{
  "resourceType" : "Composition",
  "id" : "chf-scenario1-caseplanprogressingnote",
  "meta" : {
    "profile" : ["http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseplanprogressingnote"]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Composition chf-scenario1-caseplanprogressingnote</b></p><a name=\"chf-scenario1-caseplanprogressingnote\"> </a><a name=\"hcchf-scenario1-caseplanprogressingnote\"> </a><a name=\"chf-scenario1-caseplanprogressingnote-en-US\"> </a><p><b>CPG Generated From Extension</b>: <a href=\"GraphDefinition-chf-caseplansummarydefinition.html\">CHFCasePlanSummaryDefinition</a></p><p><b>CPG Summary For Extension</b>: <a href=\"EpisodeOfCare-chf-scenario1-eoc.html\">EpisodeOfCare: extension = http://hl7.org/fhir/uv/cpg/PlanDefinition/chf-pathway; status = active; period = 2019-01-31 05:03:00+0000 --&gt; (ongoing)</a></p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 11506-3}\">Progress note</span></p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 11503-0}\">Medical records</span></p><p><b>encounter</b>: <a href=\"Encounter-chf-scenario1-encounter.html\">Encounter: status = in-progress; class = inpatient encounter (ActCode#IMP); type = Inpatient stay 9 days; priority = High priority; period = 2019-01-31 05:03:00+0000 --&gt; (ongoing)</a></p><p><b>date</b>: 2019-02-03</p><p><b>author</b>: <a href=\"PractitionerRole-chf-scenario1-practitionerrole.html\">PractitionerRole Specialist medical practitioner</a></p><p><b>title</b>: Congestive Heart Failure Case/Plan Progressing Note</p><h3>Attesters</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td style=\"display: none\">*</td><td>Professional</td><td>2019-02-03</td><td><a href=\"PractitionerRole-chf-scenario1-practitionerrole.html\">PractitionerRole Specialist medical practitioner</a></td></tr></table><p><b>custodian</b>: <a href=\"Organization-chf-scenario1-organization.html\">Organization ACME Hospital</a></p><h3>Events</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Period</b></td><td><b>Detail</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 42343007}\">Congestive heart failure (disorder)</span></td><td>2019-01-31 05:03:00+0000 --&gt; (ongoing)</td><td><a href=\"EpisodeOfCare-chf-scenario1-eoc.html\">EpisodeOfCare: extension = http://hl7.org/fhir/uv/cpg/PlanDefinition/chf-pathway; status = active; period = 2019-01-31 05:03:00+0000 --&gt; (ongoing)</a></td></tr></table></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-generatedFrom",
    "valueCanonical" : "http://hl7.org/fhir/uv/cpg/GraphDefinition/chf-caseplansummarydefinition"
  },
  {
    "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-summaryFor",
    "valueReference" : {
      "reference" : "EpisodeOfCare/chf-scenario1-eoc"
    }
  }],
  "status" : "final",
  "type" : {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "11506-3",
      "display" : "Progress note"
    }]
  },
  "category" : [{
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "11503-0",
      "display" : "Medical records"
    }]
  }],
  "subject" : {
    "reference" : "Patient/chf-scenario1-patient"
  },
  "encounter" : {
    "reference" : "Encounter/chf-scenario1-encounter"
  },
  "date" : "2019-02-03",
  "author" : [{
    "reference" : "PractitionerRole/chf-scenario1-practitionerrole"
  }],
  "title" : "Congestive Heart Failure Case/Plan Progressing Note",
  "attester" : [{
    "mode" : "professional",
    "time" : "2019-02-03",
    "party" : {
      "reference" : "PractitionerRole/chf-scenario1-practitionerrole"
    }
  }],
  "custodian" : {
    "reference" : "Organization/chf-scenario1-organization"
  },
  "event" : [{
    "code" : [{
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "42343007",
        "display" : "Congestive heart failure (disorder)"
      }]
    }],
    "period" : {
      "start" : "2019-01-31T05:03:00Z"
    },
    "detail" : [{
      "reference" : "EpisodeOfCare/chf-scenario1-eoc"
    }]
  }],
  "section" : [{
    "title" : "Clinical Impression",
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "51848-0"
