE\"

"},"status":"active","intent":"plan","subject":{"reference":"Patient/john-doe","display":"John Doe"},"_id":"tKta8b3btXBJ22YTX"} {"resourceType":"Condition","id":"JohnDoe-diabetes","text":{"status":"generated","div":"

Generated Narrative

Resource \"JohnDoe-diabetes\"

clinicalStatus: active ([not stated]#active)

verificationStatus: differential ([not stated]#differential)

category: Problem (SNOMED CT#55607006; condition-category#problem-list-item)

severity: Severe (SNOMED CT#24484000)

code: Diabetes Type 2 (SNOMED CT#44054006)

subject: Patient/Anyman/Bob: John Doe

onset: 2018-09-16

abatement: 2018-09-16

asserter: Provider/Primary/Patricia

note: The patient is now diagnosed with type 2 diabetes.

"},"clinicalStatus":{"coding":[{"code":"active"}]},"verificationStatus":{"coding":[{"code":"differential"}]},"category":[{"coding":[{"system":"http://snomed.info/sct","code":"55607006","display":"Problem"},{"system":"http://hl7.org/fhir/condition-category","code":"problem-list-item"}]}],"severity":{"coding":[{"system":"http://snomed.info/sct","code":"24484000","display":"Severe"}]},"code":{"coding":[{"system":"http://snomed.info/sct","code":"44054006","display":"Diabetes Type 2"}]},"subject":{"reference":"Patient/Anyman/Bob","display":"John Doe"},"onsetDateTime":"2018-09-16","abatementDateTime":"2018-09-16","asserter":{"reference":"Provider/Primary/Patricia"},"note":[{"text":"The patient is now diagnosed with type 2 diabetes."}],"_id":"wiwWgBMCXy3CDHnMJ"} {"resourceType":"Consent","id":"ExampleConsent","meta":{"profile":["https://gitlab.mitre.org/awatson/sphr/StructureDefinition/PhrConsent"]},"text":{"status":"generated","div":"

Generated Narrative

Resource \"ExampleConsent\"

Profile: PhrConsent

status: active

scope: Patient Privacy (Consent Scope Codes#patient-privacy)

category: Advanced Directive (valueset-consent-category.html#acd)

"},"status":"active","scope":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/consentscope","code":"patient-privacy","display":"Patient Privacy"}]},"category":[{"coding":[{"system":"https://www.hl7.org/fhir/valueset-consent-category.html","code":"acd","display":"Advanced Directive"}]}],"_id":"QAsvvG5RXAtGyT6YA"} {"resourceType":"Communication","id":"ExampleCommunication","meta":{"profile":["https://gitlab.mitre.org/awatson/sphr/StructureDefinition/PhrCommunication"]},"text":{"status":"generated","div":"

Generated Narrative

Resource \"ExampleCommunication\"

Profile: PhrCommunication

status: completed

"},"status":"completed","_id":"EYRnh96huaSF3TQCq"} {"resourceType":"Device","id":"ExampleDevice","meta":{"profile":["https://gitlab.mitre.org/awatson/sphr/StructureDefinition/PhrDevice"]},"text":{"status":"generated","div":"

Generated Narrative

Resource \"ExampleDevice\"

Profile: PhrDevice

"},"_id":"shC7JP8a7G6chtCCD"} {"resourceType":"DiagnosticReport","id":"ExampleDiagnosticReport","meta":{"profile":["https://gitlab.mitre.org/awatson/sphr/StructureDefinition/PhrDiagnosticReport"]},"text":{"status":"generated","div":"

Withdrawal arrhythmia

Report Details

"},"status":"final","code":{"coding":[{"system":"http://snomed.info/sct","code":"184004","display":"Withdrawal arrhythmia"}]},"_id":"WFFso5XxRYAaKpYbE"} {"resourceType":"Immunization","id":"immunization","meta":{"versionId":"1","lastUpdated":"2018-10-04T19:42:52.061-04:00"},"text":{"status":"generated","div":"

Generated Narrative

Resource \"immunization\" Version \"1\" Updated \"2018-10-04 07:42:52-0400\"

status: completed

vaccineCode: influenza, injectable, quadrivalent (PH_VaccinesAdministeredCVX_CDC_NIP#158; National drug codes#49281-0623-78 \"FLUZONE QUADRIVALENT\")

patient: Patient/john-doe: John Doe \" DOE\"

occurrence: 2016-01-08

primarySource: false

"},"status":"completed","vaccineCode":{"coding":[{"system":"http://hl7.org/fhir/sid/cvx","code":"158","display":"influenza, injectable, quadrivalent"},{"system":"http://hl7.org/fhir/sid/ndc","code":"49281-0623-78","display":"FLUZONE QUADRIVALENT"}]},"patient":{"reference":"Patient/john-doe","display":"John Doe"},"occurrenceDateTime":"2016-01-08","primarySource":false,"_id":"ahajW6MiERLQDwEAe"} {"resourceType":"Medication","id":"Medication-1","text":{"status":"generated","div":"

Generated Narrative

Resource \"Medication-1\"

code: Glipizide and Metformin Hydrochloride (National drug codes#68382-185)

manufacturer: : Zydus Pharmaceuticals (USA) Inc.

