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 
C-CDA on FHIR: ccda-ccd-composition-example
Formats:
XML Example or
JSON Example or
Turtle Example.
The narrative from the above example:
Continuity of Care Document
Continuity of Care document for Henry Jones
Managed by Community Health and Hospitals
Subject Details
Allergies and Intolerances Section
|
Substance
|
Overall Severity
|
Reaction
|
Reaction Severity
|
Status
|
| Cashew Nut |
Severe |
Anaphylactic reaction |
Mild |
Active |
Medication Section
|
Medication
|
Directions
|
Start Date
|
Status
|
Indications
|
Fill Instructions
|
| Amoxicillin |
Amoxicillin Powder, for Suspension 250mg/5ml |
20160401 |
Active |
Pneumonia |
Generic substitution allowed |
Problem Section
|
Problem Name
|
Type
|
Onset Date
|
Abatement Date
|
Status
|
| Fever |
Condition |
2016-04-01 |
2016-04-14 |
Complete |
Procedures Section
|
Procedure Name
|
Body Site
|
Performer
|
Date Performed
|
Reason
|
| Appendectomy (Procedure) |
Abdomen |
Dr. Adam Everyman |
20160405 |
Generalized abdominal pain 24 hours. Localized in RIF with rebound and guarding |
Results Section
|
Result Type
|
Quantity Value
|
Date
|
Status
|
| Glucose [Moles/volume] in Blood |
6.3 mmol/l |
2016/04/01 |
Final |
Advance Directives Section
|
Name
|
Applies Period
|
| Resuscitation |
2015/01/01 - 2016/12/31 |
Encounters Section
|
Encounter
|
Performer
|
Location
|
Date
|
| Checkup Examination |
Dr. S. Steene |
Community Urgent Care Center |
2015/09/26 |
Family History Section
|
Relationship
|
Diagnosis
|
Age at Onset
|
| Father |
Myocardial Infarction(cause of Death) |
57 |
| Father |
Diabetes |
40 |
Functional Status Section
|
Functional or Cognitive Finding
|
Observation
|
Observation Date
|
Condition Status
|
| Ambulation (Dependent to Independent |
Independently able |
2010/03/11 |
Active |
| Finding of Functional Performance and Activity |
Dyspnea |
2008/02/16 |
Active |
| Cognitive Function Finding |
Memory Impairment |
2014/04/29 |
Active |
Immunizations Section
|
Vaccine
|
Date
|
Status
|
| Fluvax (Influenza) |
2016-04-05 |
Completed |
Nutrition Section
|
Date
|
Nutritional Status
|
Diet
|
| 2005/12/29 |
Well nourished |
Low sodium diet, excessive carbohydrate |
| 2010/05/26 |
Slight dehydration |
High protein, low fibre |
Mental Status Section
|
Date
|
Mental Status
|
Support System
|
| 2005/06/21 |
Good |
Not required |
| 2015/12/29 |
Dimentia |
Daily Home Care |
Social History Section
|
Social History Element
|
Description
|
Effective Dates
|
| Smoking |
1 pack tobacco per day |
2005/05/01 - 2010/02/28 |
Plan of Treatment Section
|
Planned Activity
|
Period
|
Status
|
| Colonoscopy |
2010/08/16 - 2010/08/16 |
Completed |
| Recommendation to Exercise |
2015/10/29 |
Ongoing |
Payers Section
|
Payer Name
|
Policy ID
|
Policy Holder
|
| United Healthcare |
12341 |
Self |
| Cigna |
53123 |
Spouse |
Medical Equipment Section
|
Supply/Device
|
Date Supplied
|
| Automatic Implantable cardioverter/defbrillator |
2008/11/16 |
| Wheelchair |
1999/12/01 |
Vital Signs Section
|
Vital Sign
|
Date
|
Value
|
| Temperature |
2016/04/05 |
39 Degrees Celcius |
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.
|
Propose a change