International Patient Summary Implementation Guide
2.0.0 - STU 2

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 All Sections

Document Details

Language: en-NZ

Profile: Bundle (IPS)

Security Label: normal (Details: Confidentiality code N = 'normal')

Final Document at 2024-09-13 by Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000 for Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

Document Subject

Name: Patricia JORDANA

Document Content

Generated Narrative: Composition 9c98f78e-f324-4ad5-97a1-8eb9ef9a1172

version: 1; Language: en-NZ

Profile: Composition (IPS)

identifier: `urn:oid:2.16.840.1.113883.2.18.7.2`/ac7a747c-a2c9-493c-ba39-4ac6997eed1e

status: Final

type: Patient summary Document

date: 2024-09-13

author: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

title: International Patient Summary

confidentiality: normal

### Attesters

- | Mode | Time | Party
* | Professional | 2024-09-13 | Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

custodian: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

### RelatesTos

- | Code | Target[x]
* | Transforms | `urn:oid:2.16.840.1.113883.2.18.7.2`/ac7a747c-a2c9-493c-ba39-4ac6997eed1e

### Events

- | Code | Period
* | care provision | ?? --> 2024-09-13

## Problem List

Problem | Onset | Clinical Status | Verification Status | Severity
--- | --- | --- | --- | ---
Essential hypertension | May 24 2016 20:00 |  |  |
Gout | May 24 2016 20:00 |  |  |

## Allergies and Intolerances

Allergy Type | Substance | Onset | Clinical Status | Verification Status | Reaction
--- | --- | --- | --- | --- | ---
| Penicillin |  |  |  |

## Medication Summary

Medication | Dates | Dosage-Timing | Status | Route
--- | --- | --- | --- | ---
cilazapril 500 microgram tablet, 90 |  |  | stopped |
lisinopril 5 mg tablet |  |  | active |
Ultraproct - cinchocaine 0.5% (5 mg/g) + fluocortolone hexanoate 0.095% (945 microgram/g) + fluocortolone pivalate 0.092% (918 microgram/g) ointment |  |  | active |

## Immunizations

Vaccine | Date | Status | Lot Number
--- | --- | --- | ---
Influenza, split virus, trivalent, preservative | Apr 9 2024 20:00 | Completed | H06
COVID-19, mRNA, LNP-S, bivalent, PF, 30 mcg/0.3 mL dose | Feb 17 2024 19:00 | Completed | GK3908-068
Influenza, split virus, trivalent, preservative | Apr 11 2023 20:00 | Completed | 358899
COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose | Jul 31 2022 20:00 | Completed | PCB0008-07
zoster live | Jul 12 2022 20:00 | Completed | U021248
COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose | Jan 12 2022 19:00 | Completed | FL1072-025
COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose | Aug 26 2021 20:00 | Completed | FE8163-007
COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose | Aug 4 2021 20:00 | Completed | FF8871-001

## Results

Result | Value | Date | Status
--- | --- | --- | ---
Cholesterol.total/Cholesterol in HDL [Molar ratio] in Serum or Plasma | 4.1 mmol/L | Oct 31 2023 11:06 | final
Lipid risk factors [Finding] | A combined CVD risk of which lipids is one component should be estimated to guide CVD risk management decisions. If lipid modifying medication is considered suggest checking first for treatable secondary causes of dyslipidaemia. | Oct 31 2023 11:06 | final
Cholesterol in LDL [Moles/volume] in Serum or Plasma by calculation | 3.6 mmol/L | Oct 31 2023 11:06 | final
Triglyceride [Moles/volume] in Serum or Plasma | 1.7 mmol/L | Oct 31 2023 11:06 | final
Cholesterol [Moles/volume] in Serum or Plasma | 5.7 mmol/L | Oct 31 2023 11:06 | final
Cholesterol in HDL [Moles/volume] in Serum or Plasma | 1.39 mmol/L | Oct 31 2023 11:06 | final

## History of Procedures

Procedure | Date | Status
--- | --- | ---
Total hip replacement | Apr 27 2000 20:00 | Completed

## Device Use

Device | Status | Body Site | Start | End
--- | --- | --- | --- | ---
Hip prosthesis | active |  |  |

## Vital Signs

Vital Sign | Value | Date | Status
--- | --- | --- | ---
Body weight | 91.5 kg | Apr 10 2024 05:58 | final
Body mass index (BMI) [Ratio] | 24.56 kg/m2 | Apr 10 2024 05:58 | final
Blood pressure panel with all children optional | 140/80 mmHg | Aug 30 2024 04:32 | final

## Social History

Social History Observation | Value | Date | Status
--- | --- | --- | ---
Tobacco smoking status | Never smoker | Oct 19 2022 20:00 | final
Alcoholic drinks per day | 1 d | Jun 21 2016 20:00 | final

## Alerts

Alert | Status | Category | Priority | Start | End
--- | --- | --- | --- | --- | ---
Shellfish free diet | Active | Diet |  |  |

## Patient Story

Patient undergoing lifestyle changes to lower blood pressure.

