diff --git a/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/elementmodel/XmlParser.java b/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/elementmodel/XmlParser.java
index 4ebc2fcb4..a5643ad5a 100644
--- a/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/elementmodel/XmlParser.java
+++ b/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/elementmodel/XmlParser.java
@@ -40,6 +40,7 @@ import javax.xml.transform.sax.SAXSource;
import org.hl7.fhir.exceptions.DefinitionException;
import org.hl7.fhir.exceptions.FHIRException;
import org.hl7.fhir.exceptions.FHIRFormatError;
+import org.hl7.fhir.r5.elementmodel.Element;
import org.hl7.fhir.r5.conformance.ProfileUtilities;
import org.hl7.fhir.r5.context.IWorkerContext;
import org.hl7.fhir.r5.elementmodel.Element.SpecialElement;
@@ -244,8 +245,18 @@ public class XmlParser extends ParserBase {
if (!Utilities.noString(text)) {
Property property = getTextProp(properties);
if (property != null) {
- context.getChildren().add(new Element(property.getName(), property, property.getType(), text).markLocation(line(node), col(node)));
- } else {
+ if ("ED.data[x]".equals(property.getDefinition().getId())) {
+ if ("B64".equals(node.getAttribute("representation"))) {
+ context.getChildren().add(new Element("dataBase64Binary", property, "base64Binary", text).markLocation(line(node), col(node)));
+ } else {
+ context.getChildren().add(new Element("dataString", property, "string", text).markLocation(line(node), col(node)));
+ }
+ } else {
+ context.getChildren().add(
+ new Element(property.getName(), property, property.getType(), text).markLocation(line(node), col(node)));
+ }
+ }
+ else {
logError(line(node), col(node), path, IssueType.STRUCTURE, "Text should not be present", IssueSeverity.ERROR);
}
}
diff --git a/org.hl7.fhir.r5/src/test/java/org/hl7/fhir/r5/test/CDARoundTripTests.java b/org.hl7.fhir.r5/src/test/java/org/hl7/fhir/r5/test/CDARoundTripTests.java
index 48c3fdf79..f3067d106 100644
--- a/org.hl7.fhir.r5/src/test/java/org/hl7/fhir/r5/test/CDARoundTripTests.java
+++ b/org.hl7.fhir.r5/src/test/java/org/hl7/fhir/r5/test/CDARoundTripTests.java
@@ -1,5 +1,8 @@
package org.hl7.fhir.r5.test;
+import static org.junit.Assert.assertEquals;
+import static org.junit.Assert.assertTrue;
+
import java.io.FileInputStream;
import java.io.FileNotFoundException;
import java.io.FileOutputStream;
@@ -13,28 +16,119 @@ import org.hl7.fhir.r5.elementmodel.Element;
import org.hl7.fhir.r5.elementmodel.Manager;
import org.hl7.fhir.r5.elementmodel.Manager.FhirFormat;
import org.hl7.fhir.r5.formats.IParser.OutputStyle;
+import org.hl7.fhir.r5.test.utils.TestingUtilities;
+import org.hl7.fhir.r5.utils.FHIRPathEngine;
import org.hl7.fhir.utilities.cache.PackageCacheManager;
import org.hl7.fhir.utilities.cache.ToolsVersion;
import org.junit.Before;
+import org.junit.Ignore;
import org.junit.Test;
public class CDARoundTripTests {
private SimpleWorkerContext context;
+ private FHIRPathEngine fp;
@Before
public void setUp() throws Exception {
context = new SimpleWorkerContext();
PackageCacheManager pcm = new PackageCacheManager(true, ToolsVersion.TOOLS_VERSION);
- context.loadFromPackage(pcm.loadPackage("hl7.fhir.core"), null, "StructureDefinition");
- context.loadFromPackage(pcm.loadPackage("hl7.fhir.cda"), null, "StructureDefinition");
+ context.loadFromPackage(pcm.loadPackage("hl7.fhir.core", "dev"), null, "StructureDefinition");
+ context.loadFromPackage(pcm.loadPackage("hl7.fhir.cda", "dev"), null, "StructureDefinition");
+ fp = new FHIRPathEngine(context);
+ }
+
+ @Test
+ public void testCDA() throws FHIRFormatError, DefinitionException, FileNotFoundException, IOException, FHIRException {
+ try {
+
+ String fileSource = TestingUtilities.resourceNameToFile("cda", "cda-original.xml");
+ String roundTrip = TestingUtilities.resourceNameToFile("cda", "cda-roundtrip.xml");
+ String jsonRoundTrip = TestingUtilities.resourceNameToFile("cda", "cda-roundtrip.json");
+
+ Element e = Manager.parse(context, new FileInputStream(fileSource), FhirFormat.XML);
+
+ Manager.compose(context, e, new FileOutputStream(roundTrip), FhirFormat.XML, OutputStyle.PRETTY, null);
+ Manager.compose(context, e, new FileOutputStream(jsonRoundTrip), FhirFormat.JSON, OutputStyle.PRETTY, null);
+
+//
+// assertEquals("POCD_HD000040", fp.evaluateToString(e, "typeId.extension"));
+// assertEquals("2.16.840.1.113883.1.3", fp.evaluateToString(e, "typeId.root"));
+//
+// assertEquals("2.16.840.1.113883.3.27.1776", fp.evaluateToString(e, "templateId.root"));
+//
+ assertEquals("2.16.840.1.113883.19.4", fp.evaluateToString(e, "id.root"));
+ assertEquals("c266", fp.evaluateToString(e, "id.extension"));
+
+//
Good Health Clinic Consultation Note
+ assertEquals("Good Health Clinic Consultation Note", fp.evaluateToString(e, "title.dataString"));
+//
+ assertEquals("2000-04-07", fp.evaluateToString(e, "effectiveTime.value"));
+//
+ assertEquals("N", fp.evaluateToString(e, "confidentialityCode.code"));
+ assertEquals("2.16.840.1.113883.5.25", fp.evaluateToString(e, "confidentialityCode.codeSystem"));
+//
+ assertEquals("en-US", fp.evaluateToString(e, "languageCode.code"));
+//
+ assertEquals("BB35", fp.evaluateToString(e, "setId.extension"));
+ assertEquals("2.16.840.1.113883.19.7", fp.evaluateToString(e, "setId.root"));
+//
+ assertEquals("2", fp.evaluateToString(e, "versionNumber.value"));
+//
+//
+//
+ assertEquals("12345", fp.evaluateToString(e, "recordTarget.patientRole.id.extension"));
+ assertEquals("2.16.840.1.113883.19.5", fp.evaluateToString(e, "recordTarget.patientRole.id.root"));
+//
+//
+// Levin
+ assertEquals("Levin", fp.evaluateToString(e, "recordTarget.patientRole.patient.name.family.dataString"));
+// Henry
+ assertEquals("Henry", fp.evaluateToString(e, "recordTarget.patientRole.patient.name.given.dataString"));
+// the 7th
+//
+//
+//
+//
+//
+//
+//
+//
+//
+
+//
+//
+//
+//
+
+//
+//
+//
+// Skin Exam
+// Erythematous rash, palmar surface, left index finger.
