Australian Digital Health Agency FHIR Implementation Guide, published by Australian Digital Health Agency. This guide is not an authorized publication; it is the continuous build for version 1.2.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/AuDigitalHealth/ci-fhir-r4/ and changes regularly. See the Directory of published versions

Example Bundle: Event Summary Document Bundle for Mr Zhang Wei (2020)


Document Subject

Generated Narrative: Patient 3a72f2d2-c9ed-40a4-beac-01c14dcf244a

Wei Zhang Male, DoB: 1972-05-03 ( IHI: AustalianIHI#8003608000228437)


Other Id:Medicare Number/29533070311
Language:Cantonese (preferred)
Patient Birth PlaceChina
Date of Arrival in Australia2017
Australian Indigenous Statusaustralian-indigenous-status-1 4: Neither Aboriginal nor Torres Strait Islander origin
Patient Interpreter Requiredtrue

Document Content

Event Summary

subject: ZHANG Wei; MC = 29533070311; IHI = 8003608000228437; gender = male

status: final

date: 30/05/2020 10:00:00 AM

author: Dr Greg Algrester, HPI-I = 8003614900041243; Contact: 0491579760 or drgreg@algregstermedical.example.com

attester: Dr Greg Algrester, HPI-I = 8003614900041243; Contact: 0491579760 or drgreg@algregstermedical.example.com

custodian: Algregster Medical Centre; HPI-O = 8003621566699776; info@algregstermedical.example.com; ph: (07) 5550 2427


Allergies and Adverse Reactions

No known allergies

Medications

Medicines List
Medicine Directions Clinical Indication/Change description Status
Bactrim DS - tablet Take 2 tablets twice a day To treat bacterial infections New prescription
Panadol 500mg - tablet Take 1 tablet four times a day For pain New

Problems

Condition Details
Condition Onset Date Time
Urinary tract infection 2020-05-10

Diagnostic Investigations

Diagnostic results
Test Result Date
Culture and sensitivity - midstream urine Escherichia coli grown 2020-05-23

Additional Resources Included in Document


Entry 1 - fullUrl = urn:uuid:2384da13-ff91-4e05-930f-2d7a034ea713

Resource Composition:

Event Summary

subject: ZHANG Wei; MC = 29533070311; IHI = 8003608000228437; gender = male

status: final

date: 30/05/2020 10:00:00 AM

author: Dr Greg Algrester, HPI-I = 8003614900041243; Contact: 0491579760 or drgreg@algregstermedical.example.com

attester: Dr Greg Algrester, HPI-I = 8003614900041243; Contact: 0491579760 or drgreg@algregstermedical.example.com

custodian: Algregster Medical Centre; HPI-O = 8003621566699776; info@algregstermedical.example.com; ph: (07) 5550 2427


Entry 2 - fullUrl = urn:uuid:3a72f2d2-c9ed-40a4-beac-01c14dcf244a

Resource Patient:

Generated Narrative: Patient 3a72f2d2-c9ed-40a4-beac-01c14dcf244a

Wei Zhang Male, DoB: 1972-05-03 ( IHI: AustalianIHI#8003608000228437)


Other Id:Medicare Number/29533070311
Language:Cantonese (preferred)
Patient Birth PlaceChina
Date of Arrival in Australia2017
Australian Indigenous Statusaustralian-indigenous-status-1 4: Neither Aboriginal nor Torres Strait Islander origin
Patient Interpreter Requiredtrue

Entry 3 - fullUrl = urn:uuid:40a94071-8373-4d53-a788-63b79c75a3c1

Resource Practitioner:

Generated Narrative: Practitioner 40a94071-8373-4d53-a788-63b79c75a3c1

identifier: HPI-I/8003614900041243

name: Greg Algrester

telecom: drgreg@algregstermedical.example.com


Entry 4 - fullUrl = urn:uuid:45cad6ac-e9a3-418a-8480-4e64132849f2

Resource PractitionerRole:

Generated Narrative: PractitionerRole 45cad6ac-e9a3-418a-8480-4e64132849f2

identifier: Employee Number/AMC-GA-001, HPI-I/8003614900041243

practitioner: Bundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2020-06-03 11:00:00+1000

organization: Bundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2020-06-03 11:00:00+1000

code: General Practitioner


Entry 5 - fullUrl = urn:uuid:021fff67-c5ec-438f-9520-ce9bafee1306

Resource Organization:

Generated Narrative: Organization 021fff67-c5ec-438f-9520-ce9bafee1306

identifier: HPI-O/8003621566699776

type: Medical Centre

name: Algregster Medical Centre

contact

telecom: info@algregstermedical.example.com, ph: (07) 5550 2427(Work)

address: 87 Western Esp Tindal RAAF QLD 4655 AU


Entry 6 - fullUrl = urn:uuid:6c39fd65-2a5f-42d0-b3db-20b6416e2b9a

Resource Encounter:

Generated Narrative: Encounter 6c39fd65-2a5f-42d0-b3db-20b6416e2b9a

Encounter Description: Patient presented for follow-up with urinary tract infection on 30 May. Complaining of frequent and painful urinating. Midstream urine test was done and revealed urinary infection. Culture and sensitivity test discovered escherichia coli sensitive to Bactrim. Patient was prescribed Bactrim 2 tablets twice a day, and Panadol one tablet 4 times a day. Patient has no allergies.

status: completed

class: ambulatory

type: Follow-up encounter

serviceType: No display for Encounter.serviceType (concept: General medical service)

subject: Bundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2020-06-03 11:00:00+1000

Participants

-Type
*primary performer

Entry 7 - fullUrl = urn:uuid:c20c510b-fd91-45eb-bacc-171a9a0261e5

Resource MedicationStatement:

Generated Narrative: MedicationStatement c20c510b-fd91-45eb-bacc-171a9a0261e5

status: recorded

category: Community

subject: Bundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2020-06-03 11:00:00+1000

dateAsserted: 2020-05-30 10:00:00+1000

informationSource: Bundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2020-06-03 11:00:00+1000

note: Prescription issued.

Dosages

-Text
*Take 2 tablets twice a day

Entry 8 - fullUrl = urn:uuid:df0af202-6da0-4e67-9c22-ebc21ee34309

Resource MedicationStatement:

Generated Narrative: MedicationStatement df0af202-6da0-4e67-9c22-ebc21ee34309

status: recorded

category: Community

subject: Bundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2020-06-03 11:00:00+1000

dateAsserted: 2020-05-30 10:00:00+1000

informationSource: Bundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2020-06-03 11:00:00+1000

Dosages

-Text
*Take 1 tablet four times a day

Entry 9 - fullUrl = urn:uuid:b21f4cad-024a-4101-a6dd-80d50e29e295

Resource AllergyIntolerance:

Generated Narrative: AllergyIntolerance b21f4cad-024a-4101-a6dd-80d50e29e295

clinicalStatus: Active

verificationStatus: Unconfirmed

code: No known allergy

patient: Bundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2020-06-03 11:00:00+1000

encounter: Bundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2020-06-03 11:00:00+1000


Entry 10 - fullUrl = urn:uuid:ed5e2c34-2d28-4d21-a6aa-be7baad865b8

Resource Condition:

Generated Narrative: Condition ed5e2c34-2d28-4d21-a6aa-be7baad865b8

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Urinary tract infection

subject: Bundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2020-06-03 11:00:00+1000

encounter: Bundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2020-06-03 11:00:00+1000

onset: 2020-05-10


Entry 11 - fullUrl = urn:uuid:59e2ba97-44b0-45db-8f61-0a1b0e198580

Resource Observation:

Generated Narrative: Observation 59e2ba97-44b0-45db-8f61-0a1b0e198580

status: Final

category: Laboratory, Microbiology

code: Bacterial culture and sensitivity

subject: Bundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2020-06-03 11:00:00+1000

effective: 2020-05-23 12:20:00+1000

value: Urine culture - E. coli

specimen: Bundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2020-06-03 11:00:00+1000


Entry 12 - fullUrl = urn:uuid:81a46e66-3d35-45d4-8f6c-8041d902160d

Resource Specimen:

Generated Narrative: Specimen 81a46e66-3d35-45d4-8f6c-8041d902160d

type: Urine specimen

subject: Bundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2020-06-03 11:00:00+1000

Collections

-Collected[x]BodySite
*2020-05-23 12:20:00+1000No display for Specimen.collection.bodySite (concept: Collection of mid-stream specimen of urine)