STU 1 Ballot

This page is part of the C-CDA on FHIR Implementation Guide (v1.6.0: STU 1 Ballot 1) based on FHIR v1.6.0. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

{
  "resourceType" : "Composition",
  "id" : "ccda-care-plan-composition-example",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2016-06-15T08:16:14Z",
    "profile" : [
      "http://hl7.org/fhir/StructureDefinition/ccda-care-plan-composition"
    }
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns="http://www.w3.org/1999/xhtml">
      <p>Care Plan document for Henry Jones</p>
      <p>Managed by Community Health and Hospitals</p>
    </div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/ccda/StructureDefinition/ccda-data-enterer-extension",
      "valueUri" : "http://fhirtest.uhn.ca/baseDstu3/Practitioner/117497"
    },
    {
      "url" : "http://hl7.org/fhir/ccda/StructureDefinition/ccda-informant-extension",
      "valueUri" : "http://fhirtest.uhn.ca/baseDstu3/Practitioner/117497"
    },
    {
      "url" : "http://hl7.org/fhir/ccda/StructureDefinition/ccda-information-recipient-extension",
      "valueUri" : "http://fhirtest.uhn.ca/baseDstu3/Practitioner/117497"
    },
    {
      "url" : "http://hl7.org/fhir/ccda/StructureDefinition/ccda-participant-extension",
      "valueUri" : "http://fhirtest.uhn.ca/baseDstu3/RelatedPerson/117466"
    },
    {
      "url" : "http://hl7.org/fhir/ccda/StructureDefinition/ccda-performer-extension",
      "valueUri" : "http://fhirtest.uhn.ca/baseDstu3/Practitioner/117497"
    },
    {
      "url" : "http://hl7.org/fhir/ccda/StructureDefinition/ccda-authorization-extension",
      "valueUri" : "http://hl7.org/fhir/ccda/StructureDefinition/ccda-consent"
    }
  },
  "identifier" : {
    "system" : "http://hl7.org/fhir/ccda/StructureDefinition/ccda-care-plan-composition",
    "value" : "1"
  },
  "date" : "2016-03-22T09:10:14Z",
  "type" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "52521-2",
        "display" : "Overall Plan of Care/Advance Care Directives"
      }
    }
  },
  "title" : "Care Plan Example",
  "status" : "preliminary",
  "confidentiality" : "N",
  "subject" : {
    "reference" : "http://fhirtest.uhn.ca/baseDstu3/Patient/117467",
    "display" : "Henry Jones"
  },
  "author" : [
    {
      "reference" : "http://fhirtest.uhn.ca/baseDstu3/Practitioner/117497",
      "display" : "Adam Everyman, MD"
    }
  },
  "attester" : [
    {
      "mode" : [
        "legal"
      },
      "time" : "2012-01-04T09:10:14Z",
      "party" : {
        "reference" : "http://fhirtest.uhn.ca/baseDstu3/Practitioner/117497",
        "display" : "Adam Everyman, MD"
      }
    }
  },
  "custodian" : {
    "reference" : "http://fhirtest.uhn.ca/baseDstu3/Organization/117471",
    "display" : "Community Health and Hospitals"
  },
  "event" : [
    {
      "code" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "73761001",
              "display" : "Colonoscopy"
            }
          }
        }
      },
      "period" : {
        "start" : "2015-11-18",
        "end" : "2015-12-12"
      }
    }
  },
  "encounter" : {
    "reference" : "http://fhirtest.uhn.ca/baseDstu3/Encounter/117630"
  },
  "section" : [
    {
      "title" : "Health Concerns Section",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "75310-3",
            "display" : "Health concerns document"
          }
        }
      },
      "text" : {
        "status" : "generated",
        "div" : "<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>"
      },
      "mode" : "snapshot",
      "orderedBy" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/list-order",
            "code" : "event-date",
            "display" : "Sorted by Event Date"
          }
        }
      }
    },
    {
      "title" : "Goals Section",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "61146-7",
            "display" : "Goals"
          }
        }
      },
      "text" : {
        "status" : "generated",
        "div" : "<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>"
      }
    },
    {
      "title" : "Interventions Section",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "62387-6",
            "display" : "Interventions provided"
          }
        }
      },
      "text" : {
        "status" : "generated",
        "div" : "<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>September 2, 2015</td>
          </tr>
          <tr>
            <td>Oxygen administration by nasal cannula</td>
            <td>active</td>
            <td>September 1, 2015</td>
          </tr>
          <tr>
            <td>pulse oximetry monitoring</td>
            <td>active</td>
            <td>September 3, 2015</td>
          </tr>
        </table>
      </div>"
      }
    },
    {
      "title" : "Health Status Evaluations and Outcomes Section",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "11383-7",
            "display" : "Patient problem outcome"
          }
        }
      },
      "text" : {
        "status" : "generated",
        "div" : "<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>August 6, 2015</td>
          </tr>
        </table>
      </div>"
      }
    }
  }
}