Dental Data Exchange
0.1.0 - STU1 Ballot

This page is part of the Dental Data Exchange (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

: Dental Consultation Note (example) - TTL Representation

Raw ttl | Download

@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 xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Composition;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "Dental-2-Med-Consult"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "18" ];
     fhir:Meta.lastUpdated [ fhir:value "2020-08-06T17:04:22.341+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#SVm0tHbmHoKOA68J" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/Consultation-Note";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/Consultation-Note>     ], [
       fhir:value "http://hl7.org/fhir/us/dental-data-exchange/StructureDefinition/dental-consult";
       fhir:index 1;
       fhir:link <http://hl7.org/fhir/us/dental-data-exchange/StructureDefinition/dental-consult>     ]
  ];
  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\"><p><b>Generated Narrative</b></p><p><b>id</b>: Dental-2-Med-Consult</p><p><b>meta</b>: </p><p><b>language</b>: en-US</p><p><b>identifier</b>: id: urn:uuid:f28fefc8-5aac-427c-93d7-f0bc7d633a9b</p><p><b>status</b>: final</p><p><b>type</b>: <span title=\"Codes: {http://loinc.org 11488-4}\">Consult Note</span></p><p><b>encounter</b>: <a href=\"Encounter-Dental-encounter.html\">Dental Referral with patient A. Generated Summary: id: Dental-encounter; status: finished; <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode AMB}\">ambulatory</span>; <span title=\"Codes: {http://snomed.info/sct 185347001}\">Encounter for problem (procedure)</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActPriority R}\">routine</span>; period: Feb 16, 2020 8:00:14 PM --&gt; Feb 16, 2020 8:30:14 PM</a></p><p><b>date</b>: Feb 16, 2020 9:10:14 AM</p><p><b>author</b>: <a href=\"Practitioner-practitioner-D.html\">Dentist D, DMD. Generated Summary: id: practitioner-D; id: 1234560000; John D ; ph: 720-555-6443(WORK); gender: male; birthDate: 1990-06-09</a></p><p><b>title</b>: Consultation Note</p><h3>Attesters</h3><table class=\"grid\"><tr><td>-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td>*</td><td>legal</td><td>Mar 28, 2020 9:10:14 AM</td><td><a href=\"Practitioner-practitioner-D.html\">Dentist Dentist D, DMD. Generated Summary: id: practitioner-D; id: 1234560000; John D ; ph: 720-555-6443(WORK); gender: male; birthDate: 1990-06-09</a></td></tr></table><p><b>custodian</b>: <a href=\"Organization-GOHC-organization.html\">Good Oral Health Clinic. Generated Summary: id: GOHC-organization; id: 2316452725; active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span>; name: Good Oral Health Clinic; ph: (+1) 720-677-7777, customer2-service@GHclinic.org</a></p><h3>Events</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Period</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActClass PCPR}\">Care Provision</span></td><td>2020-02-16 --&gt; 2020-02-16</td></tr></table></div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/OrderExtension" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "ServiceRequest/example-dental-referral-1" ];
       fhir:Reference.display [ fhir:value "Dental Referral" ]     ]
  ];
  fhir:Composition.identifier [
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:uuid:f28fefc8-5aac-427c-93d7-f0bc7d633a9b" ]
  ];
  fhir:Composition.status [ fhir:value "final"];
  fhir:Composition.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:11488-4;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "11488-4" ];
       fhir:Coding.display [ fhir:value "Consult Note" ]     ]
  ];
  fhir:Composition.subject [
     fhir:Reference.reference [ fhir:value "Patient/example-dental" ];
     fhir:Reference.display [ fhir:value "Patient A" ]
  ];
  fhir:Composition.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/Dental-encounter" ];
     fhir:Reference.display [ fhir:value "Dental Referral with patient A" ]
  ];
  fhir:Composition.date [ fhir:value "2020-02-16T09:10:14Z"^^xsd:dateTime];
  fhir:Composition.author [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Practitioner/practitioner-D" ];
     fhir:Reference.display [ fhir:value "Dentist D, DMD" ]
  ];
  fhir:Composition.title [ fhir:value "Consultation Note"];
  fhir:Composition.attester [
     fhir:index 0;
     fhir:Composition.attester.mode [ fhir:value "legal" ];
     fhir:Composition.attester.time [ fhir:value "2020-03-28T09:10:14Z"^^xsd:dateTime ];
