Health Care Surveys Reporting
2.0.0 - STU 2

Health Care Surveys Reporting, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-health-care-surveys-reporting-ig/ and changes regularly. See the Directory of published versions

## : Composition - National Healthcare Surveys Report

Page standards status: Informative

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    <Composition xmlns="http://hl7.org/fhir">
      <id value="hcs-composition-example"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/us/health-care-surveys-reporting/StructureDefinition/hcs-composition"/>
      </meta>
      <language value="en"/>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"><p class="res-header-id"><b>Generated Narrative: Composition hcs-composition-example</b></p><a name="hcs-composition-example"> </a><a name="hchcs-composition-example"> </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">Language: en</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-hcs-composition.html">Health Care Surveys Composition</a></p></div><p><b>identifier</b>: c03eab8c-11e8-4d0c-ad2a-b385395e27db</p><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 75619-7}">National Health Care Surveys report</span></p><p><b>encounter</b>: <a href="Encounter-encounter-ambulatory.html">Ambulatory Office Visit</a></p><p><b>date</b>: 2023-01-02 22:13:23+0000</p><p><b>author</b>: <a href="Practitioner-practitioner-nichols.html">Nicholas Joseph</a></p><p><b>title</b>: National Health Care Surveys report</p></div>
      </text>
      <identifier>
        <value value="c03eab8c-11e8-4d0c-ad2a-b385395e27db"/>
      </identifier>
      <status value="final"/>
      <type>
        <coding>
          <system value="http://loinc.org"/>
          <code value="75619-7"/>
        </coding>
      </type>
      <subject>🔗
        <reference value="Patient/patient-ledner"/>
      </subject>
      <encounter>🔗
        <reference value="Encounter/encounter-ambulatory"/>
        <display value="Ambulatory Office Visit"/>
      </encounter>
      <date value="2023-01-02T22:13:23Z"/>
      <author>🔗
        <reference value="Practitioner/practitioner-nichols"/>
        <display value="Nicholas Joseph"/>
      </author>
      <title value="National Health Care Surveys report"/>
      <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>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p>Reason for Visit: Bad cough</p></div>
        </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>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p>Single liveborn, born in hospital</p><p>Acute bronchitis</p></div>
        </text>
        <entry>🔗
          <reference value="Condition/condition-problem-liveborn-example"/>
        </entry>
        <entry>🔗
          <reference value="Condition/condition-encounter-diagnosis-example"/>
        </entry>
      </section>
      <section>
        <title value="Allergies Section"/>
        <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"><p>Allergy to Sulfonide</p></div>
        </text>
        <entry>🔗
          <reference
                     value="AllergyIntolerance/allergyintolerance-sulfonamide-example"/>
        </entry>
      </section>
      <section>
        <title value="Medications Section"/>
        <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">Taking Lantus</div>
        </text>
        <entry>🔗
          <reference
                     value="MedicationAdministration/medicationadministrationone-example"/>
        </entry>
        <entry>🔗
          <reference value="MedicationRequest/MedicationRequest-example"/>
        </entry>
      </section>
      <section>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="30954-2"/>
            <display value="Relevant diagnostic tests/laboratory data note"/>
          </coding>
        </code>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p>CBC Results: WBC 6.8, RBC 4.2, Hgb 14.0, Hct 41.0, Plt 210</p><p>CMP Results: Glucose 98, BUN 14, Cr 0.8, Na 140, K 3.8, Cl 102</p></div>
        </text>
        <entry>🔗
          <reference value="Observation/observation-clinical-example"/>
        </entry>
        <entry>🔗
          <reference value="DiagnosticReport/diagnosticreport-lab-example"/>
        </entry>
      </section>
      <section>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="28650-0"/>
            <display value="Clinical notes and chart sections Set"/>
          </coding>
        </code>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p>Patient presented with one week history of cough and low-grade fever. Lungs clear on examination. No lymphadenopathy.</p></div>
        </text>
        <entry>🔗
          <reference value="DocumentReference/documentreference-example"/>
        </entry>
        <entry>🔗
          <reference value="DiagnosticReport/diagnosticreport-note-example"/>
        </entry>
      </section>
      <section>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="51847-2"/>
            <display value="Evaluation + Plan note"/>
          </coding>
        </code>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Referral to social worker for housing assistance</li></ul><p>Continue symptomatic treatment. Return if symptoms worsen or fail to improve within 5 days.</p></div>
