DischargeSummary-example-04
type: Bundle
node role: treeRoot
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    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentBundle
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    coding.system:
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    coding.code:
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    coding.display:
      value: very restricted
bundle.identifier:
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    value: http://hip.in
bundle.type:
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bundle.timestamp:
  value: 2020-07-09T15:32:26.605+05:30
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  bundle.entry.full url:
    value: Composition/1
  bundle.entry.resource: 1
bundle.entry:
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  bundle.entry.full url:
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  bundle.entry.resource: 1
bundle.entry:
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  bundle.entry.full url:
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  bundle.entry.resource: 2
bundle.entry:
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  bundle.entry.full url:
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  bundle.entry.resource: 1
bundle.entry:
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  bundle.entry.full url:
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  bundle.entry.resource: 1
bundle.entry:
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  bundle.entry.full url:
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bundle.entry:
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  bundle.entry.full url:
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  bundle.entry.resource: 2
bundle.entry:
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  bundle.entry.full url:
    value: DiagnosticReport/1
  bundle.entry.resource: 1
bundle.entry:
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  bundle.entry.full url:
    value: Observation/cholesterol
  bundle.entry.resource: cholesterol
bundle.entry:
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  bundle.entry.full url:
    value: Observation/triglyceride
  bundle.entry.resource: triglyceride
bundle.entry:
  index: 12
  bundle.entry.full url:
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  bundle.entry.resource: 1
bundle.entry:
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  bundle.entry.full url:
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  bundle.entry.resource: 2
bundle.entry:
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  bundle.entry.full url:
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  bundle.entry.resource: 1
bundle.entry:
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  bundle.entry.full url:
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  bundle.entry.resource: 1
bundle.entry:
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1
type: Composition
resource.id:
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resource.meta:
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    index: 0
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/DischargeSummaryRecord
resource.language:
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domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Narrative with Details This is a Discharge Summary record for Patient ABC. Generated Summary: id: 1; Medical Record Number = 1234 (System : {https://healthid.ndhm.gov.in}); active; ABC ; ph: +919818512600(HOME); gender: male; birthDate: 1981-01-12
composition.status:
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composition.type:
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    index: 0
    coding.system:
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    coding.code:
      value: 373942005
    coding.display:
      value: Discharge summary
  codeable concept.text:
    value: Discharge Summary
composition.subject:
  link: http://nrces.in/ndhm/fhir/r4/Patient/1
  reference.reference:
    value: Patient/1
composition.encounter:
  link: http://nrces.in/ndhm/fhir/r4/Encounter/1
  reference.reference:
    value: Encounter/1
composition.date:
  value: 2020-07-09T15:32:26.605+05:30
composition.author:
  index: 0
  link: http://nrces.in/ndhm/fhir/r4/Practitioner/1
  reference.reference:
    value: Practitioner/1
composition.title:
  value: Discharge Summary
composition.confidentiality:
  value: N
composition.custodian:
  link: http://nrces.in/ndhm/fhir/r4/Organization/1
  reference.reference:
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composition.section:
  index: 0
  composition.section.title:
    value: Chief complaints
  composition.section.code:
    codeable concept.coding: http://snomed.info/id/422843007
      index: 0
      coding.system:
        value: http://snomed.info/sct
      coding.code:
        value: 422843007
      coding.display:
        value: Chief complaint section
  composition.section.entry:
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    link: http://nrces.in/ndhm/fhir/r4/Condition/2
    reference.reference:
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composition.section:
  index: 1
  composition.section.title:
    value: Medical History
  composition.section.code:
    codeable concept.coding: http://snomed.info/id/371529009
      index: 0
      coding.system:
        value: http://snomed.info/sct
      coding.code:
        value: 371529009
      coding.display:
        value: History and physical report
  composition.section.entry:
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    link: http://nrces.in/ndhm/fhir/r4/Procedure/1
    reference.reference:
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  composition.section.entry:
    index: 1
    link: http://nrces.in/ndhm/fhir/r4/Condition/1
    reference.reference:
      value: Condition/1
composition.section:
  index: 2
  composition.section.title:
    value: Investigations
  composition.section.code:
    codeable concept.coding: http://snomed.info/id/721981007
      index: 0
      coding.system:
        value: http://snomed.info/sct
      coding.code:
        value: 721981007
      coding.display:
        value: Diagnostic studies report
  composition.section.entry:
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    link: http://nrces.in/ndhm/fhir/r4/DiagnosticReport/1
    reference.reference:
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composition.section:
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  composition.section.title:
    value: Procedures
  composition.section.code:
    codeable concept.coding: http://snomed.info/id/371525003
      index: 0
      coding.system:
        value: http://snomed.info/sct
      coding.code:
        value: 371525003
      coding.display:
        value: Clinical procedure report
  composition.section.entry:
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    link: http://nrces.in/ndhm/fhir/r4/Procedure/2
    reference.reference:
      value: Procedure/2
composition.section:
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  composition.section.title:
    value: Medications
  composition.section.code:
    codeable concept.coding: http://snomed.info/id/721912009
      index: 0
      coding.system:
        value: http://snomed.info/sct
      coding.code:
        value: 721912009
      coding.display:
        value: Medication summary document
  composition.section.entry:
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    link: http://nrces.in/ndhm/fhir/r4/MedicationRequest/1
    reference.reference:
      value: MedicationRequest/1
composition.section:
  index: 5
  composition.section.title:
    value: Care Plan
  composition.section.code:
    codeable concept.coding: http://snomed.info/id/734163000
      index: 0
      coding.system:
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      coding.code:
        value: 734163000
      coding.display:
        value: Care plan
  composition.section.entry:
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    link: http://nrces.in/ndhm/fhir/r4/CarePlan/1
    reference.reference:
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composition.section:
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  composition.section.title:
    value: Document Reference
  composition.section.code:
    codeable concept.coding: http://snomed.info/id/373942005
      index: 0
      coding.system:
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      coding.code:
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      coding.display:
        value: Discharge summary
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    link: http://nrces.in/ndhm/fhir/r4/DocumentReference/1
    reference.reference:
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1
type: Practitioner
resource.id:
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resource.meta:
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  meta.last updated:
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    index: 0
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Dr. DEF, MD (Medicine)
practitioner.identifier:
  index: 0
  identifier.type:
    codeable concept.coding:
      index: 0
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v2-0203
      coding.code:
        value: MD
      coding.display:
        value: Medical License number
  identifier.system:
    value: https://doctor.ndhm.gov.in
  identifier.value:
    value: 21-1521-3828-3227
practitioner.name:
  index: 0
  human name.text:
    value: DEF

