PACIO Sample Data Depot
0.1.0 - draft

PACIO Sample Data Depot, published by MITRE. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/paciowg/sample-data-fsh/ and changes regularly. See the Directory of published versions

## : Betsy Smith-Johnson Discharge Summary - XML Representation

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    <Composition xmlns="http://hl7.org/fhir">
      <id value="BSJ1-composition-CCDA-dischargeSummary-01"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/us/ccda/StructureDefinition/Discharge-Summary|2.0.0-ballot"/>
      </meta>
      <language value="en-US"/>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-US" lang="en-US"><p class="res-header-id"><b>Generated Narrative: Composition BSJ1-composition-CCDA-dischargeSummary-01</b></p><a name="BSJ1-composition-CCDA-dischargeSummary-01"> </a><a name="hcBSJ1-composition-CCDA-dischargeSummary-01"> </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-US</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/ccda/2025Jan/StructureDefinition-Discharge-Summary.html">Discharge Summaryversion: null2.0.0-ballot)</a></p></div><p><b>identifier</b>: <a href="http://terminology.hl7.org/6.1.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt

    This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid:

    Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.

    This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:uuid:03d0f89e-b0ac-482b-a400-c436df8055e3</p><p><b>status</b>: Preliminary</p><p><b>type</b>: <span title="Codes:{http://loinc.org 18842-5}">Discharge Summary</span></p><p><b>date</b>: 2025-05-04 15:15:00+0000</p><p><b>author</b>: <a href="PractitionerRole-PractitionerRole-Physician-PriyaSarkar.html">Priya Sarkar, MD</a></p><p><b>title</b>: Betsy Smith-Johnson Discharge Summary</p><p><b>custodian</b>: <a href="Organization-org-ED-Metro-Hospital.html">Metro Hospital Emergency Department</a></p></div>
      </text>
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value value="urn:uuid:03d0f89e-b0ac-482b-a400-c436df8055e3"/>
      </identifier>
      <status value="preliminary"/>
      <type>
        <coding>
          <system value="http://loinc.org"/>
          <code value="18842-5"/>
          <display value="Discharge Summary"/>
        </coding>
      </type>
      <subject>🔗
        <reference value="Patient/patient-betsysmith-johnson01"/>
        <display value="Betsy Smith-Johnson"/>
      </subject>
      <date value="2025-05-04T15:15:00.000+00:00"/>
      <author>🔗
        <reference
                   value="PractitionerRole/PractitionerRole-Physician-PriyaSarkar"/>
        <display value="Priya Sarkar, MD"/>
      </author>
      <title value="Betsy Smith-Johnson Discharge Summary"/>
      <custodian>🔗
        <reference value="Organization/org-ED-Metro-Hospital"/>
        <display value="Metro Hospital Emergency Department"/>
      </custodian>
      <section>
        <title value="Allergies and Intolerances Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="48765-2"/>
            <display value="Allergies and adverse reactions Document"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Allergies for Betsy Smith Johnson</div>
        </text>
        <entry>🔗
          <reference value="AllergyIntolerance/betsysmith-johnson01-AllergyACE"/>
        </entry>
      </section>
      <section>
        <title value="Chief Complaint and Reason for Visit Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="46239-0"/>
            <display value="Chief complaint+Reason for visit Narrative"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Chief complaint and reason for visit for Betsy Smith Johnson</div>
        </text>
        <entry>🔗
          <reference
                     value="DocumentReference/BSJ1-documentReference-ED-AdminAssessment-01"/>
        </entry>
      </section>
      <section>
        <title value="Chief Complaint Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="10154-3"/>
            <display value="Chief complaint Narrative - Reported"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Chief complaint for Betsy Smith Johnson</div>
        </text>
      </section>
      <section>
        <title value="Reason for Visit Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="29299-5"/>
            <display value="Reason for visit"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Reason for visit for Betsy Smith Johnson</div>
        </text>
      </section>
      <section>
        <title value="Admission Diagnosis Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="46241-6"/>
            <display value="Hospital admission diagnosis Narrative - Reported"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Admission diagnosis for Betsy Smith Johnson</div>
        </text>
      </section>
      <section>
        <title value="Admission Medications Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="42346-7"/>
            <display value="Medications on admission (narrative)"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Medications on admission for Betsy Smith Johnson</div>
        </text>
      </section>
      <section>
        <title value="Past Medical History Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="11348-0"/>
            <display value="History of Past illness Narrative"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Past Medical History for Betsy Smith Johnson</div>
        </text>
        <entry>🔗
          <reference
                     value="Condition/betsysmith-johnson01-Condition-BreastCancer-01"/>
          <display value="Breast Cancer"/>
        </entry>
      </section>
      <section>
        <title value="History of Present Illness Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="10164-2"/>
            <display value="History of Present illness Narrative"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">History of present illness for Betsy Smith Johnson</div>
        </text>
      </section>
      <section>
        <title value="Review of Systems Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="10187-3"/>
            <display value="Review of systems"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Review of systems for Betsy Smith Johnson</div>
        </text>
      </section>
      <section>
        <title value="Family History Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="10157-6"/>
            <display value="History of family member diseases Narrative"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Family history for Betsy Smith Johnson</div>
        </text>
      </section>
      <section>
        <title value="Social History Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="29762-2"/>
            <display value="Social history Narrative"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Social history for Betsy Smith Johnson</div>
        </text>
      </section>
      <section>
        <title value="Functional Status Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="47420-5"/>
