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molsches/raw CDA json

Created January 15, 2016 20:21
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raw CDA json
{
"ClinicalDocument": {
"-xmlns:xsi": "http://www.w3.org/2001/XMLSchema-instance",
"-xmlns": "urn:hl7-org:v3",
"-xmlns:cda": "urn:hl7-org:v3",
"-xmlns:sdtc": "urn:hl7-org:sdtc",
"-xsi:schemaLocation": "urn:hl7-org:v3 ../../../CDA%20R2/cda-schemas-and-samples/infrastructure/cda/CDA.xsd",
"realmCode": { "-code": "US" },
"typeId": {
"-root": "2.16.840.1.113883.1.3",
"-extension": "POCD_HD000040"
},
"templateId": [
{ "-root": "2.16.840.1.113883.10.20.22.1.1" },
{ "-root": "2.16.840.1.113883.10.20.22.1.2" }
],
"id": {
"-extension": "Test CCDA",
"-root": "1.1.1.1.1.1.1.1.1"
},
"code": {
"-codeSystem": "2.16.840.1.113883.6.1",
"-codeSystemName": "LOINC",
"-code": "34133-9",
"-displayName": "Summarization of Episode Note"
},
"title": "Community Health and Hospitals: Health Summary",
"effectiveTime": { "-value": "20120912000000-0000" },
"confidentialityCode": {
"-code": "N",
"-codeSystem": "2.16.840.1.113883.5.25"
},
"languageCode": { "-code": "en-US" },
"recordTarget": {
"patientRole": {
"id": [
{
"-extension": "1",
"-root": "2.16.840.1.113883.4.6"
},
{
"-extension": "123-101-5230",
"-root": "2.16.840.1.113883.4.1"
}
],
"addr": {
"-use": "HP",
"streetAddressLine": "1357 Amber Drive",
"city": "Beaverton",
"state": "OR",
"postalCode": "97006",
"country": "US"
},
"telecom": {
"-value": "tel:(816)276-6909",
"-use": "HP"
},
"patient": {
"name": {
"-use": "L",
"given": "Myra",
"family": "Jones"
},
"administrativeGenderCode": {
"-code": "F",
"-codeSystem": "2.16.840.1.113883.5.1",
"-displayName": "Female"
},
"birthTime": { "-value": "19470501" },
"maritalStatusCode": {
"-code": "M",
"-displayName": "Married",
"-codeSystem": "2.16.840.1.113883.5.2",
"-codeSystemName": "MaritalStatusCode"
},
"religiousAffiliationCode": {
"-code": "1013",
"-displayName": "Christian (non-Catholic, non-specific)",
"-codeSystemName": "HL7 Religious Affiliation ",
"-codeSystem": "2.16.840.1.113883.5.1076"
},
"raceCode": {
"-code": "2106-3",
"-displayName": "White",
"-codeSystem": "2.16.840.1.113883.6.238",
"-codeSystemName": "Race and Ethnicity - CDC"
},
"ethnicGroupCode": {
"-code": "2186-5",
"-displayName": "Not Hispanic or Latino",
"-codeSystem": "2.16.840.1.113883.6.238",
"-codeSystemName": "Race and Ethnicity - CDC"
},
"guardian": {
"code": {
"-code": "GPARNT",
"-displayName": "Grandfather",
"-codeSystem": "2.16.840.1.113883.5.111",
"-codeSystemName": "HL7 Role code"
},
"addr": {
"-use": "HP",
"streetAddressLine": "1357 Amber Drive",
"city": "Beaverton",
"state": "OR",
"postalCode": "97006",
"country": "US"
},
"telecom": {
"-value": "tel:(816)276-6909",
"-use": "HP"
},
"guardianPerson": {
"name": {
"given": "Ralph",
"family": "Jones"
}
}
},
"birthplace": {
"place": {
"addr": {
"city": "Beaverton",
"state": "OR",
"postalCode": "97006",
"country": "US"
}
}
},
"languageCommunication": {
"languageCode": { "-code": "eng" },
"modeCode": {
"-code": "ESP",
"-displayName": "Expressed spoken",
"-codeSystem": "2.16.840.1.113883.5.60",
"-codeSystemName": "LanguageAbilityMode"
},
"preferenceInd": { "-value": "true" }
}
},
"providerOrganization": {
"id": { "-root": "1.1.1.1.1.1.1.1.4" },
"name": "Community Health and Hospitals",
"telecom": {
"-use": "WP",
"-value": "tel: 555-555-5000"
},
"addr": {
"streetAddressLine": "1002 Healthcare Dr",
"city": "Portland",
"state": "OR",
"postalCode": "97266",
"country": "US"
}
}
}
},
