<section> <title value="History of Present Illness Section" /> <code> <coding> <system value="http://loinc.org" /> <code value="10164-2" /> <display value="History of Present illness Narrative" /> </coding> </code> <text> <!-- Example History of Present Illness Section for Composition resource for cancer use case --> </text> </section> <section> <title value="Reason for Visit Section" /> <code> <coding> <system value="http://loinc.org" /> <code value="29299-5" /> <display value="Reason for visit Narrative" /> </coding> </code> <text> <!-- Example Reason for Visit Section for Composition resource for cancer use case --> </text> </section> <section> <title value="Problems Section" /> <code> <coding> <system value="http://loinc.org" /> <code value="11450-4" /> <display value="Problem list - Reported" /> </coding> </code> <text> <!-- Example Problems Section for Composition resource for cancer use case --> </text> <entry> <extension url="http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension"> <extension url="triggerCodeValueSet"> <valueOid value="urn:oid:2.16.840.1.114222.4.11.7508" /> </extension> <extension url="triggerCodeValueSetVersion"> <valueString value="19/05/2018" /> </extension> <extension url="triggerCode"> <valueCoding> <system value="http://snomed.info/sct" /> <code value="373083005" /> <display value="Malignant neoplasm of breast upper outer quadrant" /> </valueCoding> </extension> </extension> <reference value="Condition/condition-eicr-eve-everywoman-breast-cancer" /> <display value="Malignant neoplasm of breast upper outer quadrant" /> </entry> </section> <section> <title value="Social History Section" /> <code> <coding> <system value="http://loinc.org" /> <code value="29762-2" /> <display value="Social history Narrative" /> </coding> </code> <text> <!-- Example Social History Section for Composition resource for cancer use case --> </text> <entry> <reference value="Observation/observation-odh-usual-work-eve-everywoman" /> <display value="ODH Usual Work Example" /> </entry> </section> <section> <title value="Medications Administered Section" /> <code> <coding> <system value="http://loinc.org" /> <code value="29549-3" /> <display value="Medication administered Narrative" /> </coding> </code> <text> <!-- Example Medications Administered Section for Composition resource for cancer use case --> </text> <entry> <reference value="MedicationAdministration/medicationadministration-eve-everywoman-gemcitabine" /> <display value="26.3 ML gemcitabine 38 MG/ML Injection" /> </entry> </section> <section> <title value="Results Section" /> <code> <coding> <system value="http://loinc.org" /> <code value="30954-2" /> <display value="Relevant Dx tests/lab data" /> </coding> </code> <text> <!-- Example Results Section for Composition resource for cancer use case --> </text> <entry> <reference value="Observation/observation-us-core-results-eve-everywoman-estrogen-progesterone-receptor-Ag" /> <display value="Estrogen+Progesterone receptor Ag [Presence] in Tissue by Immune stain - Interpretation: Positive" /> </entry> <entry> <reference value="Observation/observation-us-core-results-eve-everywoman-HER2" /> <display value="HER2 [interpretation] in Tissue - Interpretation: Positive" /> </entry> <entry> <reference value="Observation/observation-us-core-results-eve-everywoman-coronavirus" /> <display value="SARS coronavirus 2 RNA [Presence] in Respiratory specimen by NAA with probe detection - Interpretation: Positive" /> </entry> </section> <section> <title value="Plan of Treatment Section" /> <code> <coding> <system value="http://loinc.org" /> <code value="18776-5" /> <display value="Plan of care note" /> </coding> </code> <text> <!-- Example Plan of Treatment Section for Composition resource for cancer use case --> </text> </section> </Composition> </resource> </entry> <entry> <fullUrl value="Condition/condition-eicr-eve-everywoman-breast-cancer" /> <resource> <Condition> <id value="condition-eicr-eve-everywoman-breast-cancer" /> <meta> <versionId value="15" /> <lastUpdated value="2020-11-01T21:21:49.000-04:00" /> <profile value="http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-condition" /> </meta> <text> <!