Generated Narrative: Composition composition-01

identifier: http://example.org/NamingSystem/doc-identifiers/ee5ac342-23d9-4ff1-9ea7-264323866d80

status: Final

type: Patient summary Document

encounter: Encounter: identifier = http://example.org/NamingSystem/Encounter#ENC123456; status = finished; class = ambulatory (ActCode#AMB); type = ambulatory; period = 2024-03-27 09:00:00-0700 --> 2024-03-27 09:30:00-0700

date: 2021-12-11 14:30:00+0100

author: Dr. Riley Okoro(official) (http://example.org/NamingSystem/Practitioner#PR789013): General pathologist (occupation) at Vancouver General Hospital (Healthcare Provider) (http://hlth.gov.bc.ca/fhir/NamingSystem/bc-phi#VGH123456) (http://example.org/NamingSystem/PractitionerRole#PR789012)

title: Patient Summary as of December 11, 2021 14:30

confidentiality: restricted

Attesters

- Mode Time Party
* Legal 2023-04-17 18:20:00-0600 Dr. Riley Okoro(official) (http://example.org/NamingSystem/Practitioner#PR789013)

custodian: Vancouver General Hospital (Healthcare Provider) (http://hlth.gov.bc.ca/fhir/NamingSystem/bc-phi#VGH123456)

RelatesTos

- Code Target[x]
* Replaces ?ngen-9?

