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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": "2025-01-01T00:00:00-0500",
"title": "Medical Summary",
"section": [
{
"title": "Allergies, Adverse Reactions and Alerts",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "48765-2"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><thead><tr><th>Allergen</th><th>Reaction</th><th>Reaction Severity</th><th>Documentation Date</th><th>Start Date</th></tr></thead><tbody><tr ID=\"allergy5\"><td ID=\"allergy5allergen\">Egg</td><td ID=\"allergy5reaction\">Hives</td><td ID=\"allergy5reactionseverity\">Moderate</td><td>Jan 4 2014</td><td>1998</td></tr></tbody></table></div>"
},
"entry": [
{
"reference": "AllergyIntolerance/0fffb34f-c1e0-47c2-92af-c414a3ff21ec",
"display": "Eggs (edible)"
}
]
}
]
}
},
{
"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": "b0ff47f4-ff49-43ee-8e46-43db7b57d986",
"identifier": [
{
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "99999999"
}
],
"name": [
{
"family": "Seven",
"given": ["Henry"]
}
],
"telecom": [
{
"system": "phone",
"value": "555-555-1002"
}
],
"qualification": [
{
"coding": [
{
"system": "http://nucc.org/provider-taxonomy",
"code": "207Q00000X",
"display": "Allopathic & Osteopathic Physicians; Family Medicine"
}
],
"text": "Allopathic & Osteopathic Physicians; Family Medicine"
}
]
}
},
{
"resource": {
"resourceType": "Practitioner",
"id": "b0ff47f4-ff49-43ee-8e46-43db7b57d986",
"identifier": [
{
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "99999999"
}
],
"name": [
{
"family": "Seven",
"given": ["Henry"]
}
],
"telecom": [
{
"system": "phone",
"value": "555-555-1002"
}
],
"qualification": [
{
"coding": [
{
"system": "http://nucc.org/provider-taxonomy",
"code": "207Q00000X",
"display": "Allopathic & Osteopathic Physicians; Family Medicine"
}
],
"text": "Allopathic & Osteopathic Physicians; Family Medicine"
}
]
}
},
{
"resource": {
"resourceType": "AllergyIntolerance",
"id": "0fffb34f-c1e0-47c2-92af-c414a3ff21ec",
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code": "active"
}
]
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code": "confirmed"
}
]
},
"type": "allergy",
"category": ["food"],
"patient": {
"reference": "Patient/d7830f15-e2c8-4cee-aa2d-a24b36080d53",
"display": "Katherine Madison"
},
"recorder": {
"reference": "Practitioner/b0ff47f4-ff49-43ee-8e46-43db7b57d986",
"display": "Henry Seven"
},
"recordedDate": "2014-01-04T12:35:06-0500",
"onsetDateTime": "1998-01-01T00:00:00Z",
"extension": [
{
"url": "https://medplum.com/fhir/StructureDefinition/ccda-narrative-reference",
"valueString": "#allergy5"
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "102263004",
"display": "Eggs (edible)"
}
],
"text": "Eggs (edible)",
"extension": [
{
"url": "https://medplum.com/fhir/StructureDefinition/ccda-narrative-reference",
"valueString": "#allergy5allergen"
}
]
},
"reaction": [
{
"id": "d89ce431-e0f1-4f8d-a81f-489b6ed91f09",
"manifestation": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "247472004",
"display": "Wheal"
}
],
"text": "Wheal",
"extension": [
{
"url": "https://medplum.com/fhir/StructureDefinition/ccda-narrative-reference",
"valueString": "#allergy5reaction"
}
]
}
],
"severity": "moderate",
"extension": [
{
"url": "https://medplum.com/fhir/StructureDefinition/ccda-narrative-reference",
"valueString": "#allergy5reactionseverity"
}
]
}
],
"asserter": {
"reference": "Practitioner/b0ff47f4-ff49-43ee-8e46-43db7b57d986",
"display": "Henry Seven"
}
}
}
]
}