This example shows a HL7v3 GPSummary document with FHIR mappings in comments. It also shows where the HL7v3 GPSummary uses fixed values that can be "boiler-plated".
There is a slight complication around authorship, as options are allowed in the HL7v3 message.
GPSummary classCode="COMPOSITION" moodCode="EVN"> <!--You need to generate an UPPER case UUID (this is the document reference)--> <!--same as /Bundle/entry/resource/Composition/identifier/value/@value--> <id root="988B2951-FCEA-4CE4-B2A9-B54797BF4049"/> <!--this can be fixed as shown--> <!--same as element in /Bundle/entry/resource/Composition/type/coding--> <code code="196981000000101" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="General Practice Summary"/> <!--same as /Bundle/entry/resource/Composition/date/@value--> <effectiveTime value="20200501093311"/> <!--fix as shown--> <!--equivalent to /Bundle/entry/resource/Composition/status/@value--> <statusCode code="active"/> <!--fix as shown--> <author typeCode="AUT" contextControlCode="OP"> <!--use the document date--> <!--same as /Bundle/entry/resource/Composition/date/@value--> <time value="20200501093311"/> <!--at this point there's a choice of AgentPerson (shown here) & AgentPersonSDS--> <!--fixed as shown--> <UKCT_MT160018UK01.AgentPerson classCode="AGNT"> <!--fix codeSystem as shown--> <!--the JobRole--> <!--same as /Bundle/composition/author/reference@value [reference to] --> <!--/Bundle/entry/resource/PractitionerRole/code/coding--> <code code="NR0260" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.124" displayName="General Medical Practitioner"/> <!--same as /Bundle/composition/author/reference@value [reference to]--> <!--/Bundle/entry/resource/PractitionerRole/organization/reference/@value [reference to]--> <!--/Bundle/entry/resource/organization/address--> <addr use="WP">Fulford Grange, Rawdon, Leeds, West Yorkshire, LS19 7BY.</addr> <!--same as /Bundle/composition/author/reference@value [reference to]--> <!--/Bundle/entry/resource/PractitionerRole/organization/reference/@value [reference to]--> <!--/Bundle/entry/resource/organization/telecom--> <telecom use="WP" value="0177865579"></telecom> <!--fixed as shown--> <agentPerson classCode="PSN" determinerCode="INSTANCE"> <!--same as /Bundle/composition/author/reference@value [reference to]--> <!--/Bundle/entry/resource/PractitionerRole/practitioner/reference/@value [reference to]--> <!--/Bundle/entry[4]/resource/Practitioner/name--> <name>EMISWebCR1 50004</name> </agentPerson> <!--At this point there's a choice of (4) organisation representations / person representations--> <!--All 4 are shown here - 3 are commented--> <!--for representedOrganization--> <!--fixed attributes as shown--> <!-- <representedOrganization classCode="ORG" determinerCode="INSTANCE"> --><!--same as /Bundle/composition/author/reference@value [reference to]--><!-- --><!--/Bundle/entry/resource/PractitionerRole/organization/reference/@value [reference to]--><!-- --><!--/Bundle/entry/resource/organization/address--><!-- <addr>SOME ADDRESS</addr> --><!--same as /Bundle/composition/author/reference@value [reference to]--><!-- --><!--/Bundle/entry/resource/PractitionerRole/organization/reference/@value [reference to]--><!-- --><!--/Bundle/entry/resource/organization/type--><!-- <code code="001"/> --><!--same as /Bundle/composition/author/reference@value [reference to]--><!-- --><!--/Bundle/entry/resource/PractitionerRole/organization/reference/@value [reference to]--><!-- --><!--/Bundle/entry/resource/organization/name--><!-- <name>ORG NAME</name> --><!--there is no mapping for desc--><!-- <desc></desc> </representedOrganization>--> <!--for representedOrganizationSDS--> <!--fix attributes as shown--> <!-- <representedOrganizationSDS classCode="ORG" determinerCode="INSTANCE"> --><!--for a SDS Organization fix root as shown--><!-- --><!--same as /Bundle/composition/author/reference@value [reference to]--><!-- --><!--/Bundle/entry/resource/PractitionerRole/organization/reference/@value [reference to]--><!-- --><!--/Bundle/entry/resource/organization/identifier--><!-- <id root="1.2.826.0.1285.0.1.10" extension="R786786"></id> --><!