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

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: Example Composition progress note - XML Representation

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<Composition xmlns="http://hl7.org/fhir">
  <id value="example-composition"/>
  <meta>
    <source value="http://provider.hie.moh.gov.my"/>
    <profile
             value="http://fhir.hie.moh.gov.my/StructureDefinition/Composition-my-core"/>
    <profile
             value="http://fhir.hie.moh.gov.my/StructureDefinition/Composition-general-my-core"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Composition example-composition</b></p><a name="example-composition"> </a><a name="hcexample-composition"> </a><a name="example-composition-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"/><p style="margin-bottom: 0px">Information Source: <a href="http://provider.hie.moh.gov.my">http://provider.hie.moh.gov.my</a></p><p style="margin-bottom: 0px">Profiles: <a href="StructureDefinition-Composition-my-core.html">Composition (MY Core)</a>, <code>http://fhir.hie.moh.gov.my/StructureDefinition/Composition-general-my-core</code></p></div><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 11506-3}">Progress Note</span></p><p><b>category</b>: <span title="Codes:{http://loinc.org 11506-3}">Progress Note</span></p><p><b>encounter</b>: <a href="Encounter/example-encounter-s01-01">Encounter/example-encounter-s01-01</a></p><p><b>date</b>: 2022-03-27</p><p><b>author</b>: <a href="PractitionerRole/example-practitionerrole-01">PractitionerRole/example-practitionerrole-01</a></p><p><b>title</b>: Example Composition progress note</p><p><b>confidentiality</b>: normal</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>Legal</td><td>2022-03-27</td><td><a href="PractitionerRole/example-practitionerrole-02">PractitionerRole/example-practitionerrole-02</a></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></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://loinc.org 34109-9}">Note</span></td></tr></table></div>
  </text>
  <status value="final"/>
  <type>
    <coding>
      <system value="http://loinc.org"/>
      <code value="11506-3"/>
      <display value="Progress Note"/>
    </coding>
  </type>
  <category>
    <coding>
      <system value="http://loinc.org"/>
      <code value="11506-3"/>
      <display value="Progress Note"/>
    </coding>
  </category>
  <subject>
    <reference value="Patient/example-patient-s01"/>
  </subject>
  <encounter>
    <reference value="Encounter/example-encounter-s01-01"/>
  </encounter>
  <date value="2022-03-27"/>
  <author>
    <reference value="PractitionerRole/example-practitionerrole-01"/>
  </author>
  <title value="Example Composition progress note"/>
  <confidentiality value="N"/>
  <attester>
    <mode value="legal"/>
    <time value="2022-03-27"/>
    <party>
      <reference value="PractitionerRole/example-practitionerrole-02"/>
    </party>
  </attester>
  <custodian>
    <reference value="Organization/11-05060009"/>
    <display value="Hospital Tuanku Ja'afar, Seremban"/>
  </custodian>
  <event>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="34109-9"/>
        <display value="Note"/>
      </coding>
    </code>
  </event>
  <section>
    <title value="Problem list"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="11450-4"/>
        <display value="Problem List"/>
      </coding>
    </code>
    <orderedBy>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/list-order"/>
        <code value="category"/>
        <display value="Category"/>
      </coding>
    </orderedBy>
    <entry>
      <reference value="Condition/3df0e72d-cc55-4089-b1aa-e2c40613e201"/>
    </entry>
    <entry>
      <reference value="Condition/3df0e72d-cc55-4089-b1aa-e2c40613e202"/>
    </entry>
  </section>
  <section>
    <title value="Note"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="34109-9"/>
        <display value="Note"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><table><tr><td><b>Code</b></td><td><b>Date</b></td><td><b>Type</b></td><td><b>BodySite</b></td><td><b>Severity</b></td></tr><tr><td>Stroke</td><td>2010-07-18</td><td>Diagnosis</td><td/><td/></tr><tr><td>Burnt Ear</td><td>2012-05-24</td><td>Diagnosis</td><td>Left Ear</td><td/></tr><tr><td>Asthma</td><td>2012-11-12</td><td>Finding</td><td/><td>Mild</td></tr></table></div>
    </text>
  </section>
</Composition>