Dental Data Exchange
1.0.0 - STU 1

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## : Dental Consultation Note example - TTL Representation

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix loinc: <http://loinc.org/rdf#> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:Composition;
      fhir:nodeRole fhir:treeRoot;
      fhir:Resource.id [ fhir:value "Dental-2-Med-Consult"];
      fhir:Resource.meta [
         fhir:Meta.versionId [ fhir:value "24" ];
         fhir:Meta.lastUpdated [ fhir:value "2021-08-24T23:27:45.426+00:00"^^xsd:dateTime ];
         fhir:Meta.source [ fhir:value "#sBPqj3BhYLw4XXH8" ];
         fhir:Meta.profile [
           fhir:value "http://hl7.org/fhir/us/dental-data-exchange/StructureDefinition/dental-consult-note";
           fhir:index 0;
           fhir:link <http://hl7.org/fhir/us/dental-data-exchange/StructureDefinition/dental-consult-note>     ]
      ];
      fhir:Resource.language [ fhir:value "en-US"];
      fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "extensions" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\"><p><b>Generated Narrative</b></p><p><b>Order Extension</b>: <a href=\"ServiceRequest-example-dental-referral-1.html\">Generated Summary: id: urn:uid:0c2aacfc-ce7d-4652-b9ea-7280ea21dec4; status: active; intent: plan; <span title=\"Codes: {http://snomed.info/sct 14736009}\">Evaluation and management of patient (procedure)</span>; priority: asap; <span title=\"Codes: {http://snomed.info/sct 103697008}\">Patient referral for dental care (procedure)</span></a></p><p><b>identifier</b>: id: urn:uuid:f28fefc8-5aac-427c-93d7-f0bc7d633a9b</p><p><b>status</b>: final</p><p><b>type</b>: <span title=\"Codes: {http://loinc.org 34756-7}\">Dentistry Consult note</span></p><p><b>encounter</b>: <a href=\"Encounter-Dental-encounter.html\">Dental Referral with patient A. Generated Summary: status: finished; <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode AMB}\">ambulatory</span>; <span title=\"Codes: {http://snomed.info/sct 185347001}\">Encounter for problem (procedure)</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActPriority R}\">routine</span>; period: Feb 16, 2020 8:00:14 PM --&gt; Feb 16, 2020 8:30:14 PM</a></p><p><b>date</b>: Feb 16, 2020 9:10:14 AM</p><p><b>author</b>: <a href=\"Practitioner-practitioner-D.html\">Dentist D, DMD. Generated Summary: id: 1234560000; John D ; Phone: 720-555-6443; gender: male; birthDate: 1990-06-09</a></p><p><b>title</b>: Consultation Note</p><h3>Attesters</h3><table class=\"grid\"><tr><td>-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td>*</td><td>legal</td><td>Mar 28, 2020 9:10:14 AM</td><td><a href=\"Practitioner-practitioner-D.html\">Dentist Dentist D, DMD. Generated Summary: id: 1234560000; John D ; Phone: 720-555-6443; gender: male; birthDate: 1990-06-09</a></td></tr></table><p><b>custodian</b>: <a href=\"Organization-GOHC-organization.html\">Good Oral Health Clinic. Generated Summary: id: 2316452725; active: true; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span>; name: Good Oral Health Clinic; Phone: (+1) 720-677-7777, customer2-service@GHclinic.org</a></p><h3>Events</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Period</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActClass PCPR}\">Care Provision</span></td><td>2020-02-16 --&gt; 2020-02-16</td></tr></table></div>"
      ];
      fhir:DomainResource.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/OrderExtension" ];
         fhir:Extension.valueReference [
           fhir:Reference.reference [ fhir:value "ServiceRequest/example-dental-referral-1" ]     ]
      ];
      fhir:Composition.identifier [
         fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
         fhir:Identifier.value [ fhir:value "urn:uuid:f28fefc8-5aac-427c-93d7-f0bc7d633a9b" ]
      ];
      fhir:Composition.status [ fhir:value "final"];
      fhir:Composition.type [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a loinc:34756-7;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "34756-7" ];
           fhir:Coding.display [ fhir:value "Dentistry Consult note" ]     ]
      ];
      fhir:Composition.subject [
         fhir:Reference.reference [ fhir:value "Patient/example-dental" ];
         fhir:Reference.display [ fhir:value "Patient A" ]
      ];
      fhir:Composition.encounter [
         fhir:Reference.reference [ fhir:value "Encounter/Dental-encounter" ];
         fhir:Reference.display [ fhir:value "Dental Referral with patient A" ]
      ];
      fhir:Composition.date [ fhir:value "2020-02-16T09:10:14Z"^^xsd:dateTime];
      fhir:Composition.author [
         fhir:index 0;
         fhir:Reference.reference [ fhir:value "Practitioner/practitioner-D" ];
         fhir:Reference.display [ fhir:value "Dentist D, DMD" ]
      ];
      fhir:Composition.title [ fhir:value "Consultation Note"];
      fhir:Composition.attester [
         fhir:index 0;
         fhir:Composition.attester.mode [ fhir:value "legal" ];
         fhir:Composition.attester.time [ fhir:value "2020-03-28T09:10:14Z"^^xsd:dateTime ];
         fhir:Composition.attester.party [
