C-CDA on FHIR
1.1.0 - (FHIR R4) STU Release 1.1

This page is part of the C-CDA on FHIR Implementation Guide (v1.1.0: STU 1.1) based on FHIR R4. This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: Complete Document Bundle Example - TTL Representation

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@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 sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

 a fhir:Bundle;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "Complete-Document-Bundle-Example"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "4" ];
     fhir:Meta.lastUpdated [ fhir:value "2020-08-19T05:53:55.261+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#7jwafzgbwz3cPoym" ]
  ];
  fhir:Bundle.identifier [
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:uuid:a417cad7-57b3-47a6-bab8-33fdae616839" ]
  ];
  fhir:Bundle.type [ fhir:value "document"];
  fhir:Bundle.timestamp [ fhir:value "2013-08-15T10:30:00.000-08:00"^^xsd:dateTime];
  fhir:Bundle.entry [
     fhir:index 0;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/Care-Plan-Document" ];
     fhir:Bundle.entry.resource <http://hl7.org/fhir/us/ccda/StructureDefinition/Care-Plan-Document>
  ], [
     fhir:index 1;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:23d3a2c1-44ae-491b-94d3-764d2a9d8f8c" ];
     fhir:Bundle.entry.resource <urn:uuid:23d3a2c1-44ae-491b-94d3-764d2a9d8f8c>
  ], [
     fhir:index 2;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:d0dbd5a1-0bd7-4205-b936-09482c02c6d9" ];
     fhir:Bundle.entry.resource <urn:uuid:d0dbd5a1-0bd7-4205-b936-09482c02c6d9>
  ], [
     fhir:index 3;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:58d390ba-6348-4b0d-b85f-7fbd94223718" ];
     fhir:Bundle.entry.resource <urn:uuid:58d390ba-6348-4b0d-b85f-7fbd94223718>
  ], [
     fhir:index 4;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:51819bca-6cdd-4a9c-a76f-51b4f50e7fd2" ];
     fhir:Bundle.entry.resource <urn:uuid:51819bca-6cdd-4a9c-a76f-51b4f50e7fd2>
  ].

<http://hl7.org/fhir/us/ccda/StructureDefinition/Care-Plan-Document> a fhir:Composition;
  fhir:Resource.id [ fhir:value "Care-Plan-Example"];
  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\" xml:lang=\"en-US\" lang=\"en-US\">\n                        <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n                            <tbody>\n                                <tr>\n                                    <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                                        <span class=\"td_label\">Document Id</span>\n                                    </td>\n                                    <td class=\"td_header_role_value\">12345</td>\n                                </tr>\n                                <tr>\n                                    <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                                        <span class=\"td_label\">Document Created:</span>\n                                    </td>\n                                    <td class=\"td_header_role_value\">June 15, 2016, 16:14, PST </td>\n                                </tr>\n                            </tbody>\n                        </table>\n                        <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n                            <tbody>\n                                <tr>\n                                    <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                                        <span class=\"td_label\">Care Provision</span>\n                                    </td>\n                                    <td class=\"td_header_role_value\">Care Plan for Amy Shaw</td>\n                                </tr>\n                                <tr>\n                                    <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                                        <span class=\"td_label\">Performer</span>\n                                    </td>\n                                    <td class=\"td_header_role_value\">Ronald Boone, MD</td>\n                                </tr>\n                            </tbody>\n                        </table>\n                        <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n                            <tbody>\n                                <tr>\n                                    <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                                        <span class=\"td_label\">Author</span>\n                                    </td>\n                                    <td class=\"td_header_role_value\">Ronald Boone, MD</td>\n                                </tr>\n                                <tr>\n                                    <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                                        <span class=\"td_label\">Contact info</span>\n                                    </td>\n                                    <td class=\"td_header_role_value\">1003 Healthcare Drive \n                              \n                                        \n                                        <br/>Amherst MA 01002, US\n                                        \n                                        <br/>Tel: +1(555)555-1003\n                                        \n                                        <br/>\n                                    </td>\n                                </tr>\n                            </tbody>\n                        </table>\n                        <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n                            <tbody>\n                                <tr>\n                                    <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                                        <span class=\"td_label\">Encounter Id</span>\n                                    </td>\n                                    <td class=\"td_header_role_value\">9937012\n                                        