"author": {
"time": { "-value": "20050813000000+0500" },
"assignedAuthor": {
"id": {
"-extension": "111111",
"-root": "2.16.840.1.113883.4.6"
},
"addr": {
"streetAddressLine": "1002 Healthcare Drive ",
"city": "Portland",
"state": "OR",
"postalCode": "97266",
"country": "US"
},
"telecom": {
"-use": "WP",
"-value": "tel:555-555-1002"
},
"assignedPerson": {
"name": {
"prefix": "Dr",
"given": "Henry",
"family": "Seven"
}
}
}
},
"dataEnterer": {
"assignedEntity": {
"id": {
"-root": "2.16.840.1.113883.4.6",
"-extension": "999999943252"
},
"addr": {
"streetAddressLine": "1002 Healthcare Drive ",
"city": "Portland",
"state": "OR",
"postalCode": "97266",
"country": "US"
},
"telecom": {
"-use": "WP",
"-value": "tel:555-555-1002"
},
"assignedPerson": {
"name": {
"given": "Mary",
"family": "McDonald"
}
}
}
},
"informant": [
{
"assignedEntity": {
"id": {
"-extension": "KP00017",
"-root": "2.16.840.1.113883.19.5"
},
"addr": {
"streetAddressLine": "1002 Healthcare Drive ",
"city": "Portland",
"state": "OR",
"postalCode": "97266",
"country": "US"
},
"telecom": {
"-use": "WP",
"-value": "tel:555-555-1002"
},
"assignedPerson": {
"name": {
"given": "Henry",
"family": "Seven"
}
}
}
},
{
"relatedEntity": {
"-classCode": "PRS",
"code": {
"-code": "SPS",
"-displayName": "SPOUSE",
"-codeSystem": "2.16.840.1.113883.1.11.19563",
"-codeSystemName": "Personal Relationship Role Type Value Set"
},
"relatedPerson": {
"name": {
"given": "Frank",
"family": "Jones"
}
}
}
}
],
"custodian": {
"assignedCustodian": {
"representedCustodianOrganization": {
"id": {
"-extension": "99999999",
"-root": "2.16.840.1.113883.4.6"
},
"name": "Community Health and Hospitals",
"telecom": {
"-value": "tel: 555-555-1002",
"-use": "WP"
},
"addr": {
"-use": "WP",
"streetAddressLine": "1002 Healthcare Drive ",
"city": "Portland",
"state": "OR",
"postalCode": "97266",
"country": "US"
}
}
}
},
"informationRecipient": {
"intendedRecipient": {
"informationRecipient": {
"name": {
"given": "Henry",
"family": "Seven"
}
},
"receivedOrganization": { "name": "Community Health and Hospitals" }
}
},
"legalAuthenticator": {
"time": { "-value": "20120813" },
"signatureCode": { "-code": "S" },
"assignedEntity": {
"id": {
"-extension": "999999999",
"-root": "2.16.840.1.113883.4.6"
},
"addr": {
"streetAddressLine": "1002 Healthcare Drive ",
"city": "Portland",
"state": "OR",
"postalCode": "97266",
"country": "US"
},
"telecom": {
"-use": "WP",
"-value": "tel:555-555-1002"
},
"assignedPerson": {
"name": {
"given": "Henry",
"family": "Seven"
}
}
}
},
"authenticator": {
"time": { "-value": "20120813" },
"signatureCode": { "-code": "S" },
"assignedEntity": {
"id": {
"-extension": "999999999",
"-root": "2.16.840.1.113883.4.6"
},
"addr": {
"streetAddressLine": "1002 Healthcare Drive ",
"city": "Portland",
"state": "OR",
"postalCode": "97266",
"country": "US"
},
"telecom": {
"-use": "WP",
"-value": "tel:555-555-1002"
},
"assignedPerson": {
"name": {
"given": "Henry",
"family": "Seven"
}
}
}
},
"participant": [
{
"-typeCode": "IND",
"associatedEntity": {
"-classCode": "PRS",
"code": {
"-code": "GPARNT",
"-displayName": "Grand Parent",
"-codeSystem": "2.16.840.1.113883.1.11.19563",
"-codeSystemName": "Personal Relationship Role Type Value Set"
},
"addr": {
"-use": "HP",
"streetAddressLine": "1357 Amber Drive",
"city": "Beaverton",
"state": "OR",
"postalCode": "97006",
"country": "US"
},
"telecom": {
"-value": "tel:(555)555-2006",
"-use": "WP"
},
"associatedPerson": {
"name": {
"prefix": "Mr.",
"given": "Ralph",
"family": "Jones"
