RIVO-Noord Zorgviewer Implementation Guide
1.23.0 - CI build

RIVO-Noord Zorgviewer Implementation Guide, published by RIVO-NN HL7NL. This guide is not an authorized publication; it is the continuous build for version 1.23.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/RIVO-Noord/zorgviewer-ig/ and changes regularly. See the Directory of published versions

## Bundle: European Patient Summary (Bundle)

Document Details

Profile: http://hl7.eu/fhir/eps/StructureDefinition/bundle-eu-eps

Final Document at 2022-10-30 by PractitionerRole for Lily van &#039;t Houteveen

Document Subject

Lily van 't Houteveen | female | 07-Feb-1978

Document Content

Generated Narrative: Composition 17b6fb33-7dbf-4fae-a24e-aa772cba4cfc

Profile: http://hl7.eu/fhir/eps/StructureDefinition/composition-eu-eps

Tag: SYNDERAI Synthetic data (Details: tags code synthetic = 'SYNDERAI Synthetic data')

Security Labels: test health data (Details: ActReason code HTEST = 'test health data'), training (Details: ActReason code TRAIN = 'training')

identifier: `urn:oid:2.16.840.1.113883.2.51.999`/a952fdbf-3617-45e5-ae05-64f541f7e007

status: Final

type: Patient summary Document

date: 2022-10-30

author: PractitionerRole

title: European Patient Summary

confidentiality: normal

custodian: Organization ADRZ

## Problem list

Condition | Onset Date | Status
--- | --- | ---
Osteoarthritis of knee | 21-Jan-2020 | active
Fibromyalgia | 04-Feb-2014 | active
Chronic sinusitis | 29-Jan-2002 | active

## Medication list

No known medications

## Immunizations list

Vaccine | Date
--- | ---
Influenza virus antigen only vaccine product | 10-Nov-2024
SARS-CoV-2 mRNA vaccine | 28-Mar-2021
Hepatitis A virus antigen only vaccine product | 01-Oct-2017
Clostridium tetani toxoid antigen adsorbed only vaccine product | 01-Oct-2017

## Procedure History list

Procedure | Date | Reason
--- | --- | ---
Epidural anesthesia | 27-Jan-2019 | Normal pregnancy
Parturition | 27-Jan-2019 | Normal pregnancy

## Allergies and Intolerances

Allergy/Intolerance | Onset Date | Status | Type | Reaction
--- | --- | --- | --- | ---
Allergy to substance | 1977-08-09 | active | environment |
Shellfish | 1977-08-09 | active | food | Anaphylaxis (disorder)<br> </br>Eruption of skin (disorder)

## Care Plan

Active Planned Care / Goals | Start Date | Reason
--- | --- | ---
Musculoskeletal care | 21-Jan-2020 | Osteoarthritis of knee
Reduce knee pain severity to a tolerable level to improve function and quality of life. Increase ability to perform daily activities such as walking and climbing stairs. Complete prescribed knee strengthening and flexibility exercises as recommended. |  |
Self-care interventions | 24-Jul-1977 | -

## Vital Signs

Vital Signs | 2024-11-10 | 2023-11-05
--- | --- | ---
Body Height | 168.1 cm | 168.1 cm
Pain severity - 0-10 verbal numeric rating [Score] - Reported | 3 {score} | 1 {score}
Body Weight | 85.5 kg | 84.4 kg
Body mass index (BMI) [Ratio] | 30.3 kg/m2 | 29.9 kg/m2
Diastolic Blood Pressure | 92 mm[Hg] | 88 mm[Hg]
Systolic Blood Pressure | 113 mm[Hg] | 121 mm[Hg]
Heart rate | 90 /min | 96 /min
Respiratory rate | 14 /min | 15 /min

## Pregnancy History

$
[#] Births total | 1

## Relevant diagnostic tests/laboratory data

Recent Lab Observations | 30-OCT-2022 | Reference Range | Unit
--- | --- | --- | ---
Cholesterol [Mass/volume] in Serum or Plasma | 122.5 L | 125 - 200 | mg/dL
Triglyceride [Mass/volume] in Serum or Plasma | 125.3 | 35 - 150 | mg/dL
Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay | 42.0 | 0 - 130 | mg/dL
Cholesterol in HDL [Mass/volume] in Serum or Plasma | 55.5 | 45 - 95 | mg/dL

## Device Use

Device | Date (since)
--- | ---
Walker (physical object) | 21-Jan-2020
Home nebulizer (physical object) | 29-Jan-2002

