C-CDA on FHIR
1.1.0 - (FHIR R4) STU Release 1.1
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 
<Bundle xmlns="http://hl7.org/fhir">
<id value="Complete-Document-Bundle-Example"/>
<meta>
<versionId value="4"/>
<lastUpdated value="2020-08-19T05:53:55.261+00:00"/>
<source value="#7jwafzgbwz3cPoym"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:a417cad7-57b3-47a6-bab8-33fdae616839"/>
</identifier>
<type value="document"/>
<timestamp value="2013-08-15T10:30:00.000-08:00"/>
<entry>
<fullUrl
value="http://hl7.org/fhir/us/ccda/StructureDefinition/Care-Plan-Document"/>
<resource>
<Composition>
<id value="Care-Plan-Example"/>
<language value="en-US"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-US" lang="en-US">
<table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
<tbody>
<tr>
<td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
<span class="td_label">Document Id</span>
</td>
<td class="td_header_role_value">12345</td>
</tr>
<tr>
<td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
<span class="td_label">Document Created:</span>
</td>
<td class="td_header_role_value">June 15, 2016, 16:14, PST </td>
</tr>
</tbody>
</table>
<table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
<tbody>
<tr>
<td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
<span class="td_label">Care Provision</span>
</td>
<td class="td_header_role_value">Care Plan for Amy Shaw</td>
</tr>
<tr>
<td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
<span class="td_label">Performer</span>
</td>
<td class="td_header_role_value">Ronald Boone, MD</td>
</tr>
</tbody>
</table>
<table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
<tbody>
<tr>
<td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
<span class="td_label">Author</span>
</td>
<td class="td_header_role_value">Ronald Boone, MD</td>
</tr>
<tr>
<td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
<span class="td_label">Contact info</span>
</td>
<td class="td_header_role_value">1003 Healthcare Drive
<br/>Amherst MA 01002, US
<br/>Tel: +1(555)555-1003
<br/>
</td>
</tr>
</tbody>
</table>
<table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
<tbody>
<tr>
<td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
<span class="td_label">Encounter Id</span>
</td>
<td class="td_header_role_value">9937012
2.16.840.1.113883.19</td>
</tr>
<tr>
<td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
<span class="td_label">Encounter Type</span>
</td>
<td class="td_header_role_value">Care Plan</td>
</tr>
<tr>
<td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
<span class="td_label">Encounter Period</span>
</td>
<td class="td_header_role_value"> From June 15, 2016, 16:20 to
Sept 18, 2016, 18:20 </td>
</tr>
<tr>
<td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
<span class="td_label">Encounter Location</span>
</td>
<td class="td_header_role_value">Ambulatory Care at Acme
Laboratories</td>
</tr>
<tr>
<td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
<span class="td_label">Responsible party</span>
</td>
<td class="td_header_role_value">Ronald Boone, MD</td>
</tr>
<tr>
<td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
<span class="td_label">Contact info</span>
</td>
<td class="td_header_role_value">1003 Healthcare Drive
<br/>Amherst MA 01002, US
<br/>Tel: +1(555)555-1003
<br/>
</td>
</tr>
</tbody>
</table>
<table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
<tbody>
<tr>
<td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
<span class="td_label">Assigned entity</span>
</td>
<td class="td_header_role_value">Acme Laboratories
<br/>
</td>
</tr>
<tr>
<td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
<span class="td_label">Emergency contact</span>
</td>
<td class="td_header_role_value">Michael Shaw
<br/>
<br/>
</td>
</tr>
<tr>
<td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
<span class="td_label">Contact info</span>
</td>
<td class="td_header_role_value">49 Meadow St
<br/>Amherst MA
