Generated Narrative: Composition AtApsExampleBundle02-composition
Profile: AT APS Composition
status: Final
type: Patient summary
date: 2024-02-08 14:01:30+0000
author: Dr. Hannes Hausarzt
title: International Patient Summary - Preventive Medical Checkup
custodian: Muster-Organisation
Narrativer Text muss generiert werden.
Narrativer Text muss generiert werden.
Narrativer Text muss generiert werden.
Narrativer Text muss generiert werden.
Narrativer Text muss generiert werden.
Narrativer Text muss generiert werden.
Narrativer Text muss generiert werden.
Narrativer Text muss generiert werden.
Narrativer Text muss generiert werden.
Generated Narrative: Patient AtApsExampleBundle02-patient
Profile: AT APS Patient
Arnold Test Male, 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 AtApsExampleBundle02-author
Profile: AT APS Practitioner
identifier: Uniform Resource Identifier (URI)/urn:oid:1.2.40.0.10.99.1.2.3.4
name: Hannes Hausarzt
Generated Narrative: Organization AtApsExampleBundle02-custodian
Profile: AT APS Organization
name: Muster-Organization
Generated Narrative: Condition AtApsExampleBundle02-problem-1
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: CKD - Chronische Niereninsuffizienz Grad 3B
subject: Test Arnold
Generated Narrative: Condition AtApsExampleBundle02-problem-2
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Langfristige Einnahme von Antikoagulantien
subject: Test Arnold
Generated Narrative: Condition AtApsExampleBundle02-problem-3
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Diabetes mit Insulin und oraler Behandlung
subject: Test Arnold
Generated Narrative: Condition AtApsExampleBundle02-problem-4
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Langfristige Einnahme eines Immunsuppressivums
subject: Test Arnold
Generated Narrative: Condition AtApsExampleBundle02-problem-5
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Arterielle Hypertonie
subject: Test Arnold
Generated Narrative: Condition AtApsExampleBundle02-problem-6
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Karotis-Doppler-Sonographie normal
subject: Test Arnold
Generated Narrative: Condition AtApsExampleBundle02-problem-7
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Koronarangiographie normal
subject: Test Arnold
Generated Narrative: Condition AtApsExampleBundle02-problem-8
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Langfristige aktuelle Anwendung von Bisphosphonaten
subject: Test Arnold
onset: 2020-06 --> 2025-03
Generated Narrative: Condition AtApsExampleBundle02-problem-9
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Dauerhaftes Vorhofflimmern
subject: Test Arnold
Generated Narrative: Condition AtApsExampleBundle02-problem-10
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Albuminurie Grad A2
subject: Test Arnold
Generated Narrative: Condition AtApsExampleBundle02-problem-11
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Seronegative rheumatoide Arthritis
subject: Test Arnold
Generated Narrative: Condition AtApsExampleBundle02-problem-12
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Hypercholesterinämie
subject: Test Arnold
Generated Narrative: Condition AtApsExampleBundle02-problem-13
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Diabetes mellitus in der Familienanamnese
subject: Test Arnold
Generated Narrative: Condition AtApsExampleBundle02-problem-14
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Familienanamnese: Kolonkarzinom
subject: Test Arnold
Generated Narrative: Condition AtApsExampleBundle02-problem-15
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Familienanamnese: vorzeitige koronare Herzkrankheit
subject: Test Arnold
Generated Narrative: Condition AtApsExampleBundle02-problem-16
Profile: AT APS Condition
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
code: Hypercholesterinämie in der Familienanamnese
subject: Test Arnold
Generated Narrative: Condition AtApsExampleBundle02-problem-17
Profile: AT APS Condition
clinicalStatus: Inactive
verificationStatus: Provisional
category: Problem List Item
code: Parodontalerkrankung
subject: Test Arnold
| Assessment |
| AtApsExampleBundle02-problem-17-assessment-1 |
Generated Narrative: Observation AtApsExampleBundle02-problem-17-assessment-1
status: Final
category: Exam
code: Bewertung der Risikofaktoren für Parodontalerkrankungen
subject: Test Arnold
effective: 2024-02-08 08:30:00+0100
performer: Amadeus Spital - Labor