           fhir:Reference.reference [ fhir:value "Practitioner/practitioner-D" ];
           fhir:Reference.display [ fhir:value "Dentist Dentist D, DMD" ]     ]
      ];
      fhir:Composition.custodian [
         fhir:Reference.reference [ fhir:value "Organization/GOHC-organization" ];
         fhir:Reference.display [ fhir:value "Good Oral Health Clinic" ]
      ];
      fhir:Composition.event [
         fhir:index 0;
         fhir:Composition.event.code [
           fhir:index 0;
           fhir:CodeableConcept.coding [
             fhir:index 0;
             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActClass" ];
             fhir:Coding.code [ fhir:value "PCPR" ];
             fhir:Coding.display [ fhir:value "Care Provision" ]       ]     ];
         fhir:Composition.event.period [
           fhir:Period.start [ fhir:value "2020-02-16"^^xsd:date ];
           fhir:Period.end [ fhir:value "2020-02-16"^^xsd:date ]     ]
      ];
      fhir:Composition.section [
         fhir:index 0;
         fhir:Composition.section.title [ fhir:value "Allergies and Intolerances Section" ];
         fhir:Composition.section.code [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             a loinc:48765-2;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "48765-2" ];
             fhir:Coding.display [ fhir:value "Allergies and adverse reactions Document" ]       ]     ];
         fhir:Composition.section.text [
           fhir:Narrative.status [ fhir:value "generated" ];
           fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Substance</b>\n                        </td>\n                        <td>\n                            <b>Overall Severity</b>\n                        </td>\n                        <td>\n                            <b>Reaction</b>\n                        </td>\n                        <td>\n                            <b>Reaction Severity</b>\n                        </td>\n                        <td>\n                            <b>Status</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Penicillin G (Ingredient)</td>\n                        <td>Mild</td>\n                        <td>Skin rash</td>\n                        <td>Mild</td>\n                        <td>Active</td>\n                    </tr>\n                </table>\n            </div>"     ];
         fhir:Composition.section.entry [
           fhir:index 0;
           fhir:Reference.reference [ fhir:value "AllergyIntolerance/Allergy-example-dental" ]     ]
      ], [
         fhir:index 1;
         fhir:Composition.section.title [ fhir:value "History of Present Illness Section" ];
         fhir:Composition.section.code [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             a loinc:10164-2;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "10164-2" ];
             fhir:Coding.display [ fhir:value "History of Present illness Narrative" ]       ]     ];
         fhir:Composition.section.text [
           fhir:Narrative.status [ fhir:value "generated" ];
           fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>The patient has not visited a dentist or received fluoride treatments in the past four years while away at college</p>\n            </div>"     ]
      ], [
         fhir:index 2;
         fhir:Composition.section.title [ fhir:value "Problem Section" ];
         fhir:Composition.section.code [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             a loinc:11450-4;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "11450-4" ];
             fhir:Coding.display [ fhir:value "Problem list - Reported" ]       ]     ];
         fhir:Composition.section.text [
           fhir:Narrative.status [ fhir:value "generated" ];
           fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>Mild, Hypertension</p>\n                <p>Type 1 diabetes</p>\n                <p>Dental caries</p>\n                <p>Unable to chew</p>\n                <p>Teeth covered in plague</p>\n                <p>Toothache</p>\n                <p>Chronic periodontitis</p>\n                <p>Infection of tooth</p>\n                <p>At high risk for dental caries (finding)</p>\n            </div>"     ];
         fhir:Composition.section.entry [
           fhir:index 0;
           fhir:Reference.reference [ fhir:value "Condition/HTN-example" ]     ], [
           fhir:index 1;
           fhir:Reference.reference [ fhir:value "Condition/DM1-example" ]     ], [
           fhir:index 2;
           fhir:Reference.reference [ fhir:value "Condition/Dental-caries" ]     ], [
           fhir:index 3;
           fhir:Reference.reference [ fhir:value "Condition/no-chew" ]     ], [
           fhir:index 4;
           fhir:Reference.reference [ fhir:value "Condition/Dental-plaque-example" ]     ], [
           fhir:index 5;
           fhir:Reference.reference [ fhir:value "Condition/toothache-example" ]     ], [
           fhir:index 6;
           fhir:Reference.reference [ fhir:value "Condition/Chronic-periodontitis-example" ]     ], [
           fhir:index 7;
           fhir:Reference.reference [ fhir:value "Condition/Tooth-infection18" ]     ], [
           fhir:index 8;
