ex-Bundle-secondaryUse-pandemnicIPS-example-patient-1-stage-0 - De-Identification Profile v0.0.1-current

De-Identification Profile, published by IHE IT Infrastructure Technical Committee. This guide is not an authorized publication; it is the continuous build for version 0.0.1-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/ITI.DeIdHandbook/ and changes regularly. See the Directory of published versions

Example Bundle: ex-Bundle-secondaryUse-pandemnicIPS-example-patient-1-stage-0

Document Details

Profile: Bundle (IPS)

Final Document at 2024-07-01 00:00:00+0000 by Practitioner Heps Simone MD(official) for Patricia Jordana Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.21367.2011.2.5.5639#IHEEX-33159)

Document Subject

Generated Narrative: Patient d174bd1a-b368-41e6-83a2-af77f2b3c60f

Profile: Patient (IPS)

Patricia Jordana Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.21367.2011.2.5.5639#IHEEX-33159)

Active:

true

Deceased:

2024-06-30

Contact Detail

ph: 07 850 9900(Mobile)

Links:

General Practitioner: Yaser, Joseph

Document Content

Generated Narrative: Composition d174bd1a-b368-41e6-83a2-af77f2b3c60f

Profile: Composition (IPS)

status: Final

type: Patient summary Document

date: 2024-07-01 00:00:00+0000

author: Practitioner Heps Simone MD(official)

title: International Patient Summary

confidentiality: normal

custodian: Organization World Health Organization

Events

Code

Period

care provision

2024-07-01 00:00:00+0000 --> 2024-07-01 00:00:00+0000

Problem List

Problem list section

Allergies and Intolerances

Allergies and intolerances section

Medication List

Medication section

Past Problems

History of Past Problems Section

History of Immunizations

Immunizations section

History of Procedures

History of Procedures section

Diagnostic Results

Results section

Social History

Pregnancy History

Pregnancy section

Medical Devices

Results section

Vital Signs

Vital Signs Section

Plan of Care

Plan of Care Section

Advance Directives

No Advanced Directives

Alerts

Alerts Section

Functional Status

Functional Status Section

Additional Resources Included in Document

Entry 2 - fullUrl = urn:uuid:5bc0c003-a3cd-44f2-b3be-8cb256d0e83a

Resource Organization:

Generated Narrative: Organization 5bc0c003-a3cd-44f2-b3be-8cb256d0e83a

Profile: Organization (IPS)
identifier: urn:oid:1.1.1.1.1.1.1.3/WHO-CX
name: World Health Organization

Entry 3 - fullUrl = urn:uuid:d174bd1a-b368-41e6-83a2-af77f2b3c60f

Resource Patient:

Generated Narrative: Patient d174bd1a-b368-41e6-83a2-af77f2b3c60f
Profile: Patient (IPS)
Patricia Jordana Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.21367.2011.2.5.5639#IHEEX-33159)
Active: true Deceased: 2024-06-30
Contact Detail ph: 07 850 9900(Mobile)
Links:
General Practitioner: Yaser, Joseph

Entry 4 - fullUrl = urn:uuid:fd584c2f-5814-425d-9b00-0a5b1a6effee

Resource Practitioner:

Generated Narrative: Practitioner fd584c2f-5814-425d-9b00-0a5b1a6effee

Profile: Practitioner (IPS)
identifier: urn:oid:2.16.528.1.1007.3.1/874635264 (use: official, ), urn:oid:2.16.840.1.113883.2.4.6.3/567IUI51C154 (use: usual, )
name: Heps Simone MD(Official)
address: Galapagosweg 91 Den Burg 9105 PZ NLD (work)
gender: Female
birthDate: 1971-11-07

Entry 5 - fullUrl = urn:uuid:9e57d970-d0ae-4a36-908f-1cad06f94f28

Resource Practitioner:

Generated Narrative: Practitioner 9e57d970-d0ae-4a36-908f-1cad06f94f28

Profile: Practitioner (IPS)
name: Joseph Yaser

Entry 6 - fullUrl = urn:uuid:dffca459-b71b-41ec-a0a2-077310d64d92

Resource MedicationStatement:

Generated Narrative: MedicationStatement dffca459-b71b-41ec-a0a2-077310d64d92

Profile: MedicationStatement (IPS)
status: Completed
medication: Oseltamivir phosphate (substance)
subject: Patricia Jordana Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.21367.2011.2.5.5639#IHEEX-33159)
effective: 2024-06-16
dateAsserted: 2024-06-16

