Care Team Narrative Only

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Example metadata last updated 2017-12-11 19:21:12.082000 UTC

Approval Status: Approved

  • Approval Status: Approved
  • Example Task Force: 4/27/2017
  • SDWG: 5/18/2017

No validation URL supplied

Comments:

  • This is an example of how to send a Care Team with narrative only

Custodian: Michael Clifton, mclifton@epic.com (GitHub: MichaelTClifton)

Full sample: Empty CCD

Example: download example view on GitHub

<section>
    <code code="CARETEAM" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
        displayName="Care team information"/>
    <!-- Other possible types of Care Teams include:
	Note: FHIR permits multiple codes to be used to designate the type of care team.  CDA offers less precision, and so only the XXXX Dimension code is used.
	-->
    <title mediaType="text/plain" representation="TXT" language="en-US">Care Team
        Information</title>
    <text>
        <list>
            <item>
                <table>
                    <caption>My Care Team</caption>
                    <tbody>
                        <tr>
                            <td>Focus: Care Coordination</td>
                        </tr>
                        <tr>
                            <td>Nature: Integrated</td>
                        </tr>
                        <tr>
                            <td>From 1996 to present</td>
                        </tr>
                    </tbody>
                </table>
                <table>
                    <colgroup>
                        <col width="33%" span="3"/>
                    </colgroup>
                    <tbody>
                        <tr>
                            <td>
                                <list>
                                    <item>
                                        <table>
                                            <caption>Dr. Uel B. Better</caption>
                                            <tbody>
                                                <tr>
                                                  <td>Role: PCP</td>
                                                </tr>
                                                <tr>
                                                  <td>Speciality: Internal Medicine</td>
                                                </tr>
                                                <tr>
                                                  <td>Address: 100 Main St. Suite 100, Hope Valley,
                                                  RI 02832</td>
                                                  <!-- Address (AssignedEntity) -->
                                                </tr>
                                                <tr>
                                                  <td>Contact Phone: (401)539-2461</td>
                                                  <!-- Phone (AssignedEntity) -->
                                                </tr>
                                                <tr>
                                                  <td>Email: ubbetter@direct.aclinic.org. </td>
                                                  <!-- email (AssignedEntity) -->
                                                </tr>
                                                <tr>
                                                  <td>Organization Name: Hope Woods Health
                                                  Services</td>
                                                  <!-- Organization name -->
                                                </tr>
                                                <tr>
                                                  <td>From: Aug 1, 2016</td>
                                                </tr>
                                            </tbody>
                                        </table>
                                    </item>
                                </list>
                            </td>
                            <td>
                                <list>
                                    <item>
                                        <table>
                                            <caption>Dr. Fiora W. Omen</caption>
                                            <tbody>
                                                <tr>
                                                  <td>Role: Gynecologist</td>
                                                </tr>
                                                <tr>
                                                  <td>Speciality: Obstetrics/Gynecology</td>
                                                </tr>
                                                <tr>
                                                  <td>Address: Not on File</td>
                                                </tr>
                                                <tr>
                                                  <td>Contact Phone: Not on File</td>
                                                </tr>
                                                <tr>
                                                  <td>Email: Not on File </td>
                                                </tr>
                                                <tr>
                                                  <td>Organization Name: Center for Womens
                                                  Health</td>
                                                </tr>
                                                <tr>
                                                  <td>From: 1999</td>
                                                </tr>
                                            </tbody>
                                        </table>
                                    </item>
                                </list>
                            </td>
                        </tr>
                        <tr styleCode="normRow">
                            <td>
                                <list>
                                    <item>
                                        <table>
                                            <caption>Reverend Will Namaste</caption>
                                            <tbody>
                                                <tr>
                                                  <td>Role: Pastor</td>
                                                </tr>
                                                <tr>
                                                  <td>Speciality: Spiritual Health</td>
                                                </tr>
                                                <tr>
                                                  <td>Address: Not on File</td>
                                                </tr>
                                                <tr>
                                                  <td>Contact Phone: (987)123-1234</td>
                                                </tr>
                                                <tr>
                                                  <td>Email: Will.Namaste123@gmail.com </td>
                                                </tr>
                                                <tr>
                                                  <td>Organization Name: Four Corners Community
                                                  Church Presbyterian</td>
                                                </tr>
                                                <tr>
                                                  <td>From: 2016</td>
                                                </tr>
                                            </tbody>
                                        </table>
                                    </item>
                                </list>
                            </td>
                            <td>
                                <list>
                                    <item>
                                        <table>
                                            <caption>Dr. Patricia Primary</caption>
                                            <tbody>
                                                <tr>
                                                  <td>Role: PCP</td>
                                                </tr>
                                                <tr>
