{ "resourceType" : "Bundle", "id" : "AtApsExample03Diabetes", "meta" : { "profile" : ["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-bundle"] }, "identifier" : { "system" : "http://system-to-be-defined.com", "value" : "63fef90a-be11-4ddf-aece-d77da15c4f20" }, "type" : "document", "timestamp" : "2025-01-08T14:01:30+00:00", "entry" : [{ "fullUrl" : "urn:uuid:212fdc76-ccc3-40bf-8cdd-82f2ef88bd7b", "resource" : { "resourceType" : "Composition", "id" : "AtApsExample03Diabetes-composition", "meta" : { "profile" : ["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-composition"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Composition AtApsExample03Diabetes-composition

Profile: AT APS Composition

status: Final

type: Patient summary

date: 2024-02-08 14:01:30+0000

author: Dr. IV-Ärztin

title: Diabetes Leitdokument

custodian: Muster-Organisation

" }, "status" : "final", "type" : { "coding" : [{ "system" : "http://loinc.org", "code" : "60591-5", "display" : "Patient summary" }] }, "subject" : { "reference" : "urn:uuid:0fed5ebe-ca8f-4ad1-aba4-ddad45bd6cc8", "display" : "Maria Musterfrau" }, "date" : "2024-02-08T14:01:30+00:00", "author" : [{ "reference" : "urn:uuid:75db30ee-7028-486c-929a-c5126837f472", "display" : "Dr. IV-Ärztin" }], "title" : "Diabetes Leitdokument", "custodian" : { "reference" : "urn:uuid:f6266e6a-f63d-4673-b2de-3dff11e619d6", "display" : "Muster-Organisation" }, "section" : [{ "title" : "Medikationsliste", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "10160-0", "display" : "Medikationsanamnese" }] }, "text" : { "status" : "empty", "div" : "

Narrativer Text muss generiert werden.

" }, "entry" : [{ "reference" : "urn:uuid:acac4c94-a752-4cf5-9a6b-0d84237d5076", "display" : "AtApsExample03Diabetes-medication-summary-1" }] }, { "title" : "Allergien und Intoleranzen", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "48765-2", "display" : "Allergien und unerwünschte Wirkungen" }] }, "text" : { "status" : "empty", "div" : "

Narrativer Text muss generiert werden.

" }, "entry" : [{ "reference" : "urn:uuid:768eb9cb-00f3-4ab1-bfc2-ff835cb3b89b", "display" : "AtApsExample03Diabetes-allergy-1" }] }, { "title" : "Gesundheitsprobleme und Risiken", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "11450-4", "display" : "Problemliste" }] }, "text" : { "status" : "empty", "div" : "

Narrativer Text muss generiert werden.

" }, "entry" : [{ "reference" : "urn:uuid:72e85b9d-004d-4104-b166-86d129948bae", "display" : "AtApsExample03Diabetes-problem-1" }, { "reference" : "urn:uuid:82fa32f6-39d6-4fc9-9624-90a48fd3d3a5", "display" : "AtApsExample03Diabetes-problem-2" }, { "reference" : "urn:uuid:61db6213-22ab-405a-825a-0ae6905fad1e", "display" : "AtApsExample03Diabetes-problem-3" }, { "reference" : "urn:uuid:61db6213-22ab-405a-825a-0ae6905fad2e", "display" : "AtApsExample03Diabetes-problem-6" }, { "reference" : "urn:uuid:9d1c0b74-20c1-4603-a95a-71e6a1dc8fde", "display" : "AtApsExample03Diabetes-problem-5" }, { "reference" : "urn:uuid:caa77334-fbfc-4129-a101-1b01c595dd91", "display" : "AtApsExample03Diabetes-problem-14" }, { "reference" : "urn:uuid:fa46fccb-5c24-4a40-a478-d6da4902ff33", "display" : "AtApsExample03Diabetes-problem-17" }] }, { "title" : "Eingriffe und Therapien", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "47519-4", "display" : "Anamnese der Prozeduren oder Maßnahmen" }] }, "text" : { "status" : "empty", "div" : "

Narrativer Text muss generiert werden.

" }, "entry" : [{ "reference" : "urn:uuid:75c46c35-8f4e-4232-b026-5672c60d076a", "display" : "AtApsExample03Diabetes-procedure-history-1" }] }, { "title" : "Implantate, medizinische Geräte und Heilbehelfe", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "46264-8", "display" : "Anamnese zum Einsatz von Medizinprodukten" }] }, "text" : { "status" : "empty", "div" : "

Narrativer Text muss generiert werden.

