Integrierte Versorgung Diabetes (R4)
0.1.1 - ci-build
Integrierte Versorgung Diabetes (R4) - Local Development build (v0.1.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Document Details
Profile: Diab Bundle
Final Document at 2023-04-09 09:01:30+0000 by APS Generator for Anton Testpatient
Document Subject
Generated Narrative: Patient 001
Profile: AT APS Patient
Anton Testpatient Male, DoB: 1953-11-12 ( Social Security number: 0000121153)
Marital Status: | Married | ||
Other Id: | Patient internal identifier/0002 | ||
Contact Detail | Rotenturmstraße 14 Wien 1010 AUT (home) |
Document Content
Generated Narrative: Composition example-iv-3-composition
Profile: Diabetes Composition
Country of Affiliation: AT
status: Final
type: Diabetes Leitdokument
date: 2023-04-09 09:01:30+0000
author: APS Generator
title: Diabetes Leitdokument
custodian: Muster-Organisation
Ramipril 5 mg 1-0-0-0, Start 15.06.2016
Metformin 500 mg 1-0-1-0, Start 09.04.2023
Allergie gegen Benzylpenicillin-Natrium.
Diabetes Mellitus Typ 2
Arterielle Hypertonie
Adipositas
Diabettes Mellitus Typ 2
Familienanamnese: orzeitige koronare Herzerkrankung, Diabetes mellitus
Totalersatz des linken Hüftgelenks
Hüftprothese
Impfung gegen Diphtherie-Pertussis-Poliomyelitis-Tetanus
Glucose im kapillaren Blut 1h postprandial
Hemoglobin A1c/Hemoglobin im Blut: 8.1 %
Kreatinin in Serum: 1.2 mg/dL
Körpergröße: 173 cm
Körpergewicht: 90 kg
BMI: 30.07 (high)
Blutdruck 180 / 80
Herzfrequenz 100
Masernerkrankung in der Kindheit.
Angeforderte Laboruntersuchung: Status abgeschlossen
Empfohlene Ernährungsschulung bei Diabetes mellitus Typ II: Status offen
Zuweisung zu Augenuntersuchung: Status offen
Ehemaliger Raucher, Person
Alkoholische Getränke pro Tag, 1-2 Gläser Wein/Bier
Körperliche Aktivität 2,5h/Wo
Entry 2 - fullUrl = urn:uuid:0fed5ebe-ca8f-4ad1-aba4-ddad45bd6cc8
Resource Patient:
Generated Narrative: Patient 001
Profile: AT APS Patient
Anton Testpatient Male, DoB: 1953-11-12 ( Social Security number: 0000121153)
Marital Status: Married Other Id: Patient internal identifier/0002 Contact Detail Rotenturmstraße 14 Wien 1010 AUT (home)
Entry 3 - fullUrl = urn:uuid:75db30ee-7028-486c-929a-c5126837f474
Resource Device:
Dieses Gerät erzeugt ein APS FHIR-Dokument.