+//
+//
+
+ assertEquals("Skin Exam", fp.evaluateToString(e, "component.structuredBody.component.section.component.section.where(code.code='8709-8' and code.codeSystem='2.16.840.1.113883.6.1').title.dataString"));
+ // Erythematous rash, palmar surface, left index finger.
+ //
+ String text = fp.evaluateToString(e, "component.structuredBody.component.section.component.section.where(code.code='8709-8' and code.codeSystem='2.16.840.1.113883.6.1').text");
+ assertTrue(text.contains(" "));
+ } catch (Exception e) {
+ System.out.println(e.getMessage());
+ e.printStackTrace();
+ throw e;
+ }
}
- @Test
+ @Ignore
public void testDCI() throws FHIRFormatError, DefinitionException, FileNotFoundException, IOException, FHIRException {
try {
- Element e = Manager.parse(context, new FileInputStream("C:\\work\\org.hl7.fhir.us\\ccda-to-fhir-maps\\cda\\IAT2-Discharge_Summary-DCI.xml"), FhirFormat.XML);
- Manager.compose(context, e, new FileOutputStream("C:\\temp\\ccda.xml"), FhirFormat.XML, OutputStyle.PRETTY, null);
+ Element e = Manager.parse(context,
+ new FileInputStream("C:\\work\\org.hl7.fhir.us\\ccda-to-fhir-maps\\cda\\IAT2-Discharge_Summary-DCI.xml"),
+ FhirFormat.XML);
+
+ Manager.compose(context, e, new FileOutputStream("C:\\temp\\ccda.xml"), FhirFormat.XML, OutputStyle.PRETTY, null);
// Manager.compose(context, e, new FileOutputStream("C:\\work\\org.hl7.fhir.test\\ccda-to-fhir-maps\\testdocuments\\IAT2-Discharge_Summary-DCI.out.json"), FhirFormat.JSON, OutputStyle.PRETTY, null);
// Manager.compose(context, e, new FileOutputStream("C:\\work\\org.hl7.fhir.test\\ccda-to-fhir-maps\\testdocuments\\IAT2-Discharge_Summary-DCI.out.ttl"), FhirFormat.TURTLE, OutputStyle.PRETTY, null);
} catch (Exception e) {
@@ -44,20 +138,44 @@ public class CDARoundTripTests {
}
}
- @Test
- public void testEpic() throws FHIRFormatError, DefinitionException, FileNotFoundException, IOException, FHIRException {
- Element e = Manager.parse(context, new FileInputStream("C:\\work\\org.hl7.fhir.test\\ccda-to-fhir-maps\\testdocuments\\IAT2-Discharge-Homework-Epic.xml"), FhirFormat.XML);
- Manager.compose(context, e, new FileOutputStream("C:\\work\\org.hl7.fhir.test\\ccda-to-fhir-maps\\testdocuments\\IAT2-Discharge-Homework-Epic.out.xml"), FhirFormat.XML, OutputStyle.PRETTY, null);
- Manager.compose(context, e, new FileOutputStream("C:\\work\\org.hl7.fhir.test\\ccda-to-fhir-maps\\testdocuments\\IAT2-Discharge-Homework-Epic.out.json"), FhirFormat.JSON, OutputStyle.PRETTY, null);
- Manager.compose(context, e, new FileOutputStream("C:\\work\\org.hl7.fhir.test\\ccda-to-fhir-maps\\testdocuments\\IAT2-Discharge-Homework-Epic.out.ttl"), FhirFormat.TURTLE, OutputStyle.PRETTY, null);
+ @Ignore
+ public void testEpic()
+ throws FHIRFormatError, DefinitionException, FileNotFoundException, IOException, FHIRException {
+ Element e = Manager.parse(context,
+ new FileInputStream(
+ "C:\\work\\org.hl7.fhir.test\\ccda-to-fhir-maps\\testdocuments\\IAT2-Discharge-Homework-Epic.xml"),
+ FhirFormat.XML);
+ Manager.compose(context, e,
+ new FileOutputStream(
+ "C:\\work\\org.hl7.fhir.test\\ccda-to-fhir-maps\\testdocuments\\IAT2-Discharge-Homework-Epic.out.xml"),
+ FhirFormat.XML, OutputStyle.PRETTY, null);
+ Manager.compose(context, e,
+ new FileOutputStream(
+ "C:\\work\\org.hl7.fhir.test\\ccda-to-fhir-maps\\testdocuments\\IAT2-Discharge-Homework-Epic.out.json"),
+ FhirFormat.JSON, OutputStyle.PRETTY, null);
+ Manager.compose(context, e,
+ new FileOutputStream(
+ "C:\\work\\org.hl7.fhir.test\\ccda-to-fhir-maps\\testdocuments\\IAT2-Discharge-Homework-Epic.out.ttl"),
+ FhirFormat.TURTLE, OutputStyle.PRETTY, null);
}
- @Test
- public void testDHIT() throws FHIRFormatError, DefinitionException, FileNotFoundException, IOException, FHIRException {
- Element e = Manager.parse(context, new FileInputStream("C:\\work\\org.hl7.fhir.test\\ccda-to-fhir-maps\\testdocuments\\IAT2-DS-Homework-DHIT.xml"), FhirFormat.XML);
- Manager.compose(context, e, new FileOutputStream("C:\\work\\org.hl7.fhir.test\\ccda-to-fhir-maps\\testdocuments\\IAT2-DS-Homework-DHIT.out.xml"), FhirFormat.XML, OutputStyle.PRETTY, null);
- Manager.compose(context, e, new FileOutputStream("C:\\work\\org.hl7.fhir.test\\ccda-to-fhir-maps\\testdocuments\\IAT2-DS-Homework-DHIT.out.json"), FhirFormat.JSON, OutputStyle.PRETTY, null);
- Manager.compose(context, e, new FileOutputStream("C:\\work\\org.hl7.fhir.test\\ccda-to-fhir-maps\\testdocuments\\IAT2-DS-Homework-DHIT.out.ttl"), FhirFormat.TURTLE, OutputStyle.PRETTY, null);
+ @Ignore
+ public void testDHIT()
+ throws FHIRFormatError, DefinitionException, FileNotFoundException, IOException, FHIRException {
+ Element e = Manager.parse(context,
+ new FileInputStream("C:\\work\\org.hl7.fhir.test\\ccda-to-fhir-maps\\testdocuments\\IAT2-DS-Homework-DHIT.xml"),