        </text>
        <entry>🔗
          <reference value="Observation/observation-screening-example"/>
        </entry>
      </section>
      <section>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="11369-6"/>
            <display value="History of Immunization note"/>
          </coding>
        </code>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p>Influenza vaccine administered 10/15/2024</p><p>COVID-19 vaccine: Last dose received 06/20/2024</p></div>
        </text>
        <entry>🔗
          <reference value="Immunization/immunization-example"/>
        </entry>
      </section>
      <section>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="47519-4"/>
            <display value="History of Procedures Document"/>
          </coding>
        </code>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p>service request for a CT chest evaluation procedure for acute viral pharyngitis</p></div>
        </text>
        <entry>🔗
          <reference value="Procedure/procedure-example"/>
        </entry>
        <entry>🔗
          <reference value="ServiceRequest/servicerequest-example"/>
        </entry>
      </section>
      <section>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="8716-3"/>
            <display value="Vital signs note"/>
          </coding>
        </code>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p>BP: 120/80 mmHg</p><p>HR: 70 bpm</p><p>Temp: 37.0 C</p><p>RR: 16</p><p>SpO2: 98%</p><p>Weight: 68 kg</p><p>Height: 170 cm</p><p>BMI: 23.5 kg/m²</p></div>
        </text>
        <entry>🔗
          <reference value="Observation/observation-bp-example"/>
        </entry>
        <entry>🔗
          <reference value="Observation/observation-weight-example"/>
        </entry>
        <entry>🔗
          <reference value="Observation/observation-height-example"/>
        </entry>
        <entry>🔗
          <reference value="Observation/observation-heartrate-example"/>
        </entry>
        <entry>🔗
          <reference value="Observation/observation-oximetry-example"/>
        </entry>
        <entry>🔗
          <reference value="Observation/observation-temperature-example"/>
        </entry>
        <entry>🔗
          <reference value="Observation/observation-resprate-example"/>
        </entry>
      </section>
      <section>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="29762-2"/>
            <display value="Social history note"/>
          </coding>
        </code>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p>Patient is a non-smoker</p><p>Occupation: Certified Nursing Assistant (CNA) [Nursing Assistants]</p><p>Industry: Home nursing services</p></div>
        </text>
        <entry>🔗
          <reference value="Observation/observation-occupation-example"/>
        </entry>
      </section>
      <section>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="46264-8"/>
            <display value="History of medical device use"/>
          </coding>
        </code>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p>Implantable device: Pacemaker Model X1000</p></div>
        </text>
        <entry>🔗
          <reference value="Device/device-example"/>
        </entry>
      </section>
      <section>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="85847-2"/>
            <display value="Patient Care team information"/>
          </coding>
        </code>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p>Primary Care Provider: Dr. Nicholas Joseph</p><p>Pulmonologist: Dr. Sarah Chen</p></div>
        </text>
        <entry>🔗
          <reference value="CareTeam/careteam-example"/>
        </entry>
      </section>
      <section>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="61146-7"/>
            <display value="Goals"/>
          </coding>
        </code>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p>Resolve acute bronchitis</p><p>Improve sleep quality</p></div>
        </text>
        <entry>🔗
          <reference value="Goal/goal-example"/>
        </entry>
      </section>
      <section>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="90767-5"/>
            <display value="Pregnancy summary Document"/>
          </coding>
        </code>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p>Patient is not currently pregnant</p></div>
        </text>
        <entry>🔗
          <reference value="Observation/observation-pregnancy-status-example"/>
        </entry>
        <entry>🔗
          <reference value="Observation/observation-pregnancy-intent-example"/>
        </entry>
      </section>
      <section>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="48768-6"/>
            <display value="Payment sources Document"/>
          </coding>
        </code>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p>Primary Insurance: Blue Cross Blue Shield</p><p>ID: XYZ123456789</p><p>Group: ABC987</p></div>
        </text>
        <entry>🔗
          <reference value="Coverage/coverage-bcbs-example"/>
        </entry>
      </section>
    </Composition>