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

Generated Narrative: Bundle International Patient Summary - Preventive Medical Checkup

Profile: AT APS Bundle

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


Document Subject

Generated Narrative: Patient AtApsExampleBundle02-patient

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


Other Id:Patient internal identifier/0002
Contact DetailAm 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 1 - fullUrl = urn:uuid:212fdc76-ccc3-40bf-8cdd-82f2ef88bd7b

Resource Composition:

Generated Narrative: Composition AtApsExampleBundle02-composition

Country of Affiliation: AT

status: Final

type: Patient summary

date: 2024-02-08 14:01:30+0000

author: Dr. Hannes Hausarzt

title: International Patient Summary - Preventive Medical Checkup

custodian: Muster-Organisation


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

Resource Patient:

Generated Narrative: Patient AtApsExampleBundle02-patient

Arnold Test Male, DoB: 1950-11-12 ( 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

Resource Practitioner:

Generated Narrative: Practitioner AtApsExampleBundle02-author

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

Resource Organization:

Generated Narrative: Organization AtApsExampleBundle02-custodian

name: Muster-Organization


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

Resource Condition:

Generated Narrative: Condition AtApsExampleBundle02-problem-1

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

Resource Condition:

Generated Narrative: Condition AtApsExampleBundle02-problem-2

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

Resource Condition:

Generated Narrative: Condition AtApsExampleBundle02-problem-3

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

Resource Condition:

Generated Narrative: Condition AtApsExampleBundle02-problem-4

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

Resource Condition:

Generated Narrative: Condition AtApsExampleBundle02-problem-5

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Arterielle Hypertonie

subject: Test Arnold


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

Resource Condition:

Generated Narrative: Condition AtApsExampleBundle02-problem-6

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

Resource Condition:

Generated Narrative: Condition AtApsExampleBundle02-problem-7

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Koronarangiographie normal

subject: Test Arnold


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

Resource Condition:

Generated Narrative: Condition AtApsExampleBundle02-problem-8

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

Resource Condition:

Generated Narrative: Condition AtApsExampleBundle02-problem-9

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Dauerhaftes Vorhofflimmern

subject: Test Arnold


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

Resource Condition:

Generated Narrative: Condition AtApsExampleBundle02-problem-10

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

Resource Condition:

Generated Narrative: Condition AtApsExampleBundle02-problem-11

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

Resource Condition:

Generated Narrative: Condition AtApsExampleBundle02-problem-12

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Hypercholesterinämie

subject: Test Arnold


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

Resource Condition:

Generated Narrative: Condition AtApsExampleBundle02-problem-13

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

Resource Condition:

Generated Narrative: Condition AtApsExampleBundle02-problem-14

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Familienanamnese: Kolonkarzinom

subject: Test Arnold


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

Resource Condition:

Generated Narrative: Condition AtApsExampleBundle02-problem-15

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

Resource Condition:

Generated Narrative: Condition AtApsExampleBundle02-problem-16

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

Resource Condition:

Generated Narrative: Condition AtApsExampleBundle02-problem-17

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

Resource Observation:

Generated Narrative: Observation AtApsExampleBundle02-problem-17-assessment-1

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

Resource MedicationStatement:

Generated Narrative: MedicationStatement AtApsExampleBundle02-medication-summary-1

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

Resource MedicationStatement:

Generated Narrative: MedicationStatement AtApsExampleBundle02-medication-summary-2

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

Resource MedicationStatement:

Generated Narrative: MedicationStatement AtApsExampleBundle02-medication-summary-3

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

Resource MedicationStatement:

Generated Narrative: MedicationStatement AtApsExampleBundle02-medication-summary-4

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

Resource MedicationStatement:

Generated Narrative: MedicationStatement AtApsExampleBundle02-medication-summary-5

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

Resource MedicationStatement:

Generated Narrative: MedicationStatement AtApsExampleBundle02-medication-summary-6

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

Resource MedicationStatement:

Generated Narrative: MedicationStatement AtApsExampleBundle02-medication-summary-7

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

Resource MedicationStatement:

Generated Narrative: MedicationStatement AtApsExampleBundle02-medication-summary-8

status: recorded

subject: Test Arnold

effective: 2024-02-08 10:31:58+0200 --> (ongoing)


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

Resource MedicationStatement:

Generated Narrative: MedicationStatement AtApsExampleBundle02-medication-summary-9

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

Resource AllergyIntolerance:

Generated Narrative: AllergyIntolerance AtApsExampleBundle02-allergy-1

clinicalStatus: Active

code: Hausstaub

patient: Test Arnold


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

Resource Procedure:

Generated Narrative: Procedure AtApsExampleBundle02-procedure-history-1

status: Completed

code: Totalersatz des linken Hüftgelenks

subject: Test Arnold


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

Resource Procedure:

Generated Narrative: Procedure AtApsExampleBundle02-procedure-history-2

status: Completed

code: Appendektomie

subject: Test Arnold


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

Resource Procedure:

Generated Narrative: Procedure AtApsExampleBundle02-procedure-history-3

status: Completed

code: Koloskopie

subject: Test Arnold


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

Resource Specimen:

Generated Narrative: Specimen AtApsExampleBundle02-diagnostic-specimen-1

status: Unavailable

type: Blutprobe

subject: Test Arnold


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

Resource Observation:

Generated Narrative: Observation AtApsExampleBundle02-diagnostic-result-1

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

Resource Observation:

Generated Narrative: Observation AtApsExampleBundle02-diagnostic-result-2

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:


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

Resource Observation:

Generated Narrative: Observation AtApsExampleBundle02-diagnostic-result-3

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

Resource Observation:

Generated Narrative: Observation AtApsExampleBundle02-diagnostic-result-4

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

Resource Observation:

Generated Narrative: Observation AtApsExampleBundle02-diagnostic-result-5

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

Resource Observation:

Generated Narrative: Observation AtApsExampleBundle02-diagnostic-result-6

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

Resource Observation:

Generated Narrative: Observation AtApsExampleBundle02-diagnostic-result-7

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

Resource Observation:

Generated Narrative: Observation AtApsExampleBundle02-diagnostic-result-15

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

Resource Organization:

Generated Narrative: Organization AtApsExampleBundle02-diagnostic-result-performer-1

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

Resource Observation:

Generated Narrative: Observation AtApsExampleBundle02-vital-sign-1

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

Resource Observation:

Generated Narrative: Observation AtApsExampleBundle02-vital-sign-2

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

Resource Observation:

Generated Narrative: Observation AtApsExampleBundle02-vital-sign-3

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

Resource Observation:

Generated Narrative: Observation AtApsExampleBundle02-vital-sign-4

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

Resource Observation:

Generated Narrative: Observation AtApsExampleBundle02-vital-sign-5

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

Resource Observation:

Generated Narrative: Observation AtApsExampleBundle02-vital-sign-6

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

Resource Condition:

Generated Narrative: Condition AtApsExampleBundle02-illness-history-1

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

Resource Condition:

Generated Narrative: Condition AtApsExampleBundle02-illness-history-2

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

Resource Observation:

Generated Narrative: Observation AtApsExampleBundle02-social-history-1

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

Resource Observation:

Generated Narrative: Observation AtApsExampleBundle02-social-history-2

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')