+ FhirFormat.XML);
+ Manager.compose(context, e,
+ new FileOutputStream(
+ "C:\\work\\org.hl7.fhir.test\\ccda-to-fhir-maps\\testdocuments\\IAT2-DS-Homework-DHIT.out.xml"),
+ FhirFormat.XML, OutputStyle.PRETTY, null);
+ Manager.compose(context, e,
+ new FileOutputStream(
+ "C:\\work\\org.hl7.fhir.test\\ccda-to-fhir-maps\\testdocuments\\IAT2-DS-Homework-DHIT.out.json"),
+ FhirFormat.JSON, OutputStyle.PRETTY, null);
+ Manager.compose(context, e,
+ new FileOutputStream(
+ "C:\\work\\org.hl7.fhir.test\\ccda-to-fhir-maps\\testdocuments\\IAT2-DS-Homework-DHIT.out.ttl"),
+ FhirFormat.TURTLE, OutputStyle.PRETTY, null);
}
-
-}
+}
\ No newline at end of file
diff --git a/org.hl7.fhir.r5/src/test/resources/cda/cda-original.xml b/org.hl7.fhir.r5/src/test/resources/cda/cda-original.xml
new file mode 100644
index 000000000..ba6497772
--- /dev/null
+++ b/org.hl7.fhir.r5/src/test/resources/cda/cda-original.xml
@@ -0,0 +1,1098 @@
+
+
+
+
+
+
+
+
+
+ Good Health Clinic Consultation Note
+
+
+
+
+
+
+
+
+
+
+ Levin
+ Henry
+ the 7th
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Dolin
+ Robert
+ MD
+
+
+
+
+
+
+
+
+
+
+
+ Good Health Clinic
+
+
+
+
+
+
+
+
+
+
+ Dolin
+ Robert
+ MD
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Dolin
+ Robert
+ MD
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ History of Present Illness
+
+ Henry Levin, the 7th
+ is a 67 year old male referred for further asthma management. Onset of asthma in his twenties
+ teens . He was hospitalized twice last year, and already twice this year. He has not been able to be weaned off steroids for the past several months.
+
+
+
+
+
+
+
+ Past Medical History
+
+
+ -
+
Asthma
+
+ -
+
Hypertension (see HTN.cda for details)
+
+ -
+
Osteoarthritis,
+ right knee
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Medications
+
+
+ - Theodur 200mg BID
+ - Proventil inhaler 2puffs QID PRN
+ - Prednisone 20mg qd
+ - HCTZ 25mg qd
+
+
+
+
+ Theodur 200mg BID
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Proventil inhaler 2puffs QID PRN
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Prednisone 20mg qd
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ HCTZ 25mg qd
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Allergies and Adverse Reactions
+
+
+ - Penicillin - Hives
+ - Aspirin - Wheezing
+ - Codeine - Itching and nausea
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Family history
+
+
+ - Father had fatal MI in his early 50's.
+ - No cancer or diabetes.
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Social History
+
+
+ - Smoking :: 1 PPD between the ages of 20 and 55, and then he quit.
+ - Alcohol :: rare
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Physical Examination
+
+
+
+
+ Vital Signs
+
+
+
+
+ Date / Time
+ April 7, 2000 14:30
+ April 7, 2000 15:30
+
+
+ Height
+ 177 cm (69.7 in)
+
+
+ Weight
+ 194.0 lbs (88.0 kg)
+
+
+ BMI
+ 28.1 kg/m2
+
+
+ BSA
+ 2.05 m2
+
+
+ Temperature
+ 36.9 C (98.5 F)
+ 36.9 C (98.5 F)
+
+
+ Pulse
+ 86 / minute
+ 84 / minute
+
+
+ Rhythm
+ Regular
+ Regular
+
+
+ Respirations
+ 16 / minute, unlabored
+ 14 / minute
+
+
+ Systolic
+ 132 mmHg
+ 135 mmHg
+
+
+ Diastolic
+ 86 mmHg
+ 88 mmHg
+
+
+ Position / Cuff
+ Left Arm
+ Left Arm
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Skin Exam
+ Erythematous rash, palmar surface, left index finger.
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Lungs
+ Clear with no wheeze. Good air flow.
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Cardiac
+ RRR with no murmur, no S3, no S4.
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Labs
+
+
+ - CXR 02/03/1999: Hyperinflated. Normal cardiac silhouette, clear lungs.
+ - Peak Flow today: 260 l/m
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ normal cardiac silhouette
+
+
+
+
+
+
+
+ radiopacities
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ In-office Procedures
+
+
+ - Suture removal, left forearm.
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Assessment
+
+
+ - Asthma, with prior smoking history. Difficulty weaning off steroids. Will try gradual taper.
+ - Hypertension, well-controlled.
+ - Contact dermatitis on finger.
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Plan
+
+
+ - Complete PFTs with lung volumes.
+ - Chem-7 tomorrow.
+ - Teach peak flow rate measurement.
+ - Decrease prednisone to 20qOD alternating with 18qOD.
+ - Hydrocortisone cream to finger BID.
+ - RTC 1 week.
+
+
+
+
+
+
+ Complete PFTs with lung volumes.
+
+
+
+
+
+
+
+
+
+
+ Chem-7
+
+
+ Chem-7 tomorrow
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ prednisone 20qOD alternating with 18qOD.
+
+
+
+
+
+
+
+
+
+
+
+
+ Hydrocortisone cream to finger BID.
