Australian Digital Health Agency FHIR Implementation Guide
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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

: Home Medicines Review Document Composition for Mr. Lenny Matterson (2019) - XML Representation

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<Composition xmlns="http://hl7.org/fhir">
  <id value="psml-02"/>
  <meta>
    <versionId value="20190205"/>
    <profile
             value="http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-composition-core-1"/>
    <profile
             value="http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-composition-psml-1"/>
  </meta>
  <language value="en-AU"/>
  <text>
    <status value="additional"/>
    <div xmlns="http://www.w3.org/1999/xhtml" lang="en-AU">
            <h2>Home Medicines Review Report for Mr. Lenny Matterson</h2>
            <table border="1">
                <thead>
                    <tr>
                        <th colspan="1">Patient</th>
                        <th colspan="1">Author</th>
                    </tr>
                </thead>
                <tbody>
                    <tr>
                        <td>
                            <p><b>Name:</b> Mr. Lenny MATTERSON</p>
                            <p><b>Identifiers:</b> IHI: 8003608166895854 and Medicare
                                Number: 5950890021 (expiry May 2019)</p>
                            <p><b>Gender:</b> male</p>
                            <p><b>Birthdate:</b> 6 Feb 1955 6:17AM</p>
                            <p><b>Indigenous status:</b> Aboriginal but not Torres
                                Strait Islander origin</p>
                            <p><b>Languages spoken:</b> Pitjantjatjara</p>
                        </td>
                        <td>
                            <p><b>Name:</b> Mr. Representative Pharmacist (Retail Pharmacist)</p>
                            <p><b>Identifiers:</b> HPI-I: 8003616566708106 and Medicare
                                Provider Number: 5544887B</p>
                            <p><b>Contact:</b> 0370102020 (work fax)</p>
                            <p><b>Address:</b> 570 Whatcha St, Glebe, NSW 2037 (work)</p>
                        </td>
                    </tr>
                </tbody>
            </table>
            <h3>Medicine summary</h3>
            <p><b>Date:</b> 5 Feb 2019 10:00AM - 5 Feb 2019 11:15AM</p>
            <p><b>Attested by:</b> Mr. Ned DEACON (on 5 Feb 2019)</p>
            <p><b>Document custodian:</b> Big Pharmacy (HPI-O: 8003626566699734)</p>
            <h3>Current Medicines</h3>
            <table border="1">
                <thead>
                    <tr>
                        <th colspan="3" style="text-align:center;">Home Medicines
                            Review</th>
                    </tr>
                    <tr>
                        <th>Date of Interview</th>
                        <th/>
                        <th>General Assessment</th>
                    </tr>
                </thead>
                <tbody>
                    <tr>
                        <td>5 Feb 2019 10:00AM to 11:15AM</td>
                        <td>Home medicines review</td>
                        <td>Patient has his medications packed into blister packs via
                            ABC pharmacy. He finds them easy to use and they promote
                            good adherence to his regime. His Bluecare nurse, Nurse B,
                            was present for the interview. Of the medication listed on
                            the referral, he is not currently taking Aldara 5% cream and
                            Chloramphenicol ointment. In addition to the medication
                            listed on the referral, he is also taking coQ10 150mg tab -
                            1 nocte.He reports occasional dizziness if he changes
                            position quickly, and does report falling outside in the
                            garden; he wears a falls alarm buzzer. He reports that he
                            generally only experiences chest pain when he becomes
                            stressed (doesn’t like paperwork). His blood pressure at the
                            time of the interview was 158 /76.</td>
                    </tr>
                </tbody>
            </table>
            
            <table border="1">
                <thead>
                    <tr>
                        <th colspan="5" style="text-align:center;">Current
                            medicines</th>
                    </tr>
                    <tr>
                        <th>Medicine</th>
                        <th>Directions</th>
                        <th>Medicine purpose</th>
                        <th>Medicine status</th>
                        <th>Status Reason/Comment</th>
                    </tr>
                </thead>
                <tbody>
                    <tr>
                        <td>Amiodarone 200mg tab</td>
                        <td>1 in the morning</td>
                        <td/>
                        <td>Unchanged</td>
                        <td/>
                    </tr>
                    <tr>
                        <td>Bisoprolol 2.5mg tab</td>
                        <td>1/2 tablet in the morning</td>
                        <td/>
                        <td>Unchanged</td>
                        <td/>
                    </tr>
                    <tr>
                        <td>CoQ10 150mg tab</td>
                        <td>1 at night</td>
                        <td/>
                        <td>New</td>
                        <td>In pack – history of Atrial fibrillation</td>
                    </tr>
                </tbody>
            </table>
            <p>Packed medicines: Some medicines packed in dose administration aid</p>
            