## Advance Directives

Scope | Status | Category | Date | Performer
--- | --- | --- | --- | ---
Treatment | active | Do Not Resuscitate | Aug 31 2021 20:00 |

## Functional Status

Code | Onset | Clinical Status | Verification Status | Severity
--- | --- | --- | --- | ---
Impaired Mobility | May 24 2016 20:00 |  |  |

## History of Past Problems

Past Problem | Onset | Clinical Status | Verification Status | Severity
--- | --- | --- | --- | ---
Fever | May 24 2013 20:00 |  |  |

## History of Pregnancy

Pregnancy Observation | Value | Date | Status
--- | --- | --- | ---
Pregnancy status | Not Pregnant | Jan 9 2020 19:00 | final

## Plan of Care

Title | Description | Status | Intent | Category | Period Start | Period End
--- | --- | --- | --- | --- | --- | ---
Weight Measured | Manage obesity and weight loss | Active | Plan | Weight management plan |  | May 31 2017 20:00

## Additional Resources Included in Document

Entry 2 - fullUrl = https://sample.fhir.org/Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f

Resource Patient:

> Name: Patricia JORDANA

Entry 3 - fullUrl = https://sample.fhir.org/Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881

Resource Organization:

> Generated Narrative: Organization 7a17027f-acc0-4d77-bf84-c0dad8f7c881

> identifier: `https://standards.digital.health.nz/ns/hpi-facility-id`/F2N000

> name: NorthCare Pukete Road-Thomas Road

> partOf: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

Entry 4 - fullUrl = https://sample.fhir.org/Organization/8f8635dc-694e-408f-8ffe-1610d50f9823

Resource Organization:

> Generated Narrative: Organization 8f8635dc-694e-408f-8ffe-1610d50f9823

> identifier: `https://standards.digital.health.nz/ns/hpi-facility-id`/F2N001

> name: NorthCare Health System

Entry 5 - fullUrl = https://sample.fhir.org/PractitionerRole/94d12c8d-a3df-47a7-a0bb-0f29d64bafe2

Resource PractitionerRole:

> Generated Narrative: PractitionerRole 94d12c8d-a3df-47a7-a0bb-0f29d64bafe2

> practitioner: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> code: Doctor

Entry 6 - fullUrl = https://sample.fhir.org/Practitioner/816cf057-b736-4e08-baed-cc21e081b784

Resource Practitioner:

> Generated Narrative: Practitioner 816cf057-b736-4e08-baed-cc21e081b784

> name: HASHIRA COORAY COORAY

> telecom: ph: 07 850 9900(Work)

Entry 7 - fullUrl = https://sample.fhir.org/AllergyIntolerance/9838cf73-c30d-4aa5-8ed8-36a079060b81

Resource AllergyIntolerance:

> Generated Narrative: AllergyIntolerance 9838cf73-c30d-4aa5-8ed8-36a079060b81

> clinicalStatus: Active

> verificationStatus: Confirmed

> code: Penicillin

> patient: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

Entry 8 - fullUrl = https://sample.fhir.org/Condition/8039e4a7-d459-454c-92a5-6c17ca2a824b

Resource Condition:

> Generated Narrative: Condition 8039e4a7-d459-454c-92a5-6c17ca2a824b

> clinicalStatus: Active

> verificationStatus: Confirmed

> code: Essential hypertension

> subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> onset: 2016-05-25

> recordedDate: 2016-05-25

> asserter: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

Entry 9 - fullUrl = https://sample.fhir.org/Condition/f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1

Resource Condition:

> Generated Narrative: Condition f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1

> clinicalStatus: Active

> verificationStatus: Confirmed

> code: Gout

> subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> onset: 2016-05-25

> recordedDate: 2020-10-01

Entry 10 - fullUrl = https://sample.fhir.org/MedicationStatement/c3d31980-2a88-45b6-a7af-3fe8d32cc6fa

