AU Patient Summary Implementation Guide
1.0.0 - Working Standard

AU Patient Summary Implementation Guide - Downloaded Version 1.0.0 See the Directory of published versions

## : Patient Story - XML Representation

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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="aups-patient-story"/>
      <meta>
        <profile
                 value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-bundle"/>
      </meta>
      <language value="en-AU"/>
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value value="urn:uuid:e4f12f49-43e8-435e-8680-453c509dc0e5"/>
      </identifier>
      <type value="document"/>
      <timestamp value="2025-08-21T19:32:10.0607701+10:00"/>
      <entry>
        <fullUrl value="urn:uuid:048c37d9-9f41-4223-a8b2-ed322cb2f056"/>
        <resource>
          <Composition>
            <id value="048c37d9-9f41-4223-a8b2-ed322cb2f056"/>
            <language value="en-AU"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-AU" lang="en-AU"><a name="Composition_048c37d9-9f41-4223-a8b2-ed322cb2f056"> </a><p class="res-header-id"><b>Generated Narrative: Composition 048c37d9-9f41-4223-a8b2-ed322cb2f056</b></p><a name="048c37d9-9f41-4223-a8b2-ed322cb2f056"> </a><a name="hc048c37d9-9f41-4223-a8b2-ed322cb2f056"> </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">Language: en-AU</p></div><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 60591-5}">Patient summary Document</span></p><p><b>date</b>: 2025-08-21</p><p><b>author</b>: <a href="Bundle-aups-patient-story.html#urn-uuid-f88cc963-56bd-42e7-930d-3b18db0fa723">Shawn Martin (official) Other, DoB: 1942-07-11 ( IHI: Austalian Healthcare Identifier - Individual#8003608833648454)</a></p><p><b>title</b>: Patient Summary</p></div>
            </text>
            <status value="final"/>
            <type>
              <coding>
                <system value="http://loinc.org"/>
                <code value="60591-5"/>
                <display value="Patient summary Document"/>
              </coding>
            </type>
            <subject>
              <reference value="urn:uuid:f88cc963-56bd-42e7-930d-3b18db0fa723"/>
            </subject>
            <date value="2025-08-21"/>
            <author>
              <reference value="urn:uuid:f88cc963-56bd-42e7-930d-3b18db0fa723"/>
            </author>
            <title value="Patient Summary"/>
            <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="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-AU" lang="en-AU">No information is provided about the patient's allergies and intolerances.</div>
              </text>
              <emptyReason>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
                  <code value="unavailable"/>
                  <display value="Unavailable"/>
                </coding>
                <text value="No information available"/>
              </emptyReason>
            </section>
            <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="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-AU" lang="en-AU">
                    <p>Health problems as reported by the patient:</p>
                      <ul>
                        <li>My prostate cancer has come back and spread to my bones</li>
                        <li>Trouble with my digestion</li>
                        <li>Problems with my skin</li>
                        <li>Infections are hard to fight off</li>
                        <li>Not as sharp mentally as I used to be</li>
                        <li>Bad pain in my back and stomach</li>
                      </ul>
                  </div>
              </text>
              <entry>
                <reference value="urn:uuid:03e7d19a-a796-4779-a9c0-b72b9a63f7d6"/>
              </entry>
              <entry>
                <reference value="urn:uuid:a0deca67-656f-43bc-a6d7-ded0e4416804"/>
              </entry>
              <entry>
                <reference value="urn:uuid:7fe97b01-3def-4c5e-a53a-735b1aea6a62"/>
              </entry>
              <entry>
                <reference value="urn:uuid:6768ef5c-7e36-4124-a83b-f7a1d8f026e4"/>
              </entry>
              <entry>
                <reference value="urn:uuid:99d8f634-8dd6-4d48-8f79-c4dbfd9ee714"/>
              </entry>
              <entry>
                <reference value="urn:uuid:b2038034-fc91-4de8-83e2-44442fb33ceb"/>
              </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="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-AU" lang="en-AU">No information is provided about the patient's medications.</div>
              </text>
              <emptyReason>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
                  <code value="unavailable"/>