" }, "emptyReason" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason", "code" : "nilknown" }] } }, { "title" : "Diagnostische Resultate", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "30954-2", "display" : "Relevante diagnostische Tests und/oder Labordaten" }] }, "text" : { "status" : "empty", "div" : "

Narrativer Text muss generiert werden.

" }, "entry" : [{ "reference" : "urn:uuid:725bcf71-22e6-473b-a879-49a4b63cd654", "display" : "AtApsExample03Diabetes-diagnostic-result-1" }] }, { "title" : "Vitalparameter", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "8716-3", "display" : "Vitalparameter" }] }, "text" : { "status" : "empty", "div" : "

Narrativer Text muss generiert werden.

" }, "entry" : [{ "reference" : "urn:uuid:74c5e186-d765-4c93-a624-c9b0746e8142", "display" : "AtApsExample03Diabetes-vital-sign-1" }] }, { "title" : "Vergangene Gesundheitsprobleme und Risiken", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "11348-0", "display" : "Vergangene Gesundheitsprobleme und Risiken" }] }, "text" : { "status" : "empty", "div" : "

Narrativer Text muss generiert werden.

" }, "entry" : [{ "reference" : "urn:uuid:82301518-66ca-4b4c-821d-087adf643cc4", "display" : "AtApsExample03Diabetes-illness-history-1" }] }, { "title" : "Behandlungsplan", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "18776-5", "display" : "Behandlungsplan - Notiz" }] }, "text" : { "status" : "empty", "div" : "

Narrativer Text muss generiert werden.

" }, "entry" : [{ "reference" : "urn:uuid:39cd75da-2456-46a9-a703-89d8b65ae63b", "display" : "AtApsExample03Diabetes-schulung-1" }] }, { "title" : "Lebensstil / Soziale Umstände und Verhalten", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "29762-2", "display" : "Sozialanamnese" }] }, "text" : { "status" : "empty", "div" : "

Narrativer Text muss generiert werden.

" }, "entry" : [{ "reference" : "urn:uuid:d0a5bbf1-6d01-4d44-bac5-05f12c98411e", "display" : "AtApsExample03Diabetes-social-history-1" }] }] } }, { "fullUrl" : "urn:uuid:0fed5ebe-ca8f-4ad1-aba4-ddad45bd6cc8", "resource" : { "resourceType" : "Patient", "id" : "001", "meta" : { "profile" : ["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient 001

Profile: AT APS Patient

Susi Testpatientin Female, DoB: 1950-11-12 ( Social Security number: 0000121150)


Other Id:Patient internal identifier/0002
Contact DetailAm Schulweg 5 Hainfeld 3100 AUT (home)
" }, "identifier" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "SS", "display" : "Social Security number" }] }, "system" : "urn:oid:1.2.40.0.10.1.4.3.1", "value" : "0000121150", "assigner" : { "display" : "Dachverband der österreichischen Sozialversicherungsträger" } }, { "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "PI", "display" : "Patient internal identifier" }] }, "system" : "urn:oid:1.2.3.4.5", "value" : "0002", "assigner" : { "display" : "Ein GDA in Österreich" } }], "name" : [{ "family" : "Testpatientin", "given" : ["Susi"] }], "gender" : "female", "birthDate" : "1950-11-12", "address" : [{ "use" : "home", "line" : ["Am Schulweg 5"], "city" : "Hainfeld", "postalCode" : "3100", "country" : "AUT" }] } }, { "fullUrl" : "urn:uuid:75db30ee-7028-486c-929a-c5126837f472", "resource" : { "resourceType" : "Practitioner", "id" : "AtApsExample03Diabetes-author", "meta" : { "profile" : ["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitioner"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Practitioner AtApsExample03Diabetes-author

Profile: AT APS Practitioner

identifier: Uniform Resource Identifier (URI)/urn:oid:1.2.40.0.10.99.1.2.3.4

name: Gabriele IV-Ärztin

" }, "identifier" : [{ "system" : "urn:ietf:rfc:3986", "value" : "urn:oid:1.2.40.0.10.99.1.2.3.4", "assigner" : { "display" : "Bundesministerium für Gesundheit" } }], "name" : [{ "family" : "IV-Ärztin", "given" : ["Gabriele"], "prefix" : ["Dr."] }] } }, { "fullUrl" : "urn:uuid:f6266e6a-f63d-4673-b2de-3dff11e619d6", "resource" : { "resourceType" : "Organization", "id" : "AtApsExample03Diabetes-organization", "meta" : { "profile" : ["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-organization"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Organization AtApsExample03Diabetes-organization

