Existing Wording
Narrative only sections can be created by setting Content to a resource of the appropriate type and only populating the narrative portion of the resource. If the meaning of the section is such that an appropriate resource does not exist, the Other resource should be used. (In some cases, the a resource may have mandatory elements that preclude the resource containing only narrative. This will be addressed in a future release, but for now, Other should be used in these circumstances as well.)

Proposed Wording
See item #1 above.

Comments
If a narrative note is created via dictation and then later transcribed. The current modeling for a FHIR document would place the narrative text in a subordinate resource, likely the "Other" resource, or a List which contains a set of resources. If the narrative content of the document is processed via NLP software, it is really hard to know how the dictated content would be preserved intact, if any additional resources were generated from the NLP process. Without a clear separation of narrative content and machine processable resources, processes which adds discrete content to a document would likely impact its narrative.

Grahame's Comments
Need to do research into this - would this happen. Will discuss possible cases with Calvin

Disposition Comment
If the section of a narrative note is known, then the resource associated with the narrative note is known.