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Packagehl7.fhir.us.ccda
Resource TypeComposition
IdComposition-Care-Plan-Example.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Document Id 12345
Document Created: June 15, 2016, 16:14, PST
Care Provision Care Plan for Amy Shaw
Performer Ronald Boone, MD
Author Ronald Boone, MD
Contact info 1003 Healthcare Drive
Amherst MA 01002, US
Tel: +1(555)555-1003
Encounter Id 9937012 2.16.840.1.113883.19
Encounter Type Care Plan
Encounter Period From June 15, 2016, 16:20 to Sept 18, 2016, 18:20
Encounter Location Ambulatory Care at Acme Laboratories
Responsible party Ronald Boone, MD
Contact info 1003 Healthcare Drive
Amherst MA 01002, US
Tel: +1(555)555-1003
Assigned entity Acme Laboratories
Emergency contact Michael Shaw

Contact info 49 Meadow St
Amherst MA 01003, US
Tel: (555)555-1212
Care giver Mrs. Lillian White
Contact info 49 Meadow St
Amherst MA 01003, US
Tel: (555)555-1215
Entered by Sally Jones
Contact info 1003 Healthcare Drive
Amherst MA 01002, US
Tel: +1(555)555-1003
Signed Ronald Boone at June 15, 2016
Contact info 1003 Healthcare Drive
Amherst MA 01002, US
Tel: +1(555)555-1003
Informant Henry Vincent, CPh
Contact info 1007 Pharmacy Drive
Portland, OR 99123, US
Tel: +1(555)555-1215
Information recipient: Primary Physician, MD
Contact info 1005 St. Clair Avenue
Amherst MA 01002, US
Tel: +1(555)555-1666
Legal authenticator Ronald Boone, MD signed at June 15, 2016
Contact info 1003 Healthcare Drive
Amherst MA 01002, US
Tel: +1(555)555-1003
Document maintained by Acme Laboratories
Contact info 1003 Healthcare Drive
Amherst MA 01002, US
Tel: +1(555)555-1003

Source1

{
  "resourceType": "Composition",
  "id": "Care-Plan-Example",
  "meta": {
    "versionId": "6",
    "lastUpdated": "2020-08-19T04:55:46.030+00:00",
    "source": "#jOiomrQ69OIQipUi",
    "profile": [
      "http://hl7.org/fhir/us/ccda/StructureDefinition/Care-Plan-Document"
    ]
  },
  "language": "en-US",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/us/ccda/StructureDefinition/DataEntererExtension",
      "valueReference": {
        "reference": "PractitionerRole/ccda-practitionerrole-example"
      }
    },
    {
      "url": "http://hl7.org/fhir/us/ccda/StructureDefinition/VersionNumber",
      "valueInteger": 1
    }
  ],
  "identifier": {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:uuid:39067866-6319-4008-9c6d-3f0176d6826c"
  },
  "status": "preliminary",
  "type": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "18776-5",
        "display": "Plan of care note"
      }
    ]
  },
  "subject": {
    "reference": "Patient/example",
    "display": "Amy V. Shaw"
  },
  "date": "2016-06-15T09:10:14Z",
  "author": [
    {
      "reference": "PractitionerRole/ccda-practitionerrole-example",
      "display": "Ronald Bone, MD"
    }
  ],
  "title": "Care Plan",
  "attester": [
    {
      "mode": "legal",
      "time": "2016-06-15T09:10:14Z",
      "party": {
        "reference": "PractitionerRole/ccda-practitionerrole-example",
        "display": "Ronald Boone, MD"
      }
    }
  ],
  "custodian": {
    "reference": "Organization/acme-lab",
    "display": "Acme Lab"
  },
  "event": [
    {
      "code": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "73761001",
              "display": "Colonoscopy"
            }
          ]
        }
      ],
      "period": {
        "start": "2016-06-15",
        "end": "2016-09-18"
      }
    }
  ],
  "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\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Concern</b>\n                        </td>\n                        <td>\n                            <b>Status</b>\n                        </td>\n                        <td>\n                            <b>Date</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Current every day smoker</td>\n                        <td>Active</td>\n                        <td>Concern from June 16, 2015</td>\n                    </tr>\n                    <tr>\n                        <td>Respiratory insufficiency</td>\n                        <td>Completed</td>\n                        <td>Concern from June 13, 2015</td>\n                    </tr>\n                    <tr>\n                        <td>Pneumonia</td>\n                        <td>Completed</td>\n                        <td>June 16, 2015</td>\n                    </tr>\n                </table>\n            </div>"
      }
    },
    {
      "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\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Goal</b>\n                        </td>\n                        <td>\n                            <b>Value</b>\n                        </td>\n                        <td>\n                            <b>Date</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Pulse oximetry</td>\n                        <td>92%</td>\n                        <td>September 2, 2015</td>\n                    </tr>\n                </table>\n            </div>"
      }
    },
    {
      "title": "Interventions Section",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "62387-6",
            "display": "Interventions Narrative"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Planned Intervention</b>\n                        </td>\n                        <td>\n                            <b>Status</b>\n                        </td>\n                        <td>\n                            <b>Date</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Elevate head of bed</td>\n                        <td>active</td>\n                        <td>June 18, 2016</td>\n                    </tr>\n                    <tr>\n                        <td>Oxygen administration by nasal cannula</td>\n                        <td>active</td>\n                        <td>June 18, 2016</td>\n                    </tr>\n                    <tr>\n                        <td>pulse oximetry monitoring</td>\n                        <td>active</td>\n                        <td>June 18, 2016</td>\n                    </tr>\n                </table>\n            </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\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Item</b>\n                        </td>\n                        <td>\n                            <b>Outcome</b>\n                        </td>\n                        <td>\n                            <b>Date</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Pulse oximetry</td>\n                        <td>95%</td>\n                        <td>June 20, 2016</td>\n                    </tr>\n                </table>\n            </div>"
      }
    }
  ]
}