           fhir:Reference.reference [ fhir:value "Condition/Caries-risk" ]     ]
      ], [
         fhir:index 3;
         fhir:Composition.section.title [ fhir:value "Medication Section" ];
         fhir:Composition.section.code [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             a loinc:10160-0;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "10160-0" ];
             fhir:Coding.display [ fhir:value "History of Medication use Narrative" ]       ]     ];
         fhir:Composition.section.text [
           fhir:Narrative.status [ fhir:value "generated" ];
           fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Medication</b>\n                        </td>\n                        <td>\n                            <b>Directions</b>\n                        </td>\n                        <td>\n                            <b>Start Date</b>\n                        </td>\n                        <td>\n                            <b>Status</b>\n                        </td>\n                        <td>\n                            <b>Indications</b>\n                        </td>\n                        <td>\n                            <b>Fill Instructions</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>erythromycin 500 mg</td>\n                        <td>Take 1 tablet every six hours X10 days</td>\n                        <td/>\n                        <td>Active</td>\n                        <td/>\n                        <td/>\n                    </tr>\n                    <tr>\n                        <td>ibuprofen (OTC)  200 mg tab</td>\n                        <td>Take 2-3 tablets every 8 hours as needed for pain</td>\n                        <td>Take 2-3 tablets every 8 hours as needed for pain</td>\n                        <td/>\n                        <td>Active</td>\n                        <td/>\n                        <td/>\n                    </tr>\n                    <tr>\n                        <td>acetaminophen (OTC) 325 mg</td>\n                        <td>Take 2 tablets every 4-6 hours as needed for pain</td>\n                        <td/>\n                        <td>Active</td>\n                        <td/>\n                        <td/>\n                    </tr>\n                    <tr>\n                        <td>Lisinopril 10 mg tab</td>\n                        <td>1 tab once a day</td>\n                        <td/>\n                        <td>Active</td>\n                        <td/>\n                        <td/>\n                    </tr>\n                </table>\n            </div>"     ];
         fhir:Composition.section.entry [
           fhir:index 0;
           fhir:Reference.reference [ fhir:value "MedicationRequest/erythromycin-medreq-2" ]     ], [
           fhir:index 1;
           fhir:Reference.reference [ fhir:value "MedicationRequest/Ibuprofen-medreq-2" ]     ], [
           fhir:index 2;
           fhir:Reference.reference [ fhir:value "MedicationRequest/Tylenol-med-dental" ]     ], [
           fhir:index 3;
           fhir:Reference.reference [ fhir:value "MedicationRequest/Lisinopril-medreq" ]     ]
      ], [
         fhir:index 4;
         fhir:Composition.section.title [ fhir:value "Assessment Section" ];
         fhir:Composition.section.code [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             a loinc:51848-0;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "51848-0" ];
             fhir:Coding.display [ fhir:value "Evaluation note" ]       ]     ];
         fhir:Composition.section.text [
           fhir:Narrative.status [ fhir:value "generated" ];
           fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p> Patient reports inability to chew on left side due to pain and\n        sensitivity, a condition that has increased in severity in the two days\n        since his medical appointment </p>\n                <p> Significant decay on the left lower second molar (tooth #18)\n         with signs of infection  </p>\n                <p> Early signs of a caries lesion (decay) on the right upper\n        lateral incisor (tooth #7) </p>\n                <p> Recommend an extraction of the left lower second molar(tooth\n        #18) and a restoration on the right upper lateral incisor (tooth #7) due\n        to a caries lesion </p>\n            </div>"     ]
      ], [
         fhir:index 5;
         fhir:Composition.section.title [ fhir:value "Immunizations Section" ];
         fhir:Composition.section.code [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             a loinc:11369-6;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "11369-6" ];
             fhir:Coding.display [ fhir:value "History of Immunization Narrative" ]       ]     ];
         fhir:Composition.section.text [
           fhir:Narrative.status [ fhir:value "generated" ];
           fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table border=\"1\" width=\"100%\">\n                    <thead>\n                        <tr>\n                            <th>Vaccine</th>\n                            <th>Date</th>\n                            <th>Status</th>\n                        </tr>\n                    </thead>\n                    <tbody>\n                        <tr>\n                            <td>\n              Hepatitis B vaccine\n            </td>\n                            <td>January 4, 2020</td>\n                            <td>Completed</td>\n                        </tr>\n                    </tbody>\n                </table>\n            </div>"     ];
         fhir:Composition.section.entry [
           fhir:index 0;
           fhir:Reference.reference [ fhir:value "Immunization/imm-1" ]     ]
      ], [
         fhir:index 6;
         fhir:Composition.section.title [ fhir:value "Medical Equipment Section" ];
         fhir:Composition.section.code [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             a loinc:46264-8;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "46264-8" ];
             fhir:Coding.display [ fhir:value "History of medical device use" ]       ]     ];
         fhir:Composition.section.text [
           fhir:Narrative.status [ fhir:value "generated" ];
           fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table border=\"1\" width=\"100%\">\n                    <thead>\n                        <tr>\n                            <th>Device Type</th>\n                            <th>Procedure</th>\n                            <th>Implant Date</th>\n                        </tr>\n                    </thead>\n                    <tbody>\n                        <tr>\n                            <td>Insulin Pump</td>\n                            <td>Insertion of insulin pump (procedure)</td>\n                            <td>November 3, 2013</td>\n                        </tr>\n                    </tbody>\n                </table>\n            </div>"     ];
         fhir:Composition.section.entry [
           fhir:index 0;
           fhir:Reference.reference [ fhir:value "Procedure/Insulin-pump-insertion" ]     ]
      ], [
         fhir:index 7;
         fhir:Composition.section.title [ fhir:value "Plan of Treatment Section" ];
         fhir:Composition.section.code [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             a loinc:18776-5;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "18776-5" ];
             fhir:Coding.display [ fhir:value "Plan of care note" ]       ]     ];
         fhir:Composition.section.text [
           fhir:Narrative.status [ fhir:value "generated" ];
           fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table border=\"1\" width=\"100%\">\n                    <thead>\n                        <tr>\n                            <th>Date</th>\n                            <th>Code</th>\n                            <th>Description</th>\n                            <th>Mouth Location</th>\n                        </tr>\n                    </thead>\n                    <tbody>\n                        <tr>\n                            <td>Feb 23, 2020</td>\n                            <td>D7140</td>\n                            <td>Extraction, erupted tooth or exposed root (elevation and/or\n                forceps removal)</td>\n                            <td>Tooth #18</td>\n                        </tr>\n                        <tr>\n                            <td>Mar 3, 2020</td>\n                            <td>D1352</td>\n                            <td>Preventive resin restoration in a moderate to high caries\n                risk patient-permanent tooth</td>\n                            <td>Tooth #7</td>\n                        </tr>\n                        <tr>\n                            <td>Mar 10, 2020</td>\n                            <td>D0150</td>\n                            <td>comprehensive oral evaluation - new or established\n                patient</td>\n                            <td>N/A</td>\n                        </tr>\n                        <tr>\n                            <td>Mar 10, 2020</td>\n                            <td>D1110</td>\n                            <td>Prophylaxis - Adult</td>\n                            <td>N/A</td>\n                        </tr>\n                        <tr>\n                            <td>Mar 10, 2020</td>\n                            <td>D0210</td>\n                            <td>Full mouth radiographic survey</td>\n                            <td>N/A</td>\n                        </tr>\n                    </tbody>\n                </table>\n            </div>"     ];
         fhir:Composition.section.entry [
           fhir:index 0;
           fhir:Reference.reference [ fhir:value "ServiceRequest/Dental-extraction-example" ]     ], [
           fhir:index 1;
           fhir:Reference.reference [ fhir:value "ServiceRequest/Resin-restore-example" ]     ], [
           fhir:index 2;
           fhir:Reference.reference [ fhir:value "ServiceRequest/prophylaxis-example" ]     ], [
           fhir:index 3;
           fhir:Reference.reference [ fhir:value "ServiceRequest/Radiograph-survey" ]     ]
      ], [
         fhir:index 8;
         fhir:Composition.section.title [ fhir:value "Procedures Section" ];
