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

Example Bundle: example-diab-leitdokument

Document Details

Generated Narrative: Bundle Diabetes Leitdokument

Document Subject

Generated Narrative: Patient example-diab-leitdokument-patient

Arnold Test Male, DoB: 1950-11-12 ( 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-composition

status: Final

type: Patient summary Document

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

author: Dr. IV-Ärztint

title: Diabetes Leitdokument

Attesters

-ModeParty
*PersonalValidiert von

custodian: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2025-01-08 14:01:30+0000


Problem List

Problem list - Reported

Medication Summary

History of Medication use Narrative

Allergies and Intolerances

Allergies and adverse reactions Document

History of Procedures

History of Procedures Document

Medical Devices

narrative needs to be generated

Diagnostic Results

Relevant diagnostic tests/laboratory data Narrative

Vital Signs

Vital signs

Past History of Illness

History of Past illness Narrative

Social History

Social history Narrative


Additional Resources Included in Document


Entry 1 - fullUrl = urn:uuid:212fdc76-ccc3-40bf-8cdd-82f2ef88bd7b

Resource Composition:

Generated Narrative: Composition example-diab-leitdokument-composition

status: Final

type: Patient summary Document

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

author: Dr. IV-Ärztint

title: Diabetes Leitdokument

Attesters

-ModeParty
*PersonalValidiert von

custodian: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2025-01-08 14:01:30+0000


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

Resource Patient:

Generated Narrative: Patient example-diab-leitdokument-patient

Arnold Test Male, 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 example-diab-leitdokument-author

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

Resource Organization:

Generated Narrative: Organization example-diab-organization

name: MusterOrganization


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

Resource Condition:

Generated Narrative: Condition example-diab-leitdokument-problem-1

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Chronic kidney disease stage 3B

subject: Susi Testpatientin


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

Resource Condition:

Generated Narrative: Condition example-diab-leitdokument-problem-2

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Long-term current use of anticoagulant

subject: Susi Testpatientin


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

Resource Condition:

Generated Narrative: Condition example-diab-leitdokument-problem-3

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Diabetes mellitus due to pancreatic injury (disorder)

subject: Susi Testpatientin

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


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

Resource Condition:

Generated Narrative: Condition example-diab-leitdokument-problem-5

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Hypertensive disorder

subject: Susi Testpatientin


Entry 9 - fullUrl = urn:uuid:caa77334-fbfc-4129-a101-1b01c595dd91

Resource Condition:

Generated Narrative: Condition example-diab-leitdokument-problem-14

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Family history of cancer of colon

subject: Susi Testpatientin


Entry 10 - fullUrl = urn:uuid:fa46fccb-5c24-4a40-a478-d6da4902ff33

Resource Condition:

Generated Narrative: Condition example-diab-leitdokument-problem-17

clinicalStatus: Inactive

verificationStatus: Provisional

category: Problem List Item

code: Periodontal disease (disorder)

subject: Susi Testpatientin

Stages

-Assessment
*Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2025-01-08 14:01:30+0000

Entry 11 - fullUrl = urn:uuid:f235c566-01aa-457d-ab49-9e422df69863

Resource Observation:

Generated Narrative: Observation example-diab-leitdokument-problem-17-assessment-1

status: Final

category: Exam

code: Evaluation of risk factors for periodontal disease

subject: Susi Testpatientin

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

value: High risk


Entry 12 - fullUrl = urn:uuid:39cd75da-2456-46a9-a703-89d8b65ae63b

Resource CarePlan:

Schulung zur Verbesserung der Mobilität


Entry 13 - fullUrl = urn:uuid:acac4c94-a752-4cf5-9a6b-0d84237d5076

Resource MedicationStatement:

Generated Narrative: MedicationStatement example-diab-leitdokument-medication-summary-1

status: Active

medication: EBETREXAT TBL 10MG

subject: Susi 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 14 - fullUrl = urn:uuid:768eb9cb-00f3-4ab1-bfc2-ff835cb3b89b

Resource AllergyIntolerance:

Generated Narrative: AllergyIntolerance example-diab-leitdokument-allergy-1

clinicalStatus: bestehend

code: Benzylpenicillin Natrium

patient: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2025-01-08 14:01:30+0000

asserter: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2025-01-08 14:01:30+0000


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

Resource Procedure:

Generated Narrative: Procedure example-diab-leitdokument-procedure-history-1

status: Completed

code: Total replacement of left hip joint

subject: Susi Testpatientin

performed: 2010


Entry 16 - fullUrl = urn:uuid:74c5e186-d765-4c93-a624-c9b0746e8142

Resource Observation:

Generated Narrative: Observation example-diab-leitdokument-vital-sign-1

status: Final

category: Vital Signs

code: Body height

subject: Susi Testpatientin

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

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


Entry 17 - fullUrl = urn:uuid:82301518-66ca-4b4c-821d-087adf643cc4

Resource Condition:

Generated Narrative: Condition example-diab-leitdokument-illness-history-1

clinicalStatus: Resolved

verificationStatus: Confirmed

category: Problem List Item

code: History of measles

subject: Susi Testpatientin


Entry 18 - fullUrl = urn:uuid:d0a5bbf1-6d01-4d44-bac5-05f12c98411e

Resource Observation:

Generated Narrative: Observation example-diab-leitdokument-social-history-1

status: Final

code: Tobacco smoking status

subject: Susi Testpatientin

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

value: Never smoker


Entry 19 - fullUrl = urn:uuid:490dab5c-271e-4736-8a6b-5f6f089d0a05

Resource DeviceUseStatement:

Generated Narrative: DeviceUseStatement example-diab-leitdokument-device-use-1

status: Active

subject: Susi Testpatientin

timing: Absent because : unknown

device: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2025-01-08 14:01:30+0000