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: UCUM 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')