FHIR International Patient Summary
1.0.0-comment - ballot

FHIR International Patient Summary - Downloaded Version 1.0.0-comment See the Directory of published versions

## Example Bundle: ex-Bundle-IPS-Frank-MissingData

Document Details

Profile: Bundle (IPS)

Final Document at 2026-02-06 by Practitioner Jakob Leitner for Frank MissingData(official) Male, DoB: 2007-04-24 ( Driver's license number: 781886151 (use: official, period: 2014-11-09 --> (ongoing)))

Document Subject

Generated Narrative: Patient 4aaab9e4-44e1-4a35-98ac-093fa22c87d4

Last updated: 2026-02-05 13:51:24-0500

Profile: Patient (IPS)

Frank MissingData(official) Male, DoB: 2007-04-24 ( Driver's license number: 781886151 (use: official, period: 2014-11-09 --> (ongoing)))

Active: | true
Other Ids: | Passport number/M98143662M (use: official, period: 2020-10-16 --> (ongoing)) Medical record number/IHEPCC-26020610 (use: official, period: 2025-09-21 --> (ongoing)) Subscriber Number/IHEPCCPayer-26020510 (use: official, period: 2020-02-23 --> (ongoing))
Contact Detail | +39 5449150748 61 Viale Europa, Naples, Campania 80121, Italy(home)
Language: | Italian (preferred)
Links: | General Practitioner: Practitioner Dr. Mary PCC Deonne
Patient Citizenship: | code: Italy

Document Content

Generated Narrative: Composition 567f7a70-6f0d-49c5-a6ca-20eff88e7c8e

Profiles: Composition (IPS), FHIR International Patient Summary Implementation Options - Complete Option Composition

status: Final

type: Patient summary Document

date: 2026-02-06

author: Practitioner Jakob Leitner

title: Patient Summary of Frank MissingData

confidentiality: normal

custodian: Organization IHE International PCC

## Problem List

- [2007-04-27] - Attention deficit hyperactivity disorder
- [2012-07-16] - Substance abuse
- [2017-04-26] - Tonsillitis
- [2007-01-26] - Decreased hearing

## Allergies and Intolerances

Severe Peanut Allergy

## Medication List

- [2018] - Methylphenidate 5mg chewable tablet - 2 tablets per day
- [2018] - Diazepam product

## History of Immunizations

- [2013-02-09] - Diphtheria + tetanus + poliomyelitis vaccine
- [2013-07-08] - Hepatitis B virus vaccine
- [2025-10-17] - COVID-19 antigen vaccine

## History of Procedures

substance use therapy

## Diagnostic Results

Results section

## Medical Devices

No known device use

## Advance Directives

No Advanced Directives

## Additional Resources Included in Document

Entry 2 - fullUrl = urn:uuid:4aaab9e4-44e1-4a35-98ac-093fa22c87d4

Resource Patient:

> Generated Narrative: Patient 4aaab9e4-44e1-4a35-98ac-093fa22c87d4

> Last updated: 2026-02-05 13:51:24-0500

> Profile: Patient (IPS)

> Frank MissingData(official) Male, DoB: 2007-04-24 ( Driver's license number: 781886151 (use: official, period: 2014-11-09 --> (ongoing)))

> Active: | true
> Other Ids: | Passport number/M98143662M (use: official, period: 2020-10-16 --> (ongoing)) Medical record number/IHEPCC-26020610 (use: official, period: 2025-09-21 --> (ongoing)) Subscriber Number/IHEPCCPayer-26020510 (use: official, period: 2020-02-23 --> (ongoing))
> Contact Detail | +39 5449150748 61 Viale Europa, Naples, Campania 80121, Italy(home)
> Language: | Italian (preferred)
> Links: | General Practitioner: Practitioner Dr. Mary PCC Deonne
> Patient Citizenship: | code: Italy

Entry 3 - fullUrl = urn:uuid:8353925b-4e3e-4885-8330-01600699e428

Resource Organization:

> Generated Narrative: Organization 8353925b-4e3e-4885-8330-01600699e428

> Last updated: 2026-02-05 13:51:24+0200

> Profile: Organization (IPS)

> identifier: Unspecified identifier/IHEPCC260207 (use: official, )

