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Packageke.fhir.emergency
Resource TypeComposition
IdComposition-em-ed-patient-record-composition-example.json
FHIR VersionR4

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Source1

{
  "resourceType": "Composition",
  "id": "em-ed-patient-record-composition-example",
  "meta": {
    "profile": [
      "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-ed-patient-record-composition"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "final",
  "type": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "34111-5",
        "display": "Emergency department Note"
      }
    ]
  },
  "subject": {
    "reference": "Patient/pat-0712345678"
  },
  "encounter": {
    "reference": "Encounter/em-ed-encounter-example"
  },
  "date": "2026-06-29T14:10:00+03:00",
  "author": [
    {
      "reference": "Practitioner/em-practitioner-example"
    },
    {
      "reference": "Practitioner/em-ed-nurse-example"
    }
  ],
  "title": "Emergency Department Patient Record - Amina Atieno - 2026-06-29",
  "section": [
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
            "code": "registration-arrival"
          }
        ]
      },
      "entry": [
        {
          "reference": "Encounter/em-ed-encounter-example"
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
            "code": "triage-vitals"
          }
        ]
      },
      "entry": [
        {
          "reference": "Observation/em-ed-vitals-arrival-hr-example"
        },
        {
          "reference": "Observation/em-ed-high-risk-signs-example"
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
            "code": "chief-complaint-referral"
          }
        ]
      },
      "entry": [
        {
          "reference": "Condition/em-ed-condition-chief-complaint-example"
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
            "code": "allergies"
          }
        ]
      },
      "entry": [
        {
          "reference": "AllergyIntolerance/em-allergy-example-valid"
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
            "code": "past-medical-history"
          }
        ]
      },
      "entry": [
        {
          "reference": "Condition/em-ed-condition-past-medical-history-example"
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
            "code": "provider-assessment-abcde"
          }
        ]
      },
      "entry": [
        {
          "reference": "Observation/em-ed-abcde-breathing-example"
        },
        {
          "reference": "Observation/em-ed-abcde-circulation-example"
        },
        {
          "reference": "Procedure/em-ed-procedure-chest-tube-example"
        },
        {
          "reference": "MedicationAdministration/em-ed-medication-analgesia-example"
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
            "code": "history-of-present-illness"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Patient reports sudden onset right-sided chest pain and shortness of breath following a road traffic collision approximately 45 minutes prior to arrival.</div>"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
            "code": "trauma"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Road traffic crash, unintentional. See the traumaDetails extension on the referenced EMEDEncounter for coded mechanism/intent.</div>"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
            "code": "review-of-systems"
          }
        ]
      },
      "entry": [
        {
          "reference": "Observation/em-ed-ros-respiratory-example"
        },
        {
          "reference": "Observation/em-ed-ros-gi-example"
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
            "code": "physical-exam"
          }
        ]
      },
      "entry": [
        {
          "reference": "Observation/em-ed-physical-exam-respiratory-example"
        },
        {
          "reference": "Observation/em-ed-physical-exam-general-example"
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
            "code": "diagnostic-tests"
          }
        ]
      },
      "entry": [
        {
          "reference": "DiagnosticReport/em-ed-diagnostic-report-cbc-example"
        },
        {
          "reference": "Observation/em-ed-pocus-chest-example"
        },
        {
          "reference": "Observation/em-ed-urinalysis-example"
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
            "code": "procedures"
          }
        ]
      },
      "entry": [
        {
          "reference": "Procedure/em-ed-procedure-chest-tube-example"
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
            "code": "medications"
          }
        ]
      },
      "entry": [
        {
          "reference": "MedicationAdministration/em-ed-medication-analgesia-example"
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
            "code": "diagnosis-impression"
          }
        ]
      },
      "entry": [
        {
          "reference": "Condition/em-ed-condition-discharge-diagnosis-example"
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
            "code": "management-plan"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Chest tube inserted for right pneumothorax; admit to ICU for observation; repeat chest X-ray in 4 hours.</div>"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
            "code": "final-reassessment"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Improved perfusion and reduced work of breathing following chest tube insertion.</div>"
      },
      "entry": [
        {
          "reference": "Observation/em-ed-vitals-final-hr-example"
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
            "code": "disposition"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Admitted to ICU for further management of traumatic pneumothorax.</div>"
      },
      "entry": [
        {
          "reference": "Encounter/em-ed-encounter-example"
        }
      ]
    }
  ]
}