                                                  <td>Speciality: Internal Medicine</td>
                                                </tr>
                                                <tr>
                                                  <td>Address: Not on File</td>
                                                </tr>
                                                <tr>
                                                  <td>Contact Phone: Not on File</td>
                                                </tr>
                                                <tr>
                                                  <td>Email: Not on File </td>
                                                </tr>
                                                <tr>
                                                  <td>Organization Name: ML Medical Group</td>
                                                </tr>
                                                <tr>
                                                  <td>From: Jan 1, 2000 - To: July 31, 2016</td>
                                                </tr>
                                            </tbody>
                                        </table>
                                    </item>
                                </list>
                            </td>
                        </tr>
                    </tbody>
                </table>
                <br/>
                <br/>
            </item>
            <item>
                <table>
                    <caption>Shoulder Injury Care Team</caption>
                    <tbody>
                        <tr>
                            <td>Focus: Condition</td>
                        </tr>
                        <tr>
                            <td>Nature: Clinical</td>
                        </tr>
                        <tr>
                            <td>From October 1, 2016 to present</td>
                        </tr>
                    </tbody>
                </table>
                <table>
                    <colgroup>
                        <col width="33%" span="3"/>
                    </colgroup>
                    <tbody>
                        <tr>
                            <td>
                                <list>
                                    <item>
                                        <table>
                                            <caption>Beatrice Strong</caption>
                                            <tbody>
                                                <tr>
                                                  <td>Role: Physical Therapist</td>
                                                </tr>
                                                <tr>
                                                  <td>Speciality: Physical Therapy</td>
                                                </tr>
                                                <tr>
                                                  <td>Address: Not on File</td>
                                                </tr>
                                                <tr>
                                                  <td>Contact Phone: Not on File</td>
                                                </tr>
                                                <tr>
                                                  <td>Email:
                                                  BeStrongPTN@FirstChoicePhysical.Direct.MD </td>
                                                </tr>
                                                <tr>
                                                  <td>Organization Name: First Choice Physical
                                                  Therapy</td>
                                                </tr>
                                                <tr>
                                                  <td>From: 2009</td>
                                                </tr>
                                            </tbody>
                                        </table>
                                    </item>
                                </list>
                            </td>
                            <td>
                                <list>
                                    <item>
                                        <table>
                                            <caption>Dr. S. Teddy Hands</caption>
                                            <tbody>
                                                <tr>
                                                  <td>Role: Orthopedic Surgeon</td>
                                                </tr>
                                                <tr>
                                                  <td>Speciality: Orthopedic Surgeon</td>
                                                </tr>
                                                <tr>
                                                  <td>Address: Not on File</td>
                                                </tr>
                                                <tr>
                                                  <td>Contact Phone: Not on File</td>
                                                </tr>
                                                <tr>
                                                  <td>Email: Not on File </td>
                                                </tr>
                                                <tr>
                                                  <td>Organization Name: Bayview Orthopedic
                                                  Associates</td>
                                                </tr>
                                                <tr>
                                                  <td>From: November 10, 2016 to November 10,
                                                  2016</td>
                                                </tr>
                                            </tbody>
                                        </table>
                                    </item>
                                </list>
                            </td>
                            <td>
                                <list>
                                    <item>
                                        <table>
                                            <caption>Beau D. Stretch</caption>
                                            <tbody>
                                                <tr>
                                                  <td>Role: Personal Trainer</td>
                                                </tr>
                                                <tr>
                                                  <td>Speciality: Physical Therapy Assistant</td>
                                                </tr>
                                                <tr>
                                                  <td>Address: YMCA, 123 Healthy Way, Westerly, RI
                                                  02891</td>
                                                </tr>
                                                <tr>
                                                  <td>Contact Phone: Not on File</td>
                                                </tr>
                                                <tr>
                                                  <td>Email:
                                                  DBStretch@FirstChoicePhysical.Direct.MD</td>
                                                </tr>
                                                <tr>
                                                  <td>Organization Name: First Choice Physical
                                                  Therapy</td>
                                                </tr>
                                                <tr>
                                                  <td>From: January 5, 2017</td>
                                                </tr>
                                            </tbody>
                                        </table>
                                    </item>
                                </list>
                            </td>
                        </tr>
                    </tbody>
                </table>
            </item>
        </list>
    </text>
</section>
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