                  <display value="Unavailable"/>
                </coding>
                <text value="No information available"/>
              </emptyReason>
            </section>
            <section>
              <title value="Patient Story"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="81338-6"/>
                  <display
                           value="Patient Goals, preferences, and priorities for care experience"/>
                </coding>
              </code>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-AU" lang="en-AU"><p>I'm 83 and I've been dealing with prostate cancer that's come back and spread to my bones. Recently I ended up in hospital with terrible pain in my back and stomach, along with some other problems, but they got me sorted and I'm back home now.</p>
                <p>My wife and I live in a beautiful valley that we've called home for many years. Our garden is my pride and joy - I've put decades of work into it and being able to potter around out there means everything to me. We're active in our local community too, especially with the choral group that puts on the Christmas carols each year. It's a close-knit community and I know most of the staff at the local hospital.</p>
                <p>Our kids are spread out across the country, with some a couple of hours away in the city. That's where my GP is too - I've been seeing him for years and really trust him, but I'll be honest, the two-hour drive is getting harder and harder.</p>
                <p>The cancer has caused me quite a few problems - my digestion is troublesome, I've had skin issues, and I'm not fighting off infections like I used to. I'm taking supplements to keep my weight up. I've also noticed I'm not quite as sharp as I was, which is frustrating.</p>
                <p>What matters most to me is staying in my own home, in my garden, for as long as I possibly can. I know there may come a time when that's not practical, and I'm trying to accept that. My main worry is keeping the pain under control - I don't want to suffer. If it comes to it, I'd rather have quality time than drag things out. This is my home, and I want to make the most of whatever time I have left here.</p>
                <p>Goals:</p>
                <ol>
                  <li>Stay comfortable and keep the pain under control</li>
                  <li>Stay in my home and garden for as long as I can</li>
                  <li>Have honest conversations and make sure everyone knows what I want</li>
                </ol></div>
              </text>
            </section>
          </Composition>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:f88cc963-56bd-42e7-930d-3b18db0fa723"/>
        <resource>
          <Patient>
            <id value="f88cc963-56bd-42e7-930d-3b18db0fa723"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_f88cc963-56bd-42e7-930d-3b18db0fa723"> </a><p class="res-header-id"><b>Generated Narrative: Patient f88cc963-56bd-42e7-930d-3b18db0fa723</b></p><a name="f88cc963-56bd-42e7-930d-3b18db0fa723"> </a><a name="hcf88cc963-56bd-42e7-930d-3b18db0fa723"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Shawn Martin (official) Other, DoB: 1942-07-11 ( IHI: Austalian Healthcare Identifier - Individual#8003608833648454)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: 0770106438(Home)</li><li>ph: 0491571266(Mobile)</li><li>12 Pheonix Lane Walliebum QLD 4655 AU (home)</li></ul></td></tr></table></div>
            </text>
            <identifier>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="NI"/>
                </coding>
                <text value="IHI"/>
              </type>
              <system value="http://ns.electronichealth.net.au/id/hi/ihi/1.0"/>
              <value value="8003608833648454"/>
            </identifier>
            <name>
              <use value="official"/>
              <family value="Martin"/>
              <given value="Shawn"/>
            </name>
            <telecom>
              <system value="phone"/>
              <value value="0770106438"/>
              <use value="home"/>
            </telecom>
            <telecom>
              <system value="phone"/>
              <value value="0491571266"/>
              <use value="mobile"/>
            </telecom>
            <gender value="other"/>
            <birthDate value="1942-07-11"/>
            <address>
              <use value="home"/>
              <line value="12 Pheonix Lane"/>
              <city value="Walliebum"/>
              <state value="QLD"/>
              <postalCode value="4655"/>
              <country value="AU"/>
            </address>
          </Patient>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:03e7d19a-a796-4779-a9c0-b72b9a63f7d6"/>
        <resource>
          <Condition>
