International Patient Summary Implementation Guide Implementation Guide Release 0.1.0

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

party: Practitioner/IPS-examples-Practitioner-01

attester

mode: legal

time: 20/07/2017 2:30:00 PM

party: Organization/IPS-examples-Organization-01

custodian: Organization/IPS-examples-Organization-01

RelatesTos

-CodeTarget[x]
*appendsc2277753-9f90-4a95-8ddb-a0b3f6e7d292

Events

-CodePeriod
*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

-RelationshipNameTelecomAddress
*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

target: Observation/IPS-examples-Observation-01-Sub0

related

type: has-member

target: Observation/IPS-examples-Observation-01-Sub1

related

type: has-member

target: Observation/IPS-examples-Observation-01-Sub2

related

type: has-member

target: Observation/IPS-examples-Observation-01-Sub3


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