{
  "resourceType" : "Composition",
  "id" : "clinical-document-composition-revision",
  "meta" : {
    "lastUpdated" : "2024-05-07T13:28:17.000+00:00",
    "profile" : ["http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/clinical-document-composition"]
  },
  "language" : "en",
  "text" : {
    "status" : "additional",
    "div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\"><p><b>Discharge Summary</b></p><p><b>CC</b>: Dr. BettaB Careful</p><p><b>status</b>: final</p><p><b>patient</b>: Eve Everywoman</p><p><b>author</b>: Doctor Dave / Good Health Clinic</p><p><b>encounter</b>: Inpatient encounter, 2024-05-03 - 2024-05-07</p><p><b>confidentiality</b>: N</p><p><b>Contained sections</b>:</p><ul><li>Reason for admission</li><li>Medications on Discharge</li><li>Known allergies</li></ul></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version",
    "valueString" : "1715171314"
  },
  {
    "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"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/event-basedOn",
    "valueReference" : {
      "reference" : "ServiceRequest/revised-service1"
    }
  },
  {
    "url" : "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/consent-extension",
    "valueReference" : {
      "reference" : "Consent/revised-consent1"
    }
  },
  {
    "extension" : [{
      "url" : "change",
      "valueAnnotation" : {
        "authorReference" : {
          "reference" : "Practitioner/Doctor1",
          "display" : "Doctor Dave"
        },
        "time" : "2024-05-07T13:28:17.000+00:00",
        "text" : "Subject's name was corrected becuase of a misspelling."
      }
    },
    {
      "url" : "version-changed",
      "valueReference" : {
        "identifier" : {
          "system" : "https://example.com/bundleId",
          "value" : "26d52355-b71b-4992-a34b-a2476983c166"
        }
      }
    }],
    "url" : "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ChangeMade"
  }],
  "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" : [{
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "107903-7",
      "display" : "Clinical note"
    }]
  }],
  "subject" : {
    "reference" : "Patient/revised-Patient",
    "display" : "Eve Everywoman"
  },
  "encounter" : {
    "reference" : "Encounter/revised-encounter-example"
  },
  "date" : "2024-05-08T11:28:17.000+00:00",
  "author" : [{
    "reference" : "Practitioner/Doctor1",
    "display" : "Doctor Dave"
  }],
  "title" : "Discharge Summary Revision",
  "confidentiality" : "N",
  "attester" : [{
    "mode" : "legal",
    "time" : "2024-05-07",
    "party" : {
      "reference" : "Practitioner/Doctor1",
      "display" : "Doctor Dave"
    }
  }],
  "custodian" : {
    "reference" : "Organization/revised-custodianOrganization",
    "display" : "Good Health Clinic"
  },
  "relatesTo" : [{
    "code" : "replaces",
    "targetIdentifier" : {
      "system" : "https://example.com/bundleId",
      "value" : "26d52355-b71b-4992-a34b-a2476983c166"
    }
  }],
  "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/revised-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/revised-MedRequest-124a6916-5d84-4b8c-b250-10cefb8e6e86"
    },
    {
      "reference" : "MedicationStatement/revised-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/revised-AllergyIntolerance-47600e0f-b6b5-4308-84b5-5dec157f7637"
    }]
  }]
}