value: Hohes Risiko
Generated Narrative: MedicationStatement AtApsExampleBundle02-medication-summary-1
Profile: AT APS MedicationStatement
status: Active
medication: EBETREXAT TBL 10MG
subject: Test Arnold
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: MedicationStatement AtApsExampleBundle02-medication-summary-2
Profile: AT APS MedicationStatement
status: Active
medication: ELIQUIS FTBL 2,5MG
subject: Test Arnold
effective: 2024-02-08 10:31:58+0200 --> (ongoing)
| Text |
| S:1-0-0-1 |
Generated Narrative: MedicationStatement AtApsExampleBundle02-medication-summary-3
Profile: AT APS MedicationStatement
status: Active
medication: FORXIGA FTBL 10MG
subject: Test Arnold
effective: 2024-02-08 10:31:58+0200 --> (ongoing)
| Text |
| S:1-0-0-0 |
Generated Narrative: MedicationStatement AtApsExampleBundle02-medication-summary-4
Profile: AT APS MedicationStatement
status: Active
medication: GEROFOL TBL 5MG
subject: Test Arnold
effective: 2024-02-08 10:31:58+0200 --> (ongoing)
| Text |
| S:MO, MI |
Generated Narrative: MedicationStatement AtApsExampleBundle02-medication-summary-5
Profile: AT APS MedicationStatement
status: Active
medication: IBANDRONSAEURE SAN FSPR 3MG
subject: Test Arnold
effective: 2024-02-08 10:31:58+0200 --> (ongoing)
| Text |
| S:0,33/Monat, alle 3 Monate |
Generated Narrative: MedicationStatement AtApsExampleBundle02-medication-summary-6
Profile: AT APS MedicationStatement
status: Active
medication: METFORMIN HEX FTBL 500MG
subject: Test Arnold
effective: 2024-02-08 10:31:58+0200 --> (ongoing)
| Text |
| S:1-0-0-1 |
Generated Narrative: MedicationStatement AtApsExampleBundle02-medication-summary-7
Profile: AT APS MedicationStatement
status: Active
medication: RAMIPRIL 1A TBL 5MG
subject: Test Arnold
effective: 2024-02-08 10:31:58+0200 --> (ongoing)
| Text |
| S:1-0-0-0 |
Generated Narrative: MedicationStatement AtApsExampleBundle02-medication-summary-8
Profile: AT APS MedicationStatement
status: Active
medication: ROSUVASTATIN 1A FTBL 10MG
subject: Test Arnold
effective: 2024-02-08 10:31:58+0200 --> (ongoing)
Generated Narrative: MedicationStatement AtApsExampleBundle02-medication-summary-9
Profile: AT APS MedicationStatement
status: Active
medication: SEMGLEE INJ 100E/ML FPEN 3ML
subject: Test Arnold
effective: 2024-02-08 10:31:58+0200 --> (ongoing)
| Text |
| S:0-0-0-10 |
Generated Narrative: AllergyIntolerance AtApsExampleBundle02-allergy-1
Profile: AT APS AllergyIntolerance
clinicalStatus: Active
code: Hausstaub
patient: Test Arnold
Generated Narrative: Procedure AtApsExampleBundle02-procedure-history-1
Profile: AT APS Procedure
status: Completed
code: Totalersatz des linken Hüftgelenks
subject: Test Arnold
performed: 2010
Generated Narrative: Procedure AtApsExampleBundle02-procedure-history-2
Profile: AT APS Procedure
status: Completed
code: Appendektomie
subject: Test Arnold
performed: 1962
Generated Narrative: Procedure AtApsExampleBundle02-procedure-history-3
Profile: AT APS Procedure
status: Completed
code: Koloskopie
subject: Test Arnold
performed: 2014
Generated Narrative: Specimen AtApsExampleBundle02-diagnostic-specimen-1
Profile: AT APS Specimen
status: Unavailable
type: Blutprobe
subject: Test Arnold
Generated Narrative: Observation AtApsExampleBundle02-diagnostic-result-1
status: Final
category: Transfusions-/Transplantationsdiagnostik/Immungenetik, Blutgruppenserologie, Laboratory
code: AB0 und Rh-Blutgruppensysteme [Typ] in Blut
subject: Test Arnold
effective: 2024-02-08 07:34:06+0100
performer: Amadeus Spital - Labor
value: Blutgruppe A Rh(D) positiv
Generated Narrative: Observation AtApsExampleBundle02-diagnostic-result-2
status: Final
category: Klinische Chemie/Proteindiagnostik, Laboratory
code: Klinische Chemie/Proteindiagnostik
subject: Test Arnold
effective: 2024-02-08 07:56:06+0100
performer: Amadeus Spital - Labor
specimen: AtApsExampleBundle02-diagnostic-specimen-1
hasMember:
Generated Narrative: Observation AtApsExampleBundle02-diagnostic-result-3
Language: de-AT
status: Final
category: Klinische Chemie, Laboratory
code: Cholesterin
subject: Test Arnold
effective: 2024-02-08 07:34:06+0100
performer: Amadeus Spital - Labor
value: 180 mg/dL (Details: UCUM codemg/dL = 'mg/dL')
Generated Narrative: Observation AtApsExampleBundle02-diagnostic-result-4
Language: de-AT
status: Final
category: Klinische Chemie, Laboratory
code: HDL-Cholesterin
subject: Test Arnold
effective: 2024-02-08 07:34:06+0100
performer: Amadeus Spital - Labor
