International Patient Summary Implementation Guide
2.0.0 - STU 2 International flag

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 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: Bundle - IPS with All Sections


Document Subject

Name: Patricia JORDANA

Document Content

Generated Narrative: Composition 9c98f78e-f324-4ad5-97a1-8eb9ef9a1172

version: 1; Language: en-NZ

Profile: Composition (IPS)

identifier: urn:oid:2.16.840.1.113883.2.18.7.2/ac7a747c-a2c9-493c-ba39-4ac6997eed1e

status: Final

type: Patient summary Document

date: 2024-09-13

author: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

title: International Patient Summary

confidentiality: normal

Attesters

-ModeTimeParty
*Professional2024-09-13Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

custodian: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

RelatesTos

-CodeTarget[x]
*Transformsurn:oid:2.16.840.1.113883.2.18.7.2/ac7a747c-a2c9-493c-ba39-4ac6997eed1e

Events

-CodePeriod
*care provision?? --> 2024-09-13

Problem List

ProblemOnsetClinical StatusVerification StatusSeverity
Essential hypertensionMay 24 2016 20:00
GoutMay 24 2016 20:00

Allergies and Intolerances

Allergy TypeSubstanceOnsetClinical StatusVerification StatusReaction
Penicillin

Medication Summary

MedicationDatesDosage-TimingStatusRoute
cilazapril 500 microgram tablet, 90stopped
lisinopril 5 mg tabletactive
Ultraproct - cinchocaine 0.5% (5 mg/g) + fluocortolone hexanoate 0.095% (945 microgram/g) + fluocortolone pivalate 0.092% (918 microgram/g) ointmentactive

Immunizations

VaccineDateStatusLot Number
Influenza, split virus, trivalent, preservativeApr 9 2024 20:00CompletedH06
COVID-19, mRNA, LNP-S, bivalent, PF, 30 mcg/0.3 mL doseFeb 17 2024 19:00CompletedGK3908-068
Influenza, split virus, trivalent, preservativeApr 11 2023 20:00Completed358899
COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL doseJul 31 2022 20:00CompletedPCB0008-07
zoster liveJul 12 2022 20:00CompletedU021248
COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL doseJan 12 2022 19:00CompletedFL1072-025
COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL doseAug 26 2021 20:00CompletedFE8163-007
COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL doseAug 4 2021 20:00CompletedFF8871-001

Results

ResultValueDateStatus
Cholesterol.total/Cholesterol in HDL [Molar ratio] in Serum or Plasma4.1 mmol/LOct 31 2023 11:06final
Lipid risk factors [Finding]A combined CVD risk of which lipids is one component should be estimated to guide CVD risk management decisions. If lipid modifying medication is considered suggest checking first for treatable secondary causes of dyslipidaemia.Oct 31 2023 11:06final
Cholesterol in LDL [Moles/volume] in Serum or Plasma by calculation3.6 mmol/LOct 31 2023 11:06final
Triglyceride [Moles/volume] in Serum or Plasma1.7 mmol/LOct 31 2023 11:06final
Cholesterol [Moles/volume] in Serum or Plasma5.7 mmol/LOct 31 2023 11:06final
Cholesterol in HDL [Moles/volume] in Serum or Plasma1.39 mmol/LOct 31 2023 11:06final

History of Procedures

ProcedureDateStatus
Total hip replacementApr 27 2000 20:00Completed

Device Use

DeviceStatusBody SiteStartEnd
Hip prosthesisactive

Vital Signs

Vital SignValueDateStatus
Body weight91.5 kgApr 10 2024 05:58final
Body mass index (BMI) [Ratio]24.56 kg/m2Apr 10 2024 05:58final
Blood pressure panel with all children optional140/80 mmHgAug 30 2024 04:32final

Social History

Social History ObservationValueDateStatus
Tobacco smoking statusNever smokerOct 19 2022 20:00final
Alcoholic drinks per day1 dJun 21 2016 20:00final

Alerts

AlertStatusCategoryPriorityStartEnd
Shellfish free dietActiveDiet

Patient Story

Patient undergoing lifestyle changes to lower blood pressure.

