Bundle - Patient Summary for Joyce Johnson as of 07 NOV 2024 (with digital signature) - AU Patient Summary Implementation Guide v0.5.0-cibuild

AU Patient Summary Implementation Guide
0.5.0-cibuild - CI Build Australia flag

AU Patient Summary Implementation Guide, published by HL7 Australia. This guide is not an authorized publication; it is the continuous build for version 0.5.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7au/au-fhir-ps/ and changes regularly. See the Directory of published versions

Example Bundle: Bundle - Patient Summary for Joyce Johnson as of 07 NOV 2024 (with digital signature)

Document Details

Profile: AU PS Bundle

Final Document at 2024-11-07 10:02:10+1100 by Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100 for Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100

Document Subject

Profile: AU PS Patient

Joyce JOHNSON Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679)

Other Id:

Medicare Number/29545401611

Contact Detail

ph: 0270108012(Home)
ph: 0491571804(Mobile)
139 River Lane Palmvale NSW 2484 AU

Links:

General Practitioner: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100

Australian Indigenous Status

australian-indigenous-status-1 4: Neither Aboriginal nor Torres Strait Islander origin

Document Content

Allergies and Intolerances

Type	Substance	Date/time of onset of first reaction	Manifestation	Severity of reaction	Comment
Allergy	Prawns	18:50 02/11/2024	Itchy throat	Mild	Pt stated had prawns with dinner and noticed itchy throat, never experienced this before

Medication Summary

Medicine	Dose	Clinical Indication	Status	Last Updated	Comment
Prenatal vitamins	1 tablet daily		Active	28/10/2024	Pt prefers Blackmores
Insulin (Humulin N)	10 units subcutaneously in the morning and evening		Active	28/10/2024
Insulin (Humulin R)	5 units subcutaneously before each meal		Active	28/10/2024
Metformin	500mg twice daily		Active	28/10/2024
Trimethoprim	300mg daily for 3 days	Urinary tract infection (UTI)	Active	04/11/2024

Problem list

Problem/Diagnosis	Status	Comment
Gestational diabetes	Active	Recent diagnosis, referring to Endo & Dietitian
Anaemia	Active
Urinary tract infection (UTI)	Active	Patient reported symptoms of UTI. MSU to confirm

History of Immunizations

Vaccine	Date of administration	Comment
Diphtheria + tetanus + pertussis 5 component adolescent/adult vaccine injection, 0.5 mL syringe	05/10/2024
Influenza vaccine	05/05/2024
Influenza vaccine	15/05/2023	Pt reported localised redness and swelling post previous flu vax last year. Monitor for rxn.
COVID-19 mRNA-1273 Vaccine (Moderna) injection, 0.5 mL syringe	15/05/2023
Influenza vaccine	01/06/2022
Covid vaccine - Pfizer	02/02/2022
Covid vaccine - Pfizer	20/07/2021
Influenza vaccine	17/05/2021
Covid vaccine - Pfizer	27/04/2021
Influenza vaccine	03/05/2020

Past Medical History (Problems)

Problem/Diagnosis	Status	Onset Date	Comment
Appendicitis	Resolved	03/2000
Upper respiratory tract infection	Resolved	10/2022
First degree burn, Upper shoulders and back	Resolved	02/01/2005	Severe sunburn, upper shoulders and back

Pregnancy Information

Pregnancy confirmed 12/06/2024. Estimated Date of Delivery 03/02/2025.

Result History

Test Name	Test Result	Date
Glucose Tolerance Test (GTT) Fasting	5.3 mmol/L	21/10/2024
Glucose Tolerance Test (GTT) 1 hour	10.0 mmol/L	21/10/2024
Glucose Tolerance Test (GTT) 2 hour	8.6 mmol/L	21/10/2024
Haemoglobin A1c	5.8 %	14/06/2024

Social History

Lifetime non-smoker 28/10/2024

Additional Resources Included in Document

Entry 2 - fullUrl = urn:uuid:85822a88-55b1-460c-bb7b-e8fc22d8568f

Resource Patient:

Profile: AU PS Patient
Joyce JOHNSON Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679)
Other Id: Medicare Number/29545401611
Contact Detail
ph: 0270108012(Home)
ph: 0491571804(Mobile)
139 River Lane Palmvale NSW 2484 AU
Links:
General Practitioner: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100
Australian Indigenous Status australian-indigenous-status-1 4: Neither Aboriginal nor Torres Strait Islander origin