value: 45 mg/dL (Details: UCUM codemg/dL = 'mg/dL')
Generated Narrative: Observation AtApsExampleBundle02-diagnostic-result-5
status: Final
category: Klinische Chemie, Laboratory
code: Cholesterol.gesamt/Cholesterol in HDL [Massenverhältnis] in Serum oder Plasma
subject: Test Arnold
effective: 2024-02-08 07:34:06+0100
performer: Amadeus Spital - Labor
value: 4 {ratio} (Details: UCUM code{ratio} = '{ratio}')
Generated Narrative: Observation AtApsExampleBundle02-diagnostic-result-6
Language: de-AT
status: Final
category: Klinische Chemie, Laboratory
code: Triglyceride
subject: Test Arnold
effective: 2024-02-08 07:34:06+0100
performer: Amadeus Spital - Labor
value: 130 mg/dL (Details: UCUM codemg/dL = 'mg/dL')
Generated Narrative: Observation AtApsExampleBundle02-diagnostic-result-7
Language: de-AT
status: Final
category: Klinische Chemie, Laboratory
code: Gamma-GT
subject: Test Arnold
effective: 2024-02-08 07:34:06+0100
performer: Amadeus Spital - Labor
value: 54 U/L (Details: UCUM codeU/L = 'U/L')
Generated Narrative: Observation AtApsExampleBundle02-diagnostic-result-15
status: Final
category: Klinische Chemie, Laboratory
code: Glucose [Masse/Volumen] in Blut
subject: Test Arnold
effective: 2024-02-08 07:34:06+0100
performer: Amadeus Spital - Labor
value: 112 mg/dL (Details: UCUM codemg/dL = 'mg/dL')
Generated Narrative: Organization AtApsExampleBundle02-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: Observation AtApsExampleBundle02-vital-sign-1
Profile: AT APS Observation Vital Signs
status: Final
category: Vital Signs
code: Körpergröße
subject: Test Arnold
effective: 2024-02-08 08:30:00+0100
performer: Amadeus Spital - Labor
value: 173 cm (Details: UCUM codecm = 'cm')
Generated Narrative: Observation AtApsExampleBundle02-vital-sign-2
Profile: AT APS Observation Vital Signs
status: Final
category: Vital Signs
code: Körpergewicht
subject: Test Arnold
effective: 2024-02-08 08:30:00+0100
performer: Dr. Hannes Hausarzt
value: 68 kg (Details: UCUM codekg = 'kg')
Generated Narrative: Observation AtApsExampleBundle02-vital-sign-3
Profile: AT APS Observation Vital Signs
status: Final
category: Vital Signs
code: Body Mass Index (BMI) [Verhältnis]
subject: Test Arnold
effective: 2024-02-08 08:30:00+0100
performer: Dr. Hannes Hausarzt
value: 22.72 kg/m2 (Details: UCUM codekg/m2 = 'kg/m2')
interpretation: High
Generated Narrative: Observation AtApsExampleBundle02-vital-sign-4
Profile: AT APS Observation Vital Signs
status: Final
category: Vital Signs
code: Blood pressure panel with all children optional
subject: Test Arnold
effective: 2024-02-08 08:30:00+0100
performer: Dr. Hannes Hausarzt
component
code: Systolischer Blutdruck
value: 130 mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]')
component
code: Diastolischer Blutdruck
value: 80 mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]')
Generated Narrative: Observation AtApsExampleBundle02-vital-sign-5
Profile: AT APS Observation Vital Signs
status: Final
category: Vital Signs
code: Herzfrequenz
subject: Test Arnold
effective: 2024-02-08 08:30:00+0100
performer: Dr. Hannes Hausarzt
value: 85 /min (Details: UCUM code/min = '/min')
Generated Narrative: Observation AtApsExampleBundle02-vital-sign-6
Profile: AT APS Observation Vital Signs
status: Final
category: Vital Signs
code: Umfang der Taille
subject: Test Arnold
effective: 2024-02-08 08:30:00+0100
performer: Dr. Hannes Hausarzt
value: <102 cm (Details: UCUM codecm = 'cm')
Generated Narrative: Condition AtApsExampleBundle02-illness-history-1
Profile: AT APS Condition
clinicalStatus: Resolved
verificationStatus: Confirmed
category: Problem List Item
code: Zustand nach Masern
subject: Test Arnold
Generated Narrative: Condition AtApsExampleBundle02-illness-history-2
Profile: AT APS Condition
clinicalStatus: Resolved
verificationStatus: Confirmed
category: Problem List Item
code: Zustand nach Windpocken
subject: Test Arnold
Generated Narrative: Observation AtApsExampleBundle02-social-history-1
Profile: AT APS Observation Tobacco Use
status: Final
code: Raucherstatus
subject: Test Arnold
effective: 2024-02-08 08:30:00+0100
performer: Dr. Hannes Hausarzt
value: Nie Tabak geraucht
Generated Narrative: Observation AtApsExampleBundle02-social-history-2
status: Final
code: Körperliche Aktivität
subject: Test Arnold
effective: 2024-02-08 08:30:00+0100
performer: Dr. Hannes Hausarzt
value: >2.5 h (Details: UCUM codeh = 'h')/1 wk (Details: UCUM codewk = 'wk')