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 
@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:Composition;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "Operative-Note-Example"];
fhir:Resource.meta [
fhir:Meta.versionId [ fhir:value "4" ];
fhir:Meta.lastUpdated [ fhir:value "2020-08-12T21:30:19.501+00:00"^^xsd:dateTime ];
fhir:Meta.source [ fhir:value "#csn482LCsnDWyxbW" ];
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/Operative-Note";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/Operative-Note> ]
];
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\">Operation Note for Amy\n 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 <br/>Amherst MA 01002, US \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\">Event Type</span>\n </td>\n <td class=\"td_header_role_value\">Surgery</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\n 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\">Perioperative Department at\n 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\n \n <br/>Amherst MA 01002, US \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\">Community Health and Hospitals\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 <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 <br/>Amherst MA\n 01003, US \n <br/>Tel: (555)555-1212 \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 <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 <br/>Amherst MA\n 01003, US \n <br/>Tel: (555)555-1215 \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 <br/>Amherst MA 01002, US \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\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\">1003 Healthcare Drive\n \n <br/>Amherst MA 01002, US \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 <br/>Portland, OR 99123, US \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 <br/>Amherst MA 01002, US \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 <br/>Amherst MA 01002, US \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\">Community Health and\n 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\n \n <br/>Amherst MA 01002, US \n <br/>Tel: +1(555)555-1003\n \n <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:75a12dcd-f85d-4c7f-b1de-38a1a2b7498f" ]
];
fhir:Composition.status [ fhir:value "preliminary"];
fhir:Composition.type [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:11504-8;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "11504-8" ];
fhir:Coding.display [ fhir:value "Surgical operation note" ] ]
];
fhir:Composition.subject [
fhir:Reference.reference [ fhir:value "Patient/example" ];
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 "PractitionerRole/ccda-practitionerrole-example" ];
fhir:Reference.display [ fhir:value "Ronald Bone, MD" ]
];
fhir:Composition.title [ fhir:value "Operative Note"];
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 "PractitionerRole/ccda-practitionerrole-example" ];
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;
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 "2016-06-15"^^xsd:date ] ]
];
fhir:Composition.section [
fhir:index 0;
fhir:Composition.section.title [ fhir:value "Anesthesia Section" ];
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:59774-0;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "59774-0" ];
fhir:Coding.display [ fhir:value "Anesthesia" ] ] ];
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Conscious sedation with propofol 200 mg IV</p>\n </div>" ]
], [
fhir:index 1;
fhir:Composition.section.title [ fhir:value "Complications Section" ];
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:55109-3;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "55109-3" ];
fhir:Coding.display [ fhir:value "Complications Document" ] ] ];
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Asthmatic symptoms while under general anesthesia.</p>\n </div>" ];
fhir:Composition.section.entry [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Condition/condition-problem" ] ]
], [
fhir:index 2;
fhir:Composition.section.title [ fhir:value "Preoperative Diagnosis Section" ];
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:10219-4;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "10219-4" ];
fhir:Coding.display [ fhir:value "Surgical operation note preoperative diagnosis Narrative" ] ] ];
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Appendicitis</p>\n </div>" ]
], [
fhir:index 3;
fhir:Composition.section.title [ fhir:value "Operative Note Surgical Procedure Section" ];
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:10223-6;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "10223-6" ];
fhir:Coding.display [ fhir:value "Surgical operation note surgical procedure Narrative" ] ] ];
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Laparoscopic Appendectomy</p>\n </div>" ]
], [
fhir:index 4;
fhir:Composition.section.title [ fhir:value "Planned Procedure Section" ];
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:59772-4;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "59772-4" ];
fhir:Coding.display [ fhir:value "Planned procedure" ] ] ];