Profile: AT APS Organization

name: Muster-Organization

" }, "name" : "Muster-Organization" } }, { "fullUrl" : "urn:uuid:72e85b9d-004d-4104-b166-86d129948bae", "resource" : { "resourceType" : "Condition", "id" : "AtApsExample03Diabetes-problem-1", "meta" : { "profile" : ["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Condition AtApsExample03Diabetes-problem-1

Profile: AT APS Condition

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: CKD - Chronische Niereninsuffizienz Grad 3B

subject: Maria Musterfrau

" }, "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical", "code" : "active", "display" : "Active" }] }, "verificationStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code" : "confirmed", "display" : "Confirmed" }] }, "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-category", "code" : "problem-list-item", "display" : "Problem List Item" }] }], "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "700379002", "display" : "CKD - Chronische Niereninsuffizienz Grad 3B" }] }, "subject" : { "reference" : "urn:uuid:0fed5ebe-ca8f-4ad1-aba4-ddad45bd6cc8", "display" : "Maria Musterfrau" } } }, { "fullUrl" : "urn:uuid:82fa32f6-39d6-4fc9-9624-90a48fd3d3a5", "resource" : { "resourceType" : "Condition", "id" : "AtApsExample03Diabetes-problem-2", "meta" : { "profile" : ["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Condition AtApsExample03Diabetes-problem-2

Profile: AT APS Condition

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Langfristige Einnahme von Antikoagulantien

subject: Maria Musterfrau

" }, "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical", "code" : "active", "display" : "Active" }] }, "verificationStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code" : "confirmed", "display" : "Confirmed" }] }, "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-category", "code" : "problem-list-item", "display" : "Problem List Item" }] }], "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "711150003", "display" : "Langfristige Einnahme von Antikoagulantien" }] }, "subject" : { "reference" : "urn:uuid:0fed5ebe-ca8f-4ad1-aba4-ddad45bd6cc8", "display" : "Maria Musterfrau" } } }, { "fullUrl" : "urn:uuid:61db6213-22ab-405a-825a-0ae6905fad1e", "resource" : { "resourceType" : "Condition", "id" : "AtApsExample03Diabetes-problem-3", "meta" : { "profile" : ["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Condition AtApsExample03Diabetes-problem-3

Profile: AT APS Condition

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Diabetes mellitus aufgrund einer Verletzung der Bauchspeicheldrüse

subject: Maria Musterfrau

recordedDate: 2024-02-08 14:01:30+0000

" }, "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical", "code" : "active", "display" : "Active" }] }, "verificationStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code" : "confirmed", "display" : "Confirmed" }] }, "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-category", "code" : "problem-list-item", "display" : "Problem List Item" }] }], "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "105401000119101", "display" : "Diabetes mellitus aufgrund einer Verletzung der Bauchspeicheldrüse" }] }, "subject" : { "reference" : "urn:uuid:0fed5ebe-ca8f-4ad1-aba4-ddad45bd6cc8", "display" : "Maria Musterfrau" }, "recordedDate" : "2024-02-08T14:01:30+00:00" } }, { "fullUrl" : "urn:uuid:61db6213-22ab-405a-825a-0ae6905fad2e", "resource" : { "resourceType" : "Condition", "id" : "AtApsExample03Diabetes-problem-6", "meta" : { "profile" : ["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Condition AtApsExample03Diabetes-problem-6

Profile: AT APS Condition

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Diabetischer Fuß

subject: Maria Musterfrau

recordedDate: 2021-02-08 14:01:30+0000

" }, "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical", "code" : "active", "display" : "Active" }] }, "verificationStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code" : "confirmed", "display" : "Confirmed" }] }, "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-category", "code" : "problem-list-item", "display" : "Problem List Item" }] }], "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "280137006", "display" : "Diabetischer Fuß" }] }, "subject" : { "reference" : "urn:uuid:0fed5ebe-ca8f-4ad1-aba4-ddad45bd6cc8", "display" : "Maria Musterfrau" }, "recordedDate" : "2021-02-08T14:01:30+00:00" } }, { "fullUrl" : "urn:uuid:9d1c0b74-20c1-4603-a95a-71e6a1dc8fde", "resource" : { "resourceType" : "Condition", "id" : "AtApsExample03Diabetes-problem-5", "meta" : { "profile" : ["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Condition AtApsExample03Diabetes-problem-5

