Austrian Patient Summary (R4)
0.1.0 - ci-build
Austrian Patient Summary (R4)
0.1.0 - ci-build
Austrian Patient Summary (R4) - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Document Details
Generated Narrative: Bundle International Patient Summary - Preventive Medical Checkup
Profile: AT APS Bundle
Final Document at 2024-02-08 14:01:30+0000 by Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000 for Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000
Document Subject
Generated Narrative: Patient APS-2-preventive-medical-checkup-patient
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
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narrative needs to be generated
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Entry 1 - fullUrl = urn:uuid:212fdc76-ccc3-40bf-8cdd-82f2ef88bd7b
Resso}:
Generated Narrative: Composition APS-2-preventive-medical-checkup-composition
Profile: AT APS Composition
Country of Affiliation element: AT
status: Final
type: Patient summary
date: 2024-02-08 14:01:30+0000
title: International Patient Summary - Preventive Medical Checkup
Attesters
Mode Party Personal Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000
Entry 2 - fullUrl = urn:uuid:0fed5ebe-ca8f-4ad1-aba4-ddad45bd6cc8
Resso}:
Generated Narrative: Patient APS-2-preventive-medical-checkup-patient
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}:
Generated Narrative: Practitioner APS-2-preventive-medical-checkup-author
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}:
Generated Narrative: Organization APS-2-organization
Profile: AT APS Organization
name: MusterOrganization
Entry 5 - fullUrl = urn:uuid:72e85b9d-004d-4104-b166-86d129948bae
Resso}:
Generated Narrative: Condition APS-2-preventive-medical-checkup-problem-1
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Chronic kidney disease stage 3B
Entry 6 - fullUrl = urn:uuid:82fa32f6-39d6-4fc9-9624-90a48fd3d3a5
Resso}:
Generated Narrative: Condition APS-2-preventive-medical-checkup-problem-2
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Long-term current use of anticoagulant
Entry 7 - fullUrl = urn:uuid:61db6213-22ab-405a-825a-0ae6905fad1e
Resso}:
Generated Narrative: Condition APS-2-preventive-medical-checkup-problem-3
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Diabetic on insulin and oral treatment
Entry 8 - fullUrl = urn:uuid:194cac84-0ee2-40b4-8dda-1866318d234c
Resso}:
Generated Narrative: Condition APS-2-preventive-medical-checkup-problem-4
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Long-term current use of immunosuppressive drug
Entry 9 - fullUrl = urn:uuid:9d1c0b74-20c1-4603-a95a-71e6a1dc8fde
Resso}:
Generated Narrative: Condition APS-2-preventive-medical-checkup-problem-5
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Hypertensive disorder
Entry 10 - fullUrl = urn:uuid:b62c11b1-c478-4d04-ae6f-5f73543f2bb1
Resso}:
Generated Narrative: Condition APS-2-preventive-medical-checkup-problem-6
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Carotid artery doppler normal
Entry 11 - fullUrl = urn:uuid:8d3a18fb-3610-4bfb-9aa4-1169cc6dd2dd
Resso}:
Generated Narrative: Condition APS-2-preventive-medical-checkup-problem-7
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Coronary arteriography normal
Entry 12 - fullUrl = urn:uuid:c5d400b1-b58b-41ed-9776-cfcdaf48f2e6
Resso}:
Generated Narrative: Condition APS-2-preventive-medical-checkup-problem-8
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Long-term current use of bisphosphonates
onset: 2020-06 --> 2025-03
Entry 13 - fullUrl = urn:uuid:32d90aaa-6577-4c5d-9771-d8f606ebf0b9
Resso}:
Generated Narrative: Condition APS-2-preventive-medical-checkup-problem-9
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Permanent atrial fibrillation
Entry 14 - fullUrl = urn:uuid:2040058f-9537-4b26-9367-5ca5ac0ddb58
Resso}:
Generated Narrative: Condition APS-2-preventive-medical-checkup-problem-10
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Albuminuria grade A2
