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-diab-leitdokument-1

Document Details

Generated Narrative: Bundle Diabetes Leitdokument

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 element: 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


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

Medikationsliste

Medikationsliste

Allergien und Intoleranzen

Allergien und Intoleranzen

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

Lebensstil

Lebensstil

Behandlungsplan

Behandlungsplan


Additional Resources Included in Document


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

Resource Composition:

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

Country of Affiliation element: 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


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: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 5 - 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 6 - 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 7 - 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 8 - 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 9 - 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 10 - 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 11 - 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 12 - 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 13 - 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 14 - fullUrl = urn:uuid:39cd75da-2456-46a9-a703-89d8b65ae63b

Resource CarePlan:

Ernährungsschulung bei Diabetes mellitus Typ II


Entry 15 - 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 16 - 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 17 - 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 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:e3567418-073e-4fd7-af4e-5fd7ee4785f7

Resource Specimen:

Generated Narrative: Specimen diagnosticResult-Labor-Blut

status: Unavailable

type: Blutprobe

subject: Susanne Testpatientin


Entry 20 - 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 21 - 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 22 - 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 23 - 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 24 - 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')


Entry 25 - fullUrl = urn:uuid:490dab5c-271e-4736-8a6b-5f6f089d0a05

Resource DeviceUseStatement:

Generated Narrative: DeviceUseStatement deviceUse-Insulinpumpe

status: Active

subject: Susanne Testpatientin

timing: Absent because : unknown

device: Verwendetes Gerät: Insulinpumpe


Entry 26 - 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