This page is part of the International Patient Summary Implementation Guide (v0.1.0: STU 1 Ballot 1) based on FHIR R3. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions
Bundle: IPS-examples-Bundle-01
Generated Narrative with Details
id: IPS-examples-Composition-01
meta:
identifier: 3f69e0a5-2177-4540-baab-7a5d0877428f
status: final
type: Patient Summary (Details : {LOINC code '60591-5' = 'Patient summary Document', given as 'Patient Summary'})
date: 20/07/2017 2:30:00 PM
author: Practitioner/IPS-examples-Practitioner-01
title: Patient Summary as of July 20, 2017 14:30
confidentiality: N
attester
mode: legal
time: 20/07/2017 2:30:00 PM
attester
mode: legal
time: 20/07/2017 2:30:00 PM
custodian: Organization/IPS-examples-Organization-01
RelatesTos
- | Code | Target[x] |
* | appends | c2277753-9f90-4a95-8ddb-a0b3f6e7d292 |
Events
- | Code | Period |
* | care provision (Details : {http://hl7.org/fhir/v3/ActClass code 'PCPR' = 'care provision) | ?? --> 20/07/2017 11:30:00 PM |
Generated Narrative with Details
id: IPS-examples-Patient-01
meta:
identifier: 574687583
active: true
name: Martha DeLarosa
telecom: ph: +31788700800(HOME)
gender: female
birthDate: 01/05/1972
address: Laan Van Europa 1600 Dordrecht 3317 DB Netherlands
Contacts
- | Relationship | Name | Telecom | Address |
* | mother (Details : {http://hl7.org/fhir/v3/RoleCode code 'MTH' = 'mother) | Martha Mum | ph: +33-555-20036(HOME) | Promenade des Anglais 111 Lyon 69001 France |
Generated Narrative with Details
id: IPS-examples-Practitioner-01
identifier: 129854633
active: true
name: Beetje van Hulp
Qualifications
- | Code |
* | Generalist medical practitioners (Details : {urn:oid:2.16.840.1.113883.2.9.6.2.7 code '2211' = '2211', given as 'Generalist medical practitioners'}; {urn:oid:2.16.840.1.113883.2.4.15.111 code '01.015' = '01.015', given as 'Huisarts'}) |
Generated Narrative with Details
id: IPS-examples-Organization-01
identifier: 564738757
active: true
name: Anorg Aniza Tion BV / The best custodian ever
telecom: ph: +31-51-34343400(WORK)
address: Houttuinen 27 Dordrecht 3311 CE Netherlands (WORK)
Generated Narrative with Details
id: IPS-examples-Condition-01
meta:
identifier: c87bf51c-e53c-4bfe-b8b7-aa62bdd93002
clinicalStatus: active
verificationStatus: confirmed
category: Problem (Details : {LOINC code '75326-9' = 'Problem', given as 'Problem'})
severity: Moderate (Details : {LOINC code 'LA6751-7' = 'LA6751-7', given as 'Moderate'})
code: Menopausal flushing (finding) (Details : {SNOMED CT code '198436008' = 'Menopausal flushing', given as 'Menopausal flushing (finding)'})
subject: Patient/IPS-examples-Patient-01
onset: 01/01/2015
assertedDate: 01/10/2016
Generated Narrative with Details
id: IPS-examples-MedicationStatement-01
meta:
identifier: b75f92cb-61d4-469a-9387-df5ef70d25f0
status: active
medication: Medication/IPS-examples-Medication-01
effective: 01/03/2015 12:00:00 AM --> (ongoing)
subject: Patient/IPS-examples-Patient-01
taken: y
dosage:
Generated Narrative with Details
id: IPS-examples-MedicationStatement-02
meta:
identifier: 9e312d6b-c6b6-439a-a730-6efaa5dcf8bc
status: active
medication: Medication/IPS-examples-Medication-02
effective: 01/01/2016 12:00:00 AM --> (ongoing)
subject: Patient/IPS-examples-Patient-01
taken: y
dosage:
Generated Narrative with Details
id: IPS-examples-Medication-01
meta:
code: Anastrozole (product) (Details : {SNOMED CT code '108774000' = 'Anastrozole', given as 'Anastrozole (product)'}; {urn:oid:2.16.840.1.113883.2.4.4.1 code '99872' = '99872', given as 'ANASTROZOL 1MG TABLET'}; {urn:oid:2.16.840.1.113883.2.4.4.7 code '2076667' = '2076667', given as 'ANASTROZOL CF TABLET FILMOMHULD 1MG'})
Generated Narrative with Details
id: IPS-examples-Medication-02
meta:
code: Black Cohosh Extract herbal supplement (Details : {SNOMED CT code '412588001' = 'Cimicifuga racemosa extract (substance)', given as 'Cimicifuga racemosa extract (substance)'})
Generated Narrative with Details
id: IPS-examples-AllergyIntolerance-01
meta:
identifier: 3a462598-009c-484a-965c-d6b24a821424
clinicalStatus: active
verificationStatus: confirmed
type: allergy
category: medication
criticality: high
code: Penicillin -class of antibiotic- (substance) (Details : {SNOMED CT code '373270004' = 'Penicillin -class of antibiotic- (substance)', given as 'Penicillin -class of antibiotic- (substance)'})
patient: Patient/IPS-examples-Patient-01
onset: 01/01/2010
Generated Narrative with Details
id: IPS-examples-Condition-02
meta:
identifier: 66d4a8c7-9081-43e0-a63f-489c2ae6edd6
clinicalStatus: remission