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
diff --git a/org.hl7.fhir.r5/src/test/resources/cda/cda-roundtrip.json b/org.hl7.fhir.r5/src/test/resources/cda/cda-roundtrip.json
new file mode 100644
index 000000000..34c8c25b3
--- /dev/null
+++ b/org.hl7.fhir.r5/src/test/resources/cda/cda-roundtrip.json
@@ -0,0 +1,2360 @@
+{
+ "resourceType": "ClinicalDocument",
+ "id": {
+ "extension": "c266",
+ "root": "2.16.840.1.113883.19.4"
+ },
+ "code": {
+ "code": "11488-4",
+ "codeSystem": "2.16.840.1.113883.6.1",
+ "codeSystemName": "LOINC",
+ "displayName": "Consultation note"
+ },
+ "title": {
+ "dataString": "Good Health Clinic Consultation Note"
+ },
+ "effectiveTime": {
+ "value": "2000-04-07"
+ },
+ "confidentialityCode": {
+ "code": "N",
+ "codeSystem": "2.16.840.1.113883.5.25"
+ },
+ "languageCode": {
+ "code": "en-US"
+ },
+ "setId": {
+ "extension": "BB35",
+ "root": "2.16.840.1.113883.19.7"
+ },
+ "versionNumber": {
+ "value": 2
+ },
+ "recordTarget": [
+ {
+ "patientRole": {
+ "id": [
+ {
+ "extension": "12345",
+ "root": "2.16.840.1.113883.19.5"
+ }
+ ],
+ "patient": {
+ "name": [
+ {
+ "family": [
+ {
+ "dataString": "Levin"
+ }
+ ],
+ "given": [
+ {
+ "dataString": "Henry"
+ }
+ ],
+ "suffix": [
+ {
+ "dataString": "the 7th"
+ }
+ ]
+ }
+ ],
+ "administrativeGenderCode": {
+ "code": "M",
+ "codeSystem": "2.16.840.1.113883.5.1"
+ },
+ "birthTime": {
+ "value": "1932-09-24"
+ }
+ },
+ "providerOrganization": {
+ "id": [
+ {
+ "root": "2.16.840.1.113883.19.5"
+ }
+ ]
+ }
+ }
+ }
+ ],
+ "author": [
+ {
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+ "value": "2000-04-07T14:00:00"
+ },
+ "assignedAuthor": {
+ "id": [
+ {
+ "extension": "KP00017",
+ "root": "2.16.840.1.113883.19.5"
+ }
+ ],
+ "assignedPerson": {
+ "name": [
+ {
+ "family": [
+ {
+ "dataString": "Dolin"
+ }
+ ],
+ "given": [
+ {
+ "dataString": "Robert"
+ }
+ ],
+ "suffix": [
+ {
+ "dataString": "MD"
+ }
+ ]
+ }
+ ]
+ },
+ "representedOrganization": {
+ "id": [
+ {
+ "root": "2.16.840.1.113883.19.5"
+ }
+ ]
+ }
+ }
+ }
+ ],
+ "custodian": {
+ "assignedCustodian": {
+ "representedCustodianOrganization": {
+ "id": [
+ {
+ "root": "2.16.840.1.113883.19.5"
+ }
+ ],
+ "name": {
+ "dataString": "Good Health Clinic"
+ }
+ }
+ }
+ },
+ "legalAuthenticator": {
+ "time": {
+ "value": "2000-04-08"
+ },
+ "signatureCode": {
+ "code": "S"
+ },
+ "assignedEntity": {
+ "id": [
+ {
+ "extension": "KP00017",
+ "root": "2.16.840.1.113883.19.5"
+ }
+ ],
+ "assignedPerson": {
+ "name": [
+ {
+ "family": [
+ {
+ "dataString": "Dolin"
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+ ],
+ "given": [
+ {
+ "dataString": "Robert"
+ }
+ ],
+ "suffix": [
+ {
+ "dataString": "MD"
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+ ]
+ }
+ ]
+ },
+ "representedOrganization": {
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+ {
+ "root": "2.16.840.1.113883.19.5"
+ }
+ ]
+ }
+ }
+ },
+ "relatedDocument": [
+ {
+ "typeCode": "RPLC",
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+ "id": [
+ {
+ "extension": "a123",
+ "root": "2.16.840.1.113883.19.4"
+ }
+ ],
+ "setId": {
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+ "root": "2.16.840.1.113883.19.7"
+ },
+ "versionNumber": {
+ "value": 1
+ }
+ }
+ }
+ ],
+ "componentOf": {
+ "encompassingEncounter": {
+ "id": [
+ {
+ "extension": "KPENC1332",
+ "root": "2.16.840.1.113883.19.6"
+ }
+ ],
+ "effectiveTime": {
+ "value": "2000-04-07"
+ },
+ "encounterParticipant": [
+ {
+ "typeCode": "CON",
+ "time": {
+ "value": "2000-04-07"
+ },
+ "assignedEntity": {
+ "id": [
+ {
+ "extension": "KP00017",
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+ {
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+ ],
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+ "root": "2.16.840.1.113883.19.5"
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+ "codeSystemName": "LOINC"
+ },
+ "title": {
+ "dataString": "History of Present Illness"
+ },
+ "text": "Henry Levin, the 7th is a 67 year old male referred for further asthma management. Onset of asthma in his twenties teens . He was hospitalized twice last year, and already twice this year. He has not been able to be weaned off steroids for the past several months. \n\t\t\t\t\t\t
"
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+ },
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+ "codeSystemName": "LOINC"
+ },
+ "title": {
+ "dataString": "Past Medical History"
+ },
+ "text": "Asthma Hypertension (see HTN.cda for details) Osteoarthritis, \n\t\t\t\t\t\t\t\t\tright knee ",
+ "entry": [
+ {
+ "observation": {
+ "classCode": "COND",
+ "moodCode": "EVN",
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+ "code": "195967001",
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+ "value": "#a2"
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+ },
+ "statusCode": {
+ "code": "completed"
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+ "reference": [
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+ "seperatableInd": {
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+ },
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+ {
+ "root": "2.16.840.1.113883.19.4.789"
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+ ],
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+ "versionNumber": {
+ "value": 1
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+ },
+ {
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+ "externalObservation": {
+ "id": [
+ {
+ "root": "2.16.840.1.113883.19.1.2005"
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+ {
+ "observation": {
+ "classCode": "COND",