Advance Directives

ScopeStatusCategoryDatePerformer
TreatmentactiveDo Not ResuscitateAug 31 2021 20:00

Functional Status

CodeOnsetClinical StatusVerification StatusSeverity
Impaired MobilityMay 24 2016 20:00

History of Past Problems

Past ProblemOnsetClinical StatusVerification StatusSeverity
FeverMay 24 2013 20:00

History of Pregnancy

Pregnancy ObservationValueDateStatus
Pregnancy statusNot PregnantJan 9 2020 19:00final

Plan of Care

TitleDescriptionStatusIntentCategoryPeriod StartPeriod End
Weight MeasuredManage obesity and weight lossActivePlanWeight management planMay 31 2017 20:00

Additional Resources Included in Document


Entry 2 - fullUrl = https://sample.fhir.org/Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f

Resource Patient:

Name: Patricia JORDANA

Entry 3 - fullUrl = https://sample.fhir.org/Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881

Resource Organization:

Generated Narrative: Organization 7a17027f-acc0-4d77-bf84-c0dad8f7c881

identifier: https://standards.digital.health.nz/ns/hpi-facility-id/F2N000

name: NorthCare Pukete Road-Thomas Road

partOf: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000


Entry 4 - fullUrl = https://sample.fhir.org/Organization/8f8635dc-694e-408f-8ffe-1610d50f9823

Resource Organization:

Generated Narrative: Organization 8f8635dc-694e-408f-8ffe-1610d50f9823

identifier: https://standards.digital.health.nz/ns/hpi-facility-id/F2N001

name: NorthCare Health System


Entry 5 - fullUrl = https://sample.fhir.org/PractitionerRole/94d12c8d-a3df-47a7-a0bb-0f29d64bafe2

Resource PractitionerRole:

Generated Narrative: PractitionerRole 94d12c8d-a3df-47a7-a0bb-0f29d64bafe2

practitioner: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

code: Doctor


Entry 6 - fullUrl = https://sample.fhir.org/Practitioner/816cf057-b736-4e08-baed-cc21e081b784

Resource Practitioner:

Generated Narrative: Practitioner 816cf057-b736-4e08-baed-cc21e081b784

name: HASHIRA COORAY COORAY

telecom: ph: 07 850 9900(Work)


Entry 7 - fullUrl = https://sample.fhir.org/AllergyIntolerance/9838cf73-c30d-4aa5-8ed8-36a079060b81

Resource AllergyIntolerance:

Generated Narrative: AllergyIntolerance 9838cf73-c30d-4aa5-8ed8-36a079060b81

clinicalStatus: Active

verificationStatus: Confirmed

code: Penicillin

patient: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000


Entry 8 - fullUrl = https://sample.fhir.org/Condition/8039e4a7-d459-454c-92a5-6c17ca2a824b

Resource Condition:

Generated Narrative: Condition 8039e4a7-d459-454c-92a5-6c17ca2a824b

clinicalStatus: Active

verificationStatus: Confirmed

code: Essential hypertension

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

onset: 2016-05-25

recordedDate: 2016-05-25

asserter: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000


Entry 9 - fullUrl = https://sample.fhir.org/Condition/f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1

Resource Condition:

Generated Narrative: Condition f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1

clinicalStatus: Active

verificationStatus: Confirmed

code: Gout

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

onset: 2016-05-25

recordedDate: 2020-10-01


Entry 10 - fullUrl = https://sample.fhir.org/MedicationStatement/c3d31980-2a88-45b6-a7af-3fe8d32cc6fa

Resource MedicationStatement:

Generated Narrative: MedicationStatement c3d31980-2a88-45b6-a7af-3fe8d32cc6fa

status: Stopped

medication: cilazapril 500 microgram tablet, 90

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

effective: 2023-12-01

informationSource: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

dosage

text: Take 1 daily

DoseAndRates

-Dose[x]
*1 tablet (Details: SNOMED CT code428673006 = 'Tablet - unit of product usage (qualifier value)')

