FHIR Implementation Guide for ABDM

This Implementation guide is published and maintained by NRCeS for NHA.
This version is based on the ABDM Health Data Interchange Specifications 1.0 and updated periodically.

Profiles

The following Profiles and have been defined for this implementation guide.

Clinical Artifacts
Following clinical artifacts are profiles based on Composition resource of FHIR R4.0.1:

Name	Based On	Definition
DiagnosticReportRecord	Composition	The Clinical Artifact represents diagnostic reports including Radiology and Laboratory reports that can be shared across the health ecosystem.
DischargeSummaryRecord	Composition	Clinical document used to represent the discharge summary record for ABDM HDE data set.
HealthDocumentRecord	Composition	The Clinical Artifact represents the unstructured historical health records as a single of multiple Health Record Documents generally uploaded by the patients through the Health Locker and can be shared across the health ecosystem.
ImmunizationRecord	Composition	The Clinical Artifact represents the Immunization records with any additional documents such as vaccine certificate, the next immunization recommendations, etc. This can be further shared across the health ecosystem.
OPConsultRecord	Composition	The Clinical Artifact represents the outpatient visit consultation note which may include clinical information on any OP examinations, procedures along with medication administered, and advice that can be shared across the health ecosystem.
PrescriptionRecord	Composition	The Clinical Artifact represents the medication advice to the patient in compliance with the Pharmacy Council of India (PCI) guidelines, which can be shared across the health ecosystem.
WellnessRecord	Composition	The Clinical Artifact represents regular wellness information of patients typically through the Patient Health Record (PHR) application covering clinical information such as vitals, physical examination, general wellness, women wellness, etc., that can be shared across the health ecosystem.

Other Resource Profiles

Name	Based On	Definition
DocumentBundle	Bundle	This profile sets minimum expectations for the DocumentBundle that includes all resources into a single instance with containing context to act as an exchangeable clinical document.
AllergyIntolerance	AllergyIntolerance	This profile sets minimum expectations for the AllergyIntolerance resource to record, search, and fetch allergies/adverse reactions associated with a patient.
Appointment	Appointment	This profile sets minimum expectations for the Appointment resource to searching for and fetching information about a booking of a healthcare event among patient(s), practitioner(s), related person(s), and/or device(s) for a specific date/time for a patient.
Binary	Binary	This profile sets minimum expectations for the Binary resource to searching for and fetching the data of a single raw artifact as digital content accessible in its native format of a patient.
CarePlan	CarePlan	This profile sets minimum expectations for the CarePlan resource to record, search, and fetch assessment and plan of treatment data associated with a patient.
Condition	Condition	This profile sets minimum expectations for the Condition resource to record, search, and fetch a list of conditions associated with a patient.
DiagnosticReportImaging	DiagnosticReport	This profile represents the set of information related to the Imaging diagnosis report generated by imaging services like Radiology, Cardiology, Endoscopy, etc. are ordered for the patient.
DiagnosticReportLab	DiagnosticReport	This profile represents the set of information related to the Laboratory diagnosis report generated by the laboratory services like Complete Blood Count, Basic Metabolic Panel, Lipid Panel, Urinalysis, etc. are ordered for the patient.
DocumentReference	DocumentReference	This profile sets minimum expectations for searching and fetching patient documents including the Clinical Notes using the DocumentReference resource.
Encounter	Encounter	This profile sets minimum expectations for the Encounter resource to record, search, and fetch basic encounter information for an individual patient.
FamilyMemberHistory	FamilyMemberHistory	This profile sets minimum expectations for the FamilyMemberHistory resource for searching and fetching significant health conditions of a person related to the patient in the context of care.
ImagingStudy	ImagingStudy	This profile sets minimum expectations for the ImagingStudy resource to searching for and fetching the content produced in a DICOM imaging study.
Immunization	Immunization	This profile sets minimum expectations for the Immunization resource to record, fetch and search immunization history associated with a patient.
ImmunizationRecommendation	ImmunizationRecommendation	This profile sets minimum expectations for the ImmunizationRecommendation resource to support the next immunization to be taken by the patient.
Media	Media	This profile sets minimum expectations for the Media resource to searching for and fetching media like a photo, video, or audio recording acquired or used in healthcare, associated with a patient or provider.
MedicationRequest	MedicationRequest	The MedicationRequest resource can be used to record a patient’s medication prescription or order. This profile sets minimum expectations for the MedicationRequest resource to record, search, and fetch medications associated with a patient.
MedicationStatement	MedicationStatement	The MedicationStatement resource can be used to record a patient’s medication information. It is used to record the information about the medications consumed by the patient in the past, present, or future.
Observation	Observation	Observation resource represents an individual laboratory test and result value, a “nested” panel (such as a microbial susceptibility panel) which references other observations, or rarely a laboratory test with component result values. This profile sets minimum expectations for the Observation resource to record, search, and fetch laboratory test results associated with a patient.
ObservationBodyMeasurement	Observation	This profile sets minimum expectations for the ObservationBodyMeasurement to record, search, and fetch the details of the body measurements of the patient.
ObservationGeneralAssessment	Observation	This profile sets minimum expectations for the ObservationGeneralAssessment to record, search, and fetch the details of the general health assessment of a patient.
ObservationLifestyle	Observation	This profile sets minimum expectations for the ObservationLifestyle to record, search, and fetch the details of the lifestyle of the patient.
ObservationPhysicalActivity	Observation	This profile sets minimum expectations for the ObservationPhysicalActivity to record, search, and fetch the details of the physical activities of a patient.
ObservationVitalSigns	Observation	This profile sets minimum expectations for the ObservationVitalSigns to record, search, and fetch the details of the vital signs of a patient.
ObservationWomenHealth	Observation	This profile sets minimum expectations for ObservationWomenHealth to record, search, and fetch the details of women’s health.
Organization	Organization	This profile sets minimum expectations for the Organization resource to searching for and fetching an Organization associated with a patient or provider.
Patient	Patient	This profile sets minimum expectations for the Patient resource to record, search, and fetch basic demographics and other administrative information about an individual patient.
Practitioner	Practitioner	This profile sets minimum expectations for the Practitioner resource to record, search, and fetch basic demographics and other administrative information about an individual practitioner.
PractitionerRole	PractitionerRole	This profile sets minimum expectations for the PractitionerRole resource to record, search, and fetch the practitioner role for a practitioner.
Procedure	Procedure	This profile sets minimum expectations for the Procedure resource to record, search, and fetch procedures associated with a patient.
ServiceRequest	ServiceRequest	This profile sets minimum expectations for the ServiceRequest resource to searching for and fetching information about services like a request for a procedure or diagnostic or other services to be planned, proposed, or performed associated with a patient or provider.
Specimen	Specimen	This profile sets minimum expectations for the Specimen resource to searching for and fetching information regarding a sample to be used for the analysis of a patient.