Medtech ALEX® AU Implementation Guide
1.0.0 - Trial Use

Medtech ALEX® AU Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Bundle: 4f5e9b70-b98f-4af6-9a65-b55a1e845169

Document Details

Last updated: 2024-02-29 11:41:47+1300; Language: en-AU

Profile: Bundle - IPS (AU)

Final Document at 2024-02-28 22:41:47+1300 by Application Layer Exchange for Patient Abnormal

Document Subject

version: e92d8ded1459f2d6c5096282382ca67b; Last updated: 2022-05-06 09:26:11+1200

Stelly Female, DoB: 1985-10-14 ( IHI: Austalian Healthcare Identifier - Individual#8003608833357361)

Other Id: | Medicare Number/32788511952 (, period: (?) --> 2019-05)
Alt. Name: | Stella Marie Franklin (Official)
Contact Detail | ph: 203-857-2432(Home) ph: 231-752-6503(Work) ph: 0219514123(Mobile) fax: 0219514178(Work) sfranklin@amail.example.com 31 Pacquola Street Clayton South Apartment 201 NSW 2148 (home)
Next-of-kin: | TEST NOK2 31 Pacquola Street Clayton South Apartment 201 (home) ph: 123321(Home) ph: 123333(Work) ph: 1228890(Mobile)
Employer: | Employer ALEX
Links: | General Practitioner: Dr Alex Api
Patient Registration Status Extension | Regular
Patient ethnicity extension | Aboriginal
Australian Indigenous Status | Australian Indigenous Status: 9 (Not stated/inadequately described)
Patient Location extension | ​Dr ALEX API
Sex at Birth extension | Female

Document Content

Generated Narrative

identifier: id: 2f5c6f33-31e5-47e9-9802-67877d46d26e

status: final

type: Patient summary Document

date: Feb 28, 2024, 10:41:47

## Active Problems

Recorded Date | Condition | Long Term Status
--- | --- | ---
2021-04-21 16:58:17 | Essential hypertension | true
2023-04-26 16:31:56 | Bereavement | true

## Medication

Recorded Date | Drug | Long Term Status
--- | --- | ---
2021-04-21 17:02:35 | GLIPIZIDE - 5mg Tab | true
2021-04-21 17:03:50 | INHIBACE PLUS - Tab (5 mg/12.5 mg) | true

## Results

Result Date | Subject | External Reference
--- | --- | ---
2024-03-28 06:50:35 | 853 Lipids | 23-99990094-VIT-0
2023-04-09 10:55:22 | Chemistry - Serum/plasma | 41180P001200

Result Date | Subject | Value | Outcome
--- | --- | --- | ---
2023-04-09 10:58:53 | Chloride |  |
2023-04-09 10:58:53 | eGFR |  |
| Peanut IgG4-mCnc |  |
| Chloride |  |
| eGFR |  |

## Allergies and Intolerances

Recorded Date | Allergy
--- | ---
2021-04-21 17:08:17 | Allergy to Peanuts
2021-04-21 17:08:28 | Allergy to Shrimp
2021-04-21 17:08:46 | Generic Group Update note
2021-09-13 15:55:04 | Paraffin

## Immunizations

Occurrence | Vaccine
--- | ---
2016-06-16 17:05:46 | Flu Diabetes
2017-07-21 17:05:57 | Flu Diabetes
2018-08-24 17:06:10 | Flu Diabetes
2019-08-15 17:06:21 | Flu Diabetes
2020-07-10 17:06:32 | Flu Diabetes
2021-03-02 17:07:08 | HepB Adult High Risk
2021-03-02 17:07:32 | MMR (misc)
2021-04-04 17:07:48 | Tdap adult (misc)
2021-09-15 09:14:17 | COVID19 Comirnaty -1

