Current Build
This page is part of the C-CDA on FHIR Implementation Guide (v1.8.0: STU 1 Ballot 2) based on FHIR v1.8.0. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions 
@prefix fhir: <http://hl7.org/fhir/> . @prefix loinc: <http://loinc.org/owl#> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- <Composition/CCDA-on-FHIR-Discharge-Summary-Example> a fhir:Composition; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "CCDA-on-FHIR-Discharge-Summary-Example"]; fhir:Resource.meta [ fhir:Meta.versionId [ fhir:value "1" ]; fhir:Meta.lastUpdated [ fhir:value "2016-06-15T08:16:14Z"^^xsd:dateTime ]; fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Discharge-Summary"; fhir:index 0 ] ]; 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\">\n <p>Discharge Summary document for Henry Jones</p>\n <p>Managed by Community Health and Hospitals</p>\n </div>" ]; fhir:Composition.identifier [ fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Discharge-Summary" ]; fhir:Identifier.value [ fhir:value "1" ] ]; fhir:Composition.date [ fhir:value "2016-02-14T09:10:14Z"^^xsd:dateTime]; fhir:Composition.type [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:concept loinc:18842-5; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "18842-5" ]; fhir:Coding.display [ fhir:value "Discharge Summary" ] ] ]; fhir:Composition.title [ fhir:value "Discharge Summary(CCoF)"]; fhir:Composition.status [ fhir:value "preliminary"]; fhir:Composition.confidentiality [ fhir:value "N"]; fhir:Composition.subject [ fhir:link <http://fhir3.healthintersections.com.au/open/Patient/c493f2f2-28d5-49ab-90e8-9e8be341f7>; fhir:Reference.reference [ fhir:value "http://fhir3.healthintersections.com.au/open/Patient/c493f2f2-28d5-49ab-90e8-9e8be341f7" ]; fhir:Reference.display [ fhir:value "Henry Jones" ] ]; fhir:Composition.author [ fhir:index 0; fhir:link <http://fhir3.healthintersections.com.au/open/Practitioner/2679baa7-5dac-4d22-81ae-daded84500>; fhir:Reference.reference [ fhir:value "http://fhir3.healthintersections.com.au/open/Practitioner/2679baa7-5dac-4d22-81ae-daded84500" ]; fhir:Reference.display [ fhir:value "Adam Everyman, MD" ] ]; fhir:Composition.custodian [ fhir:link <http://fhir3.healthintersections.com.au/open/Organization/1213e1ae-afc2-4a7c-8ed3-43b7a4e3d7>; fhir:Reference.reference [ fhir:value "http://fhir3.healthintersections.com.au/open/Organization/1213e1ae-afc2-4a7c-8ed3-43b7a4e3d7" ]; fhir:Reference.display [ fhir:value "Community Health and Hospitals" ] ]; fhir:Composition.section [ fhir:index 0; fhir:Composition.section.title [ fhir:value "Allergies and Intolerances Section" ]; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:concept loinc:48765-2; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "48765-2" ]; fhir:Coding.display [ fhir:value "Allergies and adverse reactions" ] ] ]; 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>Substance</b>\n </td>\n <td>\n <b>Overall Severity</b>\n </td>\n <td>\n <b>Reaction</b>\n </td>\n <td>\n <b>Reaction Severity</b>\n </td>\n <td>\n <b>Status</b>\n </td>\n </tr>\n <tr>\n <td>Cashew Nut</td>\n <td>Severe</td>\n <td>Anaphylactic reaction</td>\n <td>Mild</td>\n <td>Active</td>\n </tr>\n </table>\n </div>" ]; fhir:Composition.section.mode [ fhir:value "snapshot" ]; fhir:Composition.section.orderedBy [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/list-order" ]; fhir:Coding.code [ fhir:value "event-date" ]; fhir:Coding.display [ fhir:value "Sorted by Event Date" ] ] ] ], [ fhir:index 1; fhir:Composition.section.title [ fhir:value "Chief Complaint and Reason for Visit Section" ]; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:concept loinc:46239-0; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "46239-0" ]; fhir:Coding.display [ fhir:value "Chief complaint and reason for visit" ] ] ]; fhir:Composition.section.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Cramping, bloating, and constipation.</p>\n </div>" ] ], [ fhir:index 2; fhir:Composition.section.title [ fhir:value "Chief Complaint Section" ]; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:concept loinc:10154-3; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "10154-3" ]; fhir:Coding.display [ fhir:value "Chief complaint" ] ] ]; fhir:Composition.section.