C-CDA on FHIR

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
@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Composition;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "CCDA-on-FHIR-Continuity-of-Care-Document-Example"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/CCDA-on-FHIR-Continuity-of-Care-Document";
       fhir:index 0     ]
  ];
  fhir:Resource.language [ fhir:value "en-US"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\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\">Summary of Episode 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<br/>Amherst MA 01002, US<br/>Tel:  +1(555)555-1003<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 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\">Event Type</span>\n                        </td>\n                        <td class=\"td_header_role_value\">Summary of Episode</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\">Event Date</span>\n                        </td>\n                        <td class=\"td_header_role_value\"> From June 15, 2016, 16:20 to June 15, 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 Community Health and Hospitals</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<br/>Amherst MA 01002, US<br/>Tel:  +1(555)555-1003<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\">Community Health and Hospitals<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<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<br/>Amherst MA 01003, US<br/>Tel:  (555)555-1212<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<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<br/>Amherst MA 01003, US<br/>Tel:  (555)555-1215<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<br/>Amherst MA 01002, US<br/>Tel:  +1(555)555-1003<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<br/>Amherst MA 01002, US<br/>Tel:  +1(555)555-1003<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<br/>Portland, OR 99123, US<br/>Tel:  +1(555)555-1215<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<br/>Amherst MA 01002, US<br/>Tel:  +1(555)555-1666<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 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<br/>Amherst MA 01002, US<br/>Tel:  +1(555)555-1003<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\">Community Health and Hospitals</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<br/>Amherst MA 01002, US<br/>Tel:  +1(555)555-1003<br/>\n                        </td>\n                    </tr>\n                </tbody>\n            </table>\n        </div>"
  ];
  fhir:Composition.identifier [
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:uuid:7e63fe21-7285-46c6-b72f-e58a61341195" ]
  ];
  fhir:Composition.status [ fhir:value "preliminary"];
  fhir:Composition.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:34133-9;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "34133-9" ];
       fhir:Coding.display [ fhir:value "Summary of episode note" ]     ]
  ];
  fhir:Composition.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient-1" ];
     fhir:Reference.display [ fhir:value "Amy V. Shaw" ]
  ];
  fhir:Composition.date [ fhir:value "2016-02-28T09:10:14Z"^^xsd:dateTime];
  fhir:Composition.author [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Practitioner/practitioner-1" ];
     fhir:Reference.display [ fhir:value "Ronald Boone, MD" ]
  ];
  fhir:Composition.title [ fhir:value "Continuity of Care Document"];
  fhir:Composition.confidentiality [ fhir:value "N"];
  fhir:Composition.attester [
     fhir:index 0;
     fhir:Composition.attester.mode [
       fhir:value "legal";
       fhir:index 0     ];
     fhir:Composition.attester.time [ fhir:value "2016-06-15T09:10:14Z"^^xsd:dateTime ];
     fhir:Composition.attester.party [
       fhir:Reference.reference [ fhir:value "Practitioner/practitioner-1" ];
       fhir:Reference.display [ fhir:value "Ronald Boone, MD" ]     ]
  ];
  fhir:Composition.custodian [
     fhir:Reference.reference [ fhir:value "Organization/organization-1" ];
     fhir:Reference.display [ fhir:value "Community Health and Hospitals" ]
  ];
  fhir:Composition.event [
     fhir:index 0;
     fhir:Composition.event.code [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/v3/ActClass" ];
         fhir:Coding.code [ fhir:value "PCPR" ];
         fhir:Coding.display [ fhir:value "Care Provision" ]       ]     ];
     fhir:Composition.event.period [
       fhir:Period.start [ fhir:value "2016-06-15"^^xsd:date ];
       fhir:Period.end [ fhir:value "2016-08-20"^^xsd:date ]     ]
  ];
  fhir:Composition.section [
     fhir:index 0;
     fhir:Composition.section.title [ fhir:value "Allergies and Intolerances Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:48765-2;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "48765-2" ];
         fhir:Coding.display [ fhir:value "Allergies and adverse reactions" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Substance</b>\n                        </td>\n                        <td>\n                            <b>Overall Severity</b>\n                        </td>\n                        <td>\n                            <b>Reaction</b>\n                        </td>\n                        <td>\n                            <b>Reaction Severity</b>\n                        </td>\n                        <td>\n                            <b>Status</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Cashew Nut</td>\n                        <td>Severe</td>\n                        <td>Anaphylactic reaction</td>\n                        <td>Mild</td>\n                        <td>Active</td>\n                    </tr>\n                </table>\n            </div>"     ];