--same as /Bundle/composition/author/reference@value [reference to]--><!-- --><!--/Bundle/entry/resource/PractitionerRole/organization/reference/@value [reference to]--><!-- --><!--/Bundle/entry/resource/organization/name--><!-- <name>ORG NAME</name> </representedOrganizationSDS>--> <!--for representedPersonSDS--> <!--fix attributes as shown--> <!-- <representedPersonSDS classCode="PSN" determinerCode="INSTANCE"> --><!--same as /Bundle/composition/author/reference@value [reference to]--><!-- --><!--/Bundle/entry/resource/PractitionerRole/identifier--><!-- <id root="1.2.826.0.1285.0.2.0.65" extension="47766"></id> --><!--same as /Bundle/composition/author/reference@value [reference to]--><!-- --><!--/Bundle/entry/resource/PractitionerRole/practitioner/reference/@value [reference to]--><!-- --><!--/Bundle/entry/resource/Practitioner/name--><!-- <name>A NAME</name> </representedPersonSDS>--> <!--for representedPerson--> <!--fix attributes as shown--> <representedPerson classCode="PSN" determinerCode="INSTANCE"> <!--same as /Bundle/composition/author/reference@value [reference to]--> <!--/Bundle/entry/resource/PractitionerRole/practitioner/reference/@value [reference to]--> <!--/Bundle/entry/resource/Practitioner/name--> <name>A NAME</name> </representedPerson> </UKCT_MT160018UK01.AgentPerson> </author> <!--fix attributes as shown--> <excerptFrom typeCode="XCRPT" inversionInd="false" contextConductionInd="true" negationInd="false"> <!--fix as shown--> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAT_RM-NPfITUK10.excerptFrom"/> <!--fix as shown--> <seperatableInd value="false"/> <!--fix as shown--> <UKCT_MT144051UK01.CareProfessionalDocumentationCRE classCode="CATEGORY" moodCode="EVN"> <!--fix as shown--> <code code="163171000000105" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Care Professional Documentation"/> <!--fix as shown--> <component typeCode="COMP" inversionInd="false" negationInd="false"> <!--fix as shown--> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.component"/> <!--fix as shown--> <seperatableInd value="false"/> <!--fix as shown--> <presentationText classCode="OBS" moodCode="EVN"> <value> <!--This is the text--> <!--in FHIR this is presented in multiple Composition.section--> <!--every <h2> is a Composition.section--> <!--Information below <h2> comes in Composition.section.text--> <html xmlns="xhtml:NPfIT:PresentationText"> <body> <h2 id="Title">General Practice Summary</h2> <h3 id="Disclaimer">Sourced from the patient's General Practice record. This summary may not include all the information pertinent to this patient.</h3> <p id="CreateTime">Summary Created: 01-May-2020 09:33</p> <p id="Practice">EMISWebCR1 50004, Fulford Grange, Rawdon, Leeds, West Yorkshire, LS19 7BY.</p> <h2 id="AllergiesHeader">Allergies and Adverse Reactions</h2> <table summary="This table includes information about this patient's allergies and adverse reactions." id="Allergies"> <thead> <tr> <th>Date</th> <th>Description</th> <th>Certainty</th> <th>Severity</th> <th>Supporting Information</th> </tr> </thead> <tbody> <tr class="oddRow"> <td>02-May-2019</td> <td>Adverse reaction to atenolol</td> <td/> <td/> <td>Problem; First</td> </tr> </tbody> </table> <h2 id="AcuteMedsHeader">Acute Medications (For the 12 month period 01-May-2019 to 01-May-2020)</h2> <table summary="This table includes information about this patient's acute medications." id="AcuteMeds"> <thead> <tr> <th>Type</th> <th>Date</th> <th>Medication Item</th> <th>Dosage Instructions</th> <th>Quantity</th> </tr> </thead> <tbody> <tr class="oddRow"> <td>Acute Medication</td> <td>Prescribed: 16-May-2019</td> <td>Paracetamol 500mg tablets</td> <td>One To Be Taken Every 4-6 Hours Up To Four Times A Day</td> <td>28 tablet</td> </tr> <tr class="oddRow"> <td/> <td colspan="4">***Date Cancelled: 16-May-2019***</td> </tr> <tr class="evenRow"> <td>Acute Medication</td> <td>Prescribed: 09-May-2019</td> <td>Aspirin 75mg dispersible tablets</td> <td>One To Be Taken Each Day</td> <td>1 tablet</td> </tr> </tbody> </table> </body> </html> </value> <!