}
}
}
},
{
"-typeCode": "IND",
"associatedEntity": {
"-classCode": "PRS",
"code": {
"-code": "SPS",
"-displayName": "SPOUSE",
"-codeSystem": "2.16.840.1.113883.1.11.19563",
"-codeSystemName": "Personal Relationship Role Type Value Set"
},
"addr": {
"-use": "HP",
"streetAddressLine": "1357 Amber Drive",
"city": "Beaverton",
"state": "OR",
"postalCode": "97006",
"country": "US"
},
"telecom": {
"-value": "tel:(555)555-2006",
"-use": "WP"
},
"associatedPerson": {
"name": {
"prefix": "Mr.",
"given": "Frank",
"family": "Jones"
}
}
}
}
],
"documentationOf": {
"-typeCode": "DOC",
"serviceEvent": {
"-classCode": "PCPR",
"code": {
"-code": "233604007",
"-codeSystem": "2.16.840.1.113883.6.96",
"-codeSystemName": "SNOMED-CT",
"-displayName": "Pnuemonia"
},
"effectiveTime": {
"low": { "-value": "20120806" },
"high": { "-value": "20120813" }
},
"performer": [
{
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"-code": "PP",
"-displayName": "Primary Care Provider",
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"-codeSystemName": "Provider Role",
"originalText": "Primary Care Provider"
},
"time": {
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"high": { "-value": "20120813" }
},
"assignedEntity": {
"id": {
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"-root": "2.16.840.1.113883.4.6"
},
"code": {
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"-displayName": "General Practice",
"-codeSystemName": "Provider Codes",
"-codeSystem": "2.16.840.1.113883.6.101"
},
"addr": {
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"city": "Portland",
"state": "OR",
"postalCode": "97266",
"country": "US"
},
"telecom": {
"-value": "tel:+1-555-555-5000",
"-use": "WP"
},
"assignedPerson": {
"name": {
"prefix": "Dr.",
"given": "Henry",
"family": "Seven"
}
},
"representedOrganization": {
"id": { "-root": "2.16.840.1.113883.19.5.9999.1393" },
"name": "Community Health and Hospitals",
"telecom": {
"-value": "tel:+1-555-555-5000",
"-use": "WP"
},
"addr": {
"streetAddressLine": "1002 Healthcare Drive ",
"city": "Portland",
"state": "OR",
"postalCode": "97266",
"country": "US"
}
}
}
},
{
"-typeCode": "PRF",
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"-code": "PP",
"-displayName": "Primary Care Provider",
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"-codeSystemName": "Provider Role",
"originalText": "Primary Care Provider"
},
"time": {
"low": { "-value": "20120806" },
"high": { "-value": "20120813" }
},
"assignedEntity": {
"id": {
"-extension": "PseudoMD-3",
"-root": "2.16.840.1.113883.4.6"
},
"code": {
"-code": "208D00000X",
"-displayName": "General Practice",
"-codeSystemName": "Provider Codes",
"-codeSystem": "2.16.840.1.113883.6.101"
},
"addr": {
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"city": "Portland",
"state": "OR",
"postalCode": "97266",
"country": "US"
},
"telecom": {
"-value": "tel:+1-555-555-5000",
"-use": "HP"
},
"assignedPerson": {
"name": {
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"given": "Henry",
"family": "Seven"
}
},
"representedOrganization": {
"id": { "-root": "2.16.840.1.113883.19.5.9999.1393" },
"name": "Community Health and Hospitals",
"telecom": {
"-value": "tel:+1-555-555-5000",
"-use": "HP"
},
"addr": {
"streetAddressLine": "1002 Healthcare Drive ",
"city": "Portland",
"state": "OR",
"postalCode": "97266",
"country": "US"
}
}
}
}
]
}
},
"componentOf": {
"encompassingEncounter": {
"id": {
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"-root": "2.16.840.1.113883.4.6"
},
