Austrian Patient Summary (R4)
0.2.0 - STU1

Austrian Patient Summary (R4) - Local Development build (v0.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example Bundle: AtApsExampleBundle-Journey-2

Document Details

Profile: AT APS Bundle

Final Document at 2025-02-08 14:31:30+0000 by APS Generator for Maria Musterfrau


Document Subject

Generated Narrative: Patient AtApsExampleBundle-Journey-2-patient

Maria Musterfrau Female, DoB: 1998-04-17 ( Social Security number: 0000121150)


Other Id:Patient internal identifier/0002
Contact DetailAm Schulweg 5 Hainfeld 3100 AUT (home)

Document Content

Generated Narrative: Composition AtApsExampleBundle-Journey-2-composition

Country of Affiliation: AT

status: Final

type: Patient summary

date: 2025-02-08 14:31:30+0000

author: APS Generator

title: APS - Patient Journey 1

custodian: Muster-Organisation


Medikationsliste

Narrativer Text muss generiert werden.

Allergien und Intoleranzen

Narrativer Text muss generiert werden.

Gesundheitsprobleme und Risiken

Narrativer Text muss generiert werden.

Eingriffe und Therapien

Narrativer Text muss generiert werden.

Implantate, medizinische Geräte und Heilbehelfe

Narrativer Text muss generiert werden.

Impfungen

Narrativer Text muss generiert werden.

Diagnostische Resultate

Narrativer Text muss generiert werden.

Vitalparameter

Narrativer Text muss generiert werden.

Vergangene Gesundheitsprobleme und Risiken

Narrativer Text muss generiert werden.

Lebensstil / Soziale Umstände und Verhalten

Narrativer Text muss generiert werden.


Additional Resources Included in Document


Entry 2 - fullUrl = urn:uuid:0fed5ebe-ca8f-4ad1-aba4-ddad45bd6cc8

Resso}:

Generated Narrative: Patient AtApsExampleBundle-Journey-2-patient

Maria Musterfrau Female, DoB: 1998-04-17 ( Social Security number: 0000121150)


Other Id:Patient internal identifier/0002
Contact DetailAm Schulweg 5 Hainfeld 3100 AUT (home)

Entry 3 - fullUrl = urn:uuid:75db30ee-7028-486c-929a-c5126837f472

Resso}:

Dieses Gerät erzeugt ein APS FHIR-Dokument.


Entry 4 - fullUrl = urn:uuid:75db30ee-7028-486c-929a-c5126837f473

Resso}:

Generated Narrative: Practitioner AtApsExampleBundle-Journey-2-practitioner

identifier: Uniform Resource Identifier (URI)/urn:oid:1.2.40.0.10.99.1.2.3.4

name: Hanna Hausärztin


Entry 5 - fullUrl = urn:uuid:f6266e6a-f63d-4673-b2de-3dff11e619d6

Resso}:

Generated Narrative: Organization AtApsExampleBundle-Journey-2-custodian

name: Muster-Organization


Entry 6 - fullUrl = urn:uuid:ecf9728f-fa50-4b46-b8f7-7768174df72a

Resso}:

Generated Narrative: MedicationStatement AtApsExampleBundle-Journey-2-medication-summary-7

status: Active

medication: RAMIPRIL 1A TBL 5MG

subject: Maria Musterfrau

effective: 2024-12-08 10:31:58+0200 --> (ongoing)

Dosages

-Text
*S:1-0-0-0

Entry 7 - fullUrl = urn:uuid:768eb9cb-00f3-4ab1-bfc2-ff835cb3b89b

Resso}:

Generated Narrative: AllergyIntolerance AtApsExampleBundle-Journey-2-allergy-1

clinicalStatus: Active

code: Hausstaub

patient: Maria Musterfrau


Entry 8 - fullUrl = urn:uuid:9d1c0b74-20c1-4603-a95a-71e6a1dc8fde

Resso}:

Generated Narrative: Condition AtApsExampleBundle-Journey-2-problem-5

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Arterielle Hypertonie

subject: Maria Musterfrau

onset: 2024-12-08 10:31:58+0200

Evidences

-Detail
*Entlassungsbrief AKH Amadeus

Entry 9 - fullUrl = urn:uuid:fa46fccb-5c24-4a40-a478-d6da4902ff33

Resso}:

Generated Narrative: Condition AtApsExampleBundle-Journey-2-problem-17

clinicalStatus: Inactive

verificationStatus: Provisional

category: Problem List Item

code: Parodontalerkrankung

subject: Maria Musterfrau

Stages

-Assessment
*AtApsExampleBundle-Journey-2-problem-17-assessment-1

Entry 10 - fullUrl = urn:uuid:f235c566-01aa-457d-ab49-9e422df69863

Resso}:

Generated Narrative: Observation AtApsExampleBundle-Journey-2-problem-17-assessment-1

status: Final

category: Exam

code: Bewertung der Risikofaktoren für Parodontalerkrankungen

subject: Maria Musterfrau

effective: 2025-02-08 14:31:30+0000

performer: Dr. Hanna Hausärztin

value: Hohes Risiko


Entry 11 - fullUrl = urn:uuid:3f3140b1-9478-4491-b7bf-10560f38da0e

Resso}:

Generated Narrative: Condition AtApsExampleBundle-Journey-2-problem-13

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Diabetes mellitus in der Familienanamnese

subject: Maria Musterfrau


Entry 12 - fullUrl = urn:uuid:1fed5ebe-ca8f-4ad1-aba4-ddad45bd6cc9

Resso}:

Generated Narrative: DocumentReference AtApsExampleBundle-Journey-2-Entlassungsbrief-2024-12

status: Current

type: Entlassungsbrief

subject: Maria Musterfrau

date: 2024-12-08 10:00:00+0200

content

Attachments

-ContentTypeUrlTitle
*application/pdfhttps://example.org/fhir/Binary/AtApsExampleBundle-Journey-2-Entlassungsbrief-2024-12.pdfEntlassungsbrief AKH Amadeus

Entry 13 - fullUrl = urn:uuid:75c46c35-8f4e-4232-b026-5672c60d076a

Resso}:

Generated Narrative: Procedure AtApsExampleBundle-Journey-2-procedure-history-1

status: Completed

code: Totalersatz des linken Hüftgelenks

subject: Maria Musterfrau

performed: 2010


Entry 14 - fullUrl = urn:uuid:8103f99c-64f0-4dd5-b92e-5c9680c91e47

Resso}:

Generated Narrative: Procedure AtApsExampleBundle-Journey-2-procedure-history-2

status: Completed

code: Appendektomie

subject: Maria Musterfrau

performed: 2001-06-15


Entry 15 - fullUrl = urn:uuid:8a825f17-1599-4928-b384-0ca4a62daba8

Resso}:

Generated Narrative: Procedure AtApsExampleBundle-Journey-2-procedure-history-3

status: Completed

code: Koloskopie

subject: Maria Musterfrau

performed: 2014-05-17


Entry 16 - fullUrl = urn:uuid:490dab5c-271e-4736-8a6b-d04fd2a04606

Resso}:

Generated Narrative: DeviceUseStatement AtApsExampleBundle-Journey-2-deviceUse-Hueftprothese

status: Active

subject: Maria Musterfrau

timing: 2020 --> (ongoing)

device: Verwendetes Gerät: Hüftprothese

bodySite: Gesamtes linkes Hüftgelenk


Entry 17 - fullUrl = urn:uuid:a1a80313-a757-4062-b0d7-d04fd2a04603

Resso}:

Generated Narrative: Device AtApsExampleBundle-Journey-2-device-Hueftprothese

Profile: AT APS Device

DeviceNames

-NameType
*Hüftprotheseother

type: Hüftprothese

Versions

-Value
*Version.value 123456

patient: Maria Musterfrau


Entry 18 - fullUrl = urn:uuid:590dab5c-271e-4736-8a6b-d04fd2a04607

Resso}:

Generated Narrative: Immunization AtApsExampleBundle-Journey-2-Immunization-1

status: Completed

vaccineCode: Diphtherie-Pertussis-Poliomyelitis-Tetanus

patient: Maria Musterfrau

occurrence: 2025-01-08 14:31:30+0000

route: Intramuskulär

protocolApplied

targetDisease: Diphtheria, Pertussis, Poliomyelitis, Tetanus

doseNumber: 1


Entry 19 - fullUrl = urn:uuid:74c5e186-d765-4c93-a624-c9b0746e8142

Resso}:

Generated Narrative: Observation AtApsExampleBundle-Journey-2-vital-sign-1

status: Final

category: Vital Signs

code: Körpergröße

subject: Maria Musterfrau

effective: 2025-02-08 14:31:30+0000

performer: Dr. Hanna Hausärztin

value: 173 cm (Details: UCUM codecm = 'cm')


