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: AtApsExampleBundle-Journey-3

Document Details

Profile: AT APS Bundle

Final Document at 2025-02-15 14:31:30+0000 by APS Generator for Maria Musterfrau

Document Subject

Generated Narrative: Patient AtApsExampleBundle-Journey-3-patient

Profile: AT APS Patient

Maria Musterfrau Female, DoB: 1998-04-17 ( Social Security number: 0000121150)

Other Id: | Patient internal identifier/0002
Contact Detail | Am Schulweg 5 Hainfeld 3100 AUT (home)

Document Content

Generated Narrative: Composition AtApsExampleBundle-Journey-3-composition

Profile: AT APS Composition

status: Final

type: Patient summary

date: 2025-02-15 14:31:30+0000

author: APS Generator

title: APS - Patient Journey 1

custodian: Muster-Organisation

## 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.

## Impfungen

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}:

> Generated Narrative: Patient AtApsExampleBundle-Journey-3-patient

> Profile: AT APS Patient

> Maria Musterfrau Female, DoB: 1998-04-17 ( 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}:

> Dieses Gerät erzeugt ein APS FHIR-Dokument.

Entry 4 - fullUrl = urn:uuid:75db30ee-7028-486c-929a-c5126837f473

Resso}:

> Generated Narrative: Practitioner AtApsExampleBundle-Journey-3-practitioner

> Profile: AT APS Practitioner

> identifier: Uniform Resource Identifier (URI)/urn:oid:1.2.40.0.10.99.1.2.3.4

> name: Hanna Hausärztin

Entry 5 - fullUrl = urn:uuid:f6266e6a-f63d-4673-b2de-3dff11e619d6

Resso}:

> Generated Narrative: Organization AtApsExampleBundle-Journey-3-custodian

> Profile: AT APS Organization

> name: Muster-Organization

Entry 6 - fullUrl = urn:uuid:ecf9728f-fa50-4b46-b8f7-7768174df72a

Resso}:

> Generated Narrative: MedicationStatement AtApsExampleBundle-Journey-3-medication-summary-7

> Profile: AT APS MedicationStatement

> status: Active

> medication: RAMIPRIL 1A TBL 5MG

> subject: Maria Musterfrau

> effective: 2024-12-08 10:31:58+0200 --> (ongoing)

> ### Dosages

> - | Text
> * | S:1-0-0-0

Entry 7 - fullUrl = urn:uuid:768eb9cb-00f3-4ab1-bfc2-ff835cb3b89b

Resso}:

> Generated Narrative: AllergyIntolerance AtApsExampleBundle-Journey-3-allergy-1

> Profile: AT APS AllergyIntolerance

> clinicalStatus: Active

> code: Hausstaub

> patient: Maria Musterfrau

Entry 8 - fullUrl = urn:uuid:9d1c0b74-20c1-4603-a95a-71e6a1dc8fde

Resso}:

> Generated Narrative: Condition AtApsExampleBundle-Journey-3-problem-5

> Profile: AT APS Condition

> clinicalStatus: Active

> verificationStatus: Confirmed

> category: Problem List Item

> code: Arterielle Hypertonie

> subject: Maria Musterfrau

> onset: 2024-12-08 10:31:58+0200

> ### Evidences

> - | Detail
> * | Entlassungsbrief AKH Amadeus

Entry 9 - fullUrl = urn:uuid:fa46fccb-5c24-4a40-a478-d6da4902ff33

Resso}:

> Generated Narrative: Condition AtApsExampleBundle-Journey-3-problem-17

> Profile: AT APS Condition

> clinicalStatus: Inactive

> verificationStatus: Provisional

> category: Problem List Item

> code: Parodontalerkrankung

> subject: Maria Musterfrau

> ### Stages

> - | Assessment
> * | AtApsExampleBundle-Journey-3-problem-17-assessment-1

Entry 10 - fullUrl = urn:uuid:f235c566-01aa-457d-ab49-9e422df69863

Resso}:

> Generated Narrative: Observation AtApsExampleBundle-Journey-3-problem-17-assessment-1