## Additional Resources Included in Document

Entry 2 - fullUrl = urn:uuid:4e6bfcf4-42f1-416b-994d-26f1ac0c0677

Resource Patient:

> Lily van 't Houteveen | female | 07-Feb-1978

Entry 3 - fullUrl = urn:uuid:85d7a127-6afc-4156-b3da-574235d429d0

Resource PractitionerRole:

> Provider Role Id 85d7a127-6afc-4156-b3da-574235d429d0

Entry 4 - fullUrl = urn:uuid:87ed10a6-0891-46b6-8b7b-a3c3002eafe2

Resource Organization:

> ADRZ

Entry 5 - fullUrl = urn:uuid:b1f77d95-ce1f-422e-a588-2ec17ae9ee87

Resource Practitioner:

> Dr. Hel Ping

Entry 6 - fullUrl = urn:uuid:b4ceb5d5-a33a-4c0a-89c1-3216dee13693

Resource Condition:

> Osteoarthritis of knee | 21-Jan-2020 | active

Entry 7 - fullUrl = urn:uuid:6b41dc68-4cb9-4c8a-ba1f-f59064912885

Resource Condition:

> Fibromyalgia | 04-Feb-2014 | active

Entry 8 - fullUrl = urn:uuid:129eb868-226b-4560-bb8e-a5eaf0ea68f4

Resource Condition:

> Chronic sinusitis | 29-Jan-2002 | active

Entry 9 - fullUrl = urn:uuid:0466fab5-a881-4c54-85f1-c7c2276973b5

Resource Condition:

> Acute viral pharyngitis | 20-Apr-2022 - 27-Apr-2022 | inactive

Entry 10 - fullUrl = urn:uuid:84ef301f-8d44-4e0d-a7be-0e5f9d871db5

Resource Condition:

> Viral sinusitis | 21-Feb-2020 - 16-Mar-2020 | inactive

Entry 11 - fullUrl = urn:uuid:466dc3e8-12b1-44f1-ae77-445df2b585b4

Resource Condition:

> Miscarriage in first trimester | 09-Jun-2019 - 24-Jun-2019 | inactive

Entry 12 - fullUrl = urn:uuid:a41c03f3-9366-45b7-bcc2-7f54edcd2989

Resource Condition:

> Complete miscarriage | 09-Jun-2019 - 24-Jun-2019 | inactive

Entry 13 - fullUrl = urn:uuid:b4f5357d-126e-43c1-9b96-be41d1cd3173

Resource MedicationStatement:

> Generated Narrative: MedicationStatement b4f5357d-126e-43c1-9b96-be41d1cd3173

> Profile: http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps

> status: Active

> medication: No known medications (situation)

> effective: ?? --> (ongoing)

> subject: Lily van &#039;t Houteveen

Entry 14 - fullUrl = urn:uuid:d0d756e6-f23e-4a8d-952a-84f84f1fc8bb

Resource Immunization:

> Influenza virus antigen only vaccine product | 10-Nov-2024

Entry 15 - fullUrl = urn:uuid:b2167f4a-0ee5-4170-8a94-6372787cc469

Resource Immunization:

> SARS-CoV-2 mRNA vaccine | 28-Mar-2021

Entry 16 - fullUrl = urn:uuid:d82ca099-f151-42ac-bfc4-aa905967e50a

Resource Immunization:

> Hepatitis A virus antigen only vaccine product | 01-Oct-2017

Entry 17 - fullUrl = urn:uuid:525e79ad-d97d-4de9-8e82-15d83ec28db2

Resource Immunization:

> Clostridium tetani toxoid antigen adsorbed only vaccine product | 01-Oct-2017

Entry 18 - fullUrl = urn:uuid:eb50e1a1-3ef4-4bc1-9a77-2a4ea6f5304c

Resource Procedure:

> Epidural anesthesia | 27-Jan-2019 | Normal pregnancy

Entry 19 - fullUrl = urn:uuid:267550aa-5343-43b7-985a-8910654577de

Resource Procedure:

> Parturition | 27-Jan-2019 | Normal pregnancy

Entry 20 - fullUrl = urn:uuid:d60580bd-c956-4b7c-9305-940df95ac4e7

Resource AllergyIntolerance:

> Allergy/Intolerance | Onset Date | Status | Type | Reaction
> --- | --- | --- | --- | ---
> Allergy to substance | 1977-08-09 | active | environment |