-- Example Condition resource for cancer diagnosis of "Malignant neoplasm of breast upper outer quadrant (373083005)" for cancer use case --> </text> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-category" /> <code value="problem-list-item" /> <display value="Problem List Item" /> </coding> </category> <code> <coding> <system value="http://snomed.info/sct" /> <code value="373083005" /> <display value="Malignant neoplasm of breast upper outer quadrant" /> </coding> </code> <subject> <reference value="Patient/patient-ecr-eve-everywoman" /> <display value="Eve Everywoman" /> </subject> <onsetDateTime value="2020-11-01" /> <asserter> <reference value="Practitioner/practitioner-us-core-alex-karev" /> <display value="Alex Karev, MD" /> </asserter> </Condition> </resource> </entry> <entry> <fullUrl value="MedicationAdministration/medicationadministration-eve-everywoman-gemcitabine" /> <resource> <MedicationAdministration> <id value="medicationadministration-eve-everywoman-gemcitabine" /> <meta> <versionId value="10" /> <lastUpdated value="2020-11-01T03:11:22.000-04:00" /> </meta> <text> <!-- Example MedicationAdministration resource for medication of Gemcitabine for cancer use case --> </text> <status value="completed" /> <medicationCodeableConcept> <coding> <system value="http://www.nlm.nih.gov/research/umls/rxnorm" /> <code value="1720960" /> <display value="26.3 ML gemcitabine 38 MG/ML Injection" /> </coding> <text value="26.3 ML gemcitabine 38 MG/ML Injection" /> </medicationCodeableConcept> <subject> <reference value="Patient/patient-ecr-eve-everywoman" /> <display value="Eve Everywoman" /> </subject> <effectivePeriod> <start value="2020-11-01" /> <end value="2020-11-01" /> </effectivePeriod> <dosage> <text value="Injection" /> <route> <coding> <system value="http://snomed.info/sct" /> <code value="418114005" /> <display value="Intravenous central route" /> </coding> </route> <dose> <value value="133.5" /> <unit value="mg" /> <system value="http://unitsofmeasure.org" /> <code value="mg" /> </dose> </dosage> </MedicationAdministration> </resource> </entry> <entry> <fullUrl value="Patient/patient-ecr-eve-everywoman" /> <resource> <Patient> <id value="patient-ecr-eve-everywoman" /> <meta> <versionId value="13" /> <lastUpdated value="2020-11-01T03:45:24.000-04:00" /> <profile value="http://hl7.org/fhir/us/ecr/StructureDefinition/ecr-patient" /> </meta> <text> <!-- Example Patient resource for cancer use case --> </text> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"> <extension url="ombCategory"> <valueCoding> <system value="urn:oid:2.16.840.1.113883.6.238" /> <code value="2106-3" /> <display value="White" /> </valueCoding> </extension> <extension url="text"> <valueString value="White" /> </extension> </extension> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"> <extension url="ombCategory"> <valueCoding> <system value="urn:oid:2.16.840.1.113883.6.238" /> <code value="2186-5" /> <display value="Not Hispanic or Latino" /> </valueCoding> </extension> <extension url="text"> <valueString value="Not Hispanic or Latino" /> </extension> </extension> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex"> <valueCode value="F" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/patient-genderIdentity"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/gender-identity" /> <code value="female" /> <display value="female" /> </coding> </valueCodeableConcept> </extension> <identifier> <use value="usual" /> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203" /> <code value="MR" /> <display value="Medical Record Number" /> </coding> </type> <system value="http://hospital.smarthealthit.org" /> <value value="1032702" /> </identifier> <active value="true" /> <name> <family value="Everywoman" /> <given value="Eve" /> <given value="L" /> </name> <telecom> <system value="phone" /> <value value="1-(404)555-1212" /> <use value="home" /> </telecom> <telecom> <system value="email" /> <value value="eve.everywoman@example.com" /> </telecom> <gender value="female" /> <birthDate value="1974-11-24" /> <address> <line value="5101 Peachtree St NE" /> <city value="Atlanta" /> <state value="GA" /> <postalCode value="30302" /> <country value="US" /> </address> </Patient> </resource> </entry> <entry> <fullUrl value="Condition/condition-eicr-eve-everywoman-coronavirus" /> <resource> <Condition> <id value="condition-eicr-eve-everywoman-coronavirus" /> <meta> <versionId value="2" /> <lastUpdated value="2020-11-01T13:53:04.000-04:00" /> <profile value="http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-condition" /> </meta> <text> <!