"code": {
"-code": "233604007",
"-codeSystem": "2.16.840.1.113883.6.96",
"-codeSystemName": "SNOMED-CT",
"-displayName": "Pnuemonia"
},
"effectiveTime": {
"low": { "-value": "20120806" },
"high": { "-value": "20120813" }
},
"responsibleParty": {
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"id": { "-root": "2.16.840.1.113883.4.6" },
"assignedPerson": {
"name": {
"prefix": "Dr",
"given": "Henry",
"family": "Seven"
}
}
}
},
"encounterParticipant": {
"-typeCode": "ATND",
"assignedEntity": {
"id": { "-root": "2.16.840.1.113883.4.6" },
"assignedPerson": {
"name": {
"prefix": "Dr",
"given": "Henry",
"family": "Seven"
}
}
}
},
"location": {
"healthCareFacility": {
"id": { "-root": "2.16.840.1.113883.4.6" }
}
}
}
},
"component": {
"structuredBody": {
"component": [
{
"section": {
"templateId": { "-root": "2.16.840.1.113883.10.20.22.2.6.1" },
"code": {
"-code": "48765-2",
"-codeSystem": "2.16.840.1.113883.6.1"
},
"title": "ALLERGIES, ADVERSE REACTIONS, ALERTS",
"text": {
"table": {
"-border": "1",
"-width": "100%",
"thead": {
"tr": {
"th": [
"Substance",
"Reaction",
"Severity",
"Status"
]
}
},
"tbody": {
"tr": [
{
"td": [
"Penicillin G benzathine",
{
"content": {
"-ID": "reaction1",
"#text": "Hives"
}
},
{
"content": {
"-ID": "severity1",
"#text": "Moderate to severe"
}
},
"Inactive"
]
},
{
"td": [
"Codeine",
{
"content": {
"-ID": "reaction2",
"#text": "Shortness of Breath"
}
},
{
"content": {
"-ID": "severity2",
"#text": "Moderate"
}
},
"Active"
]
},
{
"td": [
"Aspirin",
{
"content": {
"-ID": "reaction3",
"#text": "Hives"
}
},
{
"content": {
"-ID": "severity3",
"#text": "Mild to moderate"
}
},
"Active"
]
}
]
}
}
},
"entry": [
{
"-typeCode": "DRIV",
"act": {
"-classCode": "ACT",
"-moodCode": "EVN",
"templateId": { "-root": "2.16.840.1.113883.10.20.22.4.30" },
"id": { "-root": "36e3e930-7b14-11db-9fe1-0800200c9a66" },
"code": {
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"-codeSystem": "2.16.840.1.113883.6.1",
"-codeSystemName": "LOINC",
"-displayName": "Allergies, adverse reactions, alerts"
},
"statusCode": { "-code": "completed" },
"effectiveTime": {
"-value": "20070501",
"low": { "-value": "20070501" },
"high": { "-value": "20120806" }
},
"entryRelationship": {
"-typeCode": "SUBJ",
"observation": {
"-classCode": "OBS",
"-moodCode": "EVN",
"templateId": { "-root": "2.16.840.1.113883.10.20.22.4.7" },
"id": { "-root": "4adc1020-7b14-11db-9fe1-0800200c9a66" },
"code": {
"-code": "ASSERTION",
"-codeSystem": "2.16.840.1.113883.5.4"
},
"statusCode": { "-code": "completed" },
"effectiveTime": {
"low": { "-nullFlavor": "UNK" },
"high": { "-value": "20120806" }
},
"value": {
"-xsi:type": "CD",
"-code": "419511003",
"-displayName": "Propensity to adverse reaction to drug",
"-codeSystem": "2.16.840.1.113883.6.96",
"-codeSystemName": "SNOMED CT",
"originalText": {
"reference": { "-value": "#reaction1" }
}
},
"participant": {
"-typeCode": "CSM",
"participantRole": {
"-classCode": "MANU",
"playingEntity": {
"-classCode": "MMAT",
"code": {
"-code": "7982",
"-displayName": "Penicillin G benzathine",
"-codeSystem": "2.16.840.1.113883.6.88",
"-codeSystemName": "RxNorm",
"originalText": {
"reference": { "-value": "#reaction1" }
}
}
}
}
},
"entryRelationship": [
{
"-typeCode": "SUBJ",
"-inversionInd": "true",
"observation": {
"-classCode": "OBS",
"-moodCode": "EVN",
"templateId": { "-root": "2.16.840.1.113883.10.20.22.4.28" },
"code": {
"-code": "33999-4",
"-codeSystem": "2.16.840.1.113883.6.1",
"-codeSystemName": "LOINC",
"-displayName": "Status"
},
