@prefix fhir: . @prefix loinc: . @prefix owl: . @prefix rdfs: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:Composition ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "Continuity-of-Care-Document-Example"] ; # fhir:meta [ fhir:versionId [ fhir:v "3" ] ; fhir:lastUpdated [ fhir:v "2020-08-12T21:30:17.571+00:00"^^xsd:dateTime ] ; fhir:source [ fhir:v "#csn482LCsnDWyxbW"^^xsd:anyURI ] ; fhir:profile ( [ fhir:v "http://hl7.org/fhir/us/ccda/StructureDefinition/Continuity-of-Care-Document"^^xsd:anyURI ; fhir:link ] ) ] ; # fhir:language [ fhir:v "en-US"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "
\n \n \n \n \n \n \n \n \n \n \n \n
\n Document Id\n 12345
\n Document Created:\n June 15, 2016, 16:14, PST
\n \n \n \n \n \n \n \n \n \n \n \n
\n Care Provision\n Summary of Episode for Amy\n Shaw
\n Performer \n Ronald Boone, MD
\n \n \n \n \n \n \n \n \n \n \n \n
\n Author\n Ronald Boone, MD
\n Contact info\n 1003 Healthcare Drive\n \n
Amherst MA 01002, US \n
Tel: +1(555)555-1003\n \n
\n
\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
\n Encounter Id\n 9937012\n 2.16.840.1.113883.19
\n Event Type\n Summary of Episode
\n Event Date\n  From June 15, 2016, 16:20 to\n June 15, 2016, 18:20
\n Encounter Location\n Ambulatory Care at Community\n Health and Hospitals
\n Responsible party\n Ronald Boone, MD
\n Contact info\n 1003 Healthcare Drive\n \n
Amherst MA 01002, US \n
Tel: +1(555)555-1003\n \n
\n
\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
\n Assigned entity\n Community Health and Hospitals\n \n
\n
\n Emergency contact\n Michael Shaw \n
\n
\n
\n Contact info\n 49 Meadow St \n
Amherst MA\n 01003, US \n
Tel: (555)555-1212 \n
\n
\n Care giver\n Mrs. Lillian White \n
\n
\n Contact info\n 49 Meadow St \n
Amherst MA\n 01003, US \n
Tel: (555)555-1215 \n
\n
\n \n \n \n \n \n \n \n \n \n \n \n
\n Entered by\n Sally Jones
\n Contact info\n 1003 Healthcare Drive\n \n
Amherst MA 01002, US \n
Tel: +1(555)555-1003\n \n
\n
\n \n \n \n \n \n \n \n \n \n \n \n
\n Signed \n Ronald Boone at June 15, 2016\n
\n Contact info\n 1003 Healthcare Drive\n \n
Amherst MA 01002, US \n
Tel: +1(555)555-1003\n \n
\n
\n \n \n \n \n \n \n \n \n \n \n \n
\n Informant\n Henry Vincent, CPh
\n Contact info\n 1007 Pharmacy Drive\n \n
Portland, OR 99123, US \n
Tel: +1(555)555-1215\n \n
\n
\n \n \n \n \n \n \n \n \n \n \n \n
\n Information recipient:\n Primary Physician, MD
\n Contact info\n 1005 St. Clair Avenue\n \n
Amherst MA 01002, US \n
Tel: +1(555)555-1666\n \n
\n
\n \n \n \n \n \n \n \n \n \n \n \n
\n Legal authenticator\n Ronald Boone, MD signed at June\n 15, 2016
\n Contact info\n 1003 Healthcare Drive\n \n
Amherst MA 01002, US \n
Tel: +1(555)555-1003\n \n
\n
\n \n \n \n \n \n \n \n \n \n \n \n
\n Document maintained by\n Community Health and\n Hospitals
\n Contact info\n 1003 Healthcare Drive\n \n
Amherst MA 01002, US \n
Tel: +1(555)555-1003\n \n
\n
\n
" ] ; # fhir:identifier [ fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ; fhir:value [ fhir:v "urn:uuid:7e63fe21-7285-46c6-b72f-e58a61341195" ] ] ; # fhir:status [ fhir:v "preliminary"] ; # fhir:type [ fhir:coding ( [ a loinc:34133-9 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "34133-9" ] ; fhir:display [ fhir:v "Summary of episode note" ] ] ) ] ; # fhir:subject [ fhir:link ; fhir:reference [ fhir:v "Patient/example" ] ; fhir:display [ fhir:v "Amy V. Shaw" ] ] ; # fhir:date [ fhir:v "2016-02-28T09:10:14Z"^^xsd:dateTime] ; # fhir:author ( [ fhir:link ; fhir:reference [ fhir:v "PractitionerRole/ccda-practitionerrole-example" ] ; fhir:display [ fhir:v "Ronald Bone, MD" ] ] ) ; # fhir:title [ fhir:v "Continuity of Care Document"] ; # fhir:attester ( [ fhir:mode [ fhir:v "legal" ] ; fhir:time [ fhir:v "2016-06-15T09:10:14Z"^^xsd:dateTime ] ; fhir:party [ fhir:link ; fhir:reference [ fhir:v "PractitionerRole/ccda-practitionerrole-example" ] ; fhir:display [ fhir:v "Ronald Boone, MD" ] ] ] ) ; # fhir:custodian [ fhir:link ; fhir:reference [ fhir:v "Organization/organization-2" ] ; fhir:display [ fhir:v "Acme Clinic" ] ] ; # fhir:event ( [ fhir:code ( [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActClass"^^xsd:anyURI ] ; fhir:code [ fhir:v "PCPR" ] ; fhir:display [ fhir:v "Care Provision" ] ] ) ] ) ; fhir:period [ fhir:start [ fhir:v "2016-06-15"^^xsd:date ] ; fhir:end [ fhir:v "2016-08-20"^^xsd:date ] ] ] ) ; # fhir:section ( [ fhir:title [ fhir:v "Allergies and Intolerances Section" ] ; fhir:code [ fhir:coding ( [ a loinc:48765-2 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "48765-2" ] ; fhir:display [ fhir:v "Allergies and adverse reactions Document" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "
