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Generated Narrative

Resource \"6e1fb74a-742b-4c7b-8487-171dacb88766\"

status: final

type: Patient summary Document (LOINC#60591-5)

date: 2020-12-11 02:30:00+0100

author: Beetje van Hulp, MD

title: Patient Summary as of December 11, 2020 14:30

confidentiality: N

attester

mode: legal

time: 2020-12-11 02:30:00+0100

party: Beetje van Hulp, MD

attester

mode: legal

time: 2020-12-11 02:30:00+0100

party: Anorg Aniza Tion BV

custodian: Anorg Aniza Tion BV

RelatesTos

-CodeTarget[x]
*appendsid: 20e12ce3-857f-49c0-b888-cb670597f191

Events

-CodePeriod
*care provision (ActClass#PCPR)?? --> 2020-12-11 02:30:00+0100
" }, "status": "final", "type": { "coding": [ { "system": "http://loinc.org", "code": "60591-5", "display": "Patient summary Document" } ] }, "subject": { "reference": "Patient/7685713c-e29e-4a75-8a90-45be7ba3be94" }, "date": "2020-12-11T14:30:00+01:00", "author": [ { "reference": "Practitioner/98315ba9-ffea-41ef-b59b-a836c039858f" } ], "title": "Patient Summary as of December 11, 2020 14:30", "confidentiality": "N", "attester": [ { "mode": "legal", "time": "2020-12-11T14:30:00+01:00", "party": { "reference": "Practitioner/98315ba9-ffea-41ef-b59b-a836c039858f" } }, { "mode": "legal", "time": "2020-12-11T14:30:00+01:00", "party": { "reference": "Organization/bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d" } } ], "custodian": { "reference": "Organization/bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d" }, "relatesTo": [ { "code": "appends", "targetIdentifier": { "system": "urn:oid:2.16.724.4.8.10.200.10", "value": "20e12ce3-857f-49c0-b888-cb670597f191" } } ], "event": [ { "code": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ActClass", "code": "PCPR" } ] } ], "period": { "end": "2020-12-11T14:30:00+01:00" } } ], "section": [ { "title": "Active Problems", "code": { "coding": [ { "system": "http://loinc.org", "code": "11450-4", "display": "Problem list Reported" } ] }, "text": { "status": "generated", "div": "
" }, "entry": [ { "reference": "Condition/ad84b7a2-b4dd-474e-bef3-0779e6cb595f" } ] }, { "title": "Medication", "code": { "coding": [ { "system": "http://loinc.org", "code": "10160-0", "display": "History of Medication use Narrative" } ] }, "text": { "status": "generated", "div": "
" }, "entry": [ { "reference": "MedicationStatement/6e883e5e-7648-485a-86de-3640a61601fe" } ] }, { "title": "Allergies and Intolerances", "code": { "coding": [ { "system": "http://loinc.org", "code": "48765-2", "display": "Allergies and adverse reactions Document" } ] }, "text": { "status": "generated", "div": "
" }, "entry": [ { "reference": "AllergyIntolerance/fe2769fd-22c9-4307-9122-ee0466e5aebb" } ] } ] } }, { "fullUrl": "urn:uuid:7685713c-e29e-4a75-8a90-45be7ba3be94", "resource": { "resourceType": "Patient", "id": "7685713c-e29e-4a75-8a90-45be7ba3be94", "text": { "status": "generated", "div": "

Generated Narrative: Patient

Resource Patient "7685713c-e29e-4a75-8a90-45be7ba3be94"