"statusCode": { "-code": "completed" },
"value": {
"-xsi:type": "CE",
"-code": "73425007",
"-codeSystem": "2.16.840.1.113883.6.96",
"-displayName": "Inactive"
}
}
},
{
"-typeCode": "MFST",
"-inversionInd": "true",
"observation": {
"-classCode": "OBS",
"-moodCode": "EVN",
"templateId": { "-root": "2.16.840.1.113883.10.20.22.4.9" },
"id": { "-root": "4adc1020-7b14-11db-9fe1-0800200c9a64" },
"code": { "-nullFlavor": "NA" },
"text": {
"reference": { "-value": "#reaction1" }
},
"statusCode": { "-code": "completed" },
"effectiveTime": {
"low": { "-value": "20070501" }
},
"value": {
"-xsi:type": "CD",
"-code": "247472004",
"-codeSystem": "2.16.840.1.113883.6.96",
"-displayName": "Hives"
}
}
},
{
"-typeCode": "SUBJ",
"-inversionInd": "true",
"observation": {
"-classCode": "OBS",
"-moodCode": "EVN",
"templateId": { "-root": "2.16.840.1.113883.10.20.22.4.8" },
"code": {
"-xsi:type": "CE",
"-code": "SEV",
"-displayName": "Severity Observation",
"-codeSystem": "2.16.840.1.113883.5.4",
"-codeSystemName": "ActCode"
},
"text": {
"reference": { "-value": "#severity1" }
},
"statusCode": { "-code": "completed" },
"value": {
"-xsi:type": "CD",
"-code": "371924009",
"-displayName": "Moderate to severe",
"-codeSystem": "2.16.840.1.113883.6.96",
"-codeSystemName": "SNOMED CT"
}
}
}
]
}
}
}
},
{
"-typeCode": "DRIV",
"act": {
"-classCode": "ACT",
"-moodCode": "EVN",
"templateId": { "-root": "2.16.840.1.113883.10.20.22.4.30" },
"id": { "-root": "36e3e930-7b14-11db-9fe1-0800200c9a66" },
"code": {
"-code": "48765-2",
"-codeSystem": "2.16.840.1.113883.6.1",
"-codeSystemName": "LOINC",
"-displayName": "Allergies, adverse reactions, alerts"
},
"statusCode": { "-code": "completed" },
"effectiveTime": {
"-value": "20060501",
"low": { "-value": "20060501" },
"high": { "-value": "20120806" }
},
"entryRelationship": {
"-typeCode": "SUBJ",
"observation": {
"-classCode": "OBS",
"-moodCode": "EVN",
"templateId": { "-root": "2.16.840.1.113883.10.20.22.4.7" },
"id": { "-root": "4adc1020-7b14-11db-9fe1-0800200c9a66" },
"code": {
"-code": "ASSERTION",
"-codeSystem": "2.16.840.1.113883.5.4"
},
"statusCode": { "-code": "completed" },
"effectiveTime": {
"low": { "-value": "20060501" }
},
"value": {
"-xsi:type": "CD",
"-code": "419511003",
"-displayName": "Propensity to adverse reaction to drug",
"-codeSystem": "2.16.840.1.113883.6.96",
"-codeSystemName": "SNOMED CT",
"originalText": {
"reference": { "-value": "#reaction2" }
}
},
"participant": {
"-typeCode": "CSM",
"participantRole": {
"-classCode": "MANU",
"playingEntity": {
"-classCode": "MMAT",
"code": {
"-code": "2670",
"-displayName": "Codeine",
"-codeSystem": "2.16.840.1.113883.6.88",
"-codeSystemName": "RxNorm",
"originalText": {
"reference": { "-value": "#reaction2" }
}
}
}
}
},
"entryRelationship": [
{
"-typeCode": "SUBJ",
"-inversionInd": "true",
"observation": {
"-classCode": "OBS",
"-moodCode": "EVN",
"templateId": { "-root": "2.16.840.1.113883.10.20.22.4.28" },
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"-displayName": "Cigarette smoking",
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}
},
"statusCode": { "-code": "completed" },
"effectiveTime": {
"low": { "-value": "20050501" },
"high": { "-value": "20110227" }
},
"value": {
"-xsi:type": "ST",
"#text": "1 pack per day"
}
}
},
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},
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"-code": "8716-3",
"-codeSystem": "2.16.840.1.113883.6.1",
"-codeSystemName": "LOINC",
"-displayName": "VITAL SIGNS"
},