Entry 11 - fullUrl = https://sample.fhir.org/MedicationStatement/b8dac343-16d7-49bf-ac36-b15e6726c343

Resource MedicationStatement:

Generated Narrative: MedicationStatement b8dac343-16d7-49bf-ac36-b15e6726c343

status: Active

medication: lisinopril 5 mg tablet

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

effective: 2024-08-13

informationSource: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

dosage

text: Take One tablet once daily

timing: Once per 1 day

route: Swallow, oral

DoseAndRates

-Dose[x]
*1 tablet (Details: SNOMED CT code428673006 = 'Tablet - unit of product usage (qualifier value)')

Entry 12 - fullUrl = https://sample.fhir.org/MedicationStatement/b8e4d4a8-2c18-4f03-88dc-06f5f44f8058

Resource MedicationStatement:

Generated Narrative: MedicationStatement b8e4d4a8-2c18-4f03-88dc-06f5f44f8058

status: Active

medication: Ultraproct - cinchocaine 0.5% (5 mg/g) + fluocortolone hexanoate 0.095% (945 microgram/g) + fluocortolone pivalate 0.092% (918 microgram/g) ointment

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

effective: 2024-08-30

informationSource: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

dosage

text: apply a small amount to the affected area up to 4 times daily on the first day, then twice daily for at least 1 week; continue for up to a maximum of 4 weeks

DoseAndRates

-Dose[x]
*1 ointment (Details: SNOMED CT code385101003 = 'Ointment')

Entry 13 - fullUrl = https://sample.fhir.org/Immunization/17b5a6d7-307b-4726-8c8c-0031e61582ce

Resource Immunization:

Generated Narrative: Immunization 17b5a6d7-307b-4726-8c8c-0031e61582ce

status: Completed

vaccineCode: Influenza, split virus, trivalent, preservative

patient: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

occurrence: 2024-04-10

lotNumber: H06

site: Structure of left deltoid muscle

route: Injection, intramuscular

Performers

-Actor
*Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

ProtocolApplieds

-SeriesDoseNumber[x]
*1 (Over 65 years (Influenza))1

Entry 14 - fullUrl = https://sample.fhir.org/Immunization/14e8b0d8-b4e4-4f8e-b263-ef385787453b

Resource Immunization:

Generated Narrative: Immunization 14e8b0d8-b4e4-4f8e-b263-ef385787453b

status: Completed

vaccineCode: COVID-19, mRNA, LNP-S, bivalent, PF, 30 mcg/0.3 mL dose

patient: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

occurrence: 2024-02-18

lotNumber: GK3908-068

route: Injection, intramuscular

Performers

-Actor
*Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

ProtocolApplieds

-SeriesDoseNumber[x]
*6 (Booster or Extra dose)5

Entry 15 - fullUrl = https://sample.fhir.org/Immunization/47befa30-026c-421a-ad32-c0b134597a30

Resource Immunization:

Generated Narrative: Immunization 47befa30-026c-421a-ad32-c0b134597a30

status: Completed

vaccineCode: Influenza, split virus, trivalent, preservative

patient: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

occurrence: 2023-04-12

lotNumber: 358899

site: Structure of right deltoid muscle

route: Injection, intramuscular

Performers

-Actor
*Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

ProtocolApplieds

-SeriesDoseNumber[x]
*1 (Over 65 years (Influenza))1

Entry 16 - fullUrl = https://sample.fhir.org/Immunization/2f05b590-ce75-4ac6-be97-c2a275e21cbc

Resource Immunization:

Generated Narrative: Immunization 2f05b590-ce75-4ac6-be97-c2a275e21cbc

status: Completed

vaccineCode: COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose

patient: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

occurrence: 2022-08-01

lotNumber: PCB0008-07

site: Structure of left deltoid muscle

route: Injection, intramuscular

Performers

-Actor
*Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

ProtocolApplieds

-SeriesDoseNumber[x]
*12 (At risk, no previous history)4

Entry 17 - fullUrl = https://sample.fhir.org/Immunization/c1d3ccb9-8b7d-4732-8e03-abe63be1984c

