{
  "resourceType" : "Composition",
  "id" : "em-ed-patient-record-composition-example",
  "meta" : {
    "profile" : ["https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-ed-patient-record-composition"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Composition em-ed-patient-record-composition-example</b></p><a name=\"em-ed-patient-record-composition-example\"> </a><a name=\"hcem-ed-patient-record-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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-em-ed-patient-record-composition.html\">Composition - Emergency Department Patient Record</a></p></div><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 34111-5}\">Emergency department Note</span></p><p><b>encounter</b>: <a href=\"Encounter-em-ed-encounter-example.html\">Encounter: extension = Government insurance,Ambulance,Non-ambulatory,Acute,false,,; identifier = http://hie.go.ke/fhir/identifier/hospital-registration-number#KNH-ED-2026-004417; status = finished; class = emergency (ActCode#EMER); priority = Orange - Very urgent; period = 2026-06-29 12:40:00+0300 --&gt; 2026-06-29 14:10:00+0300</a></p><p><b>date</b>: 2026-06-29 14:10:00+0300</p><p><b>author</b>: </p><ul><li><a href=\"Practitioner-em-practitioner-example.html\">Practitioner Sarah Njoroge </a></li><li><a href=\"Practitioner-em-ed-nurse-example.html\">Practitioner Grace Wanjiru </a></li></ul><p><b>title</b>: Emergency Department Patient Record - Amina Atieno - 2026-06-29</p></div>"
  },
  "status" : "final",
  "type" : {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "34111-5",
      "display" : "Emergency department Note"
    }]
  },
  "subject" : {
    "reference" : "Patient/pat-0712345678"
  },
  "encounter" : {
    "reference" : "Encounter/em-ed-encounter-example"
  },
  "date" : "2026-06-29T14:10:00+03:00",
  "author" : [{
    "reference" : "Practitioner/em-practitioner-example"
  },
  {
    "reference" : "Practitioner/em-ed-nurse-example"
  }],
  "title" : "Emergency Department Patient Record - Amina Atieno - 2026-06-29",
  "section" : [{
    "code" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
        "code" : "registration-arrival"
      }]
    },
    "entry" : [{
      "reference" : "Encounter/em-ed-encounter-example"
    }]
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
        "code" : "triage-vitals"
      }]
    },
    "entry" : [{
      "reference" : "Observation/em-ed-vitals-arrival-hr-example"
    },
    {
      "reference" : "Observation/em-ed-high-risk-signs-example"
    }]
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
        "code" : "chief-complaint-referral"
      }]
    },
    "entry" : [{
      "reference" : "Condition/em-ed-condition-chief-complaint-example"
    }]
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
        "code" : "allergies"
      }]
    },
    "entry" : [{
      "reference" : "AllergyIntolerance/em-allergy-example-valid"
    }]
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
        "code" : "past-medical-history"
      }]
    },
    "entry" : [{
      "reference" : "Condition/em-ed-condition-past-medical-history-example"
    }]
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
        "code" : "provider-assessment-abcde"
      }]
    },
    "entry" : [{
      "reference" : "Observation/em-ed-abcde-breathing-example"
    },
    {
      "reference" : "Observation/em-ed-abcde-circulation-example"
    },
    {
      "reference" : "Procedure/em-ed-procedure-chest-tube-example"
    },
    {
      "reference" : "MedicationAdministration/em-ed-medication-analgesia-example"
    }]
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
        "code" : "history-of-present-illness"
      }]
    },
    "text" : {
      "status" : "generated",
      "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Patient reports sudden onset right-sided chest pain and shortness of breath following a road traffic collision approximately 45 minutes prior to arrival.</div>"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
        "code" : "trauma"
      }]
    },
    "text" : {
      "status" : "generated",
      "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Road traffic crash, unintentional. See the traumaDetails extension on the referenced EMEDEncounter for coded mechanism/intent.</div>"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
        "code" : "review-of-systems"
      }]
    },
    "entry" : [{
      "reference" : "Observation/em-ed-ros-respiratory-example"
    },
    {
      "reference" : "Observation/em-ed-ros-gi-example"
    }]
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
        "code" : "physical-exam"
      }]
    },
    "entry" : [{
      "reference" : "Observation/em-ed-physical-exam-respiratory-example"
    },
    {
      "reference" : "Observation/em-ed-physical-exam-general-example"
    }]
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
        "code" : "diagnostic-tests"
      }]
    },
    "entry" : [{
      "reference" : "DiagnosticReport/em-ed-diagnostic-report-cbc-example"
    },
    {
      "reference" : "Observation/em-ed-pocus-chest-example"
    },
    {
      "reference" : "Observation/em-ed-urinalysis-example"
    }]
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
        "code" : "procedures"
      }]
    },
    "entry" : [{
      "reference" : "Procedure/em-ed-procedure-chest-tube-example"
    }]
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
        "code" : "medications"
      }]
    },
    "entry" : [{
      "reference" : "MedicationAdministration/em-ed-medication-analgesia-example"
    }]
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
        "code" : "diagnosis-impression"
      }]
    },
    "entry" : [{
      "reference" : "Condition/em-ed-condition-discharge-diagnosis-example"
    }]
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
        "code" : "management-plan"
      }]
    },
    "text" : {
      "status" : "generated",
      "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Chest tube inserted for right pneumothorax; admit to ICU for observation; repeat chest X-ray in 4 hours.</div>"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
        "code" : "final-reassessment"
      }]
    },
    "text" : {
      "status" : "generated",
      "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Improved perfusion and reduced work of breathing following chest tube insertion.</div>"
    },
    "entry" : [{
      "reference" : "Observation/em-ed-vitals-final-hr-example"
    }]
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section",
        "code" : "disposition"
      }]
    },
    "text" : {
      "status" : "generated",
      "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Admitted to ICU for further management of traumatic pneumothorax.</div>"
    },
    "entry" : [{
      "reference" : "Encounter/em-ed-encounter-example"
    }]
  }]
}