Generated Narrative: Composition example-01-composition

Country of Affiliation element: AT

status: Final

type: Patient Summary Document

date: 2023-01-01 14:00:00+0000

author: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

title: Patient Summary

custodian: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

 <custodian> <reference value="urn:uuid:82f802a7-56a9-49b4-a675-95da08f0d7a6"/> </custodian> <section> <title value="Problem List"/> <code> <coding> <system value="http://loinc.org"/> <code value="11450-4"/> <display value="Problem list - Reported"/> </coding> </code> <text> <status value="empty"/><div xmlns="http://www.w3.org/1999/xhtml"><p>Arterielle Hypertonie</p><p>Adipositas</p></div> </text> <entry> <reference value="urn:uuid:9d1c0b74-20c1-4603-a95a-71e6a1dc8fde"/> </entry> <entry> <reference value="urn:uuid:8d3a18fb-3610-4bfb-9aa4-1169cc6dd2dd"/> </entry> </section> <section> <title value="Medication Summary"/> <code> <coding> <system value="http://loinc.org"/> <code value="10160-0"/> <display value="History of Medication use Narrative"/> </coding> </code> <text> <status value="empty"/><div xmlns="http://www.w3.org/1999/xhtml"><p>Ramipril 5 mg 1-0-0-0, Start 15.06.2016</p></div> </text> <entry> <reference value="urn:uuid:acac4c94-a752-4cf5-9a6b-0d84237d5076"/> </entry> <entry> <reference value="urn:uuid:98285578-0bb6-42b2-908c-5bcc5e3992e0"/> </entry> <entry> <reference value="urn:uuid:769a289d-a518-469a-8100-7943550e359f"/> </entry> <entry> <reference value="urn:uuid:9cb3b3df-7b15-4270-af39-5f2f819e692e"/> </entry> <entry> <reference value="urn:uuid:da89fd22-0d4f-4220-a625-b9ddf5eb330d"/> </entry> <entry> <reference value="urn:uuid:e526f7e5-2f76-484e-acde-d6f2365f0859"/> </entry> <entry> <reference value="urn:uuid:6d15d84f-2faf-4141-ac0c-fb9cf8496abe"/> </entry> <entry> <reference value="urn:uuid:ecf9728f-fa50-4b46-b8f7-7768174df72a"/> </entry> <entry> <reference value="urn:uuid:cf4b2e92-51e6-44de-9406-5406e66e9d45"/> </entry> </section> <section> <title value="Allergies and Intolerances"/> <code> <coding> <system value="http://loinc.org"/> <code value="48765-2"/> <display value="Allergies and adverse reactions Document"/> </coding> </code> <text> <status value="empty"/><div xmlns="http://www.w3.org/1999/xhtml"><p>-</p></div> </text> <entry> <reference value="urn:uuid:768eb9cb-00f3-4ab1-bfc2-ff835cb3b89b"/> </entry> </section> <section> <title value="History of Procedures"/> <code> <coding> <system value="http://loinc.org"/> <code value="47519-4"/> <display value="History of Procedures Document"/> </coding> </code> <text> <status value="empty"/><div xmlns="http://www.w3.org/1999/xhtml"><p>-</p></div> </text> <entry> <reference value="urn:uuid:75c46c35-8f4e-4232-b026-5672c60d076a"/> </entry> <entry> <reference value="urn:uuid:8103f99c-64f0-4dd5-b92e-5c9680c91e47"/> </entry> <entry> <reference value="urn:uuid:8a825f17-1599-4928-b384-0ca4a62daba8"/> </entry> </section> <section> <title value="Diagnostic Results"/> <code> <coding> <system value="http://loinc.org"/> <code value="30954-2"/> <display value="Relevant diagnostic tests/laboratory data Narrative"/> </coding> </code> <text> <status value="empty"/><div xmlns="http://www.w3.org/1999/xhtml"><p>-</p></div> </text> </section> <section> <title value="Vital Signs"/> <code> <coding> <system value="http://loinc.org"/> <code value="8716-3"/> <display value="Vital signs"/> </coding> </code> <text> <status value="empty"/><div xmlns="http://www.w3.org/1999/xhtml"><p>Körpergröße: 173cm</p><p>Gewicht: 90kg</p><p>BMI: 30.07</p><p>Blutdruck: 130/80 mmHG</p><p>Puls: 85 Schläge/min</p><p>Taillenumfang: 109 cm</p></div> </text> <entry> <reference value="urn:uuid:74c5e186-d765-4c93-a624-c9b0746e8142"/> </entry> <entry> <reference value="urn:uuid:428259da-e0f7-4780-b1e3-c177515edd37"/> </entry> <entry> <reference value="urn:uuid:daf9c15d-14d4-429c-b658-6842fdff67d8"/> </entry> <entry> <reference value="urn:uuid:8248cc70-65a2-4d37-ae14-a3ef2abf8f32"/> </entry> <entry> <reference value="urn:uuid:4d3f7ac4-fd0a-49af-a56b-303a2dbe67d1"/> </entry> <entry> <reference value="urn:uuid:be35e603-6b99-4bb5-ad70-8499f6b55df1"/> </entry> </section> <section> <title value="Social History"/> <code> <coding> <system value="http://loinc.org"/> <code value="29762-2"/> <display value="Social history Narrative"/> </coding> </code> <text> <status value="empty"/><div xmlns="http://www.w3.org/1999/xhtml"><p>Raucherstatus: Nichtraucher seit 5 Jahren (40 Pack Years)</p><p>Alkoholkonsum: 1-2 Gläser Wein oder Bier/Tag</p><p>Familienanamnese: Vorzeitige koronare Herzerkrankung</p><p>Familienstatus: Verheiratet, 2 Kinder, 2 Enkelkinder</p><p>Interesse: technisch affin</p><p>Körperliche Aktivität: 2.5 Stunden pro Woche</p></div> </text> <entry> <reference value="urn:uuid:566f71b0-4f76-498f-8c58-841fe405aed4"/> </entry> <entry> <reference value="urn:uuid:d0a5bbf1-6d01-4d44-bac5-05f12c98411e"/> </entry> <entry> <reference value="urn:uuid:5c5f6c1f-e55a-4784-945a-ef454bd8a044"/> </entry> <entry> <reference