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: ex-diab-journey-1

Document Details

Profile: Diab Bundle

Final Document at 2024-02-08 14:01:30+0000 by Dr. IV-Ärztin for Susanne Testpatientin


Document Subject

Generated Narrative: Patient 001

Susanne 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

Generated Narrative: Composition example-diab-composition

Country of Affiliation: AT

status: Final

type: Patient summary Document

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

author: Dr. IV-Ärztin

title: Patient summary

Attesters

-ModeParty
*PersonalValidiert von

custodian: Amadeus Spital


Medikatiosliste

History of Medication use Narrative

Allergien und Intoleranzen

Allergies and adverse reactions Document

Gesundheitsprobleme und Risiken

Problem list - Reported

Eingriffe und Therapien

History of Procedures Document

Implantate, medizinische Geräte, Heilbehelfe

narrative needs to be generated

Impfungen

Narrativer Text muss generiert werden.

Vitalparameter

Vital signs

Lebensstil

Social history Narrative


Additional Resources Included in Document


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

Resource Patient:

Generated Narrative: Patient 001

Susanne 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 practitioner-example

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 organization-example

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

Resource MedicationStatement:

Generated Narrative: MedicationStatement medication-ramipril

status: Active

medication: RAMIPRIL 1A TBL 5MG

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

Resource AllergyIntolerance:

Generated Narrative: AllergyIntolerance allgery-no-known

clinicalStatus: Active

code: Keine bekannte Allergie

patient: Susanne Testpatientin


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

Resource Condition:

Generated Narrative: Condition problem-Bluthochdruck

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Arterielle Hypertonie

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-adipositas

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Adipositas

subject: Susanne Testpatientin

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


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

Resource Condition:

Generated Narrative: Condition problem-familie-diabetes

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Diabetes mellitus in der Familie

subject: Susanne Testpatientin


Entry 10 - fullUrl = urn:uuid:caa77334-fbfc-4129-a101-1b01c595dd99

Resource Condition:

Generated Narrative: Condition problem-familie-koronare

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Koronare Herzerkrankung

subject: Susanne Testpatientin


Entry 11 - fullUrl = urn:uuid:27ef5ea9-5c9f-418d-9830-648d15ee2094

Resource Procedure:

Generated Narrative: Procedure APS-1-no-problems-procedure-1

status: Unknown

code: No known procedures (situation)

subject: Susanne Testpatientin

performed: 2020


Entry 12 - fullUrl = urn:uuid:490dab5c-271e-4736-8a6b-5f6f089d0a05

Resource DeviceUseStatement:

Generated Narrative: DeviceUseStatement APS-1-no-problems-device-use-1

status: Active

subject: Susanne Testpatientin

timing: 2020

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


Entry 13 - fullUrl = urn:uuid:9faadcc1-076d-4bb4-b818-96239e2b8bc8

Resource Device:

Generated Narrative: Device APS-1-no-problems-device-1

Profile: AT APS Device

DeviceNames

-NameType
*emptyother

type: No known device use (situation)

Versions

-Value
*empty

patient: Susanne Testpatientin


Entry 14 - fullUrl = urn:uuid:590dab5c-271e-4736-8a6b-d04fd2a04607

Resource Immunization:

Generated Narrative: Immunization AtApsExampleBundle-Journey-1-Immunization-1

status: Completed

vaccineCode: Diphtherie-Pertussis-Poliomyelitis-Tetanus

patient: Susanne Testpatientin

occurrence: 2021-10-01

route: Intramuskulär

protocolApplied

targetDisease: Diphtheria, Pertussis, Poliomyelitis, Tetanus

doseNumber: 1


Entry 15 - 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: Dr. IV-Ärztin

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


Entry 16 - fullUrl = urn:uuid:428259da-e0f7-4780-b1e3-c177515edd37

Resource Observation:

Generated Narrative: Observation vitalsign-gewicht

Language: de-AT

Profile: AT APS Observation Vital Signs

status: Final

category: Vital Signs

code: Körpergewicht

subject: Susanne Testpatientin

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

performer: Dr. IV-Ärztin

value: 90 kg (Details: UCUM codekg = 'kg')


Entry 17 - fullUrl = urn:uuid:daf9c15d-14d4-429c-b658-6842fdff67d8

Resource Observation:

Generated Narrative: Observation vitalsign-bodymassindex

Language: de-AT

Profile: AT APS Observation Vital Signs

status: Final

category: Vital Signs

code: Body-Mass-Index

subject: Susanne Testpatientin

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

performer: Dr. IV-Ärztin

value: 30.07 kg/m2 (Details: UCUM codekg/m2 = 'kg/m2')

interpretation: High


Entry 18 - fullUrl = urn:uuid:8248cc70-65a2-4d37-ae14-a3ef2abf8f32

Resource Observation:

Generated Narrative: Observation vitalsign-bloodpressure

Language: de-AT

Profile: AT APS Observation Vital Signs

status: Final

category: Vital Signs

code: Blutdruck

subject: Susanne Testpatientin

effective: 2023-01-01 14:00:00+0000

performer: Dr. IV-Ärztin

component

code: Systolic blood pressure

value: 130 mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]')

component

code: Diastolic blood pressure

value: 80 mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]')


Entry 19 - fullUrl = urn:uuid:4d3f7ac4-fd0a-49af-a56b-303a2dbe67d1

Resource Observation:

Generated Narrative: Observation vitalsign-puls

Language: de-AT

Profile: AT APS Observation Vital Signs

status: Final

category: Vital Signs

code: Puls

subject: Susanne Testpatientin

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

performer: Dr. IV-Ärztin

value: 85 /min (Details: UCUM code/min = '/min')


Entry 20 - fullUrl = urn:uuid:be35e603-6b99-4bb5-ad70-8499f6b55df1

Resource Observation:

Generated Narrative: Observation vitalsign-taillenumfang

Language: de-AT

Profile: AT APS Observation Vital Signs

status: Final

category: Vital Signs

code: Taillenumfang

subject: Susanne Testpatientin

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

performer: Dr. IV-Ärztin

value: <109 cm (Details: UCUM codecm = 'cm')


Entry 21 - fullUrl = urn:uuid:d0a5bbf1-6d01-4d44-bac5-05f12c98411e

Resource Observation:

Generated Narrative: Observation social-hist-smoking

status: Final

code: Raucherstatus

subject: Susanne Testpatientin

effective: 2019-07-15

performer: Susanne Testpatientin

value: Ehemalig rauchende Person


Entry 22 - fullUrl = urn:uuid:b7b2a10d-7295-4fd1-ad21-81bca78dc45a

Resource Observation:

Generated Narrative: Observation social-hist-alcohol

status: Final

code: Alkoholische Getränke pro Tag, 1-2 Gläser Wein/Bier

subject: Susanne Testpatientin

effective: 2019-07-15

performer: Susanne Testpatientin

value: 2 wine glasses per day (Details: UCUM code/d = '/d')