AtApsBundle-Beispiel 2 - Austrian Patient Summary (R4) v0.2.0

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: AtApsBundle-Beispiel 2

Document Details

Profile: AT APS Bundle

Final Document at 2024-02-08 14:01:30+0000 by Dr. Hannes Hausarzt for Test Arnold

Document Subject

Profile: AT APS Patient

Arnold Test Male, DoB: 1950-11-12 ( Social Security number: 0000121150)

Other Id:

Patient internal identifier/0002

Contact Detail

Am Schulweg 5 Hainfeld 3100 AUT (home)

Document Content

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.

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}:

Profile: AT APS Patient
Arnold Test Male, DoB: 1950-11-12 ( Social Security number: 0000121150)
Other Id: Patient internal identifier/0002
Contact Detail Am Schulweg 5 Hainfeld 3100 AUT (home)

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

Resso}:

Profile: AT APS Practitioner
identifier: Uniform Resource Identifier (URI)/urn:oid:1.2.40.0.10.99.1.2.3.4
name: Hannes Hausarzt

Entry 4 - fullUrl = urn:uuid:f6266e6a-f63d-4673-b2de-3dff11e619d6

Resso}:

Profile: AT APS Organization
name: Muster-Organization

Entry 5 - fullUrl = urn:uuid:72e85b9d-004d-4104-b166-86d129948bae

Resso}:

Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: CKD - Chronische Niereninsuffizienz Grad 3B
subject: Test Arnold

Entry 6 - fullUrl = urn:uuid:82fa32f6-39d6-4fc9-9624-90a48fd3d3a5

Resso}:

Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Langfristige Einnahme von Antikoagulantien
subject: Test Arnold

Entry 7 - fullUrl = urn:uuid:61db6213-22ab-405a-825a-0ae6905fad1e

Resso}:

Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Diabetes mit Insulin und oraler Behandlung
subject: Test Arnold

Entry 8 - fullUrl = urn:uuid:194cac84-0ee2-40b4-8dda-1866318d234c

Resso}:

Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Langfristige Einnahme eines Immunsuppressivums
subject: Test Arnold

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

Resso}:

Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Arterielle Hypertonie
subject: Test Arnold

Entry 10 - fullUrl = urn:uuid:b62c11b1-c478-4d04-ae6f-5f73543f2bb1

Resso}:

Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Karotis-Doppler-Sonographie normal
subject: Test Arnold

Entry 11 - fullUrl = urn:uuid:8d3a18fb-3610-4bfb-9aa4-1169cc6dd2dd

Resso}:

Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Koronarangiographie normal
subject: Test Arnold

Entry 12 - fullUrl = urn:uuid:c5d400b1-b58b-41ed-9776-cfcdaf48f2e6

Resso}:

Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Langfristige aktuelle Anwendung von Bisphosphonaten
subject: Test Arnold
onset: 2020-06 --> 2025-03

Entry 13 - fullUrl = urn:uuid:32d90aaa-6577-4c5d-9771-d8f606ebf0b9

Resso}:

Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Dauerhaftes Vorhofflimmern
subject: Test Arnold

Entry 14 - fullUrl = urn:uuid:2040058f-9537-4b26-9367-5ca5ac0ddb58

Resso}:

Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Albuminurie Grad A2
subject: Test Arnold

Entry 15 - fullUrl = urn:uuid:b7b2a10d-7295-4fd1-ad21-81bca78dc45a

Resso}:

Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Seronegative rheumatoide Arthritis
subject: Test Arnold

Entry 16 - fullUrl = urn:uuid:ebfb60a8-a753-459d-a796-a191a4dbd91d

Resso}:

Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Hypercholesterinämie
subject: Test Arnold

Entry 17 - fullUrl = urn:uuid:3f3140b1-9478-4491-b7bf-10560f38da0e

Resso}:

Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Diabetes mellitus in der Familienanamnese
subject: Test Arnold

Entry 18 - fullUrl = urn:uuid:caa77334-fbfc-4129-a101-1b01c595dd91

Resso}:

Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Familienanamnese: Kolonkarzinom
subject: Test Arnold

Entry 19 - fullUrl = urn:uuid:e66d8ac1-a124-4e94-be22-969c9b117ce5

Resso}:

Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Familienanamnese: vorzeitige koronare Herzkrankheit
subject: Test Arnold

Entry 20 - fullUrl = urn:uuid:5ab717ff-c0a0-409e-83db-0fa6f8619f68

Resso}:

Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Hypercholesterinämie in der Familienanamnese
subject: Test Arnold

Entry 21 - fullUrl = urn:uuid:fa46fccb-5c24-4a40-a478-d6da4902ff33

Resso}:

Profile: AT APS Condition
clinicalStatus: Inactive
verificationStatus: Provisional
category: Problem List Item
code: Parodontalerkrankung
subject: Test Arnold
Stages
- Assessment
* AtApsExampleBundle02-problem-17-assessment-1

