@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<https://fhir.dha.go.ke/ig/emergency/Composition/em-ed-patient-record-composition-example> a fhir:Composition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "em-ed-patient-record-composition-example"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-ed-patient-record-composition" ;
       fhir:index 0 ;
       fhir:link <https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-ed-patient-record-composition>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:Composition.status [ fhir:value "final"] ;
  fhir:Composition.type [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a loinc:34111-5 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "34111-5" ] ;
       fhir:Coding.display [ fhir:value "Emergency department Note" ]
     ]
  ] ;
  fhir:Composition.subject [
     fhir:link <https://fhir.dha.go.ke/ig/emergency/Patient/pat-0712345678> ;
     fhir:Reference.reference [ fhir:value "Patient/pat-0712345678" ]
  ] ;
  fhir:Composition.encounter [
     fhir:link <https://fhir.dha.go.ke/ig/emergency/Encounter/em-ed-encounter-example> ;
     fhir:Reference.reference [ fhir:value "Encounter/em-ed-encounter-example" ]
  ] ;
  fhir:Composition.date [ fhir:value "2026-06-29T14:10:00+03:00"^^xsd:dateTime] ;
  fhir:Composition.author [
     fhir:index 0 ;
     fhir:link <https://fhir.dha.go.ke/ig/emergency/Practitioner/em-practitioner-example> ;
     fhir:Reference.reference [ fhir:value "Practitioner/em-practitioner-example" ]
  ], [
     fhir:index 1 ;
     fhir:link <https://fhir.dha.go.ke/ig/emergency/Practitioner/em-ed-nurse-example> ;
     fhir:Reference.reference [ fhir:value "Practitioner/em-ed-nurse-example" ]
  ] ;
  fhir:Composition.title [ fhir:value "Emergency Department Patient Record - Amina Atieno - 2026-06-29"] ;
  fhir:Composition.section [
     fhir:index 0 ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section" ] ;
         fhir:Coding.code [ fhir:value "registration-arrival" ]
       ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index 0 ;
       fhir:link <https://fhir.dha.go.ke/ig/emergency/Encounter/em-ed-encounter-example> ;
       fhir:Reference.reference [ fhir:value "Encounter/em-ed-encounter-example" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section" ] ;
         fhir:Coding.code [ fhir:value "triage-vitals" ]
       ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index 0 ;
       fhir:link <https://fhir.dha.go.ke/ig/emergency/Observation/em-ed-vitals-arrival-hr-example> ;
       fhir:Reference.reference [ fhir:value "Observation/em-ed-vitals-arrival-hr-example" ]
     ], [
       fhir:index 1 ;
       fhir:link <https://fhir.dha.go.ke/ig/emergency/Observation/em-ed-high-risk-signs-example> ;
       fhir:Reference.reference [ fhir:value "Observation/em-ed-high-risk-signs-example" ]
     ]
  ], [
     fhir:index 2 ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section" ] ;
         fhir:Coding.code [ fhir:value "chief-complaint-referral" ]
       ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index 0 ;
       fhir:link <https://fhir.dha.go.ke/ig/emergency/Condition/em-ed-condition-chief-complaint-example> ;
       fhir:Reference.reference [ fhir:value "Condition/em-ed-condition-chief-complaint-example" ]
     ]
  ], [
     fhir:index 3 ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section" ] ;
         fhir:Coding.code [ fhir:value "allergies" ]
       ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index 0 ;
       fhir:link <https://fhir.dha.go.ke/ig/emergency/AllergyIntolerance/em-allergy-example-valid> ;
       fhir:Reference.reference [ fhir:value "AllergyIntolerance/em-allergy-example-valid" ]
     ]
  ], [
     fhir:index 4 ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section" ] ;
         fhir:Coding.code [ fhir:value "past-medical-history" ]
       ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index 0 ;
       fhir:link <https://fhir.dha.go.ke/ig/emergency/Condition/em-ed-condition-past-medical-history-example> ;
       fhir:Reference.reference [ fhir:value "Condition/em-ed-condition-past-medical-history-example" ]
     ]
  ], [
     fhir:index 5 ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section" ] ;
         fhir:Coding.code [ fhir:value "provider-assessment-abcde" ]
       ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index 0 ;
       fhir:link <https://fhir.dha.go.ke/ig/emergency/Observation/em-ed-abcde-breathing-example> ;
       fhir:Reference.reference [ fhir:value "Observation/em-ed-abcde-breathing-example" ]
     ], [
       fhir:index 1 ;
       fhir:link <https://fhir.dha.go.ke/ig/emergency/Observation/em-ed-abcde-circulation-example> ;
       fhir:Reference.reference [ fhir:value "Observation/em-ed-abcde-circulation-example" ]
     ], [
       fhir:index 2 ;
       fhir:link <https://fhir.dha.go.ke/ig/emergency/Procedure/em-ed-procedure-chest-tube-example> ;
       fhir:Reference.reference [ fhir:value "Procedure/em-ed-procedure-chest-tube-example" ]
     ], [
       fhir:index 3 ;
       fhir:link <https://fhir.dha.go.ke/ig/emergency/MedicationAdministration/em-ed-medication-analgesia-example> ;
       fhir:Reference.reference [ fhir:value "MedicationAdministration/em-ed-medication-analgesia-example" ]
     ]
  ], [
     fhir:index 6 ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section" ] ;
         fhir:Coding.code [ fhir:value "history-of-present-illness" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ] ;
       fhir:Narrative.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>"