"},"code":{"coding":[{"system":"http://hl7.org/fhir/sid/ndc","code":"68382-185","display":"Glipizide and Metformin Hydrochloride"}]},"manufacturer":{"display":"Zydus Pharmaceuticals (USA) Inc."},"_id":"cJWH7fx8W5WghyGY2"} {"resourceType":"MedicationStatement","id":"medication-statement","meta":{"versionId":"1","lastUpdated":"2018-10-04T19:42:52.061-04:00","profile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationstatement"]},"text":{"status":"generated","div":"

Generated Narrative

Resource \"medication-statement\" Version \"1\" Updated \"2018-10-04 07:42:52-0400\"

Profile: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationstatement

status: active

medication: lisinopril oral 10 mg (RxNorm#206765 \"Lisinopril 10 MG Oral Tablet [Prinivil]\")

subject: Patient/john-doe: John Doe \" DOE\"

effective: 2010-05-01 --> (ongoing)

dateAsserted: 2016-05-01 04:13:03+0000

"},"status":"active","medicationCodeableConcept":{"coding":[{"system":"http://www.nlm.nih.gov/research/umls/rxnorm","code":"206765","display":"Lisinopril 10 MG Oral Tablet [Prinivil]"}],"text":"lisinopril oral 10 mg"},"subject":{"reference":"Patient/john-doe","display":"John Doe"},"effectivePeriod":{"start":"2010-05-01"},"dateAsserted":"2016-05-01T16:13:03Z","_id":"PxtQHyDfSue5G8MbP"} {"resourceType":"Observation","id":"observation-lab-urine","meta":{"versionId":"1","lastUpdated":"2018-10-04T19:42:52.061-04:00","profile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"]},"text":{"status":"generated","div":"

Generated Narrative

Resource \"observation-lab-urine\" Version \"1\" Updated \"2018-10-04 07:42:52-0400\"

Profile: http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults

status: final

category: Laboratory (observation-category#laboratory)

code: SPEC GRAV (LOINC#5811-5 \"Specific gravity of Urine by Test strip\")

subject: Patient/john-doe: John Doe \" DOE\"

effective: 2005-07-05

value: 1.017 {urine specific gravity} (Details: UCUM code {urine specific gravity} = '{urine specific gravity}')

ReferenceRanges

-LowHigh
*1.003 {urine specific gravity} (Details: UCUM code {urine specific gravity} = '{urine specific gravity}')1.035 {urine specific gravity} (Details: UCUM code {urine specific gravity} = '{urine specific gravity}')
"},"status":"final","category":[{"coding":[{"system":"http://hl7.org/fhir/observation-category","code":"laboratory","display":"Laboratory"}],"text":"Laboratory"}],"code":{"coding":[{"system":"http://loinc.org","code":"5811-5","display":"Specific gravity of Urine by Test strip"}],"text":"SPEC GRAV"},"subject":{"reference":"Patient/john-doe","display":"John Doe"},"effectiveDateTime":"2005-07-05","valueQuantity":{"value":1.017,"system":"http://unitsofmeasure.org","code":"{urine specific gravity}"},"referenceRange":[{"low":{"value":1.003,"system":"http://unitsofmeasure.org","code":"{urine specific gravity}"},"high":{"value":1.035,"system":"http://unitsofmeasure.org","code":"{urine specific gravity}"}}],"issued":1120521600000,"_id":"QETLtpvLmPrQsuz5n"} {"resourceType":"Observation","id":"observation-smoker","meta":{"versionId":"1","lastUpdated":"2018-10-04T19:42:52.061-04:00"},"text":{"status":"generated","div":"

Generated Narrative

Resource \"observation-smoker\" Version \"1\" Updated \"2018-10-04 07:42:52-0400\"

status: final

category: Social History (observation-category#social-history)

code: Tobacco smoking status (LOINC#72166-2)

subject: Patient/john-doe: John Doe \" DOE\"

issued: Mar 17, 2016, 10:27:04 PM

value: Current some day smoker (SNOMED CT#428041000124106)

