International Patient Summary Implementation Guide
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International Patient Summary Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-ips/ and changes regularly. See the Directory of published versions

Example Bundle: IPS Bundle example


Document Subject

Generated Narrative: Patient 2b90dd2b-2dab-4c75-9bb9-a355e07401e8

Martha DeLarosa Female, DoB: 1972-05-01 ( urn:oid:2.16.840.1.113883.2.4.6.3#574687583)


Active:true
Contact Detail
mother:

Document Content

Active Problems

Medication

Allergies and Intolerances

History of Past Illness

Plan of Treatment

Results


Additional Resources Included in Document


Entry 1 - fullUrl = urn:uuid:30551ce1-5a28-4356-b684-1e639094ad4d

Resource Composition:

Generated Narrative: Composition 30551ce1-5a28-4356-b684-1e639094ad4d

identifier: urn:oid:2.16.724.4.8.10.200.10/3f69e0a5-2177-4540-baab-7a5d0877428f

status: Final

type: Patient summary Document

date: 2017-12-11 14:30:00+0100

author: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

title: Patient Summary as of December 11, 2017 14:30

attester

mode: Legal

time: 2017-12-11 14:30:00+0100

party: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

attester

mode: Legal

time: 2017-12-11 14:30:00+0100

party: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

custodian: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

relatesTo

No display for RelatedArtifact
  • type: appends

Events

-PeriodDetail
*?? --> 2017-12-11 14:30:00+0100No display for Composition.event.detail
  • concept: care provision

Entry 2 - fullUrl = urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e8

Resource Patient:

Generated Narrative: Patient 2b90dd2b-2dab-4c75-9bb9-a355e07401e8

Martha DeLarosa Female, DoB: 1972-05-01 ( urn:oid:2.16.840.1.113883.2.4.6.3#574687583)


Active:true
Contact Detail
mother:

Entry 3 - fullUrl = urn:uuid:1c616b24-3895-48c4-9a02-9a64110351ef

Resource Practitioner:

Generated Narrative: Practitioner 1c616b24-3895-48c4-9a02-9a64110351ef

identifier: urn:oid:2.16.528.1.1007.3.1/129854633

active: true

name: Beetje van Hulp

Qualifications

-Code
*Doctor of Medicine

Entry 4 - fullUrl = urn:uuid:890751f4-2924-4636-bab7-efffc7f3cf15

Resource Organization:

Generated Narrative: Organization 890751f4-2924-4636-bab7-efffc7f3cf15

identifier: urn:oid:2.16.528.1.1007.3.3/564738757

active: true

name: Anorg Aniza Tion BV / The best custodian ever

Contacts

-TelecomAddress
*+31-51-34343400Houttuinen 27 Dordrecht 3311 CE NL (work)

Entry 5 - fullUrl = urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80

Resource Condition:

Generated Narrative: Condition c64139e7-f02d-409c-bf34-75e8bf23bc80

identifier: urn:oid:1.2.3.999/c87bf51c-e53c-4bfe-b8b7-aa62bdd93002

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem

severity: Moderate severity

code: Menopausal flushing (finding)

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

onset: 2015

recordedDate: 2016-10


Entry 6 - fullUrl = urn:uuid:c220e36c-eb67-4fc4-9ba1-2fabc52acec6

Resource MedicationStatement:

Generated Narrative: MedicationStatement c220e36c-eb67-4fc4-9ba1-2fabc52acec6

identifier: urn:oid:1.2.3.999/b75f92cb-61d4-469a-9387-df5ef70d25f0

status: recorded

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

effective: 2015-03 --> (ongoing)

dosage


Entry 7 - fullUrl = urn:uuid:47524493-846a-4a26-bae2-4ab03e60f02e

Resource MedicationStatement:

Generated Narrative: MedicationStatement 47524493-846a-4a26-bae2-4ab03e60f02e

identifier: urn:oid:1.2.3.999/9e312d6b-c6b6-439a-a730-6efaa5dcf8bc

status: recorded

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

effective: 2016-01 --> (ongoing)

Dosages

-Route
*Oral use

Entry 8 - fullUrl = urn:uuid:976d0804-cae0-45ae-afe3-a19f3ceba6bc

Resource Medication:

Generated Narrative: Medication 976d0804-cae0-45ae-afe3-a19f3ceba6bc

code: Product containing anastrozole (medicinal product)


Entry 9 - fullUrl = urn:uuid:8adc0999-9468-4ac9-9557-680fa133d626

Resource Medication:

Generated Narrative: Medication 8adc0999-9468-4ac9-9557-680fa133d626

code: Black Cohosh Extract herbal supplement


Entry 10 - fullUrl = urn:uuid:72884cad-ebe6-4f43-a51a-2f978275f132

Resource AllergyIntolerance:

Generated Narrative: AllergyIntolerance 72884cad-ebe6-4f43-a51a-2f978275f132

identifier: urn:oid:1.2.3.999/3a462598-009c-484a-965c-d6b24a821424

clinicalStatus: Active

verificationStatus: Confirmed

type: Allergy

category: Medication

criticality: High Risk

code: Substance with penicillin structure and antibacterial mechanism of action (substance)

patient: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

onset: 2010


Entry 11 - fullUrl = urn:uuid:c4597aa2-688a-401b-a658-70acc6de28c6

Resource Condition:

Generated Narrative: Condition c4597aa2-688a-401b-a658-70acc6de28c6

identifier: urn:oid:1.2.3.999/66d4a8c7-9081-43e0-a63f-489c2ae6edd6

clinicalStatus: Remission

verificationStatus: Confirmed

category: Problem

severity: Severe

code: Malignant tumor of breast

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

onset: 2015-01

abatement: 2015-03


Entry 12 - fullUrl = urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7

Resource Organization:

Generated Narrative: Organization 45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7

active: true

type: Other

name: Laboratoire de charme


Entry 13 - fullUrl = urn:uuid:aa11a2be-3e36-4be7-b58a-6fc3dace2741

Resource Observation:

Generated Narrative: Observation aa11a2be-3e36-4be7-b58a-6fc3dace2741

status: Final

category: Laboratory

code: ABO and Rh group [Type] in Blood

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

effective: 2015-10-10 09:15:00+0100

performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

value: Blood group A Rh(D) positive


Entry 14 - fullUrl = urn:uuid:6e39ccf3-f997-4a2b-8f28-b4b71c778c70

Resource Observation:

Generated Narrative: Observation 6e39ccf3-f997-4a2b-8f28-b4b71c778c70

status: Final

category: Laboratory

code: C Ab [Presence] in Serum or Plasma

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

effective: 2015-10-10 09:35:00+0100

performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

value: Positive


Entry 15 - fullUrl = urn:uuid:b4916505-a06b-460c-9be8-011609282457

Resource Observation:

Generated Narrative: Observation b4916505-a06b-460c-9be8-011609282457

status: Final

category: Laboratory

code: E Ab [Presence] in Serum or Plasma

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

effective: 2015-10-10 09:35:00+0100

performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

value: Positive


Entry 16 - fullUrl = urn:uuid:a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4

Resource Observation:

Generated Narrative: Observation a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4

status: Final

category: Laboratory

code: little c Ab [Presence] in Serum or Plasma

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

effective: 2015-10-10 09:35:00+0100

performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

value: Negative


Entry 17 - fullUrl = urn:uuid:2639657a-c19a-48e2-82cc-471e13b8ad94

Resource Observation:

Generated Narrative: Observation 2639657a-c19a-48e2-82cc-471e13b8ad94

status: Final

category: Laboratory

code: Blood typing

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

effective: 2015-10-10

performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

hasMember:


Entry 18 - fullUrl = urn:uuid:cc354e00-a419-47ea-8b6c-1768b2a01646

Resource Observation:

Generated Narrative: Observation cc354e00-a419-47ea-8b6c-1768b2a01646

status: Final

category: Laboratory

code: Hemoglobin A1c/Hemoglobin.total in Blood by HPLC

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

effective: 2017-11-10 08:20:00+0100

performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

value: 7.5 % (Details: UCUM code% = '%')

note: Above stated goal of 7.0 %


Entry 19 - fullUrl = urn:uuid:26bee0a9-5997-4557-ab9d-c6adbb05b572

Resource Observation:

Generated Narrative: Observation 26bee0a9-5997-4557-ab9d-c6adbb05b572

status: Final

category: Laboratory

code: Bacteria identified in Isolate

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

effective: 2017-12-10 08:20:00+0100

performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

value: Methicillin resistant Staphylococcus aureus

note: Healthy carrier of MRSA


Entry 20 - fullUrl = urn:uuid:c7781f44-6df8-4a8b-9e06-0b34263a47c5

Resource AllergyIntolerance:

Generated Narrative: AllergyIntolerance c7781f44-6df8-4a8b-9e06-0b34263a47c5

clinicalStatus: Active

code: No known food allergy (situation)

patient: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100