2.16.840.1.113883.19</td>\n                                </tr>\n                                <tr>\n                                    <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                                        <span class=\"td_label\">Encounter Type</span>\n                                    </td>\n                                    <td class=\"td_header_role_value\">Care Plan</td>\n                                </tr>\n                                <tr>\n                                    <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                                        <span class=\"td_label\">Encounter Period</span>\n                                    </td>\n                                    <td class=\"td_header_role_value\"> From June 15, 2016, 16:20 to\n                                        Sept 18, 2016, 18:20 </td>\n                                </tr>\n                                <tr>\n                                    <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                                        <span class=\"td_label\">Encounter Location</span>\n                                    </td>\n                                    <td class=\"td_header_role_value\">Ambulatory Care at Acme\n                                        Laboratories</td>\n                                </tr>\n                                <tr>\n                                    <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                                        <span class=\"td_label\">Responsible party</span>\n                                    </td>\n                                    <td class=\"td_header_role_value\">Ronald Boone, MD</td>\n                                </tr>\n                                <tr>\n                                    <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                                        <span class=\"td_label\">Contact info</span>\n                                    </td>\n                                    <td class=\"td_header_role_value\">1003 Healthcare Drive \n                              \n                                        \n                                        <br/>Amherst MA 01002, US\n                                        \n                                        <br/>Tel: +1(555)555-1003\n                                        \n                                        <br/>\n                                    </td>\n                                </tr>\n                            </tbody>\n                        </table>\n                        <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n                            <tbody>\n                                <tr>\n                                    <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                                        <span class=\"td_label\">Assigned entity</span>\n                                    </td>\n                                    <td class=\"td_header_role_value\">Acme Laboratories \n                              \n                                        \n                                        <br/>\n                                    </td>\n                                </tr>\n                                <tr>\n                                    <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                                        <span class=\"td_label\">Emergency contact</span>\n                                    </td>\n                                    <td class=\"td_header_role_value\">Michael Shaw \n                              \n                                        \n                                        <br/>\n                                        <br/>\n                                    </td>\n                                </tr>\n                                <tr>\n                                    <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                                        <span class=\"td_label\">Contact info</span>\n                                    </td>\n                                    <td class=\"td_header_role_value\">49 Meadow St \n                              \n                                        \n                                        <br/>Amherst MA\n                                        01003, US\n                                        \n                                        <br/>Tel: (555)555-1212\n                                        \n                                        <br/>\n                                    </td>\n                                </tr>\n                                <tr>\n                                    <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                                        <span class=\"td_label\">Care giver</span>\n                                    </td>\n                                    <td class=\"td_header_role_value\">Mrs. Lillian White \n                              \n                                        \n                                        <br/>\n                                    </td>\n                                </tr>\n                                <tr>\n                                    <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                                        <span class=\"td_label\">Contact info</span>\n                                    </td>\n                                    <td class=\"td_header_role_value\">49 Meadow St \n                              \n                                        \n                                        <br/>Amherst MA\n                                        01003, US\n                                        \n                                        <br/>Tel: (555)555-1215\n                                        \n                                        <br/>\n                                    </td>\n                                </tr>\n                            </tbody>\n                        </table>\n                        <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n                            <tbody>\n                                <tr>\n                                    <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                                        <span class=\"td_label\">Entered by</span>\n                                    </td>\n                                    <td class=\"td_header_role_value\">Sally Jones</td>\n                                </tr>\n                                <tr>\n                                    <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                                        <span class=\"td_label\">Contact info</span>\n                                    </td>\n                                    <td class=\"td_header_role_value\">1003 Healthcare Drive \n                              \n                                        \n                                        <br/>Amherst MA 01002, US\n                                        \n                                        <br/>Tel: +1(555)555-1003\n                                        \n                                        <br/>\n                                    </td>\n                                </tr>\n                            </tbody>\n                        </table>\n                        <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n                            <tbody>\n                                <tr>\n                                    <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                                        <span class=\"td_label\">Signed </span>\n                                    </td>\n                                    <td class=\"td_header_role_value\">Ronald Boone at June 15, 2016 </td>\n                                </tr>\n                                <tr>\n                                    <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                                        <span class=\"td_label\">Contact info</span>\n                                    </td>\n                                    <td class=\"td_header_role_value\">1003 Healthcare Drive \n                              \n                                        \n                                        <br/>Amherst MA 01002, US\n                                        \n                                        <br/>Tel: +1(555)555-1003\n                                        \n                                        <br/>\n                                    </td>\n                                </tr>\n                            </tbody>\n                        </table>\n                        <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n                            <tbody>\n                                <tr>\n                                    <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                                        <span class=\"td_label\">Informant</span>\n                                    </td>\n                                    <td class=\"td_header_role_value\">Henry Vincent, CPh</td>\n                                </tr>\n                                <tr>\n                                    <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                                        <span class=\"td_label\">Contact info</span>\n                                    </td>\n                                    <td class=\"td_header_role_value\">1007 Pharmacy Drive \n                              \n                                        \n                                        <br/>Portland, OR 99123, US\n                                        \n                                        <br/>Tel: +1(555)555-1215\n                                        \n                                        <br/>\n                                    </td>\n                                </tr>\n                            </tbody>\n                        </table>\n                        <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n                            <tbody>\n                                <tr>\n                                    <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                                        <span class=\"td_label\">Information recipient:</span>\n                                    </td>\n                                    <td class=\"td_header_role_value\">Primary Physician, MD</td>\n                                </tr>\n                                <tr>\n                                    <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                                        <span class=\"td_label\">Contact info</span>\n                                    </td>\n                                    <td class=\"td_header_role_value\">1005 St. Clair Avenue \n                              \n                                        \n                                        <br/>Amherst MA 01002, US\n                                        \n                                        <br/>Tel: +1(555)555-1666\n                                        \n                                        <br/>\n                                    </td>\n                                </tr>\n                            </tbody>\n                        </table>\n                        <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n                            <tbody>\n                                <tr>\n                                    <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                                        <span class=\"td_label\">Legal authenticator</span>\n                                    </td>\n                                    <td class=\"td_header_role_value\">Ronald Boone, MD signed at June\n                                        15, 2016 </td>\n                                </tr>\n                                <tr>\n                                    <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                                        <span class=\"td_label\">Contact info</span>\n                                    </td>\n                                    <td class=\"td_header_role_value\">1003 Healthcare Drive \n                              \n                                        \n                                        <br/>Amherst MA 01002, US\n                                        \n                                        <br/>Tel: +1(555)555-1003\n                                        \n                                        <br/>\n                                    </td>\n                                </tr>\n                            </tbody>\n                        </table>\n                        <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n                            <tbody>\n                                <tr>\n                                    <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                                        <span class=\"td_label\">Document maintained by</span>\n                                    </td>\n                                    <td class=\"td_header_role_value\">Acme Laboratories</td>\n                                </tr>\n                                <tr>\n                                    <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n                                        <span class=\"td_label\">Contact info</span>\n                                    </td>\n                                    <td class=\"td_header_role_value\">1003 Healthcare Drive \n                              \n                                        \n                                        <br/>Amherst MA 01002, US\n                                        \n                                        <br/>Tel: +1(555)555-1003\n                                        \n                                        <br/>\n                                    </td>\n                                </tr>\n                            </tbody>\n                        </table>\n                    </div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/DataEntererExtension" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "urn:uuid:23d3a2c1-44ae-491b-94d3-764d2a9d8f8c" ]     ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/VersionNumber" ];
     fhir:Extension.valueInteger [ fhir:value "1"^^xsd:integer ]
  ];
  fhir:Composition.identifier [
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:uuid:39067866-6319-4008-9c6d-3f0176d6826c" ]
  ];
  fhir:Composition.status [ fhir:value "preliminary"];
  fhir:Composition.type [
     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 care note" ]     ]
  ];
  fhir:Composition.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:d0dbd5a1-0bd7-4205-b936-09482c02c6d9" ];
     fhir:Reference.display [ fhir:value "Amy V. Shaw" ]
  ];
  fhir:Composition.date [ fhir:value "2016-06-15T09:10:14Z"^^xsd:dateTime];
  fhir:Composition.author [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "urn:uuid:23d3a2c1-44ae-491b-94d3-764d2a9d8f8c" ];
     fhir:Reference.display [ fhir:value "Brenda Jennings Richard MD" ]
  ];
  fhir:Composition.title [ fhir:value "Care Plan"];
  fhir:Composition.attester [
     fhir:index 0;
     fhir:Composition.attester.mode [ fhir:value "legal" ];
     fhir:Composition.attester.time [ fhir:value "2016-06-15T09:10:14Z"^^xsd:dateTime ];
     fhir:Composition.attester.party [
       fhir:Reference.reference [ fhir:value "urn:uuid:23d3a2c1-44ae-491b-94d3-764d2a9d8f8c" ];
       fhir:Reference.display [ fhir:value "Ronald Boone, MD" ]     ]
  ];
  fhir:Composition.custodian [
     fhir:Reference.reference [ fhir:value "urn:uuid:58d390ba-6348-4b0d-b85f-7fbd94223718" ];
     fhir:Reference.display [ fhir:value "Acme Lab" ]
  ];
  fhir:Composition.event [
     fhir:index 0;
     fhir:Composition.event.code [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:73761001;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "73761001" ];
         fhir:Coding.display [ fhir:value "Colonoscopy" ]       ]     ];
     fhir:Composition.event.period [
       fhir:Period.start [ fhir:value "2016-06-15"^^xsd:date ];
       fhir:Period.end [ fhir:value "2016-09-18"^^xsd:date ]     ]
  ];
  fhir:Composition.section [
     fhir:index 0;
     fhir:Composition.section.title [ fhir:value "Health Concerns Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:75310-3;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "75310-3" ];
         fhir:Coding.display [ fhir:value "Health concerns Document" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "additional" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                            <table>\n                                <tr>\n                                    <td>\n                                        <b>Concern</b>\n                                    </td>\n                                    <td>\n                                        <b>Status</b>\n                                    </td>\n                                    <td>\n                                        <b>Date</b>\n                                    </td>\n                                </tr>\n                                <tr>\n                                    <td>Current every day smoker</td>\n                                    <td>Active</td>\n                                    <td>Concern from June 16, 2015</td>\n                                </tr>\n                                <tr>\n                                    <td>Respiratory insufficiency</td>\n                                    <td>Completed</td>\n                                    <td>Concern from June 13, 2015</td>\n                                </tr>\n                                <tr>\n                                    <td>Pneumonia</td>\n                                    <td>Completed</td>\n                                    <td>June 16, 2015</td>\n                                </tr>\n                            </table>\n                        </div>"     ]
