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{
"resourceType": "Bundle",
"type": "document",
"entry": [
{
"resource": {
"resourceType": "Composition",
"id": "3db70aff-83f5-4caf-91dc-d23fcc5e03bb",
"language": "en-US",
"status": "final",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "34133-9",
"display": "Summarization of Episode Note"
}
],
"text": "Summarization of Episode Note"
},
"author": [
{
"display": "Medplum"
}
],
"date": "2025-01-01T00:00:00-05:00",
"title": "Medical Summary",
"section": [
{
"title": "Social History",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29762-2",
"display": "Social History"
}
],
"text": "Social History"
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><list><caption>Smoking Status</caption><item ID=\"SmokingStatus\"><content>Status: Current every day smoker</content><content ID=\"SmokingDetail1\">Detail: Moderate smoker (10-19 cigs/day)</content><content>Started: 1992</content><content>Stopped:</content><content>Recorded June 6, 2014 10:32am</content></item></list></div>"
},
"entry": [
{
"reference": "Observation/e65d0b47-974f-431d-8ad0-563fe48a87ec",
"display": "Tobacco smoking status NHIS"
},
{
"reference": "Observation/45efb604-7049-4a2e-ad33-d38556c9636c",
"display": "History of tobacco use"
}
]
}
]
}
},
{
"resource": {
"resourceType": "Patient",
"id": "d7830f15-e2c8-4cee-aa2d-a24b36080d53",
"identifier": [
{
"system": "http://hl7.org/fhir/sid/us-ssn",
"value": "111223333"
}
],
"name": [
{
"use": "official",
"family": "Madison",
"given": [
"Katherine"
]
}
]
}
},
{
"resource": {
"resourceType": "Practitioner",
"id": "7a349401-850e-4665-99ad-5cbd991eca56",
"identifier": [
{
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "99999999"
}
],
"name": [
{
"family": "Seven",
"given": [
"Henry"
]
}
],
"telecom": [
{
"system": "phone",
"value": "+1(555)555-1002"
}
],
"qualification": [
{
"coding": [
{
"system": "http://nucc.org/provider-taxonomy",
"code": "200000000X",
"display": "Allopathic and Osteopathic Physicians"
}
],
"text": "Allopathic and Osteopathic Physicians"
}
]
}
},
{
"resource": {
"resourceType": "Practitioner",
"id": "7a349401-850e-4665-99ad-5cbd991eca56",
"identifier": [
{
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "99999999"
}
],
"name": [
{
"family": "Seven",
"given": [
"Henry"
]
}
],
"telecom": [
{
"system": "phone",
"value": "+1(555)555-1002"
}
],
"qualification": [
{
"coding": [
{
"system": "http://nucc.org/provider-taxonomy",
"code": "200000000X",
"display": "Allopathic and Osteopathic Physicians"
}
],
"text": "Allopathic and Osteopathic Physicians"
}
]
}
},
{
"resource": {
"resourceType": "Observation",
"id": "e65d0b47-974f-431d-8ad0-563fe48a87ec",
"identifier": [
{
"system": "urn:oid:2.16.840.1.113883.19",
"value": "123456789"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Smoking Status"
}
],
"text": "Smoking Status"
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status NHIS"
}
],
"text": "Tobacco smoking status NHIS"
},
"subject": {
"reference": "Patient/d7830f15-e2c8-4cee-aa2d-a24b36080d53",
"display": "Katherine Madison"
},
"performer": [
{
"reference": "Practitioner/7a349401-850e-4665-99ad-5cbd991eca56",
"display": "Henry Seven"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "449868002",
"display": "Smokes tobacco daily"
}
],
"text": "Smokes tobacco daily"
},
"effectiveDateTime": "2014-06-06T10:32:00-05:00",
"extension": [
{
"url": "https://medplum.com/fhir/StructureDefinition/ccda-narrative-reference",
"valueString": "#SmokingStatus"
}
]
}
},
{
"resource": {
"resourceType": "Observation",
"id": "45efb604-7049-4a2e-ad33-d38556c9636c",
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Tobacco Use"
}
],
"text": "Tobacco Use"
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "11367-0",
"display": "History of tobacco use"
}
],
"text": "History of tobacco use"
},
"subject": {
"reference": "Patient/d7830f15-e2c8-4cee-aa2d-a24b36080d53",
"display": "Katherine Madison"
},
"performer": [
{
"reference": "Practitioner/7a349401-850e-4665-99ad-5cbd991eca56",
"display": "Henry Seven"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "160604004",
"display": "Moderate cigarette smoker"
}
],
"text": "Moderate cigarette smoker"
},
"effectiveDateTime": "2014-06-06T10:32:00-05:00",
"extension": [
{
"url": "https://medplum.com/fhir/StructureDefinition/ccda-narrative-reference",
"valueString": "#SmokingStatus"
}
]
}
}
]
}