Entry 21 - fullUrl = urn:uuid:c417538e-c6ad-474a-96c7-5a807ee2204e

Resource AllergyIntolerance:

> Allergy/Intolerance | Onset Date | Status | Type | Reaction
> --- | --- | --- | --- | ---
> Shellfish | 1977-08-09 | active | food | Anaphylaxis (disorder)<br> </br>Eruption of skin (disorder)

Entry 22 - fullUrl = urn:uuid:38cc86e4-e384-4627-8b21-5da894d0a41d

Resource CarePlan:

> Active Planned Care / Goals | Start Date | Reason
> --- | --- | ---
> Musculoskeletal care | 21-Jan-2020 | Osteoarthritis of knee
> Reduce knee pain severity to a tolerable level to improve function and quality of life. Increase ability to perform daily activities such as walking and climbing stairs. Complete prescribed knee strengthening and flexibility exercises as recommended. |  |

Entry 23 - fullUrl = urn:uuid:d3801f47-fb06-4c61-a031-7aacf514446f

Resource CarePlan:

> Active Planned Care / Goals | Start Date | Reason
> --- | --- | ---
> Self-care interventions | 24-Jul-1977 | -

Entry 24 - fullUrl = urn:uuid:46a8cedd-8e71-4b71-8ff7-6e8f0b5915e4

Resource Observation:

> Vital Sign | Date | Measurement
> --- | --- | ---
> Body Height | 10-Nov-2024 | 168.1 cm

Entry 25 - fullUrl = urn:uuid:328c7df6-7f1e-4b20-aa6f-98dfa7e6581d

Resource Observation:

> Vital Sign | Date | Measurement
> --- | --- | ---
> Pain severity - 0-10 verbal numeric rating [Score] - Reported | 10-Nov-2024 | 3 {score}

Entry 26 - fullUrl = urn:uuid:fc5881c9-cda9-4e49-a24d-8a4e647c254e

Resource Observation:

> Vital Sign | Date | Measurement
> --- | --- | ---
> Body Weight | 10-Nov-2024 | 85.5 kg

Entry 27 - fullUrl = urn:uuid:8cd3529b-4a50-4293-a087-2c3bd7a7edb8

Resource Observation:

> Vital Sign | Date | Measurement
> --- | --- | ---
> Body mass index (BMI) [Ratio] | 10-Nov-2024 | 30.3 kg/m2

Entry 28 - fullUrl = urn:uuid:024d8c5a-2d69-4656-a01f-e62bfdf13312

Resource Observation:

> Vital Sign | Date | Measurement
> --- | --- | ---
> Diastolic Blood Pressure | 10-Nov-2024 | 92 mm[Hg]

Entry 29 - fullUrl = urn:uuid:a3a41314-f4a7-46c4-966e-89b3cbe71757

Resource Observation:

> Vital Sign | Date | Measurement
> --- | --- | ---
> Systolic Blood Pressure | 10-Nov-2024 | 113 mm[Hg]

Entry 30 - fullUrl = urn:uuid:1568aa25-3c00-4f90-8818-bcbd13932209

Resource Observation:

> Vital Sign | Date | Measurement
> --- | --- | ---
> Heart rate | 10-Nov-2024 | 90 /min

Entry 31 - fullUrl = urn:uuid:d4e15888-1d2a-4730-9a8e-53afe9a5e85f

Resource Observation:

> Vital Sign | Date | Measurement
> --- | --- | ---
> Respiratory rate | 10-Nov-2024 | 14 /min

Entry 32 - fullUrl = urn:uuid:39e876db-8c95-4863-a21f-23e81f0f9d86

Resource Observation:

> Vital Sign | Date | Measurement
> --- | --- | ---
> Body Height | 05-Nov-2023 | 168.1 cm

Entry 33 - fullUrl = urn:uuid:d468c255-d47a-4305-b039-f9eaad4cb44e

Resource Observation:

> Vital Sign | Date | Measurement
> --- | --- | ---
> Pain severity - 0-10 verbal numeric rating [Score] - Reported | 05-Nov-2023 | 1 {score}

Entry 34 - fullUrl = urn:uuid:51d24796-6ce3-408d-ae26-331246616c65

Resource Observation:

> Vital Sign | Date | Measurement
> --- | --- | ---
> Body Weight | 05-Nov-2023 | 84.4 kg