Resource Immunization:

Generated Narrative: Immunization c1d3ccb9-8b7d-4732-8e03-abe63be1984c

status: Completed

vaccineCode: zoster live

patient: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

occurrence: 2022-07-13

lotNumber: U021248

site: Entire left upper arm

route: Injection, intramuscular

Performers

-Actor
*Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

ProtocolApplieds

-SeriesDoseNumber[x]
*65Y (65 years)1

Entry 18 - fullUrl = https://sample.fhir.org/Immunization/79b66c21-fbd3-4c7f-ae82-ac958ae62e0a

Resource Immunization:

Generated Narrative: Immunization 79b66c21-fbd3-4c7f-ae82-ac958ae62e0a

status: Completed

vaccineCode: COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose

patient: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

occurrence: 2022-01-13

lotNumber: FL1072-025

route: Injection, intramuscular

Performers

-Actor
*Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

ProtocolApplieds

-SeriesDoseNumber[x]
*12 (At risk, no previous history)3

Entry 19 - fullUrl = https://sample.fhir.org/Immunization/9910b96a-793b-4e96-91a9-291c27357f83

Resource Immunization:

Generated Narrative: Immunization 9910b96a-793b-4e96-91a9-291c27357f83

status: Completed

vaccineCode: COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose

patient: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

occurrence: 2021-08-27

lotNumber: FE8163-007

site: Structure of left deltoid muscle

route: Injection, intramuscular

Performers

-Actor
*Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

ProtocolApplieds

-SeriesDoseNumber[x]
*12 (At risk, no previous history)2

Entry 20 - fullUrl = https://sample.fhir.org/Immunization/5b028fb0-bd04-4e75-b2bc-6952771173ea

Resource Immunization:

Generated Narrative: Immunization 5b028fb0-bd04-4e75-b2bc-6952771173ea

status: Completed

vaccineCode: COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose

patient: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

occurrence: 2021-08-05

lotNumber: FF8871-001

site: Structure of left deltoid muscle

route: Injection, intramuscular

Performers

-Actor
*Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

ProtocolApplieds

-SeriesDoseNumber[x]
*12 (At risk, no previous history)1

Entry 21 - fullUrl = https://sample.fhir.org/Observation/b0187efd-5f9b-474d-87bc-efebf877449a

Resource Observation:

Generated Narrative: Observation b0187efd-5f9b-474d-87bc-efebf877449a

status: Final

category: Laboratory

code: Cholesterol.total/Cholesterol in HDL [Molar ratio] in Serum or Plasma

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

effective: 2023-10-31 15:06:00+0000

performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

value: 4.1 mmol/L (Details: UCUM codemmol/L = 'mmol/L')

note:

Incr chol 5.7, LDL 3.6, HDL 1.39

ReferenceRanges

-Text
*NA

Entry 22 - fullUrl = https://sample.fhir.org/Observation/f40b9e26-93b4-462b-8811-bdd6943873aa

Resource Observation:

Generated Narrative: Observation f40b9e26-93b4-462b-8811-bdd6943873aa

status: Final

category: Laboratory

code: Lipid risk factors [Finding]

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

effective: 2023-10-31 15:06:00+0000

performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

value: A combined CVD risk of which lipids is one component should be estimated to guide CVD risk management decisions. If lipid modifying medication is considered suggest checking first for treatable secondary causes of dyslipidaemia.

note:

Incr chol 5.7, LDL 3.6, HDL 1.39

ReferenceRanges

-Text
*NA

Entry 23 - fullUrl = https://sample.fhir.org/Observation/612b7e6a-c902-45cb-b45c-d1894458a26b

Resource Observation:

Generated Narrative: Observation 612b7e6a-c902-45cb-b45c-d1894458a26b

status: Final

category: Laboratory

code: Cholesterol in LDL [Moles/volume] in Serum or Plasma by calculation

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

effective: 2023-10-31 15:06:00+0000

performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

value: 3.6 mmol/L (Details: UCUM codemmol/L = 'mmol/L')

note:

Incr chol 5.7, LDL 3.6, HDL 1.39

ReferenceRanges

-Text
*NA

Entry 24 - fullUrl = https://sample.fhir.org/Observation/15bd8c0c-fa53-4f5b-994b-487c7db3dc78

Resource Observation:

Generated Narrative: Observation 15bd8c0c-fa53-4f5b-994b-487c7db3dc78

status: Final

category: Laboratory

code: Triglyceride [Moles/volume] in Serum or Plasma

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

effective: 2023-10-31 15:06:00+0000

performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

value: 1.7 mmol/L (Details: UCUM codemmol/L = 'mmol/L')

note:

Incr chol 5.7, LDL 3.6, HDL 1.39

ReferenceRanges

-Text
*NA

Entry 25 - fullUrl = https://sample.fhir.org/Observation/5019909f-097d-4a43-84d9-cc50143b8c82

Resource Observation:

Generated Narrative: Observation 5019909f-097d-4a43-84d9-cc50143b8c82

status: Final

category: Laboratory

code: Cholesterol [Moles/volume] in Serum or Plasma

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

effective: 2023-10-31 15:06:00+0000

performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

value: 5.7 mmol/L (Details: UCUM codemmol/L = 'mmol/L')

note:

Incr chol 5.7, LDL 3.6, HDL 1.39

ReferenceRanges

-Text
*NA

Entry 26 - fullUrl = https://sample.fhir.org/Observation/5d269392-79c1-4129-a142-0cdee6b49ea4

Resource Observation:

Generated Narrative: Observation 5d269392-79c1-4129-a142-0cdee6b49ea4

status: Final

category: Laboratory

code: Cholesterol in HDL [Moles/volume] in Serum or Plasma

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

effective: 2023-10-31 15:06:00+0000

performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

value: 1.39 mmol/L (Details: UCUM codemmol/L = 'mmol/L')

note:

Incr chol 5.7, LDL 3.6, HDL 1.39

ReferenceRanges

-Text
*NA

Entry 27 - fullUrl = https://sample.fhir.org/Observation/36ff59b8-d5a7-438e-b8c6-cd54af10a4af

Resource Observation:

Generated Narrative: Observation 36ff59b8-d5a7-438e-b8c6-cd54af10a4af

status: Final

category: Vital Signs

code: Body weight

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

effective: 2024-04-10 09:58:00+0000

performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

value: 91.5 kg (Details: UCUM codekg = 'kg')


Entry 28 - fullUrl = https://sample.fhir.org/Observation/96e33a60-dbd8-47ce-b613-be954243939e

Resource Observation:

Generated Narrative: Observation 96e33a60-dbd8-47ce-b613-be954243939e

status: Final

category: Vital Signs

code: Body mass index (BMI) [Ratio]

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

effective: 2024-04-10 09:58:00+0000

performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

value: 24.56 kg/m2 (Details: UCUM codekg/m2 = 'kg/m2')


Entry 29 - fullUrl = https://sample.fhir.org/Observation/4ea539e1-fff9-4f56-964f-650d9e69ce58

Resource Observation:

Generated Narrative: Observation 4ea539e1-fff9-4f56-964f-650d9e69ce58

status: Final

category: Vital Signs

code: Blood pressure panel with all children optional

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

effective: 2024-08-30 08:32:00+0000

performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

component

code: Systolic blood pressure

value: 140 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

component

code: Diastolic blood pressure

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


Entry 30 - fullUrl = https://sample.fhir.org/Observation/9f906425-8c18-4580-ab30-61a56d7f4c05

Resource Observation:

Generated Narrative: Observation 9f906425-8c18-4580-ab30-61a56d7f4c05

status: Final

category: Social History

code: Tobacco smoking status

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

effective: 2022-10-20

performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

value: Never smoker


Entry 31 - fullUrl = https://sample.fhir.org/Observation/e2e3f8aa-df2a-4357-b01f-a9fba6bb9b41

