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 Diabetes Leitdokument
Profile: AT APS Bundle
Final Document at 2024-02-08 14:01:30+0000 by Dr. IV-Ärztin for Susi Testpatientin
Document Subject
Generated Narrative: Patient 001
Profile: AT APS Patient
Susi Testpatientin Female, 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
Problem list - Reported
History of Medication use Narrative
Allergies and adverse reactions Document
History of Procedures Document
narrative needs to be generated
Relevant diagnostic tests/laboratory data Narrative
Vital signs
History of Past illness Narrative
Social history Narrative
Plan of care note
Entry 1 - fullUrl = urn:uuid:212fdc76-ccc3-40bf-8cdd-82f2ef88bd7b
Resso}:
Generated Narrative: Composition example-diab-leitdokument-composition
Profile: AT APS Composition
Country of Affiliation element: AT
status: Final
type: Patient summary
date: 2024-02-08 14:01:30+0000
author: Dr. IV-Ärztin
title: Diabetes Leitdokument
Attesters
Mode Party Personal Validiert von
Entry 2 - fullUrl = urn:uuid:0fed5ebe-ca8f-4ad1-aba4-ddad45bd6cc8
Resso}:
Generated Narrative: Patient 001
Profile: AT APS Patient
Susi Testpatientin Female, 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 example-diab-leitdokument-author
Profile: AT APS Practitioner
identifier: Uniform Resource Identifier (URI)/urn:oid:1.2.40.0.10.99.1.2.3.4
name: Gabriele IV-Ärztin
Entry 4 - fullUrl = urn:uuid:f6266e6a-f63d-4673-b2de-3dff11e619d6
Resso}:
Generated Narrative: Organization example-diab-organization
Profile: AT APS Organization
name: MusterOrganization
Entry 5 - fullUrl = urn:uuid:72e85b9d-004d-4104-b166-86d129948bae
Resso}:
Generated Narrative: Condition example-diab-leitdokument-problem-1
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Chronic kidney disease stage 3B
subject: Susi Testpatientin
Entry 6 - fullUrl = urn:uuid:82fa32f6-39d6-4fc9-9624-90a48fd3d3a5
Resso}:
Generated Narrative: Condition example-diab-leitdokument-problem-2
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Long-term current use of anticoagulant
subject: Susi Testpatientin
Entry 7 - fullUrl = urn:uuid:61db6213-22ab-405a-825a-0ae6905fad1e
Resso}:
Generated Narrative: Condition example-diab-leitdokument-problem-3
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Diabetes mellitus due to pancreatic injury (disorder)
subject: Susi Testpatientin
recordedDate: 2024-02-08 14:01:30+0000
Entry 8 - fullUrl = urn:uuid:61db6213-22ab-405a-825a-0ae6905fad2e
Resso}:
Generated Narrative: Condition example-diab-leitdokument-problem-6
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Diabetic foot
subject: Susi Testpatientin
recordedDate: 2021-02-08 14:01:30+0000
Entry 9 - fullUrl = urn:uuid:9d1c0b74-20c1-4603-a95a-71e6a1dc8fde
Resso}:
Generated Narrative: Condition example-diab-leitdokument-problem-5
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Hypertensive disorder
subject: Susi Testpatientin
Entry 10 - fullUrl = urn:uuid:caa77334-fbfc-4129-a101-1b01c595dd91
Resso}:
Generated Narrative: Condition example-diab-leitdokument-problem-14
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Family history of cancer of colon
subject: Susi Testpatientin
Entry 11 - fullUrl = urn:uuid:fa46fccb-5c24-4a40-a478-d6da4902ff33
Resso}:
Generated Narrative: Condition example-diab-leitdokument-problem-17
Profile: AT APS Condition