1
type: Organization
resource.id:
  value: 1
resource.meta:
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    value: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization
    index: 0
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: UVW Hospital. ph: +91 273 2139 3632, email:contact@facility.uvw.org
organization.identifier:
  index: 0
  identifier.type:
    codeable concept.coding:
      index: 0
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v2-0203
      coding.code:
        value: PRN
      coding.display:
        value: Provider number
  identifier.system:
    value: https://facility.ndhm.gov.in
  identifier.value:
    value: 4567823
organization.name:
  value: UVW Hospital
organization.telecom:
  index: 0
  contact point.system:
    value: phone
  contact point.value:
    value: +91 273 2139 3632
  contact point.use:
    value: work
organization.telecom:
  index: 1
  contact point.system:
    value: email
  contact point.use:
    value: work

2
type: Organization
resource.id:
  value: 1
resource.meta:
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    value: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization
    index: 0
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: XYZ Lab Pvt.Ltd. ph: +91 243 2634 1234, email:contact@labs.xyz.org
organization.identifier:
  index: 0
  identifier.type:
    codeable concept.coding:
      index: 0
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v2-0203
      coding.code:
        value: PRN
      coding.display:
        value: Provider number
  identifier.system:
    value: https://facility.ndhm.gov.in
  identifier.value:
    value: 4567878
organization.name:
  value: XYZ Lab Pvt.Ltd.
organization.telecom:
  index: 0
  contact point.system:
    value: phone
  contact point.value:
    value: +91 243 2634 1234
  contact point.use:
    value: work
organization.telecom:
  index: 1
  contact point.system:
    value: email
  contact point.use:
    value: work