         fhir:Composition.section.code [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             a loinc:47519-4;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "47519-4" ];
             fhir:Coding.display [ fhir:value "History of Procedures Document" ]       ]     ];
         fhir:Composition.section.text [
           fhir:Narrative.status [ fhir:value "generated" ];
           fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table border=\"1\" width=\"100%\">\n                    <thead>\n                        <tr>\n                            <th>Date</th>\n                            <th>Code</th>\n                            <th>Description</th>\n                            <th>Mouth Location</th>\n                        </tr>\n                    </thead>\n                    <tbody>\n                        <tr>\n                            <td>Feb 16, 2020</td>\n                            <td>D1206</td>\n                            <td>topical application of fluoride varnish</td>\n                            <td>N/A</td>\n                        </tr>\n                    </tbody>\n                </table>\n            </div>"     ];
         fhir:Composition.section.entry [
           fhir:index 0;
           fhir:Reference.reference [ fhir:value "Procedure/Dental-flouride-tx-example" ]     ]
      ], [
         fhir:index 9;
         fhir:Composition.section.title [ fhir:value "Reason for Visit Section" ];
         fhir:Composition.section.code [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             a loinc:29299-5;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "29299-5" ];
             fhir:Coding.display [ fhir:value "Reason for visit" ]       ]     ];
         fhir:Composition.section.text [
           fhir:Narrative.status [ fhir:value "generated" ];
           fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>Patient referred for evaluation and treatment for toothache lower left</p>\n            </div>"     ]
      ], [
         fhir:index 10;
         fhir:Composition.section.title [ fhir:value "Social History Section" ];
         fhir:Composition.section.code [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             a loinc:29762-2;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "29762-2" ];
             fhir:Coding.display [ fhir:value "Social history Narrative" ]       ]     ];
         fhir:Composition.section.text [
           fhir:Narrative.status [ fhir:value "generated" ];
           fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table>\n                    <tr>\n                        <td>\n                            <b>Social History Element</b>\n                        </td>\n                        <td>\n                            <b>Description</b>\n                        </td>\n                        <td>\n                            <b>Effective Dates</b>\n                        </td>\n                    </tr>\n                    <tr>\n                        <td>Smoking Status - Meaningful Use</td>\n                        <td>Never smoked tobacco</td>\n                        <td>Feb 14, 2020</td>\n                    </tr>\n                    <tr>\n                        <td>Highest Education Level</td>\n                        <td>College Education</td>\n                        <td>2005/05/01 - 2010/02/28</td>\n                    </tr>\n                    <tr>\n                        <td>Employment</td>\n                        <td>Accountaint, Full Time</td>\n                        <td>2005/05/01 - 2010/02/28</td>\n                    </tr>\n                </table>\n            </div>"     ];
         fhir:Composition.section.entry [
           fhir:index 0;
           fhir:Reference.reference [ fhir:value "Observation/Smoker-obs-example-dental" ]     ], [
           fhir:index 1;
           fhir:Reference.reference [ fhir:value "Observation/Education-level-example-dental" ]     ], [
           fhir:index 2;
           fhir:Reference.reference [ fhir:value "Observation/Present-job-example-dental" ]     ]
      ], [
         fhir:index 11;
         fhir:Composition.section.title [ fhir:value "Vital Signs Section" ];
         fhir:Composition.section.code [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             a loinc:8716-3;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "8716-3" ];
             fhir:Coding.display [ fhir:value "Vital signs" ]       ]     ];
         fhir:Composition.section.text [
           fhir:Narrative.status [ fhir:value "generated" ];
           fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table border=\"1\" width=\"100%\">\n                    <thead>\n                        <tr>\n                            <th>Observation Type</th>\n                            <th>Value</th>\n                            <th>Units</th>\n                        </tr>\n                    </thead>\n                    <tbody>\n                        <tr>\n                            <td>Body Temperature</td>\n                            <td>99</td>\n                            <td>[degF]</td>\n                        </tr>\n                        <tr>\n                            <td>Heart Rate</td>\n                            <td>82</td>\n                            <td>/min</td>\n                        </tr>\n                        <tr>\n                            <td>Blood Pressure - Diastolic</td>\n                            <td>80</td>\n                            <td>mmHg</td>\n                        </tr>\n                        <tr>\n                            <td>Blood Pressure - Systolic</td>\n                            <td>120</td>\n                            <td>mmHg</td>\n                        </tr>\n                    </tbody>\n                </table>\n            </div>"     ];
         fhir:Composition.section.entry [
           fhir:index 0;
           fhir:Reference.reference [ fhir:value "Observation/body-temperature" ]     ], [
           fhir:index 1;
           fhir:Reference.reference [ fhir:value "Observation/heart-rate" ]     ], [
           fhir:index 2;
           fhir:Reference.reference [ fhir:value "Observation/blood-pressure" ]     ]
      ], [
         fhir:index 12;
         fhir:Composition.section.title [ fhir:value "Instructions Section" ];
         fhir:Composition.section.code [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             a loinc:69730-0;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "69730-0" ];
             fhir:Coding.display [ fhir:value "Instructions" ]       ]     ];
         fhir:Composition.section.text [
           fhir:Narrative.status [ fhir:value "generated" ];
           fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>Patient educated on the benefits of using a fluoride toothpaste, daily\n          flossing, and bi-annual routine dental cleaning visits.</p>\n            </div>"     ];
         fhir:Composition.section.entry [
           fhir:index 0;
           fhir:Reference.reference [ fhir:value "Communication/dental-education2" ]     ]
      ], [
         fhir:index 13;
         fhir:Composition.section.title [ fhir:value "Payers Section" ];
         fhir:Composition.section.code [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             a loinc:48768-6;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "48768-6" ];
             fhir:Coding.display [ fhir:value "Payment sources Document" ]       ]     ];
         fhir:Composition.section.text [
           fhir:Narrative.status [ fhir:value "generated" ];
           fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>Aetna Comprehensive Medical /Dental Insurance</p>\n            </div>"     ];
         fhir:Composition.section.entry [
           fhir:index 0;
           fhir:Reference.reference [ fhir:value "Coverage/Dental-Aetna" ]     ]
      ], [
         fhir:index 14;
         fhir:Composition.section.title [ fhir:value "Dental Findings Section" ];
         fhir:Composition.section.code [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             a loinc:8704-9;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "8704-9" ];
             fhir:Coding.display [ fhir:value "Physical findings of Mouth and Throat and Teeth" ]       ]     ];
         fhir:Composition.section.text [
           fhir:Narrative.status [ fhir:value "generated" ];
           fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <table border=\"1\" width=\"100%\">\n                    <thead>\n                        <tr>\n                            <th>Finding Type</th>\n                            <th>Value</th>\n                            <th>Location</th>\n                        </tr>\n                    </thead>\n                    <tbody>\n                        <tr>\n                            <td>Problem</td>\n                            <td>Dental Caries</td>\n                            <td>Tooth #18</td>\n                        </tr>\n                        <tr>\n                            <td>Problem</td>\n                            <td>Infection of Tooth</td>\n                            <td>Tooth #18</td>\n                        </tr>\n                        <tr>\n                            <td>Problem</td>\n                            <td>Dental Caries</td>\n                            <td>Tooth #7</td>\n                        </tr>\n                        <tr>\n                            <td>Result</td>\n                            <td>Overjet</td>\n                            <td>3mm</td>\n                        </tr>\n                    </tbody>\n                </table>\n            </div>"     ];
         fhir:Composition.section.entry [
           fhir:index 0;
           fhir:Reference.reference [ fhir:value "Condition/Mandibular-perm18-example" ]     ], [
           fhir:index 1;
           fhir:Reference.reference [ fhir:value "Condition/Tooth-infection18" ]     ], [
           fhir:index 2;
           fhir:Reference.reference [ fhir:value "Condition/Maxillary-perm7-example" ]     ], [
           fhir:index 3;
           fhir:Reference.reference [ fhir:value "Observation/Overjet" ]     ]
      ].

    # - ontology header ------------------------------------------------------------

     a owl:Ontology;
      owl:imports fhir:fhir.ttl.