            <id value="03e7d19a-a796-4779-a9c0-b72b9a63f7d6"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_03e7d19a-a796-4779-a9c0-b72b9a63f7d6"> </a><p class="res-header-id"><b>Generated Narrative: Condition 03e7d19a-a796-4779-a9c0-b72b9a63f7d6</b></p><a name="03e7d19a-a796-4779-a9c0-b72b9a63f7d6"> </a><a name="hc03e7d19a-a796-4779-a9c0-b72b9a63f7d6"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}">Problem List Item</span></p><p><b>code</b>: <span title="Codes:">My prostate cancer has come back and spread to my bones</span></p><p><b>subject</b>: <a href="Bundle-aups-patient-story.html#urn-uuid-f88cc963-56bd-42e7-930d-3b18db0fa723">Shawn Martin (official) Other, DoB: 1942-07-11 ( IHI: Austalian Healthcare Identifier - Individual#8003608833648454)</a></p></div>
            </text>
            <clinicalStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                <code value="active"/>
                <display value="Active"/>
              </coding>
            </clinicalStatus>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                <code value="problem-list-item"/>
                <display value="Problem List Item"/>
              </coding>
            </category>
            <code>
              <text
                    value="My prostate cancer has come back and spread to my bones"/>
            </code>
            <subject>
              <reference value="urn:uuid:f88cc963-56bd-42e7-930d-3b18db0fa723"/>
            </subject>
          </Condition>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:a0deca67-656f-43bc-a6d7-ded0e4416804"/>
        <resource>
          <Condition>
            <id value="a0deca67-656f-43bc-a6d7-ded0e4416804"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_a0deca67-656f-43bc-a6d7-ded0e4416804"> </a><p class="res-header-id"><b>Generated Narrative: Condition a0deca67-656f-43bc-a6d7-ded0e4416804</b></p><a name="a0deca67-656f-43bc-a6d7-ded0e4416804"> </a><a name="hca0deca67-656f-43bc-a6d7-ded0e4416804"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}">Problem List Item</span></p><p><b>code</b>: <span title="Codes:">Trouble with my digestion</span></p><p><b>subject</b>: <a href="Bundle-aups-patient-story.html#urn-uuid-f88cc963-56bd-42e7-930d-3b18db0fa723">Shawn Martin (official) Other, DoB: 1942-07-11 ( IHI: Austalian Healthcare Identifier - Individual#8003608833648454)</a></p></div>
            </text>
            <clinicalStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                <code value="active"/>
                <display value="Active"/>
              </coding>
            </clinicalStatus>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                <code value="problem-list-item"/>
                <display value="Problem List Item"/>
              </coding>
            </category>
            <code>
              <text value="Trouble with my digestion"/>
            </code>
            <subject>
              <reference value="urn:uuid:f88cc963-56bd-42e7-930d-3b18db0fa723"/>
            </subject>
          </Condition>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:7fe97b01-3def-4c5e-a53a-735b1aea6a62"/>
        <resource>
          <Condition>
            <id value="7fe97b01-3def-4c5e-a53a-735b1aea6a62"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_7fe97b01-3def-4c5e-a53a-735b1aea6a62"> </a><p class="res-header-id"><b>Generated Narrative: Condition 7fe97b01-3def-4c5e-a53a-735b1aea6a62</b></p><a name="7fe97b01-3def-4c5e-a53a-735b1aea6a62"> </a><a name="hc7fe97b01-3def-4c5e-a53a-735b1aea6a62"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}">Problem List Item</span></p><p><b>code</b>: <span title="Codes:">Problems with my skin</span></p><p><b>subject</b>: <a href="Bundle-aups-patient-story.html#urn-uuid-f88cc963-56bd-42e7-930d-3b18db0fa723">Shawn Martin (official) Other, DoB: 1942-07-11 ( IHI: Austalian Healthcare Identifier - Individual#8003608833648454)</a></p></div>
            </text>
            <clinicalStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                <code value="active"/>
                <display value="Active"/>
              </coding>
            </clinicalStatus>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                <code value="problem-list-item"/>
                <display value="Problem List Item"/>
              </coding>
            </category>
            <code>
              <text value="Problems with my skin"/>
            </code>
            <subject>
              <reference value="urn:uuid:f88cc963-56bd-42e7-930d-3b18db0fa723"/>
            </subject>
          </Condition>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:6768ef5c-7e36-4124-a83b-f7a1d8f026e4"/>
        <resource>
          <Condition>