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Colonoscopy</p>\n </div>" ]
], [
fhir:index 5;
fhir:Composition.section.title [ fhir:value "Procedure Indications Section" ];
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:59768-2;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "59768-2" ];
fhir:Coding.display [ fhir:value "Procedure indications [Interpretation] Narrative" ] ] ];
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>The procedure is performed for screening in a low risk\n individual.</p>\n </div>" ]
], [
fhir:index 6;
fhir:Composition.section.title [ fhir:value "Procedure Description Section" ];
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:29554-3;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "29554-3" ];
fhir:Coding.display [ fhir:value "Procedure Narrative" ] ] ];
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>The patient was brought to the operating room, placed in the supine\n position, and general anesthesia was induced. A detailed technical\n narrative of a laparoscopic appendectomy from initial incision to\n placement of any dressings follows. </p>\n </div>" ]
], [
fhir:index 7;
fhir:Composition.section.title [ fhir:value "Procedure Estimated Blood Loss Section" ];
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:59770-8;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "59770-8" ];
fhir:Coding.display [ fhir:value "Procedure estimated blood loss Narrative" ] ] ];
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Minimal</p>\n </div>" ]
], [
fhir:index 8;
fhir:Composition.section.title [ fhir:value "Procedure Findings Section" ];
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:59776-5;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "59776-5" ];
fhir:Coding.display [ fhir:value "Procedure findings Narrative" ] ] ];
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>A 6 mm sessile polyp was found in the ascending colon and removed by\n snare, no cautery. Bleeding was controlled. Moderate diverticulosis\n and hemorrhoids were incidentally noted.</p>\n </div>" ];
fhir:Composition.section.entry [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Condition/condition-problem" ] ]
], [
fhir:index 9;
fhir:Composition.section.title [ fhir:value "Procedure Specimens Taken Section" ];
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:59773-2;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "59773-2" ];
fhir:Coding.display [ fhir:value "Procedure specimens taken Narrative" ] ] ];
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Ascending colon polyp</p>\n </div>" ]
], [
fhir:index 10;
fhir:Composition.section.title [ fhir:value "Operative Note Fluids Section" ];
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:10216-0;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "10216-0" ];
fhir:Coding.display [ fhir:value "Operative Note Fluids" ] ] ];
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>250 ML Ringers Lactate</p>\n </div>" ]
], [
fhir:index 11;
fhir:Composition.section.title [ fhir:value "Surgical Drains Section" ];
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:11537-8;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "11537-8" ];
fhir:Coding.display [ fhir:value "Surgical Drains" ] ] ];
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Penrose drain placed</p>\n </div>" ]
], [
fhir:index 12;
fhir:Composition.section.title [ fhir:value "Procedure Implants Section" ];
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:59771-6;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "59771-6" ];
fhir:Coding.display [ fhir:value "Procedure implants Narrative" ] ] ];
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>No implants were placed.</p>\n </div>" ]
], [
fhir:index 13;
fhir:Composition.section.title [ fhir:value "Procedure Disposition Section" ];
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:59775-7;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "59775-7" ];
fhir:Coding.display [ fhir:value "Procedure disposition Narrative" ] ] ];
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>The patient was taken to the Endoscopy Recovery Unit in stable\n condition.</p>\n </div>" ]
], [
fhir:index 14;
fhir:Composition.section.title [ fhir:value "Postoperative Diagnosis Section" ];
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:10218-6;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "10218-6" ];
fhir:Coding.display [ fhir:value "Surgical operation note postoperative diagnosis Narrative" ] ] ];
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Appendicitis with periappendiceal abscess</p>\n </div>" ]
], [
fhir:index 15;
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 care note" ] ] ];
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>2016/09/17 - 2010/09/17</td>\n <td>Planned</td>\n </tr>\n <tr>\n <td>Recommendation to Exercise</td>\n <td>2016/06/25</td>\n <td>Ongoing</td>\n </tr>\n </table>\n </div>" ]
].
# - ontology header ------------------------------------------------------------
a owl:Ontology;
owl:imports fhir:fhir.ttl.
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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