01003, US
<br/>Tel: (555)555-1212
<br/>
</td>
</tr>
<tr>
<td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
<span class="td_label">Care giver</span>
</td>
<td class="td_header_role_value">Mrs. Lillian White
<br/>
</td>
</tr>
<tr>
<td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
<span class="td_label">Contact info</span>
</td>
<td class="td_header_role_value">49 Meadow St
<br/>Amherst MA
01003, US
<br/>Tel: (555)555-1215
<br/>
</td>
</tr>
</tbody>
</table>
<table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
<tbody>
<tr>
<td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
<span class="td_label">Entered by</span>
</td>
<td class="td_header_role_value">Sally Jones</td>
</tr>
<tr>
<td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
<span class="td_label">Contact info</span>
</td>
<td class="td_header_role_value">1003 Healthcare Drive
<br/>Amherst MA 01002, US
<br/>Tel: +1(555)555-1003
<br/>
</td>
</tr>
</tbody>
</table>
<table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
<tbody>
<tr>
<td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
<span class="td_label">Signed </span>
</td>
<td class="td_header_role_value">Ronald Boone at June 15, 2016 </td>
</tr>
<tr>
<td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
<span class="td_label">Contact info</span>
</td>
<td class="td_header_role_value">1003 Healthcare Drive
<br/>Amherst MA 01002, US
<br/>Tel: +1(555)555-1003
<br/>
</td>
</tr>
</tbody>
</table>
<table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
<tbody>
<tr>
<td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
<span class="td_label">Informant</span>
</td>
<td class="td_header_role_value">Henry Vincent, CPh</td>
</tr>
<tr>
<td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
<span class="td_label">Contact info</span>
</td>
<td class="td_header_role_value">1007 Pharmacy Drive
<br/>Portland, OR 99123, US
<br/>Tel: +1(555)555-1215
<br/>
</td>
</tr>
</tbody>
</table>
<table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
<tbody>
<tr>
<td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
<span class="td_label">Information recipient:</span>
</td>
<td class="td_header_role_value">Primary Physician, MD</td>
</tr>
<tr>
<td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
<span class="td_label">Contact info</span>
</td>
<td class="td_header_role_value">1005 St. Clair Avenue
<br/>Amherst MA 01002, US
<br/>Tel: +1(555)555-1666
<br/>
</td>
</tr>
</tbody>
</table>
<table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
<tbody>
<tr>
<td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
<span class="td_label">Legal authenticator</span>
</td>
<td class="td_header_role_value">Ronald Boone, MD signed at June
15, 2016 </td>
</tr>
<tr>
<td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
<span class="td_label">Contact info</span>
</td>
<td class="td_header_role_value">1003 Healthcare Drive
<br/>Amherst MA 01002, US
<br/>Tel: +1(555)555-1003
<br/>
</td>
</tr>
</tbody>
</table>
<table style="border: 1pt inset #00008b; line-height: 10pt; width: 100%;" class="header_table">
<tbody>
<tr>
<td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
<span class="td_label">Document maintained by</span>
</td>
<td class="td_header_role_value">Acme Laboratories</td>
</tr>
<tr>
<td style="width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;" class="td_header_role_name">
<span class="td_label">Contact info</span>
</td>
<td class="td_header_role_value">1003 Healthcare Drive
<br/>Amherst MA 01002, US
<br/>Tel: +1(555)555-1003
<br/>
</td>
</tr>
</tbody>
</table>
</div>
</text>
<extension
url="http://hl7.org/fhir/us/ccda/StructureDefinition/DataEntererExtension">
<valueReference>
<reference value="urn:uuid:23d3a2c1-44ae-491b-94d3-764d2a9d8f8c"/>
</valueReference>
</extension>
<extension
url="http://hl7.org/fhir/us/ccda/StructureDefinition/VersionNumber">
<valueInteger value="1"/>
</extension>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:39067866-6319-4008-9c6d-3f0176d6826c"/>