     fhir:Composition.section.mode [ fhir:value "snapshot" ];
     fhir:Composition.section.orderedBy [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/list-order" ];
         fhir:Coding.code [ fhir:value "event-date" ];
         fhir:Coding.display [ fhir:value "Sorted by Event Date" ]       ]     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "AllergyIntolerance/allergy-intolerance" ]     ]
  ], [
     fhir:index 1;
     fhir:Composition.section.title [ fhir:value "Medication Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:10160-0;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "10160-0" ];
         fhir:Coding.display [ fhir:value "History of Medication Use" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Medication</b>\n                        </td>\n                        <td>\n                            <b>Directions</b>\n                        </td>\n                        <td>\n                            <b>Start Date</b>\n                        </td>\n                        <td>\n                            <b>Status</b>\n                        </td>\n                        <td>\n                            <b>Indications</b>\n                        </td>\n                        <td>\n                            <b>Fill Instructions</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Amoxicillin</td>\n                        <td>Amoxicillin Powder, for Suspension 250mg/5ml</td>\n                        <td>2016/02/28</td>\n                        <td>Active</td>\n                        <td>Pneumonia</td>\n                        <td>Generic substitution allowed</td>\n                    </tr>\n                </table>\n            </div>"     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "MedicationStatement/medication-statement" ]     ]
  ], [
     fhir:index 2;
     fhir:Composition.section.title [ fhir:value "Problem Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:11450-4;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "11450-4" ];
         fhir:Coding.display [ fhir:value "Problem list" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Problem Name</b>\n                        </td>\n                        <td>\n                            <b>Type</b>\n                        </td>\n                        <td>\n                            <b>Onset Date</b>\n                        </td>\n                        <td>\n                            <b>Abatement Date</b>\n                        </td>\n                        <td>\n                            <b>Status</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Fever</td>\n                        <td>Condition</td>\n                        <td>2016/02/28</td>\n                        <td>2016/03/01</td>\n                        <td>Complete</td>\n                    </tr>\n                </table>\n            </div>"     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "Condition/condition-problem" ]     ]
  ], [
     fhir:index 3;
     fhir:Composition.section.title [ fhir:value "Procedures Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:47519-4;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "47519-4" ];
         fhir:Coding.display [ fhir:value "History of procedures" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Procedure Name</b>\n                        </td>\n                        <td>\n                            <b>Body Site</b>\n                        </td>\n                        <td>\n                            <b>Performer</b>\n                        </td>\n                        <td>\n                            <b>Date Performed</b>\n                        </td>\n                        <td>\n                            <b>Reason</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Appendectomy (Procedure)</td>\n                        <td>Abdomen</td>\n                        <td>Dr. Adam Everyman</td>\n                        <td>2016/06/15</td>\n                        <td>Generalized abdominal pain 24 hours. Localized in RIF with rebound and guarding</td>\n                    </tr>\n                </table>\n            </div>"     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "Procedure/procedure-rehab" ]     ]
  ], [
     fhir:index 4;
     fhir:Composition.section.title [ fhir:value "Results Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:30954-2;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "30954-2" ];
         fhir:Coding.display [ fhir:value "Relevant diagnostic tests and laboratory data" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Result Type</b>\n                        </td>\n                        <td>\n                            <b>Quantity Value</b>\n                        </td>\n                        <td>\n                            <b>Date</b>\n                        </td>\n                        <td>\n                            <b>Status</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Glucose [Moles/volume] in Blood</td>\n                        <td>6.3 mmol/l</td>\n                        <td>2016/06/15</td>\n                        <td>Final</td>\n                    </tr>\n                </table>\n            </div>"     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "Observation/observation-lab-urine" ]     ]
  ], [
     fhir:index 5;
     fhir:Composition.section.title [ fhir:value "Advance Directives Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:42348-3;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "42348-3" ];