-- Example Condition resource for problem "Disease caused by severe acute respiratory syndrome coronavirus (840539006)" for cancer use case --> </text> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-category" /> <code value="problem-list-item" /> <display value="Problem List Item" /> </coding> </category> <code> <coding> <system value="http://snomed.info/sct" /> <code value="840539006" /> <display value="Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)" /> </coding> </code> <subject> <reference value="Patient/patient-ecr-eve-everywoman" /> <display value="Eve Everywoman" /> </subject> <onsetDateTime value="2020-11-01" /> <asserter> <reference value="Practitioner/practitioner-us-core-alex-karev" /> <display value="Alex Karev, MD" /> </asserter> </Condition> </resource> </entry> <entry> <fullUrl value="Observation/observation-odh-usual-work-eve-everywoman" /> <resource> <Observation> <id value="observation-odh-usual-work-eve-everywoman" /> <meta> <versionId value="2" /> <lastUpdated value="2020-11-01T10:53:14.000-04:00" /> <profile value="http://hl7.org/fhir/us/odh/StructureDefinition/odh-UsualWork" /> </meta> <text> <!-- Example Observation-usual work resource for occupation of "Actors" for cancer use case --> </text> <status value="final" /> <code> <coding> <system value="http://loinc.org" /> <code value="21843-8" /> <display value="History of Usual occupation" /> </coding> </code> <subject> <reference value="Patient/patient-ecr-eve-everywoman" /> <display value="Eve Everywoman" /> </subject> <effectivePeriod> <start value="1985-01-01" /> <end value="2018-03-07" /> </effectivePeriod> <valueCodeableConcept> <coding> <system value="urn:oid:2.16.840.1.114222.4.5.314" /> <code value="2700" /> <display value="Actors" /> </coding> </valueCodeableConcept> <component> <code> <coding> <system value="http://loinc.org" /> <code value="21844-6" /> <display value="History of Usual industry" /> </coding> </code> <valueCodeableConcept> <coding> <system value="urn:oid:2.16.840.1.114222.4.5.315" /> <code value="6570" /> <display value="Motion pictures and video industries" /> </coding> </valueCodeableConcept> </component> </Observation> </resource> </entry> <entry> <fullUrl value="Observation/observation-us-core-results-eve-everywoman-estrogen-progesterone-receptor-Ag" /> <resource> <Observation> <id value="observation-us-core-results-eve-everywoman-estrogen-progesterone-receptor-Ag" /> <meta> <versionId value="10" /> <lastUpdated value="2020-11-01T02:50:13.000-04:00" /> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" /> </meta> <text> <!-- Example Observation resource for estrogen-progesterone-receptor-Ag-presence for cancer use case --> </text> <status value="final" /> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category" /> <code value="laboratory" /> <display value="Laboratory" /> </coding> <text value="Laboratory" /> </category> <code> <coding> <system value="http://loinc.org" /> <code value="10480-2" /> <display value="Estrogen+Progesterone receptor Ag [Presence] in Tissue by Immune stain" /> </coding> </code> <subject> <reference value="Patient/patient-ecr-eve-everywoman" /> <display value="Eve Everywoman" /> </subject> <effectiveDateTime value="2020-11-01" /> <valueCodeableConcept> <system value="http://snomed.info/sct" /> <code value="10828004" /> <display value="Positive" /> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="Observation/observation-us-core-results-eve-everywoman-HER2" /> <resource> <Observation> <id value="observation-us-core-results-eve-everywoman-HER2" /> <meta> <versionId value="8" /> <lastUpdated value="2020-11-01T03:15:42.000-04:00" /> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" /> </meta> <text> <!-- Example Observation resource for HER2-receptor-presence for cancer use case --> </text> <status value="final" /> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category" /> <code value="laboratory" /> <display value="Laboratory" /> </coding> <text value="Laboratory" /> </category> <code> <coding> <system value="http://loinc.org" /> <code value="48676-1" /> <display value="HER2 [interpretation] in Tissue" /> </coding> </code> <subject> <reference value="Patient/patient-ecr-eve-everywoman" /> <display value="Eve Everywoman" /> </subject> <effectiveDateTime value="2020-11-01" /> <valueCodeableConcept> <system value="http://snomed.info/sct" /> <code value="10828004" /> <display value="Positive" /> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="Observation/observation-us-core-results-eve-everywoman-coronavirus" /> <resource> <Observation> <id value="observation-us-core-results-eve-everywoman-coronavirus" /> <meta> <versionId value="8" /> <lastUpdated value="2020-11-01T03:15:42.000-04:00" /> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" /> </meta> <text> <!