Entry 3 - fullUrl = urn:uuid:f7bd83e4-2a4e-40be-8467-8a29b667ef46

Resource AllergyIntolerance:

Profile: AU PS AllergyIntolerance
clinicalStatus: Active
verificationStatus: Unconfirmed
type: Allergy
code: Prawns
patient: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100
onset: 2024-11-02 18:50:00+1100
recordedDate: 2024-11-04
note:
Pt stated had prawns with dinner and noticed itchy throat, never experienced this before

Reactions
- Manifestation Severity
* No display for AllergyIntolerance.reaction.manifestation (concept: ) Mild

Entry 4 - fullUrl = urn:uuid:cbe37f4b-e84b-4f34-8490-f21da27f1aa9

Resource MedicationStatement:

Profile: AU PS MedicationStatement
status: active
status: recorded
subject: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100
effective: 2024-11-04 --> (ongoing)
dateAsserted: 2024-11-04
Dosages
- Text Timing Route
* 300mg daily for 3 days 3 per 1 day Oral route

Profile: AU PS Medication
code: Trimethoprim

Entry 5 - fullUrl = urn:uuid:05292a9c-2bc9-43a7-b935-0a61ede063da

Resource MedicationStatement:

Profile: AU PS MedicationStatement
status: active
status: recorded
subject: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100
effective: 2024 --> (ongoing)
dateAsserted: 2024-10-24
Dosages
- Text Timing Route
* 500mg twice daily 2 per 1 day Oral route

Profile: AU PS Medication
code: Metformin

Entry 6 - fullUrl = urn:uuid:166c2afe-c6fb-4928-88f0-1c1a1e5e65cd

Resource MedicationStatement:

Profile: AU PS MedicationStatement
status: active
status: recorded
subject: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100
effective: 2024 --> (ongoing)
dateAsserted: 2024-10-24
note:
Pt prefers Blackmores

Dosages
- Text Route
* 1 tablet daily Oral route

Entry 7 - fullUrl = urn:uuid:7193cc2f-d03e-42cb-ab55-4130904505d5

Resource MedicationStatement:

Profile: AU PS MedicationStatement
status: active
status: recorded
subject: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100
effective: 2024 --> (ongoing)
dateAsserted: 2024-10-24
Dosages
- Text
* 10 units subcutaneously in the morning and evening

Entry 8 - fullUrl = urn:uuid:1c4dd2b6-a9ee-4ba3-9b37-c1aff277c417

Resource MedicationStatement:

Profile: AU PS MedicationStatement
status: active
status: recorded
subject: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100
effective: 2024 --> (ongoing)
dateAsserted: 2024-10-24
Dosages
- Text
* 5 units subcutaneously before each meal

Entry 9 - fullUrl = urn:uuid:cb647933-b18c-42ef-a1c8-ae137921ba83

Resource Condition:

Profile: AU PS Condition
clinicalStatus: Active
category: Problem
code: Gestational diabetes
subject: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100
note:
Recent diagnosis, referring to Endo & Dietitian

Entry 10 - fullUrl = urn:uuid:07034a67-66ce-4d29-95ab-1ef7e964a873

Resource Condition:

Profile: AU PS Condition
clinicalStatus: Active
verificationStatus: Provisional
category: Problem
code: Urinary tract infection (UTI)
subject: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100
note:
Patient reported symptoms of UTI. MSU to confirm.

Entry 11 - fullUrl = urn:uuid:78f75926-3ee1-44a7-9424-6178d905af63

Resource Condition:

Profile: AU PS Condition
clinicalStatus: Active
category: Problem
code: Anaemia
subject: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100

Entry 12 - fullUrl = urn:uuid:289aff01-0b3e-4614-aee8-378d074fc3d2

Resource Condition:

Profile: AU PS Condition
clinicalStatus: Resolved
category: Problem
code: Appendicitis
subject: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100

Entry 13 - fullUrl = urn:uuid:e6db9bbe-60c3-4f89-8f65-25c58771fe41

Resource Condition:

Profile: AU PS Condition
clinicalStatus: Resolved
category: Problem
code: Upper respiratory tract infection
subject: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100

Entry 14 - fullUrl = urn:uuid:dc422222-8b3a-4dd5-96b5-b7e0cf43b477

Resource Condition:

Profile: AU PS Condition
clinicalStatus: Resolved
category: Problem
code: First degree burn, Upper shoulders and back
subject: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100
note:
Severe sunburn, upper shoulders and back

