FHIR IG analytics| Package | fhir.paciosampledata |
| Resource Type | Composition |
| Id | Composition-BSJ1-composition-CCDA-dischargeSummary-01.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Composition BSJ1-composition-CCDA-dischargeSummary-01
Language: en-US
identifier: Uniform Resource Identifier (URI)/urn:uuid:03d0f89e-b0ac-482b-a400-c436df8055e3
status: Preliminary
type: Discharge Summary
date: 2025-05-04 15:15:00+0000
author: Priya Sarkar, MD
title: Betsy Smith-Johnson Discharge Summary
custodian: Metro Hospital Emergency Department
{
"resourceType": "Composition",
"id": "BSJ1-composition-CCDA-dischargeSummary-01",
"meta": {
"profile": [
"http://hl7.org/fhir/us/ccda/StructureDefinition/Discharge-Summary|2.0.0-ballot"
]
},
"language": "en-US",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"identifier": {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:03d0f89e-b0ac-482b-a400-c436df8055e3"
},
"status": "preliminary",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "18842-5",
"display": "Discharge Summary"
}
]
},
"subject": {
"reference": "Patient/patient-betsysmith-johnson01",
"display": "Betsy Smith-Johnson"
},
"date": "2025-05-04T15:15:00.000+00:00",
"author": [
{
"reference": "PractitionerRole/PractitionerRole-Physician-PriyaSarkar",
"display": "Priya Sarkar, MD"
}
],
"title": "Betsy Smith-Johnson Discharge Summary",
"custodian": {
"reference": "Organization/org-ED-Metro-Hospital",
"display": "Metro Hospital Emergency Department"
},
"section": [
{
"title": "Allergies and Intolerances Section",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "48765-2",
"display": "Allergies and adverse reactions Document"
}
]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Allergies for Betsy Smith Johnson</div>"
},
"entry": [
{
"reference": "AllergyIntolerance/betsysmith-johnson01-AllergyACE"
}
]
},
{
"title": "Chief Complaint and Reason for Visit Section",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "46239-0",
"display": "Chief complaint+Reason for visit Narrative"
}
]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Chief complaint and reason for visit for Betsy Smith Johnson</div>"
},
"entry": [
{
"reference": "DocumentReference/BSJ1-documentReference-ED-AdminAssessment-01"
}
]
},
{
"title": "Chief Complaint Section",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "10154-3",
"display": "Chief complaint Narrative - Reported"
}
]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Chief complaint for Betsy Smith Johnson</div>"
}
},
{
"title": "Reason for Visit Section",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29299-5",
"display": "Reason for visit"
}
]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Reason for visit for Betsy Smith Johnson</div>"
}
},
{
"title": "Admission Diagnosis Section",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "46241-6",
"display": "Hospital admission diagnosis Narrative - Reported"
}
]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Admission diagnosis for Betsy Smith Johnson</div>"
}
},
{
"title": "Admission Medications Section",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "42346-7",
"display": "Medications on admission (narrative)"
}
]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Medications on admission for Betsy Smith Johnson</div>"
}
},
{
"title": "Past Medical History Section",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "11348-0",
"display": "History of Past illness Narrative"
}
]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Past Medical History for Betsy Smith Johnson</div>"
},
"entry": [
{
"reference": "Condition/betsysmith-johnson01-Condition-BreastCancer-01",
"display": "Breast Cancer"
}
]
},
{
"title": "History of Present Illness Section",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "10164-2",
"display": "History of Present illness Narrative"
}
]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">History of present illness for Betsy Smith Johnson</div>"
}
},
{
"title": "Review of Systems Section",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "10187-3",
"display": "Review of systems"
}
]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Review of systems for Betsy Smith Johnson</div>"
}
},
{
"title": "Family History Section",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "10157-6",
"display": "History of family member diseases Narrative"
}
]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Family history for Betsy Smith Johnson</div>"
}
},
{
"title": "Social History Section",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29762-2",
"display": "Social history Narrative"
}
]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Social history for Betsy Smith Johnson</div>"
}
},
{
"title": "Functional Status Section",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "47420-5",
"display": "Functional status assessment note"
}
]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Functional status assessment for Betsy Smith Johnson</div>"