  ], [
     fhir:index 1;
     fhir:Composition.section.title [ fhir:value "Goals Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:61146-7;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "61146-7" ];
         fhir:Coding.display [ fhir:value "Goals" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "additional" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                            <table>\n                                <tr>\n                                    <td>\n                                        <b>Goal</b>\n                                    </td>\n                                    <td>\n                                        <b>Value</b>\n                                    </td>\n                                    <td>\n                                        <b>Date</b>\n                                    </td>\n                                </tr>\n                                <tr>\n                                    <td>Pulse oximetry</td>\n                                    <td>92%</td>\n                                    <td>September 2, 2015</td>\n                                </tr>\n                            </table>\n                        </div>"     ]
  ], [
     fhir:index 2;
     fhir:Composition.section.title [ fhir:value "Interventions Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:62387-6;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "62387-6" ];
         fhir:Coding.display [ fhir:value "Interventions Narrative" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "additional" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                            <table>\n                                <tr>\n                                    <td>\n                                        <b>Planned Intervention</b>\n                                    </td>\n                                    <td>\n                                        <b>Status</b>\n                                    </td>\n                                    <td>\n                                        <b>Date</b>\n                                    </td>\n                                </tr>\n                                <tr>\n                                    <td>Elevate head of bed</td>\n                                    <td>active</td>\n                                    <td>June 18, 2016</td>\n                                </tr>\n                                <tr>\n                                    <td>Oxygen administration by nasal cannula</td>\n                                    <td>active</td>\n                                    <td>June 18, 2016</td>\n                                </tr>\n                                <tr>\n                                    <td>pulse oximetry monitoring</td>\n                                    <td>active</td>\n                                    <td>June 18, 2016</td>\n                                </tr>\n                            </table>\n                        </div>"     ]
  ], [
     fhir:index 3;
     fhir:Composition.section.title [ fhir:value "Health Status Evaluations and Outcomes Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:11383-7;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "11383-7" ];
         fhir:Coding.display [ fhir:value "Patient problem outcome" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "additional" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                            <table>\n                                <tr>\n                                    <td>\n                                        <b>Item</b>\n                                    </td>\n                                    <td>\n                                        <b>Outcome</b>\n                                    </td>\n                                    <td>\n                                        <b>Date</b>\n                                    </td>\n                                </tr>\n                                <tr>\n                                    <td>Pulse oximetry</td>\n                                    <td>95%</td>\n                                    <td>June 20, 2016</td>\n                                </tr>\n                            </table>\n                        </div>"     ]
  ].

<urn:uuid:23d3a2c1-44ae-491b-94d3-764d2a9d8f8c> a fhir:PractitionerRole;
  fhir:Resource.id [ fhir:value "ccda-practitionerrole-example"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><h3>Ids</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>practitioner</b>: <a href=\"#Practitioner_ccda-practitioner-example\">Brenda Jennings Richard MD. Generated Summary: US National Provider Identifier: 9999991011 (OFFICIAL); Brenda Jennings Richard ; Phone: 313-555-6868, Phone: 313-555-6443; gender: female; birthDate: 1976-11-15</a></p><p><b>organization</b>: <a href=\"#Organization_acme-lab\">Acme Lab. Generated Summary: id: 1144221847, id: 2523423456; active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span>; name: Acme Labs; Phone: (+1) 734-677-7777, hq@acme.org</a></p><p><b>telecom</b>: ph: 313-555-6868(HOME), ph: 313-555-6443(WORK)</p></div>"
  ];
  fhir:PractitionerRole.practitioner [
     fhir:Reference.reference [ fhir:value "urn:uuid:51819bca-6cdd-4a9c-a76f-51b4f50e7fd2" ];
     fhir:Reference.display [ fhir:value "Brenda Jennings Richard MD" ]
  ];
  fhir:PractitionerRole.organization [
     fhir:Reference.reference [ fhir:value "urn:uuid:58d390ba-6348-4b0d-b85f-7fbd94223718" ];
     fhir:Reference.display [ fhir:value "Acme Lab" ]
  ];
  fhir:PractitionerRole.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "313-555-6868" ];
     fhir:ContactPoint.use [ fhir:value "home" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "313-555-6443" ];
     fhir:ContactPoint.use [ fhir:value "work" ]
  ].