## Document Reference Consultation Notes

When Seen | Note Type | Author
--- | --- | ---
2023-02-26 22:35:39 | Consult Notes | Dr Alex Api
2022-11-21 11:55:41 | Consult Notes | Dr Alex Api
2022-11-22 15:04:44 | Consult Notes | Dr Alex Api
2023-04-26 16:31:00 | Consult Notes | Dr Alex Api

## Document Reference RSD Inbox Messages

Result Date | Subject | External Reference
--- | --- | ---
2023-01-06 14:02:12 | ME2022-01-06T14:02:12+13:00 | Ref- big size 2022-01-06T14:02:12+13:00 (Vendor1 FHIR Client)

## Additional Resources Included in Document

Entry 2 - fullUrl = https://alexapi.medtechglobal.com.au/fhir/Device/ALEX

Resource Device:

Entry 3 - fullUrl = https://alexapi.medtechglobal.com.au/fhir/Patient/e92d8ded1459f2d6c5096282382ca67b

Resource Patient:

> version: e92d8ded1459f2d6c5096282382ca67b; Last updated: 2022-05-06 09:26:11+1200

> Stelly Female, DoB: 1985-10-14 ( IHI: Austalian Healthcare Identifier - Individual#8003608833357361)

> Other Id: | Medicare Number/32788511952 (, period: (?) --> 2019-05)
> Alt. Name: | Stella Marie Franklin (Official)
> Contact Detail | ph: 203-857-2432(Home) ph: 231-752-6503(Work) ph: 0219514123(Mobile) fax: 0219514178(Work) sfranklin@amail.example.com 31 Pacquola Street Clayton South Apartment 201 NSW 2148 (home)
> Next-of-kin: | TEST NOK2 31 Pacquola Street Clayton South Apartment 201 (home) ph: 123321(Home) ph: 123333(Work) ph: 1228890(Mobile)
> Employer: | Employer ALEX
> Links: | General Practitioner: Dr Alex Api
> Patient Registration Status Extension | Regular
> Patient ethnicity extension | Aboriginal
> Australian Indigenous Status | Australian Indigenous Status: 9 (Not stated/inadequately described)
> Patient Location extension | ​Dr ALEX API
> Sex at Birth extension | Female

Entry 4 - fullUrl = https://alexapi.medtechglobal.com.au/fhir/PractitionerRole/0b2800fbfc5f8a251e9b37439738edcd

Resource PractitionerRole:

> identifier: `http://ns.electronichealth.net.au/id/medicare-provider-number`/1234561A

> period: 2020-04-21 00:00:00+1200 --> 2024-04-21 00:00:00+1200

> practitioner: Dr Alex Api

> code: General practitioner

Entry 5 - fullUrl = https://alexapi.medtechglobal.com.au/fhir/Condition/03b1fb285d9a40c657df072e7d9ddad4

Resource Condition:

> version: 03b1fb285d9a40c657df072e7d9ddad4; Last updated: 2021-08-25 15:10:21+1200

> Security Label: unrestricted (Details: Confidentiality code U = 'unrestricted')

> Medtech Highlight Condition extension: false

> Medtech Long Term Condition extension: true

> Medtech Current Condition extension: false

> Medtech Condition Location Left extension: true

> clinicalStatus: Resolved

> verificationStatus: Confirmed

> code: Abdominoplasty

> subject: Patient Abnormal

> onset: 1980-03-02 00:00:00+1300

> abatement: 2024-03-14 12:00:28+1300

> recordedDate: 2021-04-21 14:35:03+1200

> note:

> > Test Notes

Entry 6 - fullUrl = https://alexapi.medtechglobal.com.au/fhir/Condition/2a301a6812f2c5c453cfb49bcaab1779

Resource Condition:

> version: 2a301a6812f2c5c453cfb49bcaab1779; Last updated: 2023-04-26 16:31:56+1200

> Security Label: unrestricted (Details: Confidentiality code U = 'unrestricted')

