C-CDA on FHIR Implementation Guide STU 1 (v1.0.0)

This page is part of the C-CDA on FHIR Implementation Guide (v1.0.0: STU 1) based on FHIR R3. This is the current published version. For a full list of available versions, see the Directory of published versions


{
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    "status" : "generated",
    "div" : "<div xmlns="http://www.w3.org/1999/xhtml">
            <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>
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            <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>
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                        <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">
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                            <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>
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            <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>"
  },
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:7e63fe21-7285-46c6-b72f-e58a61341195"
  },
  "status" : "preliminary",
  "type" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "34133-9",
        "display" : "Summary of episode note"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/patient-1",
    "display" : "Amy V. Shaw"
  },
  "date" : "2016-02-28T09:10:14Z",
  "author" : [
    {
      "reference" : "Practitioner/practitioner-1",
      "display" : "Ronald Boone, MD"
    }
  ],
  "title" : "Continuity of Care Document",
  "confidentiality" : "N",
  "attester" : [
    {
      "mode" : [
        "legal"
      ],
      "time" : "2016-06-15T09:10:14Z",
      "party" : {
        "reference" : "Practitioner/practitioner-1",
        "display" : "Ronald Boone, MD"
      }
    }
  ],
  "custodian" : {
    "reference" : "Organization/organization-1",
    "display" : "Community Health and Hospitals"
  },
  "event" : [
    {
      "code" : [
        {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/v3/ActClass",
              "code" : "PCPR",
              "display" : "Care Provision"
            }
          ]
        }
      ],
      "period" : {
        "start" : "2016-06-15",
        "end" : "2016-08-20"
      }
    }
  ],
  "section" : [
    {
      "title" : "Allergies and Intolerances Section",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "48765-2",
            "display" : "Allergies and adverse reactions"
          }
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<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>"
      },
      "mode" : "snapshot",
      "orderedBy" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/list-order",
            "code" : "event-date",
            "display" : "Sorted by Event Date"
          }
        ]
      },
      "entry" : [
        {
          "reference" : "AllergyIntolerance/allergy-intolerance"
        }
      ]
    },
    {
      "title" : "Medication Section",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "10160-0",
            "display" : "History of Medication Use"
          }
        ]
      },
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        "status" : "generated",
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                <table>
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                        <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>"
      },
      "entry" : [
        {
          "reference" : "MedicationStatement/medication-statement"
        }
      ]
    },
    {
      "title" : "Problem Section",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "11450-4",
            "display" : "Problem list"
          }
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<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>"
      },
      "entry" : [
        {
          "reference" : "Condition/condition-problem"
        }
      ]
    },
    {
      "title" : "Procedures Section",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "47519-4",
            "display" : "History of procedures"
          }
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<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>"
      },
      "entry" : [
        {
          "reference" : "Procedure/procedure-rehab"
        }
      ]
    },
    {
      "title" : "Results Section",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "30954-2",
            "display" : "Relevant diagnostic tests and laboratory data"
          }
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<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>"
      },
      "entry" : [
        {
          "reference" : "Observation/observation-lab-urine"
        }
      ]
    },
    {
      "title" : "Advance Directives Section",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "42348-3",
            "display" : "Advance directives"
          }
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<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>"
      }
    },
    {
      "title" : "Encounters Section",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "46240-8",
            "display" : "Encounters"
          }
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<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>"
      }
    },
    {
      "title" : "Family History Section",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "10157-6",
            "display" : "History of family member diseases"
          }
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<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>"
      }
    },
    {
      "title" : "Functional Status Section",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "47420-5",
            "display" : "Functional status assessment"
          }
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<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>"
      }
    },
    {
      "title" : "Immunizations Section",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "11369-6",
            "display" : "History of immunization"
          }
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<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>"
      },
      "entry" : [
        {
          "reference" : "Immunization/immunization"
        }
      ]
    },
    {
      "title" : "Nutrition Section",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "61144-2",
            "display" : "Diet and nutrition"
          }
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<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>"
      }
    },
    {
      "title" : "Mental Status Section",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "10190-7",
            "display" : "Mental status"
          }
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<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>"
      }
    },
    {
      "title" : "Social History Section",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "29762-2",
            "display" : "Social history"
          }
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<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>"
      },
      "entry" : [
        {
          "reference" : "Observation/observation-smoker"
        }
      ]
    },
    {
      "title" : "Plan of Treatment Section",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "18776-5",
            "display" : "Plan of treatment"
          }
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<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>"
      }
    },
    {
      "title" : "Payers Section",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "48768-6",
            "display" : "Payers"
          }
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<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>"
      }
    },
    {
      "title" : "Medical Equipment Section",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "46264-8",
            "display" : "Medical equipment"
          }
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<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>"
      }
    },
    {
      "title" : "Vital Signs Section",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "8716-3",
            "display" : "Vital signs"
          }
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<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>"
      },
      "entry" : [
        {
          "reference" : "Observation/observation-vitals-temp"
        }
      ]
    }
  ]
}