Australian Digital Health Agency FHIR Implementation Guide
1.2.0-ci-build - draft
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
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<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>
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<status value="final"/>
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<code value="56445-0"/>
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<subject>🔗
<reference value="Patient/hi-testdata-matterson-lenny"/>
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<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NI"/>
<display value="National unique individual identifier"/>
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<text value="IHI"/>
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<system value="http://ns.electronichealth.net.au/id/hi/ihi/1.0"/>
<value value="8003608166895854"/>
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<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"/>
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<!-- CURRENT MEDICINES SECTION -->
<section>
<title value="Current Medicines"/>
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<display value="Current Medicines"/>
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<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>🔗
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</section>
<!-- CEASED MEDICINES SECTION -->
<section>
<title value="Ceased medicines"/>
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<code value="101.32027"/>
<display value="Ceased Medicines"/>
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<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>IG © 2023+ Australian Digital Health Agency. Package au.digitalhealth.r4#1.2.0-ci-build based on FHIR 4.0.1. Generated 2024-12-19
Links: Table of Contents | QA Report | Version History | Report an issue or propose a change