-- Example Observation resource for HER2-receptor-presence for cancer use case --> </text> <status value="final" /> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category" /> <code value="laboratory" /> <display value="Laboratory" /> </coding> <text value="Laboratory" /> </category> <code> <coding> <system value="http://loinc.org" /> <code value="94500-6" /> <display value="SARS coronavirus 2 RNA [Presence] in Respiratory specimen by NAA with probe detection" /> </coding> </code> <subject> <reference value="Patient/patient-ecr-eve-everywoman" /> <display value="Eve Everywoman" /> </subject> <effectiveDateTime value="2020-11-01" /> <valueCodeableConcept> <system value="http://snomed.info/sct" /> <code value="10828004" /> <display value="Positive" /> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="PractitionerRole/practitionerrole-alex-karev" /> <resource> <PractitionerRole> <id value="practitionerrole-alex-karev" /> <meta> <versionId value="8" /> <lastUpdated value="2020-11-01T01:24:13.000-04:00" /> <profile value="http://hl7.org/fhir/us/ecr/StructureDefinition/ecr-practitionerrole" /> </meta> <text> <!-- Example PractitionerRole resource for cancer use case --> </text> <identifier> <system value="http://hl7.org/fhir/sid/us-npi" /> <value value="1234567893" /> </identifier> <practitioner> <reference value="Practitioner/practitioner-us-core-alex-karev" /> <display value="Alex Karev, MD" /> </practitioner> <organization> <reference value="Organization/organization-ecr-seattle-grace-hospital" /> <display value="Seattle Grace Hospital" /> </organization> <code> <coding> <system value="http://nucc.org/provider-taxonomy" /> <code value="207RX0202X" /> <display value="Medical Oncology" /> </coding> </code> <specialty> <coding> <system value="http://snomed.info/sct" /> <code value="394593009" /> <display value="Medical Oncology" /> </coding> </specialty> <location> <reference value="Location/location-ecr-seattle-grace-oncology-clinic" /> <display value="Seattle Grace Oncology Clinic, Seattle Grace Hospital" /> </location> <telecom> <system value="email" /> <value value="Akarev@GraceOnc.com" /> </telecom> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="Practitioner/practitioner-us-core-alex-karev" /> <resource> <Practitioner> <id value="practitioner-us-core-alex-karev" /> <meta> <versionId value="8" /> <lastUpdated value="2020-11-01T01:24:13.000-04:00" /> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner" /> </meta> <text> <!-- Example PractitionerRole resource for cancer use case --> </text> <identifier> <system value="http://hl7.org/fhir/sid/us-npi" /> <value value="1234567893" /> </identifier> <name> <family value="Karev" /> <given value="Alex" /> <suffix value="M.D." /> </name> <telecom> <system value="email" /> <value value="Akarev@GraceOnc.com" /> </telecom> <address> <line value="Seattle Grace Oncology Clinic" /> <line value="999 Ellis Way" /> <city value="Seattle" /> <state value="WA" /> <postalCode value="98101" /> <country value="US" /> </address> </Practitioner> </resource> </entry> <entry> <fullUrl value="Encounter/encounter-eicr-eve-everywoman-outpatient" /> <resource> <Encounter> <id value="encounter-eicr-eve-everywoman-outpatient" /> <meta> <versionId value="3" /> <lastUpdated value="2020-11-01T22:32:46.000-04:00" /> <profile value="http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-encounter" /> </meta> <text> <!-- Example Encounter resource for cancer use case --> </text> <identifier> <system value="http://hospital.smarthealthit.org" /> <value value="9937012" /> </identifier> <status value="finished" /> <class> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode" /> <code value="AMB" /> <display value="ambulatory" /> </class> <type> <coding> <system value="http://www.ama-assn.org/go/cpt" /> <code value="99201" /> </coding> <text value="Office Visit" /> </type> <subject> <reference value="Patient/patient-ecr-eve-everywoman" /> <display value="Eve Everywoman" /> </subject> <participant> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType" /> <code value="ATND" /> <display value="attender" /> </coding> </type> <individual> <reference