HL7 FHIR Malaysia Core (MY Core) Implementation Guide
1.1.0 - ci-build

HL7 FHIR Malaysia Core (MY Core) Implementation Guide - Local Development build (v1.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Example Composition discharge summary amendment - JSON Representation

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{
  "resourceType" : "Composition",
  "id" : "example-composition-amend-hie-dc-comp-12346-140423",
  "meta" : {
    "versionId" : "6",
    "lastUpdated" : "2023-04-17T07:20:07.933+08:00",
    "source" : "sample",
    "profile" : [
      🔗 "http://fhir.hie.moh.gov.my/StructureDefinition/Composition-my-core"
    ],
    "security" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
        "code" : "N"
      }
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Composition example-composition-amend-hie-dc-comp-12346-140423</b></p><a name=\"example-composition-amend-hie-dc-comp-12346-140423\"> </a><a name=\"hcexample-composition-amend-hie-dc-comp-12346-140423\"> </a><a name=\"example-composition-amend-hie-dc-comp-12346-140423-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 6; Last updated: 2023-04-17 07:20:07+0800; </p><p style=\"margin-bottom: 0px\">Information Source: sample</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Composition-my-core.html\">Composition (MY Core)</a></p><p style=\"margin-bottom: 0px\">Security Label: normal (Details: Confidentiality code N = 'normal')</p></div><p><b>ExtensionLocationRecorded (MY Core)</b>: Ward A</p><p><b>identifier</b>: <code>http://fhir.hie.moh.gov.my/sid/composition-id</code>/HTJ-CMP-2304000003</p><p><b>status</b>: Amended</p><p><b>type</b>: <span title=\"Codes:{http://fhir.hie.moh.gov.my/CodeSystem/composition-type-my-core 18842-5}\">Discharge Summary Note</span></p><p><b>category</b>: <span title=\"Codes:{http://fhir.hie.moh.gov.my/CodeSystem/composition-category-my-core LP72467-1}\">Discharge Summary Note</span></p><p><b>encounter</b>: <a href=\"Bundle-example-bundle-encounter-summary.html#Encounter_encounter-sample\">Bundle: type = transaction</a></p><p><b>date</b>: 2023-04-07 06:58:00+0800</p><p><b>author</b>: Saw Lee Chin (Identifier: <code>http://fhir.hie.moh.gov.my/sid/mmc-no</code>/64325)</p><p><b>title</b>: Example Composition discharge summary amendment</p><h3>Attesters</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td style=\"display: none\">*</td><td>Professional</td><td>2023-04-07 06:58:00+0800</td><td>Kamal Bin Arifin (Identifier: <code>http://fhir.hie.moh.gov.my/sid/nsr-no</code>/23312)</td></tr></table><p><b>custodian</b>: <a href=\"Organization/11-05060009\">HOSPITAL\u00a0TUANKU\u00a0JA'AFAR,\u00a0SEREMBAN</a></p><h3>Events</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Period</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://fhir.hie.moh.gov.my/CodeSystem/composition-event-my-core 18842-5}\">Discharge Summary Note</span></td><td>2023-04-07 06:57:00+0800 --&gt; (ongoing)</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://fhir.hie.moh.gov.my/StructureDefinition/location-recorded-my-core",
      "valueReference" : {
        "display" : "Ward A"
      }
    }
  ],
  "identifier" : {
    "system" : "http://fhir.hie.moh.gov.my/sid/composition-id",
    "value" : "HTJ-CMP-2304000003"
  },
  "status" : "amended",
  "type" : {
    "coding" : [
      {
        "system" : "http://fhir.hie.moh.gov.my/CodeSystem/composition-type-my-core",
        "code" : "18842-5",
        "display" : "Discharge Summary Note"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://fhir.hie.moh.gov.my/CodeSystem/composition-category-my-core",
          "code" : "LP72467-1",
          "display" : "Discharge Summary Note"
        }
      ]
    }
  ],
  "subject" : {
    "reference" : "Patient/patient-sample"
  },
  "encounter" : {
    "reference" : "Encounter/encounter-sample"
  },
  "date" : "2023-04-07T06:58:00.000+08:00",
  "author" : [
    {
      "type" : "PractitionerRole",
      "identifier" : {
        "system" : "http://fhir.hie.moh.gov.my/sid/mmc-no",
        "value" : "64325"
      },
      "display" : "Saw Lee Chin"
    }
  ],
  "title" : "Example Composition discharge summary amendment",
  "attester" : [
    {
      "mode" : "professional",
      "time" : "2023-04-07T06:58:00.000+08:00",
      "party" : {
        "type" : "PractitionerRole",
        "identifier" : {
          "system" : "http://fhir.hie.moh.gov.my/sid/nsr-no",
          "value" : "23312"
        },
        "display" : "Kamal Bin Arifin"
      }
    }
  ],
  "custodian" : {
    "reference" : "Organization/11-05060009",
    "display" : "HOSPITAL\u00a0TUANKU\u00a0JA'AFAR,\u00a0SEREMBAN"
  },
  "event" : [
    {
      "code" : [
        {
          "coding" : [
            {
              "system" : "http://fhir.hie.moh.gov.my/CodeSystem/composition-event-my-core",
              "code" : "18842-5",
              "display" : "Discharge Summary Note"
            }
          ]
        }
      ],
      "period" : {
        "start" : "2023-04-07T06:57:00.000+08:00"
      }
    }
  ],
  "section" : [
    {
      "title" : "Clinical\u00a0Information",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "55752-0",
            "display" : "Clinical\u00a0Information"
          }
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Demam%20panas%2C%20ruam%2C%20pening%20kepala%20dan%20muntah</div>"
      }
    },
    {
      "title" : "Care\u00a0plan",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "18776-5",
            "display" : "Plan\u00a0of\u00a0Care"
          }
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Demam%20panas%2C%20ruam%2C%20pening%20kepala%20dan%20muntah</div>"
      }
    },
    {
      "extension" : [
        {
          "url" : "http://fhir.hie.moh.gov.my/StructureDefinition/composition-section-date-my-core",
          "valueDateTime" : "2023-04-07T06:57:00.000+08:00"
        }
      ],
      "title" : "Addendum Note 1",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "55107-7",
            "display" : "Addendum Note"
          }
        ]
      },
      "author" : [
        {
          "type" : "PractitionerRole",
          "identifier" : {
            "system" : "http://fhir.hie.moh.gov.my/sid/mmc-no",
            "value" : "64325"
          },
          "display" : "Saw Lee Chin"
        }
      ],
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Addendum%20entry</div>"
      }
    },
    {
      "extension" : [
        {
          "url" : "http://fhir.hie.moh.gov.my/StructureDefinition/composition-section-date-my-core",
          "valueDateTime" : "2023-04-07T06:57:00.000+08:00"
        }
      ],
      "title" : "Addendum Note 2",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "55107-7",
            "display" : "Addendum Note"
          }
        ]
      },
      "author" : [
        {
          "type" : "PractitionerRole",
          "identifier" : {
            "system" : "http://fhir.hie.moh.gov.my/sid/mmc-no",
            "value" : "64325"
          },
          "display" : "Saw Lee Chin"
        }
      ],
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Addendum%20entry</div>"
      }
    }
  ]
}