         fhir:Coding.display [ fhir:value "Advance directives" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Name</b>\n                        </td>\n                        <td>\n                            <b>Applies Period</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Resuscitation</td>\n                        <td>2010/01/01 - 2025/01/01</td>\n                    </tr>\n                </table>\n            </div>"     ]
  ], [
     fhir:index 6;
     fhir:Composition.section.title [ fhir:value "Encounters Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:46240-8;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "46240-8" ];
         fhir:Coding.display [ fhir:value "Encounters" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Encounter</b>\n                        </td>\n                        <td>\n                            <b>Performer</b>\n                        </td>\n                        <td>\n                            <b>Location</b>\n                        </td>\n                        <td>\n                            <b>Date</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Checkup Examination</td>\n                        <td>Dr. S. Steene</td>\n                        <td>Community Urgent Care Center</td>\n                        <td>2016/04/18</td>\n                    </tr>\n                </table>\n            </div>"     ]
  ], [
     fhir:index 7;
     fhir:Composition.section.title [ fhir:value "Family History Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:10157-6;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "10157-6" ];
         fhir:Coding.display [ fhir:value "History of family member diseases" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Relationship</b>\n                        </td>\n                        <td>\n                            <b>Diagnosis</b>\n                        </td>\n                        <td>\n                            <b>Age at Onset</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Father</td>\n                        <td>Myocardial Infarction(cause of Death)</td>\n                        <td>57</td>\n                    </tr>\n                    <tr>\n                        <td>Father</td>\n                        <td>Diabetes</td>\n                        <td>40</td>\n                    </tr>\n                </table>\n            </div>"     ]
  ], [
     fhir:index 8;
     fhir:Composition.section.title [ fhir:value "Functional Status Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:47420-5;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "47420-5" ];
         fhir:Coding.display [ fhir:value "Functional status assessment" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Functional or Cognitive Finding</b>\n                        </td>\n                        <td>\n                            <b>Observation</b>\n                        </td>\n                        <td>\n                            <b>Observation Date</b>\n                        </td>\n                        <td>\n                            <b>Condition Status</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Ambulation (Dependent to Independent</td>\n                        <td>Independently able</td>\n                        <td>2016/06/15</td>\n                        <td>Active</td>\n                    </tr>\n                    <tr>\n                        <td>Finding of Functional Performance and Activity</td>\n                        <td>Dyspnea</td>\n                        <td>2016/06/15</td>\n                        <td>Active</td>\n                    </tr>\n                    <tr>\n                        <td>Cognitive Function Finding</td>\n                        <td>Memory Impairment</td>\n                        <td>2010/04/17</td>\n                        <td>Active</td>\n                    </tr>\n                </table>\n            </div>"     ]
  ], [
     fhir:index 9;
     fhir:Composition.section.title [ fhir:value "Immunizations Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:11369-6;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "11369-6" ];
         fhir:Coding.display [ fhir:value "History of immunization" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Vaccine</b>\n                        </td>\n                        <td>\n                            <b>Date</b>\n                        </td>\n                        <td>\n                            <b>Status</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Fluvax (Influenza)</td>\n                        <td>2014/05/29</td>\n                        <td>Completed</td>\n                    </tr>\n                </table>\n            </div>"     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "Immunization/immunization" ]     ]
  ], [
     fhir:index 10;
     fhir:Composition.section.title [ fhir:value "Nutrition Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:61144-2;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "61144-2" ];
         fhir:Coding.display [ fhir:value "Diet and nutrition" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Date</b>\n                        </td>\n                        <td>\n                            <b>Nutritional Status</b>\n                        </td>\n                        <td>\n                            <b>Diet</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>2016/06/15</td>\n                        <td>Well nourished</td>\n                        <td>Low sodium diet, excessive carbohydrate</td>\n                    </tr>\n                    <tr>\n                        <td>2016/06/15</td>\n                        <td>Slight dehydration</td>\n                        <td>High protein, low fibre</td>\n                    </tr>\n                </table>\n            </div>"     ]