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Dark Stools</p>\n </div>" ] ], [ fhir:index 3; fhir:Composition.section.title [ fhir:value "Reason for Visit Section" ]; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:concept loinc:29299-5; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "29299-5" ]; fhir:Coding.display [ fhir:value "Reason for visit" ] ] ]; fhir:Composition.section.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Tenderness of lower abdomen</p>\n </div>" ] ], [ fhir:index 4; fhir:Composition.section.title [ fhir:value "Admission Diagnosis Section" ]; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:concept loinc:46241-6; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "46241-6" ]; fhir:Coding.display [ fhir:value "Hospital admission diagnosis" ] ] ]; 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 5; fhir:Composition.section.title [ fhir:value "Admission Medications Section" ]; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:concept loinc:42346-7; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "42346-7" ]; fhir:Coding.display [ fhir:value "Medications on admission" ] ] ]; 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>Medication</b>\n </td>\n <td>\n <b>Directions</b>\n </td>\n <td>\n <b>Start Date</b>\n </td>\n <td>\n <b>Status</b>\n </td>\n <td>\n <b>Indications</b>\n </td>\n <td>\n <b>Fill Instructions</b>\n </td>\n </tr>\n <tr>\n <td>Pepcid Complete (MAGNESIUM HYDROXIDE0</td>\n <td>Chew one tablet completely and swallow as needed </td>\n <td>20151029</td>\n <td>Active</td>\n <td>Bloating</td>\n <td>Generic substitution allowed</td>\n </tr>\n </table>\n </div>" ] ], [ fhir:index 6; fhir:Composition.section.title [ fhir:value "History of Past Illness Section" ]; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:concept loinc:11348-0; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "11348-0" ]; fhir:Coding.display [ fhir:value "History of past illness" ] ] ]; 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>Problem Name</b>\n </td>\n <td>\n <b>Type</b>\n </td>\n <td>\n <b>Onset Date</b>\n </td>\n <td>\n <b>Abatement Date</b>\n </td>\n <td>\n <b>Status</b>\n </td>\n </tr>\n <tr>\n <td>Fever</td>\n <td>Condition</td>\n <td>2016-04-01</td>\n <td>2016-04-14</td>\n <td>Complete</td>\n </tr>\n </table>\n </div>" ] ], [ fhir:index 7; fhir:Composition.section.title [ fhir:value "History of Present Illness Section" ]; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:concept loinc:10164-2; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "10164-2" ]; fhir:Coding.display [ fhir:value "History of present illness" ] ] ]; fhir:Composition.section.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>This patient was only recently discharged for a recurrent GI bleed as described below. </p>\n <p>He presented to the ER today c/o a dark stool yesterday but a normal brown\n stool today. On exam he was hypotensive in the 80?s resolved after .... .... .... </p>\n <p>Lab at discharge: Glucose 112, BUN 16, creatinine 1.1, electrolytes normal.\n H. pylori antibody pending. Admission hematocrit 16%, discharge hematocrit 29%. WBC\n 7300, platelet count 256,000. Urinalysis normal. Urine culture: No growth. INR 1.1,\n PTT 40. </p>\n <p>He was transfused with 6 units of packed red blood cells with .... .... .... </p>\n <p>GI evaluation 12 September: Colonoscopy showed single red clot in .... ........ </p>\n </div>" ] ], [ fhir:index 8; fhir:Composition.section.title [ fhir:value "Review of Systems Section" ]; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:concept loinc:10187-3; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "10187-3" ]; fhir:Coding.display [ fhir:value "Review of systems" ] ] ]; fhir:Composition.section.