AU Patient Summary Implementation Guide
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Publication Build: This will be filled in by the publication tooling

## Example Bundle: Bundle - Basic summary

Document Details

Generated Narrative: Bundle International Patient Summary

Language: en-AU

Profile: AU PS Bundle

Final Document at 2025-02-03 by Bundle: identifier = UUID:0bd27fed-5f11-4344-beeb-c3b78c00f604; type = document; timestamp = 2025-02-05 19:33:11+1000 for Bundle: identifier = UUID:0bd27fed-5f11-4344-beeb-c3b78c00f604; type = document; timestamp = 2025-02-05 19:33:11+1000

Document Subject

Generated Narrative: Patient 9be88cc6-09e8-4dc6-b058-88676240dbc7

Mia Leanne Banks Female, DoB: 1983-08-25 ( IHI: Austalian Healthcare Identifier - Individual#8003608333647261)

Contact Detail | ph: 0270102724(Work) ph: 0491574632(Mobile) ph: 0270107520(Home) mia.banks@myownpersonaldomain.com ph: 270107520(Home) 50 Sebastien St Minjary NSW 2720 AU
Individual Pronouns: | value: she/her/her/hers/herself
Individual Gender Identity: | value: Identifies as female gender

Document Content

## Active Problems

21/12/2024 No current problem or disability.

## Active Allergies or Intolerances

Allergy, Intolerance, Substance | Onset | Recorded | Manifestation | Manifestation Severity
--- | --- | --- | --- | ---
Intolerance to lactose | 2022 | 14/03/2023 | Abdominal pain, Abdominal bloating, Diarrhoea | Mild
Gluten intolerance | 1999 | 12/01/2023 | Fatigue | Mild
Chlorhexidine | 12/01/2021 | 12/01/2023 | Hives | Mild

## Current Medicines

Medicine | Directions | Date asserted
--- | --- | ---
Bisoprolol 2.5mg tab | Take 1/2 tablet in the morning | 05/01/2025

## Additional Resources Included in Document

Entry 1 - fullUrl = urn:uuid:514af4c1-194d-48b4-8afe-7be09d3f895a

Resource Composition:

> Generated Narrative: Composition 514af4c1-194d-48b4-8afe-7be09d3f895a

> version: 1; Language: en-AU

> status: Final

> type: Patient summary Document

> date: 2025-02-03

> author: Bundle: identifier = UUID:0bd27fed-5f11-4344-beeb-c3b78c00f604; type = document; timestamp = 2025-02-05 19:33:11+1000

> title: International Patient Summary

> custodian: Bundle: identifier = UUID:0bd27fed-5f11-4344-beeb-c3b78c00f604; type = document; timestamp = 2025-02-05 19:33:11+1000

Entry 2 - fullUrl = urn:uuid:9be88cc6-09e8-4dc6-b058-88676240dbc7

Resource Patient:

> Generated Narrative: Patient 9be88cc6-09e8-4dc6-b058-88676240dbc7

> Mia Leanne Banks Female, DoB: 1983-08-25 ( IHI: Austalian Healthcare Identifier - Individual#8003608333647261)

> Contact Detail | ph: 0270102724(Work) ph: 0491574632(Mobile) ph: 0270107520(Home) mia.banks@myownpersonaldomain.com ph: 270107520(Home) 50 Sebastien St Minjary NSW 2720 AU
> Individual Pronouns: | value: she/her/her/hers/herself
> Individual Gender Identity: | value: Identifies as female gender

Entry 3 - fullUrl = urn:uuid:70a756e3-20b3-4637-8601-a222983e295a

Resource Organization:

> Generated Narrative: Organization 70a756e3-20b3-4637-8601-a222983e295a

> identifier: ABN/12345678901

> type: Medical Center

> name: Bobrester Medical Center

> > contact

> > telecom: info@bobrestermedical.example.com, ph: (07) 5550 2427(Work)

> > address: 87 Western Esp Tindal RAAF QLD 4655 AU

Entry 4 - fullUrl = urn:uuid:463c2982-3759-4022-b40e-521bbe54d544

Resource PractitionerRole:

> Generated Narrative: PractitionerRole 463c2982-3759-4022-b40e-521bbe54d544

> identifier: Employee Number/12345678

> practitioner: Bundle: identifier = UUID:0bd27fed-5f11-4344-beeb-c3b78c00f604; type = document; timestamp = 2025-02-05 19:33:11+1000

> organization: Bundle: identifier = UUID:0bd27fed-5f11-4344-beeb-c3b78c00f604; type = document; timestamp = 2025-02-05 19:33:11+1000

> code: General Practitioner

Entry 5 - fullUrl = urn:uuid:dce50472-2a94-47e6-9501-b52f0df0c813

Resource Practitioner:

> Generated Narrative: Practitioner dce50472-2a94-47e6-9501-b52f0df0c813

> name: Bob Bobrester

Entry 6 - fullUrl = urn:uuid:ad6fb7b7-c76f-441e-88a5-9051e795db26

Resource AllergyIntolerance:

> Generated Narrative: AllergyIntolerance ad6fb7b7-c76f-441e-88a5-9051e795db26

> clinicalStatus: Active

> verificationStatus: Confirmed

> code: Intolerance to lactose

> patient: Bundle: identifier = UUID:0bd27fed-5f11-4344-beeb-c3b78c00f604; type = document; timestamp = 2025-02-05 19:33:11+1000

> onset: 2022

> recordedDate: 2023-03-14

> > reaction

> > manifestation: No display for AllergyIntolerance.reaction.manifestation (concept: Abdominal pain), No display for AllergyIntolerance.reaction.manifestation (concept: Abdominal bloating), No display for AllergyIntolerance.reaction.manifestation (concept: Diarrhoea)

> > severity: Mild

Entry 7 - fullUrl = urn:uuid:06ba95f5-345b-412d-aa66-99e354470015

Resource AllergyIntolerance:

> Generated Narrative: AllergyIntolerance 06ba95f5-345b-412d-aa66-99e354470015

> clinicalStatus: Active

> code: Gluten intolerance

> patient: Bundle: identifier = UUID:0bd27fed-5f11-4344-beeb-c3b78c00f604; type = document; timestamp = 2025-02-05 19:33:11+1000

> onset: 1999

> recordedDate: 2023-01-12

> ### Reactions

> - | Substance | Manifestation | Severity
> * | Gluten | No display for AllergyIntolerance.reaction.manifestation (concept: Fatigue) | Mild

Entry 8 - fullUrl = urn:uuid:d24db2d5-3400-4158-892c-d018acdeba09

Resource AllergyIntolerance:

> Generated Narrative: AllergyIntolerance d24db2d5-3400-4158-892c-d018acdeba09

> clinicalStatus: Active

> code: Chlorhexidine

> patient: Bundle: identifier = UUID:0bd27fed-5f11-4344-beeb-c3b78c00f604; type = document; timestamp = 2025-02-05 19:33:11+1000

> onset: 2021-01-12

> recordedDate: 2021-09-09

> ### Reactions

> - | Substance | Manifestation | Severity
> * | Chlorhexidine | No display for AllergyIntolerance.reaction.manifestation (concept: Hives) | Mild

Entry 9 - fullUrl = urn:uuid:347e8435-cea1-4e94-9755-abb027926bb1

Resource MedicationStatement:

> Generated Narrative: MedicationStatement 347e8435-cea1-4e94-9755-abb027926bb1

> status: recorded

> subject: Bundle: identifier = UUID:0bd27fed-5f11-4344-beeb-c3b78c00f604; type = document; timestamp = 2025-02-05 19:33:11+1000

> dateAsserted: 2025-01-05

> ### Dosages

> - | Text
> * | 1/2 tablet in the morning

> > Generated Narrative: Medication #bisoprolol

> > code: Bisoprolol 2.5mg tab

Entry 10 - fullUrl = urn:uuid:310f1593-d610-4144-a6e8-1f823d955e0d

Resource Condition:

> Generated Narrative: Condition 310f1593-d610-4144-a6e8-1f823d955e0d

> clinicalStatus: Active

> category: Problem List Item

> code: No current problems or disability

> subject: Bundle: identifier = UUID:0bd27fed-5f11-4344-beeb-c3b78c00f604; type = document; timestamp = 2025-02-05 19:33:11+1000

> recordedDate: 2024-12-21