Resource MedicationStatement:

> Generated Narrative: MedicationStatement c3d31980-2a88-45b6-a7af-3fe8d32cc6fa

> status: Stopped

> medication: cilazapril 500 microgram tablet, 90

> subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> effective: 2023-12-01

> informationSource: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> > dosage

> > text: Take 1 daily

> > ### DoseAndRates

> > - | Dose[x]
> > * | 1 tablet (Details: SNOMED CT code428673006 = 'Tablet - unit of product usage (qualifier value)')

Entry 11 - fullUrl = https://sample.fhir.org/MedicationStatement/b8dac343-16d7-49bf-ac36-b15e6726c343

Resource MedicationStatement:

> Generated Narrative: MedicationStatement b8dac343-16d7-49bf-ac36-b15e6726c343

> status: Active

> medication: lisinopril 5 mg tablet

> subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> effective: 2024-08-13

> informationSource: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> > dosage

> > text: Take One tablet once daily

> > timing: Once per 1 day

> > route: Swallow, oral

> > ### DoseAndRates

> > - | Dose[x]
> > * | 1 tablet (Details: SNOMED CT code428673006 = 'Tablet - unit of product usage (qualifier value)')

Entry 12 - fullUrl = https://sample.fhir.org/MedicationStatement/b8e4d4a8-2c18-4f03-88dc-06f5f44f8058

Resource MedicationStatement:

> Generated Narrative: MedicationStatement b8e4d4a8-2c18-4f03-88dc-06f5f44f8058

> status: Active

> medication: Ultraproct - cinchocaine 0.5% (5 mg/g) + fluocortolone hexanoate 0.095% (945 microgram/g) + fluocortolone pivalate 0.092% (918 microgram/g) ointment

> subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> effective: 2024-08-30

> informationSource: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> > dosage

> > text: apply a small amount to the affected area up to 4 times daily on the first day, then twice daily for at least 1 week; continue for up to a maximum of 4 weeks

> > ### DoseAndRates

> > - | Dose[x]
> > * | 1 ointment (Details: SNOMED CT code385101003 = 'Ointment')

Entry 13 - fullUrl = https://sample.fhir.org/Immunization/17b5a6d7-307b-4726-8c8c-0031e61582ce

Resource Immunization:

> Generated Narrative: Immunization 17b5a6d7-307b-4726-8c8c-0031e61582ce

> status: Completed

> vaccineCode: Influenza, split virus, trivalent, preservative

> patient: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> occurrence: 2024-04-10

> lotNumber: H06

> site: Structure of left deltoid muscle

> route: Injection, intramuscular

> ### Performers

> - | Actor
> * | Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> ### ProtocolApplieds

> - | Series | DoseNumber[x]
> * | 1 (Over 65 years (Influenza)) | 1

Entry 14 - fullUrl = https://sample.fhir.org/Immunization/14e8b0d8-b4e4-4f8e-b263-ef385787453b

Resource Immunization:

> Generated Narrative: Immunization 14e8b0d8-b4e4-4f8e-b263-ef385787453b

> status: Completed

> vaccineCode: COVID-19, mRNA, LNP-S, bivalent, PF, 30 mcg/0.3 mL dose

> patient: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> occurrence: 2024-02-18

> lotNumber: GK3908-068

> route: Injection, intramuscular

> ### Performers

> - | Actor
> * | Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> ### ProtocolApplieds

> - | Series | DoseNumber[x]
> * | 6 (Booster or Extra dose) | 5

Entry 15 - fullUrl = https://sample.fhir.org/Immunization/47befa30-026c-421a-ad32-c0b134597a30

Resource Immunization:

> Generated Narrative: Immunization 47befa30-026c-421a-ad32-c0b134597a30

> status: Completed

> vaccineCode: Influenza, split virus, trivalent, preservative

> patient: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> occurrence: 2023-04-12

> lotNumber: 358899

> site: Structure of right deltoid muscle

> route: Injection, intramuscular

> ### Performers

> - | Actor
> * | Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> ### ProtocolApplieds

> - | Series | DoseNumber[x]
> * | 1 (Over 65 years (Influenza)) | 1

Entry 16 - fullUrl = https://sample.fhir.org/Immunization/2f05b590-ce75-4ac6-be97-c2a275e21cbc

Resource Immunization:

> Generated Narrative: Immunization 2f05b590-ce75-4ac6-be97-c2a275e21cbc

> status: Completed

> vaccineCode: COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose

> patient: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> occurrence: 2022-08-01

