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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": [
{
"-typeCode": "PRF",
"functionCode": {
"-code": "PP",
"-displayName": "Primary Care Provider",
"-codeSystem": "2.16.840.1.113883.12.443",
"-codeSystemName": "Provider Role",
"originalText": "Primary Care Provider"
},
"time": {
"low": { "-value": "20120806" },
"high": { "-value": "20120813" }
},
"assignedEntity": {
"id": {
"-extension": "PseudoMD-1",
"-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": {
"streetAddressLine": "1002 Healthcare Dr",
"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",
"functionCode": {
"-code": "PP",
"-displayName": "Primary Care Provider",
"-codeSystem": "2.16.840.1.113883.12.443",
"-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": {
"streetAddressLine": "1002 Healthcare Dr",
"city": "Portland",
"state": "OR",
"postalCode": "97266",
"country": "US"
},
"telecom": {
"-value": "tel:+1-555-555-5000",
"-use": "HP"
},
"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": "HP"
},
"addr": {
"streetAddressLine": "1002 Healthcare Drive ",
"city": "Portland",
"state": "OR",
"postalCode": "97266",
"country": "US"
}
}
}
}
]
}
},
"componentOf": {
"encompassingEncounter": {
"id": {
"-extension": "1",
"-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": {
"assignedEntity": {
"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": {
"-code": "48765-2",
"-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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