International Patient Summary Implementation Guide
2.0.0 - STU 2
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
Document Details
Generated Narrative: Bundle Patient Summary as of December 11, 2017 14:30
Language: en-GB
Final Document at 2017-12-11 14:30:00+0100 by 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 for 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
Document Subject
Generated Narrative: Patient 2b90dd2b-2dab-4c75-9bb9-a355e07401e1-with-immunization
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
| Medication | Strength | Form | Dosage | Comment |
|---|---|---|---|---|
| Anastrozole | 1 mg | tablet | once daily | treatment for breast cancer |
| Black Cohosh Extract | pil | herbal supplement |
| Blood typing | ||
|---|---|---|
| Blood group | A+ | |
| C Ab [Presence] in Serum or Plasma | Positive | |
| E Ab [Presence] in Serum or Plasma | Positive | |
| Little c Ab [Presence] in Serum or Plasma | Negative | |
| Hemoglobin A1c monitoring | ||
|---|---|---|
| Hemoglobin A1c/Hemoglobin.total in Blood by HPLC | 7.5 % | |
| Bacteriology | ||
|---|---|---|
| Methicillin resistant Staphylococcus aureus | ||
| Healthy carrier of MRSA |
Marie Lux-Brennard (Apr 17, 1998)
Vaccin anti diphtérie-coqueluche-tétanos-poliomyélite, Jun 3, 1998, 10:00:00 PM
Voie intramusculaire, Cuisse droite
Entry 1 - fullUrl = urn:uuid:30551ce1-5a28-4356-b684-1e639094ad4d
Resource Composition:
Generated Narrative: Composition 30551ce1-5a28-4356-b684-1e639094ad4d
identifier:
urn:oid:2.16.724.4.8.10.200.10/3f69e0a5-2177-4540-baab-7a5d0877428fstatus: Final
type: Patient summary Document
date: 2017-12-11 14:30:00+0100
title: Patient Summary as of December 11, 2017 14:30
attester
mode: Legal
time: 2017-12-11 14:30:00+0100
attester
mode: Legal
time: 2017-12-11 14:30:00+0100
relatesTo
No display for RelatedArtifact (type: appends)Events
Period Detail ?? --> 2017-12-11 14:30:00+0100 No display for Composition.event.detail (concept: care provision)
Entry 2 - fullUrl = urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1
Resource Patient:
Generated Narrative: Patient 2b90dd2b-2dab-4c75-9bb9-a355e07401e1-with-immunization
Martha DeLarosa Female, DoB: 1972-05-01 ( urn:oid:2.16.840.1.113883.2.4.6.3#574687583)
Active: true Contact Detail
- +31788700800
- Laan Van Europa 1600 Dordrecht 3317 DB NL
mother:
- Martha Mum
- Promenade des Anglais 111 Lyon 69001 FR
- +33-555-20036
Entry 3 - fullUrl = urn:uuid:1c616b24-3895-48c4-9a02-9a64110351ef
Resource Practitioner:
Generated Narrative: Practitioner 1c616b24-3895-48c4-9a02-9a64110351ef-with-immunization
identifier:
urn:oid:2.16.528.1.1007.3.1/129854633active: true
name: Beetje van Hulp
Qualifications
Code Doctor of Medicine
Entry 4 - fullUrl = urn:uuid:890751f4-2924-4636-bab7-efffc7f3cf15
Resource Organization:
Generated Narrative: Organization 890751f4-2924-4636-bab7-efffc7f3cf15-with-immunization
identifier:
urn:oid:2.16.528.1.1007.3.3/564738757active: true
name: Anorg Aniza Tion BV / The best custodian ever
Contacts
Telecom Address +31-51-34343400 Houttuinen 27 Dordrecht 3311 CE NL (work)
Entry 5 - fullUrl = urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80
Resource Condition:
Generated Narrative: Condition c64139e7-f02d-409c-bf34-75e8bf23bc80-with-immunization
identifier:
urn:oid:1.2.3.999/c87bf51c-e53c-4bfe-b8b7-aa62bdd93002clinicalStatus: Active
verificationStatus: Confirmed
category: Problem
severity: Moderate severity
code: Menopausal flushing (finding)
onset: 2015
recordedDate: 2016-10
Entry 6 - fullUrl = urn:uuid:c220e36c-eb67-4fc4-9ba1-2fabc52acec6
Resource MedicationStatement:
Generated Narrative: MedicationStatement c220e36c-eb67-4fc4-9ba1-2fabc52acec6-with-immunization
identifier:
urn:oid:1.2.3.999/b75f92cb-61d4-469a-9387-df5ef70d25f0status: recorded
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:
Generated Narrative: MedicationStatement 47524493-846a-4a26-bae2-4ab03e60f02e-with-immunization
identifier:
urn:oid:1.2.3.999/9e312d6b-c6b6-439a-a730-6efaa5dcf8bcstatus: recorded
effective: 2016-01 --> (ongoing)
Dosages
Route Oral use
Entry 8 - fullUrl = urn:uuid:976d0804-cae0-45ae-afe3-a19f3ceba6bc
Resource Medication:
Generated Narrative: Medication 976d0804-cae0-45ae-afe3-a19f3ceba6bc-with-immunization
code: Product containing anastrozole (medicinal product)
Entry 9 - fullUrl = urn:uuid:8adc0999-9468-4ac9-9557-680fa133d626
Resource Medication:
Generated Narrative: Medication 8adc0999-9468-4ac9-9557-680fa133d626-with-immunization