Entry 15 - fullUrl = urn:uuid:b7b2a10d-7295-4fd1-ad21-81bca78dc45a
Resso}:
Generated Narrative: Condition APS-2-preventive-medical-checkup-problem-11
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Seronegative rheumatoid arthritis
Entry 16 - fullUrl = urn:uuid:ebfb60a8-a753-459d-a796-a191a4dbd91d
Resso}:
Generated Narrative: Condition APS-2-preventive-medical-checkup-problem-12
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Hypercholesterolemia
Entry 17 - fullUrl = urn:uuid:3f3140b1-9478-4491-b7bf-10560f38da0e
Resso}:
Generated Narrative: Condition APS-2-preventive-medical-checkup-problem-13
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Family history of diabetes mellitus (situation)
Entry 18 - fullUrl = urn:uuid:caa77334-fbfc-4129-a101-1b01c595dd91
Resso}:
Generated Narrative: Condition APS-2-preventive-medical-checkup-problem-14
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Family history of cancer of colon
Entry 19 - fullUrl = urn:uuid:e66d8ac1-a124-4e94-be22-969c9b117ce5
Resso}:
Generated Narrative: Condition APS-2-preventive-medical-checkup-problem-15
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Family history: premature coronary heart disease
Entry 20 - fullUrl = urn:uuid:5ab717ff-c0a0-409e-83db-0fa6f8619f68
Resso}:
Generated Narrative: Condition APS-2-preventive-medical-checkup-problem-16
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: FH: Hypercholesterolemia
Entry 21 - fullUrl = urn:uuid:fa46fccb-5c24-4a40-a478-d6da4902ff33
Resso}:
Generated Narrative: Condition APS-2-preventive-medical-checkup-problem-17
Profile: AT APS Condition
clinicalStatus: Inactive
verificationStatus: Provisional
category: Problem List Item
code: Periodontal disease (disorder)
Stages
Assessment Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000
Entry 22 - fullUrl = urn:uuid:f235c566-01aa-457d-ab49-9e422df69863
Resso}:
Generated Narrative: Observation APS-2-preventive-medical-checkup-problem-17-assessment-1
status: Final
category: Exam
code: Evaluation of risk factors for periodontal disease
effective: 2024-02-08 08:30:00+0100
value: High risk
Entry 23 - fullUrl = urn:uuid:acac4c94-a752-4cf5-9a6b-0d84237d5076
Resso}:
Generated Narrative: MedicationStatement APS-2-preventive-medical-checkup-medication-summary-1
Profile: AT APS MedicationStatement
status: recorded
effective: 2024-02-08 10:31:58+0200 --> (ongoing)
dosage
sequence: 1
timing: Night, Once
route: Oral use
DoseAndRates
Dose[x] 2 Tablet (Details: code15054000" = '15054000"')
Entry 24 - fullUrl = urn:uuid:98285578-0bb6-42b2-908c-5bcc5e3992e0
Resso}:
Generated Narrative: MedicationStatement APS-2-preventive-medical-checkup-medication-summary-2
Profile: AT APS MedicationStatement
status: recorded
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}:
Generated Narrative: MedicationStatement APS-2-preventive-medical-checkup-medication-summary-3
Profile: AT APS MedicationStatement
status: recorded
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}:
Generated Narrative: MedicationStatement APS-2-preventive-medical-checkup-medication-summary-4
Profile: AT APS MedicationStatement
status: recorded
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}:
Generated Narrative: MedicationStatement APS-2-preventive-medical-checkup-medication-summary-5
Profile: AT APS MedicationStatement
status: recorded
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}:
Generated Narrative: MedicationStatement APS-2-preventive-medical-checkup-medication-summary-6
Profile: AT APS MedicationStatement
status: recorded
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}:
Generated Narrative: MedicationStatement APS-2-preventive-medical-checkup-medication-summary-7
Profile: AT APS MedicationStatement
status: recorded
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}:
Generated Narrative: MedicationStatement APS-2-preventive-medical-checkup-medication-summary-8
Profile: AT APS MedicationStatement
status: recorded