</identifier>
<status value="preliminary"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="18776-5"/>
<display value="Plan of care note"/>
</coding>
</type>
<subject>
<reference value="urn:uuid:d0dbd5a1-0bd7-4205-b936-09482c02c6d9"/>
<display value="Amy V. Shaw"/>
</subject>
<date value="2016-06-15T09:10:14Z"/>
<author>
<reference value="urn:uuid:23d3a2c1-44ae-491b-94d3-764d2a9d8f8c"/>
<display value="Brenda Jennings Richard MD"/>
</author>
<title value="Care Plan"/>
<attester>
<mode value="legal"/>
<time value="2016-06-15T09:10:14Z"/>
<party>
<reference value="urn:uuid:23d3a2c1-44ae-491b-94d3-764d2a9d8f8c"/>
<display value="Ronald Boone, MD"/>
</party>
</attester>
<custodian>
<reference value="urn:uuid:58d390ba-6348-4b0d-b85f-7fbd94223718"/>
<display value="Acme Lab"/>
</custodian>
<event>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="73761001"/>
<display value="Colonoscopy"/>
</coding>
</code>
<period>
<start value="2016-06-15"/>
<end value="2016-09-18"/>
</period>
</event>
<section>
<title value="Health Concerns Section"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="75310-3"/>
<display value="Health concerns Document"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<tr>
<td>
<b>Concern</b>
</td>
<td>
<b>Status</b>
</td>
<td>
<b>Date</b>
</td>
</tr>
<tr>
<td>Current every day smoker</td>
<td>Active</td>
<td>Concern from June 16, 2015</td>
</tr>
<tr>
<td>Respiratory insufficiency</td>
<td>Completed</td>
<td>Concern from June 13, 2015</td>
</tr>
<tr>
<td>Pneumonia</td>
<td>Completed</td>
<td>June 16, 2015</td>
</tr>
</table>
</div>
</text>
</section>
<section>
<title value="Goals Section"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="61146-7"/>
<display value="Goals"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<tr>
<td>
<b>Goal</b>
</td>
<td>
<b>Value</b>
</td>
<td>
<b>Date</b>
</td>
</tr>
<tr>
<td>Pulse oximetry</td>
<td>92%</td>
<td>September 2, 2015</td>
</tr>
</table>
</div>
</text>
</section>
<section>
<title value="Interventions Section"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="62387-6"/>
<display value="Interventions Narrative"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<tr>
<td>
<b>Planned Intervention</b>
</td>
<td>
<b>Status</b>
</td>
<td>
<b>Date</b>
</td>
</tr>
<tr>
<td>Elevate head of bed</td>
<td>active</td>
<td>June 18, 2016</td>
</tr>
<tr>
<td>Oxygen administration by nasal cannula</td>
<td>active</td>
<td>June 18, 2016</td>
</tr>
<tr>
<td>pulse oximetry monitoring</td>
<td>active</td>
<td>June 18, 2016</td>
</tr>
</table>
</div>
</text>
</section>
<section>
<title value="Health Status Evaluations and Outcomes Section"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11383-7"/>
<display value="Patient problem outcome"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<tr>
<td>
<b>Item</b>
</td>
<td>
<b>Outcome</b>
</td>
<td>
<b>Date</b>
</td>
</tr>
<tr>
<td>Pulse oximetry</td>
<td>95%</td>
<td>June 20, 2016</td>
</tr>
</table>
</div>
</text>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:23d3a2c1-44ae-491b-94d3-764d2a9d8f8c"/>
<resource>
<PractitionerRole>
<id value="ccda-practitionerrole-example"/>
<text>
<status value="generated"/>
<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>
</text>
<practitioner>
<reference value="urn:uuid:51819bca-6cdd-4a9c-a76f-51b4f50e7fd2"/>
<display value="Brenda Jennings Richard MD"/>
</practitioner>
<organization>
<reference value="urn:uuid:58d390ba-6348-4b0d-b85f-7fbd94223718"/>
<display value="Acme Lab"/>
</organization>
<telecom>
<system value="phone"/>
<value value="313-555-6868"/>
<use value="home"/>
</telecom>
<telecom>
<system value="phone"/>
<value value="313-555-6443"/>
<use value="work"/>
</telecom>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:d0dbd5a1-0bd7-4205-b936-09482c02c6d9"/>
<resource>
<Patient>
<id value="example"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<div class="hapiHeaderText">Amy V.