> lotNumber: PCB0008-07

> site: Structure of left deltoid muscle

> route: Injection, intramuscular

> ### Performers

> - | Actor
> * | Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> ### ProtocolApplieds

> - | Series | DoseNumber[x]
> * | 12 (At risk, no previous history) | 4

Entry 17 - fullUrl = https://sample.fhir.org/Immunization/c1d3ccb9-8b7d-4732-8e03-abe63be1984c

Resource Immunization:

> Generated Narrative: Immunization c1d3ccb9-8b7d-4732-8e03-abe63be1984c

> status: Completed

> vaccineCode: zoster live

> patient: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> occurrence: 2022-07-13

> lotNumber: U021248

> site: Entire left upper arm

> route: Injection, intramuscular

> ### Performers

> - | Actor
> * | Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> ### ProtocolApplieds

> - | Series | DoseNumber[x]
> * | 65Y (65 years) | 1

Entry 18 - fullUrl = https://sample.fhir.org/Immunization/79b66c21-fbd3-4c7f-ae82-ac958ae62e0a

Resource Immunization:

> Generated Narrative: Immunization 79b66c21-fbd3-4c7f-ae82-ac958ae62e0a

> status: Completed

> vaccineCode: COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose

> patient: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> occurrence: 2022-01-13

> lotNumber: FL1072-025

> route: Injection, intramuscular

> ### Performers

> - | Actor
> * | Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> ### ProtocolApplieds

> - | Series | DoseNumber[x]
> * | 12 (At risk, no previous history) | 3

Entry 19 - fullUrl = https://sample.fhir.org/Immunization/9910b96a-793b-4e96-91a9-291c27357f83

Resource Immunization:

> Generated Narrative: Immunization 9910b96a-793b-4e96-91a9-291c27357f83

> status: Completed

> vaccineCode: COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose

> patient: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> occurrence: 2021-08-27

> lotNumber: FE8163-007

> site: Structure of left deltoid muscle

> route: Injection, intramuscular

> ### Performers

> - | Actor
> * | Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> ### ProtocolApplieds

> - | Series | DoseNumber[x]
> * | 12 (At risk, no previous history) | 2

Entry 20 - fullUrl = https://sample.fhir.org/Immunization/5b028fb0-bd04-4e75-b2bc-6952771173ea

Resource Immunization:

> Generated Narrative: Immunization 5b028fb0-bd04-4e75-b2bc-6952771173ea

> status: Completed

> vaccineCode: COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose

> patient: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> occurrence: 2021-08-05

> lotNumber: FF8871-001

> site: Structure of left deltoid muscle

> route: Injection, intramuscular

> ### Performers

> - | Actor
> * | Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> ### ProtocolApplieds

> - | Series | DoseNumber[x]
> * | 12 (At risk, no previous history) | 1

Entry 21 - fullUrl = https://sample.fhir.org/Observation/b0187efd-5f9b-474d-87bc-efebf877449a

Resource Observation:

> Generated Narrative: Observation b0187efd-5f9b-474d-87bc-efebf877449a

> status: Final

> category: Laboratory

> code: Cholesterol.total/Cholesterol in HDL [Molar ratio] in Serum or Plasma

> subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> effective: 2023-10-31 15:06:00+0000

> performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> value: 4.1 mmol/L (Details: UCUM codemmol/L = 'mmol/L')

> note:

> > Incr chol 5.7, LDL 3.6, HDL 1.39

> ### ReferenceRanges

> - | Text
> * | NA

Entry 22 - fullUrl = https://sample.fhir.org/Observation/f40b9e26-93b4-462b-8811-bdd6943873aa

Resource Observation:

> Generated Narrative: Observation f40b9e26-93b4-462b-8811-bdd6943873aa

> status: Final

> category: Laboratory

> code: Lipid risk factors [Finding]

> subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> effective: 2023-10-31 15:06:00+0000

> performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> value: A combined CVD risk of which lipids is one component should be estimated to guide CVD risk management decisions. If lipid modifying medication is considered suggest checking first for treatable secondary causes of dyslipidaemia.