     fhir:Composition.attester.party [
       fhir:Reference.reference [ fhir:value "Practitioner/practitioner-D" ];
       fhir:Reference.display [ fhir:value "Dentist Dentist D, DMD" ]     ]
  ];
  fhir:Composition.custodian [
     fhir:Reference.reference [ fhir:value "Organization/GOHC-organization" ];
     fhir:Reference.display [ fhir:value "Good Oral Health Clinic" ]
  ];
  fhir:Composition.event [
     fhir:index 0;
     fhir:Composition.event.code [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActClass" ];
         fhir:Coding.code [ fhir:value "PCPR" ];
         fhir:Coding.display [ fhir:value "Care Provision" ]       ]     ];
     fhir:Composition.event.period [
       fhir:Period.start [ fhir:value "2020-02-16"^^xsd:date ];
       fhir:Period.end [ fhir:value "2020-02-16"^^xsd:date ]     ]
  ];
  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;
         a 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 Document" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><tr><td><b>Substance</b></td><td><b>Overall Severity</b></td><td><b>Reaction</b></td><td><b>Reaction Severity</b></td><td><b>Status</b></td></tr><tr><td>Penicillin G (Ingredient)</td><td>Mild</td><td>Skin rash</td><td>Mild</td><td>Active</td></tr></table></div>"     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "AllergyIntolerance/Allergy-example-dental" ]     ]
  ], [
     fhir:index 1;
     fhir:Composition.section.title [ fhir:value "History of Present Illness Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a 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 Narrative" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>The patient has not visited a dentist or received fluoride treatments in the past four years while away at college</p></div>"     ]
  ], [
     fhir:index 2;
     fhir:Composition.section.title [ fhir:value "Problem Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a 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 - Reported" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Mild, Hypertension</p><p>Type 1 diabetes</p><p>Dental caries</p><p>Unable to chew</p><p>Teeth covered in plague</p><p>Toothache</p><p>Chronic periodontitis</p><p>Infection of tooth</p><p>At high risk for dental caries (finding)</p></div>"     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "Condition/HTN-example" ]     ], [
       fhir:index 1;
       fhir:Reference.reference [ fhir:value "Condition/DM1-example" ]     ], [
       fhir:index 2;
       fhir:Reference.reference [ fhir:value "Condition/Dental-caries" ]     ], [
       fhir:index 3;
       fhir:Reference.reference [ fhir:value "Condition/no-chew" ]     ], [
       fhir:index 4;
       fhir:Reference.reference [ fhir:value "Condition/Dental-plaque-example" ]     ], [
       fhir:index 5;
       fhir:Reference.reference [ fhir:value "Condition/toothache-example" ]     ], [
       fhir:index 6;
       fhir:Reference.reference [ fhir:value "Condition/Chronic-periodontitis-example" ]     ], [
       fhir:index 7;
       fhir:Reference.reference [ fhir:value "Condition/Tooth-infection" ]     ], [
       fhir:index 8;
       fhir:Reference.reference [ fhir:value "Condition/Caries-risk" ]     ]
  ], [
     fhir:index 3;
     fhir:Composition.section.title [ fhir:value "Medication Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:10160-0;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "10160-0" ];
         fhir:Coding.display [ fhir:value "History of Medication use Narrative" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><tr><td><b>Medication</b></td><td><b>Directions</b></td><td><b>Start Date</b></td><td><b>Status</b></td><td><b>Indications</b></td><td><b>Fill Instructions</b></td></tr><tr><td>erythromycin 500 mg</td><td>Take 1 tablet every six hours X10 days</td><td/><td>Active</td><td/><td/></tr><tr><td>ibuprofen (OTC)  200 mg tab</td><td>Take 2-3 tablets every 8 hours as needed for pain</td><td>Take 2-3 tablets every 8 hours as needed for pain</td><td/><td>Active</td><td/><td/></tr><tr><td>acetaminophen (OTC) 325 mg</td><td>Take 2 tablets every 4-6 hours as needed for pain</td><td/><td>Active</td><td/><td/></tr><tr><td>Lisinopril 10 mg tab</td><td>1 tab once a day</td><td/><td>Active</td><td/><td/></tr></table></div>"     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "MedicationRequest/erythromycin-medreq-2" ]     ], [
       fhir:index 1;
       fhir:Reference.reference [ fhir:value "MedicationRequest/Ibuprofen-medreq-2" ]     ], [
