C-CDA on FHIR
1.2.0-ballot - CI Build
C-CDA on FHIR
1.2.0-ballot - CI Build
This page is part of the C-CDA on FHIR Implementation Guide (v1.2.0-ballot: STU 1 Ballot 4) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions 
{
"resourceType" : "Bundle",
"id" : "Complete-Document-Bundle-Example",
"meta" : {
"versionId" : "4",
"lastUpdated" : "2020-08-19T05:53:55.261+00:00",
"source" : "#7jwafzgbwz3cPoym"
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:a417cad7-57b3-47a6-bab8-33fdae616839"
},
"type" : "document",
"timestamp" : "2013-08-15T10:30:00.000-08:00",
"entry" : [
{
"fullUrl" : "http://hl7.org/fhir/us/ccda/StructureDefinition/Care-Plan-Document",
"resource" : {
"resourceType" : "Composition",
"id" : "Care-Plan-Example",
"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\">Care Plan for Amy 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 \n \n <br/>Amherst MA 01002, US\n \n <br/>Tel: +1(555)555-1003\n \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\">Encounter Type</span>\n </td>\n <td class=\"td_header_role_value\">Care Plan</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 Period</span>\n </td>\n <td class=\"td_header_role_value\"> From June 15, 2016, 16:20 to\n Sept 18, 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\">Ambulatory Care at Acme\n Laboratories</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 \n \n <br/>Amherst MA 01002, US\n \n <br/>Tel: +1(555)555-1003\n \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\">Acme Laboratories \n \n \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 \n \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 \n \n <br/>Amherst MA\n 01003, US\n \n <br/>Tel: (555)555-1212\n \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 \n \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 \n \n <br/>Amherst MA\n 01003, US\n \n <br/>Tel: (555)555-1215\n \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 \n \n <br/>Amherst MA 01002, US\n \n <br/>Tel: +1(555)555-1003\n \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 </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 \n \n <br/>Amherst MA 01002, US\n \n <br/>Tel: +1(555)555-1003\n \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 \n \n <br/>Portland, OR 99123, US\n \n <br/>Tel: +1(555)555-1215\n \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 \n \n <br/>Amherst MA 01002, US\n \n <br/>Tel: +1(555)555-1666\n \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 \n \n <br/>Amherst MA 01002, US\n \n <br/>Tel: +1(555)555-1003\n \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\">Acme Laboratories</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 \n \n <br/>Amherst MA 01002, US\n \n <br/>Tel: +1(555)555-1003\n \n <br/>\n </td>\n </tr>\n </tbody>\n </table>\n </div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/ccda/StructureDefinition/DataEntererExtension",
"valueReference" : {
"reference" : "urn:uuid:23d3a2c1-44ae-491b-94d3-764d2a9d8f8c"
}
},
{
"url" : "http://hl7.org/fhir/us/ccda/StructureDefinition/VersionNumber",
"valueInteger" : 1
}
],
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:39067866-6319-4008-9c6d-3f0176d6826c"
},
"status" : "preliminary",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18776-5",
"display" : "Plan of care note"
}
]
},
"subject" : {
"reference" : "urn:uuid:d0dbd5a1-0bd7-4205-b936-09482c02c6d9",
"display" : "Amy V. Shaw"
},
"date" : "2016-06-15T09:10:14Z",
"author" : [
{
"reference" : "urn:uuid:23d3a2c1-44ae-491b-94d3-764d2a9d8f8c",
"display" : "Brenda Jennings Richard MD"
}
],
"title" : "Care Plan",
"attester" : [
{
"mode" : "legal",
"time" : "2016-06-15T09:10:14Z",
"party" : {
"reference" : "urn:uuid:23d3a2c1-44ae-491b-94d3-764d2a9d8f8c",
"display" : "Ronald Boone, MD"
}
}
],
"custodian" : {
"reference" : "urn:uuid:58d390ba-6348-4b0d-b85f-7fbd94223718",
"display" : "Acme Lab"
},
"event" : [
{
"code" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "73761001",
