IE (Ireland) Core Implementation Guide
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IE (Ireland) Core Implementation Guide - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Scenario 7 – Patient Summary Composition (full) - XML Representation

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<Composition xmlns="http://hl7.org/fhir">
  <id value="hiqa-ps-composition-niamh"/>
  <meta>
    <profile
             value="https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-composition-patient-summary"/>
  </meta>
  <language value="en-IE"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-IE" lang="en-IE"><p class="res-header-id"><b>Generated Narrative: Composition hiqa-ps-composition-niamh</b></p><a name="hiqa-ps-composition-niamh"> </a><a name="hchiqa-ps-composition-niamh"> </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-IE</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ie-core-composition-patient-summary.html">IE Core Composition (Patient Summary)</a></p></div><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.5.0/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:2f7f14c4-3907-53f5-908a-dfa7e064524d</p><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 60591-5}">Patient summary Document</span></p><p><b>date</b>: 2026-09-24 09:00:00+0100</p><p><b>author</b>: <a href="PractitionerRole-hiqa-role-gp-nolan.html">PractitionerRole: telecom = ph: +353 90 000 0001(Work),clodagh.nolan@riverside-practice.example.org(Work)</a></p><p><b>title</b>: Patient Summary</p><h3>Attesters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td style="display: none">*</td><td>Professional</td><td>2026-09-24 09:00:00+0100</td><td><a href="PractitionerRole-hiqa-role-gp-nolan.html">PractitionerRole: telecom = ph: +353 90 000 0001(Work),clodagh.nolan@riverside-practice.example.org(Work)</a></td></tr></table><p><b>custodian</b>: <a href="Organization-hiqa-org-gp-practice.html">Organization Riverside Family Practice</a></p></div>
  </text>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:2f7f14c4-3907-53f5-908a-dfa7e064524d"/>
  </identifier>
  <status value="final"/>
  <type>
    <coding>
      <system value="http://loinc.org"/>
      <code value="60591-5"/>
      <display value="Patient summary Document"/>
    </coding>
  </type>
  <subject>🔗 
    <reference value="Patient/hiqa-ps-patient-niamh"/>
  </subject>
  <date value="2026-09-24T09:00:00+01:00"/>
  <author>🔗 
    <reference value="PractitionerRole/hiqa-role-gp-nolan"/>
  </author>
  <title value="Patient Summary"/>
  <attester>
    <mode value="professional"/>
    <time value="2026-09-24T09:00:00+01:00"/>
    <party>🔗 
      <reference value="PractitionerRole/hiqa-role-gp-nolan"/>
    </party>
  </attester>
  <custodian>🔗 
    <reference value="Organization/hiqa-org-gp-practice"/>
  </custodian>
  <section>
    <title value="Health Conditions"/>
    <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>Asthma - active since 2008.</p></div>
    </text>
    <entry>🔗 
      <reference value="Condition/hiqa-ps-condition-asthma"/>
    </entry>
  </section>
  <section>
    <title value="Allergies and Intolerances"/>
    <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 penicillin - anaphylaxis. Confirmed.</p></div>
    </text>
    <entry>🔗 
      <reference value="AllergyIntolerance/hiqa-ps-allergy-niamh"/>
    </entry>
  </section>
  <section>
    <title value="Medication Summary"/>
    <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"><p>Salbutamol 100 micrograms/dose inhaler: two puffs when required.</p></div>
    </text>
    <entry>🔗 
      <reference value="MedicationStatement/hiqa-ps-medstatement-niamh"/>
    </entry>
  </section>
  <section>
    <title value="Procedures"/>
    <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>Appendicectomy - July 2005.</p></div>
    </text>
    <entry>🔗 
      <reference value="Procedure/hiqa-ps-procedure-appendectomy"/>
    </entry>
  </section>
  <section>
    <title value="Medical Devices"/>
    <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>No implanted or medical devices.</p></div>
    </text>
    <emptyReason>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
        <code value="nilknown"/>
        <display value="Nil Known"/>
      </coding>
    </emptyReason>
  </section>
  <section>
    <title value="Alerts"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="104605-1"/>
        <display value="Alert"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>No alerts recorded.</p></div>
    </text>
    <emptyReason>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
        <code value="nilknown"/>
        <display value="Nil Known"/>
      </coding>
    </emptyReason>
  </section>
  <section>
    <title value="Immunisations"/>
    <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>Seasonal influenza vaccine - October 2025.</p></div>
    </text>
    <entry>🔗 
      <reference value="Immunization/hiqa-ps-immunization-flu"/>
    </entry>
  </section>
  <section>
    <title value="Advance Healthcare Directive"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="42348-3"/>
        <display value="Advance healthcare directives"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>Not discussed.</p></div>
    </text>
    <emptyReason>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
        <code value="notasked"/>
        <display value="Not Asked"/>
      </coding>
    </emptyReason>
  </section>
  <section>
    <title value="Social Context"/>
    <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>Lives with partner. Works as a teacher. Non-smoker.</p></div>
    </text>
  </section>
  <section>
    <title value="Care Plan"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="18776-5"/>
        <display value="Plan of care note"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>Annual asthma review due March 2027.</p></div>
    </text>
  </section>
</Composition>