FHIR IG analytics| Package | ke.fhir.emergency |
| Resource Type | Composition |
| Id | Composition-em-ed-patient-record-composition-example.json |
| FHIR Version | R4 |
No resources found
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Note: links and images are rebased to the (stated) source
Generated Narrative: Composition em-ed-patient-record-composition-example
status: Final
type: Emergency department Note
date: 2026-06-29 14:10:00+0300
author:
title: Emergency Department Patient Record - Amina Atieno - 2026-06-29
{
"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"
}
]
}
]
}