Entry 4 - fullUrl = urn:uuid:75db30ee-7028-486c-929a-c5126837f473
Resource Practitioner:
Generated Narrative: Practitioner example-iv-3-practitioner-2
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
Resource Organization:
Generated Narrative: Organization example-iv-3-organization
Profile: AT APS Organization
name: Muster-Organization
Entry 6 - fullUrl = urn:uuid:acac4c94-a752-4cf5-9a6b-0d84237d5076
Resource MedicationStatement:
Generated Narrative: MedicationStatement example-iv-3-medication-summary-1
Profile: AT APS MedicationStatement
status: Active
medication: RAMIPRIL 1A TBL 5MG
subject: Anton Testpatient
effective: 2016-11-02 11:00:00+0000 --> (ongoing)
dosage
sequence: 1
text: S:0-0-0-2 / FR
timing: Night, Once
route: Oraler Verabreichungsweg
DoseAndRates
Dose[x] 2 Tablet (Details: elga-medikationmengenart code{TAB} = '{TAB}')
Entry 7 - fullUrl = urn:uuid:acac4c94-a752-4cf5-9a6b-0d84237d5011
Resource MedicationStatement:
Generated Narrative: MedicationStatement example-iv-3-medication-summary-2
Profile: AT APS MedicationStatement
status: Active
medication: METFORMIN HEX FTBL 500MG
subject: Anton Testpatient
effective: 2023-03-17 08:01:30+0100 --> (ongoing)
dosage
sequence: 1
text: S:0-0-0-2 / FR
timing: Night, Once
route: Oraler Verabreichungsweg
DoseAndRates
Dose[x] 2 Tablet (Details: elga-medikationmengenart code{TAB} = '{TAB}')
Entry 8 - fullUrl = urn:uuid:768eb9cb-00f3-4ab1-bfc2-ff835cb3b89b
Resource AllergyIntolerance:
Generated Narrative: AllergyIntolerance example-iv-3-allergy-1
Profile: AT APS AllergyIntolerance
clinicalStatus: Active
code: Benzylpenicillin-Natrium
patient: Anton Testpatient
asserter: Dr. Hausärztin
Entry 9 - fullUrl = urn:uuid:9d1c0b74-20c1-4603-a95a-71e6a1dc8fde
Resource Condition:
Generated Narrative: Condition example-iv-3-problem-1
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Arterielle Hypertonie
subject: Anton Testpatient
recordedDate: 2016-11-01 11:00:00+0000
asserter: Dr. Hanna Hausärztin
Entry 10 - fullUrl = urn:uuid:8d3a18fb-3610-4bfb-9aa4-1169cc6dd2dd
Resource Condition:
Generated Narrative: Condition example-iv-3-problem-2
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Adipositas
subject: Anton Testpatient
recordedDate: 2022-12-01 14:00:00+0000
asserter: Dr. Hanna Hausärztin
Entry 11 - fullUrl = urn:uuid:a3a9be59-ec61-4cab-92a9-9cbab6aec437
Resource Condition:
Generated Narrative: Condition example-iv-3-problem-3
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Diabetes Mellitus Typ 2
subject: Anton Testpatient
recordedDate: 2023-03-15 08:00:00+0000
asserter: Dr. Hanna Hausärztin
Entry 12 - fullUrl = urn:uuid:e66d8ac1-a124-4e94-be22-969c9b117ce5
Resource Condition:
Generated Narrative: Condition example-iv-3-problem-4
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Familienanamnese: vorzeitige koronare Herzkrankheit
subject: Anton Testpatient
recordedDate: 2022-12-01 14:00:00+0000
asserter: Dr. Hanna Hausärztin
Entry 13 - fullUrl = urn:uuid:e66d8ac1-a124-4e94-be22-969c9b117ce6
Resource Condition:
Generated Narrative: Condition example-iv-3-problem-5
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Diabetes mellitus in der Familienanamnese
subject: Anton Testpatient
recordedDate: 2022-12-01 14:00:00+0000
asserter: Dr. Hanna Hausärztin
Entry 14 - fullUrl = urn:uuid:75c46c35-8f4e-4232-b026-5672c60d076a
Resource Procedure:
Generated Narrative: Procedure example-iv-3-procedure-history-1