> note:

> > Incr chol 5.7, LDL 3.6, HDL 1.39

> ### ReferenceRanges

> - | Text
> * | NA

Entry 23 - fullUrl = https://sample.fhir.org/Observation/612b7e6a-c902-45cb-b45c-d1894458a26b

Resource Observation:

> Generated Narrative: Observation 612b7e6a-c902-45cb-b45c-d1894458a26b

> status: Final

> category: Laboratory

> code: Cholesterol in LDL [Moles/volume] in Serum or Plasma by calculation

> subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> effective: 2023-10-31 15:06:00+0000

> performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> value: 3.6 mmol/L (Details: UCUM codemmol/L = 'mmol/L')

> note:

> > Incr chol 5.7, LDL 3.6, HDL 1.39

> ### ReferenceRanges

> - | Text
> * | NA

Entry 24 - fullUrl = https://sample.fhir.org/Observation/15bd8c0c-fa53-4f5b-994b-487c7db3dc78

Resource Observation:

> Generated Narrative: Observation 15bd8c0c-fa53-4f5b-994b-487c7db3dc78

> status: Final

> category: Laboratory

> code: Triglyceride [Moles/volume] in Serum or Plasma

> subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> effective: 2023-10-31 15:06:00+0000

> performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> value: 1.7 mmol/L (Details: UCUM codemmol/L = 'mmol/L')

> note:

> > Incr chol 5.7, LDL 3.6, HDL 1.39

> ### ReferenceRanges

> - | Text
> * | NA

Entry 25 - fullUrl = https://sample.fhir.org/Observation/5019909f-097d-4a43-84d9-cc50143b8c82

Resource Observation:

> Generated Narrative: Observation 5019909f-097d-4a43-84d9-cc50143b8c82

> status: Final

> category: Laboratory

> code: Cholesterol [Moles/volume] in Serum or Plasma

> subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> effective: 2023-10-31 15:06:00+0000

> performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> value: 5.7 mmol/L (Details: UCUM codemmol/L = 'mmol/L')

> note:

> > Incr chol 5.7, LDL 3.6, HDL 1.39

> ### ReferenceRanges

> - | Text
> * | NA

Entry 26 - fullUrl = https://sample.fhir.org/Observation/5d269392-79c1-4129-a142-0cdee6b49ea4

Resource Observation:

> Generated Narrative: Observation 5d269392-79c1-4129-a142-0cdee6b49ea4

> status: Final

> category: Laboratory

> code: Cholesterol in HDL [Moles/volume] in Serum or Plasma

> subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> effective: 2023-10-31 15:06:00+0000

> performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> value: 1.39 mmol/L (Details: UCUM codemmol/L = 'mmol/L')

> note:

> > Incr chol 5.7, LDL 3.6, HDL 1.39

> ### ReferenceRanges

> - | Text
> * | NA

Entry 27 - fullUrl = https://sample.fhir.org/Observation/36ff59b8-d5a7-438e-b8c6-cd54af10a4af

Resource Observation:

> Generated Narrative: Observation 36ff59b8-d5a7-438e-b8c6-cd54af10a4af

> status: Final

> category: Vital Signs

> code: Body weight

> subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> effective: 2024-04-10 09:58:00+0000

> performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> value: 91.5 kg (Details: UCUM codekg = 'kg')

Entry 28 - fullUrl = https://sample.fhir.org/Observation/96e33a60-dbd8-47ce-b613-be954243939e

Resource Observation:

> Generated Narrative: Observation 96e33a60-dbd8-47ce-b613-be954243939e

> status: Final

> category: Vital Signs

> code: Body mass index (BMI) [Ratio]

> subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> effective: 2024-04-10 09:58:00+0000

> performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> value: 24.56 kg/m2 (Details: UCUM codekg/m2 = 'kg/m2')

Entry 29 - fullUrl = https://sample.fhir.org/Observation/4ea539e1-fff9-4f56-964f-650d9e69ce58

Resource Observation:

> Generated Narrative: Observation 4ea539e1-fff9-4f56-964f-650d9e69ce58

> status: Final

> category: Vital Signs

> code: Blood pressure panel with all children optional

> subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> effective: 2024-08-30 08:32:00+0000

> performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> > component

> > code: Systolic blood pressure

> > value: 140 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

> > component

> > code: Diastolic blood pressure

> > value: 80 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

Entry 30 - fullUrl = https://sample.fhir.org/Observation/9f906425-8c18-4580-ab30-61a56d7f4c05

Resource Observation:

> Generated Narrative: Observation 9f906425-8c18-4580-ab30-61a56d7f4c05

> status: Final

> category: Social History

> code: Tobacco smoking status

> subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> effective: 2022-10-20

> performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> value: Never smoker