<urn:uuid:d0dbd5a1-0bd7-4205-b936-09482c02c6d9> a fhir:Patient;
  fhir:Resource.id [ fhir:value "example"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                        <div class=\"hapiHeaderText\">Amy V. \n                     \n                            \n                            <b>SHAW </b>\n                        </div>\n                        <table class=\"hapiPropertyTable\">\n                            <tbody>\n                                <tr>\n                                    <td>Identifier</td>\n                                    <td>1032702</td>\n                                </tr>\n                                <tr>\n                                    <td>Address</td>\n                                    <td>\n                                        <span>49 Meadow St </span>\n                                        <br/>\n                                        <span>Mounds </span>\n                                        <span>OK </span>\n                                        <span>US </span>\n                                    </td>\n                                </tr>\n                                <tr>\n                                    <td>Date of birth</td>\n                                    <td>\n                                        <span>20 February 2007</span>\n                                    </td>\n                                </tr>\n                            </tbody>\n                        </table>\n                    </div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "ombCategory" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
         fhir:Coding.code [ fhir:value "2106-3" ];
         fhir:Coding.display [ fhir:value "White" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "ombCategory" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
         fhir:Coding.code [ fhir:value "1002-5" ];
         fhir:Coding.display [ fhir:value "American Indian or Alaska Native" ]       ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "ombCategory" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
         fhir:Coding.code [ fhir:value "2028-9" ];
         fhir:Coding.display [ fhir:value "Asian" ]       ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "detailed" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
         fhir:Coding.code [ fhir:value "1586-7" ];
         fhir:Coding.display [ fhir:value "Shoshone" ]       ]     ], [
       fhir:index 4;
       fhir:Extension.url [ fhir:value "detailed" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
         fhir:Coding.code [ fhir:value "2036-2" ];
         fhir:Coding.display [ fhir:value "Filipino" ]       ]     ], [
       fhir:index 5;
       fhir:Extension.url [ fhir:value "text" ];
       fhir:Extension.valueString [ fhir:value "Mixed" ]     ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "ombCategory" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
         fhir:Coding.code [ fhir:value "2135-2" ];
         fhir:Coding.display [ fhir:value "Hispanic or Latino" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "detailed" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
         fhir:Coding.code [ fhir:value "2184-0" ];
         fhir:Coding.display [ fhir:value "Dominican" ]       ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "detailed" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
         fhir:Coding.code [ fhir:value "2148-5" ];
         fhir:Coding.display [ fhir:value "Mexican" ]       ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "text" ];
       fhir:Extension.valueString [ fhir:value "Hispanic or Latino" ]     ]
  ], [
     fhir:index 2;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex" ];
     fhir:Extension.valueCode [ fhir:value "F" ]
  ];
  fhir:Patient.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "usual" ];
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "MR" ];
         fhir:Coding.display [ fhir:value "Medical Record Number" ]       ];
       fhir:CodeableConcept.text [ fhir:value "Medical Record Number" ]     ];
     fhir:Identifier.system [ fhir:value "http://hospital.smarthealthit.org" ];
     fhir:Identifier.value [ fhir:value "1032702" ]
  ];
  fhir:Patient.active [ fhir:value "true"^^xsd:boolean];
  fhir:Patient.name [
     fhir:index 0;
     fhir:HumanName.family [ fhir:value "Shaw" ];
     fhir:HumanName.given [
       fhir:value "Amy";
       fhir:index 0     ], [
       fhir:value "V.";
       fhir:index 1     ]
  ];
  fhir:Patient.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "555-555-5555" ];
     fhir:ContactPoint.use [ fhir:value "home" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "amy.shaw@example.com" ]
  ];
  fhir:Patient.gender [ fhir:value "female"];
  fhir:Patient.birthDate [ fhir:value "2007-02-20"^^xsd:date];
  fhir:Patient.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "49 Meadow St";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Mounds" ];
     fhir:Address.state [ fhir:value "OK" ];
     fhir:Address.postalCode [ fhir:value "74047" ];
     fhir:Address.country [ fhir:value "US" ]
  ].