identifier: id: 574687583

active: true

name: Martha DeLarosa

telecom: +31788700800

gender: female

birthDate: 1972-05-01

address: Laan Van Europa 1600 Dordrecht 3317 DB NL

Contacts

-RelationshipNameTelecomAddress
*mother (RoleCode#MTH)Martha Mum +33-555-20036Promenade des Anglais 111 Lyon 69001 FR
" }, "identifier": [ { "system": "urn:oid:2.16.840.1.113883.2.4.6.3", "value": "574687583" } ], "active": true, "name": [ { "family": "DeLarosa", "given": [ "Martha" ] } ], "telecom": [ { "system": "phone", "value": "+31788700800", "use": "home" } ], "gender": "female", "birthDate": "1972-05-01", "address": [ { "line": [ "Laan Van Europa 1600" ], "city": "Dordrecht", "postalCode": "3317 DB", "country": "NL" } ], "contact": [ { "relationship": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "code": "MTH" } ] } ], "name": { "family": "Mum", "given": [ "Martha" ] }, "telecom": [ { "system": "phone", "value": "+33-555-20036", "use": "home" } ], "address": { "line": [ "Promenade des Anglais 111" ], "city": "Lyon", "postalCode": "69001", "country": "FR" } } ] } }, { "fullUrl": "urn:uuid:98315ba9-ffea-41ef-b59b-a836c039858f", "resource": { "resourceType": "Practitioner", "id": "98315ba9-ffea-41ef-b59b-a836c039858f", "text": { "status": "generated", "div": "

Generated Narrative: Practitioner

Resource Practitioner "98315ba9-ffea-41ef-b59b-a836c039858f"

identifier: id: 129854633

active: true

name: Beetje van Hulp

Qualifications

-Code
*Doctor of Medicine (degreeLicenseCertificate[2.7]#MD)
" }, "identifier": [ { "system": "urn:oid:2.16.528.1.1007.3.1", "value": "129854633", "assigner": { "display": "CIBG" } } ], "active": true, "name": [ { "family": "van Hulp", "given": [ "Beetje" ] } ], "qualification": [ { "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0360", "version": "2.7", "code": "MD", "display": "Doctor of Medicine" } ] } } ] } }, { "fullUrl": "urn:uuid:bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d", "resource": { "resourceType": "Organization", "id": "bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d", "text": { "status": "generated", "div": "

Generated Narrative: Organization

Resource Organization "bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d"

identifier: id: 564738757

active: true

name: Anorg Aniza Tion BV / The best custodian ever

telecom: +31-51-34343400

address: Houttuinen 27 Dordrecht 3311 CE NL (WORK)

" }, "identifier": [ { "system": "urn:oid:2.16.528.1.1007.3.3", "value": "564738757" } ], "active": true, "name": "Anorg Aniza Tion BV / The best custodian ever", "telecom": [ { "system": "phone", "value": "+31-51-34343400", "use": "work" } ], "address": [ { "use": "work", "line": [ "Houttuinen 27" ], "city": "Dordrecht", "postalCode": "3311 CE", "country": "NL" } ] } }, { "fullUrl": "urn:uuid:ad84b7a2-b4dd-474e-bef3-0779e6cb595f", "resource": { "resourceType": "Condition", "id": "ad84b7a2-b4dd-474e-bef3-0779e6cb595f", "text": { "status": "generated", "div": "

Generated Narrative: Condition

Resource Condition "ad84b7a2-b4dd-474e-bef3-0779e6cb595f"

identifier: id: cacceb57-395f-48e1-9c88-e9c9704dc2d2

clinicalStatus: Active (Condition Clinical Status Codes#active)

verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)

category: Problem (LOINC#75326-9)

severity: Moderate (LOINC#LA6751-7)

code: Menopausal flushing (finding) (SNOMED CT#198436008; ICD-10#N95.1 "Menopausal and female climacteric states")

subject: See above (Patient/7685713c-e29e-4a75-8a90-45be7ba3be94)

onset: 2015

recordedDate: 2016-10

" }, "identifier": [ { "system": "urn:oid:1.2.3.999", "value": "cacceb57-395f-48e1-9c88-e9c9704dc2d2" } ], "clinicalStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "active" } ] }, "verificationStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code": "confirmed" } ] }, "category": [ { "coding": [ { "system": "http://loinc.org", "code": "75326-9", "display": "Problem" } ] } ], "severity": { "coding": [ { "system": "http://loinc.org", "code": "LA6751-7", "display": "Moderate" } ] }, "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "198436008", "display": "Menopausal flushing (finding)", "_display": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueString": "opvliegers" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] } }, { "system": "http://hl7.org/fhir/sid/icd-10", "code": "N95.1", "display": "Menopausal and female climacteric states" } ] }, "subject": { "reference": "Patient/7685713c-e29e-4a75-8a90-45be7ba3be94" }, "onsetDateTime": "2015", "recordedDate": "2016-10" } }, { "fullUrl": "urn:uuid:6e883e5e-7648-485a-86de-3640a61601fe", "resource": { "resourceType": "MedicationStatement", "id": "6e883e5e-7648-485a-86de-3640a61601fe", "text": { "status": "generated", "div": "

