Generated Narrative: Composition de2c9e3f-c4a8-4a65-b355-b08cd2c58c7c Profile: AU PS Composition status: Final type: Patient summary Document date: 2024-10-28 11:57:10+1100 author: PractitionerRole General Practitioner title: Patient Summary for Joyce Johnson as of 28 OCT 2024 Attesters - Mode Time Party * Professional 2024-10-28 11:57:11+1100 PractitionerRole General Practitioner custodian: Organization Bungabbee Medical Clinic Events - Code Period * care provision ?? --> 2024-10-28 11:57:10+1100
Patient Summary for Joyce Johnson as of 28 OCT 2024
No known allergies.
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/Diagnosis Status Comment Gestational diabetes Active Recent diagnosis, referring to Endo & Dietitian Anaemia Active
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 confirmed 12/06/2024. Estimated Date of Delivery 03/02/2025.
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.
Generated Narrative: Patient 85822a88-55b1-460c-bb7b-e8fc22d8568f 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: PractitionerRole General Practitioner Australian Indigenous Status australian-indigenous-status-1: 4 (Neither Aboriginal nor Torres Strait Islander origin)
Neither Aboriginal nor Torres Strait Islander origin
Generated Narrative: AllergyIntolerance 0baac8a9-69b8-4e99-9460-03df08f92c98 Profile: AU PS AllergyIntolerance clinicalStatus: Active code: No known allergy patient: Joyce JOHNSON Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679)
Generated Narrative: MedicationStatement 05292a9c-2bc9-43a7-b935-0a61ede063da Profile: AU PS MedicationStatement status: Active medication: Medication Metformin subject: Joyce JOHNSON Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679) effective: 2024 --> (ongoing) dateAsserted: 2024-10-24 Dosages - Text Timing Route * 500mg twice daily 2 per 1 day Oral route Generated Narrative: Medication #metformin Profile: AU PS Medication code: Metformin form: Tablet
Generated Narrative: MedicationStatement 166c2afe-c6fb-4928-88f0-1c1a1e5e65cd Profile: AU PS MedicationStatement status: Active medication: Prenatal vitamins subject: Joyce JOHNSON Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679) effective: 2024 --> (ongoing) dateAsserted: 2024-10-24 note: Pt prefers Blackmores Dosages - Text Route * 1 tablet daily Oral route
Generated Narrative: MedicationStatement 7193cc2f-d03e-42cb-ab55-4130904505d5 Profile: AU PS MedicationStatement status: Active medication: Insulin (Humulin N) subject: Joyce JOHNSON Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679) effective: 2024 --> (ongoing) dateAsserted: 2024-10-24 Dosages - Text * 10 units subcutaneously in the morning and evening
10 units subcutaneously in the morning and evening
Generated Narrative: MedicationStatement 1c4dd2b6-a9ee-4ba3-9b37-c1aff277c417 Profile: AU PS MedicationStatement status: Active medication: Insulin (Humulin R) subject: Joyce JOHNSON Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679) effective: 2024 --> (ongoing) dateAsserted: 2024-10-24 Dosages - Text * 5 units subcutaneously before each meal
Generated Narrative: Condition cb647933-b18c-42ef-a1c8-ae137921ba83 Profile: AU PS Condition clinicalStatus: Active category: Problem code: Gestational diabetes subject: Joyce JOHNSON Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679) note: Recent diagnosis, referring to Endo & Dietitian
Recent diagnosis, referring to Endo & Dietitian
Generated Narrative: Condition 78f75926-3ee1-44a7-9424-6178d905af63 Profile: AU PS Condition clinicalStatus: Active category: Problem code: Anaemia subject: Joyce JOHNSON Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679)
Generated Narrative: Immunization 784ae7d5-22df-442d-b932-0c001720136c Profile: AU PS Immunization status: Completed vaccineCode: Diphtheria + tetanus + pertussis 5 component adolescent/adult vaccine injection, 0.5 mL syringe patient: Joyce JOHNSON Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679) occurrence: 2024-10-05
Diphtheria + tetanus + pertussis 5 component adolescent/adult vaccine injection, 0.5 mL syringe
Generated Narrative: Observation ad82d71b-ca1c-4db6-a726-cc70cf638306 Profile: Observation Pregnancy - Expected Delivery Date (IPS) status: Final category: Imaging code: Estimated date of delivery subject: Joyce JOHNSON Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679) effective: 2024-06-12 value: 2025-02-03
Generated Narrative: Observation f85ad223-7bed-46f3-893d-e89d6082f9a9 Profile: Observation Pregnancy - Status (IPS) status: Final category: Social History code: Pregnancy status subject: Joyce JOHNSON Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679) effective: 2024-06-12 value: Pregnant hasMember: Observation Estimated date of delivery
Generated Narrative: PractitionerRole afead11c-3bee-4020-af4f-44040abfa961 Profile: AU PS PractitionerRole identifier: Medicare Provider Number/2448681J practitioner: Practitioner Ginger BURROWS organization: Organization Bungabbee Medical Clinic code: General Practitioner specialty: General medical practice telecom: ph: 0270105673(Work), ginger.burrows@bungabbeemc.example.com.au
Generated Narrative: Practitioner 0c0e2c4f-a748-4cc7-afde-f09bdc2d6fa9 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
Generated Narrative: Organization 14292353-98f0-43b3-a25b-406baf3f9175 Profile: AU PS Organization identifier: HPI-O/8003624900039170, ABN/81156248664 type: General practice medical clinic service name: Bungabbee Medical Clinic telecom: ph: 0255506327(Work), info@bungabbeemc.example.com.au address: 158 Toby Ave Bungabbee NSW 2480
Generated Narrative: Immunization 62eb70e3-e814-4785-80d3-8aa45b1fc367 Profile: AU PS Immunization status: Completed vaccineCode: Panvax patient: Joyce JOHNSON Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679) occurrence: 2023-05-15 primarySource: true note: Pt reported localised redness and swelling post previous flu vax last year. Monitor for rxn.
Pt reported localised redness and swelling post previous flu vax last year. Monitor for rxn.
Generated Narrative: Immunization 2f3537b2-f50c-4a2a-ab92-30fdcfe5fd96 Profile: AU PS Immunization Vaccine Vial Serial Number: SERIAL1234 status: Completed vaccineCode: Panvax patient: Joyce JOHNSON Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679) occurrence: 2024-05-05 primarySource: true lotNumber: lot001
Generated Narrative: Immunization 97767fb5-3be7-4d16-9ee8-76c47a4ab0ce Profile: AU PS Immunization Vaccine Vial Serial Number: vNo1111 status: Completed vaccineCode: COVID-19 mRNA-1273 Vaccine (Moderna) injection, 0.5 mL syringe patient: Joyce JOHNSON Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679) occurrence: 2023-05-15 recorded: 2022-02-14 primarySource: true manufacturer: ModernaTX, Inc. lotNumber: RX00000F
Spikevax 50 microgram/0.5 mL injection, 0.5 mL syringe
COVID-19 mRNA-1273 Vaccine (Moderna) injection, 0.5 mL syringe
Generated Narrative: Observation 8924f910-53b3-4125-b0f2-58d0068f8983 Profile: AU PS Smoking Status status: Final category: Social History code: Smoking status subject: Joyce JOHNSON Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679) effective: 2024-10-28 value: Lifetime non-smoker