Profile: AT APS Procedure
status: Completed
code: Totalersatz des linken Hüftgelenks
subject: Anton Testpatient
performed: 2010
FocalDevices
Manipulated Hüftprothese
Entry 15 - fullUrl = urn:uuid:490dab5c-271e-4736-8a6b-5f6f089d0a11
Resource DeviceUseStatement:
Generated Narrative: DeviceUseStatement example-iv-3-medical-deviceUse-Hueftprothese
Profile: AT APS DeviceUseStatement
status: Active
subject: Anton Testpatient
timing: 2020 --> (ongoing)
device: Verwendetes Gerät: Hüftprothese
bodySite: Gesamtes linkes Hüftgelenk
Entry 16 - fullUrl = urn:uuid:490dab5c-271e-4736-8a6b-5f6f089d0a22
Resource Device:
Generated Narrative: Device example-iv-3-medical-device-Hueftprothese
Profile: AT APS Device
DeviceNames
Name Type Hüftprothese other type: Hüftprothese
Versions
Value 123456 patient: Anton Testpatient
Entry 17 - fullUrl = urn:uuid:590dab5c-271e-4736-8a6b-d04fd2a04607
Resource Immunization:
Generated Narrative: Immunization example-iv-3-Immunization-1
Profile: AT APS Immunization
status: Completed
vaccineCode: Diphtherie-Pertussis-Poliomyelitis-Tetanus
patient: Anton Testpatient
occurrence: 2025-01-08 14:31:30+0000
route: Intramuskulär
Performers
Actor Dr. Hanna Hausärztin protocolApplied
targetDisease: Diphtheria, Pertussis, Poliomyelitis, Tetanus
doseNumber: 1
Entry 18 - fullUrl = urn:uuid:725bcf71-22e6-473b-a879-49a4b63cd654
Resource Observation:
Generated Narrative: Observation example-iv-3-diagnostic-result-1
status: Final
category: Laboratory
code: Glucose im kapillaren Blut 1h postprandial
subject: Anton Testpatient
effective: 2023-03-15 08:00:00+0000
performer: Dr. Hanna Hausärztin
value: 250 mg/dL (Details: UCUM codemg/dL = 'mg/dL')
specimen: example-iv-3-diagnostic-specimen-1
Entry 19 - fullUrl = urn:uuid:aeff2319-2cc2-4fba-9541-7a4de3d20f91
Resource Observation:
Generated Narrative: Observation example-iv-3-diagnostic-result-2
status: Final
category: Laboratory
code: Hemoglobin A1c/Hemoglobin.total in Blood
effective: 2023-03-16 09:30:00+0100
performer: Amadeus Spital - Labor
value: 8.1 % (Details: UCUM code% = '%')
specimen: example-iv-3-diagnostic-specimen-1
Entry 20 - fullUrl = urn:uuid:d16dce15-bc5a-48a5-910e-6ac039785a2a
Resource Observation:
Generated Narrative: Observation example-iv-3-diagnostic-result-2
status: Final
category: Laboratory
code: Kreatinin in Serum
effective: 2023-03-16 09:30:00+0100
performer: Amadeus Spital - Labor
value: 1.2 mg/dL (Details: UCUM codemg/dL = 'mg/dL')
specimen: example-iv-3-diagnostic-specimen-1
Entry 21 - fullUrl = urn:uuid:82f802a7-56a9-49b4-a675-95da08f0d7a6
Resource Organization:
Generated Narrative: Organization example-iv-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 22 - fullUrl = urn:uuid:e3567418-073e-4fd7-af4e-5fd7ee4785f7
Resource Specimen:
Generated Narrative: Specimen example-iv-3-diagnostic-specimen-1
Profile: AT APS Specimen
status: Unavailable
type: Blutprobe
subject: Anton Testpatient
Entry 23 - fullUrl = urn:uuid:74c5e186-d765-4c93-a624-c9b0746e8142
Resource Observation:
Generated Narrative: Observation example-iv-3-vital-sign-1
Profile: AT APS Observation Vital Signs
status: Final
category: Vital Signs
code: Körpergröße
subject: Anton Testpatient
effective: 2023-03-15 08:00:00+0000
performer: Dr. Hanna Hausärztin
value: 173 cm (Details: UCUM codecm = 'cm')
Entry 24 - fullUrl = urn:uuid:428259da-e0f7-4780-b1e3-c177515edd37