Entry 7 - fullUrl = urn:uuid:f2acb378-5c29-4541-b0c0-953b53d61d05

Resource Condition:

Generated Narrative: Condition f2acb378-5c29-4541-b0c0-953b53d61d05

Profile: Condition (IPS)
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
severity: Severe
code: Influenza caused by pandemic influenza virus (disorder)
subject: Patricia Jordana Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.21367.2011.2.5.5639#IHEEX-33159)
onset: 2024-06-15
asserter: Practitioner Joseph Yaser

Entry 8 - fullUrl = urn:uuid:fab09f14-d6b9-4bd4-a03b-836568f9706a

Resource Condition:

Generated Narrative: Condition fab09f14-d6b9-4bd4-a03b-836568f9706a

Profile: Condition (IPS)
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
severity: Severe
code: Severe asthma (disorder)
subject: Patricia Jordana Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.21367.2011.2.5.5639#IHEEX-33159)
onset: 2006-01-03
asserter: Practitioner Joseph Yaser

Entry 9 - fullUrl = urn:uuid:22f96a81-b119-4150-bfd2-ffe8ea48cdbb

Resource Condition:

Generated Narrative: Condition 22f96a81-b119-4150-bfd2-ffe8ea48cdbb

Profile: Condition (IPS)
clinicalStatus: Resolved
verificationStatus: Confirmed
category: Encounter Diagnosis
severity: Severe
code: Fracture of femur (disorder)
bodySite: Structure of left thigh (body structure)
subject: Patricia Jordana Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.21367.2011.2.5.5639#IHEEX-33159)
onset: 2023-11-16
asserter: Practitioner Joseph Yaser

Entry 10 - fullUrl = urn:uuid:402afc3f-318f-4a48-9d79-0cab913d7efd

Resource Procedure:

Generated Narrative: Procedure 402afc3f-318f-4a48-9d79-0cab913d7efd

Profile: Procedure (IPS)
status: Completed
code: Laparoscopic appendectomy
subject: Patricia Jordana Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.21367.2011.2.5.5639#IHEEX-33159)
performed: 2024-06-25
bodySite: Lung structure
note:
Artificial ventilation using ventilaton performed

Entry 11 - fullUrl = urn:uuid:b06be658-3d84-4b1b-be48-6fac0e5427c6

Resource AllergyIntolerance:

Generated Narrative: AllergyIntolerance b06be658-3d84-4b1b-be48-6fac0e5427c6

Profile: AllergyIntolerance (IPS)
clinicalStatus: Active
verificationStatus: Confirmed
type: Allergy
category: Medication
criticality: High Risk
code: Allergy to component of vaccine product containing Influenza virus antigen (finding)
patient: Patricia Jordana Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.21367.2011.2.5.5639#IHEEX-33159)
onset: 2020-10-01
lastOccurrence: 2020-10-01
Reactions
- Manifestation Severity
* Rash Moderate

Entry 12 - fullUrl = urn:uuid:e4040d7c-03f5-4e2e-9cfe-3618899aa777

Resource Observation:

Generated Narrative: Observation e4040d7c-03f5-4e2e-9cfe-3618899aa777

Profile: Observation Results - Laboratory/Pathology (IPS)
status: Final
category: Laboratory
code: Influenza virus A Ag [Measurement] in Nasopharynx
subject: Patricia Jordana Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.21367.2011.2.5.5639#IHEEX-33159)
effective: 2024-06-15
performer: Practitioner Heps Simone MD(official)
value: 13.2 g/dL
interpretation: High
note:
Positive for Influenza A

Entry 13 - fullUrl = urn:uuid:7925d1b8-f0b2-49d8-b4a0-68f1b9ae238a

Resource Immunization:

Generated Narrative: Immunization 7925d1b8-f0b2-49d8-b4a0-68f1b9ae238a

Profile: Immunization (IPS)
status: Completed
vaccineCode: Invluenza Vaccination
patient: Patricia Jordana Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.21367.2011.2.5.5639#IHEEX-33159)
occurrence: 2024-05-01
site: left arm
route: Injection, intramuscular
doseQuantity: 0.5 mL
Performers
- Function Actor
* Ordering Provider Practitioner Joseph Yaser
ProtocolApplieds
- TargetDisease DoseNumber[x]
* Influenza caused by pandemic influenza virus (disorder) 2

