AU Patient Summary Implementation Guide
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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 28 OCT 2024 (with electronic signature)

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:
Australian Indigenous Statusaustralian-indigenous-status-1 4: Neither Aboriginal nor Torres Strait Islander origin

Document Content

Allergies and Intolerances

No known allergies.

Medication Summary

Medicine Dose 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

Problem list

Problem/Diagnosis Status Comment
Gestational diabetes Active Recent diagnosis, referring to Endo & Dietitian
Anaemia Active

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

Pregnancy Information

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

Social History

Joyce is a 39-year-old woman who is currently pregnant and lives with her partner in a stable home environment. She works in an office-based job, which involves prolonged periods of sitting, but she attempting to increase her activity outside of work through regular walks and light exercise. She has a strong support system, including her partner, family, and close friends. Joyce does not smoke and does not consume alcohol during pregnancy. She follows a generally balanced diet but occasionally consumes convenience foods due to her busy work schedule. She has access to healthcare services and attends routine antenatal appointments as recommended. She reports moderate stress related to work responsibilities and preparing for the baby’s arrival but manages it through mindfulness techniques and social support. Financially, she and her partner are stable, with plans in place for parental leave and childcare. She has no history of substance use and is not exposed to occupational hazards that would pose a risk to her pregnancy. Overall, Joyce maintains a healthy and supportive lifestyle, with good access to medical care and a positive outlook on her pregnancy.

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:
Australian Indigenous Statusaustralian-indigenous-status-1 4: Neither Aboriginal nor Torres Strait Islander origin

Entry 3 - fullUrl = urn:uuid:0baac8a9-69b8-4e99-9460-03df08f92c98

Resource AllergyIntolerance:

clinicalStatus: Active

code: No known allergy

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

Entry 4 - fullUrl = urn:uuid:05292a9c-2bc9-43a7-b935-0a61ede063da

Resource 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

-TextTimingRoute
*500mg twice daily2 per 1 dayOral route

code: Metformin

Entry 5 - fullUrl = urn:uuid:166c2afe-c6fb-4928-88f0-1c1a1e5e65cd

Resource 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

-TextRoute
*1 tablet dailyOral route

Entry 6 - fullUrl = urn:uuid:7193cc2f-d03e-42cb-ab55-4130904505d5

Resource 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 7 - fullUrl = urn:uuid:1c4dd2b6-a9ee-4ba3-9b37-c1aff277c417

Resource 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 8 - fullUrl = urn:uuid:cb647933-b18c-42ef-a1c8-ae137921ba83

Resource 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 9 - fullUrl = urn:uuid:78f75926-3ee1-44a7-9424-6178d905af63

Resource 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 10 - fullUrl = urn:uuid:784ae7d5-22df-442d-b932-0c001720136c

Resource 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 11 - fullUrl = urn:uuid:ad82d71b-ca1c-4db6-a726-cc70cf638306

Resource Observation:

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

Resource Observation:

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

Resource 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 14 - fullUrl = urn:uuid:0c0e2c4f-a748-4cc7-afde-f09bdc2d6fa9

Resource 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 15 - fullUrl = urn:uuid:14292353-98f0-43b3-a25b-406baf3f9175

Resource 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 16 - fullUrl = urn:uuid:62eb70e3-e814-4785-80d3-8aa45b1fc367

Resource 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 17 - fullUrl = urn:uuid:2f3537b2-f50c-4a2a-ab92-30fdcfe5fd96

Resource 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 18 - fullUrl = urn:uuid:97767fb5-3be7-4d16-9ee8-76c47a4ab0ce

Resource 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[17].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 19 - fullUrl = urn:uuid:8924f910-53b3-4125-b0f2-58d0068f8983

Resource Observation:

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