Events

- Code Period
* Care Provision 2024-10-01 --> (ongoing)
<confidentiality value="R" /> <attester> <mode value="legal" /> <time value="2023-04-17T18:20:00-06:00" /> <party> <reference value="Practitioner/practitioner-01" /> </party> </attester> <custodian> <reference value="Organization/organization-01" /> </custodian> <relatesTo> <code value="replaces" /> <targetIdentifier> <assigner> <display value="Previous Composition being replaced" /> </assigner> </targetIdentifier> </relatesTo> <event> <code> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActClass" /> <code value="PCPR" /> <display value="Care Provision" /> </coding> </code> <period> <start value="2024-10-01" /> </period> </event> <section id="medication-summary"> <extension url="http://hl7.org/fhir/StructureDefinition/note"> <valueAnnotation> <time value="2024-10-02T12:12:12-06:00" /> <text value="Annotation in markdown format" /> </valueAnnotation> </extension> <title value="Medication Summary" /> <code> <coding> <system value="http://loinc.org" /> <code value="10160-0" /> <display value="History of Medication use Narrative" /> </coding> </code> <text> <status value="additional" /> <div xmlns="http://www.w3.org/1999/xhtml">Medications</div> </text> <entry> <reference value="MedicationStatement/medication-statement-01" /> </entry> <entry> <reference value="MedicationStatement/medication-statement-01" /> </entry> <entry> <reference value="MedicationRequest/medication-request-01" /> </entry> <entry> <reference value="MedicationRequest/medication-request-01" /> </entry> </section> <section id="allergies-and-intolerances"> <extension url="http://hl7.org/fhir/StructureDefinition/note"> <valueAnnotation> <time value="2024-10-02T12:12:12-06:00" /> <text value="Annotation in markdown format" /> </valueAnnotation> </extension> <title value="Allergies and Intolerances" /> <code> <coding> <system value="http://loinc.org" /> <code value="48765-2" /> <display value="Allergies and adverse reactions Document" /> </coding> </code> <text> <status value="additional" /> <div xmlns="http://www.w3.org/1999/xhtml">Allergies and Intolerances</div> </text> <entry> <reference value="AllergyIntolerance/allergy-intolerance-01" /> </entry> </section> <section id="problem-list"> <extension url="http://hl7.org/fhir/StructureDefinition/note"> <valueAnnotation> <time value="2024-10-02T12:12:12-06:00" /> <text value="Annotation in markdown format" /> </valueAnnotation> </extension> <title value="Problem List" /> <code> <coding> <system value="http://loinc.org" /> <code value="11450-4" /> <display value="Problem list - Reported" /> </coding> </code> <text> <status value="additional" /> <div xmlns="http://www.w3.org/1999/xhtml">Current list of problems</div> </text> <entry> <reference value="Condition/condition-01" /> </entry> </section> <section id="history-of-procedures"> <extension url="http://hl7.org/fhir/StructureDefinition/note"> <valueAnnotation> <time value="2024-10-02T12:12:12-06:00" /> <text value="Annotation in markdown format" /> </valueAnnotation> </extension> <title value="History of Procedures" /> <code> <coding> <system value="http://loinc.org" /> <code value="47519-4" /> <display value="History of Procedures Document" /> </coding> </code> <text> <status value="additional" /> <div xmlns="http://www.w3.org/1999/xhtml">History of Procedures</div> </text> <entry> <reference value="Procedure/procedure-01" /> </entry> </section> <section id="immunizations"> <extension url="http://hl7.org/fhir/StructureDefinition/note"> <valueAnnotation> <time value="2024-10-02T12:12:12-06:00" /> <text value="Annotation in markdown format" /> </valueAnnotation> </extension> <title value="Immunizations" /> <code> <coding> <system value="http://loinc.org" /> <code value="11369-6" /> <display value="History of Immunization note" /> </coding> </code> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml"> <p>Immunizations</p> </div> </text> <entry> <reference value="Immunization/immunization-01" /> </entry> <entry> <reference value="Immunization/immunization-01" /> </entry> <entry> <reference value="Immunization/immunization-01" /> </entry> </section> <section id="medical-devices"> <extension url="http://hl7.org/fhir/StructureDefinition/note"> <valueAnnotation> <time value="2024-10-02T12:12:12-06:00" /> <text value="Annotation in markdown format" /> </valueAnnotation> </extension> <title value="Medical Devices" /> <code> <coding> <system value="http://loinc.org" /> <code value="46264-8" /> <display value="History of medical device use" /> </coding> </code> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml"> <p>Medical Devices</p> </div> </text> <entry> <reference value="urn:uuid:e8269a7e-c843-4703-a4d2-4aa6cf32a8e3" /> </entry> <entry> <reference value="urn:uuid:9f5d9258-6cc3-49ed-8fee-f38c9ff684da" /> </entry> </section> <section id="results"> <title value="Results" /> <code> <coding> <system value="http://loinc.org" /> <code value="30954-2" /> <display value="Relevant diagnostic tests/laboratory data note" /> </coding> </code> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml"> <p>Results</p> </div> </text> <entry> <reference value="DiagnosticReport/diagnostic-report-01" /> </entry> <entry> <reference value="Observation/observation-01" /> </entry> <entry> <reference value="Observation/observation-01" /> </entry> <entry> <reference value="Observation/observation-01" /> </entry> <entry> <reference value="Observation/observation-01" /> </entry> </section> <section id="vital-signs"> <extension url="http://hl7.org/fhir/StructureDefinition/note"> <valueAnnotation> <time