            <display value="Functional status assessment note"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Functional status assessment for Betsy Smith Johnson</div>
        </text>
      </section>
      <section>
        <title value="Hospital Course Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="8648-8"/>
            <display value="Hospital course"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Hospital course for Betsy Smith Johnson</div>
        </text>
      </section>
      <section>
        <title value="Hospital Consultations Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="18841-7"/>
            <display value="Hospital consultations Document"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Hospital consultations for Betsy Smith Johnson</div>
        </text>
      </section>
      <section>
        <title value="Plan of Treatment Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="18776-5"/>
            <display value="Plan of care note"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Plan of treatment for Betsy Smith Johnson</div>
        </text>
      </section>
      <section>
        <title value="Problem Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="11450-4"/>
            <display value="Problem list - Reported"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Problem list for Betsy Smith Johnson</div>
        </text>
        <entry>🔗
          <reference
                     value="Condition/betsysmith-johnson01-Condition-Hemiparesis-01"/>
          <display value="Hemiparesis"/>
        </entry>
        <entry>🔗
          <reference
                     value="Condition/betsysmith-johnson01-Condition-Diabetes-01"/>
          <display value="Diabetes"/>
        </entry>
        <entry>🔗
          <reference
                     value="Condition/betsysmith-johnson01-Condition-Hypertension-01"/>
          <display value="Hypertension"/>
        </entry>
        <entry>🔗
          <reference
                     value="Condition/betsysmith-johnson01-Condition-Hyperlipidemia-01"/>
          <display value="Hyperlipidemia"/>
        </entry>
        <entry>🔗
          <reference
                     value="Condition/betsysmith-johnson01-Condition-Depression-01"/>
          <display value="Depression"/>
        </entry>
        <entry>🔗
          <reference
                     value="Condition/betsysmith-johnson01-Condition-KidneyDisease-01"/>
          <display value="Kidney Disease"/>
        </entry>
        <entry>🔗
          <reference
                     value="Condition/betsysmith-johnson01-Condition-Osteoarthritis-01"/>
          <display value="Osteoarthritis"/>
        </entry>
        <entry>🔗
          <reference
                     value="Condition/betsysmith-johnson01-Condition-Osteopenia-01"/>
          <display value="Osteopenia"/>
        </entry>
        <entry>🔗
          <reference
                     value="Condition/betsysmith-johnson01-condition-IschemicStrokeDiagnosis-01"/>
          <display value="Ischemic Stroke"/>
        </entry>
      </section>
      <section>
        <title value="Procedures Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="47519-4"/>
            <display value="History of Procedures Document"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Procedures for Betsy Smith Johnson</div>
        </text>
      </section>
      <section>
        <title value="Discharge Diagnosis Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="11535-2"/>
            <display value="Hospital discharge Dx Narrative"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Discharge diagnosis for Betsy Smith Johnson</div>
        </text>
      </section>
      <section>
        <title value="Discharge Medications Section (entries required)"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="10183-2"/>
            <display value="Hospital discharge medications"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Discharge medications for Betsy Smith Johnson</div>
        </text>
      </section>
      <section>
        <title value="Hospital Discharge Instructions Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="8653-8"/>
            <display value="Hospital discharge instructions"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Hospital discharge instructions for Betsy Smith Johnson</div>
        </text>
      </section>
      <section>
        <title value="Hospital Discharge Physical Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="10184-0"/>
            <display value="Hospital discharge physical findings Narrative"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Hospital discharge physical findings for Betsy Smith Johnson</div>
        </text>
      </section>
      <section>
        <title value="Hospital Discharge Studies Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="11493-4"/>
            <display value="Hospital discharge studies summary"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Hospital discharge studies for Betsy Smith Johnson</div>
        </text>
      </section>
      <section>
        <title value="Immunizations Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="11369-6"/>
            <display value="History of Immunization Narrative"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Immunizations for Betsy Smith Johnson</div>
        </text>
      </section>
      <section>
        <title value="Nutrition Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="61144-2"/>
            <display value="Diet and nutrition Narrative"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Nutrition for Betsy Smith Johnson</div>
        </text>
      </section>
      <section>
        <title value="Vital Signs Section"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="8716-3"/>
            <display value="Vital signs"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Vital signs for Betsy Smith Johnson</div>
        </text>
        <entry>🔗
          <reference
                     value="Observation/betsysmith-johnson01-observation-bodyweight-01"/>
        </entry>
        <entry>🔗
          <reference
                     value="Observation/betsysmith-johnson01-observation-bodyheight-01"/>
        </entry>
        <entry>🔗
          <reference value="Observation/betsysmith-johnson01-observation-bmi-01"/>
        </entry>
        <entry>🔗
          <reference value="Observation/betsysmith-johnson01-observation-bp-01"/>
        </entry>
        <entry>🔗
          <reference
                     value="Observation/betsysmith-johnson01-observation-heartrate-01"/>
        </entry>
        <entry>🔗
          <reference
                     value="Observation/betsysmith-johnson01-observation-respirationrate-01"/>
        </entry>
        <entry>🔗
          <reference
                     value="Observation/betsysmith-johnson01-observation-bodytemp-01"/>
        </entry>
        <entry>🔗
          <reference
                     value="Observation/betsysmith-johnson01-observation-oxygensat-01"/>
        </entry>
      </section>
    </Composition>