       fhir:index 2;
       fhir:Reference.reference [ fhir:value "MedicationRequest/Tylenol-med-dental" ]     ], [
       fhir:index 3;
       fhir:Reference.reference [ fhir:value "MedicationRequest/Lisinopril-medreq" ]     ]
  ], [
     fhir:index 4;
     fhir:Composition.section.title [ fhir:value "Assessment Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:51848-0;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "51848-0" ];
         fhir:Coding.display [ fhir:value "Evaluation note" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p> Patient reports inability to chew on left side due to pain and\n        sensitivity, a condition that has increased in severity in the two days\n        since his medical appointment </p><p> Significant decay on the left lower second molar (tooth #18)\n         with signs of infection  </p><p> Early signs of a caries lesion (decay) on the right upper\n        lateral incisor (tooth #7) </p><p> Recommend an extraction of the left lower second molar(tooth\n        #18) and a restoration on the right upper lateral incisor (tooth #7) due\n        to a caries lesion </p></div>"     ]
  ], [
     fhir:index 5;
     fhir:Composition.section.title [ fhir:value "Immunizations Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a 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 Narrative" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"1\" width=\"100%\"><thead><tr><th>Vaccine</th><th>Date</th><th>Status</th></tr></thead><tbody><tr><td>\n              Hepatitis B vaccine\n            </td><td>January 4, 2020</td><td>Completed</td></tr></tbody></table></div>"     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "Immunization/imm-1" ]     ]
  ], [
     fhir:index 6;
     fhir:Composition.section.title [ fhir:value "Medical Equipment Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:46264-8;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "46264-8" ];
         fhir:Coding.display [ fhir:value "History of medical device use" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"1\" width=\"100%\"><thead><tr><th>Device Type</th><th>Procedure</th><th>Implant Date</th></tr></thead><tbody><tr><td>Insulin Pump</td><td>Insertion of insulin pump (procedure)</td><td>November 3, 2013</td></tr></tbody></table></div>"     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "Procedure/Insulin-pump-insertion" ]     ]
  ], [
     fhir:index 7;
     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\"><table border=\"1\" width=\"100%\"><thead><tr><th>Date</th><th>Code</th><th>Description</th><th>Mouth Location</th></tr></thead><tbody><tr><td>Feb 23, 2020</td><td>D7140</td><td>Extraction, erupted tooth or exposed root (elevation and/or\n                forceps removal)</td><td>Tooth #18</td></tr><tr><td>Mar 3, 2020</td><td>D1352</td><td>Preventive resin restoration in a moderate to high caries\n                risk patient-permanent tooth</td><td>Tooth #7</td></tr><tr><td>Mar 10, 2020</td><td>D0150</td><td>comprehensive oral evaluation - new or established\n                patient</td><td>N/A</td></tr><tr><td>Mar 10, 2020</td><td>D1110</td><td>Prophylaxis - Adult</td><td>N/A</td></tr><tr><td>Mar 10, 2020</td><td>D0210</td><td>Full mouth radiographic survey</td><td>N/A</td></tr></tbody></table></div>"     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "ServiceRequest/Dental-extraction-example" ]     ], [
       fhir:index 1;
       fhir:Reference.reference [ fhir:value "ServiceRequest/Resin-restore-example" ]     ], [
       fhir:index 2;
       fhir:Reference.reference [ fhir:value "Encounter/Comp-oral-eval" ]     ], [
       fhir:index 3;
       fhir:Reference.reference [ fhir:value "Encounter/Dentist-followup-prophylaxis" ]     ], [
       fhir:index 4;
       fhir:Reference.reference [ fhir:value "ServiceRequest/Radiograph-survey" ]     ]
  ], [
     fhir:index 8;
     fhir:Composition.section.title [ fhir:value "Procedures Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a 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 Document" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"1\" width=\"100%\"><thead><tr><th>Date</th><th>Code</th><th>Description</th><th>Mouth Location</th></tr></thead><tbody><tr><td>Feb 16, 2020</td><td>D1206</td><td>topical application of fluoride varnish</td><td>N/A</td></tr></tbody></table></div>"     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "Procedure/Dental-flouride-tx-example" ]     ]