\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
\n Substance\n \n Overall Severity\n \n Reaction\n \n Reaction Severity\n \n Status\n
Cashew NutSevereAnaphylactic reactionMildActive
\n
" ] ; fhir:entry ( [ fhir:link ; fhir:reference [ fhir:v "AllergyIntolerance/allergy-intolerance" ] ] ) ] [ fhir:title [ fhir:v "Medication Section" ] ; fhir:code [ fhir:coding ( [ a loinc:10160-0 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "10160-0" ] ; fhir:display [ fhir:v "History of Medication use Narrative" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "
\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
\n Medication\n \n Directions\n \n Start Date\n \n Status\n \n Indications\n \n Fill Instructions\n
AmoxicillinAmoxicillin Powder, for Suspension 250mg/5ml2016/02/28ActivePneumoniaGeneric substitution allowed
\n
" ] ; fhir:entry ( [ fhir:link ; fhir:reference [ fhir:v "MedicationStatement/medication-statement" ] ] ) ] [ fhir:title [ fhir:v "Problem Section" ] ; fhir:code [ fhir:coding ( [ a loinc:11450-4 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "11450-4" ] ; fhir:display [ fhir:v "Problem list - Reported" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "
\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
\n Problem Name\n \n Type\n \n Onset Date\n \n Abatement Date\n \n Status\n
FeverCondition2016/02/282016/03/01Complete
\n
" ] ; fhir:entry ( [ fhir:link ; fhir:reference [ fhir:v "Condition/condition-problem" ] ] ) ] [ fhir:title [ fhir:v "Procedures Section" ] ; fhir:code [ fhir:coding ( [ a loinc:47519-4 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "47519-4" ] ; fhir:display [ fhir:v "History of Procedures Document" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "
\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
\n Procedure Name\n \n Body Site\n \n Performer\n \n Date Performed\n \n Reason\n
Appendectomy (Procedure)AbdomenDr. Adam Everyman2016/06/15Generalized abdominal pain 24 hours. Localized in RIF with\n rebound and guarding
\n
" ] ; fhir:entry ( [ fhir:link ; fhir:reference [ fhir:v "Procedure/procedure-rehab" ] ] ) ] [ fhir:title [ fhir:v "Results Section" ] ; fhir:code [ fhir:coding ( [ a loinc:30954-2 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "30954-2" ] ; fhir:display [ fhir:v "Relevant diagnostic tests/laboratory data Narrative" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "
\n \n \n \n \n \n \n \n \n \n \n \n \n \n
\n Result Type\n \n Quantity Value\n \n Date\n \n Status\n
Glucose [Moles/volume] in Blood6.3 mmol/l2016/06/15Final
\n
" ] ; fhir:entry ( [ fhir:link ; fhir:reference [ fhir:v "Observation/observation-lab-urine" ] ] ) ] [ fhir:title [ fhir:v "Advance Directives Section" ] ; fhir:code [ fhir:coding ( [ a loinc:42348-3 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "42348-3" ] ; fhir:display [ fhir:v "Advance directives" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "
\n \n \n \n \n \n \n \n \n \n
\n Name\n \n Applies Period\n
Resuscitation2010/01/01 - 2025/01/01
\n
" ] ] [ fhir:title [ fhir:v "Encounters Section" ] ; fhir:code [ fhir:coding ( [ a loinc:46240-8 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "46240-8" ] ; fhir:display [ fhir:v "History of Hospitalizations+Outpatient visits Narrative" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "
\n \n \n \n \n \n \n \n \n \n \n \n \n \n
\n Encounter\n \n Performer\n \n Location\n \n Date\n
Checkup ExaminationDr. S. SteeneCommunity Urgent Care Center2016/04/18
\n
" ] ] [ fhir:title [ fhir:v "Family History Section" ] ; fhir:code [ fhir:coding ( [ a loinc:10157-6 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "10157-6" ] ; fhir:display [ fhir:v "History of family member diseases Narrative" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "
\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
\n Relationship\n \n Diagnosis\n \n Age at Onset\n
FatherMyocardial Infarction(cause of Death)57
FatherDiabetes40
\n
" ] ] [ fhir:title [ fhir:v "Functional Status Section" ] ; fhir:code [ fhir:coding ( [ a loinc:47420-5 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "47420-5" ] ; fhir:display [ fhir:v "Functional status assessment note" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "
\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
\n Functional or Cognitive Finding\n \n Observation\n \n Observation Date\n \n Condition Status\n
Ambulation (Dependent to IndependentIndependently able2016/06/15Active
Finding of Functional Performance and ActivityDyspnea2016/06/15Active
Cognitive Function FindingMemory Impairment2010/04/17Active
\n
" ] ] [ fhir:title [ fhir:v "Immunizations Section" ] ; fhir:code [ fhir:coding ( [ a loinc:11369-6 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "11369-6" ] ; fhir:display [ fhir:v "History of Immunization Narrative" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "
\n \n \n \n \n \n \n \n \n \n \n \n
\n Vaccine\n \n Date\n \n Status\n
Fluvax (Influenza)2014/05/29Completed
\n
" ] ; fhir:entry ( [ fhir:link ; fhir:reference [ fhir:v "Immunization/immunization" ] ] ) ] [ fhir:title [ fhir:v "Nutrition Section" ] ; fhir:code [ fhir:coding ( [ a loinc:61144-2 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "61144-2" ] ; fhir:display [ fhir:v "Diet and nutrition Narrative" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "
\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
\n Date\n \n Nutritional Status\n \n Diet\n
2016/06/15Well nourishedLow sodium diet, excessive carbohydrate
2016/06/15Slight dehydrationHigh protein, low fibre
\n
" ] ] [ fhir:title [ fhir:v "Mental Status Section" ] ; fhir:code [ fhir:coding ( [ a loinc:10190-7 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "10190-7" ] ; fhir:display [ fhir:v "Mental status" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "
\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
\n Date\n \n Mental Status\n \n Support System\n
2016/06/15GoodNot required
2012/04/29DimentiaDaily Home Care
\n
" ] ] [ fhir:title [ fhir:v "Social History Section" ] ; fhir:code [ fhir:coding ( [ a loinc:29762-2 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "29762-2" ] ; fhir:display [ fhir:v "Social history Narrative" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "
\n \n \n \n \n \n \n \n \n \n \n \n
\n Social History Element\n \n Description\n \n Effective Dates\n
Smoking1 pack tobacco per day2010/01/01 - 2016/06/15
\n
" ] ; fhir:entry ( [ fhir:link ; fhir:reference [ fhir:v "Observation/observation-smoker" ] ] ) ] [ fhir:title [ fhir:v "Plan of Treatment Section" ] ; fhir:code [ fhir:coding ( [ a loinc:18776-5 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "18776-5" ] ; fhir:display [ fhir:v "Plan of care note" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "
\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
\n Planned Activity\n \n Period\n \n Status\n
Colonoscopy2016/06/15 - 2015/06/15Completed
Recommendation to Exercise2016/06/15Ongoing
\n
" ] ] [ fhir:title [ fhir:v "Payers Section" ] ; fhir:code [ fhir:coding ( [ a loinc:48768-6 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "48768-6" ] ; fhir:display [ fhir:v "Payment sources Document" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "
\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
\n Payer Name\n \n Policy ID\n \n Policy Holder\n
United Healthcare12341Self
Cigna53123Spouse
\n
" ] ] [ fhir:title [ fhir:v "Medical Equipment Section" ] ; fhir:code [ fhir:coding ( [ a loinc:46264-8 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "46264-8" ] ; fhir:display [ fhir:v "History of medical device use" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "
\n \n \n \n \n \n \n \n \n \n \n \n \n \n
\n Supply/Device\n \n Date Supplied\n
Automatic Implantable cardioverter/defbrillator2015/05/29
Wheelchair2016/06/15
\n
" ] ] [ fhir:title [ fhir:v "Vital Signs Section" ] ; fhir:code [ fhir:coding ( [ a loinc:8716-3 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "8716-3" ] ; fhir:display [ fhir:v "Vital signs" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "
\n \n \n \n \n \n \n \n \n \n \n \n
\n Vital Sign\n \n Date\n \n Value\n
Temperature2016/06/1539 Degrees Celcius
\n
" ] ; fhir:entry ( [ fhir:link ; fhir:reference [ fhir:v "Observation/observation-vitals-temp" ] ] ) ] ) . # a fhir:us . a fhir:us . a fhir:us . a fhir:us . a fhir:us . a fhir:us . a fhir:us . a fhir:us . a fhir:us . a fhir:us . a fhir:us . # -------------------------------------------------------------------------------------