Entry 20 - fullUrl = urn:uuid:428259da-e0f7-4780-b1e3-c177515edd37

Resso}:

Generated Narrative: Observation AtApsExampleBundle-Journey-2-vital-sign-2

status: Final

category: Vital Signs

code: Körpergewicht

subject: Maria Musterfrau

effective: 2025-02-08 14:31:30+0000

performer: Dr. Hanna Hausärztin

value: 68 kg (Details: UCUM codekg = 'kg')


Entry 21 - fullUrl = urn:uuid:daf9c15d-14d4-429c-b658-6842fdff67d8

Resso}:

Generated Narrative: Observation AtApsExampleBundle-Journey-2-vital-sign-3

status: Final

category: Vital Signs

code: Body Mass Index (BMI) [Verhältnis]

subject: Maria Musterfrau

effective: 2025-02-08 14:31:30+0000

performer: Dr. Hanna Hausärztin

value: 22.72 kg/m2 (Details: UCUM codekg/m2 = 'kg/m2')

interpretation: High


Entry 22 - fullUrl = urn:uuid:8248cc70-65a2-4d37-ae14-a3ef2abf8f32

Resso}:

Generated Narrative: Observation AtApsExampleBundle-Journey-2-vital-sign-4

status: Final

category: Vital Signs

code: Blood pressure panel with all children optional

subject: Maria Musterfrau

effective: 2025-02-08 14:31:30+0000

performer: Dr. Hanna Hausärztin

component

code: Systolischer Blutdruck

value: 180 mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]')

component

code: Diastolischer Blutdruck

value: 80 mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]')


Entry 23 - fullUrl = urn:uuid:4d3f7ac4-fd0a-49af-a56b-303a2dbe67d1

Resso}:

Generated Narrative: Observation AtApsExampleBundle-Journey-2-vital-sign-5

status: Final

category: Vital Signs

code: Herzfrequenz

subject: Maria Musterfrau

effective: 2025-02-08 14:31:30+0000

performer: Dr. Hanna Hausärztin

value: 100 /min (Details: UCUM code/min = '/min')


Entry 24 - fullUrl = urn:uuid:82301518-66ca-4b4c-821d-087adf643cc4

Resso}:

Generated Narrative: Condition AtApsExampleBundle-Journey-2-illness-history-1

clinicalStatus: Resolved

verificationStatus: Confirmed

category: Problem List Item

code: Masern

subject: Maria Musterfrau

onset: 1994-02-08


Entry 25 - fullUrl = urn:uuid:ce2589a2-a5e5-4520-808f-8118e2863a95

Resso}:

Generated Narrative: Condition AtApsExampleBundle-Journey-2-illness-history-2

clinicalStatus: Resolved

verificationStatus: Confirmed

category: Problem List Item

code: Windpocken

subject: Maria Musterfrau

onset: 1991


Entry 26 - fullUrl = urn:uuid:d0a5bbf1-6d01-4d44-bac5-05f12c98411e

Resso}:

Generated Narrative: Observation AtApsExampleBundle-Journey-2-social-history-1

status: Final

code: Raucherstatus

subject: Maria Musterfrau

effective: 2024-02-08 08:30:00+0100

performer: Dr. Hanna Hausärztin

value: Nie Tabak geraucht


Entry 27 - fullUrl = urn:uuid:9add5c32-1ded-43d6-b163-c3fe13f94984

Resso}:

Generated Narrative: Observation AtApsExampleBundle-Journey-2-social-history-2

status: Final

code: Körperliche Aktivität

subject: Maria Musterfrau

effective: 2024-02-08 08:30:00+0100

performer: Dr. Hanna Hausärztin

value: >2.5 h (Details: UCUM codeh = 'h')/1 wk (Details: UCUM codewk = 'wk')


Entry 28 - fullUrl = urn:uuid:9add5c32-1ded-43d6-b163-c3fe13f94985

Resso}:

Generated Narrative: Observation AtApsExampleBundle-Journey-2-social-history-3

status: Final

code: Alkoholische Getränke pro Tag, 1-2 Gläser Wein/Bier

subject: Maria Musterfrau

effective: 2019-07-15

performer: Maria Musterfrau

value: 2 wine glasses per day (Details: UCUM code/d = '/d')