FHIR Implementation Guide for ABDM
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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

Example Bundle: OPConsultNote-example-05

Document Details

Generated Narrative: Bundle Consultation Report

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 Dr. DEF for ABC in encounter Encounter


Document Subject

Generated Narrative: Patient c1692255-4491-44b6-96e3-53f02ef2b324

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

Chief complaints

Allergies

Medical History

Investigation Advice

Medications

Procedure

Follow Up

Document Reference


Additional Resources Included in Document


Entry 1 - fullUrl = urn:uuid:81af6dbe-4e44-4025-9c63-4e96d4c502c4

Resource Composition:

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version: 1; Last updated: 2020-07-09 15:32:26+0530; Language: en-IN

Profile: OPConsultRecord

identifier: https://ndhm.in/phr/645bb0c3-ff7e-4123-bef5-3852a4784813

status: Final

type: Clinical Consultation report

encounter: Encounter

date: 2020-07-09 15:32:26+0530

author: Dr. DEF

title: Consultation Report

custodian: UVW Hospital


Entry 2 - fullUrl = urn:uuid:95d3844d-a565-4dc0-b083-030eac6761df

Resource Practitioner:

Generated Narrative: Practitioner 95d3844d-a565-4dc0-b083-030eac6761df

version: 1; Last updated: 2020-07-09 15:32:26+0530

Profile: Practitioner

identifier: Medical License number/21-1521-3828-3227

name: Dr. DEF


Entry 3 - fullUrl = urn:uuid:5e8c74ec-32cc-42b5-96c6-5d515f668358

Resource Organization:

Generated Narrative: Organization 5e8c74ec-32cc-42b5-96c6-5d515f668358

identifier: Provider number/4567823

name: UVW Hospital

contact

telecom: +91 273 2139 3632, contact@facility.uvw.org


Entry 4 - fullUrl = urn:uuid:c1692255-4491-44b6-96e3-53f02ef2b324

Resource Patient:

Generated Narrative: Patient c1692255-4491-44b6-96e3-53f02ef2b324

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 5 - fullUrl = urn:uuid:f7f287fe-78f7-46ba-9fae-6cf955c1bb4e

Resource Encounter:

Generated Narrative: Encounter f7f287fe-78f7-46ba-9fae-6cf955c1bb4e

Last updated: 2020-07-09 14:58:58+0530

Profile: Encounter

identifier: https://ndhm.in/S100

status: completed

class: ambulatory

subject: Patient

diagnosis

condition: No display for Encounter.diagnosis.condition (reference: ->Condition)

use: Clinical diagnosis

diagnosis

condition: No display for Encounter.diagnosis.condition (reference: ->Condition)

use: Preliminary diagnosis


Entry 6 - fullUrl = urn:uuid:7f8edbdc-7fcb-4249-ac97-a181ac0e0455

Resource AllergyIntolerance:

Generated Narrative: AllergyIntolerance 7f8edbdc-7fcb-4249-ac97-a181ac0e0455

clinicalStatus: Active

verificationStatus: Confirmed

code: NKA

patient: Patient

recordedDate: 2020-07-09 15:37:31-0600

note: The patient reports no other known allergy.


Entry 7 - fullUrl = urn:uuid:df774122-4e4f-4642-b5ee-1af3e435d63b

Resource Appointment:

Generated Narrative: Appointment df774122-4e4f-4642-b5ee-1af3e435d63b

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

basedOn: ServiceRequest

participant

actor: Patient

status: Accepted

participant

actor: Practitioner

status: Accepted


Entry 8 - fullUrl = urn:uuid:3dca8d88-8f3e-45b5-9aeb-9d0883bddb4e

Resource Condition:

Generated Narrative: Condition 3dca8d88-8f3e-45b5-9aeb-9d0883bddb4e

clinicalStatus: Active

code: Foot swelling

subject: Patient


Entry 9 - fullUrl = urn:uuid:5e1787a6-180e-4dc3-acce-074754b7814c

Resource Condition:

Generated Narrative: Condition 5e1787a6-180e-4dc3-acce-074754b7814c

clinicalStatus: Recurrence

code: Diabetes mellitus type 1

subject: Patient


Entry 10 - fullUrl = urn:uuid:734a751d-7e90-46a4-aaaf-793cdbe3a365

Resource Condition:

Generated Narrative: Condition 734a751d-7e90-46a4-aaaf-793cdbe3a365

clinicalStatus: Recurrence

code: Diabetes mellitus type 2

subject: Patient


Entry 11 - fullUrl = urn:uuid:9d584fb3-c8d2-4b43-94cf-1da5383e05d8

Resource Procedure:

Generated Narrative: Procedure 9d584fb3-c8d2-4b43-94cf-1da5383e05d8

status: Completed

code: Assessment of diabetic foot ulcer

subject: Patient

followUp: Diabetes medication review


Entry 12 - fullUrl = urn:uuid:316db01d-f9be-4ec4-b7f9-9eded2cd72f7

Resource ServiceRequest:

Generated Narrative: ServiceRequest 316db01d-f9be-4ec4-b7f9-9eded2cd72f7

status: Active

intent: Order

category: Laboratory procedure

code: No display for ServiceRequest.code (concept: Fasting lipid profile)

subject: Patient

authoredOn: 2020-07-09 15:32:26+0530

requester: Dr. DEF


Entry 13 - fullUrl = urn:uuid:d1cedf42-c335-4d56-bf99-c82ca16b517b

Resource MedicationStatement:

Generated Narrative: MedicationStatement d1cedf42-c335-4d56-bf99-c82ca16b517b

status: recorded

subject: Patient

dateAsserted: 2020-02-02 14:58:58+0530


Entry 14 - fullUrl = urn:uuid:62a7ac0f-d700-4345-b312-acd8899fa232

Resource MedicationRequest:

Generated Narrative: MedicationRequest 62a7ac0f-d700-4345-b312-acd8899fa232

status: Active

intent: Order

subject: ABC

authoredOn: 2020-07-09

requester: Dr. DEF

DosageInstructions

-AdditionalInstructionRoute
*Twice a dayTopical route

Entry 15 - fullUrl = urn:uuid:f92b7828-07b2-4a87-a630-b0f5d2613ebc

Resource DocumentReference:

Generated Narrative: DocumentReference f92b7828-07b2-4a87-a630-b0f5d2613ebc

status: Current

docStatus: Final

type: Laboratory report

subject: Patient

content

Attachments

-ContentTypeLanguageDataTitleCreation
*application/pdfen-IN(base64 data - 403,996 base64 chars)Laboratory report2019-05-29 14:58:58+0530