1
type: Patient
resource.id:
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resource.meta:
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  meta.last updated:
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    value: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient
    index: 0
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: ABC, 41 year, Male
patient.identifier:
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  identifier.type:
    codeable concept.coding:
      index: 0
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v2-0203
      coding.code:
        value: MR
      coding.display:
        value: Medical record number
  identifier.system:
    value: https://healthid.ndhm.gov.in
  identifier.value:
    value: 22-7225-4829-5255
patient.name:
  index: 0
  human name.text:
    value: ABC
patient.telecom:
  index: 0
  contact point.system:
    value: phone
  contact point.value:
    value: +919818512600
  contact point.use:
    value: home
patient.gender:
  value: male
patient.birth date:
  value: 1981-01-12

1
type: Encounter
resource.id:
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resource.meta:
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    value: 2020-07-09T14:58:58.181+05:30
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    value: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Encounter
    index: 0
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Encounter
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Admitted to Cardiac Unit,UVW Hospital between June 28 and July 9 2020
encounter.identifier:
  index: 0
  identifier.system:
    value: https://ndhm.in
  identifier.value:
    value: S100
encounter.status:
  value: finished
encounter.class:
  coding.system:
    value: http://terminology.hl7.org/CodeSystem/v3-ActCode
  coding.code:
    value: IMP
  coding.display:
    value: inpatient encounter
encounter.subject:
  link: http://nrces.in/ndhm/fhir/r4/Patient/1
  reference.reference:
    value: Patient/1
encounter.period:
  period.start:
    value: 2020-04-20T15:32:26.605+05:30
  period.end:
    value: 2020-05-01T15:32:26.605+05:30
encounter.hospitalization:
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    codeable concept.coding:
      index: 0
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/discharge-disposition
      coding.code:
        value: home
      coding.display:
        value: Home
    codeable concept.text:
      value: Discharged to Home Care

1
type: Appointment
resource.id:
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resource.meta:
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    value: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Appointment
    index: 0
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Appointment
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Follow up for further consultation
appointment.status:
  value: booked
appointment.service category:
  index: 0
  codeable concept.coding: http://snomed.info/id/408443003
    index: 0
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 408443003
    coding.display:
      value: General medical practice
appointment.service type:
  index: 0
  codeable concept.coding: http://snomed.info/id/11429006
    index: 0
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 11429006
    coding.display:
      value: Consultation
appointment.appointment type:
  codeable concept.coding: http://snomed.info/id/185389009
    index: 0
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 185389009
    coding.display:
      value: Follow-up visit
appointment.reason reference:
  index: 0
  link: http://nrces.in/ndhm/fhir/r4/Condition/1
  reference.reference:
    value: Condition/1
appointment.description:
  value: Discussion on the results of your recent Lab Test and further consultation
appointment.start:
  value: 2020-07-12T09:00:00Z
appointment.end:
  value: 2020-07-12T09:30:00Z
appointment.created:
  value: 2020-07-09T14:58:58.181+05:30
appointment.participant:
  index: 0
  appointment.participant.actor:
    link: http://nrces.in/ndhm/fhir/r4/Patient/1
    reference.reference:
      value: Patient/1
  appointment.participant.status:
    value: accepted
appointment.participant:
  index: 1
  appointment.participant.actor:
    link: http://nrces.in/ndhm/fhir/r4/Practitioner/1
    reference.reference:
      value: Practitioner/1
  appointment.participant.status:
    value: accepted

1
type: Condition
resource.id:
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resource.meta:
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    value: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Condition
    index: 0
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Condition
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: History of aortoiliac atherosclerosis
condition.clinical status:
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/condition-clinical
    coding.code:
      value: recurrence
    coding.display:
      value: Recurrence
condition.code:
  codeable concept.coding: http://snomed.info/id/440700005
    index: 0
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 440700005
    coding.display:
      value: History of aortoiliac atherosclerosis
  codeable concept.text:
    value: Patient complained about pain in left arm
condition.subject:
  link: http://nrces.in/ndhm/fhir/r4/Patient/1
  reference.reference:
    value: Patient/1

