CH IPS (R4)
1.0.0 - trial-use
CH IPS (R4)
1.0.0 - trial-use
This page is part of the CH IPS (R4) (v1.0.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
Document Details
Generated Narrative: Bundle Patient Summary for IPS Switerland
Language: de-CH
Profile: CH IPS Document
Final Document at 2024-05-03 09:30:00+0200 by Martina Meier @ Spital for Monika Wegmüller
Document Subject
Generated Narrative: Patient 8383926c-ece1-4384-94bc-b4250b4cb71b
Monika Wegmüller Female, DoB: 1943-05-15 ( Medical record number: 987654321)
| Contact Detail | Wiesenstr. 12 Zürich 8003 CH | ||
Document Content
Entry 1 - fullUrl = urn:uuid:5c3cddfe-bbe6-463f-b76c-3d45bc7998fb
Resource Composition:
Generated Narrative: Composition 5c3cddfe-bbe6-463f-b76c-3d45bc7998fb
identifier: Uniform Resource Identifier (URI)/urn:uuid:fe724e67-ac59-4933-b997-2770cc506f3b
status: Final
type: Patient summary Document
date: 2024-05-03 09:30:00+0200
author: Martina Meier @ Spital
title: Patient Summary for IPS Switerland
Attesters
Mode Party Legal Martina Meier custodian: Spital
relatesTo
No display for RelatedArtifact (type: replaces)Events
Period Detail 2024-01-11 10:00:00+0100 --> 2024-05-03 09:30:00+0200 No display for Composition.event.detail (concept: care provision)
Entry 2 - fullUrl = urn:uuid:8383926c-ece1-4384-94bc-b4250b4cb71b
Resource Patient:
Generated Narrative: Patient 8383926c-ece1-4384-94bc-b4250b4cb71b
Monika Wegmüller Female, DoB: 1943-05-15 ( Medical record number: 987654321)
Contact Detail Wiesenstr. 12 Zürich 8003 CH
Entry 3 - fullUrl = urn:uuid:4d4e3587-42eb-4921-8c87-8bbf89b7eb4b
Resource Practitioner:
Generated Narrative: Practitioner 4d4e3587-42eb-4921-8c87-8bbf89b7eb4b
identifier: GLN/7601000234438
name: Martina Meier
Entry 4 - fullUrl = urn:uuid:869a4dd9-3a4a-4838-ad1e-42453d341147
Resource PractitionerRole:
Generated Narrative: PractitionerRole 869a4dd9-3a4a-4838-ad1e-42453d341147
practitioner: Bundle: identifier = UUID:fe724e67-ac59-4933-b997-2770cc506f3b; type = document; timestamp = 2024-05-03 09:30:00+0200
organization: Bundle: identifier = UUID:fe724e67-ac59-4933-b997-2770cc506f3b; type = document; timestamp = 2024-05-03 09:30:00+0200
Entry 5 - fullUrl = urn:uuid:a27376ce-fa12-458d-a2dc-f90e63de126b
Resource Organization:
Generated Narrative: Organization a27376ce-fa12-458d-a2dc-f90e63de126b
identifier: GLN/7601000234438
name: Spital
Contacts
Address Spitalstrasse 2 Zürich 8005 CH
Entry 6 - fullUrl = urn:uuid:88ee1ffb-26d0-49a2-95e4-6212261805a6
Resource MedicationStatement:
Generated Narrative: MedicationStatement 88ee1ffb-26d0-49a2-95e4-6212261805a6
status: recorded
subject: Monika Wegmüller
effective: 2020-03-03 --> (ongoing)
dosage
patientInstruction: Unzerkaut während oder nach den Mahlzeiten mit ausreichend Flüssigkeit einnehmen
timing: , ?ngen-6?, ?ngen-6?
route: zum Einnehmen
DoseAndRates
Dose[x] 1 Tablet (unit of presentation) (Details: SNOMED CT code732936001 = 'Tablet (unit of presentation)') Generated Narrative: Medication #Metformin
code: METFORMIN Axapharm Filmtabl 500 mg
Entry 7 - fullUrl = urn:uuid:6f369210-adb1-4f11-893d-9977e34932de
Resource MedicationStatement:
Generated Narrative: MedicationStatement 6f369210-adb1-4f11-893d-9977e34932de
status: recorded
subject: Monika Wegmüller
effective: 2024-05-03 --> (ongoing)
dosage
sequence: 1
patientInstruction: Kann unabhängig von den Mahlzeiten eingenommen werden
timing: , ?ngen-6?
route: zum Einnehmen
DoseAndRates
Dose[x] 0.5 Tablet (unit of presentation) (Details: SNOMED CT code732936001 = 'Tablet (unit of presentation)') dosage
sequence: 2
timing: , ?ngen-6?
DoseAndRates
Dose[x] 1 Tablet (unit of presentation) (Details: SNOMED CT code732936001 = 'Tablet (unit of presentation)') Generated Narrative: Medication #Atorvastatin
code: EZETIMIB Atorvast Mepha Filmtabl 10mg/40mg
Entry 8 - fullUrl = urn:uuid:e463547f-7414-47cb-b97f-04a81e1ab7d8
Resource MedicationStatement:
Generated Narrative: MedicationStatement e463547f-7414-47cb-b97f-04a81e1ab7d8
status: recorded
subject: Monika Wegmüller
effective: 2024-05-03 --> (ongoing)
dosage
patientInstruction: Die Filmtablette soll mit etwas Wasser - unzerkaut und ohne sie zu lutschen - während oder unabhängig von den Mahlzeiten eingenommen werden. Es wird aber empfohlen, sie immer zum selben Zeitpunkt einzunehmen.
timing: , ?ngen-6?