Resource Observation:

Generated Narrative: Observation e2e3f8aa-df2a-4357-b01f-a9fba6bb9b41

status: Final

category: Social History

code: Alcoholic drinks per day

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

effective: 2016-06-22

performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

value: 1 d (Details: UCUM coded = 'd')


Entry 32 - fullUrl = https://sample.fhir.org/PractitionerRole/75ed6f24-9a7e-4568-9c05-91b6d4786743

Resource PractitionerRole:

Generated Narrative: PractitionerRole 75ed6f24-9a7e-4568-9c05-91b6d4786743

code: Clinical pathologist


Entry 33 - fullUrl = https://sample.fhir.org/Flag/e8ae9c4e-8f5a-4270-bfac-02368c567fcf

Resource Flag:

Generated Narrative: Flag e8ae9c4e-8f5a-4270-bfac-02368c567fcf

status: Active

category: Diet

code: Shellfish free diet

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000


Entry 34 - fullUrl = https://sample.fhir.org/Procedure/39252

Resource Procedure:

Generated Narrative: Procedure 39252

status: Completed

code: Total hip replacement

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

performed: 2000-04-28


Entry 35 - fullUrl = https://sample.fhir.org/DeviceUseStatement/eumfh-70-275-1

Resource DeviceUseStatement:

Generated Narrative: DeviceUseStatement eumfh-70-275-1

status: Active

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

timing: Absent because : unknown

device: Hip prosthesis


Entry 36 - fullUrl = https://sample.fhir.org/Device/eumfh-70-275-2

Resource Device:

Generated Narrative: Device eumfh-70-275-2

type: Hip prosthesis, device (physical object)


Entry 37 - fullUrl = https://sample.fhir.org/Consent/080d85fa-c807-42d1-a3af-b3ee70858a54

Resource Consent:

Generated Narrative: Consent 080d85fa-c807-42d1-a3af-b3ee70858a54

status: Active

scope: Treatment

category: Do Not Resuscitate

patient: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

dateTime: 2021-09-01

source: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

policyRule: Common Rule Informed Consent

Provisions

-Code
*Not for resuscitation

Entry 38 - fullUrl = https://sample.fhir.org/DocumentReference/advance-directive-123

Resource DocumentReference:

Generated Narrative: DocumentReference advance-directive-123

status: Current

type: Health concerns Document

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

date: 2025-08-01 10:00:00+0000

content

Attachments

-ContentTypeUrlTitle
*application/pdfhttps://sample.fhir.org/DocumentReference/advance-directive-123/contentAdvance Directive Document

Entry 39 - fullUrl = https://sample.fhir.org/Condition/4f3d8f79-2f96-48c5-b346-d47f0c66c981

Resource Condition:

Generated Narrative: Condition 4f3d8f79-2f96-48c5-b346-d47f0c66c981

clinicalStatus: Active

verificationStatus: Confirmed

code: Impaired Mobility

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

onset: 2016-05-25

recordedDate: 2016-05-25

asserter: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000


Entry 40 - fullUrl = https://sample.fhir.org/Condition/77efacd9-b5a6-4b35-9764-269017ea7567

Resource Condition:

Generated Narrative: Condition 77efacd9-b5a6-4b35-9764-269017ea7567

clinicalStatus: Resolved

verificationStatus: Confirmed

code: Fever

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

onset: 2013-05-25

recordedDate: 2016-05-25

asserter: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000


Entry 41 - fullUrl = https://sample.fhir.org/CarePlan/85d57ac7-ea2d-47cf-b019-b867f876ee7c

Resource CarePlan:

A simple care plan to indicate a patient taking their weight once a day because of hypertension.


Entry 42 - fullUrl = https://sample.fhir.org/Observation/f241ac65-5eab-49a0-8b92-7fb263274110

Resource Observation:

Generated Narrative: Observation f241ac65-5eab-49a0-8b92-7fb263274110

status: Final

code: Pregnancy status

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

effective: 2020-01-10

performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

value: Not Pregnant