value="2024-10-02T12:12:12-06:00" /> <text value="Annotation in markdown format" /> </valueAnnotation> </extension> <title value="Vital Signs" /> <code> <coding> <system value="http://loinc.org" /> <code value="8716-3" /> <display value="Vital signs note" /> </coding> </code> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml"> <p>Results</p> </div> </text> <entry> <reference value="Observation/observation-blood-pressure-01" /> </entry> <entry> <reference value="Observation/observation-blood-pressure-02" /> </entry> <entry> <reference value="Observation/observation-blood-pressure-03" /> </entry> <entry> <reference value="Observation/observation-bmi-01" /> </entry> <entry> <reference value="Observation/observation-bmi-02" /> </entry> <entry> <reference value="Observation/observation-bmi-03" /> </entry> <entry> <reference value="Observation/observation-body-height-01" /> </entry> <entry> <reference value="Observation/observation-body-weight-01" /> </entry> <entry> <reference value="Observation/observation-body-temperature-01" /> </entry> <entry> <reference value="Observation/observation-head-circum-01" /> </entry> <entry> <reference value="Observation/observation-heart-rate-01" /> </entry> <entry> <reference value="Observation/observation-respiratory-rate-01" /> </entry> </section> <section id="past-history-of-illness"> <extension url="http://hl7.org/fhir/StructureDefinition/note"> <valueAnnotation> <time value="2024-10-02T12:12:12-06:00" /> <text value="Annotation in markdown format" /> </valueAnnotation> </extension> <title value="Past History of Illness" /> <code> <coding> <system value="http://loinc.org" /> <code value="11348-0" /> <display value="History of Past illness note" /> </coding> </code> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml"> <p>Past History of Illness</p> </div> </text> <entry> <reference value="Condition/condition-01" /> </entry> </section> <section id="functional-status"> <extension url="http://hl7.org/fhir/StructureDefinition/note"> <valueAnnotation> <time value="2024-10-02T12:12:12-06:00" /> <text value="Annotation in markdown format" /> </valueAnnotation> </extension> <title value="Functional Status" /> <code> <coding> <system value="http://loinc.org" /> <code value="47420-5" /> <display value="Functional Status Assessment Note" /> </coding> </code> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml"> <p>Functional Status</p> </div> </text> <entry> <reference value="Condition/condition-01" /> </entry> </section> <section id="plan-of-care"> <title value="Plan of Care" /> <code> <coding> <system value="http://loinc.org" /> <code value="18776-5" /> <display value="Plan of Care Note" /> </coding> </code> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml"> <p>There is no plan of care because ...</p> </div> </text> <emptyReason> <coding> <system value="http://terminology.hl7.org/CodeSystem/list-empty-reason" /> <code value="unavailable" /> <display value="Unavailable" /> </coding> <text value="Unavailable" /> </emptyReason> </section> <section id="social-history"> <extension url="http://hl7.org/fhir/StructureDefinition/note"> <valueAnnotation> <time value="2024-10-02T12:12:12-06:00" /> <text value="Annotation in markdown format" /> </valueAnnotation> </extension> <title value="Social History" /> <code> <coding> <system value="http://loinc.org" /> <code value="29762-2" /> <display value="Social history note" /> </coding> </code> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml"> <p>Social History</p> </div> </text> <entry> <reference value="Observation/observation-social-history-01" /> </entry> <entry> <reference value="Observation/observation-social-history-02" /> </entry> <entry> <reference value="Observation/observation-social-history-03" /> </entry> </section> <section id="family-history"> <extension url="http://hl7.org/fhir/StructureDefinition/note"> <valueAnnotation> <time value="2024-10-02T12:12:12-06:00" /> <text value="Annotation in markdown format" /> </valueAnnotation> </extension> <title value="Family History" /> <code> <coding> <system value="http://loinc.org" /> <code value="10157-6" /> <display value="History of family member diseases note" /> </coding> </code> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml"> <p>Family History</p> </div> </text> <entry> <reference value="FamilyMemberHistory/family-member-history-01" /> </entry> </section> <section id="pregnancy-history"> <extension url="http://hl7.org/fhir/StructureDefinition/note"> <valueAnnotation> <time value="2024-10-02T12:12:12-06:00" /> <text value="Annotation in markdown format" /> </valueAnnotation> </extension> <title value="Pregnancy History" /> <code> <coding> <system value="http://loinc.org" /> <code value="10162-6" /> <display value="History of pregnancies Narrative" /> </coding> </code> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml"> <p>Pregnancy History</p> </div> </text> <entry> <reference value="urn:uuid:4f786ae4-0de8-45f8-bbed-167a136870e1" /> </entry> </section> <section id="advance-directives"> <extension url="http://hl7.org/fhir/StructureDefinition/note"> <valueAnnotation> <time value="2024-10-02T12:12:12-06:00" /> <text value="Annotation in markdown format" /> </valueAnnotation> </extension> <title value="Advance Directives" /> <code> <coding> <system value="http://loinc.org" /> <code value="42348-3" /> <display value="Advance Healthcare Directives" /> </coding> </code> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml"> <p>Advance Directives</p> </div> </text> <entry> <reference value="DocumentReference/document-reference-01" /> </entry> </section> </Composition>