}
},
{
"title": "Hospital Course Section",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8648-8",
"display": "Hospital course"
}
]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital course for Betsy Smith Johnson</div>"
}
},
{
"title": "Hospital Consultations Section",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "18841-7",
"display": "Hospital consultations Document"
}
]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital consultations for Betsy Smith Johnson</div>"
}
},
{
"title": "Plan of Treatment Section",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "18776-5",
"display": "Plan of care note"
}
]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Plan of treatment for Betsy Smith Johnson</div>"
}
},
{
"title": "Problem Section",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "11450-4",
"display": "Problem list - Reported"
}
]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Problem list for Betsy Smith Johnson</div>"
},
"entry": [
{
"reference": "Condition/betsysmith-johnson01-Condition-Hemiparesis-01",
"display": "Hemiparesis"
},
{
"reference": "Condition/betsysmith-johnson01-Condition-Diabetes-01",
"display": "Diabetes"
},
{
"reference": "Condition/betsysmith-johnson01-Condition-Hypertension-01",
"display": "Hypertension"
},
{
"reference": "Condition/betsysmith-johnson01-Condition-Hyperlipidemia-01",
"display": "Hyperlipidemia"
},
{
"reference": "Condition/betsysmith-johnson01-Condition-Depression-01",
"display": "Depression"
},
{
"reference": "Condition/betsysmith-johnson01-Condition-KidneyDisease-01",
"display": "Kidney Disease"
},
{
"reference": "Condition/betsysmith-johnson01-Condition-Osteoarthritis-01",
"display": "Osteoarthritis"
},
{
"reference": "Condition/betsysmith-johnson01-Condition-Osteopenia-01",
"display": "Osteopenia"
},
{
"reference": "Condition/betsysmith-johnson01-condition-IschemicStrokeDiagnosis-01",
"display": "Ischemic Stroke"
}
]
},
{
"title": "Procedures Section",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "47519-4",
"display": "History of Procedures Document"
}
]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Procedures for Betsy Smith Johnson</div>"
}
},
{
"title": "Discharge Diagnosis Section",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "11535-2",
"display": "Hospital discharge Dx Narrative"
}
]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Discharge diagnosis for Betsy Smith Johnson</div>"
}
},
{
"title": "Discharge Medications Section (entries required)",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "10183-2",
"display": "Hospital discharge medications"
}
]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Discharge medications for Betsy Smith Johnson</div>"
}
},
{
"title": "Hospital Discharge Instructions Section",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8653-8",
"display": "Hospital discharge instructions"
}
]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital discharge instructions for Betsy Smith Johnson</div>"
}
},
{
"title": "Hospital Discharge Physical Section",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "10184-0",
"display": "Hospital discharge physical findings Narrative"
}
]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital discharge physical findings for Betsy Smith Johnson</div>"
}
},
{
"title": "Hospital Discharge Studies Section",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "11493-4",
"display": "Hospital discharge studies summary"
}
]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital discharge studies for Betsy Smith Johnson</div>"
}
},
{
"title": "Immunizations Section",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "11369-6",
"display": "History of Immunization Narrative"
}
]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Immunizations for Betsy Smith Johnson</div>"
}
},
{
"title": "Nutrition Section",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "61144-2",
"display": "Diet and nutrition Narrative"
}
]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Nutrition for Betsy Smith Johnson</div>"
}
},
{
"title": "Vital Signs Section",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8716-3",
"display": "Vital signs"
}
]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Vital signs for Betsy Smith Johnson</div>"
},
"entry": [
{
"reference": "Observation/betsysmith-johnson01-observation-bodyweight-01"
},
{
"reference": "Observation/betsysmith-johnson01-observation-bodyheight-01"
},
{
"reference": "Observation/betsysmith-johnson01-observation-bmi-01"
},
{
"reference": "Observation/betsysmith-johnson01-observation-bp-01"
},
{
"reference": "Observation/betsysmith-johnson01-observation-heartrate-01"
},
{
"reference": "Observation/betsysmith-johnson01-observation-respirationrate-01"
},
{
"reference": "Observation/betsysmith-johnson01-observation-bodytemp-01"
},
{
"reference": "Observation/betsysmith-johnson01-observation-oxygensat-01"
}
]
}
]
}