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 Data


Document Subject

Martha DeLarosa Female, DoB: 1972-05-01 ( urn:oid:2.16.840.1.113883.2.4.6.3#574687583)


Active:true
Contact Detail
mother:

Document Content

Active Problems

Hot flushes

Medication

MedicationStrengthFormDosageComment
Anastrozole1 mgtabletonce dailytreatment for breast cancer
Black Cohosh Extractpilherbal supplement

Allergies and Intolerances

Allergy to penicillin, high criticality, active No known food allergies

History of Past Illness

Breast cancer Stage II with no evidence of recurrence following treatment

Plan of Treatment

Continue hormone medication with Anastrozole for total of 5 years and monitor for potential breast cancer recurrence

Results

Blood typing
Blood groupA+
C Ab [Presence] in Serum or PlasmaPositive
E Ab [Presence] in Serum or PlasmaPositive
Little c Ab [Presence] in Serum or PlasmaNegative
Hemoglobin A1c monitoring
Hemoglobin A1c/Hemoglobin.total in Blood by HPLC7.5 %
Bacteriology
Methicillin resistant Staphylococcus aureus
Healthy carrier of MRSA

Additional Resources Included in Document


Entry 2 - fullUrl = urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e8

Resource Patient:

Martha DeLarosa Female, DoB: 1972-05-01 ( urn:oid:2.16.840.1.113883.2.4.6.3#574687583)


Active:true
Contact Detail
mother:

Entry 3 - fullUrl = urn:uuid:1c616b24-3895-48c4-9a02-9a64110351ef

Resource Practitioner:

identifier: urn:oid:2.16.528.1.1007.3.1/129854633

active: true

name: Beetje van Hulp

Qualifications

-Code
*Doctor of Medicine

Entry 4 - fullUrl = urn:uuid:890751f4-2924-4636-bab7-efffc7f3cf15

Resource Organization:

identifier: urn:oid:2.16.528.1.1007.3.3/564738757

active: true

name: Anorg Aniza Tion BV / The best custodian ever

Contacts

-TelecomAddress
*+31-51-34343400Houttuinen 27 Dordrecht 3311 CE NL (work)

Entry 5 - fullUrl = urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80

Resource Condition:

identifier: urn:oid:1.2.3.999/c87bf51c-e53c-4bfe-b8b7-aa62bdd93002

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem

severity: Moderate severity

code: Menopausal flushing (finding)

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

onset: 2015

recordedDate: 2016-10


Entry 6 - fullUrl = urn:uuid:c220e36c-eb67-4fc4-9ba1-2fabc52acec6

Resource MedicationStatement:

identifier: urn:oid:1.2.3.999/b75f92cb-61d4-469a-9387-df5ef70d25f0

status: recorded

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

effective: 2015-03 --> (ongoing)

dosage

timing: Count 1 times, Once

route: Oral use

DoseAndRates

-Dose[x]
*1 tablet (Details: UCUM code1 = '1')

Entry 7 - fullUrl = urn:uuid:47524493-846a-4a26-bae2-4ab03e60f02e

Resource MedicationStatement:

identifier: urn:oid:1.2.3.999/9e312d6b-c6b6-439a-a730-6efaa5dcf8bc

status: recorded

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

effective: 2016-01 --> (ongoing)

Dosages

-Route
*Oral use

Entry 8 - fullUrl = urn:uuid:976d0804-cae0-45ae-afe3-a19f3ceba6bc

Resource Medication:

code: Product containing anastrozole (medicinal product)


Entry 9 - fullUrl = urn:uuid:8adc0999-9468-4ac9-9557-680fa133d626

Resource Medication:

code: Black Cohosh Extract herbal supplement


Entry 10 - fullUrl = urn:uuid:72884cad-ebe6-4f43-a51a-2f978275f132

Resource AllergyIntolerance:

identifier: urn:oid:1.2.3.999/3a462598-009c-484a-965c-d6b24a821424

clinicalStatus: Active

verificationStatus: Confirmed

type: Allergy

category: Medication

criticality: High Risk

code: Substance with penicillin structure and antibacterial mechanism of action (substance)

patient: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

onset: 2010


Entry 11 - fullUrl = urn:uuid:c4597aa2-688a-401b-a658-70acc6de28c6

Resource Condition:

identifier: urn:oid:1.2.3.999/66d4a8c7-9081-43e0-a63f-489c2ae6edd6

clinicalStatus: Remission

verificationStatus: Confirmed

category: Problem

severity: Severe

code: Malignant tumor of breast

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

onset: 2015-01

abatement: 2015-03


Entry 12 - fullUrl = urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7

Resource Organization:

active: true

type: Other

name: Laboratoire de charme


Entry 13 - fullUrl = urn:uuid:aa11a2be-3e36-4be7-b58a-6fc3dace2741

Resource Observation:

status: Final

category: Laboratory

code: ABO and Rh group [Type] in Blood

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

effective: 2015-10-10 09:15:00+0100

performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

value: Blood group A Rh(D) positive


Entry 14 - fullUrl = urn:uuid:6e39ccf3-f997-4a2b-8f28-b4b71c778c70

Resource Observation:

status: Final

category: Laboratory

code: C Ab [Presence] in Serum or Plasma

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

effective: 2015-10-10 09:35:00+0100

performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

value: Positive


Entry 15 - fullUrl = urn:uuid:b4916505-a06b-460c-9be8-011609282457

Resource Observation:

status: Final

category: Laboratory

code: E Ab [Presence] in Serum or Plasma

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

effective: 2015-10-10 09:35:00+0100

performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

value: Positive


Entry 16 - fullUrl = urn:uuid:a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4

Resource Observation:

status: Final

category: Laboratory

code: little c Ab [Presence] in Serum or Plasma

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

effective: 2015-10-10 09:35:00+0100

performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

value: Negative


Entry 17 - fullUrl = urn:uuid:2639657a-c19a-48e2-82cc-471e13b8ad94

Resource Observation:

status: Final

category: Laboratory

code: Blood typing

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

effective: 2015-10-10

performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

hasMember:


Entry 18 - fullUrl = urn:uuid:cc354e00-a419-47ea-8b6c-1768b2a01646

Resource Observation:

status: Final

category: Laboratory

code: Hemoglobin A1c/Hemoglobin.total in Blood by HPLC

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

effective: 2017-11-10 08:20:00+0100

performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

value: 7.5 % (Details: UCUM code% = '%')

note:

Above stated goal of 7.0 %


Entry 19 - fullUrl = urn:uuid:26bee0a9-5997-4557-ab9d-c6adbb05b572

Resource Observation:

status: Final

category: Laboratory

code: Bacteria identified in Isolate

subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

effective: 2017-12-10 08:20:00+0100

performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100

value: Methicillin resistant Staphylococcus aureus

note:

Healthy carrier of MRSA


Entry 20 - fullUrl = urn:uuid:c7781f44-6df8-4a8b-9e06-0b34263a47c5

Resource AllergyIntolerance:

clinicalStatus: Active

code: No known food allergy (situation)

patient: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100