            <h3>Ceased Medicines</h3>
            <table border="1">
                <thead>
                    <tr>
                        <th colspan="2" style="text-align:center;">Ceased medicines</th>
                    </tr>
                    <tr>
                        <th>Ceased medicine</th>
                        <th>Reason for ceasing</th>
                    </tr>
                </thead>
                <tbody>
                    <tr>
                        <td>Aldara 5% cream</td>
                        <td>Completed 8-week course</td>
                    </tr>
                    <tr>
                        <td>Chloramphenicol 1% eye ointment</td>
                        <td>Stopped due to burning sensation in the eye.</td>
                    </tr>
                </tbody>
            </table>
            <p>Packed medicines: No medicines packed in dose administration aid</p>
        </div>
  </text>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:0d6aef03-f95e-4748-9d18-162dad3accd5"/>
  </identifier>
  <status value="final"/>
  <type>
    <coding>
      <system value="http://loinc.org"/>
      <code value="56445-0"/>
    </coding>
  </type>
  <category>
    <coding>
      <system value="http://loinc.org"/>
      <code value="56445-0"/>
    </coding>
  </category>
  <subject>🔗 
    <reference value="Patient/hi-testdata-matterson-lenny"/>
    <identifier>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
          <code value="NI"/>
          <display value="National unique individual identifier"/>
        </coding>
        <text value="IHI"/>
      </type>
      <system value="http://ns.electronichealth.net.au/id/hi/ihi/1.0"/>
      <value value="8003608166895854"/>
    </identifier>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/psml-02"/>
  </encounter>
  <date value="2019-02-05"/>
  <author>🔗 
    <reference value="PractitionerRole/pharmacist-retail"/>
  </author>
  <title value="Home Medicines Review Report for Mr. Lenny Matterson"/>
  <custodian>🔗 
    <reference value="Organization/hi-testdata-pharmacy"/>
  </custodian>
  <!--  CURRENT MEDICINES SECTION  -->
  <section>
    <title value="Current Medicines"/>
    <code>
      <coding>
        <system
                value="https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1"/>
        <code value="101.32009"/>
        <display value="Current Medicines"/>
      </coding>
    </code>
    <text>
      <status value="extensions"/>
      <div xmlns="http://www.w3.org/1999/xhtml" lang="en-AU">
                <table border="1">
                    <caption>Home Medicines Review</caption>
                    <thead>
                        <tr>
                            <th>Date of Interview</th>
                            <th/>
                            <th>General Assessment</th>
                        </tr>
                    </thead>
                    <tbody>
                        <tr>
                            <td>5 Feb 2019 10:00AM - 5 Feb 2019 11:15AM</td>
                            <td>Home medicines review</td>
                            <td>Patient has his medications packed into blister packs
                                via ABC pharmacy. He finds them easy to use and they
                                promote good adherence to his regime. His Bluecare
                                nurse, Nurse B, was present for the interview. Of the
                                medication listed on the referral, he is not currently
                                taking Aldara 5% cream and Chloramphenicol ointment. In
                                addition to the medication listed on the referral, he is
                                also taking coQ10 150mg tab - 1 nocte.He reports
                                occasional dizziness if he changes position quickly, and
                                does report falling outside in the garden; he wears a
                                falls alarm buzzer. He reports that he generally only
                                experiences chest pain when he becomes stressed (doesn’t
                                like paperwork). His blood pressure at the time of the
                                interview was 158 /76.</td>
                        </tr>
                    </tbody>
                </table>
                <table border="1">
                    <caption>Current Medicines</caption>
                    <thead>
                        <tr>
                            <th>Medicine</th>
                            <th>Directions</th>
                            <th>Medicine purpose</th>
                            <th>Medicine status</th>
                            <th>Status Reason/Comment</th>
                        </tr>
                    </thead>
                    <tbody>
                        <tr>
                            <td>Amiodarone 200mg tab</td>
                            <td>1 in the morning</td>
                            <td/>
                            <td>Unchanged</td>
                            <td/>
                        </tr>
                        <tr>
                            <td>Bisoprolol 2.5mg tab</td>
                            <td>1/2 tablet in the morning</td>
                            <td/>
                            <td>Unchanged</td>
                            <td/>
                        </tr>
                        <tr>
                            <td>CoQ10 150mg tab</td>
                            <td>1 at night</td>
                            <td/>
                            <td>New</td>
                            <td>In pack – new finding of Atrial fibrillation</td>
                        </tr>
                    </tbody>
                </table>
                <p>Packed medicines: Some medicines packed in dose administration
                    aid</p>
            </div>
    </text>
    <entry>🔗 
      <reference value="List/current-psml-02"/>
    </entry>
  </section>
  <!--  CEASED MEDICINES SECTION  -->
  <section>
    <title value="Ceased medicines"/>
    <code>
      <coding>
        <system
                value="https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1"/>
        <code value="101.32027"/>
        <display value="Ceased Medicines"/>
      </coding>
    </code>
    <text>
      <status value="extensions"/>
      <div xmlns="http://www.w3.org/1999/xhtml" lang="en-AU">
                <table border="1">
                    <caption>Ceased medicines</caption>
                    <thead>
                        <tr>
                            <th>Ceased medicine</th>
                            <th>Reason for ceasing</th>
                        </tr>
                    </thead>
                    <tbody>
                        <tr>
                            <td>Aldara 5% cream</td>
                            <td>Completed 8-week course</td>
                        </tr>
                        <tr>
                            <td>Chloramphenicol 1% eye ointment</td>
                            <td>Stopped due to burning sensation in the eye.</td>
                        </tr>
                    </tbody>
                </table>
                <p>Packed medicines: No medicines packed in dose administration aid</p>
            </div>
    </text>
    <entry>🔗 
      <reference value="List/ceased-psml-02"/>
    </entry>
  </section>
</Composition>