+ "moodCode": "EVN",
+ "code": {
+ "code": "396275006",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Osteoarthritis",
+ "originalText": {
+ "reference": {
+ "value": "#a3"
+ }
+ }
+ },
+ "statusCode": {
+ "code": "completed"
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+ {
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+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Knee joint",
+ "originalText": {
+ "reference": {
+ "value": "#a4"
+ }
+ },
+ "qualifier": [
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+ "name": {
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+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "with laterality"
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+ "value": {
+ "code": "24028007",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "right"
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+ ]
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+ ],
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+ {
+ "root": "2.16.840.1.113883.19.1.1805"
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+ "codeSystemName": "LOINC"
+ },
+ "title": {
+ "dataString": "Medications"
+ },
+ "text": "Theodur 200mg BID Proventil inhaler 2puffs QID PRN Prednisone 20mg qd HCTZ 25mg qd ",
+ "entry": [
+ {
+ "substanceAdministration": {
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+ "moodCode": "EVN",
+ "text": {
+ "dataString": "Theodur 200mg BID"
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+ "period": {
+ "unit": "h",
+ "value": 12
+ }
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+ ],
+ "routeCode": {
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+ "codeSystem": "2.16.840.1.113883.5.112",
+ "codeSystemName": "RouteOfAdministration"
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+ "doseQuantity": {
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+ "value": 200
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+ "manufacturedProduct": {
+ "manufacturedLabeledDrug": {
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+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Theophylline"
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+ }
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+ {
+ "substanceAdministration": {
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+ "moodCode": "EVN",
+ "text": {
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+ "period": {
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+ "value": 6
+ }
+ }
+ ],
+ "priorityCode": {
+ "code": "PRN"
+ },
+ "routeCode": {
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+ "codeSystem": "2.16.840.1.113883.5.112",
+ "codeSystemName": "RouteOfAdministration",
+ "displayName": "Inhalation, oral"
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+ "doseQuantity": {
+ "value": 2
+ },
+ "consumable": {
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+ "code": "91143003",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Albuterol"
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+ }
+ }
+ }
+ }
+ },
+ {
+ "substanceAdministration": {
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+ "moodCode": "EVN",
+ "id": [
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+ "root": "2.16.840.1.113883.19.8.1"
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+ ],
+ "text": {
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+ },
+ "effectiveTime": [
+ {
+ "institutionSpecified": true,
+ "period": {
+ "unit": "h",
+ "value": 24
+ }
+ }
+ ],
+ "routeCode": {
+ "code": "PO",
+ "codeSystem": "2.16.840.1.113883.5.112",
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+ "doseQuantity": {
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+ "consumable": {
+ "manufacturedProduct": {
+ "manufacturedLabeledDrug": {
+ "code": {
+ "code": "10312003",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Prednisone preparation"
+ }
+ }
+ }
+ }
+ }
+ },
+ {
+ "substanceAdministration": {
+ "classCode": "SBADM",
+ "moodCode": "EVN",
+ "text": {
+ "dataString": "HCTZ 25mg qd"
+ },
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+ "institutionSpecified": true,
+ "period": {
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+ "value": 24
+ }
+ }
+ ],
+ "routeCode": {
+ "code": "PO",
+ "codeSystem": "2.16.840.1.113883.5.112",
+ "codeSystemName": "RouteOfAdministration"
+ },
+ "consumable": {
+ "manufacturedProduct": {
+ "manufacturedLabeledDrug": {
+ "code": {
+ "code": "376209006",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Hydrochlorothiazide 25mg tablet"
+ }
+ }
+ }
+ }
+ }
+ }
+ ]
+ }
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+ "code": "10155-0",
+ "codeSystem": "2.16.840.1.113883.6.1",
+ "codeSystemName": "LOINC"
+ },
+ "title": {
+ "dataString": "Allergies and Adverse Reactions"
+ },
+ "text": "Penicillin - Hives Aspirin - Wheezing Codeine - Itching and nausea ",
+ "entry": [
+ {
+ "observation": {
+ "classCode": "OBS",
+ "moodCode": "EVN",
+ "code": {
+ "code": "247472004",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Hives"
+ },
+ "statusCode": {
+ "code": "completed"
+ },
+ "entryRelationship": [
+ {
+ "typeCode": "MFST",
+ "observation": {
+ "classCode": "OBS",
+ "moodCode": "EVN",
+ "code": {
+ "code": "91936005",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Allergy to penicillin"
+ },
+ "statusCode": {
+ "code": "completed"
+ }
+ }
+ }
+ ]
+ }
+ },
+ {
+ "observation": {
+ "classCode": "OBS",
+ "moodCode": "EVN",
+ "code": {
+ "code": "56018004",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Wheezing"
+ },
+ "statusCode": {
