Integrierte Versorgung Diabetes (R4) ****** TEST VERSION ******
0.1.1 - ci-build

Integrierte Versorgung Diabetes (R4) ****** TEST VERSION ****** - Local Development build (v0.1.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example Bundle: example-diabetes-leitdokument-1

Document Details

Profile: Diab Bundle

Final Document at 2025-02-08 14:01:30+0000 by Dr. Gabriele IV-Ärztin for Susanne Testpatientin


Document Subject

Generated Narrative: Patient Susanne-Testpatientin

Susanne Testpatientin Female, DoB: 1951-11-12 ( Social Security Number: 0000121150)


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

Document Content

Generated Narrative: Composition example-diab-leitdokument-1-composition

Country of Affiliation: AT

status: Final

type: Diabetes Leitdokument

date: 2025-02-08 14:01:30+0000

author: Dr. Gabriele IV-Ärztin

title: Diabetes Leitdokument

Attesters

-ModeParty
*PersonalValidiert von

custodian: Amadeus Spital


Medikationsliste

Medikationsliste

Allergien und Intoleranzen

Allergien und Intoleranzen

Diagnosen und Gesundheitsprobleme

Diagnose
  • Diabetes mellitus aufgrund einer Verletzung der Bauchspeicheldrüse
Weitere Diagnosen/Sekundärdiagnosen
  • Diabetisches Fußsyndrom
  • Chronische Nierenerkrankung Stadium 3B
  • Langfristige Einnahme von Antikoagulantien
  • Bluthochdruck-Erkrankung
Risiken
  • Diabetes mellitus in der Familiem
  • Dickdarmkrebs in der Familie
  • Parodontalerkrankung

Eingriffe und Therapien

Eingriffe und Therapien

Medizinische Geräte und Implantate

Medizinische Geräte und Implantate

Diagnostische Resultate

Diagnostische Resultate

Vitalparameter

Vitalparameter

Vergangene Gesundheitsprobleme und Risiken / Diagnosen

Vergangene Gesundheitsprobleme und Risiken / Diagnosen

Behandlungsplan

Behandlungsplan

Lebensstil

Lebensstil


Additional Resources Included in Document


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

Resource Patient:

Generated Narrative: Patient Susanne-Testpatientin

Susanne Testpatientin Female, DoB: 1951-11-12 ( 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 Gabriele-IV-Arzt

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:acac4c94-a752-4cf5-9a6b-0d84237d5076

Resource MedicationStatement:

Generated Narrative: MedicationStatement medicationStatement-Ebetrexat

status: Active

medication: EBETREXAT TBL 10MG

subject: Susanne Testpatientin

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

dosage

sequence: 1

timing: Night, Once

route: Oral use

DoseAndRates

-Dose[x]
*2 Tablet (Details: code15054000" = '15054000"')

Entry 5 - fullUrl = urn:uuid:768eb9cb-00f3-4ab1-bfc2-ff835cb3b89b

Resource AllergyIntolerance:

Generated Narrative: AllergyIntolerance allgery-Benzylpenicillin-Natrium

clinicalStatus: Active

code: Benzylpenicillin Natrium

patient: Susanne Testpatientin

asserter: Dr. Gabriele IV-Ärztin


Entry 6 - fullUrl = urn:uuid:72e85b9d-004d-4104-b166-86d129948bae

Resource Condition:

Generated Narrative: Condition problem-Chronische-Nierenerkrankung

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Chronische Nierenerkrankung Stadium 3B

subject: Susanne Testpatientin


Entry 7 - fullUrl = urn:uuid:82fa32f6-39d6-4fc9-9624-90a48fd3d3a5

Resource Condition:

Generated Narrative: Condition problem-Einnahme-Antikoagulantien

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Langfristige Einnahme von Antikoagulantien

subject: Susanne Testpatientin


Entry 8 - fullUrl = urn:uuid:61db6213-22ab-405a-825a-0ae6905fad1e

Resource Condition:

Generated Narrative: Condition problem-Diabetes-Verletzung-Bauchspeicheldruese

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Diabetes mellitus aufgrund einer Verletzung der Bauchspeicheldrüse

subject: Susanne Testpatientin

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


Entry 9 - fullUrl = urn:uuid:61db6213-22ab-405a-825a-0ae6905fad2e

Resource Condition:

Generated Narrative: Condition problem-Diabetisches-Fusssyndrom

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Diabetisches Fußsyndrom

subject: Susanne Testpatientin

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


Entry 10 - fullUrl = urn:uuid:9d1c0b74-20c1-4603-a95a-71e6a1dc8fde

Resource Condition:

Generated Narrative: Condition problem-Bluthochdruck1

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Arterielle Hypertonie

subject: Susanne Testpatientin


Entry 11 - fullUrl = urn:uuid:caa77334-fbfc-4129-a101-1b01c595dd99

Resource Condition:

Generated Narrative: Condition problem-Diabetes-Familie

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Diabetes mellitus in der Familie

subject: Susanne Testpatientin


Entry 12 - fullUrl = urn:uuid:caa77334-fbfc-4129-a101-1b01c595dd91

Resource Condition:

Generated Narrative: Condition problem-Dickdarmkrebs-Familie

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Dickdarmkrebs in der Familie

subject: Susanne Testpatientin


Entry 13 - fullUrl = urn:uuid:fa46fccb-5c24-4a40-a478-d6da4902ff33

Resource Condition:

Generated Narrative: Condition problem-Parodontalerkrankung

clinicalStatus: Inactive

verificationStatus: Provisional

category: Problem List Item

code: Parodontalerkrankung

subject: Susanne Testpatientin

Stages

-Assessment
*Bewertung der Risikofaktoren für Parodontalerkrankungen

Entry 14 - fullUrl = urn:uuid:f235c566-01aa-457d-ab49-9e422df69863

Resource Observation:

Generated Narrative: Observation condition-Parodontalerkrankung-Bewertung

status: Final

category: Exam

code: Bewertung der Risikofaktoren für Parodontalerkrankungen

subject: Susanne Testpatientin

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

performer: Amadeus Spital

value: High risk


Entry 15 - fullUrl = urn:uuid:75c46c35-8f4e-4232-b026-5672c60d076a

Resource Procedure:

Generated Narrative: Procedure procedureHistory-Ersatzhuefte

status: Completed

code: Totalersatz des linken Hüftgelenks

subject: Susanne Testpatientin

performed: 2010


Entry 16 - fullUrl = urn:uuid:490dab5c-271e-4736-8a6b-5f6f089d0a05

Resource DeviceUseStatement:

Generated Narrative: DeviceUseStatement deviceUse-Insulinpumpe

status: Active

subject: Susanne Testpatientin

timing: 2020

device: Verwendetes Gerät: Insulinpumpe


Entry 17 - fullUrl = urn:uuid:a1a80313-a757-4062-b0d7-d04fd2a04602

Resource Device:

Generated Narrative: Device device-Insulinpumpe

Profile: AT APS Device

DeviceNames

-NameType
*Insulinpumpeother

type: Insulin pump

Versions

-Value
*Insulin pump

patient: Susanne Testpatientin


Entry 18 - fullUrl = urn:uuid:725bcf71-22e6-473b-a879-49a4b63cd654

Resource Observation:

Generated Narrative: Observation diagnosticResults-Labor-AB0-Blut

status: Final

category: Laboratory, Hämatologie

code: ABO- und Rh-Gruppe [Typ] im Blut

subject: Susanne Testpatientin

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

performer: Amadeus Spital

value: Blood group A Rh(D) positive (finding)

specimen: Blutprobe


Entry 19 - fullUrl = urn:uuid:82f802a7-56a9-49b4-a675-95da08f0d7a6

Resource Organization:

Generated Narrative: Organization performer-Amadeus-Spital

identifier: Uniform Resource Identifier (URI)/urn:oid:82f802a7-56a9-49b4-a675-95da08f0d7a6

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 20 - fullUrl = urn:uuid:e3567418-073e-4fd7-af4e-5fd7ee4785f7

Resource Specimen:

Generated Narrative: Specimen diagnosticResult-Labor-Blut

status: Unavailable

type: Blutprobe

subject: Susanne Testpatientin


Entry 21 - fullUrl = urn:uuid:74c5e186-d765-4c93-a624-c9b0746e8142

Resource Observation:

Generated Narrative: Observation vitalsign-Koerpergroesse

Language: de-AT

Profile: AT APS Observation Vital Signs

status: Final

category: Vital Signs

code: Körpergröße

subject: Susanne Testpatientin

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

performer: Amadeus Spital

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


Entry 22 - fullUrl = urn:uuid:9add5c32-1ded-43d6-b163-c3fe13f94984

Resource Condition:

Generated Narrative: Condition pastIllness-Masern

clinicalStatus: Resolved

verificationStatus: Confirmed

category: Problem List Item

code: Zustand nach Masern

subject: Susanne Testpatientin


Entry 23 - fullUrl = urn:uuid:82301518-66ca-4b4c-821d-087adf643cc9

Resource Condition:

Generated Narrative: Condition pastIllness-Windpocken

clinicalStatus: Resolved

verificationStatus: Confirmed

category: Problem List Item

code: Zustand nach Windpocken

subject: Susanne Testpatientin


Entry 24 - fullUrl = urn:uuid:39cd75da-2456-46a9-a703-89d8b65ae63b

Resource CarePlan:

Ernährungsschulung bei Diabetes mellitus Typ II


Entry 25 - fullUrl = urn:uuid:d0a5bbf1-6d01-4d44-bac5-05f12c98411e

Resource Observation:

Generated Narrative: Observation socialhistory-Rauchherstatus

status: Final

code: Tobacco smoking status

subject: Susanne Testpatientin

effective: 2019-07-15

performer: Amadeus Spital

value: Ehemalig rauchende Person


Entry 26 - fullUrl = urn:uuid:d0a5bbf1-6d01-4d44-bac5-05f12c984119

Resource Observation:

Generated Narrative: Observation socialhistory-Koerperliche-Bewegung

status: Final

code: Körperliche Bewegung

subject: Susanne Testpatientin

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

performer: Amadeus Spital

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