FHIR Implementation Guide for ABDM
6.5.0 - active
This page is part of the FHIR Implementation Guide for ABDM (v6.5.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
Document Details
Generated Narrative: Bundle Discharge Summary
version: 1; Last updated: 2020-07-09 15:32:26+0530
Profile: DocumentBundle
Security Label: very restricted (Details: Confidentiality code V = 'very restricted')
Final Document at 2020-07-09 15:32:26+0530 by Practitioner for Patient in encounter Encounter
Document Subject
Generated Narrative: Patient f9f172bf-2f32-4bff-9383-9e1652105948
version: 1; Last updated: 2020-07-09 14:58:58+0530
Profile: Patient
ABC Male, DoB: 1981-01-12 ( Medical record number: 22-7225-4829-5255)
Contact Detail | +919818512600 |
Document Content
Entry 1 - fullUrl = urn:uuid:9233224f-772c-4d4d-82a6-db4fff0c070f
Resource Composition:
Generated Narrative: Composition 9233224f-772c-4d4d-82a6-db4fff0c070f
version: 1; Last updated: 2020-07-09 15:32:26+0530; Language: en-IN
Profile: DischargeSummaryRecord
Security Label: N (Details: [not stated] code N)
status: Final
type: Discharge Summary
encounter: Encounter
date: 2020-07-09 15:32:26+0530
author: Practitioner
title: Discharge Summary
custodian: Organization
Entry 2 - fullUrl = urn:uuid:99d0674e-0520-4db6-b5ba-9345e082a620
Resource Practitioner:
Generated Narrative: Practitioner 99d0674e-0520-4db6-b5ba-9345e082a620
version: 1; Last updated: 2020-07-09 15:32:26+0530
Profile: Practitioner
identifier: Medical License number/21-1521-3828-3227
name: DEF
Entry 3 - fullUrl = urn:uuid:920b1d0d-000c-458c-952c-9a5e6e9a5603
Resource Organization:
Generated Narrative: Organization 920b1d0d-000c-458c-952c-9a5e6e9a5603
identifier: Provider number/4567823
name: UVW Hospital
contact
telecom: +91 273 2139 3632, contact@facility.uvw.org
Entry 4 - fullUrl = urn:uuid:991eb642-d1ed-4487-8c95-eb80ac4fcd5f
Resource Organization:
Generated Narrative: Organization 991eb642-d1ed-4487-8c95-eb80ac4fcd5f
identifier: Provider number/4567878
name: XYZ Lab Pvt.Ltd.
contact
telecom: +91 243 2634 1234, contact@labs.xyz.org
Entry 5 - fullUrl = urn:uuid:f9f172bf-2f32-4bff-9383-9e1652105948
Resource Patient:
Generated Narrative: Patient f9f172bf-2f32-4bff-9383-9e1652105948
version: 1; Last updated: 2020-07-09 14:58:58+0530
Profile: Patient
ABC Male, DoB: 1981-01-12 ( Medical record number: 22-7225-4829-5255)
Contact Detail +919818512600
Entry 6 - fullUrl = urn:uuid:c78ef40f-92ad-4211-bed8-c8211d426c45
Resource Encounter:
Generated Narrative: Encounter c78ef40f-92ad-4211-bed8-c8211d426c45
Last updated: 2020-07-09 14:58:58+0530
Profile: Encounter
identifier:
https://ndhm.in
/S100status: completed
class: inpatient encounter
subject: Patient
Entry 7 - fullUrl = urn:uuid:9804b254-2466-42e8-b477-07382096bd03
Resource Appointment:
Generated Narrative: Appointment 9804b254-2466-42e8-b477-07382096bd03
status: Booked
serviceCategory: General medical practice
serviceType: No display for Appointment.serviceType (concept: Consultation)
appointmentType: Follow-up visit
description: Discussion on the results of your recent Lab Test and further consultation
start: 2020-07-12 09:00:00+0000
end: 2020-07-12 09:30:00+0000
created: 2020-07-09 14:58:58+0530
participant
actor: Patient
status: Accepted
participant
actor: Practitioner
status: Accepted
Entry 8 - fullUrl = urn:uuid:65ca507a-efa3-4cfc-b25a-93d139cc5f30
Resource Condition:
Generated Narrative: Condition 65ca507a-efa3-4cfc-b25a-93d139cc5f30
clinicalStatus: Recurrence
code: Patient complained about pain in left arm
subject: Patient
Entry 9 - fullUrl = urn:uuid:b944fff7-425c-4d19-b388-f691623ea59f
Resource Condition:
Generated Narrative: Condition b944fff7-425c-4d19-b388-f691623ea59f
clinicalStatus: Active
code: pain in the chest, neck, back or arms, as well as fatigue, lightheadedness, abnormal heartbeat and anxiety.
