FHIR IG analytics| Package | hl7.fhir.uv.fhir-clinical-document.r4b |
| Resource Type | Composition |
| Id | Composition-clinical-document-composition-example1.json |
| FHIR Version | R4B |
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 Everiewoman
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-example1",
"meta": {
"lastUpdated": "2024-05-07T13:28:17.000+00:00",
"profile": [
"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/clinical-document-composition"
]
},
"text": {
"status": "additional",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version",
"valueString": "1715088497"
},
{
"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"
},
{
"extension": [
{
"url": "type",
"valueCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "ENT",
"display": "data entry person"
}
]
}
},
{
"url": "party",
"valueReference": {
"reference": "Practitioner/Doctor2"
}
}
],
"url": "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/data-enterer-extension"
},
{
"extension": [
{
"url": "type",
"valueCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "INF",
"display": "informant"
}
]
}
},
{
"url": "party",
"valueReference": {
"reference": "Practitioner/Doctor2"
}
}
],
"url": "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/informant-extension"
},
{
"extension": [
{
"url": "type",
"valueCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "ESC",
"display": "escort"
}
]
}
},
{
"url": "party",
"valueReference": {
"reference": "Practitioner/Doctor2"
}
}
],
"url": "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/event-basedOn",
"valueReference": {
"reference": "ServiceRequest/service1"
}
},
{
"url": "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/consent-extension",
"valueReference": {
"reference": "Consent/consent1"
}
}
],
"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": [
{
"text": "Temp Code: Clinical Note. Requested from LOINC"
}
],
"subject": {
"reference": "Patient/patient-example",
"display": "Eve Everiewoman"
},
"encounter": {
"reference": "Encounter/encounter-example"
},
"date": "2024-05-07T13:28:17.000+00:00",
"author": [
{
"reference": "Practitioner/Doctor1",
"display": "Doctor Dave"
}
],
"title": "Discharge Summary",
"confidentiality": "N",
"attester": [
{
"mode": "legal",
"time": "2024-05-07",
"party": {
"reference": "Practitioner/Doctor1",
"display": "Doctor Dave"
}
}
],
"custodian": {
"reference": "Organization/custodianOrganization",
"display": "Good Health Clinic"
},
"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/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>"
},
"entry": [
{
"reference": "MedicationRequest/MedRequest-124a6916-5d84-4b8c-b250-10cefb8e6e86"
},
{
"reference": "MedicationStatement/MedStatement-673f8db5-0ffd-4395-9657-6da00420bbc1"
}
]
},
{
"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/AllergyIntolerance-47600e0f-b6b5-4308-84b5-5dec157f7637"
}
]
}
]
}