  ], [
     fhir:index 9;
     fhir:Composition.section.title [ fhir:value "Reason for Visit Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a 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\"><p>Patient referred for evaluation and treatment for toothache lower left</p></div>"     ]
  ], [
     fhir:index 10;
     fhir:Composition.section.title [ fhir:value "Social History Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a 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 Narrative" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><tr><td><b>Social History Element</b></td><td><b>Description</b></td><td><b>Effective Dates</b></td></tr><tr><td>Smoking Status - Meaningful Use</td><td>Never smoked tobacco</td><td>Feb 14, 2020</td></tr><tr><td>Highest Education Level</td><td>College Education</td><td>2005/05/01 - 2010/02/28</td></tr><tr><td>Employment</td><td>Accountaint, Full Time</td><td>2005/05/01 - 2010/02/28</td></tr></table></div>"     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "Observation/Smoker-obs-example-dental" ]     ], [
       fhir:index 1;
       fhir:Reference.reference [ fhir:value "Observation/Education-level-example-dental" ]     ], [
       fhir:index 2;
       fhir:Reference.reference [ fhir:value "Observation/Present-job-example-dental" ]     ]
  ], [
     fhir:index 11;
     fhir:Composition.section.title [ fhir:value "Vital Signs Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a 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\"><table border=\"1\" width=\"100%\"><thead><tr><th>Observation Type</th><th>Value</th><th>Units</th></tr></thead><tbody><tr><td>Body Temperature</td><td>99</td><td>[degF]</td></tr><tr><td>Heart Rate</td><td>82</td><td>/min</td></tr><tr><td>Blood Pressure - Diastolic</td><td>80</td><td>mmHg</td></tr><tr><td>Blood Pressure - Systolic</td><td>120</td><td>mmHg</td></tr></tbody></table></div>"     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "Observation/body-temperature" ]     ], [
       fhir:index 1;
       fhir:Reference.reference [ fhir:value "Observation/heart-rate" ]     ], [
       fhir:index 2;
       fhir:Reference.reference [ fhir:value "Observation/blood-pressure" ]     ]
  ], [
     fhir:index 12;
     fhir:Composition.section.title [ fhir:value "Instructions Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:69730-0;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "69730-0" ];
         fhir:Coding.display [ fhir:value "Instructions" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Patient educated on the benefits of using a fluoride toothpaste, daily\n          flossing, and bi-annual routine dental cleaning visits.</p></div>"     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "Communication/dental-education2" ]     ]
  ], [
     fhir:index 13;
     fhir:Composition.section.title [ fhir:value "Payers Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:48768-6;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "48768-6" ];
         fhir:Coding.display [ fhir:value "Payment sources Document" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Aetna Comprehensive Medical /Dental Insurance</p></div>"     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "Coverage/Dental-Aetna" ]     ]
  ], [
     fhir:index 14;
     fhir:Composition.section.title [ fhir:value "Dental Findings Section" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:8704-9;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "8704-9" ];
         fhir:Coding.display [ fhir:value "Physical findings of Mouth and Throat and Teeth" ]       ]     ];
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"1\" width=\"100%\"><thead><tr><th>Finding Type</th><th>Value</th><th>Location</th></tr></thead><tbody><tr><td>Problem</td><td>Dental Caries</td><td>Tooth #18</td></tr><tr><td>Problem</td><td>Infection of Tooth</td><td>Tooth #18</td></tr><tr><td>Problem</td><td>Dental Caries</td><td>Tooth #7</td></tr><tr><td>Result</td><td>Overjet</td><td>3mm</td></tr></tbody></table></div>"     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "Condition/Mandibular-perm18-example" ]     ], [
       fhir:index 1;
       fhir:Reference.reference [ fhir:value "Condition/Tooth-infection18" ]     ], [
       fhir:index 2;
       fhir:Reference.reference [ fhir:value "Condition/Maxillary-perm7-example" ]     ], [
       fhir:index 3;
       fhir:Reference.reference [ fhir:value "Observation/Overjet" ]     ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.