2
type: Condition
resource.id:
  value: 2
resource.meta:
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    index: 0
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Condition
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Myocardial infarction
condition.clinical status:
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/condition-clinical
    coding.code:
      value: active
    coding.display:
      value: Active
condition.code:
  codeable concept.coding: http://snomed.info/id/22298006
    index: 0
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 22298006
    coding.display:
      value: Myocardial infarction
  codeable concept.text:
    value: pain in the chest, neck, back or arms, as well as fatigue, lightheadedness, abnormal heartbeat and anxiety.
condition.subject:
  link: http://nrces.in/ndhm/fhir/r4/Patient/1
  reference.reference:
    value: Patient/1

1
type: DiagnosticReport
resource.id:
  value: 1
resource.meta:
  meta.profile:
    value: https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportLab
    index: 0
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportLab
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Lipid Report for ABC issued 9-July 2020 14:26 Test Units Value Reference Range Cholesterol mmol/L 6.3 <4.5 Triglyceride mmol/L 1.3 <2.0 XYZ Lab Pvt.Ltd., Inc signed: Dr. DEF Pathologist
diagnostic report.identifier:
  index: 0
  identifier.system:
    value: https://xyz.com/lab/reports
  identifier.value:
    value: 5234342
diagnostic report.status:
  value: final
diagnostic report.category:
  index: 0
  codeable concept.coding: http://snomed.info/id/708196005
    index: 0
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 708196005
    coding.display:
      value: Hematology service
diagnostic report.code:
  codeable concept.coding: http://loinc.org/rdf#24331-1
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 24331-1
    coding.display:
      value: Lipid 1996 panel - Serum or Plasma
  codeable concept.text:
    value: Lipid 1996 panel
diagnostic report.subject:
  link: http://nrces.in/ndhm/fhir/r4/Patient/1
  reference.reference:
    value: Patient/1
  reference.display:
    value: ABC
diagnostic report.issued:
  value: 2020-07-10T11:45:33+11:00
diagnostic report.performer:
  index: 0
  link: http://nrces.in/ndhm/fhir/r4/Organization/2
  reference.reference:
    value: Organization/2
  reference.display:
    value: XYZ Lab Pvt.Ltd.
diagnostic report.results interpreter:
  index: 0
  link: http://nrces.in/ndhm/fhir/r4/Practitioner/1
  reference.reference:
    value: Practitioner/1
  reference.display:
    value: Dr. DEF
diagnostic report.specimen:
  index: 0
  link: http://nrces.in/ndhm/fhir/r4/Specimen/1
  reference.reference:
    value: Specimen/1
diagnostic report.result:
  index: 0
  link: http://nrces.in/ndhm/fhir/r4/Observation/cholesterol
  reference.reference:
    value: Observation/cholesterol
diagnostic report.result:
  index: 1
  link: http://nrces.in/ndhm/fhir/r4/Observation/triglyceride
  reference.reference:
    value: Observation/triglyceride
diagnostic report.conclusion:
  value: Elevated cholesterol/high density lipoprotein ratio
diagnostic report.conclusion code:
  index: 0
  codeable concept.coding: http://snomed.info/id/439953004
    index: 0
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 439953004
    coding.display:
      value: Elevated cholesterol/high density lipoprotein ratio
diagnostic report.presented form:
  index: 0
  attachment.content type:
    value: application/pdf
  attachment.language:
    value: en-IN
  attachment.title:
    value: Diagnostic Report

