Generated Narrative: Composition ex-Composition-secondaryUse-pandemicIPS 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 IHE International PCC Events - Code Period * care provision 2024-07-01 00:00:00+0000 --> 2024-07-01 00:00:00+0000
Problem list section
Allergies and adverse reactions Document
Allergies and intolerances section
Medication section
History of Past Problems Section
Immunizations section
History of Procedures section
Relevant diagnostic tests/laboratory data note
Results section
Social History
Pregnancy section
Vital Signs Section
Plan of Care Section
No Advanced Directives
Alerts Section
Functional Status Section
Generated Narrative: Patient ex-Patient-secondaryUse-pandemicIPS Profile: Patient (IPS) Patricia Jordana(official) 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 Marital Status: Never Married Contact Detail ph: 07 850 9900(Mobile) Grenzstraße Oberhausen 46045 GM (home) Unknown: Joe Smith Links: General Practitioner: Heps, Simone
Generated Narrative: Organization ex-Organization-secondaryUse-pandemicIPS Profile: Organization (IPS) identifier: urn:oid:1.3.6.1.4.1.21367.2011.2.5.5639/IHEPCC-20260331 (use: usual, period: 2026-04-01 --> (ongoing)) active: true type: Educational Institute name: IHE International PCC alias: IHE PCC telecom: +1 630-571-2670, pcc@ihe.net address: 820 Jorie Blvd, Suite 200, Oak Brook, IL 60523 USA
820 Jorie Blvd, Suite 200, Oak Brook, IL 60523 USA
Generated Narrative: Practitioner ex-Practitioner-IPS-SimoneHeps 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
Generated Narrative: Practitioner ex-Practitioner2-secondaryUse-pandemicIPS Profile: Practitioner (IPS) name: Joseph Yaser
Generated Narrative: MedicationStatement ex-MedicationStatement-secondaryUse-pandemicIPS Profile: MedicationStatement (IPS) status: Completed medication: Product containing oseltamivir (medicinal product) subject: Patricia Jordana(official) 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
Product containing oseltamivir (medicinal product)
Generated Narrative: Condition ex-Condition1-secondaryUse-pandemicIPS Profile: Condition (IPS) clinicalStatus: Active verificationStatus: Confirmed category: Problem List Item severity: Severe code: Influenza caused by pandemic influenza virus (disorder) subject: Patricia Jordana(official) 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
Influenza caused by pandemic influenza virus (disorder)
Generated Narrative: Condition ex-Condition2-secondaryUse-pandemicIPS Profile: Condition (IPS) clinicalStatus: Active verificationStatus: Confirmed category: Problem List Item severity: Severe code: Severe asthma (disorder) subject: Patricia Jordana(official) 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
Generated Narrative: Condition ex-Condition3-secondaryUse-pandemicIPS 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(official) 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
Structure of left thigh (body structure)
Generated Narrative: Procedure ex-Procedure-secondaryUse-pandemicIPS Profile: Procedure (IPS) status: Completed code: Artificial ventilation using ventilator subject: Patricia Jordana(official) 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
Artificial ventilation using ventilator (regime/therapy)
Artificial ventilation using ventilaton performed
Generated Narrative: AllergyIntolerance ex-Allergy-secondaryUse-pandemicIPS 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(official) 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
Allergy to component of vaccine product containing Influenza virus antigen (finding)
Generated Narrative: Observation ex-Lab-secondaryUse-pandemicIPS Profile: Observation Results - Laboratory/Pathology (IPS) status: Final category: Laboratory code: Influenza virus A Ag [Presence] in Nasopharynx subject: Patricia Jordana(official) 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
Influenza virus A Ag [Presence] in Nasopharynx
Generated Narrative: Immunization ex-Immunization-secondaryUse-pandemicIPS Profile: Immunization (IPS) status: Completed vaccineCode: Invluenza Vaccination patient: Patricia Jordana(official) 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: Structure of part of left upper limb route: Intramuscular route doseQuantity: 0.5 mL Performers - Function Actor * Ordering Provider Practitioner Joseph Yaser ProtocolApplieds - TargetDisease DoseNumber[x] * Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder) 2