subject: Patient
Entry 10 - fullUrl = urn:uuid:c1541dfd-5d57-424e-bb02-4cb5b34f21c9
Resource Specimen:
Generated Narrative: Specimen c1541dfd-5d57-424e-bb02-4cb5b34f21c9
type: Serum specimen
subject: Patient
receivedTime: 2015-07-08 06:40:17+0000
Collections
Collected[x] 2020-07-08 06:40:17+0000
Entry 11 - fullUrl = urn:uuid:e915ec3f-bd37-49bb-95dd-5a0e1457f3be
Resource DiagnosticReport:
Generated Narrative: DiagnosticReport e915ec3f-bd37-49bb-95dd-5a0e1457f3be
Lipid 1996 panel (Hematology service)
Subject Not done yet Reported 2020-07-10 11:45:33+1100 Performer XYZ Lab Pvt.Ltd. Identifier https://xyz.com/lab/reports
/5234342Report Details
Code Value Elevated cholesterol/high density lipoprotein ratio
Coded Conclusions:
- Elevated cholesterol/high density lipoprotein ratio
Entry 12 - fullUrl = urn:uuid:3a1c7582-1466-43dc-bd62-f150992d4cde
Resource Observation:
Generated Narrative: Observation 3a1c7582-1466-43dc-bd62-f150992d4cde
status: Final
code: Cholesterol [Mass/volume] in Serum or Plasma
subject: Patient
effective: 2020-09-29
performer: Organization
value: 156 mg/dL (Details: SNOMED CT code258797006 = 'milligram/decilitre')
ReferenceRanges
High 200 mg/dL (Details: SNOMED CT code258797006 = 'milligram/decilitre')
Entry 13 - fullUrl = urn:uuid:d0862f3d-b64f-4581-af5e-cc85187f742b
Resource Observation:
Generated Narrative: Observation d0862f3d-b64f-4581-af5e-cc85187f742b
status: Final
code: Triglyceride [Mass/volume] in Serum or Plasma
subject: Patient
effective: 2020-09-29
performer: Organization
value: 146 mg/dL (Details: SNOMED CT code258797006 = 'milligram/decilitre')
ReferenceRanges
High 150 mg/dL (Details: SNOMED CT code258797006 = 'milligram/decilitre')
Entry 14 - fullUrl = urn:uuid:83981555-85f5-4a35-a05a-d487a1e8271e
Resource Observation:
Generated Narrative: Observation 83981555-85f5-4a35-a05a-d487a1e8271e
status: Final
code: Cholesterol in HDL [Mass/volume] in Serum or Plasma
subject: Patient
effective: 2020-09-29
performer: Organization
value: 45 mg/dL (Details: SNOMED CT code258797006 = 'milligram/decilitre')
ReferenceRanges
Low 40 mg/dL (Details: SNOMED CT code258797006 = 'milligram/decilitre')
Entry 15 - fullUrl = urn:uuid:f2c6a5fe-5b67-4579-b53d-40eec7d69661
Resource Procedure:
Generated Narrative: Procedure f2c6a5fe-5b67-4579-b53d-40eec7d69661
status: Completed
code: Placement of stent in coronary artery
subject: Patient
complication: No display for Procedure.complication (concept: Bleeding)
Entry 16 - fullUrl = urn:uuid:76a8100e-f025-4b5f-8ef1-e2506c861e06
Resource Procedure:
Generated Narrative: Procedure 76a8100e-f025-4b5f-8ef1-e2506c861e06
status: Completed
code: Coronary artery bypass grafting
subject: Patient
Entry 17 - fullUrl = urn:uuid:1ab8c0b9-c7de-4325-8352-ea1ff1f399ce
Resource MedicationRequest:
Generated Narrative: MedicationRequest 1ab8c0b9-c7de-4325-8352-ea1ff1f399ce
status: Active
intent: Order
subject: ABC
authoredOn: 2020-07-09
requester: DEF
DosageInstructions
Text AdditionalInstruction Timing Route Method One tablet at once With or after food Once per 1 day Oral Route Swallow
Entry 18 - fullUrl = urn:uuid:7ad6b011-d717-4e7d-a6a5-43c2d26ba474
Resource CarePlan:
Generated Narrative: CarePlan 7ad6b011-d717-4e7d-a6a5-43c2d26ba474
status: Active
intent: Plan
category: Coronary heart disease care plan
title: Coronary heart disease care plan
description: Treatment of coronary artery and related disease problems
subject: ABC
activity
Entry 19 - fullUrl = urn:uuid:1863138e-1e2b-475a-89bf-e3a9bcb73eaa
Resource DocumentReference:
Generated Narrative: DocumentReference 1863138e-1e2b-475a-89bf-e3a9bcb73eaa
status: Current
docStatus: Final
type: Discharge Summary
subject: Patient
content
Attachments
ContentType Language Data Title Creation application/pdf en-IN (base64 data - 402,952 base64 chars) Discharge Summary 2020-07-09 11:46:09+0530