"},"status":"final","category":[{"coding":[{"system":"http://hl7.org/fhir/observation-category","code":"social-history","display":"Social History"}],"text":"Social History"}],"code":{"coding":[{"system":"http://loinc.org","code":"72166-2","display":"Tobacco smoking status"}],"text":"Tobacco smoking status"},"subject":{"reference":"Patient/john-doe","display":"John Doe"},"issued":1458278824000,"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"428041000124106","display":"Current some day smoker"}],"text":"Current some day smoker"},"_id":"Jd9KhysappmBgXtzZ"} {"resourceType":"Observation","id":"observation-vitals-temp","meta":{"versionId":"1","lastUpdated":"2018-10-04T19:42:52.061-04:00","profile":["http://hl7.org/fhir/StructureDefinition/vitalsigns"]},"text":{"status":"generated","div":"

Generated Narrative

Resource \"observation-vitals-temp\" Version \"1\" Updated \"2018-10-04 07:42:52-0400\"

Profile: Vital Signs Profile

status: final

category: Vital Signs (observation-category#vital-signs)

code: temperature (LOINC#8310-5 \"Body temperature\")

subject: Patient/john-doe: John Doe \" DOE\"

effective: 1999-07-02

value: 36.55556 Cel (Details: UCUM code Cel = 'Cel')

"},"status":"final","category":[{"coding":[{"system":"http://hl7.org/fhir/observation-category","code":"vital-signs","display":"Vital Signs"}],"text":"Vital Signs"}],"code":{"coding":[{"system":"http://loinc.org","code":"8310-5","display":"Body temperature"}],"text":"temperature"},"subject":{"reference":"Patient/john-doe","display":"John Doe"},"effectiveDateTime":"1999-07-02","valueQuantity":{"value":36.55556,"unit":"Cel","system":"http://unitsofmeasure.org","code":"Cel"},"issued":930873600000,"_id":"Dw34TA8WTTyxzgxGT"} {"resourceType":"Organization","id":"organization-1","meta":{"versionId":"3","lastUpdated":"2019-01-25T16:39:57.489-05:00","profile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"]},"text":{"status":"generated","div":"

Generated Narrative

Resource \"organization-1\" Version \"3\" Updated \"2019-01-25 04:39:57-0500\"

Profile: http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization

identifier: id: 1144221847, id: 2523423456

active: true

type: Healthcare Provider (organization-type#prov)

name: Acme Labs

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

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

"},"extension":[{"url":"https://trifolia-fhir.lantanagroup.com/stu3/StructureDefinition/github-branch","valueString":"master"},{"url":"https://trifolia-fhir.lantanagroup.com/stu3/StructureDefinition/github-path","valueString":"HL7/ccda-on-fhir/source/resources/organization/organization-1.xml"}],"identifier":[{"system":"http://hl7.org.fhir/sid/us-npi","value":"1144221847"},{"system":"http://www.acme.org/organization","value":"2523423456"}],"active":true,"type":[{"coding":[{"system":"http://hl7.org/fhir/organization-type","code":"prov","display":"Healthcare Provider"}]}],"name":"Acme Labs","telecom":[{"system":"phone","value":"(+1) 734-677-7777"},{"system":"email","value":"hq@acme.org"}],"address":[{"line":["3300 Washtenaw Avenue, Suite 227"],"city":"Amherst","state":"MA","postalCode":"01002","country":"USA"}],"_id":"zPrsZgMQ4JeM3DEJp"} {"resourceType":"Procedure","id":"procedure-rehab","meta":{"versionId":"1","lastUpdated":"2018-10-04T19:42:52.061-04:00","profile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure"]},"text":{"status":"generated","div":"

Generated Narrative

Resource \"procedure-rehab\" Version \"1\" Updated \"2018-10-04 07:42:52-0400\"

Profile: http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure

status: completed

code: Alcohol rehabilitation (SNOMED CT#38670004 \"Patient referral for alcoholism rehabilitation (procedure)\")

subject: Patient/john-doe: John Doe \" DOE\"

performed: 2002-05-23

"},"status":"completed","code":{"coding":[{"system":"http://snomed.info/sct","code":"38670004","display":"Patient referral for alcoholism rehabilitation (procedure)"}],"text":"Alcohol rehabilitation"},"subject":{"reference":"Patient/john-doe","display":"John Doe"},"performedDateTime":"2002-05-23","_id":"H63aT7zETKEztiRd5"}