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 - XML Representation

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<Composition xmlns="http://hl7.org/fhir">
  <id value="example-composition-amend-hie-dc-comp-12346-140423"/>
  <meta>
    <versionId value="6"/>
    <lastUpdated value="2023-04-17T07:20:07.933+08:00"/>
    <source value="sample"/>
    <profile
             value="http://fhir.hie.moh.gov.my/StructureDefinition/Composition-my-core"/>
    <security>
      <system
              value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
      <code value="N"/>
    </security>
  </meta>
  <text>
    <status value="extensions"/>
    <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 TUANKU JA'AFAR, SEREMBAN</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>
  </text>
  <extension
             url="http://fhir.hie.moh.gov.my/StructureDefinition/location-recorded-my-core">
    <valueReference>
      <display value="Ward A"/>
    </valueReference>
  </extension>
  <identifier>
    <system value="http://fhir.hie.moh.gov.my/sid/composition-id"/>
    <value value="HTJ-CMP-2304000003"/>
  </identifier>
  <status value="amended"/>
  <type>
    <coding>
      <system
              value="http://fhir.hie.moh.gov.my/CodeSystem/composition-type-my-core"/>
      <code value="18842-5"/>
      <display value="Discharge Summary Note"/>
    </coding>
  </type>
  <category>
    <coding>
      <system
              value="http://fhir.hie.moh.gov.my/CodeSystem/composition-category-my-core"/>
      <code value="LP72467-1"/>
      <display value="Discharge Summary Note"/>
    </coding>
  </category>
  <subject>
    <reference value="Patient/patient-sample"/>
  </subject>
  <encounter>
    <reference value="Encounter/encounter-sample"/>
  </encounter>
  <date value="2023-04-07T06:58:00.000+08:00"/>
  <author>
    <type value="PractitionerRole"/>
    <identifier>
      <system value="http://fhir.hie.moh.gov.my/sid/mmc-no"/>
      <value value="64325"/>
    </identifier>
    <display value="Saw Lee Chin"/>
  </author>
  <title value="Example Composition discharge summary amendment"/>
  <attester>
    <mode value="professional"/>
    <time value="2023-04-07T06:58:00.000+08:00"/>
    <party>
      <type value="PractitionerRole"/>
      <identifier>
        <system value="http://fhir.hie.moh.gov.my/sid/nsr-no"/>
        <value value="23312"/>
      </identifier>
      <display value="Kamal Bin Arifin"/>
    </party>
  </attester>
  <custodian>
    <reference value="Organization/11-05060009"/>
    <display value="HOSPITAL TUANKU JA'AFAR, SEREMBAN"/>
  </custodian>
  <event>
    <code>
      <coding>
        <system
                value="http://fhir.hie.moh.gov.my/CodeSystem/composition-event-my-core"/>
        <code value="18842-5"/>
        <display value="Discharge Summary Note"/>
      </coding>
    </code>
    <period>
      <start value="2023-04-07T06:57:00.000+08:00"/>
    </period>
  </event>
  <section>
    <title value="Clinical Information"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="55752-0"/>
        <display value="Clinical Information"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml">Demam%20panas%2C%20ruam%2C%20pening%20kepala%20dan%20muntah</div>
    </text>
  </section>
  <section>
    <title value="Care plan"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="18776-5"/>
        <display value="Plan of Care"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml">Demam%20panas%2C%20ruam%2C%20pening%20kepala%20dan%20muntah</div>
    </text>
  </section>
  <section>
    <extension
               url="http://fhir.hie.moh.gov.my/StructureDefinition/composition-section-date-my-core">
      <valueDateTime value="2023-04-07T06:57:00.000+08:00"/>
    </extension>
    <title value="Addendum Note 1"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="55107-7"/>
        <display value="Addendum Note"/>
      </coding>
    </code>
    <author>
      <type value="PractitionerRole"/>
      <identifier>
        <system value="http://fhir.hie.moh.gov.my/sid/mmc-no"/>
        <value value="64325"/>
      </identifier>
      <display value="Saw Lee Chin"/>
    </author>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml">Addendum%20entry</div>
    </text>
  </section>
  <section>
    <extension
               url="http://fhir.hie.moh.gov.my/StructureDefinition/composition-section-date-my-core">
      <valueDateTime value="2023-04-07T06:57:00.000+08:00"/>
    </extension>
    <title value="Addendum Note 2"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="55107-7"/>
        <display value="Addendum Note"/>
      </coding>
    </code>
    <author>
      <type value="PractitionerRole"/>
      <identifier>
        <system value="http://fhir.hie.moh.gov.my/sid/mmc-no"/>
        <value value="64325"/>
      </identifier>
      <display value="Saw Lee Chin"/>
    </author>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml">Addendum%20entry</div>
    </text>
  </section>
</Composition>