Permalink
Switch branches/tags
Nothing to show
Find file Copy path
Fetching contributors…
Cannot retrieve contributors at this time
92 lines (90 sloc) 5.03 KB
<?xml version="1.0"?><?xml-stylesheet type='text/xsl' href=''?>
<ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
xmlns="urn:hl7-org:v3" xmlns:mif="urn:hl7-org:v3/mif" xmlns:voc="urn:hl7-org:v3/voc"
xmlns:sdtc="urn:hl7-org:sdtc">
<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"/>
<templateId root="2.16.840.1.113883.10.20.22.1.2"/>
<id root="2.16.840.1.113883.3.109" extension="bf6b3a62-4293-47b4-9f14-c8829a156f4b"/>
<code code="34133-9" displayName="SUMMARIZATION OF EPISODE NOTE"
codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
<title>Continuity of Care Document (C-CDA)</title>
<effectiveTime value="20170528150200-0400"/>
<confidentialityCode code="N" displayName="Normal Sharing" codeSystem="2.16.840.1.113883.5.25"
codeSystemName="HL7 Confidentiality"/>
<languageCode code="en-US"/>
<recordTarget>
<patientRole>
<!-- Here is a public id that has an external meaning based on a root OID that is publically identifiable. -->
<!-- root="1.3.6.1.4.1.41179.2.4" is the assigningAutorityName for
Direct Trust's Patient/Consumer addresses "DT.org PATIENT" -->
<id root="1.3.6.1.4.1.41179.2.4" extension="lisarnelson@direct.myphd.us"
assigningAutorityName="DT.org PATIENT"/>
<!-- More ids may be used. -->
<!-- Here is the patient's MRN at RVHS -->
<id root="2.16.840.1.113883.1.111.12345" extension="12345-0828"
assigningAuthorityName="River Valley Health Services local patient Medical Record Number" />
<addr>
<streetAddressLine>1 Happy Valley Road</streetAddressLine>
<city>Westerly</city>
<state>RI</state>
<postalCode>02891</postalCode>
<country nullFlavor="UNK"/>
</addr>
<telecom use="WP" value="tel:+1-4013482345"/>
<telecom use="HP" value="tel:+1-4016412345"/>
<telecom value="mailto:lisanelson@gmail.com"/>
<telecom value="mailto:lisarnelson@direct.myphd.us"/>
<patient>
<name use="L">
<family>Nelson</family>
<given qualifier="CL">Lisa</given>
</name>
<administrativeGenderCode code="F" displayName="Female"
codeSystem="2.16.840.1.113883.5.1" codeSystemName="HL7 AdministrativeGender"/>
<birthTime value="19620828"/>
<maritalStatusCode code="M" displayName="Married" codeSystem="2.16.840.1.113883.5.2"
codeSystemName="HL7 MaritalStatus"/>
<raceCode code="2106-3" displayName="White" codeSystem="2.16.840.1.113883.6.238"
codeSystemName="CDC Race and Ethnicity"/>
<ethnicGroupCode code="2186-5" displayName="Not Hispanic or Latino"
codeSystem="2.16.840.1.113883.6.238" codeSystemName="CDC Race and Ethnicity"/>
<languageCommunication>
<templateId root="2.16.840.1.113883.3.88.11.32.2"/>
<languageCode code="eng"/>
<preferenceInd value="true"/>
</languageCommunication>
</patient>
<providerOrganization>
<!-- This is a public id where the root is registered to indicate the National Provider ID -->
<id root="2.16.840.1.113883.4.6" extension="1417947383"
assigningAuthorityName="National Provider ID"/>
<!-- This is a public id where the root indicates this is a Provider Direct Address. -->
<!-- root="1.3.6.1.4.1.41179.2.1" is the assigningAutorityName for
Direct Trust's Covered Entity addresses "DT.org CE" -->
<id root="1.3.6.1.4.1.41179.2.1" extension="rvhs@rvhs.direct.md" assigningAutorityName="DT.org CE (Covered Entity)"/>
<!-- By including a root OID attribute for a healthcare organization, you can use this information to
indicate a patient's MRN id at that organization.-->
<id root="2.16.840.1.113883.1.111.12345"
assigningAuthorityName="River Valley Health Services local patient Medical Record Number" />
<name>River Valley Health Services</name>
<telecom use="WP" value="tel:+1-4015394321"/>
<telecom use="WP" value="mailto:rvhs@rvhs.direct.md"/>
<addr>
<streetAddressLine>823 Main Street</streetAddressLine>
<city>River Valley</city>
<state>RI</state>
<postalCode>028321</postalCode>
<country>US</country>
</addr>
</providerOrganization>
</patientRole>
</recordTarget>
...
<component>
<structuredBody>
...
</structuredBody>
</component>
</ClinicalDocument>