Profile: AT APS Condition

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Arterielle Hypertonie

subject: Maria Musterfrau

" }, "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical", "code" : "active", "display" : "Active" }] }, "verificationStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code" : "confirmed", "display" : "Confirmed" }] }, "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-category", "code" : "problem-list-item", "display" : "Problem List Item" }] }], "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "38341003", "display" : "Arterielle Hypertonie" }] }, "subject" : { "reference" : "urn:uuid:0fed5ebe-ca8f-4ad1-aba4-ddad45bd6cc8", "display" : "Maria Musterfrau" } } }, { "fullUrl" : "urn:uuid:caa77334-fbfc-4129-a101-1b01c595dd91", "resource" : { "resourceType" : "Condition", "id" : "AtApsExample03Diabetes-problem-14", "meta" : { "profile" : ["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Condition AtApsExample03Diabetes-problem-14

Profile: AT APS Condition

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Familienanamnese: Kolonkarzinom

subject: Maria Musterfrau

" }, "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical", "code" : "active", "display" : "Active" }] }, "verificationStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code" : "confirmed", "display" : "Confirmed" }] }, "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-category", "code" : "problem-list-item", "display" : "Problem List Item" }] }], "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "312824007", "display" : "Familienanamnese: Kolonkarzinom" }] }, "subject" : { "reference" : "urn:uuid:0fed5ebe-ca8f-4ad1-aba4-ddad45bd6cc8", "display" : "Maria Musterfrau" } } }, { "fullUrl" : "urn:uuid:fa46fccb-5c24-4a40-a478-d6da4902ff33", "resource" : { "resourceType" : "Condition", "id" : "AtApsExample03Diabetes-problem-17", "meta" : { "profile" : ["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Condition AtApsExample03Diabetes-problem-17

Profile: AT APS Condition

clinicalStatus: Inactive

verificationStatus: Provisional

category: Problem List Item

code: Parodontalerkrankung

subject: Maria Musterfrau

Stages

-Assessment
*AtApsExample03Diabetes-problem-17-assessment-1
" }, "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical", "code" : "inactive", "display" : "Inactive" }] }, "verificationStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code" : "provisional", "display" : "Provisional" }] }, "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-category", "code" : "problem-list-item", "display" : "Problem List Item" }] }], "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "2556008", "display" : "Parodontalerkrankung" }] }, "subject" : { "reference" : "urn:uuid:0fed5ebe-ca8f-4ad1-aba4-ddad45bd6cc8", "display" : "Maria Musterfrau" }, "stage" : [{ "assessment" : [{ "reference" : "urn:uuid:f235c566-01aa-457d-ab49-9e422df69863", "display" : "AtApsExample03Diabetes-problem-17-assessment-1" }] }] } }, { "fullUrl" : "urn:uuid:f235c566-01aa-457d-ab49-9e422df69863", "resource" : { "resourceType" : "Observation", "id" : "AtApsExample03Diabetes-problem-17-assessment-1", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation AtApsExample03Diabetes-problem-17-assessment-1

status: Final

category: Exam

code: Bewertung der Risikofaktoren für Parodontalerkrankungen

subject: Maria Musterfrau

effective: 2024-02-08 08:30:00+0100

performer: Dr. IV-Ärztin

value: Hohes Risiko

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "exam", "display" : "Exam" }] }], "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "1237049003", "display" : "Bewertung der Risikofaktoren für Parodontalerkrankungen" }] }, "subject" : { "reference" : "urn:uuid:0fed5ebe-ca8f-4ad1-aba4-ddad45bd6cc8", "display" : "Maria Musterfrau" }, "effectiveDateTime" : "2024-02-08T08:30:00+01:00", "performer" : [{ "reference" : "urn:uuid:75db30ee-7028-486c-929a-c5126837f472", "display" : "Dr. IV-Ärztin" }], "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "723509005", "display" : "Hohes Risiko" }] } } }, { "fullUrl" : "urn:uuid:39cd75da-2456-46a9-a703-89d8b65ae63b", "resource" : { "resourceType" : "CarePlan", "id" : "AtApsExample03Diabetes-schulung-1", "text" : { "status" : "additional", "div" : "