Entry 31 - fullUrl = https://sample.fhir.org/Observation/e2e3f8aa-df2a-4357-b01f-a9fba6bb9b41

Resource Observation:

> Generated Narrative: Observation e2e3f8aa-df2a-4357-b01f-a9fba6bb9b41

> status: Final

> category: Social History

> code: Alcoholic drinks per day

> subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> effective: 2016-06-22

> performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> value: 1 d (Details: UCUM coded = 'd')

Entry 32 - fullUrl = https://sample.fhir.org/PractitionerRole/75ed6f24-9a7e-4568-9c05-91b6d4786743

Resource PractitionerRole:

> Generated Narrative: PractitionerRole 75ed6f24-9a7e-4568-9c05-91b6d4786743

> code: Clinical pathologist

Entry 33 - fullUrl = https://sample.fhir.org/Flag/e8ae9c4e-8f5a-4270-bfac-02368c567fcf

Resource Flag:

> Generated Narrative: Flag e8ae9c4e-8f5a-4270-bfac-02368c567fcf

> status: Active

> category: Diet

> code: Shellfish free diet

> subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

Entry 34 - fullUrl = https://sample.fhir.org/Procedure/39252

Resource Procedure:

> Generated Narrative: Procedure 39252

> status: Completed

> code: Total hip replacement

> subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> performed: 2000-04-28

Entry 35 - fullUrl = https://sample.fhir.org/DeviceUseStatement/eumfh-70-275-1

Resource DeviceUseStatement:

> Generated Narrative: DeviceUseStatement eumfh-70-275-1

> status: Active

> subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> timing: Absent because : unknown

> device: Hip prosthesis

Entry 36 - fullUrl = https://sample.fhir.org/Device/eumfh-70-275-2

Resource Device:

> Generated Narrative: Device eumfh-70-275-2

> type: Hip prosthesis, device (physical object)

Entry 37 - fullUrl = https://sample.fhir.org/Consent/080d85fa-c807-42d1-a3af-b3ee70858a54

Resource Consent:

> Generated Narrative: Consent 080d85fa-c807-42d1-a3af-b3ee70858a54

> status: Active

> scope: Treatment

> category: Do Not Resuscitate

> patient: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> dateTime: 2021-09-01

> source: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> policyRule: Common Rule Informed Consent

> ### Provisions

> - | Code
> * | Not for resuscitation

Entry 38 - fullUrl = https://sample.fhir.org/DocumentReference/advance-directive-123

Resource DocumentReference:

> Generated Narrative: DocumentReference advance-directive-123

> status: Current

> type: Health concerns Document

> subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> date: 2025-08-01 10:00:00+0000

> > content

> > ### Attachments

> > - | ContentType | Url | Title
> > * | application/pdf | https://sample.fhir.org/DocumentReference/advance-directive-123/content | Advance Directive Document

Entry 39 - fullUrl = https://sample.fhir.org/Condition/4f3d8f79-2f96-48c5-b346-d47f0c66c981

Resource Condition:

> Generated Narrative: Condition 4f3d8f79-2f96-48c5-b346-d47f0c66c981

> clinicalStatus: Active

> verificationStatus: Confirmed

> code: Impaired Mobility

> subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> onset: 2016-05-25

> recordedDate: 2016-05-25

> asserter: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

Entry 40 - fullUrl = https://sample.fhir.org/Condition/77efacd9-b5a6-4b35-9764-269017ea7567

Resource Condition:

> Generated Narrative: Condition 77efacd9-b5a6-4b35-9764-269017ea7567

> clinicalStatus: Resolved

> verificationStatus: Confirmed

> code: Fever

> subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> onset: 2013-05-25

> recordedDate: 2016-05-25

> asserter: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

Entry 41 - fullUrl = https://sample.fhir.org/CarePlan/85d57ac7-ea2d-47cf-b019-b867f876ee7c

Resource CarePlan:

> A simple care plan to indicate a patient taking their weight once a day because of hypertension.

Entry 42 - fullUrl = https://sample.fhir.org/Observation/f241ac65-5eab-49a0-8b92-7fb263274110

Resource Observation:

> Generated Narrative: Observation f241ac65-5eab-49a0-8b92-7fb263274110

> status: Final

> code: Pregnancy status

> subject: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> effective: 2020-01-10

> performer: Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#ac7a747c-a2c9-493c-ba39-4ac6997eed1e; type = document; timestamp = 2024-09-21 18:53:00+0000

> value: Not Pregnant