{
  "resourceType" : "Composition",
  "id" : "SampleTransfusionReport",
  "meta" : {
    "profile" : ["http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-composition"]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Composition</b><a name=\"SampleTransfusionReport\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Composition &quot;SampleTransfusionReport&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-icsr-composition.html\">ICSR Composition</a></p></div><blockquote><p><b>AdditionalDocumentInformation</b></p><blockquote><p><b>url</b></p><code>availableFlag</code></blockquote><p><b>value</b>: false</p></blockquote><blockquote><p><b>ExpeditedReport</b></p><blockquote><p><b>url</b></p><code>localCriteriaFlag</code></blockquote><p><b>value</b>: false</p><blockquote><p><b>url</b></p><code>localCriteriaReportType</code></blockquote><p><b>value</b>: Non-Expedited AE <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#C53578)</span></p></blockquote><p><b>FirstSenderType</b>: Other <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#2)</span></p><p><b>CombinationProductReport</b>: false</p><p><b>FirstReceiveDate</b>: 2020-02-10 17:18:00-0500</p><p><b>MostRecentDate</b>: 2020-02-10 17:18:00-0500</p><p><b>CaseIdentifier</b>: id:\u00a0US-IBM-aed059ac-ef25-6ded-cce2-a8912d6b76ee</p><p><b>PreviousCaseIdentifier</b>: id:\u00a0Other-case-identifier</p><blockquote><p><b>ReportAmendment</b></p><blockquote><p><b>url</b></p><code>amendmentType</code></blockquote><p><b>value</b>: 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#2)</span></p><blockquote><p><b>url</b></p><code>amendmentReason</code></blockquote><p><b>value</b>: Fixed some identifiers</p></blockquote><p><b>identifier</b>: id:\u00a0US-IBM-94209fd1-9b0e-1adc-007a-4f5cecb8ce6a</p><p><b>status</b>: final</p><p><b>type</b>: Adverse event note <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#85893-6)</span></p><p><b>category</b>: Spontaneous report <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#1)</span></p><p><b>date</b>: 2020-02-10 17:18:00-0500</p><p><b>author</b>: <a href=\"PractitionerRole-SampleAuthorRole.html\">PractitionerRole/SampleAuthorRole</a></p><p><b>title</b>: ICSR Submission</p></div>"
  },
  "extension" : [{
    "extension" : [{
      "url" : "availableFlag",
      "valueBoolean" : false
    }],
    "url" : "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-ext-additionaldocumentinformation"
  },
  {
    "extension" : [{
      "url" : "localCriteriaFlag",
      "valueBoolean" : false
    },
    {
      "url" : "localCriteriaReportType",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "urn:oid:2.16.840.1.113883.3.989.2.1.1.1003",
          "code" : "C53578",
          "display" : "Non-Expedited AE"
        }]
      }
    }],
    "url" : "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-ext-expeditedreport"
  },
  {
    "url" : "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-ext-firstsendertype",
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "urn:oid:2.16.840.1.113883.3.989.2.1.1.3",
        "code" : "2",
        "display" : "Other"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-ext-combinationproductreport",
    "valueBoolean" : false
  },
  {
    "url" : "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-ext-firstreceivedate",
    "valueDateTime" : "2020-02-10T17:18:00-05:00"
  },
  {
    "url" : "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-ext-mostrecentdate",
    "valueDateTime" : "2020-02-10T17:18:00-05:00"
  },
  {
    "url" : "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-ext-caseidentifier",
    "valueIdentifier" : {
      "system" : "urn:oid:2.16.840.1.113883.3.989.2.1.3.2",
      "value" : "US-IBM-aed059ac-ef25-6ded-cce2-a8912d6b76ee"
    }
  },
  {
    "url" : "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-ext-previouscaseidentifier",
    "valueIdentifier" : {
      "system" : "urn:oid:2.16.840.1.113883.3.989.2.1.3.3",
      "value" : "Other-case-identifier",
      "assigner" : {
        "display" : "Case identifier source name"
      }
    }
  },
  {
    "extension" : [{
      "url" : "amendmentType",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "urn:oid:2.16.840.1.113883.3.989.2.1.1.5",
          "code" : "2"
        }]
      }
    },
    {
      "url" : "amendmentReason",
      "valueString" : "Fixed some identifiers"
    }],
    "url" : "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-ext-reportamendment"
  }],
  "identifier" : {
    "system" : "urn:oid:2.16.840.1.113883.3.989.2.1.3.1",
    "value" : "US-IBM-94209fd1-9b0e-1adc-007a-4f5cecb8ce6a"
  },
  "status" : "final",
  "type" : {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "85893-6",
      "display" : "Adverse event note"
    }]
  },
  "category" : [{
    "coding" : [{
      "system" : "urn:oid:2.16.840.1.113883.3.989.2.1.1.2",
      "code" : "1",
      "display" : "Spontaneous report"
    }]
  }],
  "subject" : {
    "reference" : "Patient/SampleICSRPatient"
  },
  "date" : "2020-02-10T17:18:00-05:00",
  "author" : [{
    "extension" : [{
      "url" : "http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-ext-authorprimarysource",
      "valueBoolean" : true
    }],
    "reference" : "PractitionerRole/SampleAuthorRole"
  }],
  "title" : "ICSR Submission",
  "section" : [{
    "title" : "Reaction/Event",
    "code" : {
      "coding" : [{
        "system" : "http://hl7.org/fhir/us/icsr-ae-reporting/CodeSystem/ICSRSectionCodeCS",
        "code" : "ReactionEvent"
      }]
    },
    "text" : {
      "status" : "generated",
      "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">No events</div>"
    }
  },
  {
    "title" : "Drug Information",
    "code" : {
      "coding" : [{
        "system" : "http://hl7.org/fhir/us/icsr-ae-reporting/CodeSystem/ICSRSectionCodeCS",
        "code" : "DrugInformation"
      }]
    },
    "text" : {
      "status" : "generated",
      "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">No drugs taken</div>"
    }
  },
  {
    "title" : "Case Summary Narrative",
    "code" : {
      "coding" : [{
        "system" : "http://hl7.org/fhir/us/icsr-ae-reporting/CodeSystem/ICSRSectionCodeCS",
        "code" : "CaseSummaryNarrative"
      }]
    },
    "text" : {
      "status" : "generated",
      "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div>No adverse event happened. Not sure why I'm sending this report.</div><div lang=\"fr\">il n'y a eu aucun événement indésirable</div></div>"
    }
  },
  {
    "title" : "Information about the Data Source of the AE information",
    "code" : {
      "coding" : [{
        "system" : "http://hl7.org/fhir/us/icsr-ae-reporting/CodeSystem/ICSRSectionCodeCS",
        "code" : "DataSourceInformation"
      }]
    },
    "entry" : [{
      "reference" : "Observation/SampleAECountObservation"
    },
    {
      "reference" : "Observation/SampleExposureCountObservation"
    }]
  }]
}