Entry 15 - fullUrl = urn:uuid:784ae7d5-22df-442d-b932-0c001720136c

Resource Immunization:

Profile: AU PS Immunization
status: Completed
vaccineCode: Diphtheria + tetanus + pertussis 5 component adolescent/adult vaccine injection, 0.5 mL syringe
patient: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100
occurrence: 2024-10-05

Entry 16 - fullUrl = urn:uuid:ad82d71b-ca1c-4db6-a726-cc70cf638306

Resource Observation:

Profile: Observation Pregnancy - Expected Delivery Date (IPS)
status: Final
category: Imaging
code: Estimated date of delivery
subject: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100
effective: 2024-06-12
value: 2025-02-03

Entry 17 - fullUrl = urn:uuid:f85ad223-7bed-46f3-893d-e89d6082f9a9

Resource Observation:

Profile: Observation Pregnancy - Status (IPS)
status: Final
category: Social History
code: Pregnancy status
subject: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100
effective: 2024-06-12
value: Pregnant
hasMember: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100

Entry 18 - fullUrl = urn:uuid:afead11c-3bee-4020-af4f-44040abfa961

Resource PractitionerRole:

Profile: AU PS PractitionerRole
identifier: Medicare Provider Number/2448681J
practitioner: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100
organization: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100
code: General Practitioner
specialty: General medical practice

Entry 19 - fullUrl = urn:uuid:0c0e2c4f-a748-4cc7-afde-f09bdc2d6fa9

Resource Practitioner:

Profile: AU PS Practitioner
identifier: HPI-I/8003618233385011
name: Ginger BURROWS
telecom: ph: 0270105673(Work), ginger.burrows@bungabbeemc.example.com.au
address: 189 Bay Esp Bungabbee NSW 2480

Entry 20 - fullUrl = urn:uuid:14292353-98f0-43b3-a25b-406baf3f9175

Resource Organization:

Profile: AU PS Organization
identifier: HPI-O/8003624900039170, ABN/81156248664
type: General practice medical clinic service
name: Bungabbee Medical Clinic
contact
telecom: ph: 0255506327(Work), info@bungabbeemc.example.com.au
address: 158 Toby Ave Bungabbee NSW 2480

Entry 21 - fullUrl = urn:uuid:46624cc1-7d2e-4367-aa82-85d097ac423f

Resource Immunization:

Profile: AU PS Immunization
status: Completed
vaccineCode: Panvax
patient: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100
occurrence: 2022-06-01
primarySource: true

Entry 22 - fullUrl = urn:uuid:5711e015-890f-489d-9f8f-49d9a7ff95cd

Resource Immunization:

Profile: AU PS Immunization
status: Completed
vaccineCode: Panvax
patient: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100
occurrence: 2021-05-17
primarySource: true

Entry 23 - fullUrl = urn:uuid:62eb70e3-e814-4785-80d3-8aa45b1fc367

Resource Immunization:

Profile: AU PS Immunization
status: Completed
vaccineCode: Panvax
patient: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100
occurrence: 2023-05-15
primarySource: true
note:
Pt reported localised redness and swelling post previous flu vax last year. Monitor for rxn.

Entry 24 - fullUrl = urn:uuid:2f3537b2-f50c-4a2a-ab92-30fdcfe5fd96

Resource Immunization:

Profile: AU PS Immunization
Vaccine Vial Serial Number: SERIAL1234
status: Completed
vaccineCode: Panvax
lotNumber: lot001
patient: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100
occurrence: 2024-05-05
primarySource: true

Entry 25 - fullUrl = urn:uuid:c4e7d351-cd85-435d-9fa5-2db04108651f

Resource Immunization:

Profile: AU PS Immunization
status: Completed
vaccineCode: Panvax
patient: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100
occurrence: 2020-05-03
primarySource: true

Entry 26 - fullUrl = urn:uuid:97767fb5-3be7-4d16-9ee8-76c47a4ab0ce

Resource Immunization:

Profile: AU PS Immunization
Vaccine Vial Serial Number: vNo1111
status: Completed
vaccineCode: COVID-19 mRNA-1273 Vaccine (Moderna) injection, 0.5 mL syringe
manufacturer: No display for Immunization.manufacturer (reference: ->display: string (PrimitiveType/Bundle.entry[25].resource.manufacturer.reference.display): native = string -> ModernaTX, Inc.)
lotNumber: RX00000F
patient: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100
occurrence: 2023-05-15
primarySource: true