Schulung zur Verbesserung der Mobilität

" }, "identifier" : [{ "value" : "12345" }], "instantiatesUri" : ["http://example.org/protocol-for-heart-association-event"], "basedOn" : [{ "display" : "Schulungen für Diabetespatienten" }], "replaces" : [{ "display" : "Plan" }], "partOf" : [{ "display" : "Plan" }], "status" : "active", "intent" : "plan", "category" : [{ "text" : "Plan zur Patientenschulung" }], "title" : "Spezialschulung für Diabetespatienten mit Retinophatie", "description" : "Information über eine Veranstaltung des Diabetes", "subject" : { "reference" : "urn:uuid:0fed5ebe-ca8f-4ad1-aba4-ddad45bd6cc8", "display" : "Maria Musterfrau" }, "period" : { "end" : "2024-04-12" }, "created" : "2024-03-29", "author" : { "reference" : "urn:uuid:75db30ee-7028-486c-929a-c5126837f472", "display" : "Dr. IV-Ärztin" }, "addresses" : [{ "reference" : "urn:uuid:61db6213-22ab-405a-825a-0ae6905fad1e", "display" : "AtApsExample03Diabetes-problem-3" }], "activity" : [{ "outcomeCodeableConcept" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "408443003", "display" : "Allgemeines Verfahren" }] }], "detail" : { "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "409063005", "display" : "Beratung" }, { "system" : "http://snomed.info/sct", "code" : "1293061000168108", "display" : "Dienst für Gesundheitsförderung" }] }, "status" : "completed", "statusReason" : { "text" : "Der Hausarzt informierte den Patienten über eine Veranstaltung des Herzverbandes zur Förderung der Herzgesundheit." }, "doNotPerform" : false, "scheduledTiming" : { "repeat" : { "frequency" : 1, "period" : 1, "periodUnit" : "d" } }, "location" : { "display" : "Informationsveranstaltung des Herzverbandes" }, "performer" : [{ "reference" : "urn:uuid:0fed5ebe-ca8f-4ad1-aba4-ddad45bd6cc8", "display" : "Maria Musterfrau" }] } }] } }, { "fullUrl" : "urn:uuid:acac4c94-a752-4cf5-9a6b-0d84237d5076", "resource" : { "resourceType" : "MedicationStatement", "id" : "AtApsExample03Diabetes-medication-summary-1", "meta" : { "profile" : ["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medicationstatement"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationStatement AtApsExample03Diabetes-medication-summary-1

Profile: AT APS MedicationStatement

status: Active

medication: EBETREXAT TBL 10MG

subject: Maria Musterfrau

effective: 2024-02-08 10:31:58+0200 --> (ongoing)

dosage

sequence: 1

timing: Night, Once

route: Oraler Verabreichungsweg

DoseAndRates

-Dose[x]
*2 Tablet (Details: elga-medikationmengenart code{TAB} = '{TAB}')
" }, "status" : "active", "medicationCodeableConcept" : { "coding" : [{ "system" : "https://termgit.elga.gv.at/CodeSystem/asp-liste", "code" : "2443061", "display" : "EBETREXAT TBL 10MG" }] }, "subject" : { "reference" : "urn:uuid:0fed5ebe-ca8f-4ad1-aba4-ddad45bd6cc8", "display" : "Maria Musterfrau" }, "effectivePeriod" : { "start" : "2024-02-08T10:31:58+02:00" }, "dosage" : [{ "sequence" : 1, "timing" : { "repeat" : { "dayOfWeek" : ["fri"], "when" : ["NIGHT"] } }, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "26643006", "display" : "Oraler Verabreichungsweg" }] }, "doseAndRate" : [{ "doseQuantity" : { "value" : 2, "unit" : "Tablet", "system" : "https://termgit.elga.gv.at/ValueSet/elga-medikationmengenart", "code" : "{TAB}" } }] }] } }, { "fullUrl" : "urn:uuid:768eb9cb-00f3-4ab1-bfc2-ff835cb3b89b", "resource" : { "resourceType" : "AllergyIntolerance", "id" : "AtApsExample03Diabetes-allergy-1", "meta" : { "profile" : ["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-allergyintolerance"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: AllergyIntolerance AtApsExample03Diabetes-allergy-1