cholesterol
type: Observation
resource.id:
  value: cholesterol
resource.meta:
  meta.profile:
    value: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation
    index: 0
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative with Details id: cholesterol status: final code: Cholesterol (Details : {LOINC code '35200-5' = 'Cholesterol [Mass or Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/​volume] in Serum or Plasma'}) subject: ABC performer: XYZ Lab Pvt.Ltd. value: 6.3 mmol/L (Details: UCUM code mmol/L = 'mmol/L') ReferenceRanges - High * 4.5 mmol/L (Details: UCUM code mmol/L = 'mmol/L')
observation.status:
  value: final
observation.code:
  codeable concept.coding: http://loinc.org/rdf#35200-5
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 35200-5
    coding.display:
      value: Cholesterol [Mass or Moles/volume] in Serum or Plasma
  codeable concept.text:
    value: Cholesterol [Mass or moles/Vol]
observation.subject:
  link: http://nrces.in/ndhm/fhir/r4/Patient/1
  reference.reference:
    value: Patient/1
observation.performer:
  index: 0
  link: http://nrces.in/ndhm/fhir/r4/Organization/2
  reference.reference:
    value: Organization/2
observation.value quantity:
  quantity.value:
    value: 6.3
  quantity.unit:
    value: mmol/L
  quantity.system:
    value: http://snomed.info/sct
  quantity.code:
    value: 258813002
observation.reference range:
  index: 0
  observation.reference range.high:
    quantity.value:
      value: 4.5
    quantity.unit:
      value: mmol/L
    quantity.system:
      value: http://snomed.info/sct
    quantity.code:
      value: 258813002

triglyceride
type: Observation
resource.id:
  value: triglyceride
resource.meta:
  meta.profile:
    value: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation
    index: 0
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative with Details id: triglyceride status: final code: Triglyceride (Details : {LOINC code '35217-9' = 'Triglyceride [Mass or Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/​volume] in Serum or Plasma'}) subject: ABC performer: XYZ Lab Pvt.Ltd. value: 1.3 mmol/L (Details: UCUM code mmol/L = 'mmol/L') ReferenceRanges - High * 2.0 mmol/L (Details: UCUM code mmol/L = 'mmol/L')
observation.status:
  value: final
observation.code:
  codeable concept.coding: http://loinc.org/rdf#35217-9
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 35217-9
    coding.display:
      value: Triglyceride [Mass or Moles/volume] in Serum or Plasma
  codeable concept.text:
    value: Triglyceride [Mass or moles/Vol]
observation.subject:
  link: http://nrces.in/ndhm/fhir/r4/Patient/1
  reference.reference:
    value: Patient/1
observation.performer:
  index: 0
  link: http://nrces.in/ndhm/fhir/r4/Organization/2
  reference.reference:
    value: Organization/2
observation.value quantity:
  quantity.value:
    value: 1.3
  quantity.unit:
    value: mmol/L
  quantity.system:
    value: http://snomed.info/sct
  quantity.code:
    value: 258813002
observation.reference range:
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  observation.reference range.high:
    quantity.value:
      value: 2.0
    quantity.unit:
      value: mmol/L
    quantity.system:
      value: http://snomed.info/sct
    quantity.code:
      value: 258813002

1
type: Procedure
resource.id:
  value: 1
resource.meta:
  meta.profile:
    value: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Procedure
    index: 0
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Procedure
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Placement of stent in coronary artery
procedure.status:
  value: completed
procedure.code:
  codeable concept.coding: http://snomed.info/id/36969009
    index: 0
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 36969009
    coding.display:
      value: Placement of stent in coronary artery
  codeable concept.text:
    value: Placement of stent in coronary artery
procedure.subject:
  link: http://nrces.in/ndhm/fhir/r4/Patient/1
  reference.reference:
    value: Patient/1
procedure.performed date time:
  value: 2019-05-12
procedure.complication:
  index: 0
  codeable concept.coding: http://snomed.info/id/131148009
    index: 0
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 131148009
    coding.display:
      value: Bleeding

2
type: Procedure
resource.id:
  value: 1
resource.meta:
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    value: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Procedure
    index: 0
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Procedure
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Coronary artery bypass grafting
procedure.status:
  value: completed
procedure.code:
  codeable concept.coding: http://snomed.info/id/232717009
    index: 0
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 232717009
    coding.display:
      value: Coronary artery bypass grafting
  codeable concept.text:
    value: Coronary artery bypass grafting
procedure.subject:
  link: http://nrces.in/ndhm/fhir/r4/Patient/1
  reference.reference:
    value: Patient/1
procedure.performed date time:
  value: 2020-07-05