Vaccine product containing only Influenza virus antigen (medicinal product)
Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)
Generated Narrative: Observation ex-PastPresJob-secondaryUse-pandemicIPS Profile: Past Or Present Job status: Final category: Social History code: History of Occupation subject: Patricia Jordana(official) 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
Generated Narrative: Observation ex-PregStat-secondaryUse-pandemicIPS Profile: Observation Pregnancy - Status (IPS) status: Final code: Pregnancy status subject: Patricia Jordana(official) 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
Generated Narrative: Observation ex-EDD-secondaryUse-pandemicIPS Profile: Observation Pregnancy - Expected Delivery Date (IPS) status: Final code: Delivery date Estimated subject: Patricia Jordana(official) 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
Generated Narrative: DeviceUseStatement ex-DeviceUse-secondaryUse-pandemicIPS Profile: DeviceUseStatement (IPS) status: Completed subject: Patricia Jordana(official) 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
Generated Narrative: Device ex-Device-secondaryUse-pandemicIPS Profile: Device (IPS) type: No known device use patient: Patricia Jordana(official) Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.21367.2011.2.5.5639#IHEEX-33159)
Generated Narrative: CarePlan ex-CarePlan-secondaryUse-pandemicIPS status: Completed intent: Order title: Plan of Care subject: Patricia Jordana(official) 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
Treat with antiviral medication for 5 days
Provide Assisted Breathing on Ventilator
Generated Narrative: Flag ex-Alert-secondaryUse-pandemicIPS Profiles: Flag - Alert (IPS), Flag version: 4.0.1 status: Active category: Clinical code: Severe asthma (disorder) subject: Patricia Jordana(official) Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.21367.2011.2.5.5639#IHEEX-33159)
Generated Narrative: ClinicalImpression ex-ClinicalImp-secondaryUse-pandemicIPS status: Completed code: General problem AND/OR complaint (finding) subject: Patricia Jordana(official) 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)
General problem AND/OR complaint (finding)
Generated Narrative: Observation ex-VitalSignsPanel-secondaryUse-pandemicIPS Profile: Vital Signs Profile status: Final category: Vital Signs code: Vital signs, weight, height, head circumference, oxygen saturation and BMI panel subject: Patricia Jordana(official) 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
Vital signs, weight, height, head circumference, oxygen saturation and BMI panel
Generated Narrative: Observation ex-VitalSigns-Height-secondaryUse-pandemicIPS Profile: Vital Signs Profile status: Final category: Vital Signs code: Body height subject: Patricia Jordana(official) 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]')
Generated Narrative: Observation ex-VitalSigns-Weight-secondaryUse-pandemicIPS Profile: Vital Signs Profile status: Final category: Vital Signs code: Body weight subject: Patricia Jordana(official) 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]')
Generated Narrative: Observation ex-VitalSigns-BMI-secondaryUse-pandemicIPS Profile: Vital Signs Profile status: Final category: Vital Signs code: Body mass index (BMI) [Ratio] subject: Patricia Jordana(official) 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')
Generated Narrative: Observation ex-VitalSigns-BP-secondaryUse-pandemicIPS Profile: Vital Signs Profile status: Final category: Vital Signs code: Blood pressure panel with all children optional subject: Patricia Jordana(official) 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]')
Blood pressure panel with all children optional
Generated Narrative: Observation ex-VitalSigns-HeartRate-secondaryUse-pandemicIPS Profile: Vital Signs Profile status: Final category: Vital Signs code: Heart rate subject: Patricia Jordana(official) 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')
Generated Narrative: Observation ex-VitalSigns-OxygenSaturation-secondaryUse-pandemicIPS Profile: Vital Signs Profile status: Final category: Vital Signs code: Oxygen saturation in Arterial blood subject: Patricia Jordana(official) 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% = '%')