> Profile: AT APS Observation

> status: Final

> category: Exam

> code: Bewertung der Risikofaktoren für Parodontalerkrankungen

> subject: Maria Musterfrau

> effective: 2025-02-08 14:31:30+0000

> performer: Dr. Hanna Hausärztin

> value: Hohes Risiko

Entry 11 - fullUrl = urn:uuid:3f3140b1-9478-4491-b7bf-10560f38da0e

Resso}:

> Generated Narrative: Condition AtApsExampleBundle-Journey-3-problem-13

> Profile: AT APS Condition

> clinicalStatus: Active

> verificationStatus: Confirmed

> category: Problem List Item

> code: Diabetes mellitus in der Familienanamnese

> subject: Maria Musterfrau

Entry 12 - fullUrl = urn:uuid:1fed5ebe-ca8f-4ad1-aba4-ddad45bd6cc9

Resso}:

> Generated Narrative: DocumentReference AtApsExampleBundle-Journey-3-Entlassungsbrief-2024-12

> status: Current

> type: Entlassungsbrief

> subject: Maria Musterfrau

> date: 2024-12-08 10:00:00+0200

> > content

> > ### Attachments

> > - | ContentType | Url | Title
> > * | application/pdf | https://example.org/fhir/Binary/AtApsExampleBundle-Journey-3-Entlassungsbrief-2024-12.pdf | Entlassungsbrief AKH Amadeus

Entry 13 - fullUrl = urn:uuid:75c46c35-8f4e-4232-b026-5672c60d076a

Resso}:

> Generated Narrative: Procedure AtApsExampleBundle-Journey-3-procedure-history-1

> Profile: AT APS Procedure

> status: Completed

> code: Totalersatz des linken Hüftgelenks

> subject: Maria Musterfrau

> performed: 2010

Entry 14 - fullUrl = urn:uuid:8103f99c-64f0-4dd5-b92e-5c9680c91e47

Resso}:

> Generated Narrative: Procedure AtApsExampleBundle-Journey-3-procedure-history-2

> Profile: AT APS Procedure

> status: Completed

> code: Appendektomie

> subject: Maria Musterfrau

> performed: 2001-06-15

Entry 15 - fullUrl = urn:uuid:8a825f17-1599-4928-b384-0ca4a62daba8

Resso}:

> Generated Narrative: Procedure AtApsExampleBundle-Journey-3-procedure-history-3

> Profile: AT APS Procedure

> status: Completed

> code: Koloskopie

> subject: Maria Musterfrau

> performed: 2014-05-17

Entry 16 - fullUrl = urn:uuid:490dab5c-271e-4736-8a6b-d04fd2a04606

Resso}:

> Generated Narrative: DeviceUseStatement AtApsExampleBundle-Journey-3-deviceUse-Hueftprothese

> Profile: AT APS DeviceUseStatement

> status: Active

> subject: Maria Musterfrau

> timing: 2020 --> (ongoing)

> device: Verwendetes Gerät: Hüftprothese

> bodySite: Gesamtes linkes Hüftgelenk

Entry 17 - fullUrl = urn:uuid:a1a80313-a757-4062-b0d7-d04fd2a04603

Resso}:

> Generated Narrative: Device AtApsExampleBundle-Journey-3-device-Hueftprothese

> Profile: AT APS Device

> ### DeviceNames

> - | Name | Type
> * | Hüftprothese | other

> type: Hüftprothese

> ### Versions

> - | Value
> * | Version.value 123456

> patient: Maria Musterfrau

Entry 18 - fullUrl = urn:uuid:590dab5c-271e-4736-8a6b-d04fd2a04607

Resso}:

> Generated Narrative: Immunization AtApsExampleBundle-Journey-3-Immunization-1

> Profile: AT APS Immunization

> status: Completed

> vaccineCode: Diphtherie-Pertussis-Poliomyelitis-Tetanus

> patient: Maria Musterfrau

> occurrence: 2025-01-08 14:31:30+0000

> route: intramuskuläre Anwendung

> > protocolApplied

> > targetDisease: Diphtheria, Pertussis, Poliomyelitis, Tetanus

> > doseNumber: 1

Entry 19 - fullUrl = urn:uuid:5218bc54-5d55-42fa-aa0c-169b61577ad0

Resso}:

> Generated Narrative: Specimen AtApsExampleBundle-Journey-3-diagnostic-specimen-1

> Profile: AT APS Specimen

> status: Unavailable

> type: Blutprobe

> subject: Maria Musterfrau

Entry 20 - fullUrl = urn:uuid:725bcf71-22e6-473b-a879-49a4b63cd654

Resso}:

> Generated Narrative: Observation AtApsExampleBundle-Journey-3-diagnostic-result-1

> Profile: AT APS Observation Results Laboratory Pathology

> status: Final

> category: Transfusions-/Transplantationsdiagnostik/Immungenetik, Blutgruppenserologie, Laboratory

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

> subject: Maria Musterfrau

> effective: 2025-02-13 14:31:30+0000

> performer: Amadeus Spital - Labor

> value: Blutgruppe A Rh(D) positiv

> specimen: AtApsExampleBundle-Journey-3-diagnostic-specimen-1

Entry 21 - fullUrl = urn:uuid:aeff2319-2cc2-4fba-9541-7a4de3d20f91

Resso}:

> Generated Narrative: Observation AtApsExampleBundle-Journey-3-diagnostic-result-2

> Profile: AT APS Observation Results Laboratory Pathology

> status: Final

> category: Klinische Chemie/Proteindiagnostik, Laboratory

> code: Klinische Chemie/Proteindiagnostik

> subject: Maria Musterfrau

> effective: 2024-02-08 07:56:06+0100

> performer: Amadeus Spital - Labor

> specimen: Blutprobe (AtApsExampleBundle-Journey-3-diagnostic-specimen-1)

> hasMember:

> - Cholesterin (AtApsExampleBundle-Journey-3-diagnostic-result-3)
> - HDL-Cholesterin (AtApsExampleBundle-Journey-3-diagnostic-result-4)
> - Cholesterol.gesamt/Cholesterol in HDL in Serum oder Plasma (AtApsExampleBundle-Journey-3-diagnostic-result-5)
> - Triglyceride (AtApsExampleBundle-Journey-3-diagnostic-result-6)
> - Gamma-GT (AtApsExampleBundle-Journey-3-diagnostic-result-7)
> - Glucose in Blut (AtApsExampleBundle-Journey-3-diagnostic-result-15)

Entry 22 - fullUrl = urn:uuid:d16dce15-bc5a-48a5-910e-6ac039785a2a

Resso}:

> Generated Narrative: Observation AtApsExampleBundle-Journey-3-diagnostic-result-3

> Language: de-AT

> Profile: AT APS Observation Results Laboratory Pathology

> status: Final

> category: Klinische Chemie, Laboratory

> code: Cholesterin

> subject: Maria Musterfrau

> effective: 2025-02-13 14:31:30+0000

> performer: Amadeus Spital - Labor

> value: 180 mg/dL (Details: UCUM codemg/dL = 'mg/dL')

> specimen: AtApsExampleBundle-Journey-3-diagnostic-specimen-1

Entry 23 - fullUrl = urn:uuid:96314fcd-3b0c-4032-8cac-6eb59579d90a

Resso}:

> Generated Narrative: Observation AtApsExampleBundle-Journey-3-diagnostic-result-4

> Language: de-AT

> Profile: AT APS Observation Results Laboratory Pathology

> status: Final

> category: Klinische Chemie, Laboratory

> code: HDL-Cholesterin

> subject: Maria Musterfrau

> effective: 2025-02-13 14:31:30+0000

> performer: Amadeus Spital - Labor

> value: 45 mg/dL (Details: UCUM codemg/dL = 'mg/dL')

> specimen: AtApsExampleBundle-Journey-3-diagnostic-specimen-1

Entry 24 - fullUrl = urn:uuid:30c8a990-ea39-4dcb-9e1e-b9ac74afffc9

Resso}:

> Generated Narrative: Observation AtApsExampleBundle-Journey-3-diagnostic-result-5

> 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: Maria Musterfrau

> effective: 2025-02-13 14:31:30+0000

> performer: Amadeus Spital - Labor

> value: 4 {ratio} (Details: UCUM code{ratio} = '{ratio}')

> specimen: AtApsExampleBundle-Journey-3-diagnostic-specimen-1

Entry 25 - fullUrl = urn:uuid:f29ac02d-762e-436e-b40c-667ab89e15f2

Resso}:

> Generated Narrative: Observation AtApsExampleBundle-Journey-3-diagnostic-result-6

> Language: de-AT

> Profile: AT APS Observation Results Laboratory Pathology

> status: Final

> category: Klinische Chemie, Laboratory

> code: Triglyceride

> subject: Maria Musterfrau

> effective: 2025-02-13 14:31:30+0000

> performer: Amadeus Spital - Labor

> value: 130 mg/dL (Details: UCUM codemg/dL = 'mg/dL')

> specimen: AtApsExampleBundle-Journey-3-diagnostic-specimen-1

Entry 26 - fullUrl = urn:uuid:28a773ea-38c7-4c77-86c4-7764325756e7

Resso}:

> Generated Narrative: Observation AtApsExampleBundle-Journey-3-diagnostic-result-7

> Language: de-AT

> Profile: AT APS Observation Results Laboratory Pathology

> status: Final

> category: Klinische Chemie, Laboratory

> code: Gamma-GT

> subject: Maria Musterfrau

> effective: 2025-02-13 14:31:30+0000

> performer: Amadeus Spital - Labor

> value: 54 U/L (Details: UCUM codeU/L = 'U/L')

> specimen: AtApsExampleBundle-Journey-3-diagnostic-specimen-1

Entry 27 - fullUrl = urn:uuid:b675680e-9469-41b1-adc1-093904e3a1d3

Resso}:

> Generated Narrative: Observation AtApsExampleBundle-Journey-3-diagnostic-result-15

> Profile: AT APS Observation Results Laboratory Pathology

> status: Final

> category: Klinische Chemie, Laboratory

> code: Glucose [Masse/Volumen] in Blut

> subject: Maria Musterfrau

> effective: 2025-02-13 14:31:30+0000

> performer: Amadeus Spital - Labor

> value: 112 mg/dL (Details: UCUM codemg/dL = 'mg/dL')

> specimen: AtApsExampleBundle-Journey-3-diagnostic-specimen-1

Entry 28 - fullUrl = urn:uuid:82f802a7-56a9-49b4-a675-95da08f0d7a6

Resso}:

> Generated Narrative: Organization AtApsExampleBundle-Journey-3-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

> 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 29 - fullUrl = urn:uuid:74c5e186-d765-4c93-a624-c9b0746e8142

Resso}:

> Generated Narrative: Observation AtApsExampleBundle-Journey-3-vital-sign-1

> Profile: AT APS Observation Vital Signs

> status: Final

> category: Vital Signs

> code: Körpergröße

> subject: Maria Musterfrau

> effective: 2025-02-08 14:31:30+0000

> performer: Dr. Hanna Hausärztin

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

Entry 30 - fullUrl = urn:uuid:428259da-e0f7-4780-b1e3-c177515edd37

Resso}:

> Generated Narrative: Observation AtApsExampleBundle-Journey-3-vital-sign-2

> Profile: AT APS Observation Vital Signs

> status: Final

> category: Vital Signs

> code: Körpergewicht

> subject: Maria Musterfrau

> effective: 2025-02-08 14:31:30+0000

> performer: Dr. Hanna Hausärztin

> value: 68 kg (Details: UCUM codekg = 'kg')

Entry 31 - fullUrl = urn:uuid:daf9c15d-14d4-429c-b658-6842fdff67d8

Resso}:

> Generated Narrative: Observation AtApsExampleBundle-Journey-3-vital-sign-3

> Profile: AT APS Observation Vital Signs

> status: Final

> category: Vital Signs

> code: Body Mass Index (BMI) [Verhältnis]

> subject: Maria Musterfrau

> effective: 2025-02-08 14:31:30+0000

> performer: Dr. Hanna Hausärztin

> value: 22.72 kg/m2 (Details: UCUM codekg/m2 = 'kg/m2')

> interpretation: High

Entry 32 - fullUrl = urn:uuid:8248cc70-65a2-4d37-ae14-a3ef2abf8f32

Resso}:

> Generated Narrative: Observation AtApsExampleBundle-Journey-3-vital-sign-4

> Profile: AT APS Observation Vital Signs

> status: Final

> category: Vital Signs

> code: Blood pressure panel with all children optional

> subject: Maria Musterfrau

> effective: 2025-02-08 14:31:30+0000

> performer: Dr. Hanna Hausärztin

> > component

> > code: Systolischer Blutdruck

> > value: 180 mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]')

> > component

> > code: Diastolischer Blutdruck

> > value: 80 mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]')

Entry 33 - fullUrl = urn:uuid:4d3f7ac4-fd0a-49af-a56b-303a2dbe67d1

Resso}:

> Generated Narrative: Observation AtApsExampleBundle-Journey-3-vital-sign-5

> Profile: AT APS Observation Vital Signs

> status: Final

> category: Vital Signs

> code: Herzfrequenz

> subject: Maria Musterfrau

> effective: 2025-02-08 14:31:30+0000

> performer: Dr. Hanna Hausärztin

> value: 100 /min (Details: UCUM code/min = '/min')

Entry 34 - fullUrl = urn:uuid:82301518-66ca-4b4c-821d-087adf643cc4

Resso}:

> Generated Narrative: Condition AtApsExampleBundle-Journey-3-illness-history-1

> Profile: AT APS Condition

> clinicalStatus: Resolved

> verificationStatus: Confirmed

> category: Problem List Item

> code: Masern

> subject: Maria Musterfrau

> onset: 1994-02-08

Entry 35 - fullUrl = urn:uuid:ce2589a2-a5e5-4520-808f-8118e2863a95

Resso}:

> Generated Narrative: Condition AtApsExampleBundle-Journey-3-illness-history-2

> Profile: AT APS Condition

> clinicalStatus: Resolved

> verificationStatus: Confirmed

> category: Problem List Item

> code: Windpocken

> subject: Maria Musterfrau

> onset: 1991

Entry 36 - fullUrl = urn:uuid:d0a5bbf1-6d01-4d44-bac5-05f12c98411e

Resso}:

> Generated Narrative: Observation AtApsExampleBundle-Journey-3-social-history-1

> Profile: AT APS Observation Tobacco Use

> status: Final

> code: Raucherstatus

> subject: Maria Musterfrau

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

> performer: Dr. Hanna Hausärztin

> value: Nie Tabak geraucht

Entry 37 - fullUrl = urn:uuid:9add5c32-1ded-43d6-b163-c3fe13f94984

Resso}:

> Generated Narrative: Observation AtApsExampleBundle-Journey-3-social-history-2

> Profile: AT APS Observation

> status: Final

> code: Körperliche Aktivität

> subject: Maria Musterfrau

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

> performer: Dr. Hanna Hausärztin

> value: >2.5 h (Details: UCUM codeh = 'h')/1 wk (Details: UCUM codewk = 'wk')

Entry 38 - fullUrl = urn:uuid:9add5c32-1ded-43d6-b163-c3fe13f94985

Resso}:

> Generated Narrative: Observation AtApsExampleBundle-Journey-3-social-history-3

> Profile: AT APS Observation Alcohol Use

> status: Final

> code: Alkoholische Getränke pro Tag, 1-2 Gläser Wein/Bier

> subject: Maria Musterfrau

> effective: 2019-07-15

> performer: Maria Musterfrau

> value: 2 wine glasses per day (Details: UCUM code/d = '/d')