+ "code": "completed"
+ },
+ "entryRelationship": [
+ {
+ "typeCode": "MFST",
+ "observation": {
+ "classCode": "OBS",
+ "moodCode": "EVN",
+ "code": {
+ "code": "293586001",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Allergy to aspirin"
+ },
+ "statusCode": {
+ "code": "completed"
+ }
+ }
+ }
+ ]
+ }
+ },
+ {
+ "observation": {
+ "classCode": "OBS",
+ "moodCode": "EVN",
+ "code": {
+ "code": "32738000",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Pruritis"
+ },
+ "statusCode": {
+ "code": "completed"
+ },
+ "entryRelationship": [
+ {
+ "typeCode": "MFST",
+ "observation": {
+ "classCode": "OBS",
+ "moodCode": "EVN",
+ "id": [
+ {
+ "root": "2.16.840.1.113883.19.1.2010"
+ }
+ ],
+ "code": {
+ "code": "62014003",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Adverse reaction to drug",
+ "qualifier": [
+ {
+ "name": {
+ "code": "246075003",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "causative agent"
+ },
+ "value": {
+ "code": "1476002",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "codeine"
+ }
+ }
+ ]
+ },
+ "statusCode": {
+ "code": "completed"
+ }
+ }
+ }
+ ]
+ }
+ },
+ {
+ "observation": {
+ "classCode": "OBS",
+ "moodCode": "EVN",
+ "code": {
+ "code": "73879007",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Nausea"
+ },
+ "statusCode": {
+ "code": "completed"
+ },
+ "entryRelationship": [
+ {
+ "typeCode": "MFST",
+ "observation": {
+ "classCode": "OBS",
+ "moodCode": "EVN",
+ "id": [
+ {
+ "root": "2.16.840.1.113883.19.1.2010"
+ }
+ ],
+ "code": {
+ "code": "84100007",
+ "codeSystem": "2.16.840.1.113883.6.96"
+ }
+ }
+ }
+ ]
+ }
+ }
+ ]
+ }
+ },
+ {
+ "section": {
+ "code": {
+ "code": "10157-2",
+ "codeSystem": "2.16.840.1.113883.6.1",
+ "codeSystemName": "LOINC"
+ },
+ "title": {
+ "dataString": "Family history"
+ },
+ "text": "Father had fatal MI in his early 50's. No cancer or diabetes. ",
+ "entry": [
+ {
+ "observation": {
+ "classCode": "OBS",
+ "moodCode": "EVN",
+ "code": {
+ "code": "22298006",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "MI"
+ },
+ "statusCode": {
+ "code": "completed"
+ },
+ "effectiveTime": {
+ "value": "1970"
+ },
+ "subject": {
+ "relatedSubject": {
+ "classCode": "PRS",
+ "code": {
+ "code": "FTH",
+ "codeSystem": "2.16.840.1.113883.5.111"
+ }
+ }
+ },
+ "entryRelationship": [
+ {
+ "typeCode": "CAUS",
+ "observation": {
+ "classCode": "OBS",
+ "moodCode": "EVN",
+ "code": {
+ "code": "399347008",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "death"
+ },
+ "statusCode": {
+ "code": "completed"
+ },
+ "effectiveTime": {
+ "value": "1970"
+ }
+ }
+ }
+ ]
+ }
+ },
+ {
+ "observation": {
+ "classCode": "OBS",
+ "moodCode": "EVN",
+ "negationInd": true,
+ "code": {
+ "code": "275937001",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Family history of cancer"
+ },
+ "statusCode": {
+ "code": "completed"
+ },
+ "effectiveTime": {
+ "high": {
+ "inclusive": true,
+ "value": "2000-04-07"
+ }
+ }
+ }
+ },
+ {
+ "observation": {
+ "classCode": "OBS",
+ "moodCode": "EVN",
+ "code": {
+ "code": "160274005",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "No family history of diabetes"
+ },
+ "statusCode": {
+ "code": "completed"
+ },
+ "effectiveTime": {
+ "high": {
+ "inclusive": true,
+ "value": "2000-04-07"
+ }
+ }
+ }
+ }
+ ]
+ }
+ },
+ {
+ "section": {
+ "code": {
+ "code": "29762-2",
+ "codeSystem": "2.16.840.1.113883.6.1",
+ "codeSystemName": "LOINC"
+ },
+ "title": {
+ "dataString": "Social History"
+ },
+ "text": "Smoking :: 1 PPD between the ages of 20 and 55, and then he quit. Alcohol :: rare ",
+ "entry": [
+ {
+ "observation": {
+ "classCode": "OBS",
+ "moodCode": "EVN",
+ "code": {
+ "code": "266924008",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "ex-heavy cigarette smoker (20-39/day)"
+ },
+ "statusCode": {
+ "code": "completed"
+ },
+ "effectiveTime": {
+ "low": {
+ "value": "1955"
+ },
+ "high": {
+ "value": "1990"
+ }
+ }
+ }
+ },
+ {
+ "observation": {
+ "classCode": "OBS",
+ "moodCode": "EVN",
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+ "dataString": "normal cardiac silhouette"
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+ }
+ }
+ },
+ {
+ "typeCode": "COMP",
+ "observation": {
+ "classCode": "OBS",
+ "moodCode": "EVN",
+ "negationInd": true,
+ "id": [
+ {
+ "root": "2.16.840.1.113883.19.1.6675"
+ }
+ ],
+ "code": {
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "nullFlavor": "OTH",
+ "originalText": {
+ "dataString": "radiopacities"
+ }
+ }
+ }
+ }
+ ],
+ "reference": [
+ {
+ "typeCode": "SPRT",
+ "externalObservation": {
+ "classCode": "DGIMG",
+ "id": [
+ {
+ "root": "2.16.840.1.113883.19.1.14"
+ }
+ ],
+ "code": {
+ "code": "56350004",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Chest-X-ray"
+ }
+ }
+ }
+ ]
+ }
+ },
+ {
+ "observation": {
+ "classCode": "OBS",
+ "moodCode": "EVN",
+ "id": [
+ {
+ "root": "2.16.840.1.113883.19.1.7005"
+ }
+ ],
+ "code": {
+ "code": "313193002",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Peak flow"
+ },
+ "statusCode": {
+ "code": "completed"
+ },
+ "effectiveTime": {
+ "value": "2000-04-07"
+ },
+ "value": [
+ {
+ "numerator": {
+ "unit": "l",
+ "value": 260
+ },
+ "denominator": {
+ "unit": "min",
+ "value": 1
+ }
+ }
+ ]
+ }
+ }
+ ]
+ }
+ },
+ {
+ "section": {
+ "code": {
+ "code": "29554-3",
+ "codeSystem": "2.16.840.1.113883.6.1",
+ "codeSystemName": "LOINC"
+ },
+ "title": {
+ "dataString": "In-office Procedures"
+ },
+ "text": "Suture removal, left forearm. ",
+ "entry": [
+ {
+ "procedure": {
+ "classCode": "PROC",
+ "moodCode": "EVN",
+ "code": {