Entry 22 - fullUrl = urn:uuid:f235c566-01aa-457d-ab49-9e422df69863

Resso}:

status: Final
category: Exam
code: Bewertung der Risikofaktoren für Parodontalerkrankungen
subject: Test Arnold
effective: 2024-02-08 08:30:00+0100
performer: Amadeus Spital - Labor
value: Hohes Risiko

Entry 23 - fullUrl = urn:uuid:acac4c94-a752-4cf5-9a6b-0d84237d5076

Resso}:

Profile: AT APS MedicationStatement
status: active
status: recorded
subject: Test Arnold
effective: 2024-02-08 10:31:58+0200 --> (ongoing)
dosage
sequence: 1
timing: Night, Once
route: Oraler Verabreichungsweg
DoseAndRates
- Dose[x]
* 2 Tablet (Details: elga-medikationmengenart code{TAB} = '{TAB}')

Entry 24 - fullUrl = urn:uuid:98285578-0bb6-42b2-908c-5bcc5e3992e0

Resso}:

Profile: AT APS MedicationStatement
status: active
status: recorded
subject: Test Arnold
effective: 2024-02-08 10:31:58+0200 --> (ongoing)
Dosages
- Text
* S:1-0-0-1

Entry 25 - fullUrl = urn:uuid:769a289d-a518-469a-8100-7943550e359f

Resso}:

Profile: AT APS MedicationStatement
status: active
status: recorded
subject: Test Arnold
effective: 2024-02-08 10:31:58+0200 --> (ongoing)
Dosages
- Text
* S:1-0-0-0

Entry 26 - fullUrl = urn:uuid:9cb3b3df-7b15-4270-af39-5f2f819e692e

Resso}:

Profile: AT APS MedicationStatement
status: active
status: recorded
subject: Test Arnold
effective: 2024-02-08 10:31:58+0200 --> (ongoing)
Dosages
- Text
* S:MO, MI

Entry 27 - fullUrl = urn:uuid:da89fd22-0d4f-4220-a625-b9ddf5eb330d

Resso}:

Profile: AT APS MedicationStatement
status: active
status: recorded
subject: Test Arnold
effective: 2024-02-08 10:31:58+0200 --> (ongoing)
Dosages
- Text
* S:0,33/Monat, alle 3 Monate

Entry 28 - fullUrl = urn:uuid:e526f7e5-2f76-484e-acde-d6f2365f0859

Resso}:

Profile: AT APS MedicationStatement
status: active
status: recorded
subject: Test Arnold
effective: 2024-02-08 10:31:58+0200 --> (ongoing)
Dosages
- Text
* S:1-0-0-1

Entry 29 - fullUrl = urn:uuid:6d15d84f-2faf-4141-ac0c-fb9cf8496abe

Resso}:

Profile: AT APS MedicationStatement
status: active
status: recorded
subject: Test Arnold
effective: 2024-02-08 10:31:58+0200 --> (ongoing)
Dosages
- Text
* S:1-0-0-0

Entry 30 - fullUrl = urn:uuid:ecf9728f-fa50-4b46-b8f7-7768174df72a

Resso}:

Profile: AT APS MedicationStatement
status: active
status: recorded
subject: Test Arnold
effective: 2024-02-08 10:31:58+0200 --> (ongoing)

Entry 31 - fullUrl = urn:uuid:cf4b2e92-51e6-44de-9406-5406e66e9d45

Resso}:

Profile: AT APS MedicationStatement
status: active
status: recorded
subject: Test Arnold
effective: 2024-02-08 10:31:58+0200 --> (ongoing)
Dosages
- Text
* S:0-0-0-10

Entry 32 - fullUrl = urn:uuid:768eb9cb-00f3-4ab1-bfc2-ff835cb3b89b

Resso}:

Profile: AT APS AllergyIntolerance
clinicalStatus: Active
code: Hausstaub
patient: Test Arnold

Entry 33 - fullUrl = urn:uuid:75c46c35-8f4e-4232-b026-5672c60d076a

Resso}:

Profile: AT APS Procedure
status: Completed
code: Totalersatz des linken Hüftgelenks
subject: Test Arnold

Entry 34 - fullUrl = urn:uuid:8103f99c-64f0-4dd5-b92e-5c9680c91e47

Resso}:

Profile: AT APS Procedure
status: Completed
code: Appendektomie
subject: Test Arnold

Entry 35 - fullUrl = urn:uuid:8a825f17-1599-4928-b384-0ca4a62daba8

Resso}:

Profile: AT APS Procedure
status: Completed
code: Koloskopie
subject: Test Arnold

Entry 36 - fullUrl = urn:uuid:5218bc54-5d55-42fa-aa0c-169b61577ad0

Resso}:

Profile: AT APS Specimen
status: Unavailable
type: Blutprobe
subject: Test Arnold

Entry 37 - fullUrl = urn:uuid:725bcf71-22e6-473b-a879-49a4b63cd654

Resso}:

Profile: AT APS Observation Results Laboratory Pathology
status: Final
category: Transfusions-/Transplantationsdiagnostik/Immungenetik, Blutgruppenserologie, Laboratory
code: AB0 und Rh-Blutgruppensysteme [Typ] in Blut
subject: Test Arnold
effective: 2024-02-08 07:34:06+0100
performer: Amadeus Spital - Labor
value: Blutgruppe A Rh(D) positiv
specimen: AtApsExampleBundle02-diagnostic-specimen-1

Entry 38 - fullUrl = urn:uuid:aeff2319-2cc2-4fba-9541-7a4de3d20f91

Resso}:

Profile: AT APS Observation Results Laboratory Pathology
status: Final
category: Klinische Chemie/Proteindiagnostik, Laboratory
code: Klinische Chemie/Proteindiagnostik
subject: Test Arnold
effective: 2024-02-08 07:56:06+0100
performer: Amadeus Spital - Labor
specimen: AtApsExampleBundle02-diagnostic-specimen-1
hasMember:
AtApsExampleBundle02-diagnostic-result-3
AtApsExampleBundle02-diagnostic-result-4
AtApsExampleBundle02-diagnostic-result-5
AtApsExampleBundle02-diagnostic-result-6
AtApsExampleBundle02-diagnostic-result-7
AtApsExampleBundle02-diagnostic-result-15

Entry 39 - fullUrl = urn:uuid:d16dce15-bc5a-48a5-910e-6ac039785a2a

Resso}:

Language: de-AT
Profile: AT APS Observation Results Laboratory Pathology
status: Final
category: Klinische Chemie, Laboratory
code: Cholesterin
subject: Test Arnold
effective: 2024-02-08 07:34:06+0100
performer: Amadeus Spital - Labor
value: 180 mg/dL (Details: UCUM codemg/dL = 'mg/dL')
specimen: AtApsExampleBundle02-diagnostic-specimen-1

Entry 40 - fullUrl = urn:uuid:96314fcd-3b0c-4032-8cac-6eb59579d90a

Resso}:

Language: de-AT
Profile: AT APS Observation Results Laboratory Pathology
status: Final
category: Klinische Chemie, Laboratory
code: HDL-Cholesterin
subject: Test Arnold
effective: 2024-02-08 07:34:06+0100
performer: Amadeus Spital - Labor
value: 45 mg/dL (Details: UCUM codemg/dL = 'mg/dL')
specimen: AtApsExampleBundle02-diagnostic-specimen-1

Entry 41 - fullUrl = urn:uuid:30c8a990-ea39-4dcb-9e1e-b9ac74afffc9

Resso}:

Profile: AT APS Observation Results Laboratory Pathology
status: Final
category: Klinische Chemie, Laboratory
code: Cholesterol.gesamt/Cholesterol in HDL [Massenverhältnis] in Serum oder Plasma
subject: Test Arnold
effective: 2024-02-08 07:34:06+0100
performer: Amadeus Spital - Labor
value: 4 {ratio} (Details: UCUM code{ratio} = '{ratio}')
specimen: AtApsExampleBundle02-diagnostic-specimen-1

Entry 42 - fullUrl = urn:uuid:f29ac02d-762e-436e-b40c-667ab89e15f2

Resso}:

Language: de-AT
Profile: AT APS Observation Results Laboratory Pathology
status: Final
category: Klinische Chemie, Laboratory
code: Triglyceride
subject: Test Arnold
effective: 2024-02-08 07:34:06+0100
performer: Amadeus Spital - Labor
value: 130 mg/dL (Details: UCUM codemg/dL = 'mg/dL')
specimen: AtApsExampleBundle02-diagnostic-specimen-1

Entry 43 - fullUrl = urn:uuid:28a773ea-38c7-4c77-86c4-7764325756e7

Resso}:

Language: de-AT
Profile: AT APS Observation Results Laboratory Pathology
status: Final
category: Klinische Chemie, Laboratory
code: Gamma-GT
subject: Test Arnold
effective: 2024-02-08 07:34:06+0100
performer: Amadeus Spital - Labor
value: 54 U/L (Details: UCUM codeU/L = 'U/L')
specimen: AtApsExampleBundle02-diagnostic-specimen-1

Entry 44 - fullUrl = urn:uuid:b675680e-9469-41b1-adc1-093904e3a1d3

Resso}:

Profile: AT APS Observation Results Laboratory Pathology
status: Final
category: Klinische Chemie, Laboratory
code: Glucose [Masse/Volumen] in Blut
subject: Test Arnold
effective: 2024-02-08 07:34:06+0100
performer: Amadeus Spital - Labor
value: 112 mg/dL (Details: UCUM codemg/dL = 'mg/dL')
specimen: AtApsExampleBundle02-diagnostic-specimen-1