--no mapping to FHIR - generate a UPPERCASE UUID--> <id root="8FD642AD-E640-4E40-AD6F-0888045377A9"/> <!--fix as shown--> <code code="PresentationText" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.126" displayName="Presentation Text"/> <!--fix as shown--> <statusCode code="completed"/> <!--use /Bundle/entry/resource/Composition/date/@value--> <effectiveTime value="20200501093312"/> </presentationText> </component> </UKCT_MT144051UK01.CareProfessionalDocumentationCRE> </excerptFrom> <!--This can be all boilerplated--> <!--fix as shown--> <pertinentInformation1 typeCode="PERT" inversionInd="false" contextConductionInd="true" negationInd="false"> <!--fix as shown--> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/> <!--fix as shown--> <seperatableInd value="true"/> <!--fix as shown--> <pertinentRootCREType classCode="CATEGORY" moodCode="EVN"> <!--fix as shown--> <code code="163171000000105" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Care Professional Documentation"/> </pertinentRootCREType> </pertinentInformation1> <!--ONLY DO THIS BIT IF THERE ARE CODED ENTRIES--> <!--fix as shown--> <pertinentInformation2 typeCode="PERT" inversionInd="false" contextConductionInd="true" negationInd="false"> <!--fix as shown--> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/> <!--fix as shown--> <seperatableInd value="true"/> <!--fix as shown--> <pertinentCREType classCode="CATEGORY" moodCode="EVN"> <!--This is an example of a coded entry - these are documented elsewhere--> <!--In FHIR coded entries are referenced from Composition.section.entry & live within the Bundle--> <code code="185361000000102" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Medication"/> <component typeCode="COMP" contextConductionInd="true"> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.component"/> <seperatableInd value="false"/> <UKCT_MT144040UK01.AcuteMedication classCode="SBADM" moodCode="RQO"> <id root="2ED85475-6314-460B-A069-B3D03FDD388F"/> <code code="222671000000103" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Acute medication"/> <statusCode code="completed"/> <effectiveTime value="20190516"/> <pertinentInformation1 typeCode="PERT" contextConductionInd="true"> <seperatableInd value="false"/> <pertinentDosageInstructions classCode="OBS" moodCode="EVN"> <value>One To Be Taken Every 4-6 Hours Up To Four Times A Day</value> <code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30" displayName="Dose Instructions"/> </pertinentDosageInstructions> </pertinentInformation1> <component typeCode="COMP"> <seperatableInd value="false"/> <medicationQuantity classCode="SPLY" moodCode="RQO"> <quantity unit="1"> <translation value="28.000"> <originalText>tablet</originalText> </translation> </quantity> <code code="246205007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Quantity"/> </medicationQuantity> </component> <consumable typeCode="CSM" contextControlCode="OP"> <manufacturedProduct classCode="MANU"> <manufacturedManufacturedMaterial classCode="MMAT" determinerCode="KIND"> <code code="322236009" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Paracetamol 500mg tablets"/> </manufacturedManufacturedMaterial> </manufacturedProduct> </consumable> </UKCT_MT144040UK01.AcuteMedication> </component> </pertinentCREType> </pertinentInformation2> <!--the Patient--> <!--fixed as shown--> <recordTarget typeCode="RCT"> <!--fixed as shown--> <patient classCode="PAT"> <!--the NHS Number--> <!--same as /Bundle/entry/resource/Composition/subject/reference/@value [reference to]--> <!--/Bundle/entry/resource/Patient/identifier--> <!--NOTE that in FHIR you need to put in the verificationStatus of the NHS Number--> <id root="2.16.840.1.113883.2.1.4.1" extension="5558796812"/> </patient> </recordTarget> <!--the document being replaced--> <!--fixed as shown--> <replacementOf typeCode="RPLC"> <!--fixed as shown--> <priorMessageRef classCode="COMPOSITION" moodCode="EVN"> <!--the id (/GPSummary/id/@root) (/Bundle/entry[1]/resource/Composition/identifier/value/@value)--> <!--of the document being replaced--> <id root="C30444A6-DFF3-4E8E-94F0-B00592EC7280"/> </priorMessageRef> </replacementOf> </GPSummary>