Profile: AT APS AllergyIntolerance

clinicalStatus: Active

code: Benzylpenicillin-Natrium

patient: Maria Musterfrau

asserter: Dr. IV-Ärztin

" }, "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical", "code" : "active", "display" : "Active" }] }, "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "89055006", "display" : "Benzylpenicillin-Natrium" }] }, "patient" : { "reference" : "urn:uuid:0fed5ebe-ca8f-4ad1-aba4-ddad45bd6cc8", "display" : "Maria Musterfrau" }, "asserter" : { "reference" : "urn:uuid:75db30ee-7028-486c-929a-c5126837f472", "display" : "Dr. IV-Ärztin" } } }, { "fullUrl" : "urn:uuid:75c46c35-8f4e-4232-b026-5672c60d076a", "resource" : { "resourceType" : "Procedure", "id" : "AtApsExample03Diabetes-procedure-history-1", "meta" : { "profile" : ["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-procedure"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Procedure AtApsExample03Diabetes-procedure-history-1

Profile: AT APS Procedure

status: Completed

code: Totalersatz des linken Hüftgelenks

subject: Maria Musterfrau

performed: 2010

" }, "status" : "completed", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "770606008", "display" : "Totalersatz des linken Hüftgelenks" }] }, "subject" : { "reference" : "urn:uuid:0fed5ebe-ca8f-4ad1-aba4-ddad45bd6cc8", "display" : "Maria Musterfrau" }, "performedDateTime" : "2010" } }, { "fullUrl" : "urn:uuid:725bcf71-22e6-473b-a879-49a4b63cd654", "resource" : { "resourceType" : "Observation", "id" : "AtApsExample03Diabetes-diagnostic-result-1", "meta" : { "profile" : ["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationresultslaboratorypathology"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation AtApsExample03Diabetes-diagnostic-result-1

Profile: AT APS Observation Results Laboratory Pathology

status: Final

category: Laboratory, Hämatologie

code: AB0 und Rh-Blutgruppensysteme [Typ] in Blut

subject: Maria Musterfrau

effective: 2024-02-08 07:34:06+0100

performer: Amadeus Spital - Labor

value: Blutgruppe A Rh(D) positiv

specimen: AtApsExample03Diabetes-diagnostic-specimen-1

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory", "display" : "Laboratory" }] }, { "coding" : [{ "system" : "https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung", "code" : "300", "display" : "Hämatologie" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "882-1", "display" : "AB0 und Rh-Blutgruppensysteme [Typ] in Blut" }] }, "subject" : { "reference" : "urn:uuid:0fed5ebe-ca8f-4ad1-aba4-ddad45bd6cc8", "display" : "Maria Musterfrau" }, "effectiveDateTime" : "2024-02-08T07:34:06+01:00", "performer" : [{ "reference" : "urn:uuid:82f802a7-56a9-49b4-a675-95da08f0d7a6", "display" : "Amadeus Spital - Labor" }], "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "278149003", "display" : "Blutgruppe A Rh(D) positiv" }] }, "specimen" : { "reference" : "urn:uuid:e3567418-073e-4fd7-af4e-5fd7ee4785f7", "display" : "AtApsExample03Diabetes-diagnostic-specimen-1" } } }, { "fullUrl" : "urn:uuid:82f802a7-56a9-49b4-a675-95da08f0d7a6", "resource" : { "resourceType" : "Organization", "id" : "AtApsExample03Diabetes-diagnostic-result-performer-1", "meta" : { "profile" : ["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-organization"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Organization AtApsExample03Diabetes-diagnostic-result-performer-1

Profile: AT APS Organization

identifier: Uniform Resource Identifier (URI)/urn:oid:1.2.40.0.34.99.4613

name: Amadeus Spital - Labor

telecom: +43.1.3453446.0, fax: +43.1.3453446.4674, info@amadeusspital.at, https://www.amadeusspital.at

address: Währinger Gürtel 18-20 Wien 1090 AUT

" }, "identifier" : [{ "system" : "urn:ietf:rfc:3986", "value" : "urn:oid:1.2.40.0.34.99.4613", "assigner" : { "display" : "Bundesministerium für Gesundheit" } }], "name" : "Amadeus Spital - Labor", "telecom" : [{ "system" : "phone", "value" : "+43.1.3453446.0" }, { "system" : "fax", "value" : "+43.1.3453446.4674" }, { "system" : "email", "value" : "info@amadeusspital.at" }, { "system" : "url", "value" : "https://www.amadeusspital.at" }], "address" : [{ "line" : ["Währinger Gürtel 18-20"], "city" : "Wien", "postalCode" : "1090", "country" : "AUT" }] } }, { "fullUrl" : "urn:uuid:e3567418-073e-4fd7-af4e-5fd7ee4785f7", "resource" : { "resourceType" : "Specimen", "id" : "AtApsExample03Diabetes-diagnostic-specimen-1", "meta" : { "profile" : ["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-specimen"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Specimen AtApsExample03Diabetes-diagnostic-specimen-1