Entry 27 - fullUrl = urn:uuid:40a0b552-b0ea-4283-b33e-a5d2e26ed20f

Resource Immunization:

Profile: AU PS Immunization
Vaccine Vial Serial Number: vNo1111
status: Completed
vaccineCode: Pfizer Comirnaty
manufacturer: No display for Immunization.manufacturer (reference: ->display: string (PrimitiveType/Bundle.entry[26].resource.manufacturer.reference.display): native = string -> Pfizer Australia Ltd)
lotNumber: 300000000P
patient: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100
occurrence: 2021-07-20
primarySource: true
site: Left upper arm

Entry 28 - fullUrl = urn:uuid:fac8c42e-4d2a-4cf5-bcc6-831c60e8230e

Resource Immunization:

Profile: AU PS Immunization
identifier: Uniform Resource Identifier (URI)/urn:uuid:475db616-dfd5-43f3-b935-9f582233a38d
status: Completed
vaccineCode: Pfizer Comirnaty
manufacturer: No display for Immunization.manufacturer (reference: ->display: string (PrimitiveType/Bundle.entry[27].resource.manufacturer.reference.display): native = string -> Pfizer Australia Ltd)
lotNumber: 500000000P
patient: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100
occurrence: 2022-02-02
primarySource: true
site: Left upper arm

Entry 29 - fullUrl = urn:uuid:eb1f812e-41c6-4f8d-b9de-573428a94994

Resource Immunization:

Profile: AU PS Immunization
status: Completed
vaccineCode: Pfizer Comirnaty
manufacturer: No display for Immunization.manufacturer (reference: ->display: string (PrimitiveType/Bundle.entry[28].resource.manufacturer.reference.display): native = string -> Pfizer Australia Ltd)
lotNumber: 200000000P
patient: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100
occurrence: 2021-04-27
primarySource: true
site: Left upper arm

Entry 30 - fullUrl = urn:uuid:5f1b9790-4892-4af3-9b76-3cb4f854a5b1

Resource Observation:

Profile: AU PS Pathology Result Observation
status: Final
category: Laboratory
code: Glucose Tolerance Test (GTT) 2 hour
subject: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100
effective: 2024-10-21
performer: ?rref?
value: 8.6 mmol/L (Details: UCUM codemmol/L = 'mmol/L')

Entry 31 - fullUrl = urn:uuid:1bbd2e05-161d-4030-975c-0cca3ef97cdb

Resource Observation:

Profile: AU PS Pathology Result Observation
status: Final
category: Laboratory
code: Glucose Tolerance Test (GTT) Fasting
subject: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100
effective: 2024-10-21
performer: ?rref?
value: 5.3 mmol/L (Details: UCUM codemmol/L = 'mmol/L')

Entry 32 - fullUrl = urn:uuid:27060cbf-e30e-4091-bd64-7d4ef40916ac

Resource Observation:

Profile: AU PS Pathology Result Observation
status: Final
category: Laboratory
code: Glucose Tolerance Test (GTT) 1 hour
subject: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100
effective: 2024-10-21
performer: ?rref?
value: 10 mmol/L (Details: UCUM codemmol/L = 'mmol/L')

Entry 33 - fullUrl = urn:uuid:fc061f59-5410-41e9-945e-3f59664e8611

Resource Observation:

Profile: AU PS Pathology Result Observation
status: Final
category: Laboratory
code: Haemoglobin A1c
subject: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100
effective: 2024-06-14
performer: ?rref?
value: 5.8 % (Details: UCUM code% = '%')

Entry 34 - fullUrl = urn:uuid:8924f910-53b3-4125-b0f2-58d0068f8983

Resource Observation:

Profile: AU PS Smoking Status
status: Final
category: Social History
code: Smoking status
subject: Bundle: identifier = UUID:b1398367-c580-412f-a34e-a09bab5d0bf2; type = document; timestamp = 2024-11-07 10:02:11+1100
effective: 2024-10-28
value: Lifetime non-smoker

Entry 35 - fullUrl = urn:uuid:40c3b2a7-e673-4f83-8dd8-2b112a88775e

Resource Device:

identifier: http://example.com/CIS-ID/12345
manufacturer: Some Clinical Information System Manufacturer
modelNumber: 2.0.1
type: Clinical information system

IG © 2024+ HL7 Australia. Package hl7.fhir.au.ps#0.5.0-cibuild based on FHIR 4.0.1. Generated 2025-08-29
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