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Patient denies recent history of fever or malaise. Positive for weakness and\n shortness of breath. One episode of melena. No recent headaches. Positive for\n osteoarthritis in hips, knees and hands. </p>\n </div>" ] ], [ fhir:index 9; fhir:Composition.section.title [ fhir:value "Family History Section" ]; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:concept loinc:10157-6; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "10157-6" ]; fhir:Coding.display [ fhir:value "History of family member diseases" ] ] ]; 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>Relationship</b>\n </td>\n <td>\n <b>Diagnosis</b>\n </td>\n <td>\n <b>Age at Onset</b>\n </td>\n </tr>\n <tr>\n <td>Father</td>\n <td>Myocardial Infarction(cause of Death)</td>\n <td>57</td>\n </tr>\n <tr>\n <td>Father</td>\n <td>Diabetes</td>\n <td>40</td>\n </tr>\n </table>\n </div>" ] ], [ fhir:index 10; fhir:Composition.section.title [ fhir:value "Social History Section" ]; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:concept loinc:29762-2; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "29762-2" ]; fhir:Coding.display [ fhir:value "Social history" ] ] ]; 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>Social History Element</b>\n </td>\n <td>\n <b>Description</b>\n </td>\n <td>\n <b>Effective Dates</b>\n </td>\n </tr>\n <tr>\n <td>Smoking</td>\n <td>1 pack tobacco per day</td>\n <td>2005/05/01 - 2010/02/28</td>\n </tr>\n </table>\n </div>" ]; fhir:Composition.section.entry [ fhir:index 0; fhir:link <http://fhir3.healthintersections.com.au/open/Observation/4d0aba77-8fc0-4739-9ea6-b958c63378>; fhir:Reference.reference [ fhir:value "http://fhir3.healthintersections.com.au/open/Observation/4d0aba77-8fc0-4739-9ea6-b958c63378" ] ] ], [ fhir:index 11; fhir:Composition.section.title [ fhir:value "Functional Status Section" ]; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:concept loinc:47420-5; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "47420-5" ]; fhir:Coding.display [ fhir:value "Functional status" ] ] ]; 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>Functional or Cognitive Finding</b>\n </td>\n <td>\n <b>Observation</b>\n </td>\n <td>\n <b>Observation Date</b>\n </td>\n <td>\n <b>Condition Status</b>\n </td>\n </tr>\n <tr>\n <td>Ambulation (Dependent to Independent</td>\n <td>Independently able</td>\n <td>2010/03/11</td>\n <td>Active</td>\n </tr>\n <tr>\n <td>Finding of Functional Performance and Activity</td>\n <td>Dyspnea</td>\n <td>2008/02/16</td>\n <td>Active</td>\n </tr>\n <tr>\n <td>Cognitive Function Finding</td>\n <td>Memory Impairment</td>\n <td>2014/04/29</td>\n <td>Active</td>\n </tr>\n </table>\n </div>" ] ], [ fhir:index 12; fhir:Composition.section.title [ fhir:value "Hospital Course Section" ]; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:concept loinc:8648-8; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "8648-8" ]; fhir:Coding.display [ fhir:value "Hospital course" ] ] ]; fhir:Composition.section.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Following a colonoscopy, the patient was admitted and started on Lovenox and\n nitroglycerin paste. The patient had serial cardiac enzymes and was ruled out for\n myocardial infarction. The patient underwent a dual isotope stress test. There was no\n evidence of reversible ischemia on the Cardiolite scan. The patient has been ambulated.\n The patient had a Holter monitor placed but the report is not available at this time.\n The patient has remained hemodynamically stable. Will discharge.</p>\n </div>" ] ], [ fhir:index 13; fhir:Composition.section.title [ fhir:value "Hospital Consultations Section" ]; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:concept loinc:18841-7; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "18841-7" ]; fhir:Coding.display [ fhir:value "Hospital consultations" ] ] ]; fhir:Composition.section.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>listType="ordered"</p>\n <p>Gastroenterology</p>\n <p>Cardiology</p>\n <p>Dietitian</p>\n </div>" ] ], [ fhir:index 14; fhir:Composition.section.title [ fhir:value "Plan of Treatment Section" ]; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:concept 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 treatment" ] ] ]; 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>2010/08/16 - 2010/08/16</td>\n <td>Completed</td>\n </tr>\n <tr>\n <td>Recommendation to Exercise</td>\n <td>2015/10/29</td>\n <td>Ongoing</td>\n </tr>\n </table>\n </div>" ] ], [ fhir:index 15; fhir:Composition.section.title [ fhir:value "Problem Section" ]; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:concept loinc:11450-4; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "11450-4" ]; fhir:Coding.display [ fhir:value "Problem list" ] ] ]; 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>Problem Name</b>\n </td>\n <td>\n <b>Type</b>\n </td>\n <td>\n <b>Onset Date</b>\n </td>\n <td>\n <b>Abatement Date</b>\n </td>\n <td>\n <b>Status</b>\n </td>\n </tr>\n <tr>\n <td>Fever</td>\n <td>Condition</td>\n <td>2016-04-01</td>\n <td>2016-04-14</td>\n <td>Complete</td>\n </tr>\n </table>\n </div>" ] ], [ fhir:index 16; fhir:Composition.section.title [ fhir:value "Procedures Section" ]; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:concept loinc:47519-4; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "47519-4" ]; fhir:Coding.display [ fhir:value "History of procedures" ] ] ]; 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>Procedure Name</b>\n </td>\n <td>\n <b>Body Site</b>\n </td>\n <td>\n <b>Performer</b>\n </td>\n <td>\n <b>Date Performed</b>\n </td>\n <td>\n <b>Reason</b>\n </td>\n </tr>\n <tr>\n <td>Appendectomy (Procedure)</td>\n <td>Abdomen</td>\n <td>Dr. Adam Everyman</td>\n <td>20160405</td>\n <td>Generalized abdominal pain 24 hours. Localized in RIF with rebound and guarding</td>\n </tr>\n </table>\n </div>" ]; fhir:Composition.section.entry [ fhir:index 0; fhir:link <http://fhir3.healthintersections.com.au/open/Procedure/62735e39-bc54-4636-b47e-9e3e5709ae>; fhir:Reference.reference [ fhir:value "http://fhir3.healthintersections.com.au/open/Procedure/62735e39-bc54-4636-b47e-9e3e5709ae" ] ] ], [ fhir:index 17; fhir:Composition.section.title [ fhir:value "Discharge Diagnosis Section" ]; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:concept loinc:11535-2; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "11535-2" ]; fhir:Coding.display [ fhir:value " Hospital discharge diagnosis" ] ] ]; fhir:Composition.section.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Diverticula of intestine</p>\n </div>" ] ], [ fhir:index 18; fhir:Composition.section.title [ fhir:value "Discharge Medications Section (entries optional)" ]; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:concept loinc:10183-2; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "10183-2" ]; fhir:Coding.display [ fhir:value "Hospital discharge medications" ] ] ]; 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>Medication</b>\n </td>\n <td>\n <b>Directions</b>\n </td>\n <td>\n <b>Start Date</b>\n </td>\n <td>\n <b>Status</b>\n </td>\n <td>\n <b>Indications</b>\n </td>\n <td>\n <b>Fill Instructions</b>\n </td>\n </tr>\n <tr>\n <td>Proventil HFA</td>\n <td>Inhalant solution - 2 puffs QID PRN wheezing</td>\n <td>20151029</td>\n <td>Active</td>\n <td>Pneumonia</td>\n <td>Generic substitution allowed</td>\n </tr>\n </table>\n </div>" ] ], [ fhir:index 19; fhir:Composition.section.title [ fhir:value "Discharge Medications Section (entries required)" ]; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:concept loinc:10183-2; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "10183-2" ]; fhir:Coding.display [ fhir:value "Hospital discharge medications" ] ] ]; 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>Medication</b>\n </td>\n <td>\n <b>Directions</b>\n </td>\n <td>\n <b>Start Date</b>\n </td>\n <td>\n <b>Status</b>\n </td>\n <td>\n <b>Indications</b>\n </td>\n <td>\n <b>Fill Instructions</b>\n </td>\n </tr>\n <tr>\n <td>Acetaminophen Tab 325 mg</td>\n <td>Take 2 tablet(s) every four hours if needed</td>\n <td>20151029</td>\n <td>Active</td>\n <td>Pain management</td>\n <td>Generic substitution allowed</td>\n </tr>\n </table>\n </div>" ] ], [ fhir:index 20; fhir:Composition.section.title [ fhir:value "Hospital Discharge Instructions Section" ]; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:concept loinc:8653-8; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "8653-8" ]; fhir:Coding.display [ fhir:value "Hospital discharge instructions" ] ] ]; fhir:Composition.section.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Take all of your prescription medication as directed. </p>\n <p>Make an appointment with your doctor to be seen two weeks from the date of your procedure. </p>\n <p>You may feel slightly bloated after the procedure because of air that was\n introduced during the examination. </p>\n <p> Call your physician if you notice: \n <br/> Bleeding or black stools. \n <br/>\n Abdominal pain. \n <br/> Fever or chills. \n <br/> Nausea or vomiting. \n <br/> Any unusual\n pain or problem. \n <br/> Pain or redness at the site where the intravenous needle was\n placed. \n <br/>\n </p>\n <p>Do not drink alcohol for 24 hours. Alcohol amplifies the effect of the sedatives given. </p>\n <p>Do not drive or operate machinery for 24 hours.