Shared Health Summary Document Bundle for Mr Zhang Wei (2019) - Australian Digital Health Agency FHIR Implementation Guide v1.2.0-ci-build

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: Shared Health Summary Document Bundle for Mr Zhang Wei (2019)

Document Details

Generated Narrative: Bundle Shared Health Summary

Last updated: 2019-09-17 09:01:00+1000

Profiles: ADHA Document Bundle, ADHA Core Bundle

Final Document at 2019-09-17 09:00:00+1000 by Bundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2020-06-03 11:00:00+1000 for Bundle: identifier = UUID:e63acc0c-262b-4a51-bbec-477adf351f83; type = document; timestamp = 2018-09-21 09:01:00+1000

Document Subject

Derived Narrative with Details

Mr Zhang Wei

IHI: 8003608000228437 Medicare Number: 29533070311

Date Of Birth: 1972-05-03

Country of Birth: China Year of Arrival: 2017

Indigenous Status: Neither Aboriginal nor Torres Strait Islander origin

Interpreter Required? Yes Preferred Language: Cantonese (yue)

Document Content

Medicines

Medicines
Medication	Dose
Candesartan 32mg	1 tablet daily
Metformin 500mg	1 tablet twice daily

Allergies and Adverse Reactions

No available information.

Medical History

Problems and Diagnoses
Condition	Onset	Abatement / Resolution
Atrial fibrillation	2019	-
Right lower zone pneumonia	March 2019	April 2019

Procedures
Procedure	Date
Total replacement of left knee joint	27 February 2019

Immunisations

Immunisations
Vaccine	Date administered
diphtheria + tetanus	15 APR 2018

Additional Resources Included in Document

Entry 1 - fullUrl = urn:uuid:bb7e04a9-47e7-4347-bcb6-28b65f70736c

Resource Composition:

Generated Narrative: Composition bb7e04a9-47e7-4347-bcb6-28b65f70736c

Language: en-AU
Profile: ADHA Shared Health Summary Composition
identifier: URI/urn:uuid:9cb8267f-fcfd-4341-bc89-e53e4ce9646c
status: Final
type: Shared Health Summary
category: 60591-5
date: 2019-09-17 09:00:00+1000
author: Bundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2020-06-03 11:00:00+1000
title: Shared Health Summary
Attesters
- Mode Time Party
* Legal 2019-09-17 09:00:00+1000 Bundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2020-06-03 11:00:00+1000
custodian: Bundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2020-06-03 11:00:00+1000

Entry 2 - fullUrl = urn:uuid:cc246543-a0da-4ead-9ed6-5e064fea9ff7

Resource Patient:

Derived Narrative with Details

Mr Zhang Wei

IHI: 8003608000228437 Medicare Number: 29533070311

Date Of Birth: 1972-05-03

Country of Birth: China Year of Arrival: 2017

Indigenous Status: Neither Aboriginal nor Torres Strait Islander origin

Interpreter Required? Yes Preferred Language: Cantonese (yue)

Entry 3 - fullUrl = urn:uuid:45cad6ac-e9a3-418a-8480-4e64132849f2

Resource PractitionerRole:

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

identifier: Medicare Provider Number/5544887B, HPI-I/8003619900015717
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: GP

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

Resource Practitioner:

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

identifier: HPI-I/8003619900015717
name: Barry Helpman (Official)
telecom: bhelpman@example.devonportgp.com.au
Qualifications
- Identifier Code Issuer
* AHPRA Registration Number/MED0000932850 AHPRA qualification for General Practitioner AHPRA

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

Resource Organization:

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

identifier: ABN/51824754455
name: Devonport Family Medicine Clinic
contact
telecom: reception@example.dfmc.com.au, fax: (03) 8543 5557(Work), ph: (03) 8543 5556(Work)
address: LPO Box 235 Strahan TAS 7468 AU

Entry 6 - fullUrl = urn:uuid:2fe9873a-0eea-415a-89ae-0b82ff2b3d0b

Resource MedicationStatement:

Generated Narrative: MedicationStatement 2fe9873a-0eea-415a-89ae-0b82ff2b3d0b

status: recorded
subject: Bundle: identifier = UUID:e63acc0c-262b-4a51-bbec-477adf351f83; type = document; timestamp = 2018-09-21 09:01:00+1000
dosage
text: 1 tablet daily
timing: Once per 1 days
DoseAndRates
- Dose[x]
* 1 tablet (Details: SNOMED CT code63011000036109 = 'tablet')

Entry 7 - fullUrl = urn:uuid:314619c2-2d97-4fb9-9c25-b0b9da92f804

Resource MedicationStatement:

Generated Narrative: MedicationStatement 314619c2-2d97-4fb9-9c25-b0b9da92f804

status: recorded
subject: Bundle: identifier = UUID:e63acc0c-262b-4a51-bbec-477adf351f83; type = document; timestamp = 2018-09-21 09:01:00+1000
dosage
text: 1 bd
timing: 2 per 1 days
DoseAndRates
- Dose[x]
* 1 tablet (Details: SNOMED CT code63011000036109 = 'tablet')

Entry 8 - fullUrl = urn:uuid:b021320c-bc5e-4ae8-b9fc-1ed2d876e889

Resource Condition:

Generated Narrative: Condition b021320c-bc5e-4ae8-b9fc-1ed2d876e889

clinicalStatus: Resolved
category: Problem List Item
code: Right lower zone pneumonia
subject: Bundle: identifier = UUID:e63acc0c-262b-4a51-bbec-477adf351f83; type = document; timestamp = 2018-09-21 09:01:00+1000
onset: 2019-03
abatement: 2019-04-03

Entry 9 - fullUrl = urn:uuid:cfa41daf-b5a6-4a05-9166-a4b7c23f08a1

Resource Condition:

Generated Narrative: Condition cfa41daf-b5a6-4a05-9166-a4b7c23f08a1

clinicalStatus: Active
category: Problem List Item
code: Atrial fibrillation
subject: Bundle: identifier = UUID:e63acc0c-262b-4a51-bbec-477adf351f83; type = document; timestamp = 2018-09-21 09:01:00+1000
onset: 2017

Entry 10 - fullUrl = urn:uuid:3bc4a0f3-1d3e-4bde-83a9-7a04dd5f4a77

Resource Procedure:

Generated Narrative: Procedure 3bc4a0f3-1d3e-4bde-83a9-7a04dd5f4a77

status: Completed
category: General treatment
code: Total replacement of left knee joint
subject: Bundle: identifier = UUID:e63acc0c-262b-4a51-bbec-477adf351f83; type = document; timestamp = 2018-09-21 09:01:00+1000
recorder: Bundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2020-06-03 11:00:00+1000
bodySite: Entire left knee joint

Entry 11 - fullUrl = urn:uuid:3e2a29a1-3a3c-4a53-bb1b-66588e9bd147

Resource Immunization:

Generated Narrative: Immunization 3e2a29a1-3a3c-4a53-bb1b-66588e9bd147

status: Completed
vaccineCode: diphtheria 2 units + tetanus 20 units vaccine injection, 0.5 mL syringe
patient: Bundle: identifier = UUID:e63acc0c-262b-4a51-bbec-477adf351f83; type = document; timestamp = 2018-09-21 09:01:00+1000
occurrence: 2018-04-15
primarySource: true