"display" : "Colonoscopy"
}
]
}
],
"period" : {
"start" : "2016-06-15",
"end" : "2016-09-18"
}
}
],
"section" : [
{
"title" : "Health Concerns Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "75310-3",
"display" : "Health concerns Document"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table>\n <tr>\n <td>\n <b>Concern</b>\n </td>\n <td>\n <b>Status</b>\n </td>\n <td>\n <b>Date</b>\n </td>\n </tr>\n <tr>\n <td>Current every day smoker</td>\n <td>Active</td>\n <td>Concern from June 16, 2015</td>\n </tr>\n <tr>\n <td>Respiratory insufficiency</td>\n <td>Completed</td>\n <td>Concern from June 13, 2015</td>\n </tr>\n <tr>\n <td>Pneumonia</td>\n <td>Completed</td>\n <td>June 16, 2015</td>\n </tr>\n </table>\n </div>"
}
},
{
"title" : "Goals Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "61146-7",
"display" : "Goals"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table>\n <tr>\n <td>\n <b>Goal</b>\n </td>\n <td>\n <b>Value</b>\n </td>\n <td>\n <b>Date</b>\n </td>\n </tr>\n <tr>\n <td>Pulse oximetry</td>\n <td>92%</td>\n <td>September 2, 2015</td>\n </tr>\n </table>\n </div>"
}
},
{
"title" : "Interventions Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "62387-6",
"display" : "Interventions Narrative"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table>\n <tr>\n <td>\n <b>Planned Intervention</b>\n </td>\n <td>\n <b>Status</b>\n </td>\n <td>\n <b>Date</b>\n </td>\n </tr>\n <tr>\n <td>Elevate head of bed</td>\n <td>active</td>\n <td>June 18, 2016</td>\n </tr>\n <tr>\n <td>Oxygen administration by nasal cannula</td>\n <td>active</td>\n <td>June 18, 2016</td>\n </tr>\n <tr>\n <td>pulse oximetry monitoring</td>\n <td>active</td>\n <td>June 18, 2016</td>\n </tr>\n </table>\n </div>"
}
},
{
"title" : "Health Status Evaluations and Outcomes Section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11383-7",
"display" : "Patient problem outcome"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table>\n <tr>\n <td>\n <b>Item</b>\n </td>\n <td>\n <b>Outcome</b>\n </td>\n <td>\n <b>Date</b>\n </td>\n </tr>\n <tr>\n <td>Pulse oximetry</td>\n <td>95%</td>\n <td>June 20, 2016</td>\n </tr>\n </table>\n </div>"
}
}
]
}
},
{
"fullUrl" : "urn:uuid:23d3a2c1-44ae-491b-94d3-764d2a9d8f8c",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "ccda-practitionerrole-example",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PractitionerRole</b><a name=\"ccda-practitionerrole-example\"> </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 PractitionerRole "ccda-practitionerrole-example" </p></div><p><b>practitioner</b>: <a href=\"#Practitioner_ccda-practitioner-example\">See above (urn:uuid:51819bca-6cdd-4a9c-a76f-51b4f50e7fd2: Brenda Jennings Richard MD)</a></p><p><b>organization</b>: <a href=\"#Organization_acme-lab\">See above (urn:uuid:58d390ba-6348-4b0d-b85f-7fbd94223718: Acme Lab)</a></p><p><b>telecom</b>: ph: 313-555-6868(HOME), ph: 313-555-6443(WORK)</p></div>"
},
"practitioner" : {
"reference" : "urn:uuid:51819bca-6cdd-4a9c-a76f-51b4f50e7fd2",
"display" : "Brenda Jennings Richard MD"
},
"organization" : {
"reference" : "urn:uuid:58d390ba-6348-4b0d-b85f-7fbd94223718",
"display" : "Acme Lab"
},
"telecom" : [
{
"system" : "phone",
"value" : "313-555-6868",
"use" : "home"
},
{
"system" : "phone",
"value" : "313-555-6443",
"use" : "work"
}
]
}
},
{
"fullUrl" : "urn:uuid:d0dbd5a1-0bd7-4205-b936-09482c02c6d9",
"resource" : {
"resourceType" : "Patient",
"id" : "example",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <div class=\"hapiHeaderText\">Amy V. \n \n \n <b>SHAW </b>\n </div>\n <table class=\"hapiPropertyTable\">\n <tbody>\n <tr>\n <td>Identifier</td>\n <td>1032702</td>\n </tr>\n <tr>\n <td>Address</td>\n <td>\n <span>49 Meadow St </span>\n <br/>\n <span>Mounds </span>\n <span>OK </span>\n <span>US </span>\n </td>\n </tr>\n <tr>\n <td>Date of birth</td>\n <td>\n <span>20 February 2007</span>\n </td>\n </tr>\n </tbody>\n </table>\n </div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race",