Profile: AT APS Specimen

status: Unavailable

type: Blutprobe

subject: Maria Musterfrau

" }, "status" : "unavailable", "type" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "119297000", "display" : "Blutprobe" }] }, "subject" : { "reference" : "urn:uuid:0fed5ebe-ca8f-4ad1-aba4-ddad45bd6cc8", "display" : "Maria Musterfrau" } } }, { "fullUrl" : "urn:uuid:74c5e186-d765-4c93-a624-c9b0746e8142", "resource" : { "resourceType" : "Observation", "id" : "AtApsExample03Diabetes-vital-sign-1", "meta" : { "profile" : ["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationvitalsigns"] }, "language" : "de-AT", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation AtApsExample03Diabetes-vital-sign-1

Language: de-AT

Profile: AT APS Observation Vital Signs

status: Final

category: Vital Signs

code: Körpergröße

subject: Maria Musterfrau

effective: 2024-02-08 08:30:00+0100

performer: Dr. IV-Ärztin

value: 173 cm (Details: UCUM codecm = 'cm')

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "vital-signs", "display" : "Vital Signs" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "8302-2", "display" : "Körpergröße" }] }, "subject" : { "reference" : "urn:uuid:0fed5ebe-ca8f-4ad1-aba4-ddad45bd6cc8", "display" : "Maria Musterfrau" }, "effectiveDateTime" : "2024-02-08T08:30:00+01:00", "performer" : [{ "reference" : "urn:uuid:75db30ee-7028-486c-929a-c5126837f472", "display" : "Dr. IV-Ärztin" }], "valueQuantity" : { "value" : 173, "unit" : "cm", "system" : "http://unitsofmeasure.org", "code" : "cm" } } }, { "fullUrl" : "urn:uuid:82301518-66ca-4b4c-821d-087adf643cc4", "resource" : { "resourceType" : "Condition", "id" : "AtApsExample03Diabetes-illness-history-1", "meta" : { "profile" : ["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Condition AtApsExample03Diabetes-illness-history-1

Profile: AT APS Condition

clinicalStatus: Resolved

verificationStatus: Confirmed

category: Problem List Item

code: Zustand nach Masern

subject: Maria Musterfrau

" }, "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical", "code" : "resolved", "display" : "Resolved" }] }, "verificationStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code" : "confirmed", "display" : "Confirmed" }] }, "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-category", "code" : "problem-list-item", "display" : "Problem List Item" }] }], "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "161419000", "display" : "Zustand nach Masern" }] }, "subject" : { "reference" : "urn:uuid:0fed5ebe-ca8f-4ad1-aba4-ddad45bd6cc8", "display" : "Maria Musterfrau" } } }, { "fullUrl" : "urn:uuid:d0a5bbf1-6d01-4d44-bac5-05f12c98411e", "resource" : { "resourceType" : "Observation", "id" : "AtApsExample03Diabetes-social-history-1", "meta" : { "profile" : ["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationtobaccouse"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation AtApsExample03Diabetes-social-history-1

Profile: AT APS Observation Tobacco Use

status: Final

code: Raucherstatus

subject: Maria Musterfrau

effective: 2019-07-15

performer: Dr. IV-Ärztin

value: Ehemalig rauchende Person

" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "72166-2", "display" : "Raucherstatus" }] }, "subject" : { "reference" : "urn:uuid:0fed5ebe-ca8f-4ad1-aba4-ddad45bd6cc8", "display" : "Maria Musterfrau" }, "effectiveDateTime" : "2019-07-15", "performer" : [{ "reference" : "urn:uuid:75db30ee-7028-486c-929a-c5126837f472", "display" : "Dr. IV-Ärztin" }], "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "8517006", "display" : "Ehemalig rauchende Person" }] } } }] }