Generated Narrative: MedicationStatement

Resource MedicationStatement "6e883e5e-7648-485a-86de-3640a61601fe"

identifier: id: 8faf0319-89d3-427c-b9d1-e8c8fd390dca

status: active

medication: See above (Medication/6369a973-afc7-4617-8877-3e9811e05a5b)

subject: See above (Patient/7685713c-e29e-4a75-8a90-45be7ba3be94)

effective: 2015-03 --> (ongoing)

dosage

timing: Count 1 times, Do Once

route: Oral use (standardterms.edqm.eu#20053000)

" }, "identifier": [ { "system": "urn:oid:1.2.3.999", "value": "8faf0319-89d3-427c-b9d1-e8c8fd390dca" } ], "status": "active", "medicationReference": { "reference": "Medication/6369a973-afc7-4617-8877-3e9811e05a5b" }, "subject": { "reference": "Patient/7685713c-e29e-4a75-8a90-45be7ba3be94" }, "effectivePeriod": { "start": "2015-03" }, "dosage": [ { "timing": { "repeat": { "count": 1, "periodUnit": "d" } }, "route": { "coding": [ { "system": "http://standardterms.edqm.eu", "code": "20053000", "display": "Oral use" } ] }, "doseAndRate": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code": "ordered", "display": "Ordered" } ] }, "doseQuantity": { "value": 1, "unit": "tablet", "system": "http://unitsofmeasure.org", "code": "1" } } ] } ] } }, { "fullUrl": "urn:uuid:6369a973-afc7-4617-8877-3e9811e05a5b", "resource": { "resourceType": "Medication", "id": "6369a973-afc7-4617-8877-3e9811e05a5b", "text": { "status": "generated", "div": "

Generated Narrative: Medication

Resource Medication "6369a973-afc7-4617-8877-3e9811e05a5b"

code: Product containing anastrozole (medicinal product) (SNOMED CT#108774000; unknown#99872 "ANASTROZOL 1MG TABLET"; unknown#2076667 "ANASTROZOL CF TABLET FILMOMHULD 1MG"; WHO ATC#L02BG03 "anastrozole")

" }, "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "108774000", "display": "Product containing anastrozole (medicinal product)" }, { "system": "urn:oid:2.16.840.1.113883.2.4.4.1", "code": "99872", "display": "ANASTROZOL 1MG TABLET" }, { "system": "urn:oid:2.16.840.1.113883.2.4.4.7", "code": "2076667", "display": "ANASTROZOL CF TABLET FILMOMHULD 1MG" }, { "system": "http://www.whocc.no/atc", "code": "L02BG03", "display": "anastrozole" } ] } } }, { "fullUrl": "urn:uuid:fe2769fd-22c9-4307-9122-ee0466e5aebb", "resource": { "resourceType": "AllergyIntolerance", "id": "fe2769fd-22c9-4307-9122-ee0466e5aebb", "text": { "status": "generated", "div": "

Generated Narrative: AllergyIntolerance

Resource AllergyIntolerance "fe2769fd-22c9-4307-9122-ee0466e5aebb"

identifier: id: 8d9566a4-d26d-46be-a3e4-c9f3a0e5cd83

clinicalStatus: Active (AllergyIntolerance Clinical Status Codes#active)

verificationStatus: Confirmed (AllergyIntolerance Verification Status#confirmed)

type: allergy

category: medication

criticality: high

code: Substance with penicillin structure and antibacterial mechanism of action (substance) (SNOMED CT#373270004)

patient: See above (Patient/7685713c-e29e-4a75-8a90-45be7ba3be94)

onset: 2010

" }, "identifier": [ { "system": "urn:oid:1.2.3.999", "value": "8d9566a4-d26d-46be-a3e4-c9f3a0e5cd83" } ], "clinicalStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical", "code": "active" } ] }, "verificationStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification", "code": "confirmed" } ] }, "type": "allergy", "category": [ "medication" ], "criticality": "high", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "373270004", "display": "Substance with penicillin structure and antibacterial mechanism of action (substance)" } ] }, "patient": { "reference": "Patient/7685713c-e29e-4a75-8a90-45be7ba3be94" }, "onsetDateTime": "2010" } } ] }