     ]
  ], [
     fhir:index 7 ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section" ] ;
         fhir:Coding.code [ fhir:value "trauma" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ] ;
       fhir:Narrative.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>"
     ]
  ], [
     fhir:index 8 ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section" ] ;
         fhir:Coding.code [ fhir:value "review-of-systems" ]
       ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index 0 ;
       fhir:link <https://fhir.dha.go.ke/ig/emergency/Observation/em-ed-ros-respiratory-example> ;
       fhir:Reference.reference [ fhir:value "Observation/em-ed-ros-respiratory-example" ]
     ], [
       fhir:index 1 ;
       fhir:link <https://fhir.dha.go.ke/ig/emergency/Observation/em-ed-ros-gi-example> ;
       fhir:Reference.reference [ fhir:value "Observation/em-ed-ros-gi-example" ]
     ]
  ], [
     fhir:index 9 ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section" ] ;
         fhir:Coding.code [ fhir:value "physical-exam" ]
       ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index 0 ;
       fhir:link <https://fhir.dha.go.ke/ig/emergency/Observation/em-ed-physical-exam-respiratory-example> ;
       fhir:Reference.reference [ fhir:value "Observation/em-ed-physical-exam-respiratory-example" ]
     ], [
       fhir:index 1 ;
       fhir:link <https://fhir.dha.go.ke/ig/emergency/Observation/em-ed-physical-exam-general-example> ;
       fhir:Reference.reference [ fhir:value "Observation/em-ed-physical-exam-general-example" ]
     ]
  ], [
     fhir:index 10 ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section" ] ;
         fhir:Coding.code [ fhir:value "diagnostic-tests" ]
       ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index 0 ;
       fhir:link <https://fhir.dha.go.ke/ig/emergency/DiagnosticReport/em-ed-diagnostic-report-cbc-example> ;
       fhir:Reference.reference [ fhir:value "DiagnosticReport/em-ed-diagnostic-report-cbc-example" ]
     ], [
       fhir:index 1 ;
       fhir:link <https://fhir.dha.go.ke/ig/emergency/Observation/em-ed-pocus-chest-example> ;
       fhir:Reference.reference [ fhir:value "Observation/em-ed-pocus-chest-example" ]
     ], [
       fhir:index 2 ;
       fhir:link <https://fhir.dha.go.ke/ig/emergency/Observation/em-ed-urinalysis-example> ;
       fhir:Reference.reference [ fhir:value "Observation/em-ed-urinalysis-example" ]
     ]
  ], [
     fhir:index 11 ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section" ] ;
         fhir:Coding.code [ fhir:value "procedures" ]
       ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index 0 ;
       fhir:link <https://fhir.dha.go.ke/ig/emergency/Procedure/em-ed-procedure-chest-tube-example> ;
       fhir:Reference.reference [ fhir:value "Procedure/em-ed-procedure-chest-tube-example" ]
     ]
  ], [
     fhir:index 12 ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section" ] ;
         fhir:Coding.code [ fhir:value "medications" ]
       ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index 0 ;
       fhir:link <https://fhir.dha.go.ke/ig/emergency/MedicationAdministration/em-ed-medication-analgesia-example> ;
       fhir:Reference.reference [ fhir:value "MedicationAdministration/em-ed-medication-analgesia-example" ]
     ]
  ], [
     fhir:index 13 ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section" ] ;
         fhir:Coding.code [ fhir:value "diagnosis-impression" ]
       ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index 0 ;
       fhir:link <https://fhir.dha.go.ke/ig/emergency/Condition/em-ed-condition-discharge-diagnosis-example> ;
       fhir:Reference.reference [ fhir:value "Condition/em-ed-condition-discharge-diagnosis-example" ]
     ]
  ], [
     fhir:index 14 ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section" ] ;
         fhir:Coding.code [ fhir:value "management-plan" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ] ;
       fhir:Narrative.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>"
     ]
  ], [
     fhir:index 15 ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section" ] ;
         fhir:Coding.code [ fhir:value "final-reassessment" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ] ;
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Improved perfusion and reduced work of breathing following chest tube insertion.</div>"
     ] ;
     fhir:Composition.section.entry [
       fhir:index 0 ;
       fhir:link <https://fhir.dha.go.ke/ig/emergency/Observation/em-ed-vitals-final-hr-example> ;
       fhir:Reference.reference [ fhir:value "Observation/em-ed-vitals-final-hr-example" ]
     ]
  ], [
     fhir:index 16 ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-ed-section" ] ;
         fhir:Coding.code [ fhir:value "disposition" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ] ;
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Admitted to ICU for further management of traumatic pneumothorax.</div>"
     ] ;
     fhir:Composition.section.entry [
       fhir:index 0 ;
       fhir:link <https://fhir.dha.go.ke/ig/emergency/Encounter/em-ed-encounter-example> ;
       fhir:Reference.reference [ fhir:value "Encounter/em-ed-encounter-example" ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<https://fhir.dha.go.ke/ig/emergency/Composition/em-ed-patient-record-composition-example.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl .

# -------------------------------------------------------------------------------------