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2106-3",
"display" : "White"
}
},
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "1002-5",
"display" : "American Indian or Alaska Native"
}
},
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2028-9",
"display" : "Asian"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "1586-7",
"display" : "Shoshone"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2036-2",
"display" : "Filipino"
}
},
{
"url" : "text",
"valueString" : "Mixed"
}
]
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity",
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2135-2",
"display" : "Hispanic or Latino"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2184-0",
"display" : "Dominican"
}
},
{
"url" : "detailed",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2148-5",
"display" : "Mexican"
}
},
{
"url" : "text",
"valueString" : "Hispanic or Latino"
}
]
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode" : "F"
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical Record Number"
}
],
"text" : "Medical Record Number"
},
"system" : "http://hospital.smarthealthit.org",
"value" : "1032702"
}
],
"active" : true,
"name" : [
{
"family" : "Shaw",
"given" : [
"Amy",
"V."
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "555-555-5555",
"use" : "home"
},
{
"system" : "email",
"value" : "amy.shaw@example.com"
}
],
"gender" : "female",
"birthDate" : "2007-02-20",
"address" : [
{
"line" : [
"49 Meadow St"
],
"city" : "Mounds",
"state" : "OK",
"postalCode" : "74047",
"country" : "US"
}
]
}
},
{
"fullUrl" : "urn:uuid:58d390ba-6348-4b0d-b85f-7fbd94223718",
"resource" : {
"resourceType" : "Organization",
"id" : "acme-lab",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"acme-lab\"> </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 Organization "acme-lab" </p></div><p><b>identifier</b>: id:\u00a01144221847, id:\u00a02523423456</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-organization-type.html\">Organization type</a>#prov)</span></p><p><b>name</b>: Acme Labs</p><p><b>telecom</b>: ph: (+1) 734-677-7777, <a href=\"mailto:hq@acme.org\">hq@acme.org</a></p><p><b>address</b>: 3300 Washtenaw Avenue, Suite 227 Amherst MA 01002 USA </p></div>"
},
"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://terminology.hl7.org/CodeSystem/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"
}
]
}
},
{
"fullUrl" : "urn:uuid:51819bca-6cdd-4a9c-a76f-51b4f50e7fd2",
"resource" : {
"resourceType" : "Practitioner",
"id" : "ccda-practitioner-example",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b><a name=\"ccda-practitioner-example\"> </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 Practitioner "ccda-practitioner-example" </p></div><p><b>identifier</b>: US National Provider Identifier:\u00a09999991011\u00a0(use:\u00a0OFFICIAL)</p><p><b>name</b>: Brenda Jennings Richard </p><p><b>telecom</b>: ph: 313-555-6868(HOME), ph: 313-555-6443(WORK)</p><p><b>address</b>: 346 W Plum Avenu Dearborn MI 48123</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1976-11-15</p></div>"
},
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PRN",
"display" : "Provider number"
}
],
"text" : "US National Provider Identifier"
},
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "9999991011"
}
],
"name" : [
{
"family" : "Richard",
"given" : [
"Brenda",
"Jennings"
],
"suffix" : [
"MD"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "313-555-6868",
"use" : "home"
},
{
"system" : "phone",
"value" : "313-555-6443",
"use" : "work"
}
],
"address" : [
{
"text" : "346 W Plum Avenu Dearborn MI 48123",
"line" : [
"346 W Plum Avenue"
],
"city" : "Dearborn",
"state" : "MI",
"postalCode" : "48126"
}
],
"gender" : "female",
"birthDate" : "1976-11-15"
}
}
]
}
IG © 2020+ HL7 Structured Documents Working Group. Package hl7.fhir.us.ccda#1.2.0-ballot based on FHIR 4.0.1. Generated 2023-03-27
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