Example of a Context-Establishing Clinical Snapshot

{
  "resourceType" : "Composition",
  "id" : "example-context-establishing-clinical-snapshot",
  "status" : "final",
  "type" : {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "60591-5",
      "display" : "Patient summary Document"
    }],
    "text" : "Current clinical status snapshot"
  },
  "subject" : [{
    "reference" : "Patient/patient-123",
    "display" : "Example Patient"
  }],
  "date" : "2026-06-24T11:30:00-07:00",
  "author" : [{
    "reference" : "CareTeam/primary-care-team",
    "display" : "Example Patient Primary Care Team"
  }],
  "title" : "Current Clinical Status",
  "attester" : [{
    "mode" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/composition-attestation-mode",
        "code" : "professional",
        "display" : "Professional"
      }]
    },
    "time" : "2026-06-24T11:30:00-07:00",
    "party" : {
      "reference" : "Practitioner/practitioner-1",
      "display" : "Some Doctor, MD"
    }
  }],
  "custodian" : {
    "reference" : "Organization/example-health-system",
    "display" : "Example Health System"
  },
  "section" : [{
    "title" : "Active Problems",
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "57852-6",
        "display" : "Problem list Narrative - Reported"
      }]
    },
    "text" : {
      "status" : "generated",
      "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t\t<p>Active problems: type 2 diabetes mellitus and essential hypertension.</p>\n\t\t\t</div>"
    },
    "entry" : [{
      "reference" : "Condition/diabetes"
    },
    {
      "reference" : "Condition/hypertension"
    }]
  },
  {
    "title" : "Allergies and Adverse Reactions",
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "48765-2",
        "display" : "Allergies and adverse reactions Document"
      }]
    },
    "text" : {
      "status" : "generated",
      "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t\t<p>Penicillin allergy: urticaria.</p>\n\t\t\t</div>"
    },
    "entry" : [{
      "reference" : "AllergyIntolerance/penicillin"
    }]
  },
  {
    "title" : "Current Medications",
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "10160-0",
        "display" : "History of Medication use Narrative"
      }]
    },
    "text" : {
      "status" : "generated",
      "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t\t<p>Current medications: metformin and lisinopril.</p>\n\t\t\t</div>"
    },
    "entry" : [{
      "reference" : "MedicationRequest/metformin"
    },
    {
      "reference" : "MedicationRequest/lisinopril"
    }]
  },
  {
    "title" : "Plan of Care",
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "18776-5",
        "display" : "Plan of care note"
      }]
    },
    "text" : {
      "status" : "generated",
      "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t\t<p>Continue current therapy and reassess blood pressure and glycated hemoglobin at the next visit.</p>\n\t\t\t</div>"
    },
    "entry" : [{
      "reference" : "CarePlan/chronic-care-plan"
    }]
  }]
}