value="PractitionerRole/practitionerrole-alex-karev" /> <display value="Alex Karev, MD" /> </individual> </participant> <period> <start value="2020-11-01T10:00:00-05:00" /> <end value="2020-11-01T11:15:00-05:00" /> </period> <diagnosis> <extension url="http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-trigger-code-flag-extension"> <extension url="triggerCodeValueSet"> <valueOid value="urn:oid:2.16.840.1.114222.4.11.7508" /> </extension> <extension url="triggerCodeValueSetVersion"> <valueString value="12/12/2018" /> </extension> <extension url="triggerCode"> <valueCoding> <system value="http://snomed.info/sct" /> <code value="373083005" /> <display value="Malignant neoplasm of breast upper outer quadrant" /> </valueCoding> </extension> </extension> <condition> <reference value="Condition/condition-eicr-eve-everywoman-breast-cancer" /> </condition> </diagnosis> <location> <location> <reference value="Location/location-ecr-seattle-grace-oncology-clinic" /> <display value="Seattle Grace Oncology Clinic, Seattle Grace Hospital, 999 Ellis Way, Seattle, WA 98101" /> </location> </location> <serviceProvider> <reference value="Organization/organization-ecr-seattle-grace-hospital" /> <display value="Seattle Grace Hospital, 999 Ellis Way, Seattle, WA 98101" /> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="Organization/organization-ecr-acme-laboratory" /> <resource> <Organization> <id value="organization-ecr-acme-laboratory" /> <meta> <versionId value="11" /> <lastUpdated value="2020-11-01T16:12:36.000-04:00" /> <profile value="http://hl7.org/fhir/us/ecr/StructureDefinition/ecr-organization" /> </meta> <text> <!-- Example Organization resource for Acme_Labs for cancer use case --> </text> <identifier> <system value="http://hl7.org.fhir/sid/us-npi" /> <value value="1144221999" /> </identifier> <active value="true" /> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode" /> <code value="OUTLAB" /> <display value="outpatient laboratory" /> </coding> </type> <name value="Acme_Labs" /> <telecom> <system value="phone" /> <value value="+1-555-555-4444" /> </telecom> <telecom> <system value="email" /> <value value="mail@acme-labs.com" /> </telecom> <address> <line value="7777 Laboratory Drive" /> <city value="Ann Arbor" /> <state value="MI" /> <postalCode value="99999" /> </address> </Organization> </resource> </entry> <entry> <fullUrl value="Organization/organization-ecr-seattle-grace-hospital" /> <resource> <Organization> <id value="organization-ecr-seattle-grace-hospital" /> <meta> <versionId value="16" /> <lastUpdated value="2020-11-01T03:15:41.000-04:00" /> <profile value="http://hl7.org/fhir/us/ecr/StructureDefinition/ecr-organization" /> </meta> <text> <!-- Example Organization resource for Seattle Grace Hospital for cancer use case --> </text> <identifier> <system value="http://hl7.org.fhir/sid/us-npi" /> <value value="1590101014" /> </identifier> <active value="true" /> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode" /> <code value="OF" /> <display value="Outpatient facility" /> </coding> </type> <name value="Seattle Grace Hospital" /> <telecom> <system value="phone" /> <value value="+1-206-555-3900" /> </telecom> <address> <line value="999 Ellis Way" /> <city value="Seattle" /> <state value="WA" /> <postalCode value="98101" /> </address> </Organization> </resource> </entry> <entry> <fullUrl value="Location/location-ecr-seattle-grace-oncology-clinic" /> <resource> <Location> <id value="location-ecr-seattle-grace-oncology-clinic" /> <meta> <versionId value="12" /> <lastUpdated value="2020-11-01T02:28:50.000-04:00" /> <profile value="http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-location" /> </meta> <text> <!-- Example Location resource for Seattle Grace Oncology Clinic for cancer use case --> </text> <status value="active" /> <name value="Seattle Grace Oncology Clinic, Seattle Grace Hospital" /> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode" /> <code value="HOSP" /> <display value="Hospital" /> </coding> </type> <telecom> <system value="phone" /> <value value="+1-206-555-3900" /> </telecom> <address> <line value="Seattle Grace Oncology Clinic" /> <line value="999 Ellis Way" /> <city value="Seattle" /> <state value="WA" /> <postalCode value="98101" /> <country value="US" /> </address> <managingOrganization> <reference value="Organization/organization-ecr-seattle-grace-hospital" /> </managingOrganization> </Location> </resource> </entry> </Bundle>