"title": "VITAL SIGNS",
"text": {
"table": {
"-border": "1",
"-width": "100%",
"thead": {
"tr": {
"th": [
{
"-align": "right",
"#text": "Date / Time: "
},
"Nov 1, 2011",
"August 6, 2012"
]
}
},
"tbody": {
"tr": [
{
"th": {
"-align": "left",
"#text": "Height"
},
"td": [
{
"content": {
"-ID": "vit1",
"#text": "69 inches"
}
},
{
"content": {
"-ID": "vit2",
"#text": "69 inches"
}
}
]
},
{
"th": {
"-align": "left",
"#text": "Weight"
},
"td": [
{
"content": {
"-ID": "vit3",
"#text": "189 lbs"
}
},
{
"content": {
"-ID": "vit4",
"#text": "194 lbs"
}
}
]
},
{
"th": {
"-align": "left",
"#text": "Blood Pressure"
},
"td": [
{
"content": {
"-ID": "vit5",
"#text": "132/86 mmHg"
}
},
{
"content": {
"-ID": "vit6",
"#text": "145/88 mmHg"
}
}
]
}
]
}
}
},
"entry": [
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"-codeSystem": "2.16.840.1.113883.6.96",
"-codeSystemName": "SNOMED -CT",
"-displayName": "Vital signs"
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"component": [
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"-code": "8302-2",
"-codeSystem": "2.16.840.1.113883.6.1",
"-codeSystemName": "LOINC",
"-displayName": "Height"
},
"text": {
"reference": { "-value": "#vit1" }
},
"statusCode": { "-code": "completed" },
"effectiveTime": { "-value": "20081101" },
"value": {
"-xsi:type": "PQ",
"-value": "69",
"-unit": "in"
},
"interpretationCode": {
"-code": "N",
"-codeSystem": "2.16.840.1.113883.5.83"
}
}
},
{
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"id": { "-root": "c6f88321-67ad-11db-bd13-0800200c9a66" },
"code": {
"-code": "3141-9",
"-codeSystem": "2.16.840.1.113883.6.1",
"-codeSystemName": "LOINC",
"-displayName": "Patient Body Weight - Measured"
},
"text": {
"reference": { "-value": "#vit4" }
},
"statusCode": { "-code": "completed" },
"effectiveTime": { "-value": "20111101" },
"value": {
"-xsi:type": "PQ",
"-value": "189",
"-unit": "lbs"
},
"interpretationCode": {
"-code": "N",
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}
}
},
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"code": {
"-code": "8480-6",
"-codeSystem": "2.16.840.1.113883.6.1",
"-codeSystemName": "LOINC",
"-displayName": "Intravascular Systolic"
},
"text": {
"reference": { "-value": "#vit5" }
},
"statusCode": { "-code": "completed" },
"effectiveTime": { "-value": "20111101" },
"value": {
"-xsi:type": "PQ",
"-value": "132",
"-unit": "mm[Hg]"
},
"interpretationCode": {
"-code": "N",
"-codeSystem": "2.16.840.1.113883.5.83"
}
}
}
]
}
},
{
"-typeCode": "DRIV",
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"-moodCode": "EVN",
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"id": { "-root": "c6f88320-67ad-11db-bd13-0800200c9a66" },
"code": {
"-code": "46680005",
"-codeSystem": "2.16.840.1.113883.6.96",
"-codeSystemName": "SNOMED -CT",
"-displayName": "Vital signs"
},
"statusCode": { "-code": "completed" },
"effectiveTime": { "-value": "20120806" },
"component": [
{
"observation": {
"-classCode": "OBS",
"-moodCode": "EVN",
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"id": { "-root": "c6f88321-67ad-11db-bd13-0800200c9a66" },
"code": {
"-code": "8302-2",
"-codeSystem": "2.16.840.1.113883.6.1",
"-codeSystemName": "LOINC",
"-displayName": "Height"
},
"text": {
"reference": { "-value": "#vit2" }
},
"statusCode": { "-code": "completed" },
"effectiveTime": { "-value": "20120806" },
"value": {
"-xsi:type": "PQ",
"-value": "69",
"-unit": "in"
},
"interpretationCode": {
"-code": "N",
"-codeSystem": "2.16.840.1.113883.5.83"
}
}
},
{