clinicalStatus: Inactive
verificationStatus: Provisional
category: Problem List Item
code: Periodontal disease (disorder)
subject: Susi Testpatientin
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 12 - fullUrl = urn:uuid:f235c566-01aa-457d-ab49-9e422df69863
Resso}:
Generated Narrative: Observation example-diab-leitdokument-problem-17-assessment-1
status: Final
category: Exam
code: Evaluation of risk factors for periodontal disease
subject: Susi Testpatientin
effective: 2024-02-08 08:30:00+0100
value: High risk
Entry 13 - fullUrl = urn:uuid:39cd75da-2456-46a9-a703-89d8b65ae63b
Resso}:
Schulung zur Verbesserung der Mobilität
Entry 14 - fullUrl = urn:uuid:acac4c94-a752-4cf5-9a6b-0d84237d5076
Resso}:
Generated Narrative: MedicationStatement example-diab-leitdokument-medication-summary-1
Profile: AT APS MedicationStatement
status: recorded
subject: Susi Testpatientin
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 15 - fullUrl = urn:uuid:768eb9cb-00f3-4ab1-bfc2-ff835cb3b89b
Resso}:
Generated Narrative: AllergyIntolerance example-diab-leitdokument-allergy-1
Profile: AT APS AllergyIntolerance
clinicalStatus: Active
code: Benzylpenicillin Natrium
patient: Susi Testpatientin
Entry 16 - fullUrl = urn:uuid:75c46c35-8f4e-4232-b026-5672c60d076a
Resso}:
Generated Narrative: Procedure example-diab-leitdokument-procedure-history-1
Profile: AT APS Procedure
status: Completed
code: Total replacement of left hip joint
subject: Susi Testpatientin
Entry 17 - fullUrl = urn:uuid:725bcf71-22e6-473b-a879-49a4b63cd654
Resso}:
Generated Narrative: Observation example-diab-leitdokument-diagnostic-result-1
status: Final
category: Laboratory, Hämatologie
code: AB0 und Rh-Blutgruppensysteme [Typ] in Blut
subject: Susi Testpatientin
effective: 2024-02-08 07:34:06+0100
value: Detected (qualifier value)
Entry 18 - fullUrl = urn:uuid:82f802a7-56a9-49b4-a675-95da08f0d7a6
Resso}:
Generated Narrative: Organization example-diab-leitdokument-diagnostic-result-performer-1
Profile: AT APS Organization
identifier: Uniform Resource Identifier (URI)/urn:oid:82f802a7-56a9-49b4-a675-95da08f0d7a6
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 19 - fullUrl = urn:uuid:e3567418-073e-4fd7-af4e-5fd7ee4785f7
Resso}:
Generated Narrative: Specimen example-diab-leitdokument-diagnostic-specimen-1
Profile: AT APS Specimen
status: Unavailable
type: Blood specimen
subject: Susi Testpatientin
Entry 20 - fullUrl = urn:uuid:74c5e186-d765-4c93-a624-c9b0746e8142
Resso}:
Generated Narrative: Observation example-diab-leitdokument-vital-sign-1
Language: de-AT
Profile: AT APS Observation Vital Signs
status: Final
category: Vital Signs
code: Körpergröße
subject: Susi Testpatientin
effective: 2024-02-08 08:30:00+0100
value: 173 cm (Details: UCUM codecm = 'cm')
Entry 21 - fullUrl = urn:uuid:82301518-66ca-4b4c-821d-087adf643cc4
Resso}:
Generated Narrative: Condition example-diab-leitdokument-illness-history-1
Profile: AT APS Condition
clinicalStatus: Resolved
verificationStatus: Confirmed
category: Problem List Item
code: History of measles
subject: Susi Testpatientin
Entry 22 - fullUrl = urn:uuid:d0a5bbf1-6d01-4d44-bac5-05f12c98411e
Resso}:
Generated Narrative: Observation example-diab-leitdokument-social-history-1
Profile: AT APS Observation Tobacco Use
status: Final
code: Tobacco smoking status
subject: Susi Testpatientin
effective: 2019-07-15
value: Ex-smoker