<confidentiality value="R" /> <attester> <mode value="legal" /> <time value="2020-12-11T14:30:00+01:00" /> <party> <reference value="PractitionerRole/practitioner-role-01" /> </party> </attester> <custodian> <reference value="Organization/organization-01" /> </custodian> <event> <code> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActClass" /> <code value="PCPR" /> </coding> </code> <period> <start value="2020-12-11T14:00:00+01:00" /> <end value="2020-12-11T14:30:00+01:00" /> </period> </event> <section id="problem-list"> <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="generated" /> <div xmlns="http://www.w3.org/1999/xhtml"> Generated Narrative <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"> Resource "heart-condition-example" Profile: <a href="StructureDefinition-condition-ca-ps.html">Condition (PS-CA)</a> </div> clinicalStatus: Active (<a href="http://terminology.hl7.org/3.0.0/CodeSystem-condition-clinical.html">Condition Clinical Status Codes</a>#active) verificationStatus: Confirmed (<a href="http://terminology.hl7.org/3.0.0/CodeSystem-condition-ver-status.html">ConditionVerificationStatus</a>#confirmed) category: Problem List Item (<a href="http://terminology.hl7.org/3.0.0/CodeSystem-condition-category.html">Condition Category Codes</a>#problem-list-item) severity: Moderate (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#6736007) code: Disorder of heart valve (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#368009 "Heart valve disorder") bodySite: heart structure (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#40768004 "Left thorax") subject: <a href="Patient-patient1-example.html">Patient/patient1-example: Donald Duck</a> " DONALD" onset: 2021-08-05 asserter: <a href="Patient-patient1-example.html">Patient/patient1-example: Donald Duck</a> " DONALD" </div> </text> <entry> <reference value="Condition/condition-01" /> </entry> </section> <section id="medication-summary"> <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="generated" /> <div xmlns="http://www.w3.org/1999/xhtml"> Generated Narrative <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"> Resource "simvastatin-request-example" Profile: <a href="StructureDefinition-medicationrequest-ca-ps.html">Medication Request (PS-CA)</a> </div> status: active intent: order medication: Fluspiral 50 mcg (<a href="http://terminology.hl7.org/3.0.0/CodeSystem-atc.html">WHO ATC</a>#C10AA01 "simvastatin") subject: <a href="Patient-patient1-example.html">Patient/patient1-example: Donald Duck</a> " DONALD" authoredOn: 2021-10-10 requester: <a href="Practitioner-practitioner1-example.html">Practitioner/practitioner1-example: Patrick Pump</a> " PUMP" <h3>DispenseRequests</h3> <table class="grid"> <tr> <td>-</td> <td> ValidityPeriod </td> </tr> <tr> <td>*</td> <td>2021-01-01 --> (ongoing)</td> </tr> </table> </div> </text> <entry> <reference value="MedicationRequest/medication-request-01" /> </entry> </section> <section id="allergies-and-intolerances"> <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="generated" /> <div xmlns="http://www.w3.org/1999/xhtml"> Generated Narrative <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"> Resource "cashew-allergy-example" Profile: <a href="StructureDefinition-allergyintolerance-ca-ps.html">Allergy Intolerance (PS-CA)</a> </div> clinicalStatus: Active (<a href="http://terminology.hl7.org/3.0.0/CodeSystem-allergyintolerance-clinical.html">AllergyIntolerance Clinical Status Codes</a>#active) verificationStatus: Confirmed present (<a href="http://terminology.hl7.org/3.0.0/CodeSystem-allergyintolerance-verification.html">AllergyIntolerance Verification Status</a>#confirmed; <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#410605003) type: allergy criticality: high code: Cashew nut (substance) (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#227493005) patient: <a href="Patient-patient1-example.html">Patient/patient1-example: Donald Duck</a> " DONALD" onset: 2004 asserter: <a href="Patient-patient1-example.html">Patient/patient1-example: Donald Duck</a> " DONALD" <h3>Reactions</h3> <table class="grid"> <tr> <td>-</td> <td> Manifestation </td> <td> Onset </td> <td> Severity </td> </tr> <tr> <td>*</td> <td>Anaphylactic reaction (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#39579001)</td> <td>2004-06-12</td> <td>severe</td> </tr> </table> </div> </text> <entry> <reference value="AllergyIntolerance/allergy-intolerance-01" /> </entry> </section> </Composition>

Generated Narrative: Composition composition-02

identifier: http://example.org/12345678

status: Final

type: Patient summary Document

date: 2021-09-11 16:30:00+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 January 5, 2022 16:30

confidentiality: restricted

Mode

Time

Party

Legal

2020-12-11 14:30:00+0100

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

Code

Period

care provision

2020-12-11 14:00:00+0100 --> 2020-12-11 14:30:00+0100