Entry 45 - fullUrl = urn:uuid:82f802a7-56a9-49b4-a675-95da08f0d7a6

Resso}:

Profile: AT APS Organization
identifier: Uniform Resource Identifier (URI)/urn:oid:1.2.40.0.34.99.4613
name: Amadeus Spital - Labor
contact
telecom: +43.1.3453446.0, fax: +43.1.3453446.4674, info@amadeusspital.at, https://www.amadeusspital.at
address: Währinger Gürtel 18-20 Wien 1090 AUT

Entry 46 - fullUrl = urn:uuid:74c5e186-d765-4c93-a624-c9b0746e8142

Resso}:

Profile: AT APS Observation Vital Signs
status: Final
category: Vital Signs
code: Körpergröße
subject: Test Arnold
effective: 2024-02-08 08:30:00+0100
performer: Amadeus Spital - Labor
value: 173 cm (Details: UCUM codecm = 'cm')

Entry 47 - fullUrl = urn:uuid:428259da-e0f7-4780-b1e3-c177515edd37

Resso}:

Profile: AT APS Observation Vital Signs
status: Final
category: Vital Signs
code: Körpergewicht
subject: Test Arnold
effective: 2024-02-08 08:30:00+0100
performer: Dr. Hannes Hausarzt
value: 68 kg (Details: UCUM codekg = 'kg')

Entry 48 - fullUrl = urn:uuid:daf9c15d-14d4-429c-b658-6842fdff67d8

Resso}:

Profile: AT APS Observation Vital Signs
status: Final
category: Vital Signs
code: Body Mass Index (BMI) [Verhältnis]
subject: Test Arnold
effective: 2024-02-08 08:30:00+0100
performer: Dr. Hannes Hausarzt
value: 22.72 kg/m2 (Details: UCUM codekg/m2 = 'kg/m2')
interpretation: High

Entry 49 - fullUrl = urn:uuid:8248cc70-65a2-4d37-ae14-a3ef2abf8f32

Resso}:

Profile: AT APS Observation Vital Signs
status: Final
category: Vital Signs
code: Blood pressure panel with all children optional
subject: Test Arnold
effective: 2024-02-08 08:30:00+0100
performer: Dr. Hannes Hausarzt
component
code: Systolischer Blutdruck
value: 130 mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]')
component
code: Diastolischer Blutdruck
value: 80 mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]')

Entry 50 - fullUrl = urn:uuid:4d3f7ac4-fd0a-49af-a56b-303a2dbe67d1

Resso}:

Profile: AT APS Observation Vital Signs
status: Final
category: Vital Signs
code: Herzfrequenz
subject: Test Arnold
effective: 2024-02-08 08:30:00+0100
performer: Dr. Hannes Hausarzt
value: 85 /min (Details: UCUM code/min = '/min')

Entry 51 - fullUrl = urn:uuid:be35e603-6b99-4bb5-ad70-8499f6b55df1

Resso}:

Profile: AT APS Observation Vital Signs
status: Final
category: Vital Signs
code: Umfang der Taille
subject: Test Arnold
effective: 2024-02-08 08:30:00+0100
performer: Dr. Hannes Hausarzt
value: <102 cm (Details: UCUM codecm = 'cm')

Entry 52 - fullUrl = urn:uuid:82301518-66ca-4b4c-821d-087adf643cc4

Resso}:

Profile: AT APS Condition
clinicalStatus: Resolved
verificationStatus: Confirmed
category: Problem List Item
code: Zustand nach Masern
subject: Test Arnold

Entry 53 - fullUrl = urn:uuid:ce2589a2-a5e5-4520-808f-8118e2863a95

Resso}:

Profile: AT APS Condition
clinicalStatus: Resolved
verificationStatus: Confirmed
category: Problem List Item
code: Zustand nach Windpocken
subject: Test Arnold

Entry 54 - fullUrl = urn:uuid:d0a5bbf1-6d01-4d44-bac5-05f12c98411e

Resso}:

Profile: AT APS Observation Tobacco Use
status: Final
code: Raucherstatus
subject: Test Arnold
effective: 2024-02-08 08:30:00+0100
performer: Dr. Hannes Hausarzt
value: Nie Tabak geraucht

Entry 55 - fullUrl = urn:uuid:9add5c32-1ded-43d6-b163-c3fe13f94984

Resso}:

status: Final
code: Körperliche Aktivität
subject: Test Arnold
effective: 2024-02-08 08:30:00+0100
performer: Dr. Hannes Hausarzt
value: >2.5 h (Details: UCUM codeh = 'h')/1 wk (Details: UCUM codewk = 'wk')