Generated Narrative: Composition 313df1ad-9094-4a93-a0cc-64ee25d3d327 Profile: FHIR International Patient Summary Implementation Options - Complete Option Composition 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 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: Organization 5bc0c003-a3cd-44f2-b3be-8cb256d0e83a Profile: Organization (IPS) identifier: urn:oid:1.3.6.1.4.1.19376.1.5.4/WHO-CX name: World Health Organization
Generated Narrative: Patient 0963fc69-9112-440e-b69d-c96fad05861a Profile: Patient (IPS) Patricia Jordana Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.19376.1.5.4#IHEPCCEX-33159992) Active: true Deceased: 2024-06-30 Contact Detail ph: 07 850 9900(Mobile) Links: General Practitioner: Yaser, Joseph
Generated Narrative: Practitioner fd584c2f-5814-425d-9b00-0a5b1a6effee Profile: Practitioner (IPS) identifier: urn:oid:1.3.6.1.4.1.19376.1.5.4/874635264 (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 9e57d970-d0ae-4a36-908f-1cad06f94f28 Profile: Practitioner (IPS) name: Joseph Yaser
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:1.3.6.1.4.1.19376.1.5.4#IHEPCCEX-33159992) effective: 2024-06-16 dateAsserted: 2024-06-16
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:1.3.6.1.4.1.19376.1.5.4#IHEPCCEX-33159992) onset: 2024-06-15 asserter: Practitioner Joseph Yaser
Influenza caused by pandemic influenza virus (disorder)
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:1.3.6.1.4.1.19376.1.5.4#IHEPCCEX-33159992) onset: 2006-01-03 asserter: Practitioner Joseph Yaser
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:1.3.6.1.4.1.19376.1.5.4#IHEPCCEX-33159992) onset: 2023-11-16 asserter: Practitioner Joseph Yaser
Structure of left thigh (body structure)
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:1.3.6.1.4.1.19376.1.5.4#IHEPCCEX-33159992) 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 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:1.3.6.1.4.1.19376.1.5.4#IHEPCCEX-33159992) 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 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:1.3.6.1.4.1.19376.1.5.4#IHEPCCEX-33159992) 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 [Measurement] in Nasopharynx
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:1.3.6.1.4.1.19376.1.5.4#IHEPCCEX-33159992) 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
Vaccine product containing only Influenza virus antigen (medicinal product)
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:1.3.6.1.4.1.19376.1.5.4#IHEPCCEX-33159992) 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 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:1.3.6.1.4.1.19376.1.5.4#IHEPCCEX-33159992) effective: 2014-02-01 performer: Practitioner Heps Simone MD(official) value: Pregnant hasMember: Observation Delivery date Estimated
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:1.3.6.1.4.1.19376.1.5.4#IHEPCCEX-33159992) effective: 2024-06-02 performer: Practitioner Heps Simone MD(official) value: 2024-12-01
Generated Narrative: DeviceUseStatement 8064d9f4-4b5f-4719-9189-00ec8ef59ec6 Profile: DeviceUseStatement (IPS) status: Completed subject: Patricia Jordana Female, DoB: 1996-05-01 ( urn:oid:1.3.6.1.4.1.19376.1.5.4#IHEPCCEX-33159992) timing: 2014-02-01 device: Device: type = No known device use note: Device data required
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:1.3.6.1.4.1.19376.1.5.4#IHEPCCEX-33159992)
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:1.3.6.1.4.1.19376.1.5.4#IHEPCCEX-33159992) 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
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:1.3.6.1.4.1.19376.1.5.4#IHEPCCEX-33159992) 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 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:1.3.6.1.4.1.19376.1.5.4#IHEPCCEX-33159992) 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 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:1.3.6.1.4.1.19376.1.5.4#IHEPCCEX-33159992) 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 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:1.3.6.1.4.1.19376.1.5.4#IHEPCCEX-33159992) 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 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:1.3.6.1.4.1.19376.1.5.4#IHEPCCEX-33159992) 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 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:1.3.6.1.4.1.19376.1.5.4#IHEPCCEX-33159992) effective: 2024-06-15 09:44:00+0600 performer: Practitioner Heps Simone MD(official) value: 85 % (Details: UCUM code% = '%')
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:1.3.6.1.4.1.19376.1.5.4#IHEPCCEX-33159992) 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 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:1.3.6.1.4.1.19376.1.5.4#IHEPCCEX-33159992)
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:1.3.6.1.4.1.19376.1.5.4#IHEPCCEX-33159992) 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)