</p>\n </div>" ] ], [ fhir:index 21; fhir:Composition.section.title [ fhir:value "Hospital Discharge Physical Section" ]; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:concept loinc:10184-0; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "10184-0" ]; fhir:Coding.display [ fhir:value "Hospital discharge physical" ] ] ]; fhir:Composition.section.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>GENERAL: Well-developed, slightly obese man. </p>\n <p>NECK: Supple, with no jugular venous distension.</p>\n <p>HEART: Intermittent tachycardia without murmurs or gallops. </p>\n <p>PULMONARY: Decreased breath sounds, but no clear-cut rales or wheezes.</p>\n <p>EXTREMITIES: Free of edema.</p>\n </div>" ] ], [ fhir:index 22; fhir:Composition.section.title [ fhir:value "Hospital Discharge Studies Section" ]; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:concept loinc:11493-4; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "11493-4" ]; fhir:Coding.display [ fhir:value "Hospital discharge studies summary" ] ] ]; fhir:Composition.section.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table border=\"1\" width=\"100%\">\n <thead>\n <tr>\n <th>Laboratory Information</th>\n <th>Chemistries and drug levels</th>\n </tr>\n </thead>\n <tbody>\n <tr>\n <td>Potasium</td>\n <td>4.0</td>\n </tr>\n <tr>\n <td>NA (135-145meq/l)</td>\n <td>140</td>\n </tr>\n </tbody>\n </table>\n <br/>\n <table border=\"1\" width=\"100%\">\n <thead>\n <tr>\n <th>Other Tests</th>\n <th>Results</th>\n </tr>\n </thead>\n <tbody>\n <tr>\n <td>EKG</td>\n <td>Sinus rhythm without acute changes.</td>\n </tr>\n </tbody>\n </table>\n </div>" ] ], [ fhir:index 23; fhir:Composition.section.title [ fhir:value "Immunizations Section" ]; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:concept loinc:11369-6; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "11369-6" ]; fhir:Coding.display [ fhir:value "History of immunization" ] ] ]; 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>Vaccine</b>\n </td>\n <td>\n <b>Date</b>\n </td>\n <td>\n <b>Status</b>\n </td>\n </tr>\n <tr>\n <td>Fluvax (Influenza)</td>\n <td>2016-04-05</td>\n <td>Completed</td>\n </tr>\n </table>\n </div>" ]; fhir:Composition.section.entry [ fhir:index 0; fhir:link <http://fhir3.healthintersections.com.au/open/Immunization/de43e197-62fb-4337-81bd-8523b9a8af>; fhir:Reference.reference [ fhir:value "http://fhir3.healthintersections.com.au/open/Immunization/de43e197-62fb-4337-81bd-8523b9a8af" ] ] ], [ fhir:index 24; fhir:Composition.section.title [ fhir:value " Nutrition Section" ]; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:concept loinc:61144-2; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "61144-2" ]; fhir:Coding.display [ fhir:value "Diet and nutrition" ] ] ]; 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>Date</b>\n </td>\n <td>\n <b>Nutritional Status</b>\n </td>\n <td>\n <b>Diet</b>\n </td>\n </tr>\n <tr>\n <td>2005/12/29</td>\n <td>Well nourished</td>\n <td>Low sodium diet, excessive carbohydrate</td>\n </tr>\n <tr>\n <td>2010/05/26</td>\n <td>Slight dehydration</td>\n <td>High protein, low fibre</td>\n </tr>\n </table>\n </div>" ] ], [ fhir:index 25; fhir:Composition.section.title [ fhir:value "Vital Signs Section" ]; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:concept loinc:8716-3; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "8716-3" ]; fhir:Coding.display [ fhir:value "Vital signs" ] ] ]; 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>Vital Sign</b>\n </td>\n <td>\n <b>Date</b>\n </td>\n <td>\n <b>Value</b>\n </td>\n </tr>\n <tr>\n <td>Temperature</td>\n <td>2016/04/05</td>\n <td>39 Degrees Celcius</td>\n </tr>\n </table>\n </div>" ]; fhir:Composition.section.entry [ fhir:index 0; fhir:link <http://fhir3.healthintersections.com.au/open/Observation/bc96946f-c13f-4a7c-a396-92f8523763>; fhir:Reference.reference [ fhir:value "http://fhir3.healthintersections.com.au/open/Observation/bc96946f-c13f-4a7c-a396-92f8523763" ] ] ].
© HL7.org 2011+. FHIR STU3 Candidate (v1.8.0-10514) generated on Thu, Dec 8, 2016 06:39+1100. QA Page
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