  ], [
     fhir:index 11;
     fhir:Composition.section.title [ fhir:value "Mental Status Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:10190-7;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "10190-7" ];
         fhir:Coding.display [ fhir:value "Mental status" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Date</b>\n                        </td>\n                        <td>\n                            <b>Mental Status</b>\n                        </td>\n                        <td>\n                            <b>Support System</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>2016/06/15</td>\n                        <td>Good</td>\n                        <td>Not required</td>\n                    </tr>\n                    <tr>\n                        <td>2012/04/29</td>\n                        <td>Dimentia</td>\n                        <td>Daily Home Care</td>\n                    </tr>\n                </table>\n            </div>"     ]
  ], [
     fhir:index 12;
     fhir:Composition.section.title [ fhir:value "Social History Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:29762-2;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "29762-2" ];
         fhir:Coding.display [ fhir:value "Social history" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Social History Element</b>\n                        </td>\n                        <td>\n                            <b>Description</b>\n                        </td>\n                        <td>\n                            <b>Effective Dates</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Smoking</td>\n                        <td>1 pack tobacco per day</td>\n                        <td>2010/01/01 - 2016/06/15</td>\n                    </tr>\n                </table>\n            </div>"     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "Observation/observation-smoker" ]     ]
  ], [
     fhir:index 13;
     fhir:Composition.section.title [ fhir:value "Plan of Treatment Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:18776-5;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "18776-5" ];
         fhir:Coding.display [ fhir:value "Plan of treatment" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Planned Activity</b>\n                        </td>\n                        <td>\n                            <b>Period</b>\n                        </td>\n                        <td>\n                            <b>Status</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Colonoscopy</td>\n                        <td>2016/06/15 - 2015/06/15</td>\n                        <td>Completed</td>\n                    </tr>\n                    <tr>\n                        <td>Recommendation to Exercise</td>\n                        <td>2016/06/15</td>\n                        <td>Ongoing</td>\n                    </tr>\n                </table>\n            </div>"     ]
  ], [
     fhir:index 14;
     fhir:Composition.section.title [ fhir:value "Payers Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:48768-6;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "48768-6" ];
         fhir:Coding.display [ fhir:value "Payers" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Payer Name</b>\n                        </td>\n                        <td>\n                            <b>Policy ID</b>\n                        </td>\n                        <td>\n                            <b>Policy Holder</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>United Healthcare</td>\n                        <td>12341</td>\n                        <td>Self</td>\n                    </tr>\n                    <tr>\n                        <td>Cigna</td>\n                        <td>53123</td>\n                        <td>Spouse</td>\n                    </tr>\n                </table>\n            </div>"     ]
  ], [
     fhir:index 15;
     fhir:Composition.section.title [ fhir:value "Medical Equipment Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:46264-8;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "46264-8" ];
         fhir:Coding.display [ fhir:value "Medical equipment" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Supply/Device</b>\n                        </td>\n                        <td>\n                            <b>Date Supplied</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Automatic Implantable cardioverter/defbrillator</td>\n                        <td>2015/05/29</td>\n                    </tr>\n                    <tr>\n                        <td>Wheelchair</td>\n                        <td>2016/06/15</td>\n                    </tr>\n                </table>\n            </div>"     ]
  ], [
     fhir:index 16;
     fhir:Composition.section.title [ fhir:value "Vital Signs Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:8716-3;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "8716-3" ];
         fhir:Coding.display [ fhir:value "Vital signs" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Vital Sign</b>\n                        </td>\n                        <td>\n                            <b>Date</b>\n                        </td>\n                        <td>\n                            <b>Value</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Temperature</td>\n                        <td>2016/06/15</td>\n                        <td>39 Degrees Celcius</td>\n                    </tr>\n                </table>\n            </div>"     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "Observation/observation-vitals-temp" ]     ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.