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 3

Document Details

Profile: AT APS Bundle

Final Document at 2024-02-08 14:01:30+0000 by Dr. IV-Ärztin for Maria Musterfrau

Document Subject

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

## 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.

## Behandlungsplan

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

> 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}:

> 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}:

> 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: Maria Musterfrau

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: Maria Musterfrau

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 mellitus aufgrund einer Verletzung der Bauchspeicheldrüse

> subject: Maria Musterfrau

> recordedDate: 2024-02-08 14:01:30+0000

Entry 8 - fullUrl = urn:uuid:61db6213-22ab-405a-825a-0ae6905fad2e

Resso}:

> Profile: AT APS Condition

> clinicalStatus: Active

> verificationStatus: Confirmed

> category: Problem List Item

> code: Diabetischer Fuß

> subject: Maria Musterfrau

> recordedDate: 2021-02-08 14:01:30+0000

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: Maria Musterfrau

Entry 10 - 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: Maria Musterfrau

Entry 11 - fullUrl = urn:uuid:fa46fccb-5c24-4a40-a478-d6da4902ff33

Resso}:

> Profile: AT APS Condition

> clinicalStatus: Inactive

> verificationStatus: Provisional

> category: Problem List Item

> code: Parodontalerkrankung

> subject: Maria Musterfrau

> ### Stages

> - | Assessment
> * | AtApsExample03Diabetes-problem-17-assessment-1

Entry 12 - fullUrl = urn:uuid:f235c566-01aa-457d-ab49-9e422df69863

Resso}:

> status: Final

> category: Exam

> code: Bewertung der Risikofaktoren für Parodontalerkrankungen

> subject: Maria Musterfrau

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

> performer: Dr. IV-Ärztin

> value: Hohes Risiko

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}:

> Profile: AT APS MedicationStatement

> status: active

> status: recorded

> subject: Maria Musterfrau

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

> > dosage

> > sequence: 1

> > timing: Night, Once

> > route: Oraler Verabreichungsweg

> > ### DoseAndRates

> > - | Dose[x]
> > * | 2 Tablet (Details: UCUM code{TAB} = '{TAB}')

Entry 15 - fullUrl = urn:uuid:768eb9cb-00f3-4ab1-bfc2-ff835cb3b89b

Resso}:

> Profile: AT APS AllergyIntolerance

> clinicalStatus: Active

> code: Benzylpenicillin-Natrium

> patient: Maria Musterfrau

Entry 16 - fullUrl = urn:uuid:75c46c35-8f4e-4232-b026-5672c60d076a

Resso}:

> Profile: AT APS Procedure

> status: Completed

> code: Totalersatz des linken Hüftgelenks

> subject: Maria Musterfrau

Entry 17 - fullUrl = urn:uuid:725bcf71-22e6-473b-a879-49a4b63cd654

Resso}:

> Profile: AT APS Observation Results Laboratory Pathology

> status: Final

> category: Laboratory, Hämatologie

> code: AB0 und Rh-Blutgruppensysteme [Typ] in Blut

> subject: Maria Musterfrau

> effective: 2024-02-08 07:34:06+0100

> performer: Amadeus Spital - Labor

> value: Blutgruppe A Rh(D) positiv

> specimen: AtApsExample03Diabetes-diagnostic-specimen-1

Entry 18 - 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 19 - fullUrl = urn:uuid:e3567418-073e-4fd7-af4e-5fd7ee4785f7

Resso}:

> Profile: AT APS Specimen

> status: Unavailable

> type: Blutprobe

> subject: Maria Musterfrau

Entry 20 - fullUrl = urn:uuid:74c5e186-d765-4c93-a624-c9b0746e8142

Resso}:

> Language: de-AT

> Profile: AT APS Observation Vital Signs

> status: Final

> category: Vital Signs

> code: Körpergröße

> subject: Maria Musterfrau

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

> performer: Dr. IV-Ärztin

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

Entry 21 - 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: Maria Musterfrau

Entry 22 - fullUrl = urn:uuid:d0a5bbf1-6d01-4d44-bac5-05f12c98411e

Resso}:

> Profile: AT APS Observation Tobacco Use

> status: Final

> code: Raucherstatus

> subject: Maria Musterfrau

> effective: 2019-07-15

> performer: Dr. IV-Ärztin

> value: Ehemalig rauchende Person