AU Patient Summary Implementation Guide
0.1.0-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 0.1.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7au/draft-au-patient-summary/ and changes regularly. See the Directory of published versions

Example Bundle: Bundle - Patient Summary (AU Core and IPS compliant)


Document Subject

Generated Narrative: Patient 36298f0d-9a50-48f5-a739-851d8bc8f018

Li Wang Male, DoB: 1975-05-03 ( IHI: Austalian Healthcare Identifier - Individual#8003608833357361)


Other Ids:
  • Medicare Number/29533070322
  • Medical Record Number/2338189
Contact Detail29 Gadsby Street Blacktown NSW 2148 AU (home)
Language:Cantonese (preferred)
unrelated friend:
  • Peter Rabbit Rabbit
  • 29 Gadsby Street Blacktown NSW 2148 AU (home)
  • ph: 07 853 9191(Home)
Patient Birth PlaceChina
Date of Arrival in Australia2015
Australian Indigenous Statusaustralian-indigenous-status-1 4: Neither Aboriginal nor Torres Strait Islander origin
Patient Interpreter Requiredtrue

Document Content

Medicines

Medicines
Medication Dose
Candesartan 32mg 1 tablet daily
Metformin 500mg 1 tablet twice daily

Allergies and Adverse Reactions

No available information.

Medical History

Problems and Diagnoses
Condition Onset Abatement / Resolution
Atrial fibrillation 2019 -
Right lower zone pneumonia March 2019 April 2019
Procedures
Procedure Date
Total replacement of left knee joint 27 February 2019

Immunisations

Immunisations
Vaccine Date administered
diphtheria + tetanus 15 APR 2018

Additional Resources Included in Document


Entry 1 - fullUrl = urn:uuid:472d2cd8-cb3f-4450-854a-fae62130324c

Resource Composition:

Generated Narrative: Composition 472d2cd8-cb3f-4450-854a-fae62130324c

Language: en-AU

Profile: http://hl7.org.au/fhir/aups/StructureDefinition/au-ps-composition

Information Recipient: Bundle: identifier = UUID:fe178cb8-19ea-41e5-80ef-88bdb8e6f8f8; type = document; timestamp = 2019-09-17 09:01:00+1000

identifier: URI/urn:uuid:0407733f-398c-4109-a35d-4dc16d3e47d1

status: Final

type: Patient summary Document

category: Patient summary Document

date: 2019-09-17 09:00:00+1000

author: Bundle: identifier = UUID:fe178cb8-19ea-41e5-80ef-88bdb8e6f8f8; type = document; timestamp = 2019-09-17 09:01:00+1000

title: Patient Summary

Attesters

-ModeTimeParty
*Legal2019-09-17 09:00:00+1000Bundle: identifier = UUID:fe178cb8-19ea-41e5-80ef-88bdb8e6f8f8; type = document; timestamp = 2019-09-17 09:01:00+1000

custodian: Bundle: identifier = UUID:fe178cb8-19ea-41e5-80ef-88bdb8e6f8f8; type = document; timestamp = 2019-09-17 09:01:00+1000


Entry 2 - fullUrl = urn:uuid:36298f0d-9a50-48f5-a739-851d8bc8f018

Resource Patient:

Generated Narrative: Patient 36298f0d-9a50-48f5-a739-851d8bc8f018

Li Wang Male, DoB: 1975-05-03 ( IHI: Austalian Healthcare Identifier - Individual#8003608833357361)


Other Ids:
  • Medicare Number/29533070322
  • Medical Record Number/2338189
Contact Detail29 Gadsby Street Blacktown NSW 2148 AU (home)
Language:Cantonese (preferred)
unrelated friend:
  • Peter Rabbit Rabbit
  • 29 Gadsby Street Blacktown NSW 2148 AU (home)
  • ph: 07 853 9191(Home)
Patient Birth PlaceChina
Date of Arrival in Australia2015
Australian Indigenous Statusaustralian-indigenous-status-1 4: Neither Aboriginal nor Torres Strait Islander origin
Patient Interpreter Requiredtrue

Entry 3 - fullUrl = urn:uuid:c2f13b02-23fa-4a14-a95e-8ecc811454f6

Resource PractitionerRole:

Generated Narrative: PractitionerRole c2f13b02-23fa-4a14-a95e-8ecc811454f6

identifier: Employee Number/BBC-GA-001, HPI-I/8003619900015717

practitioner: Bundle: identifier = UUID:fe178cb8-19ea-41e5-80ef-88bdb8e6f8f8; type = document; timestamp = 2019-09-17 09:01:00+1000

organization: Bundle: identifier = UUID:fe178cb8-19ea-41e5-80ef-88bdb8e6f8f8; type = document; timestamp = 2019-09-17 09:01:00+1000

code: General Practitioner


Entry 4 - fullUrl = urn:uuid:64af843a-685d-4383-b013-cfaf4eb4f627

Resource Practitioner:

Generated Narrative: Practitioner 64af843a-685d-4383-b013-cfaf4eb4f627

identifier: Medicare Provider Number/1234561A, Prescriber Number/553255

name: Bob Bobrester

telecom: drbob@bobrestermedical.example.com

Qualifications

-ExtensionIdentifierCodePeriodIssuer
*Ahpra Registration Number/MED0002137855Medical Practitioner1996-02-08 --> (ongoing)Australian Health Practitioner Regulation Agency

Entry 5 - fullUrl = urn:uuid:113f3887-9b92-4b4e-be67-73f11bb9fed9

Resource Organization:

Generated Narrative: Organization 113f3887-9b92-4b4e-be67-73f11bb9fed9

identifier: HPI-O/8003621566684455

type: Medical Center

name: Bobrester Medical Center

contact

telecom: info@bobrestermedical.example.com, ph: (07) 5550 2427(Work)

address: 87 Western Esp Tindal RAAF QLD 4655 AU


Entry 6 - fullUrl = urn:uuid:374e5ac9-9262-42ce-8400-63afb0ae7170

Resource MedicationStatement:

Generated Narrative: MedicationStatement 374e5ac9-9262-42ce-8400-63afb0ae7170

status: recorded

subject: Bundle: identifier = UUID:fe178cb8-19ea-41e5-80ef-88bdb8e6f8f8; type = document; timestamp = 2019-09-17 09:01:00+1000

dosage

text: 1 tablet daily

timing: Once per 1 days

DoseAndRates

-Dose[x]
*1 tablet (Details: SNOMED CT code63011000036109 = 'tablet')

Entry 7 - fullUrl = urn:uuid:a214910f-1067-49ef-bd01-4f1eb7f6646a

Resource MedicationStatement:

Generated Narrative: MedicationStatement a214910f-1067-49ef-bd01-4f1eb7f6646a

status: recorded

subject: Bundle: identifier = UUID:fe178cb8-19ea-41e5-80ef-88bdb8e6f8f8; type = document; timestamp = 2019-09-17 09:01:00+1000

dosage

text: 1 bd

timing: 2 per 1 days

DoseAndRates

-Dose[x]
*1 tablet (Details: SNOMED CT code63011000036109 = 'tablet')

Entry 8 - fullUrl = urn:uuid:13556c94-ee02-4232-b19f-d0b60a61f7cd

Resource Condition:

Generated Narrative: Condition 13556c94-ee02-4232-b19f-d0b60a61f7cd

clinicalStatus: Resolved

category: Problem List Item

code: Right lower zone pneumonia

subject: Bundle: identifier = UUID:fe178cb8-19ea-41e5-80ef-88bdb8e6f8f8; type = document; timestamp = 2019-09-17 09:01:00+1000

onset: 2019-03

abatement: 2019-04-03


Entry 9 - fullUrl = urn:uuid:23ff740b-51d2-44c3-ae5a-af69dfbcd11f

Resource Condition:

Generated Narrative: Condition 23ff740b-51d2-44c3-ae5a-af69dfbcd11f

clinicalStatus: Active

category: Problem List Item

code: Atrial fibrillation

subject: Bundle: identifier = UUID:fe178cb8-19ea-41e5-80ef-88bdb8e6f8f8; type = document; timestamp = 2019-09-17 09:01:00+1000

onset: 2017


Entry 10 - fullUrl = urn:uuid:e7773724-eef0-4a8e-ab20-f5d25e3efeab

Resource Procedure:

Generated Narrative: Procedure e7773724-eef0-4a8e-ab20-f5d25e3efeab

status: Completed

category: General treatment

code: Total replacement of left knee joint

subject: Bundle: identifier = UUID:fe178cb8-19ea-41e5-80ef-88bdb8e6f8f8; type = document; timestamp = 2019-09-17 09:01:00+1000

recorder: Bundle: identifier = UUID:fe178cb8-19ea-41e5-80ef-88bdb8e6f8f8; type = document; timestamp = 2019-09-17 09:01:00+1000

bodySite: Entire left knee joint


Entry 11 - fullUrl = urn:uuid:92a2bebf-ada8-445b-b87b-f1c3022604a5

Resource Immunization:

Generated Narrative: Immunization 92a2bebf-ada8-445b-b87b-f1c3022604a5

status: Completed

vaccineCode: diphtheria 2 units + tetanus 20 units vaccine injection, 0.5 mL syringe

patient: Bundle: identifier = UUID:fe178cb8-19ea-41e5-80ef-88bdb8e6f8f8; type = document; timestamp = 2019-09-17 09:01:00+1000

occurrence: 2018-04-15

primarySource: true