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
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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 Detail | Am Schulweg 5 Hainfeld 3100 AUT (home) | ||
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
Generated Narrative: Organization AtApsExample03Diabetes-organization
Profile: AT APS Organization
name: Muster-Organization
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
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
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
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
Generated Narrative: Condition AtApsExample03Diabetes-problem-5
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Arterielle Hypertonie
subject: Maria Musterfrau
Generated Narrative: Condition AtApsExample03Diabetes-problem-14
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Familienanamnese: Kolonkarzinom
subject: Maria Musterfrau
Generated Narrative: Condition AtApsExample03Diabetes-problem-17
Profile: AT APS Condition
clinicalStatus: Inactive
verificationStatus: Provisional
category: Problem List Item
code: Parodontalerkrankung
subject: Maria Musterfrau
| Assessment |
| AtApsExample03Diabetes-problem-17-assessment-1 |
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
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}')
Generated Narrative: AllergyIntolerance AtApsExample03Diabetes-allergy-1
Profile: AT APS AllergyIntolerance
clinicalStatus: Active
code: Benzylpenicillin-Natrium
patient: Maria Musterfrau
asserter: Dr. IV-Ärztin
Generated Narrative: Procedure AtApsExample03Diabetes-procedure-history-1
Profile: AT APS Procedure
status: Completed
code: Totalersatz des linken Hüftgelenks
subject: Maria Musterfrau
performed: 2010
Generated Narrative: Observation AtApsExample03Diabetes-diagnostic-result-1
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
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
Generated Narrative: Specimen AtApsExample03Diabetes-diagnostic-specimen-1
Profile: AT APS Specimen
status: Unavailable
type: Blutprobe
subject: Maria Musterfrau
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')
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
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