code: Black Cohosh Extract herbal supplement
Entry 10 - fullUrl = urn:uuid:72884cad-ebe6-4f43-a51a-2f978275f132
Resource AllergyIntolerance:
Generated Narrative: AllergyIntolerance 72884cad-ebe6-4f43-a51a-2f978275f132-with-immunization
identifier:
urn:oid:1.2.3.999/3a462598-009c-484a-965c-d6b24a821424clinicalStatus: Active
verificationStatus: Confirmed
type: Allergy
category: Medication
criticality: High Risk
code: Substance with penicillin structure and antibacterial mechanism of action (substance)
onset: 2010
Entry 11 - fullUrl = urn:uuid:c4597aa2-688a-401b-a658-70acc6de28c6
Resource Condition:
Generated Narrative: Condition c4597aa2-688a-401b-a658-70acc6de28c6-with-immunization
identifier:
urn:oid:1.2.3.999/66d4a8c7-9081-43e0-a63f-489c2ae6edd6clinicalStatus: Remission
verificationStatus: Confirmed
category: Problem
severity: Severe
code: Malignant tumor of breast
onset: 2015-01
abatement: 2015-03
Entry 12 - fullUrl = urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7
Resource Organization:
Generated Narrative: Organization 45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7-with-immunization
active: true
type: Other
name: Laboratoire de charme
Entry 13 - fullUrl = urn:uuid:aa11a2be-3e36-4be7-b58a-6fc3dace2741
Resource Observation:
Generated Narrative: Observation aa11a2be-3e36-4be7-b58a-6fc3dace2741-with-immunization
status: Final
category: Laboratory
code: ABO and Rh group [Type] in Blood
effective: 2015-10-10 09:15:00+0100
value: Blood group A Rh(D) positive
Entry 14 - fullUrl = urn:uuid:6e39ccf3-f997-4a2b-8f28-b4b71c778c70
Resource Observation:
Generated Narrative: Observation 6e39ccf3-f997-4a2b-8f28-b4b71c778c70-with-immunization
status: Final
category: Laboratory
code: C Ab [Presence] in Serum or Plasma
effective: 2015-10-10 09:35:00+0100
value: Positive
Entry 15 - fullUrl = urn:uuid:b4916505-a06b-460c-9be8-011609282457
Resource Observation:
Generated Narrative: Observation b4916505-a06b-460c-9be8-011609282457-with-immunization
status: Final
category: Laboratory
code: E Ab [Presence] in Serum or Plasma
effective: 2015-10-10 09:35:00+0100
value: Positive
Entry 16 - fullUrl = urn:uuid:a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4
Resource Observation:
Generated Narrative: Observation a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4-with-immunization
status: Final
category: Laboratory
code: little c Ab [Presence] in Serum or Plasma
effective: 2015-10-10 09:35:00+0100
value: Negative
Entry 17 - fullUrl = urn:uuid:2639657a-c19a-48e2-82cc-471e13b8ad94
Resource Observation:
Generated Narrative: Observation 2639657a-c19a-48e2-82cc-471e13b8ad94-with-immunization
status: Final
category: Laboratory
code: Blood typing
effective: 2015-10-10
hasMember:
- 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
- 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
- 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
- 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
Entry 18 - fullUrl = urn:uuid:cc354e00-a419-47ea-8b6c-1768b2a01646
Resource Observation:
Generated Narrative: Observation cc354e00-a419-47ea-8b6c-1768b2a01646-with-immunization
status: Final
category: Laboratory
code: Hemoglobin A1c/Hemoglobin.total in Blood by HPLC
effective: 2017-11-10 08:20:00+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:
Generated Narrative: Observation 26bee0a9-5997-4557-ab9d-c6adbb05b572-with-immunization
status: Final
category: Laboratory
code: Bacteria identified in Isolate
effective: 2017-12-10 08:20:00+0100
value: Methicillin resistant Staphylococcus aureus
note: Healthy carrier of MRSA
Entry 20 - fullUrl = urn:uuid:c7781f44-6df8-4a8b-9e06-0b34263a47c5
Resource AllergyIntolerance:
Generated Narrative: AllergyIntolerance c7781f44-6df8-4a8b-9e06-0b34263a47c5-with-immunization
clinicalStatus: Active
code: No known food allergy (situation)
Entry 21 - fullUrl = urn:uuid:40b7b6a0-c043-423a-9959-be3707e728b2
Resource Immunization:
Generated Narrative: Immunization 40b7b6a0-c043-423a-9959-be3707e728b2
Language: fr-LU
status: Completed
vaccineCode: Vaccin anti diphtérie-coqueluche-tétanos-poliomyélite
lotNumber: AXK23RWERS
expirationDate: 2000-06-01
occurrence: 1998-06-04 00:00:00+0200
primarySource: true
site: Cuisse droite
route: Voie intramusculaire
ProtocolApplieds
TargetDisease Pertussis
IG © 2020+ HL7 International / Patient Care. Package hl7.fhir.uv.ips#2.0.0 based on FHIR 4.0.1. Generated 2024-11-25
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change