route: zum Einnehmen
DoseAndRates
Dose[x] 1 Tablet (unit of presentation) (Details: SNOMED CT code732936001 = 'Tablet (unit of presentation)') Generated Narrative: Medication #Clopidogrel
code: CLOPIDOGREL axapharm Filmtabl 75 mg
Entry 9 - fullUrl = urn:uuid:f27b9345-6ba6-4fd6-83ab-6db6c2acd981
Resource MedicationStatement:
Generated Narrative: MedicationStatement f27b9345-6ba6-4fd6-83ab-6db6c2acd981
status: recorded
subject: Monika Wegmüller
effective: 2024-05-03 --> (ongoing)
dosage
patientInstruction: Tabletten mit etwas Flüssigkeit mindestens eine halbe Stunde vor der Mahlzeit einnehmen
timing: , ?ngen-6?
route: zum Einnehmen
DoseAndRates
Dose[x] 1 Tablet (unit of presentation) (Details: SNOMED CT code732936001 = 'Tablet (unit of presentation)') Generated Narrative: Medication #Aspirin
code: ASPIRIN CARDIO Filmtabl 100 mg
Entry 10 - fullUrl = urn:uuid:27da84cc-526a-4098-afb5-f08c7836d893
Resource AllergyIntolerance:
Generated Narrative: AllergyIntolerance 27da84cc-526a-4098-afb5-f08c7836d893
clinicalStatus: Active
verificationStatus: Confirmed
code: No known allergy (situation)
patient: Monika Wegmüller
recordedDate: 2024-04-26
Entry 11 - fullUrl = urn:uuid:506b9fef-be0a-4398-bb7e-7d14c311912f
Resource Condition:
Generated Narrative: Condition 506b9fef-be0a-4398-bb7e-7d14c311912f
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
severity: Moderate (severity modifier) (qualifier value)
code: Diabetes mellitus type 2 (disorder)
subject: Monika Wegmüller
Entry 12 - fullUrl = urn:uuid:8a79d459-0d2f-460b-87fd-a7de12d49871
Resource Condition:
Generated Narrative: Condition 8a79d459-0d2f-460b-87fd-a7de12d49871
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
severity: Moderate (severity modifier) (qualifier value)
code: Hypertensive disorder, systemic arterial (disorder)
subject: Monika Wegmüller
Entry 13 - fullUrl = urn:uuid:2c67cf62-d712-44c7-aedb-b5582bc707f1
Resource Condition:
Generated Narrative: Condition 2c67cf62-d712-44c7-aedb-b5582bc707f1
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
severity: Moderate (severity modifier) (qualifier value)
code: Coronary arteriosclerosis (disorder)
subject: Monika Wegmüller
Entry 14 - fullUrl = urn:uuid:12d8debe-5e03-465d-83f3-17675be9db4a
Resource Condition:
Generated Narrative: Condition 12d8debe-5e03-465d-83f3-17675be9db4a
clinicalStatus: Active
verificationStatus: Confirmed
category: Problem List Item
severity: Severe (severity modifier) (qualifier value)
code: Myocardial infarction (disorder)
subject: Monika Wegmüller
onset: 2024-04-26
recordedDate: 2024-04-26
Entry 15 - fullUrl = urn:uuid:ad3ec07d-1814-4faf-86fd-1a8ebeecb5fe
Resource Procedure:
Generated Narrative: Procedure ad3ec07d-1814-4faf-86fd-1a8ebeecb5fe
status: Completed
code: Placement of stent in coronary artery (procedure)
subject: Monika Wegmüller
Entry 16 - fullUrl = urn:uuid:d646c888-7af0-4439-8aae-9fd490054583
Resource Procedure:
Generated Narrative: Procedure d646c888-7af0-4439-8aae-9fd490054583
status: Completed
code: Placement of stent in coronary artery (procedure)
subject: Monika Wegmüller
recorder: Martina Meier @ Spital
Performers
Actor Martina Meier @ Spital
Entry 17 - fullUrl = urn:uuid:19efd704-3461-4120-b3cf-a76ae046e150
Resource Immunization:
Generated Narrative: Immunization 19efd704-3461-4120-b3cf-a76ae046e150
status: Completed
vaccineCode: Boostrix
lotNumber: 12-34244
patient: Monika Wegmüller
occurrence: 2017-09-15 09:12:56+0200
route: Intramuscular use
protocolApplied
targetDisease: Diphtheria caused by Corynebacterium diphtheriae (disorder), Tetanus (disorder), Pertussis (disorder)
Entry 18 - fullUrl = urn:uuid:db5ef7b0-e946-4260-a604-128b8887a41b
Resource Observation:
Generated Narrative: Observation db5ef7b0-e946-4260-a604-128b8887a41b
status: Final
category: Vital Signs
code: Body weight
subject: Monika Wegmüller
effective: 2024-04-27 14:05:00+0200
performer: Spital
value: 65 kilogram (Details: UCUM codekg = 'kg')
Entry 19 - fullUrl = urn:uuid:07b2e450-a62e-4734-98bf-51462f008e0f
Resource Observation:
Generated Narrative: Observation 07b2e450-a62e-4734-98bf-51462f008e0f
status: Final
category: Vital Signs
code: Body height
subject: Monika Wegmüller
effective: 2024-04-27 14:05:00+0200
performer: Spital
value: 170 centimeter (Details: UCUM codecm = 'cm')
Entry 20 - fullUrl = urn:uuid:93fe0d81-a547-494e-941c-113506108b76
Resource Observation:
Generated Narrative: Observation 93fe0d81-a547-494e-941c-113506108b76
status: Final
code: Tobacco smoking status
subject: Monika Wegmüller
effective: 2024-04-26
performer: Spital
value: Former smoker