+ "code": "30549001",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Suture removal"
+ },
+ "statusCode": {
+ "code": "completed"
+ },
+ "effectiveTime": {
+ "value": "2000-04-07T14:30:00"
+ },
+ "targetSiteCode": [
+ {
+ "code": "66480008",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Left forearm"
+ }
+ ]
+ }
+ }
+ ]
+ }
+ },
+ {
+ "section": {
+ "code": {
+ "code": "11496-7",
+ "codeSystem": "2.16.840.1.113883.6.1",
+ "codeSystemName": "LOINC"
+ },
+ "title": {
+ "dataString": "Assessment"
+ },
+ "text": "Asthma, with prior smoking history. Difficulty weaning off steroids. Will try gradual taper. Hypertension, well-controlled. Contact dermatitis on finger. ",
+ "entry": [
+ {
+ "observation": {
+ "classCode": "COND",
+ "moodCode": "EVN",
+ "code": {
+ "code": "14657009",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Established diagnosis"
+ },
+ "statusCode": {
+ "code": "completed"
+ },
+ "effectiveTime": {
+ "value": "2000-04-07T15:30:00"
+ },
+ "value": [
+ {
+ "code": "195967001",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Asthma",
+ "translation": [
+ {
+ "code": "49390",
+ "codeSystem": "2.16.840.1.113883.6.2",
+ "codeSystemName": "ICD9CM",
+ "displayName": "ASTHMA W/O STATUS ASTHMATICUS"
+ }
+ ]
+ }
+ ],
+ "reference": [
+ {
+ "typeCode": "ELNK",
+ "externalObservation": {
+ "classCode": "COND",
+ "id": [
+ {
+ "root": "2.16.840.1.113883.19.1.35"
+ }
+ ]
+ }
+ }
+ ]
+ }
+ },
+ {
+ "observation": {
+ "classCode": "COND",
+ "moodCode": "EVN",
+ "code": {
+ "code": "14657009",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Established diagnosis"
+ },
+ "statusCode": {
+ "code": "completed"
+ },
+ "effectiveTime": {
+ "value": "2000-04-07T15:30:00"
+ },
+ "value": [
+ {
+ "code": "59621000",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Essential hypertension",
+ "translation": [
+ {
+ "code": "4019",
+ "codeSystem": "2.16.840.1.113883.6.2",
+ "codeSystemName": "ICD9CM",
+ "displayName": "HYPERTENSION NOS"
+ }
+ ]
+ }
+ ],
+ "reference": [
+ {
+ "typeCode": "ELNK",
+ "externalObservation": {
+ "classCode": "COND",
+ "id": [
+ {
+ "root": "2.16.840.1.113883.19.1.37"
+ }
+ ]
+ }
+ }
+ ]
+ }
+ },
+ {
+ "observation": {
+ "classCode": "COND",
+ "moodCode": "EVN",
+ "code": {
+ "code": "14657009",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Established diagnosis"
+ },
+ "statusCode": {
+ "code": "completed"
+ },
+ "effectiveTime": {
+ "value": "2000-04-07T15:30:00"
+ },
+ "value": [
+ {
+ "code": "40275004",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Contact dermatitis",
+ "translation": [
+ {
+ "code": "692.9",
+ "codeSystem": "2.16.840.1.113883.6.2",
+ "codeSystemName": "ICD9CM",
+ "displayName": "Contact Dermatitis, NOS"
+ }
+ ]
+ }
+ ],
+ "targetSiteCode": [
+ {
+ "code": "48856004",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Skin of palmer surface of index finger",
+ "qualifier": [
+ {
+ "name": {
+ "code": "78615007",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "with laterality"
+ },
+ "value": {
+ "code": "7771000",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "left"
+ }
+ }
+ ]
+ }
+ ]
+ }
+ }
+ ]
+ }
+ },
+ {
+ "section": {
+ "code": {
+ "code": "18776-5",
+ "codeSystem": "2.16.840.1.113883.6.1",
+ "codeSystemName": "LOINC"
+ },
+ "title": {
+ "dataString": "Plan"
+ },
+ "text": "Complete PFTs with lung volumes. Chem-7 tomorrow. Teach peak flow rate measurement. Decrease prednisone to 20qOD alternating with 18qOD. Hydrocortisone cream to finger BID. RTC 1 week. ",
+ "entry": [
+ {
+ "act": {
+ "classCode": "ACT",
+ "moodCode": "INT",
+ "id": [
+ null
+ ],
+ "code": {
+ "code": "23426006",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Pulmonary function test"
+ },
+ "text": {
+ "dataString": "Complete PFTs with lung volumes."
+ },
+ "entryRelationship": [
+ {
+ "typeCode": "COMP",
+ "act": {
+ "classCode": "ACT",
+ "moodCode": "INT",
+ "code": {
+ "code": "252472004",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Lung volume test"
+ }
+ }
+ }
+ ]
+ }
+ },
+ {
+ "observation": {
+ "classCode": "OBS",
+ "moodCode": "INT",
+ "code": {
+ "code": "24320-4",
+ "codeSystem": "2.16.840.1.113883.6.1",
+ "codeSystemName": "LOINC",
+ "originalText": {
+ "dataString": "Chem-7"
+ },
+ "translation": [
+ {
+ "code": "aYU7t6",
+ "codeSystem": "2.16.840.1.113883.19.278.47",
+ "codeSystemName": "MyLocalCodeSystem",
+ "displayName": "Chem7"
+ }
+ ]
+ },
+ "text": {
+ "dataString": "Chem-7 tomorrow"
+ },
+ "effectiveTime": {
+ "value": "2000-04-08"
+ }
+ }
+ },
+ {
+ "act": {
+ "classCode": "ACT",
+ "moodCode": "INT",
+ "id": [
+ null
+ ],
+ "code": {
+ "code": "223468009",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Teaching of skills",
+ "qualifier": [
+ {
+ "name": {
+ "code": "363702006",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "has focus"
+ },
+ "value": {
+ "code": "29893006",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Peak flow rate measurement"
+ }
+ }
+ ]
+ }
+ }
+ },
+ {
+ "substanceAdministration": {
+ "classCode": "SBADM",
+ "moodCode": "RQO",
+ "text": {
+ "dataString": "prednisone 20qOD alternating with 18qOD."
+ },
+ "routeCode": {
+ "code": "PO",
+ "codeSystem": "2.16.840.1.113883.5.112",
+ "codeSystemName": "RouteOfAdministration"
+ },
+ "consumable": {
+ "manufacturedProduct": {
+ "manufacturedLabeledDrug": {
+ "code": {
+ "code": "10312003",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Prednisone preparation"
+ }
+ }
+ }
+ }
+ }
+ },
+ {
+ "substanceAdministration": {
+ "classCode": "SBADM",
+ "moodCode": "RQO",
+ "text": {
+ "dataString": "Hydrocortisone cream to finger BID."