<urn:uuid:58d390ba-6348-4b0d-b85f-7fbd94223718> a fhir:Organization;
  fhir:Resource.id [ fhir:value "acme-lab"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><h3>Ids</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>identifier</b>: id: 1144221847, id: 2523423456</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: Acme Labs</p><p><b>telecom</b>: ph: (+1) 734-677-7777, <a href=\"mailto:hq@acme.org\">hq@acme.org</a></p><p><b>address</b>: 3300 Washtenaw Avenue, Suite 227 Amherst MA 01002 USA </p></div>"
  ];
  fhir:Organization.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://hl7.org.fhir/sid/us-npi" ];
     fhir:Identifier.value [ fhir:value "1144221847" ]
  ], [
     fhir:index 1;
     fhir:Identifier.system [ fhir:value "http://www.acme.org/organization" ];
     fhir:Identifier.value [ fhir:value "2523423456" ]
  ];
  fhir:Organization.active [ fhir:value "true"^^xsd:boolean];
  fhir:Organization.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/organization-type" ];
       fhir:Coding.code [ fhir:value "prov" ];
       fhir:Coding.display [ fhir:value "Healthcare Provider" ]     ]
  ];
  fhir:Organization.name [ fhir:value "Acme Labs"];
  fhir:Organization.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "(+1) 734-677-7777" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "hq@acme.org" ]
  ];
  fhir:Organization.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "3300 Washtenaw Avenue, Suite 227";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Amherst" ];
     fhir:Address.state [ fhir:value "MA" ];
     fhir:Address.postalCode [ fhir:value "01002" ];
     fhir:Address.country [ fhir:value "USA" ]
  ].

<urn:uuid:51819bca-6cdd-4a9c-a76f-51b4f50e7fd2> a fhir:Practitioner;
  fhir:Resource.id [ fhir:value "ccda-practitioner-example"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><h3>Ids</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>identifier</b>: US National Provider Identifier: 9999991011 (OFFICIAL)</p><p><b>name</b>: Brenda Jennings Richard </p><p><b>telecom</b>: ph: 313-555-6868(HOME), ph: 313-555-6443(WORK)</p><p><b>address</b>: 346 W Plum Avenu Dearborn MI 48123</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1976-11-15</p></div>"
  ];
  fhir:Practitioner.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "PRN" ];
         fhir:Coding.display [ fhir:value "Provider number" ]       ];
       fhir:CodeableConcept.text [ fhir:value "US National Provider Identifier" ]     ];
     fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ];
     fhir:Identifier.value [ fhir:value "9999991011" ]
  ];
  fhir:Practitioner.name [
     fhir:index 0;
     fhir:HumanName.family [ fhir:value "Richard" ];
     fhir:HumanName.given [
       fhir:value "Brenda";
       fhir:index 0     ], [
       fhir:value "Jennings";
       fhir:index 1     ];
     fhir:HumanName.suffix [
       fhir:value "MD";
       fhir:index 0     ]
  ];
  fhir:Practitioner.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "313-555-6868" ];
     fhir:ContactPoint.use [ fhir:value "home" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "313-555-6443" ];
     fhir:ContactPoint.use [ fhir:value "work" ]
  ];
  fhir:Practitioner.address [
     fhir:index 0;
     fhir:Address.text [ fhir:value "346 W Plum Avenu Dearborn MI 48123" ];
     fhir:Address.line [
       fhir:value "346 W Plum Avenue";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Dearborn" ];
     fhir:Address.state [ fhir:value "MI" ];
     fhir:Address.postalCode [ fhir:value "48126" ]
  ];
  fhir:Practitioner.gender [ fhir:value "female"];
  fhir:Practitioner.birthDate [ fhir:value "1976-11-15"^^xsd:date].

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

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