> active: true

> type: Community Group

> name: IHE International PCC

> alias: IHE PCC Domain

> telecom: +1 6305712670

> address: 820 Jorie Blvd, Oakbrook, IL 60523, United States

Entry 4 - fullUrl = urn:uuid:a9075331-0512-4bf9-aefc-ef188d58be31

Resource Practitioner:

> Generated Narrative: Practitioner a9075331-0512-4bf9-aefc-ef188d58be31

> Last updated: 2026-02-05 13:51:24+0200

> Profile: Practitioner (IPS)

> identifier: Provider number/56789012 (use: official, period: 2020-01-10 --> (ongoing)), Medical License number/87654321 (use: official, period: 2020-01-03 --> (ongoing)), Passport number/608-469-957 (use: secondary, period: 2012-01-22 --> (ongoing))

> active: true

> name: Dr. Mary PCC Deonne

> telecom: +33 253848811, +33 346082142, IhePcc@example.com

> address:

> - 511 Rue Victor Hugo, Cayenne, French Guiana 97300, France(work)
> - 298 Quai de la Tournelle, Amiens, Picardy 80090, France(home)

> gender: Female

> birthDate: 1990-10-13

> > qualification

> > > id

> > > IHEPCCPR01Degree01

> > identifier: IHEPCCPR01Degree01

> > code: Bachelor of Nursing

> > period: 2012-06-08 --> (ongoing)

> > issuer: Organization IHE International PCC

> > qualification

> > > id

> > > IHEPCCPR01Degree02

> > identifier: IHEPCCPR01Degree02

> > code: Doctor of Medicine

> > period: 2019-12-17 --> (ongoing)

> > issuer: Organization IHE International PCC

> > qualification

> > > id

> > > IHEPCCPR01License01

> > identifier: IHEPCCPR01License01

> > code: Emergency Medical Technician - Paramedic

> > period: 2015-04-25 --> (ongoing)

> > issuer: Organization IHE International PCC

> communication: English, French, Spanish

Entry 5 - fullUrl = urn:uuid:1b953334-140c-4b02-b162-cb9f337e6e5e

Resource Practitioner:

> Generated Narrative: Practitioner 1b953334-140c-4b02-b162-cb9f337e6e5e

> Last updated: 2026-02-05 13:51:24+0200

> Profile: Practitioner (IPS)

> identifier: Provider number/5678901336 (use: official, period: 2014-09-06 --> (ongoing)), Medical License number/25786544421 (use: official, period: 2014-04-21 --> (ongoing)), Passport number/635-442-867 (use: secondary, period: 2008-08-15 --> (ongoing))

> active: true

> name: Jakob Leitner

> telecom: +43 054376846, +43 190840858, IhePcc@example.com

> address:

> - 58 Church Street, Klagenfurt, Carinthia 9020, Austria(work)
> - 248 Station Street, Bregenz, Vorarlberg 6900, Austria(home)

> gender: Male

> birthDate: 1982-06-10

> > qualification

> > > id

> > > IHEPCCPR02Degree01

> > identifier: IHEPCCPR01Degree01

> > code: Certified Nurse Practitioner

> > period: 2012-06-08 --> (ongoing)

> > issuer: Organization IHE International PCC

> > qualification

> > > id

> > > IHEPCCPR02License01

> > identifier: IHEPCCPR02License01

> > code: Registered Nurse

> > period: 2015-04-25 --> (ongoing)

> > issuer: Organization IHE International PCC

> communication: English, Dutch

Entry 6 - fullUrl = urn:uuid:bd89d6c4-f82c-42f7-ae22-f97caa69fc1e

Resource AllergyIntolerance:

> Generated Narrative: AllergyIntolerance bd89d6c4-f82c-42f7-ae22-f97caa69fc1e

> Profile: AllergyIntolerance (IPS)

> clinicalStatus: Active

> verificationStatus: Confirmed

> type: Allergy

> category: Food

> code: Allergy to peanut

> patient: Frank MissingData(official) Male, DoB: 2007-04-24 ( Driver's license number: 781886151 (use: official, period: 2014-11-09 --> (ongoing)))

> onset: 2010-07-09

> lastOccurrence: 2017-04-15

> > reaction

> > manifestation: Acute bronchitis with bronchospasm, Cough, Itching of skin, Airway hyperreactivity