+ },
+ "effectiveTime": [
+ {
+ "institutionSpecified": true,
+ "period": {
+ "unit": "h",
+ "value": 12
+ }
+ }
+ ],
+ "routeCode": {
+ "code": "SKIN",
+ "codeSystem": "2.16.840.1.113883.5.112",
+ "codeSystemName": "RouteOfAdministration",
+ "displayName": "Topical application, skin"
+ },
+ "approachSiteCode": [
+ {
+ "code": "48856004",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Skin of palmer surface of index finger",
+ "qualifier": [
+ {
+ "name": {
+ "code": "78615007",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "with laterality"
+ },
+ "value": {
+ "code": "7771000",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "left"
+ }
+ }
+ ]
+ }
+ ],
+ "consumable": {
+ "manufacturedProduct": {
+ "manufacturedLabeledDrug": {
+ "code": {
+ "code": "331646005",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Hydrocortisone cream"
+ }
+ }
+ }
+ }
+ }
+ },
+ {
+ "encounter": {
+ "classCode": "ENC",
+ "moodCode": "RQO",
+ "code": {
+ "code": "185389009",
+ "codeSystem": "2.16.840.1.113883.6.96",
+ "codeSystemName": "SNOMED CT",
+ "displayName": "Follow-up visit"
+ },
+ "effectiveTime": {
+ "low": {
+ "value": "2000-04-12"
+ },
+ "high": {
+ "value": "2000-04-17"
+ }
+ }
+ }
+ }
+ ]
+ }
+ }
+ ]
+ }
+ }
+}
\ No newline at end of file
diff --git a/org.hl7.fhir.r5/src/test/resources/cda/cda-roundtrip.xml b/org.hl7.fhir.r5/src/test/resources/cda/cda-roundtrip.xml
new file mode 100644
index 000000000..a60632733
--- /dev/null
+++ b/org.hl7.fhir.r5/src/test/resources/cda/cda-roundtrip.xml
@@ -0,0 +1,1096 @@
+
+
+
+
+
+
+
+ Good Health Clinic Consultation Note
+
+
+
+
+
+
+
+
+
+
+ Levin
+ Henry
+ the 7th
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Dolin
+ Robert
+ MD
+
+
+
+
+
+
+
+
+
+
+
+ Good Health Clinic
+
+
+
+
+
+
+
+
+
+
+ Dolin
+ Robert
+ MD
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Dolin
+ Robert
+ MD
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ History of Present Illness
+
+ Henry Levin, the 7
+ th
+ is a 67 year old male referred for further asthma management. Onset of asthma in his
+ twenties
+ teens . He was hospitalized twice last year, and already twice this year. He has not been able to be weaned off steroids for the past several months.
+
+
+
+
+
+
+
+
+ Past Medical History
+
+
+ -
+
Asthma
+
+ -
+
Hypertension (see HTN.cda for details)
+
+ -
+
Osteoarthritis,
+
+ right knee
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Medications
+
+
+ - Theodur 200mg BID
+ - Proventil inhaler 2puffs QID PRN
+ - Prednisone 20mg qd
+ - HCTZ 25mg qd
+
+
+
+
+ Theodur 200mg BID
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Proventil inhaler 2puffs QID PRN
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Prednisone 20mg qd
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ HCTZ 25mg qd
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Allergies and Adverse Reactions
+
+
+ - Penicillin - Hives
+ - Aspirin - Wheezing
+ - Codeine - Itching and nausea
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Family history
+
+
+ - Father had fatal MI in his early 50's.
+ - No cancer or diabetes.
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Social History
+
+
+ - Smoking :: 1 PPD between the ages of 20 and 55, and then he quit.
+ - Alcohol :: rare
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Physical Examination
+
+
+
+
+ Vital Signs
+
+
+
+
+ Date / Time
+ April 7, 2000 14:30
+ April 7, 2000 15:30
+
+
+ Height
+ 177 cm (69.7 in)
+
+
+ Weight
+ 194.0 lbs (88.0 kg)
+
+
+ BMI
+ 28.1 kg/m2
+
+
+ BSA
+ 2.05 m2
+
+
+ Temperature
+ 36.9 C (98.5 F)
+ 36.9 C (98.5 F)
+
+
+ Pulse
+ 86 / minute
+ 84 / minute
+
+
+ Rhythm
+ Regular
+ Regular
+
+
+ Respirations
+ 16 / minute, unlabored
+ 14 / minute
+
+
+ Systolic
+ 132 mmHg
+ 135 mmHg
+
+
+ Diastolic
+ 86 mmHg
+ 88 mmHg
+
+
+ Position / Cuff
+ Left Arm
+ Left Arm
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Skin Exam
+ Erythematous rash, palmar surface, left index finger.
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Lungs
+ Clear with no wheeze. Good air flow.
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Cardiac
+ RRR with no murmur, no S3, no S4.
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Labs
+
+
+ - CXR 02/03/1999: Hyperinflated. Normal cardiac silhouette, clear lungs.
+ - Peak Flow today: 260 l/m
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ normal cardiac silhouette
+
+
+
+
+
+
+
+ radiopacities
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ In-office Procedures
+
+
+ - Suture removal, left forearm.
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Assessment
+
+
+ - Asthma, with prior smoking history. Difficulty weaning off steroids. Will try gradual taper.
+ - Hypertension, well-controlled.
+ - Contact dermatitis on finger.
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Plan
+
+
+ - Complete PFTs with lung volumes.
+ - Chem-7 tomorrow.
+ - Teach peak flow rate measurement.
+ - Decrease prednisone to 20qOD alternating with 18qOD.
+ - Hydrocortisone cream to finger BID.
+ - RTC 1 week.
+
+
+
+
+
+
+ Complete PFTs with lung volumes.
+
+
+
+
+
+
+
+
+
+
+ Chem-7
+
+
+ Chem-7 tomorrow
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ prednisone 20qOD alternating with 18qOD.
+
+
+
+
+
+
+
+
+
+
+
+
+ Hydrocortisone cream to finger BID.
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
\ No newline at end of file
diff --git a/org.hl7.fhir.utilities/src/main/java/org/hl7/fhir/utilities/xhtml/CDANarrativeFormat.java b/org.hl7.fhir.utilities/src/main/java/org/hl7/fhir/utilities/xhtml/CDANarrativeFormat.java
index 8e55cfa10..6615abd20 100644
--- a/org.hl7.fhir.utilities/src/main/java/org/hl7/fhir/utilities/xhtml/CDANarrativeFormat.java
+++ b/org.hl7.fhir.utilities/src/main/java/org/hl7/fhir/utilities/xhtml/CDANarrativeFormat.java
@@ -187,7 +187,7 @@ public class CDANarrativeFormat {
private void processRenderMultiMedia(Element e, XhtmlNode xn) throws FHIRException {
XhtmlNode xc = xn.addTag("img");
String v = e.getAttribute("referencedObject");
- xn.attribute("src", v);
+ xc.attribute("src", v);
processAttributes(e, xc, "ID", "language", "styleCode");
processChildren(e, xc);
}