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"code": {
"-code": "3141-9",
"-codeSystem": "2.16.840.1.113883.6.1",
"-codeSystemName": "LOINC",
"-displayName": "Patient Body Weight - Measured"
},
"text": {
"reference": { "-value": "#vit4" }
},
"statusCode": { "-code": "completed" },
"effectiveTime": { "-value": "20120806" },
"value": {
"-xsi:type": "PQ",
"-value": "194",
"-unit": "lbs"
},
"interpretationCode": {
"-code": "N",
"-codeSystem": "2.16.840.1.113883.5.83"
}
}
},
{
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"-code": "8480-6",
"-codeSystem": "2.16.840.1.113883.6.1",
"-codeSystemName": "LOINC",
"-displayName": "Intravascular Systolic"
},
"text": {
"reference": { "-value": "#vit6" }
},
"statusCode": { "-code": "completed" },
"effectiveTime": { "-value": "20120806" },
"value": {
"-xsi:type": "PQ",
"-value": "145",
"-unit": "mm[Hg]"
},
"interpretationCode": {
"-code": "N",
"-codeSystem": "2.16.840.1.113883.5.83"
}
}
}
]
}
}
]
}
},
{
"section": {
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"code": {
"-code": "8653-8",
"-codeSystem": "2.16.840.1.113883.6.1",
"-codeSystemName": "LOINC",
"-displayName": "HOSPITAL DISCHARGE INSTRUCTIONS"
},
"title": "HOSPITAL DISCHARGE INSTRUCTIONS",
"text": {
"content": "
Ms. Jones, you have been seen by Dr. Henry Seven at Local Community Hospital from August 8th until August 13th 2012. You are currently being discharged from Local Community Hospital. Dr. Seven has provided the following instructions to you at this time; should you have any questions please contact a member of your healthcare team prior to discharge. If you have left the hospital and have questions, please contact Dr. Seven at 555-555-1002.
Instructions:
",
"list": {
"-listType": "ordered",
"item": [
"Take all medications as prescribed.",
"Please monitor your peak flows. If your peak flows drop to 50% of normal, call my office immediately or return to the Emergency Room.",
{
"#text": "If you experience any of the following symptoms, call my office immediately or return to the Emergency Room:
",
"list": {
"-listType": "ordered",
"item": [
"Shortness of Breath",
"Dizziness or Light-headedness",
"Fever, chills, or diffuse body aches",
"Pain or redness at the site of any previous intravenous catheter",
"Any other unusual problem"
]
}
}
]
}
}
}
},
{
"section": {
"templateId": { "-root": "2.16.840.1.113883.10.20.22.2.45" },
"code": {
"-code": "69730-0",
"-codeSystem": "2.16.840.1.113883.6.1",
"-codeSystemName": "LOINC",
"-displayName": "Instructions"
},
"title": "Instructions",
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{
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"-moodCode": "INT",
"templateId": { "-root": "2.16.840.1.113883.10.20.22.4.20" },
"code": {
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"-codeSystem": "2.16.840.1.113883.11.20.9.34",
"-codeSystemName": "patientEducationType",
"-displayName": "ProviderInstructions"
},
"text": "diet and exercise counseling provided during visit",
"effectiveTime": {
"low": { "-value": "20120813" },
"high": { "-value": "20120813" }
},
"statusCode": { "-code": "completed" }
}
},
{
"act": {
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"-codeSystemName": "patientEducationType",
"-displayName": "ProviderInstructions"
},
"text": "resources and instructions provided during visit",
"effectiveTime": {
"low": { "-value": "20120813" },
"high": { "-value": "20120813" }
},
"statusCode": { "-code": "completed" }
}
}
]
}
}
]
}
}
}
}
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