Resource Observation:
Generated Narrative: Observation example-iv-3-vital-sign-2
Profile: AT APS Observation Vital Signs
status: Final
category: Vital Signs
code: Körpergewicht
subject: Anton Testpatient
effective: 2023-03-15 08:00:00+0000
performer: Dr. Hanna Hausärztin
value: 90 kg (Details: UCUM codekg = 'kg')
Entry 25 - fullUrl = urn:uuid:daf9c15d-14d4-429c-b658-6842fdff67d8
Resource Observation:
Generated Narrative: Observation example-iv-3-vital-sign-3
Profile: AT APS Observation Vital Signs
status: Final
category: Vital Signs
code: Body Mass Index (BMI) [Verhältnis]
subject: Anton Testpatient
effective: 2023-03-15 08:00:00+0000
performer: Dr. Hanna Hausärztin
value: 30.07 kg/m2 (Details: UCUM codekg/m2 = 'kg/m2')
interpretation: High
Entry 26 - fullUrl = urn:uuid:8248cc70-65a2-4d37-ae14-a3ef2abf8f32
Resource Observation:
Generated Narrative: Observation example-iv-3-vital-sign-4
Profile: AT APS Observation Vital Signs
status: Final
category: Vital Signs
code: Blood pressure panel with all children optional
subject: Anton Testpatient
effective: 2023-03-15 08:00:00+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 27 - fullUrl = urn:uuid:4d3f7ac4-fd0a-49af-a56b-303a2dbe67d1
Resource Observation:
Generated Narrative: Observation example-iv-3-vital-sign-5
Profile: AT APS Observation Vital Signs
status: Final
category: Vital Signs
code: Herzfrequenz
subject: Anton Testpatient
effective: 2023-03-15 08:00:00+0000
performer: Dr. Hanna Hausärztin
value: 100 /min (Details: UCUM code/min = '/min')
Entry 28 - fullUrl = urn:uuid:82301518-66ca-4b4c-821d-087adf643cc4
Resource Condition:
Generated Narrative: Condition example-iv-3-illness-history-1
Profile: AT APS Condition
clinicalStatus: Resolved
verificationStatus: Confirmed
category: Problem List Item
code: Zustand nach Masern
subject: Anton Testpatient
Entry 29 - fullUrl = urn:uuid:39cd75da-2456-46a9-a703-89d8b65ae631
Resource CarePlan:
Ausstehende Laboruntersuchung
Entry 30 - fullUrl = urn:uuid:39cd75da-2456-46a9-a703-89d8b65ae63b
Resource CarePlan:
Ausstehende Ernährungsschulung bei Diabetes mellitus Typ II
Entry 31 - fullUrl = urn:uuid:39cd75da-2456-46a9-a703-89d8b65ae222
Resource CarePlan:
Ausstehende Untersuchung der diabetischen Netzhaut
Entry 32 - fullUrl = urn:uuid:d0a5bbf1-6d01-4d44-bac5-05f12c98411e
Resource Observation:
Generated Narrative: Observation example-iv-3-social-history-1
Profile: AT APS Observation Tobacco Use
status: Final
code: Raucherstatus
subject: Anton Testpatient
effective: 2023-03-15 08:00:00+0000
performer: Dr. Hanna Hausärztin
value: Ehemalig rauchende Person
Entry 33 - fullUrl = urn:uuid:d0a5bbf1-6d01-4d44-bac5-05f12c984112
Resource Observation:
Generated Narrative: Observation example-iv-3-social-history-2
Profile: AT APS Observation Alcohol Use
status: Final
code: Alkoholische Getränke pro Tag, 1-2 Gläser Wein/Bier
subject: Anton Testpatient
effective: 2023-03-15 08:00:00+0000
performer: Dr. Hanna Hausärztin
value: 2 Gläser pro Tag (Details: UCUM code/d = '/d')
Entry 34 - fullUrl = urn:uuid:9add5c32-1ded-43d6-b163-c3fe13f94984
Resource Observation:
Generated Narrative: Observation example-iv-3-social-history-3
Profile: AT APS Observation
status: Final
code: Körperliche Aktivität
subject: Anton Testpatient
effective: 2023-03-15 08:00:00+0000
performer: Dr. Hanna Hausärztin
value: >2.5 h (Details: UCUM codeh = 'h')/1 wk (Details: UCUM codewk = 'wk')