verificationStatus: confirmed
category: Problem (Details : {LOINC code '75326-9' = 'Problem', given as 'Problem'})
severity: Clinical stage II (finding) (Details : {SNOMED CT code '60333009' = 'Clinical stage II', given as 'Clinical stage II (finding)'})
code: Malignant neoplasm of breast (disorder) (Details : {SNOMED CT code '254837009' = 'Malignant tumor of breast', given as 'Malignant neoplasm of breast (disorder)'})
subject: Patient/IPS-examples-Patient-01
onset: 01/01/2015
abatement: 01/03/2015
Generated Narrative with Details
id: IPS-examples-Organization-02
active: true
type: laboratory-medicine (Details : {urn:oid:2.16.840.1.113883.4.642.3.403 code 'laboratory-medicine' = 'laboratory-medicine)
name: Laboratoire de charme
Generated Narrative with Details
id: IPS-examples-Observation-01-Sub0
meta:
status: final
category: Laboratory (Details : {http://hl7.org/fhir/observation-category code 'laboratory' = 'Laboratory)
code: ABO and Rh group [Type] in Blood (Details : {LOINC code '882-1' = 'ABO and Rh group [Type] in Blood', given as 'ABO and Rh group [Type] in Blood'})
subject: Patient/IPS-examples-Patient-01
effective: 10/10/2015 9:15:00 AM
value: Blood group A Rh(D) positive (Details : {SNOMED CT code '278149003' = 'Blood group A Rh(D) positive', given as 'Blood group A Rh(D) positive'})
Generated Narrative with Details
id: IPS-examples-Observation-01-Sub1
meta:
status: final
category: Laboratory (Details : {http://hl7.org/fhir/observation-category code 'laboratory' = 'Laboratory)
code: C Ab [Presence] in Serum or Plasma (Details : {LOINC code '945-6' = 'C Ab [Presence] in Serum or Plasma', given as 'C Ab [Presence] in Serum or Plasma'})
subject: Patient/IPS-examples-Patient-01
effective: 10/10/2015 9:35:00 AM
value: Positive (Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})
Generated Narrative with Details
id: IPS-examples-Observation-01-Sub2
meta:
status: final
category: Laboratory (Details : {http://hl7.org/fhir/observation-category code 'laboratory' = 'Laboratory)
code: E Ab [Presence] in Serum or Plasma (Details : {LOINC code '1018-1' = 'E Ab [Presence] in Serum or Plasma', given as 'E Ab [Presence] in Serum or Plasma'})
subject: Patient/IPS-examples-Patient-01
effective: 10/10/2015 9:35:00 AM
value: Positive (Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})
Generated Narrative with Details
id: IPS-examples-Observation-01-Sub3
meta:
status: final
category: Laboratory (Details : {http://hl7.org/fhir/observation-category code 'laboratory' = 'Laboratory)
code: little c Ab [Presence] in Serum or Plasma (Details : {LOINC code '1156-9' = 'little c Ab [Presence] in Serum or Plasma', given as 'little c Ab [Presence] in Serum or Plasma'})
subject: Patient/IPS-examples-Patient-01
effective: 10/10/2015 9:35:00 AM
value: Negative (Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})
Generated Narrative with Details
id: IPS-examples-Observation-01-0
meta:
status: final
category: Laboratory (Details : {http://hl7.org/fhir/observation-category code 'laboratory' = 'Laboratory)
code: Blood typing (Details )
subject: Patient/IPS-examples-Patient-01
effective: 10/10/2015
performer: Organization/IPS-examples-Organization-02
related
type: has-member
related
type: has-member
related
type: has-member
related
type: has-member
Generated Narrative with Details
id: IPS-examples-Observation-01-1
meta:
status: final
category: Laboratory (Details : {http://hl7.org/fhir/observation-category code 'laboratory' = 'Laboratory)
code: Hemoglobin A1c/Hemoglobin.total in Blood by HPLC (Details : {LOINC code '17856-6' = 'Hemoglobin A1c/Hemoglobin.total in Blood by HPLC', given as 'Hemoglobin A1c/Hemoglobin.total in Blood by HPLC'})
subject: Patient/IPS-examples-Patient-01
effective: 10/11/2017 8:20:00 AM
performer: Organization/IPS-examples-Organization-02
value: 7.5 % (Details: UCUM code % = '%')
comment: Above stated goal of 7.0 %
Generated Narrative with Details
id: IPS-examples-Observation-01-3
meta:
status: final
category: Laboratory (Details : {http://hl7.org/fhir/observation-category code 'laboratory' = 'Laboratory)
code: Bacteria identified in Isolate (Details : {LOINC code '42803-7' = 'Bacteria identified in Isolate', given as 'Bacteria identified in Isolate'})
subject: Patient/IPS-examples-Patient-01
effective: 10/12/2017 8:20:00 AM
performer: Organization/IPS-examples-Organization-02
value: Methicillin resistant Staphylococcus aureus (Details : {SNOMED CT code '115329001' = 'MRSA', given as 'Methicillin resistant Staphylococcus aureus'})
comment: Healthy carrier of MRSA