            <id value="6768ef5c-7e36-4124-a83b-f7a1d8f026e4"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_6768ef5c-7e36-4124-a83b-f7a1d8f026e4"> </a><p class="res-header-id"><b>Generated Narrative: Condition 6768ef5c-7e36-4124-a83b-f7a1d8f026e4</b></p><a name="6768ef5c-7e36-4124-a83b-f7a1d8f026e4"> </a><a name="hc6768ef5c-7e36-4124-a83b-f7a1d8f026e4"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}">Problem List Item</span></p><p><b>code</b>: <span title="Codes:">Infections are hard to fight off</span></p><p><b>subject</b>: <a href="Bundle-aups-patient-story.html#urn-uuid-f88cc963-56bd-42e7-930d-3b18db0fa723">Shawn Martin (official) Other, DoB: 1942-07-11 ( IHI: Austalian Healthcare Identifier - Individual#8003608833648454)</a></p></div>
            </text>
            <clinicalStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                <code value="active"/>
                <display value="Active"/>
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            </clinicalStatus>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                <code value="problem-list-item"/>
                <display value="Problem List Item"/>
              </coding>
            </category>
            <code>
              <text value="Infections are hard to fight off"/>
            </code>
            <subject>
              <reference value="urn:uuid:f88cc963-56bd-42e7-930d-3b18db0fa723"/>
            </subject>
          </Condition>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:99d8f634-8dd6-4d48-8f79-c4dbfd9ee714"/>
        <resource>
          <Condition>
            <id value="99d8f634-8dd6-4d48-8f79-c4dbfd9ee714"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_99d8f634-8dd6-4d48-8f79-c4dbfd9ee714"> </a><p class="res-header-id"><b>Generated Narrative: Condition 99d8f634-8dd6-4d48-8f79-c4dbfd9ee714</b></p><a name="99d8f634-8dd6-4d48-8f79-c4dbfd9ee714"> </a><a name="hc99d8f634-8dd6-4d48-8f79-c4dbfd9ee714"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}">Problem List Item</span></p><p><b>code</b>: <span title="Codes:">Not as sharp mentally as I used to be</span></p><p><b>subject</b>: <a href="Bundle-aups-patient-story.html#urn-uuid-f88cc963-56bd-42e7-930d-3b18db0fa723">Shawn Martin (official) Other, DoB: 1942-07-11 ( IHI: Austalian Healthcare Identifier - Individual#8003608833648454)</a></p></div>
            </text>
            <clinicalStatus>
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                <system
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                <code value="active"/>
                <display value="Active"/>
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            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                <code value="problem-list-item"/>
                <display value="Problem List Item"/>
              </coding>
            </category>
            <code>
              <text value="Not as sharp mentally as I used to be"/>
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            <subject>
              <reference value="urn:uuid:f88cc963-56bd-42e7-930d-3b18db0fa723"/>
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      <entry>
        <fullUrl value="urn:uuid:b2038034-fc91-4de8-83e2-44442fb33ceb"/>
        <resource>
          <Condition>
            <id value="b2038034-fc91-4de8-83e2-44442fb33ceb"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_b2038034-fc91-4de8-83e2-44442fb33ceb"> </a><p class="res-header-id"><b>Generated Narrative: Condition b2038034-fc91-4de8-83e2-44442fb33ceb</b></p><a name="b2038034-fc91-4de8-83e2-44442fb33ceb"> </a><a name="hcb2038034-fc91-4de8-83e2-44442fb33ceb"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}">Problem List Item</span></p><p><b>code</b>: <span title="Codes:">Bad pain in my back and stomach</span></p><p><b>subject</b>: <a href="Bundle-aups-patient-story.html#urn-uuid-f88cc963-56bd-42e7-930d-3b18db0fa723">Shawn Martin (official) Other, DoB: 1942-07-11 ( IHI: Austalian Healthcare Identifier - Individual#8003608833648454)</a></p></div>
            </text>
            <clinicalStatus>
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                <system
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            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                <code value="problem-list-item"/>
                <display value="Problem List Item"/>
              </coding>
            </category>
            <code>
              <text value="Bad pain in my back and stomach"/>
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            <subject>
              <reference value="urn:uuid:f88cc963-56bd-42e7-930d-3b18db0fa723"/>
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          </Condition>
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    </Bundle>