effective: 2024-02-08 10:31:58+0200 --> (ongoing)
Entry 31 - fullUrl = urn:uuid:cf4b2e92-51e6-44de-9406-5406e66e9d45
Resso}:
Generated Narrative: MedicationStatement APS-2-preventive-medical-checkup-medication-summary-9
Profile: AT APS MedicationStatement
status: recorded
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}:
Generated Narrative: AllergyIntolerance APS-2-preventive-medical-checkup-allergy-1
Profile: AT APS AllergyIntolerance
clinicalStatus: Active
code: Hausstaub
Entry 33 - fullUrl = urn:uuid:75c46c35-8f4e-4232-b026-5672c60d076a
Resso}:
Generated Narrative: Procedure APS-2-preventive-medical-checkup-procedure-history-1
Profile: AT APS Procedure
status: Completed
code: Total replacement of left hip joint
Entry 34 - fullUrl = urn:uuid:8103f99c-64f0-4dd5-b92e-5c9680c91e47
Resso}:
Generated Narrative: Procedure APS-2-preventive-medical-checkup-procedure-history-2
Profile: AT APS Procedure
status: Completed
code: Appendectomy
Entry 35 - fullUrl = urn:uuid:8a825f17-1599-4928-b384-0ca4a62daba8
Resso}:
Generated Narrative: Procedure APS-2-preventive-medical-checkup-procedure-history-3
Profile: AT APS Procedure
status: Completed
code: Colonoscopy (procedure)
Entry 36 - fullUrl = urn:uuid:5218bc54-5d55-42fa-aa0c-169b61577ad0
Resso}:
Generated Narrative: Specimen APS-2-preventive-medical-checkup-diagnostic-specimen-1
Profile: AT APS Specimen
status: Unavailable
type: Blood specimen
Entry 37 - fullUrl = urn:uuid:725bcf71-22e6-473b-a879-49a4b63cd654
Resso}:
Generated Narrative: Observation APS-2-preventive-medical-checkup-diagnostic-result-1
status: Final
category: Transfusions-/Transplantationsdiagnostik/Immungenetik, Blutgruppenserologie, Laboratory
code: AB0 und Rh-Blutgruppensysteme [Typ] in Blut
effective: 2024-02-08 07:34:06+0100
value: Blood group A Rh(D) positive (finding)
Entry 38 - fullUrl = urn:uuid:aeff2319-2cc2-4fba-9541-7a4de3d20f91
Resso}:
Generated Narrative: Observation APS-2-preventive-medical-checkup-diagnostic-result-2
status: Final
category: Klinische Chemie/Proteindiagnostik, Laboratory
code: Klinische Chemie/Proteindiagnostik
effective: 2024-02-08 07:56:06+0100
hasMember:
- Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000
- Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000
- Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000
- Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000
- Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000
- Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000
Entry 39 - fullUrl = urn:uuid:d16dce15-bc5a-48a5-910e-6ac039785a2a
Resso}:
Generated Narrative: Observation APS-2-preventive-medical-checkup-diagnostic-result-3
Language: de-AT
status: Final
category: Klinische Chemie, Laboratory
code: Cholesterin
effective: 2024-02-08 07:34:06+0100
value: 180 mg/dL (Details: UCUM codemg/dL = 'mg/dL')
Entry 40 - fullUrl = urn:uuid:96314fcd-3b0c-4032-8cac-6eb59579d90a
Resso}:
Generated Narrative: Observation APS-2-preventive-medical-checkup-diagnostic-result-4
Language: de-AT
status: Final
category: Klinische Chemie, Laboratory
code: HDL-Cholesterin
effective: 2024-02-08 07:34:06+0100
value: 45 mg/dL (Details: UCUM codemg/dL = 'mg/dL')
Entry 41 - fullUrl = urn:uuid:30c8a990-ea39-4dcb-9e1e-b9ac74afffc9
Resso}:
Generated Narrative: Observation APS-2-preventive-medical-checkup-diagnostic-result-5
status: Final
category: Klinische Chemie, Laboratory
code: Cholesterol.gesamt/Cholesterol in HDL [Massenverhältnis] in Serum oder Plasma
effective: 2024-02-08 07:34:06+0100
value: 4 {ratio} (Details: UCUM code{ratio} = '{ratio}')
Entry 42 - fullUrl = urn:uuid:f29ac02d-762e-436e-b40c-667ab89e15f2
Resso}:
Generated Narrative: Observation APS-2-preventive-medical-checkup-diagnostic-result-6
Language: de-AT
status: Final
category: Klinische Chemie, Laboratory
code: Triglyceride
effective: 2024-02-08 07:34:06+0100
value: 130 mg/dL (Details: UCUM codemg/dL = 'mg/dL')
Entry 43 - fullUrl = urn:uuid:28a773ea-38c7-4c77-86c4-7764325756e7
Resso}:
Generated Narrative: Observation APS-2-preventive-medical-checkup-diagnostic-result-7
Language: de-AT
status: Final
category: Klinische Chemie, Laboratory
code: Gamma-GT
effective: 2024-02-08 07:34:06+0100
value: 54 U/L (Details: UCUM codeU/L = 'U/L')
Entry 44 - fullUrl = urn:uuid:b675680e-9469-41b1-adc1-093904e3a1d3
Resso}:
Generated Narrative: Observation APS-2-preventive-medical-checkup-diagnostic-result-15
status: Final
category: Klinische Chemie, Laboratory
code: Glucose [Masse/Volumen] in Blut
effective: 2024-02-08 07:34:06+0100
value: 112 mg/dL (Details: UCUM codemg/dL = 'mg/dL')
Entry 45 - fullUrl = urn:uuid:82f802a7-56a9-49b4-a675-95da08f0d7a6
Resso}:
Generated Narrative: Organization APS-2-preventive-medical-checkup-diagnostic-result-performer-1
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}:
Generated Narrative: Observation APS-2-preventive-medical-checkup-vital-sign-1
Profile: AT APS Observation Vital Signs
status: Final
category: Vital Signs
code: Körpergröße
effective: 2024-02-08 08:30:00+0100
value: 173 cm (Details: UCUM codecm = 'cm')
Entry 47 - fullUrl = urn:uuid:428259da-e0f7-4780-b1e3-c177515edd37
Resso}:
Generated Narrative: Observation APS-2-preventive-medical-checkup-vital-sign-2
Profile: AT APS Observation Vital Signs
status: Final
category: Vital Signs
code: Körpergewicht
effective: 2024-02-08 08:30:00+0100
value: 68 kg (Details: UCUM codekg = 'kg')
Entry 48 - fullUrl = urn:uuid:daf9c15d-14d4-429c-b658-6842fdff67d8
Resso}:
Generated Narrative: Observation APS-2-preventive-medical-checkup-vital-sign-3
Profile: AT APS Observation Vital Signs
status: Final
category: Vital Signs
code: Body Mass Index (BMI) [Verhältnis]
effective: 2024-02-08 08:30:00+0100
value: 22.72 kg/m2 (Details: UCUM codekg/m2 = 'kg/m2')
interpretation: High
Entry 49 - fullUrl = urn:uuid:8248cc70-65a2-4d37-ae14-a3ef2abf8f32
Resso}:
Generated Narrative: Observation APS-2-preventive-medical-checkup-vital-sign-4
Profile: AT APS Observation Vital Signs
status: Final
category: Vital Signs
code: Blood pressure panel with all children optional
effective: 2024-02-08 08:30:00+0100
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}:
Generated Narrative: Observation APS-2-preventive-medical-checkup-vital-sign-5
Profile: AT APS Observation Vital Signs
status: Final
category: Vital Signs
code: Herzfrequenz
effective: 2024-02-08 08:30:00+0100
value: 85 /min (Details: UCUM code/min = '/min')
Entry 51 - fullUrl = urn:uuid:be35e603-6b99-4bb5-ad70-8499f6b55df1
Resso}:
Generated Narrative: Observation APS-2-preventive-medical-checkup-vital-sign-6
Profile: AT APS Observation Vital Signs
status: Final
category: Vital Signs
code: Waist circumference
effective: 2024-02-08 08:30:00+0100
value: <102 cm (Details: UCUM codecm = 'cm')
Entry 52 - fullUrl = urn:uuid:82301518-66ca-4b4c-821d-087adf643cc4
Resso}:
Generated Narrative: Condition APS-2-preventive-medical-checkup-illness-history-1
Profile: AT APS Condition
clinicalStatus: Resolved
verificationStatus: Confirmed
category: Problem List Item
code: History of measles
Entry 53 - fullUrl = urn:uuid:ce2589a2-a5e5-4520-808f-8118e2863a95
Resso}:
Generated Narrative: Condition APS-2-preventive-medical-checkup-illness-history-2
Profile: AT APS Condition
clinicalStatus: Resolved
verificationStatus: Confirmed
category: Problem List Item
code: History of chickenpox (situation)
Entry 54 - fullUrl = urn:uuid:d0a5bbf1-6d01-4d44-bac5-05f12c98411e
Resso}:
Generated Narrative: Observation APS-2-preventive-medical-checkup-social-history-1
Profile: AT APS Observation Tobacco Use
status: Final
code: Tobacco smoking status
effective: 2024-02-08 08:30:00+0100
value: Never smoked tobacco
Entry 55 - fullUrl = urn:uuid:9add5c32-1ded-43d6-b163-c3fe13f94984
Resso}:
Generated Narrative: Observation APS-2-preventive-medical-checkup-social-history-2
status: Final
code: Physical exercise
effective: 2024-02-08 08:30:00+0100
value: >2.5 h (Details: UCUM codeh = 'h')/1 wk (Details: UCUM codewk = 'wk')