> Medtech Highlight Condition extension: true

> Medtech Long Term Condition extension: false

> Medtech Current Condition extension: false

> Medtech Condition Location Right extension: true

> clinicalStatus: Resolved

> verificationStatus: Confirmed

> code: Surgery bariatric

> subject: Patient Abnormal

> onset: 1980-03-02 00:00:00+1300

> abatement: 2024-03-14 12:00:28+1300

> recordedDate: 2021-04-21 14:35:03+1200

> note:

> > Test Notes

Entry 7 - fullUrl = https://alexapi.medtechglobal.com.au/fhir/MedicationStatement/10d95aa70809138c22ba650b03b26544

Resource MedicationStatement:

> version: 10d95aa70809138c22ba650b03b26544; Last updated: 2021-04-21 17:03:05+1200

> Security Label: unrestricted (Details: Confidentiality code U = 'unrestricted')

> Long Term: false

> status: active

> status: recorded

> subject: Patient Abnormal

> effective: 2021-07-06 13:50:40+1200

> > dosage

> > text: 1 tablet, Twice Daily, 1 week

> > patientInstruction: After food.

> > timing: Code

> > route: Oral route

> > ### DoseAndRates

> > - | Dose[x]
> > * | 1 tablet

Entry 8 - fullUrl = https://alexapi.medtechglobal.com.au/fhir/MedicationStatement/37ff89fa9f714f539881f2748b016244

Resource MedicationStatement:

> version: 37ff89fa9f714f539881f2748b016244; Last updated: 2021-04-21 17:04:51+1200

> Security Label: unrestricted (Details: Confidentiality code U = 'unrestricted')

> Long Term: true

> status: active

> status: recorded

> subject: Patient Abnormal

> effective: 2023-07-06 13:50:40+1200

> ### Dosages

> - | Text | Route
> * | 1 drop, Twice Daily, 1 week | left ear

Entry 9 - fullUrl = https://alexapi.medtechglobal.com.au/fhir/Observation/46c3a589803d1485e0aa748e2505fbd7

Resource Observation:

> version: 46c3a589803d1485e0aa748e2505fbd7; Last updated: 2022-03-28 10:58:52+1300

> Security Label: unrestricted (Details: Confidentiality code U = 'unrestricted')

> status: Final

> code: Blood Pressure

> subject: Patient Abnormal

> effective: 2021-05-06 16:15:33+1200

> performer: Dr Medtech Apmt Staff

> interpretation: Ultra High BP

> note:

> > Test Notes

> > component

> > code: Systolic

> > value: 160.0 mmHg

> > component

> > code: Diastolic

> > value: 100.0 mmHg

Entry 10 - fullUrl = https://alexapi.medtechglobal.com.au/fhir/Observation/e0a10a59891401d3b1e667a890a85a13

Resource Observation:

> version: e0a10a59891401d3b1e667a890a85a13; Last updated: 2022-03-28 10:58:52+1300

> Security Label: unrestricted (Details: Confidentiality code U = 'unrestricted')

> status: Final

> code: New Blood Pressure Term

> subject: Patient Abnormal

> effective: 2024-05-06 16:15:48+1200

> ​performer: Dr Medtech Apmt Staff

> interpretation: Ultra High BP

> note:

> > Test Notes

> > component

> > code: Systolic

> > value: 149.0 mmHg

> > component

> > code: Diastolic

> > value: 85.0 mmHg

Entry 11 - fullUrl = https://alexapi.medtechglobal.com.au/fhir/AllergyIntolerance/82a1d56cc25f729f458169cf7b899ba7

Resource AllergyIntolerance:

> version: 82a1d56cc25f729f458169cf7b899ba7; Last updated: 2021-04-21 17:08:17+1200

> Allergy Intolerance Type Extension: Allergy Intolerance Type CodeSystem: interactionClass (Interaction class)

> clinicalStatus: Active

> verificationStatus: Confirmed

> code: Acnem keratolytics and cleansers

> patient: Mr Patient Testing

> onset: 2021-04-21 15:06:23+1200

> recordedDate: 2021-04-21 15:06:40+1200

> note:

> > Allergic to Penicillins

> ### Reactions

> - | Extension | Manifestation
> * |  | No display for AllergyIntolerance.reaction.manifestation (concept: Abdominal bloating)

Entry 12 - fullUrl = https://alexapi.medtechglobal.com.au/fhir/AllergyIntolerance/382998570e17a79dcb5f8153bb01a4f4

Resource AllergyIntolerance:

> version: 382998570e17a79dcb5f8153bb01a4f4; Last updated: 2021-04-21 17:08:28+1200

> Allergy Intolerance Type Extension: Allergy Intolerance Type CodeSystem: therapeutic (Therapeutic)

> clinicalStatus: Active

> verificationStatus: Confirmed

> code: Acnem keratolytics and cleansers

> patient: Mr Patient Testing

> onset: 2021-04-21 15:06:23+1200

> recordedDate: 2021-04-21 15:06:40+1200

> note:

> > Test note

> ### Reactions

> - | Extension | Manifestation
> * |  | No display for AllergyIntolerance.reaction.manifestation (concept: Abdominal bloating)

Entry 13 - fullUrl = https://alexapi.medtechglobal.com.au/fhir/Immunization/65da648ba7a1d796c72e5a2af8747945

Resource Immunization:

> version: 65da648ba7a1d796c72e5a2af8747945; Last updated: 2022-02-23 21:49:35+1300

> Vaccine Vial Serial Number: SRQ123456

> status: Completed

> vaccineCode: Fluzone High-Dose (FLUHID)

> lotNumber: AAN11K

> ​patient: Mrs Ab Cd

> occurrence: 2024-05-16 13:39:02+1200

> site: Left Arm

> route: Injection, intramuscular

> > performer

> > function: Ordering Provider

> > actor: Dr Alex Api

> > performer

> > function: Administering Provider

> > actor: Dr Alex Api

> note:

> > Test to vaccine

Entry 14 - fullUrl = https://alexapi.medtechglobal.com.au/fhir/Immunization/ab27e21761f52344df7c954f54afb3cc

Resource Immunization:

> version: ab27e21761f52344df7c954f54afb3cc; Last updated: 2021-04-21 17:05:57+1200

> Vaccine Vial Serial Number: SRQ123456

> status: Completed

> vaccineCode: Fluzone High-Dose (FLUHID)

> lotNumber: AAN11K

> ​patient: Mrs Ab Cd

> occurrence: 2024-05-16 13:39:02+1200

> site: Right Arm

> route: Injection, intramuscular

> > performer

> > function: Ordering Provider

> > actor: Dr Alex Api

> > performer

> > function: Administering Provider

> > actor: Dr Alex Api

> note:

> > Test to vaccine

Entry 15 - fullUrl = https://alexapi.medtechglobal.com.au/fhir/DocumentReference/adad1278c15c7f643bc197d4e4aaa385

Resource DocumentReference:

> version: adad1278c15c7f643bc197d4e4aaa385; Last updated: 2023-02-26 22:40:40+1300

> Profile: Consultation Notes IPS Profile

> Security Label: unrestricted (Details: Confidentiality code U = 'unrestricted')

> status: Current

> type: Consult Note

> subject: Patient Abnormal

> author: Dr Alex Api

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Resource DocumentReference:

> version: 20c6b8960ad026b2cade77666e641fda; Last updated: 2022-11-24 12:09:46+1300

> Profile: Discharge Summary IPS Profile

> Security Label: unrestricted (Details: Confidentiality code U = 'unrestricted')

> Comment extension: Test Notes

> identifier: Filler Identifier/2.4_SRP_REF (damianb) (use: official, )

> status: Current

> type: Note

> subject: Patient Abnormal

> date: 2020-10-22 15:46:17+1300

> author: System Administrator

> description:

> Test Status Report

> > content

> > ### Attachments

> > - | ContentType | Data
> > * | application/xml | (base64 data - 3,056 base64 chars)