1
type: MedicationRequest
resource.id:
  value: 1
resource.meta:
  meta.profile:
    value: https://nrces.in/ndhm/fhir/r4/StructureDefinition/MedicationRequest
    index: 0
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/MedicationRequest
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative id: 1 meta: status: active intent: order medication: Nitroglycerin 5 mg buccal tablet subject: ABC. Generated Summary: id: 1; Medical record number: 22-7225-4829-5255; ABC; ph: +919818512600(HOME); gender: male; birthDate: 1981-01-12 authoredOn: 2020-07-09 requester: DEF. Generated Summary: id: 1; Medical License number: 21-1521-3828-3227; DEF reasonReference: See above (Condition/2) dosageInstruction:
medication request.status:
  value: active
medication request.intent:
  value: order
medication request.medication codeable concept:
  codeable concept.coding: http://snomed.info/id/765082007
    index: 0
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 765082007
    coding.display:
      value: Nitroglycerin 5 mg buccal tablet
medication request.subject:
  link: http://nrces.in/ndhm/fhir/r4/Patient/1
  reference.reference:
    value: Patient/1
  reference.display:
    value: ABC
medication request.authored on:
  value: 2020-07-09
medication request.requester:
  link: http://nrces.in/ndhm/fhir/r4/Practitioner/1
  reference.reference:
    value: Practitioner/1
  reference.display:
    value: DEF
medication request.reason reference:
  index: 0
  link: http://nrces.in/ndhm/fhir/r4/Condition/2
  reference.reference:
    value: Condition/2
medication request.dosage instruction:
  index: 0
  dosage.text:
    value: One tablet at once
  dosage.additional instruction:
    index: 0
    codeable concept.coding: http://snomed.info/id/311504000
      index: 0
      coding.system:
        value: http://snomed.info/sct
      coding.code:
        value: 311504000
      coding.display:
        value: With or after food
  dosage.timing:
    timing.repeat:
      timing.repeat.frequency:
        value: 1
      timing.repeat.period:
        value: 1
      timing.repeat.period unit:
        value: d
  dosage.route:
    codeable concept.coding: http://snomed.info/id/26643006
      index: 0
      coding.system:
        value: http://snomed.info/sct
      coding.code:
        value: 26643006
      coding.display:
        value: Oral Route
  dosage.method:
    codeable concept.coding: http://snomed.info/id/421521009
      index: 0
      coding.system:
        value: http://snomed.info/sct
      coding.code:
        value: 421521009
      coding.display:
        value: Swallow

1
type: CarePlan
resource.id:
  value: 1
resource.meta:
  meta.profile:
    value: https://nrces.in/ndhm/fhir/r4/StructureDefinition/CarePlan
    index: 0
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/CarePlan
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: Care Plan
care plan.status:
  value: active
care plan.intent:
  value: plan
care plan.category:
  index: 0
  codeable concept.coding: http://snomed.info/id/736368003
    index: 0
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 736368003
    coding.display:
      value: Coronary heart disease care plan
care plan.title:
  value: Coronary heart disease care plan
care plan.description:
  value: Treatment of coronary artery and related disease problems
care plan.subject:
  link: http://nrces.in/ndhm/fhir/r4/Patient/1
  reference.reference:
    value: Patient/1
  reference.display:
    value: ABC
care plan.activity:
  index: 0
  care plan.activity.outcome reference:
    index: 0
    link: http://nrces.in/ndhm/fhir/r4/Appointment/1
    reference.reference:
      value: Appointment/1

1
type: DocumentReference
resource.id:
  value: 1
resource.meta:
  meta.profile:
    value: https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentReference
    index: 0
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentReference
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative id: 1 meta: status: current docStatus: final type: Discharge Summary subject: See above (Patient/1) Contents - Attachment *
document reference.status:
  value: current
document reference.doc status:
  value: final
document reference.type:
  codeable concept.coding: http://snomed.info/id/373942005
    index: 0
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 373942005
    coding.display:
      value: Discharge Summary
  codeable concept.text:
    value: Discharge Summary
document reference.subject:
  link: http://nrces.in/ndhm/fhir/r4/Patient/1
  reference.reference:
    value: Patient/1
document reference.content:
  index: 0
  document reference.content.attachment:
    attachment.content type:
      value: application/pdf
    attachment.language:
      value: en-IN
    attachment.title:
      value: Discharge Summary
    attachment.creation:
      value: 2020-07-09T11:46:09+05:30