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

Example Bundle: AtApsBundle-Beispiel 3

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

Susi Testpatientin Female, DoB: 1950-11-12 ( Social Security number: 0000121150)


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

Document Content

Gesundheitsprobleme und Risiken

Narrativer Text muss generiert werden.

Medikationsliste

Narrativer Text muss generiert werden.

Allergien und Intoleranzen

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.

Behandlungsplan

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 AtApsExample03Diabetes-composition

Country of Affiliation: AT

status: Final

type: Patient summary

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

author: Dr. IV-Ärztin

title: Diabetes Leitdokument

custodian: Muster-Organisation


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

Resource Patient:

Generated Narrative: Patient 001

Susi Testpatientin Female, 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 AtApsExample03Diabetes-author

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

Resource Organization:

Generated Narrative: Organization AtApsExample03Diabetes-organization

name: Muster-Organization


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

Resource Condition:

Generated Narrative: Condition AtApsExample03Diabetes-problem-1

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: CKD - Chronische Niereninsuffizienz Grad 3B

subject: Susi Testpatientin


Entry 6 - fullUrl = urn:uuid:82fa32f6-39d6-4fc9-9624-90a48fd3d3a5

Resource Condition:

Generated Narrative: Condition AtApsExample03Diabetes-problem-2

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Langfristige Einnahme von Antikoagulantien

subject: Susi Testpatientin


Entry 7 - fullUrl = urn:uuid:61db6213-22ab-405a-825a-0ae6905fad1e

Resource Condition:

Generated Narrative: Condition AtApsExample03Diabetes-problem-3

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Diabetes mellitus aufgrund einer Verletzung der Bauchspeicheldrüse

subject: Susi Testpatientin

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


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

Resource Condition:

Generated Narrative: Condition AtApsExample03Diabetes-problem-6

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Diabetischer Fuß

subject: Susi Testpatientin

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


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

Resource Condition:

Generated Narrative: Condition AtApsExample03Diabetes-problem-5

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Arterielle Hypertonie

subject: Susi Testpatientin


Entry 10 - fullUrl = urn:uuid:caa77334-fbfc-4129-a101-1b01c595dd91

Resource Condition:

Generated Narrative: Condition AtApsExample03Diabetes-problem-14

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Familienanamnese: Kolonkarzinom

subject: Susi Testpatientin


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

Resource Condition:

Generated Narrative: Condition AtApsExample03Diabetes-problem-17

clinicalStatus: Inactive

verificationStatus: Provisional

category: Problem List Item

code: Parodontalerkrankung

subject: Susi Testpatientin

Stages

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

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

Resource Observation:

Generated Narrative: Observation AtApsExample03Diabetes-problem-17-assessment-1

status: Final

category: Exam

code: Bewertung der Risikofaktoren für Parodontalerkrankungen

subject: Susi Testpatientin

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

Resource CarePlan:

Schulung zur Verbesserung der Mobilität


Entry 14 - fullUrl = urn:uuid:acac4c94-a752-4cf5-9a6b-0d84237d5076

Resource MedicationStatement:

Generated Narrative: MedicationStatement AtApsExample03Diabetes-medication-summary-1

status: recorded

subject: Susi Testpatientin

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

Resource AllergyIntolerance:

Generated Narrative: AllergyIntolerance AtApsExample03Diabetes-allergy-1

clinicalStatus: Active

code: Benzylpenicillin-Natrium

patient: Susi Testpatientin


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

Resource Procedure:

Generated Narrative: Procedure AtApsExample03Diabetes-procedure-history-1

status: Completed

code: Totalersatz des linken Hüftgelenks

subject: Susi Testpatientin


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

Resource Observation:

Generated Narrative: Observation AtApsExample03Diabetes-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

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

Resource Organization:

Generated Narrative: Organization AtApsExample03Diabetes-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 19 - fullUrl = urn:uuid:e3567418-073e-4fd7-af4e-5fd7ee4785f7

Resource Specimen:

Generated Narrative: Specimen AtApsExample03Diabetes-diagnostic-specimen-1

status: Unavailable

type: Blutprobe

subject: Susi Testpatientin


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

Resource Observation:

Generated Narrative: Observation AtApsExample03Diabetes-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

performer: Dr. IV-Ärztin

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


Entry 21 - fullUrl = urn:uuid:82301518-66ca-4b4c-821d-087adf643cc4

Resource Condition:

Generated Narrative: Condition AtApsExample03Diabetes-illness-history-1

clinicalStatus: Resolved

verificationStatus: Confirmed

category: Problem List Item

code: Zustand nach Masern

subject: Susi Testpatientin


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

Resource Observation:

Generated Narrative: Observation AtApsExample03Diabetes-social-history-1

status: Final

code: Raucherstatus

subject: Susi Testpatientin

effective: 2019-07-15

performer: Dr. IV-Ärztin

value: Ehemalig rauchende Person