Entry 35 - fullUrl = urn:uuid:22dd6799-71d8-414d-bf55-cd65d3ea998c

Resource Observation:

> Vital Sign | Date | Measurement
> --- | --- | ---
> Body mass index (BMI) [Ratio] | 05-Nov-2023 | 29.9 kg/m2

Entry 36 - fullUrl = urn:uuid:1efe2316-cdee-48fa-8fb3-11ea53684a2d

Resource Observation:

> Vital Sign | Date | Measurement
> --- | --- | ---
> Diastolic Blood Pressure | 05-Nov-2023 | 88 mm[Hg]

Entry 37 - fullUrl = urn:uuid:790f5408-44a3-4425-bb64-1b3c0819e847

Resource Observation:

> Vital Sign | Date | Measurement
> --- | --- | ---
> Systolic Blood Pressure | 05-Nov-2023 | 121 mm[Hg]

Entry 38 - fullUrl = urn:uuid:95001555-a2ee-4d75-8968-9eeb1ecbdb9c

Resource Observation:

> Vital Sign | Date | Measurement
> --- | --- | ---
> Heart rate | 05-Nov-2023 | 96 /min

Entry 39 - fullUrl = urn:uuid:f25d7ac0-c367-4ec9-805e-c7a5f3af9106

Resource Observation:

> Vital Sign | Date | Measurement
> --- | --- | ---
> Respiratory rate | 05-Nov-2023 | 15 /min

Entry 40 - fullUrl = urn:uuid:2705c0f6-549a-44cf-a199-b334030bc6f8

Resource Observation:

> Test | 30-Oct-2022 | Reference Range | Unit
> --- | --- | --- | ---
> Cholesterol [Mass/volume] in Serum or Plasma | 122.5 | 125 - 200 | L | mg/dL

Entry 41 - fullUrl = urn:uuid:4577d16f-e187-4044-afa0-4ea0d17d86d0

Resource Observation:

> Test | 30-Oct-2022 | Reference Range | Unit
> --- | --- | --- | ---
> Triglyceride [Mass/volume] in Serum or Plasma | 125.3 | 35 - 150 |  | mg/dL

Entry 42 - fullUrl = urn:uuid:cda76d4b-dc0d-4663-9b8a-2c5356b726a4

Resource Observation:

> Test | 30-Oct-2022 | Reference Range | Unit
> --- | --- | --- | ---
> Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay | 42.0 | 0 - 130 |  | mg/dL

Entry 43 - fullUrl = urn:uuid:6aa206a8-d0b1-4a37-be9f-1fe74f432839

Resource Observation:

> Test | 30-Oct-2022 | Reference Range | Unit
> --- | --- | --- | ---
> Cholesterol in HDL [Mass/volume] in Serum or Plasma | 55.5 | 45 - 95 |  | mg/dL

Entry 44 - fullUrl = urn:uuid:82851773-8257-4aea-bd64-ea2fa18fe562

Resource DeviceUseStatement:

> Walker (physical object) | 21-Jan-2020

Entry 45 - fullUrl = urn:uuid:1d6bbfe1-271e-4690-b75e-ed859a3dbbfa

Resource Device:

> Generated Narrative: Device 1d6bbfe1-271e-4690-b75e-ed859a3dbbfa

> Profile: http://hl7.eu/fhir/eps/StructureDefinition/device-eu-eps

> status: Active

> type: Walker (physical object)

> patient: Lily van &#039;t Houteveen

Entry 46 - fullUrl = urn:uuid:3471f2b1-0f88-415c-8a65-bd368064d65b

Resource DeviceUseStatement:

> Home nebulizer (physical object) | 29-Jan-2002

Entry 47 - fullUrl = urn:uuid:8fce8fb4-e974-4785-a1a5-965ce972c0c9

Resource Device:

> Generated Narrative: Device 8fce8fb4-e974-4785-a1a5-965ce972c0c9

> Profile: http://hl7.eu/fhir/eps/StructureDefinition/device-eu-eps

> status: Active

> type: Home nebulizer (physical object)

> patient: Lily van &#039;t Houteveen

Entry 48 - fullUrl = urn:uuid:13a5303b-15bc-49ac-b4f0-14ff002c4757

Resource Device:

> SYNDERAI Synthetic Generator v5.0

Entry 49 - fullUrl = urn:uuid:17e7ebe1-26ca-4ce1-9233-33b906e5089f

Resource Provenance:

> Provenance for SYNDERAI Synthetic Example Data Resource