FHIR IG analytics| Package | hl7.fhir.uv.fhir-clinical-document |
| Resource Type | Composition |
| Id | Composition-clinical-document-composition-revision.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Discharge Summary
CC: Dr. BettaB Careful
status: final
patient: Eve Everywoman
author: Doctor Dave / Good Health Clinic
encounter: Inpatient encounter, 2024-05-03 - 2024-05-07
confidentiality: N
Contained sections:
FHIR
FHIRsmith{
"resourceType": "Composition",
"id": "clinical-document-composition-revision",
"meta": {
"lastUpdated": "2024-05-07T13:28:17.000+00:00",
"profile": [
"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/clinical-document-composition"
]
},
"language": "en",
"text": {
"status": "additional",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version",
"valueString": "1715171314"
},
{
"extension": [
{
"url": "type",
"valueCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PRCP",
"display": "primary information recipient"
}
]
}
},
{
"url": "party",
"valueReference": {
"reference": "Practitioner/Doctor2"
}
}
],
"url": "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/information-recipient-extension"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/event-basedOn",
"valueReference": {
"reference": "ServiceRequest/revised-service1"
}
},
{
"url": "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/consent-extension",
"valueReference": {
"reference": "Consent/revised-consent1"
}
},
{
"extension": [
{
"url": "change",
"valueAnnotation": {
"authorReference": {
"reference": "Practitioner/Doctor1",
"display": "Doctor Dave"
},
"time": "2024-05-07T13:28:17.000+00:00",
"text": "Subject's name was corrected becuase of a misspelling."
}
},
{
"url": "version-changed",
"valueReference": {
"identifier": {
"system": "https://example.com/bundleId",
"value": "26d52355-b71b-4992-a34b-a2476983c166"
}
}
}
],
"url": "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ChangeMade"
}
],
"identifier": {
"system": "https://example.com/compId",
"value": "1d6d6eb8-7d08-4ce1-94d4-19cdaa76ad6f"
},
"status": "final",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "28655-9"
}
],
"text": "Attending Discharge summary"
},
"category": [
{
"coding": [
{
"system": "http://loinc.org",
"code": "107903-7",
"display": "Clinical note"
}
]
}
],
"subject": {
"reference": "Patient/revised-Patient",
"display": "Eve Everywoman"
},
"encounter": {
"reference": "Encounter/revised-encounter-example"
},
"date": "2024-05-08T11:28:17.000+00:00",
"author": [
{
"reference": "Practitioner/Doctor1",
"display": "Doctor Dave"
}
],
"title": "Discharge Summary Revision",
"confidentiality": "N",
"attester": [
{
"mode": "legal",
"time": "2024-05-07",
"party": {
"reference": "Practitioner/Doctor1",
"display": "Doctor Dave"
}
}
],
"custodian": {
"reference": "Organization/revised-custodianOrganization",
"display": "Good Health Clinic"
},
"relatesTo": [
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"code": "replaces",
"targetIdentifier": {
"system": "https://example.com/bundleId",
"value": "26d52355-b71b-4992-a34b-a2476983c166"
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}
],
"section": [
{
"title": "Reason for admission",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29299-5",
"display": "Reason for visit Narrative"
}
]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><thead><tr><td>Details</td><td/></tr></thead><tbody><tr><td>Acute Asthmatic attack. Was wheezing for days prior to admission.</td><td/></tr></tbody></table></div>"
},
"entry": [
{
"reference": "Observation/revised-Observation-541a72a8-df75-4484-ac89-ac4923f03b81"
}
]
},
{
"title": "Medications on Discharge",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "10183-2",
"display": "Hospital discharge medications Narrative"
}
]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><thead><tr><td>Medication</td><td>Last Change</td><td>Last ChangeReason</td></tr></thead><tbody><tr><td>Theophylline 200mg BD after meals</td><td>continued</td></tr><tr><td>Ventolin Inhaler</td><td>stopped</td><td>Getting side effect of tremor</td></tr></tbody></table></div>"
},
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},
{
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}
]
},
{
"title": "Known allergies",
"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\"><table><thead><tr><td>Allergen</td><td>Reaction</td></tr></thead><tbody><tr><td>Doxycycline</td><td>Hives</td></tr></tbody></table></div>"
},
"entry": [
{
"reference": "AllergyIntolerance/revised-AllergyIntolerance-47600e0f-b6b5-4308-84b5-5dec157f7637"
}
]
}
]
}