Entry 14 - fullUrl = urn:uuid:50a342f1-e715-43f9-bf43-30f219e77560

Resource Observation:

Generated Narrative: Observation 50a342f1-e715-43f9-bf43-30f219e77560

Profile: Past Or Present Job
status: Final
category: Social History
code: History of Occupation
subject: Patricia Jordana Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.21367.2011.2.5.5639#IHEEX-33159)
effective: 2016-03-10 --> 2020-04-14
issued: 2024-06-06 13:28:53+0200
performer: Practitioner Heps Simone MD(official)
value: Health Care Assistants
Components
- Code Value[x]
* History of Occupation Industry Residential nursing care facilities

Entry 15 - fullUrl = urn:uuid:525840ed-762d-44c5-a0bf-bac7a275ad80

Resource Observation:

Generated Narrative: Observation 525840ed-762d-44c5-a0bf-bac7a275ad80

Profile: Observation Pregnancy - Status (IPS)
status: Final
code: Pregnancy status
subject: Patricia Jordana Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.21367.2011.2.5.5639#IHEEX-33159)
effective: 2014-02-01
performer: Practitioner Heps Simone MD(official)
value: Pregnant
hasMember: Observation Delivery date Estimated

Entry 16 - fullUrl = urn:uuid:b8b80efb-eb42-4eeb-b308-86a465d0ab7a

Resource Observation:

Generated Narrative: Observation b8b80efb-eb42-4eeb-b308-86a465d0ab7a

Profile: Observation Pregnancy - Expected Delivery Date (IPS)
status: Final
code: Delivery date Estimated
subject: Patricia Jordana Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.21367.2011.2.5.5639#IHEEX-33159)
effective: 2024-06-02
performer: Practitioner Heps Simone MD(official)
value: 2024-12-01

Entry 17 - fullUrl = urn:uuid:8064d9f4-4b5f-4719-9189-00ec8ef59ec6

Resource DeviceUseStatement:

Generated Narrative: DeviceUseStatement 8064d9f4-4b5f-4719-9189-00ec8ef59ec6

Profile: DeviceUseStatement (IPS)
status: Completed
subject: Patricia Jordana Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.21367.2011.2.5.5639#IHEEX-33159)
timing: 2014-02-01
device: Device: type = No known device use
note:
Device data required

Entry 18 - fullUrl = urn:uuid:25a63f47-1f87-42f6-ba4c-c6887f4db418

Resource Device:

Generated Narrative: Device 25a63f47-1f87-42f6-ba4c-c6887f4db418

Profile: Device (IPS)
type: No known device use
patient: Patricia Jordana Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.21367.2011.2.5.5639#IHEEX-33159)

Entry 19 - fullUrl = urn:uuid:0ce67e34-6c8f-4a69-9bb1-1c721635bb84

Resource Observation:

Generated Narrative: Observation 0ce67e34-6c8f-4a69-9bb1-1c721635bb84

Profile: Vital Signs Profile
status: Final
category: Vital Signs
code: Vital signs, weight, height, head circumference, oxygen saturation and BMI panel
subject: Patricia Jordana Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.21367.2011.2.5.5639#IHEEX-33159)
effective: 2024-06-15 09:44:00+0600
performer: Practitioner Heps Simone MD(official)
hasMember:
Observation Body height
Observation Body weight
Observation Body mass index (BMI) [Ratio]
Observation Blood pressure panel with all children optional
Observation Heart rate
Observation Oxygen saturation in Arterial blood

Entry 20 - fullUrl = urn:uuid:049158b0-6710-41b0-a15c-2cc28038abc3

Resource Observation:

Generated Narrative: Observation 049158b0-6710-41b0-a15c-2cc28038abc3

Profile: Vital Signs Profile
status: Final
category: Vital Signs
code: Body height
subject: Patricia Jordana Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.21367.2011.2.5.5639#IHEEX-33159)
effective: 2024-06-15 09:44:00+0600
performer: Practitioner Heps Simone MD(official)
value: 71 in_i (Details: UCUM code[in_i] = '[in_i]')

Entry 21 - fullUrl = urn:uuid:9f58e228-e3e5-49cb-ba99-e4b82c25b4f5

Resource Observation:

Generated Narrative: Observation 9f58e228-e3e5-49cb-ba99-e4b82c25b4f5

Profile: Vital Signs Profile
status: Final
category: Vital Signs
code: Body weight
subject: Patricia Jordana Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.21367.2011.2.5.5639#IHEEX-33159)
effective: 2024-06-15 09:44:00+0600
performer: Practitioner Heps Simone MD(official)
value: 230 lbs (Details: UCUM code[lb_av] = '[lb_av]')

Entry 22 - fullUrl = urn:uuid:f14feb6c-a4df-4460-8b4b-a6acbc6242c5

Resource Observation:

Generated Narrative: Observation f14feb6c-a4df-4460-8b4b-a6acbc6242c5

Profile: Vital Signs Profile
status: Final
category: Vital Signs
code: Body mass index (BMI) [Ratio]
subject: Patricia Jordana Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.21367.2011.2.5.5639#IHEEX-33159)
effective: 2024-06-15 09:44:00+0600
performer: Practitioner Heps Simone MD(official)
value: 32.1 kg/m2 (Details: UCUM codekg/m2 = 'kg/m2')

Entry 23 - fullUrl = urn:uuid:82a522bc-c5f9-44a8-aa94-cd6c2336cdd1

Resource Observation:

Generated Narrative: Observation 82a522bc-c5f9-44a8-aa94-cd6c2336cdd1

Profile: Vital Signs Profile
status: Final
category: Vital Signs
code: Blood pressure panel with all children optional
subject: Patricia Jordana Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.21367.2011.2.5.5639#IHEEX-33159)
effective: 2024-06-15 09:44:00+0600
performer: Practitioner Heps Simone MD(official)
component
code: Systolic blood pressure
value: 80 mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]')
component
code: Diastolic blood pressure
value: 130 mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]')

Entry 24 - fullUrl = urn:uuid:07d7b510-d13b-4298-9e7c-b0ed736a25b8

Resource Observation:

Generated Narrative: Observation 07d7b510-d13b-4298-9e7c-b0ed736a25b8

Profile: Vital Signs Profile
status: Final
category: Vital Signs
code: Heart rate
subject: Patricia Jordana Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.21367.2011.2.5.5639#IHEEX-33159)
effective: 2024-06-15 09:44:00+0600
performer: Practitioner Heps Simone MD(official)
value: 80 /min (Details: UCUM code/min = '/min')

Entry 25 - fullUrl = urn:uuid:706ba889-679c-425e-b117-060c0ffc01e6

Resource Observation:

Generated Narrative: Observation 706ba889-679c-425e-b117-060c0ffc01e6

Profile: Vital Signs Profile
status: Final
category: Vital Signs
code: Oxygen saturation in Arterial blood
subject: Patricia Jordana Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.21367.2011.2.5.5639#IHEEX-33159)
effective: 2024-06-15 09:44:00+0600
performer: Practitioner Heps Simone MD(official)
value: 85 % (Details: UCUM code% = '%')

Entry 26 - fullUrl = urn:uuid:176ae1b5-0e8f-415f-8ea9-a58221f4fbee

Resource CarePlan:

Generated Narrative: CarePlan 176ae1b5-0e8f-415f-8ea9-a58221f4fbee

status: Completed
intent: Order
title: Plan of Care
subject: Patricia Jordana Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.21367.2011.2.5.5639#IHEEX-33159)
period: 2024-06-16 --> (ongoing)
created: 2024-06-16
note: ,
Treat with antiviral medication for 5 days

Provide Assisted Breathing on Ventilator

Entry 27 - fullUrl = urn:uuid:f44c6b4b-53f4-49bb-a251-521379991ce0

Resource Flag:

Generated Narrative: Flag f44c6b4b-53f4-49bb-a251-521379991ce0

Profile: Flag - Alert (IPS)
status: Active
category: Clinical
code: Severe asthma (disorder)
subject: Patricia Jordana Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.21367.2011.2.5.5639#IHEEX-33159)

Entry 28 - fullUrl = urn:uuid:3c297c4b-019a-4284-b667-cfd8666d6aeb

Resource ClinicalImpression:

Generated Narrative: ClinicalImpression 3c297c4b-019a-4284-b667-cfd8666d6aeb

Profile: ClinicalImpression
status: Completed
code: General problem AND/OR complaint (finding)
subject: Patricia Jordana Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.21367.2011.2.5.5639#IHEEX-33159)
effective: 2024-06-16
date: 2024-06-16
assessor: Practitioner Heps Simone MD(official)
Findings
- ItemCodeableConcept
* Finding of walking aid use (finding)