> > severity: Severe

Entry 7 - fullUrl = urn:uuid:7eddf451-857a-41cc-bce8-5147ebf99961

Resource Condition:

> Generated Narrative: Condition 7eddf451-857a-41cc-bce8-5147ebf99961

> Profile: Condition (IPS)

> clinicalStatus: Active

> verificationStatus: Confirmed

> category: Problem List Item

> severity: Moderate severity

> code: Vasculitis

> subject: Frank MissingData(official) Male, DoB: 2007-04-24 ( Driver's license number: 781886151 (use: official, period: 2014-11-09 --> (ongoing)))

> onset: 2021-12-09

> asserter: Practitioner Dr. Mary PCC Deonne

Entry 8 - fullUrl = urn:uuid:24ed68db-6665-4272-8157-d1e71fb5a1f1

Resource Condition:

> Generated Narrative: Condition 24ed68db-6665-4272-8157-d1e71fb5a1f1

> Profile: Condition (IPS)

> clinicalStatus: Active

> verificationStatus: Confirmed

> category: Problem List Item

> severity: Moderate severity

> code: Vasculitis

> subject: Frank MissingData(official) Male, DoB: 2007-04-24 ( Driver's license number: 781886151 (use: official, period: 2014-11-09 --> (ongoing)))

> onset: 2024-12-09

> asserter: Practitioner Dr. Mary PCC Deonne

Entry 9 - fullUrl = urn:uuid:de5ad976-ddc8-4293-b676-d84d17fa8f9d

Resource Condition:

> Generated Narrative: Condition de5ad976-ddc8-4293-b676-d84d17fa8f9d

> Profile: Condition (IPS)

> clinicalStatus: Active

> verificationStatus: Confirmed

> category: Problem List Item

> severity: Severe

> code: Severe Eczema

> subject: Frank MissingData(official) Male, DoB: 2007-04-24 ( Driver's license number: 781886151 (use: official, period: 2014-11-09 --> (ongoing)))

> onset: 2023-07-19

> asserter: Practitioner Dr. Mary PCC Deonne

Entry 10 - fullUrl = urn:uuid:ccf288c9-6557-48b8-a18d-df9b84b856b5

Resource Immunization:

> Generated Narrative: Immunization ccf288c9-6557-48b8-a18d-df9b84b856b5

> status: Completed

> vaccineCode: No known immunizations

> patient: Frank MissingData(official) Male, DoB: 2007-04-24 ( Driver's license number: 781886151 (use: official, period: 2014-11-09 --> (ongoing)))

> occurrence: 2026-02-06

Entry 11 - fullUrl = urn:uuid:9c494b70-41b2-46f4-955b-b9e8114dfb41

Resource MedicationStatement:

> Generated Narrative: MedicationStatement 9c494b70-41b2-46f4-955b-b9e8114dfb41

> Profile: MedicationStatement (IPS)

> status: Active

> category: Outpatient

> medication: No known medications

> subject: Frank MissingData(official) Male, DoB: 2007-04-24 ( Driver's license number: 781886151 (use: official, period: 2014-11-09 --> (ongoing)))

> effective: 2023-07-19 --> (ongoing)

> dateAsserted: 2023-07-19

> informationSource: Practitioner Dr. Mary PCC Deonne

Entry 12 - fullUrl = urn:uuid:22f72d34-723c-485d-aa49-6cfaf55e0d22

Resource DeviceUseStatement:

> Generated Narrative: DeviceUseStatement 22f72d34-723c-485d-aa49-6cfaf55e0d22

> Profile: DeviceUseStatement (IPS)

> status: Completed

> subject: Frank MissingData(official) Male, DoB: 2007-04-24 ( Driver's license number: 781886151 (use: official, period: 2014-11-09 --> (ongoing)))

> timing: 2026-05-26 13:30:00+0200

> device: Device: type = No known device use

Entry 13 - fullUrl = urn:uuid:89558156-be8e-45e2-92e1-c206e445db6c

Resource Device:

> Generated Narrative: Device 89558156-be8e-45e2-92e1-c206e445db6c

> Profile: Device (IPS)

> type: No known device use