value="urn:uuid:e66d8ac1-a124-4e94-be22-969c9b117ce5"/> </entry> <entry> <reference value="urn:uuid:cba1f802-851b-46fb-be7d-781be4198e15"/> </entry> <entry> <reference value="urn:uuid:0317a71f-6573-450f-bfa7-f2728ea7a8cc"/> </entry> <entry> <reference value="urn:uuid:feb8751e-3baa-4f49-8d9e-1cd32a6c6dac"/> </entry> <entry> <reference value="urn:uuid:9add5c32-1ded-43d6-b163-c3fe13f94984"/> </entry> </section> <section> <code> <coding> <system value="http://loinc.org"/> <code value="46264-8"/> </coding> </code> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:0fed5ebe-ca8f-4ad1-aba4-ddad45bd6cc8"/> <resource> <Patient> <id value="example-01-patient"/> <meta> <profile value="https://fhir.hl7.at/elga-austrianpatientsummary-r4/StructureDefinition/at-aps-patient"/> </meta> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_example-01-patient"> </a><p class="res-header-id"><b>Generated Narrative: Patient example-01-patient</b></p><a name="example-01-patient"> </a><a name="hcexample-01-patient"> </a><a name="example-01-patient-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="https://build.fhir.org/ig/HL7Austria/ELGA-AustrianPatientSummary-R4/StructureDefinition-at-aps-patient.html">AT APS Patient</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Anton Test Male, DoB: 1951-11-12 ( Social Security Number: 0000121150)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Known Marital status of Patient">Marital Status:</td><td colspan="3"><span title="Codes:{http://snomed.info/sct 36629006}">Married</span></td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">Am Schulweg 5 Hainfeld 3100 AT (home)</td></tr></table></div> </text> <identifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <code value="SS"/> <display value="Social Security Number"/> </coding> </type> <system value="urn:oid:1.2.40.0.10.1.4.3.1"/> <value value="0000121150"/> <assigner> <display value="Dachverband der österreichischen Sozialversicherungsträger"/> </assigner> </identifier> <name> <family value="Test"/> <given value="Anton"/> </name> <gender value="male"/> <birthDate value="1951-11-12"/> <address> <use value="home"/> <line value="Am Schulweg 5"/> <city value="Hainfeld"/> <postalCode value="3100"/> <country value="AT"/> </address> <maritalStatus> <coding> <system value="http://snomed.info/sct"/> <code value="36629006"/> <display value="Married"/> </coding> </maritalStatus> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:75db30ee-7028-486c-929a-c5126837f472"/> <resource> <Practitioner> <id value="example-01-author"/> <meta> <profile value="https://fhir.hl7.at/elga-austrianpatientsummary-r4/StructureDefinition/at-aps-practitioner"/> </meta> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_example-01-author"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner example-01-author</b></p><a name="example-01-author"> </a><a name="hcexample-01-author"> </a><a name="example-01-author-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="https://build.fhir.org/ig/HL7Austria/ELGA-AustrianPatientSummary-R4/StructureDefinition-at-aps-practitioner.html">AT APS Practitioner</a></p></div><p><b>identifier</b>: <a href="http://terminology.hl7.org/6.0.2/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR. This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:oid:1.2.40.0.10.99.1.2.3.4</p><p><b>name</b>: Hannes Hausarzt </p></div> </text> <identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:oid:1.2.40.0.10.99.1.2.3.4"/> <assigner> <display value="Bundesministerium für Gesundheit"/> </assigner> </identifier> <name> <family value="Hausarzt"/> <given value="Hannes"/> <prefix value="Dr"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:82f802a7-56a9-49b4-a675-95da08f0d7a6"/> <resource> <Organization> <id value="example-01-organization"/> <meta> <profile value="https://fhir.hl7.at/elga-austrianpatientsummary-r4/StructureDefinition/at-aps-organization"/> </meta> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_example-01-organization"> </a><p class="res-header-id"><b>Generated Narrative: Organization example-01-organization</b></p><a name="example-01-organization"> </a><a name="hcexample-01-organization"> </a><a name="example-01-organization-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="https://build.fhir.org/ig/HL7Austria/ELGA-AustrianPatientSummary-R4/StructureDefinition-at-aps-organization.html">AT APS Organization</a></p></div><p><b>identifier</b>: <a href="http://terminology.hl7.org/6.0.2/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR. This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:oid:1.2.40.0.10.99.1.4.5.6</p><p><b>name</b>: Amadeus Spital</p><p><b>address</b>: Spitalstraße 10 Wien 1010 AT </p></div> </text> <identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:oid:1.2.40.0.10.99.1.4.5.6"/> </identifier> <name value="Amadeus Spital"/> <address> <line value="Spitalstraße 10"/> <city value="Wien"/> <postalCode value="1010"/> <country value="AT"/> </address> </Organization> </resource> </entry> </Bundle>