Cross Border Data Exchange IG
1.0.0 - CI Build
Cross Border Data Exchange IG
1.0.0 - CI Build
Cross Border Data Exchange IG, published by IEHR-Workgroup. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/InteropEHRate-project/cross-border-data-exchange/ and changes regularly. See the Directory of published versions
{
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"meta" : {
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🔗 "http://interopehrate.eu/fhir/StructureDefinition/Composition-VisitReport-IEHR"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Composition</b><a name=\"1\"> </a><a name=\"hc1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Composition "1" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Composition-VisitReport-IEHR.html\">VisitReport-IEHR</a></p></div><p><b>ProvenanceExtension-IEHR</b>: <a href=\"Provenance-38.html\">Provenance/38</a></p><p><b>status</b>: final</p><p><b>type</b>: Continuity of Care Document - recommended C-CDA R2.0 and R2.1 sections <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#81214-9)</span></p><p><b>encounter</b>: <a href=\"Encounter-1.html\">Encounter/1</a></p><p><b>date</b>: 2022-07-05 09:49:37+0200</p><p><b>author</b>: <a href=\"Practitioner-21.html\">Practitioner/21</a> " ANTONIO"</p><p><b>title</b>: Medical visit</p></div>"
},
"extension" : [
{
"url" : "http://interopehrate.eu/fhir/StructureDefinition/ProvenanceExtension-IEHR",
"valueReference" : {
🔗 "reference" : "Provenance/38"
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}
],
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "81214-9",
"display" : "Continuity of Care Document - recommended C-CDA R2.0 and R2.1 sections"
}
]
},
"encounter" : {
🔗 "reference" : "Encounter/1"
},
"date" : "2022-07-05T09:49:37+02:00",
"author" : [
{
🔗 "reference" : "Practitioner/21"
}
],
"title" : "Medical visit",
"section" : [
{
"title" : "Allergies",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48765-2",
"display" : "Allergies and adverse reactions Document"
}
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},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the Allergies section</div>"
}
},
{
"title" : "History of Medication use Narrative",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10160-0",
"display" : "Hx of Medication use"
}
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the History of Medication section</div>"
},
"entry" : [
{
🔗 "reference" : "MedicationRequest/2"
}
]
},
{
"title" : "Problem list - Reported",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11450-4",
"display" : "Problem list - Reported"
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"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the Problem list section</div>"
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},
{
"title" : "History of Procedures Document",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "47519-4",
"display" : "History of Procedures Document"
}
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the History of Procedures section</div>"
}
},
{
"title" : "Relevant diagnostic tests/laboratory data Narrative",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "30954-2",
"display" : "Relevant Dx tests/lab data"
}
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the laboratory section section</div>"
},
"entry" : [
{
🔗 "reference" : "Observation/1"
}
]
},
{
"title" : "Social history",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29762-2",
"display" : "Social Hx"
}
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the Social History section</div>"
}
},
{
"title" : "Vital signs",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8716-3",
"display" : "Vital signs"
}
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the Vital Signs section</div>"
}
},
{
"title" : "Advance directives",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "42348-3",
"display" : "Advance directives"
}
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the Advance directives section</div>"
}
},
{
"title" : "History of Hospitalizations+Outpatient visits Narrative",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "46240-8",
"display" : "Hx of Hospitalizations+OP visits"
}
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the History of Hospitalizations+Outpatient visits section</div>"
}
},
{
"title" : "History of family member diseases Narrative",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10157-6",
"display" : "Family member diseases Hx"
}
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the History of family disease section</div>"
}
},
{
"title" : "Functional status assessment note",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "47420-5",
"display" : "Functional status note"
}
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the Functional status section</div>"
}
},
{
"title" : "History of Immunization Narrative",
"code" : {
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{
"system" : "http://loinc.org",
"code" : "11369-6",
"display" : "Hx of Immunization"
}
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the history of immunization section</div>"
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},
{
"title" : "Mental status Narrative",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10190-7",
"display" : "Mental status"
}
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the mental status section</div>"
}
},
{
"title" : "History of medical device use",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "46264-8",
"display" : "Hx medical device use"
}
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the medical device history section</div>"
}
},
{
"title" : "Diet and nutrition Narrative",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "61144-2",
"display" : "Diet+nutrition"
}
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the diet and nutrition section</div>"
}
},
{
"title" : "Payment sources Document",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48768-6",
"display" : "Payment sources Doc"
}
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the payment document section</div>"
}
},
{
"title" : "Plan of care note",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18776-5",
"display" : "Plan of care note"
}
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the plan of care section</div>"
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}
]
}