      }]
    },
    "entry" : [{
      "reference" : "ClinicalImpression/chf-scenario1-clinicalimpression"
    }]
  },
  {
    "title" : "Pathway Events",
    "code" : {
      "text" : "Pathway Events"
    },
    "entry" : [{
      "reference" : "Encounter/chf-scenario1-encounter"
    }],
    "section" : [{
      "title" : "Weight",
      "code" : {
        "text" : "Weight"
      },
      "entry" : [{
        "reference" : "Observation/chf-scenario1-bodyweight1-observation"
      },
      {
        "reference" : "Observation/chf-scenario1-bodyweight2-observation"
      },
      {
        "reference" : "Observation/chf-scenario1-bodyweight3-observation"
      },
      {
        "reference" : "Observation/chf-scenario1-bodyweight4-observation"
      },
      {
        "reference" : "MeasureReport/chf-scenario1-bodyweight1"
      },
      {
        "reference" : "MeasureReport/chf-scenario1-bodyweight2"
      },
      {
        "reference" : "MeasureReport/chf-scenario1-bodyweight3"
      },
      {
        "reference" : "MeasureReport/chf-scenario1-bodyweight4"
      }]
    },
    {
      "title" : "Weight Change",
      "code" : {
        "text" : "Weight Change"
      },
      "entry" : [{
        "reference" : "Observation/chf-scenario1-bodyweight-change1-observation"
      },
      {
        "reference" : "Observation/chf-scenario1-bodyweight-change2-observation"
      },
      {
        "reference" : "Observation/chf-scenario1-bodyweight-change3-observation"
      },
      {
        "reference" : "MeasureReport/chf-scenario1-bodyweight-change1"
      },
      {
        "reference" : "MeasureReport/chf-scenario1-bodyweight-change2"
      },
      {
        "reference" : "MeasureReport/chf-scenario1-bodyweight-change3"
      }]
    },
    {
      "title" : "Urine Out",
      "code" : {
        "text" : "Urine Out"
      },
      "entry" : [{
        "reference" : "Observation/chf-scenario1-urineout3-observation"
      },
      {
        "reference" : "MeasureReport/chf-scenario1-urineout3"
      }]
    },
    {
      "title" : "Net IO's",
      "code" : {
        "text" : "Net IO's"
      },
      "entry" : [{
        "reference" : "Observation/chf-scenario1-net-io"
      }]
    },
    {
      "title" : "JVP",
      "code" : {
        "text" : "JVP"
      },
      "entry" : [{
        "reference" : "Observation/chf-scenario1-jvp1"
      },
      {
        "reference" : "Observation/chf-scenario1-jvp2"
      },
      {
        "reference" : "Observation/chf-scenario1-jvp3"
      },
      {
        "reference" : "Observation/chf-scenario1-jvp4"
      },
      {
        "reference" : "Observation/chf-scenario1-jvp5"
      },
      {
        "reference" : "ServiceRequest/chf-scenario1-jvp"
      }]
    },
    {
      "title" : "O2 Sat",
      "code" : {
        "text" : "O2 Sat"
      },
      "entry" : [{
        "reference" : "Observation/chf-scenario1-o2sat1"
      },
      {
        "reference" : "Observation/chf-scenario1-o2sat2"
      },
      {
        "reference" : "ServiceRequest/chf-scenario1-o2-sat"
      }]
    },
    {
      "title" : "Potassium",
      "code" : {
        "text" : "Potassium"
      },
      "entry" : [{
        "reference" : "Observation/chf-scenario1-potassium1"
      }]
    },
    {
      "title" : "Creatinine",
      "code" : {
        "text" : "Creatinine"
      },
      "entry" : [{
        "reference" : "Observation/chf-scenario1-creatinine1"
      }]
    },
    {
      "title" : "eGFR",
      "code" : {
        "text" : "eGFR"
      },
      "entry" : [{
        "reference" : "Observation/chf-scenario1-egfr1"
      }]
    },
    {
      "title" : "LASIX IV",
      "code" : {
        "text" : "LASIX IV"
      },
      "entry" : [{
        "reference" : "MedicationAdministration/chf-scenario1-lasix-iv"
      },
      {
        "reference" : "MedicationRequest/chf-scenario1-stop-lasix-iv"
      },
      {
        "reference" : "MedicationRequest/chf-scenario1-lasix-po-mr"
      }]
    }]
  }]
}