Additional Resources Included in Document

Entry 1 - fullUrl = urn:uuid:5c3cddfe-bbe6-463f-b76c-3d45bc7998fb

Resource Composition:

Generated Narrative: Composition 5c3cddfe-bbe6-463f-b76c-3d45bc7998fb

Language: de-CH

Profile: CH IPS Composition

identifier: Uniform Resource Identifier (URI)/urn:uuid:fe724e67-ac59-4933-b997-2770cc506f3b

status: Final

type: Patient summary Document

date: 2024-05-03 09:30:00+0200

author: Martina Meier @ Spital

title: Patient Summary for IPS Switerland

confidentiality: normal

Attesters

-	Mode	Party
*	Legal	Martina Meier

custodian: Spital

RelatesTos

-	Code	Target[x]
*	Replaces	Uniform Resource Identifier (URI)/urn:uuid:22f9773e-1a6b-4561-8642-849f15b43b02

Events

-	Code	Period
*	care provision	2024-01-11 10:00:00+0100 --> 2024-05-03 09:30:00+0200

Entry 2 - fullUrl = urn:uuid:8383926c-ece1-4384-94bc-b4250b4cb71b

Resource Patient:

Generated Narrative: Patient 8383926c-ece1-4384-94bc-b4250b4cb71b

Monika Wegmüller Female, DoB: 1943-05-15 ( Medical record number: 987654321)

---

Contact Detail

Wiesenstr. 12 Zürich 8003 CH

Entry 3 - fullUrl = urn:uuid:4d4e3587-42eb-4921-8c87-8bbf89b7eb4b

Resource Practitioner:

Generated Narrative: Practitioner 4d4e3587-42eb-4921-8c87-8bbf89b7eb4b

identifier: GLN/7601000234438

name: Martina Meier

Entry 4 - fullUrl = urn:uuid:869a4dd9-3a4a-4838-ad1e-42453d341147

Resource PractitionerRole:

Generated Narrative: PractitionerRole 869a4dd9-3a4a-4838-ad1e-42453d341147

practitioner: Bundle: identifier = UUID:fe724e67-ac59-4933-b997-2770cc506f3b; type = document; timestamp = 2024-05-03 09:30:00+0200

organization: Bundle: identifier = UUID:fe724e67-ac59-4933-b997-2770cc506f3b; type = document; timestamp = 2024-05-03 09:30:00+0200

Entry 5 - fullUrl = urn:uuid:a27376ce-fa12-458d-a2dc-f90e63de126b

Resource Organization:

Generated Narrative: Organization a27376ce-fa12-458d-a2dc-f90e63de126b

identifier: GLN/7601000234438

name: Spital

address: Spitalstrasse 2 Zürich 8005 CH

Entry 6 - fullUrl = urn:uuid:88ee1ffb-26d0-49a2-95e4-6212261805a6

Resource MedicationStatement:

Generated Narrative: MedicationStatement 88ee1ffb-26d0-49a2-95e4-6212261805a6

status: Active

medication: Medication METFORMIN Axapharm Filmtabl 500 mg (Blister 50 Stk)

subject: Monika Wegmüller

effective: 2020-03-03 --> (ongoing)

reasonCode: Diabetes

dosage

patientInstruction: Unzerkaut während oder nach den Mahlzeiten mit ausreichend Flüssigkeit einnehmen

timing: , ?ngen-6?, ?ngen-6?

route: zum Einnehmen

DoseAndRates

-	Dose[x]
*	1 Tablet (unit of presentation) (Details: SNOMED CT code732936001 = 'Tablet (unit of presentation)')

---

Generated Narrative: Medication #Metformin

code: METFORMIN Axapharm Filmtabl 500 mg

form: Tablette

amount: 50 Tablet (unit of presentation) (Details: SNOMED CT code732936001 = 'Tablet (unit of presentation)')/1 Package - unit of product usage (qualifier value) (Details: SNOMED CT code1681000175101 = 'Package - unit of product usage')

Entry 7 - fullUrl = urn:uuid:6f369210-adb1-4f11-893d-9977e34932de

Resource MedicationStatement:

Generated Narrative: MedicationStatement 6f369210-adb1-4f11-893d-9977e34932de

status: Active

medication: Medication EZETIMIB Atorvast Mepha Filmtabl 10mg/40mg (Blister 30 Stk)

subject: Monika Wegmüller

effective: 2024-05-03 --> (ongoing)

reasonCode: Hypercholesterinämie

dosage

sequence: 1

patientInstruction: Kann unabhängig von den Mahlzeiten eingenommen werden

timing: , ?ngen-6?

route: zum Einnehmen

DoseAndRates

-	Dose[x]
*	0.5 Tablet (unit of presentation) (Details: SNOMED CT code732936001 = 'Tablet (unit of presentation)')

dosage

sequence: 2

timing: , ?ngen-6?