<b>SHAW </b>
</div>
<table class="hapiPropertyTable">
<tbody>
<tr>
<td>Identifier</td>
<td>1032702</td>
</tr>
<tr>
<td>Address</td>
<td>
<span>49 Meadow St </span>
<br/>
<span>Mounds </span>
<span>OK </span>
<span>US </span>
</td>
</tr>
<tr>
<td>Date of birth</td>
<td>
<span>20 February 2007</span>
</td>
</tr>
</tbody>
</table>
</div>
</text>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2106-3"/>
<display value="White"/>
</valueCoding>
</extension>
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="1002-5"/>
<display value="American Indian or Alaska Native"/>
</valueCoding>
</extension>
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2028-9"/>
<display value="Asian"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="1586-7"/>
<display value="Shoshone"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2036-2"/>
<display value="Filipino"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Mixed"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2135-2"/>
<display value="Hispanic or Latino"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2184-0"/>
<display value="Dominican"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2148-5"/>
<display value="Mexican"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Hispanic or Latino"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
<valueCode value="F"/>
</extension>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
<display value="Medical Record Number"/>
</coding>
<text value="Medical Record Number"/>
</type>
<system value="http://hospital.smarthealthit.org"/>
<value value="1032702"/>
</identifier>
<active value="true"/>
<name>
<family value="Shaw"/>
<given value="Amy"/>
<given value="V."/>
</name>
<telecom>
<system value="phone"/>
<value value="555-555-5555"/>
<use value="home"/>
</telecom>
<telecom>
<system value="email"/>
<value value="amy.shaw@example.com"/>
</telecom>
<gender value="female"/>
<birthDate value="2007-02-20"/>
<address>
<line value="49 Meadow St"/>
<city value="Mounds"/>
<state value="OK"/>
<postalCode value="74047"/>
<country value="US"/>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:58d390ba-6348-4b0d-b85f-7fbd94223718"/>
<resource>
<Organization>
<id value="acme-lab"/>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="http://hl7.org.fhir/sid/us-npi"/>
<value value="1144221847"/>
</identifier>
<identifier>
<system value="http://www.acme.org/organization"/>
<value value="2523423456"/>
</identifier>
<active value="true"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="prov"/>
<display value="Healthcare Provider"/>
</coding>
</type>
<name value="Acme Labs"/>
<telecom>
<system value="phone"/>
<value value="(+1) 734-677-7777"/>
</telecom>
<telecom>
<system value="email"/>
<value value="hq@acme.org"/>
</telecom>
<address>
<line value="3300 Washtenaw Avenue, Suite 227"/>
<city value="Amherst"/>
<state value="MA"/>
<postalCode value="01002"/>
<country value="USA"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:51819bca-6cdd-4a9c-a76f-51b4f50e7fd2"/>
<resource>
<Practitioner>
<id value="ccda-practitioner-example"/>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PRN"/>
<display value="Provider number"/>
</coding>
<text value="US National Provider Identifier"/>
</type>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="9999991011"/>
</identifier>
<name>
<family value="Richard"/>
<given value="Brenda"/>
<given value="Jennings"/>
<suffix value="MD"/>
</name>
<telecom>
<system value="phone"/>
<value value="313-555-6868"/>
<use value="home"/>
</telecom>
<telecom>
<system value="phone"/>
<value value="313-555-6443"/>
<use value="work"/>
</telecom>
<address>
<text value="346 W Plum Avenu Dearborn MI 48123"/>
<line value="346 W Plum Avenue"/>
<city value="Dearborn"/>
<state value="MI"/>
<postalCode value="48126"/>
</address>
<gender value="female"/>
<birthDate value="1976-11-15"/>
</Practitioner>
</resource>
</entry>
</Bundle>
IG © 2020+ HL7 Structured Documents Working Group. Package hl7.fhir.us.ccda#1.1.0 based on FHIR 4.0.1. Generated 2020-10-21
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