> > content

> > ### Attachments

> > - | ContentType | Url
> > * | application/pdf | ​https://alexapi.medtechglobal.com.au/fhir/Binary/881f1ea3fc6059505d7f91eaa646d0f6

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Resource DiagnosticReport:

> version: 734dbab6f0ee2b999a00c0e7f2239374; Last updated: 2024-03-28 11:00:55+1300

> Security Label: unrestricted (Details: Confidentiality code U = 'unrestricted')

> ## 853 Lipids (Laboratory)

> Subject | Stelly Female, DoB: 1985-10-14 ( IHI: Austalian Healthcare Identifier - Individual#8003608833357361)
> Reported | 2024-03-27 17:50:35+0000
> Performer | Identifier: 18ABCD
> Identifier | Filler Identifier/23-99990094-VIT-0 (use: official, )

> Report Details

> Code | Value | Flags | Note | When For
> Blood Pressure |  | Final, Ultra High BP | Test Notes | 2021-05-06 16:15:33+1200

Entry 18 - fullUrl = https://alexapi.medtechglobal.com.au/fhir/DiagnosticReport/76285551a4f2daecb4961919d6dabb48

Resource DiagnosticReport:

> version: 76285551a4f2daecb4961919d6dabb48; Last updated: 2023-11-22 16:44:37+1300

> Security Label: unrestricted (Details: Confidentiality code U = 'unrestricted')

> ## Chemistry - Serum/plasma (Laboratory)

> Subject | Stelly Female, DoB: 1985-10-14 ( IHI: Austalian Healthcare Identifier - Individual#8003608833357361)
> Reported | 2023-04-08 22:55:22+0000
> Performer | Identifier: adhbrsd1
> Identifier | Filler Identifier/41180P001200 (use: official, )

> Report Details

> Code | Value | Flags | Note | When For
> New Blood Pressure Term |  | Final, Ultra High BP | Test Notes | 2024-05-06 16:15:48+1200

Entry 19 - fullUrl = https://alexapi.medtechglobal.com.au/fhir/Observation/13ae7a845f3ef23967e89cfef319e6fa

Resource Observation:

> version: 13ae7a845f3ef23967e89cfef319e6fa; Last updated: 2021-03-24 05:11:12+1300

> status: Final

> code: Blood Pressure

> subject: Patient Abnormal

> effective: 2021-05-06 16:15:33+1200

> ​performer: Dr Medtech Apmt Staff

> interpretation: Ultra High BP

> note:

> > Test Notes

> > component

> > code: Systolic

> > value: 149.0 mmHg

> > component

> > code: Diastolic

> > value: 85.0 mmHg

Entry 20 - fullUrl = https://alexapi.medtechglobal.com.au/fhir/Observation/59db12cb009128d562810a0fd6ead77a

Resource Observation:

> version: 59db12cb009128d562810a0fd6ead77a; Last updated: 2023-03-28 10:55:22+1300

> status: Final

> code: New Blood Pressure Term

> subject: Patient Abnormal

> effective: 2024-05-06 16:15:48+1200

> ​performer: Dr Medtech Apmt Staff

> interpretation: Ultra High BP

> note:

> > Test Notes

> > component

> > code: Systolic

> > value: 160.0 mmHg

> > component

> > code: Diastolic

> > value: 100.0 mmHg

Entry 21 - fullUrl = https://alexapi.medtechglobal.com.au/fhir/Practitioner/9bf0832786e2293848942167532e0a91

Resource Practitioner:

> version: 9bf0832786e2293848942167532e0a91; Last updated: 2023-06-23 13:31:14+1200

> identifier: HPI-I/8003619900015717 (use: official, ), Medicare Provider Number/1234561A (use: official, ), AHPRA Registration Number/MED0000932945 (use: official, )

> name: Dr Alex Api

> gender: Female

> birthDate: 1985-10-14

> address: 3 McGregor Street