DoseAndRates

-	Dose[x]
*	1 Tablet (unit of presentation) (Details: SNOMED CT code732936001 = 'Tablet (unit of presentation)')

---

Generated Narrative: Medication #Atorvastatin

code: EZETIMIB Atorvast Mepha Filmtabl 10mg/40mg

form: Filmtablette

amount: 30 Tablet (unit of presentation) (Details: SNOMED CT code732936001 = 'Tablet (unit of presentation)')/1 Package - unit of product usage (qualifier value) (Details: SNOMED CT code1681000175101 = 'Package - unit of product usage')

Entry 8 - fullUrl = urn:uuid:e463547f-7414-47cb-b97f-04a81e1ab7d8

Resource MedicationStatement:

Generated Narrative: MedicationStatement e463547f-7414-47cb-b97f-04a81e1ab7d8

status: Active

medication: Medication CLOPIDOGREL axapharm Filmtabl 75 mg (Blister 28 Stk)

subject: Monika Wegmüller

effective: 2024-05-03 --> (ongoing)

reasonCode: Blutgerinnungshemmer

dosage

patientInstruction: Die Filmtablette soll mit etwas Wasser - unzerkaut und ohne sie zu lutschen - während oder unabhängig von den Mahlzeiten eingenommen werden. Es wird aber empfohlen, sie immer zum selben Zeitpunkt einzunehmen.

timing: , ?ngen-6?

route: zum Einnehmen

DoseAndRates

-	Dose[x]
*	1 Tablet (unit of presentation) (Details: SNOMED CT code732936001 = 'Tablet (unit of presentation)')

---

Generated Narrative: Medication #Clopidogrel

code: CLOPIDOGREL axapharm Filmtabl 75 mg

form: Filmtablette

amount: 28 Tablet (unit of presentation) (Details: SNOMED CT code732936001 = 'Tablet (unit of presentation)')/1 Package - unit of product usage (qualifier value) (Details: SNOMED CT code1681000175101 = 'Package - unit of product usage')

Entry 9 - fullUrl = urn:uuid:f27b9345-6ba6-4fd6-83ab-6db6c2acd981

Resource MedicationStatement:

Generated Narrative: MedicationStatement f27b9345-6ba6-4fd6-83ab-6db6c2acd981

status: Active

medication: Medication ASPIRIN CARDIO Filmtabl 100 mg (Blister 28 Stk)

subject: Monika Wegmüller

effective: 2024-05-03 --> (ongoing)

reasonCode: Herzinfarktprophylaxe

dosage

patientInstruction: Tabletten mit etwas Flüssigkeit mindestens eine halbe Stunde vor der Mahlzeit einnehmen

timing: , ?ngen-6?

route: zum Einnehmen

DoseAndRates

-	Dose[x]
*	1 Tablet (unit of presentation) (Details: SNOMED CT code732936001 = 'Tablet (unit of presentation)')

---

Generated Narrative: Medication #Aspirin

code: ASPIRIN CARDIO Filmtabl 100 mg

form: Filmtablette

amount: 28 Tablet (unit of presentation) (Details: SNOMED CT code732936001 = 'Tablet (unit of presentation)')/1 Package - unit of product usage (qualifier value) (Details: SNOMED CT code1681000175101 = 'Package - unit of product usage')

Entry 10 - fullUrl = urn:uuid:27da84cc-526a-4098-afb5-f08c7836d893

Resource AllergyIntolerance:

Generated Narrative: AllergyIntolerance 27da84cc-526a-4098-afb5-f08c7836d893

clinicalStatus: Active

verificationStatus: Confirmed

code: No known allergy (situation)

patient: Monika Wegmüller

recordedDate: 2024-04-26

recorder: Martina Meier @ Spital

Entry 11 - fullUrl = urn:uuid:506b9fef-be0a-4398-bb7e-7d14c311912f

Resource Condition:

Generated Narrative: Condition 506b9fef-be0a-4398-bb7e-7d14c311912f

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

severity: Moderate (severity modifier) (qualifier value)

code: Diabetes mellitus type 2 (disorder)

subject: Monika Wegmüller

Entry 12 - fullUrl = urn:uuid:8a79d459-0d2f-460b-87fd-a7de12d49871

Resource Condition:

Generated Narrative: Condition 8a79d459-0d2f-460b-87fd-a7de12d49871

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

severity: Moderate (severity modifier) (qualifier value)

code: Hypertensive disorder, systemic arterial (disorder)

subject: Monika Wegmüller

Entry 13 - fullUrl = urn:uuid:2c67cf62-d712-44c7-aedb-b5582bc707f1

Resource Condition:

Generated Narrative: Condition 2c67cf62-d712-44c7-aedb-b5582bc707f1

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

severity: Moderate (severity modifier) (qualifier value)

code: Coronary arteriosclerosis (disorder)

subject: Monika Wegmüller

Entry 14 - fullUrl = urn:uuid:12d8debe-5e03-465d-83f3-17675be9db4a

Resource Condition:

Generated Narrative: Condition 12d8debe-5e03-465d-83f3-17675be9db4a

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

severity: Severe (severity modifier) (qualifier value)

code: Myocardial infarction (disorder)

subject: Monika Wegmüller

onset: 2024-04-26

recordedDate: 2024-04-26

recorder: Martina Meier @ Spital

asserter: Martina Meier @ Spital

Entry 15 - fullUrl = urn:uuid:ad3ec07d-1814-4faf-86fd-1a8ebeecb5fe

Resource Procedure:

Generated Narrative: Procedure ad3ec07d-1814-4faf-86fd-1a8ebeecb5fe

status: Completed

code: Placement of stent in coronary artery (procedure)

subject: Monika Wegmüller

performed: 2022-09-27

reasonCode: Koronare Herzkrankheit

reasonReference: Koronare Herzkrankheit

Entry 16 - fullUrl = urn:uuid:d646c888-7af0-4439-8aae-9fd490054583

Resource Procedure:

Generated Narrative: Procedure d646c888-7af0-4439-8aae-9fd490054583

status: Completed

code: Placement of stent in coronary artery (procedure)

subject: Monika Wegmüller

performed: 2024-04-26

recorder: Martina Meier @ Spital

asserter: Martina Meier @ Spital

Performers

-	Actor
*	Martina Meier @ Spital

reasonCode: Herzinfarkt (26.04.2024)

reasonReference: Herzinfarkt (26.04.2024)

Entry 17 - fullUrl = urn:uuid:19efd704-3461-4120-b3cf-a76ae046e150

Resource Immunization:

Generated Narrative: Immunization 19efd704-3461-4120-b3cf-a76ae046e150

status: Completed

vaccineCode: Boostrix

patient: Monika Wegmüller

occurrence: 2017-09-15 09:12:56+0200

recorded: 2017-09-15 09:12:56+0200

lotNumber: 12-34244

route: Intramuscular use

protocolApplied

targetDisease: Diphtheria caused by Corynebacterium diphtheriae (disorder), Tetanus (disorder), Pertussis (disorder)

doseNumber: 1

Entry 18 - fullUrl = urn:uuid:db5ef7b0-e946-4260-a604-128b8887a41b

Resource Observation:

Generated Narrative: Observation db5ef7b0-e946-4260-a604-128b8887a41b

status: Final

category: Vital Signs

code: Body weight

subject: Monika Wegmüller

effective: 2024-04-27 14:05:00+0200

performer: Spital

value: 65 kilogram (Details: UCUM codekg = 'kg')

Entry 19 - fullUrl = urn:uuid:07b2e450-a62e-4734-98bf-51462f008e0f

Resource Observation:

Generated Narrative: Observation 07b2e450-a62e-4734-98bf-51462f008e0f

status: Final

category: Vital Signs

code: Body height

subject: Monika Wegmüller

effective: 2024-04-27 14:05:00+0200

performer: Spital

value: 170 centimeter (Details: UCUM codecm = 'cm')

Entry 20 - fullUrl = urn:uuid:93fe0d81-a547-494e-941c-113506108b76

Resource Observation:

Generated Narrative: Observation 93fe0d81-a547-494e-941c-113506108b76

status: Final

code: Tobacco smoking status

subject: Monika Wegmüller

effective: 2024-04-26

performer: Spital

value: Former smoker