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

• See above (Condition/2)

• See above (Procedure/example-01)
• See above (Condition/1)

• See above (DiagnosticReport/1)

• See above (Procedure/example-02)

• See above (MedicationRequest/1)

• See above (CarePlan/1)

• See above (DocumentReference/1)

Additional Document Content

2. Practitioner/1 (Practitioner/1)

Dr. DEF, MD (Medicine)

3. Organization/example-01 (Organization/example-01)

UVW Hospital. ph: +91 273 2139 3632, email:contact@facility.uvw.org

4. Organization/2 (Organization/1)

XYZ Lab Pvt.Ltd. ph: +91 243 2634 1234, email:contact@labs.xyz.org

5. Patient/1 (Patient/1)

ABC, 41 year, Male

6. Encounter/1 (Encounter/1)

Admitted to Cardiac Unit,UVW Hospital between June 28 and July 9 2020

7. Appointment/1 (Appointment/1)

Follow up for further consultation

8. Condition/1 (Condition/1)

History of aortoiliac atherosclerosis

9. Condition/2 (Condition/2)

Myocardial infarction

10. Specimen/1 (Specimen/1)

Generated Narrative: Specimen

Resource Specimen "1"

Profile: Specimen

type: Serum specimen (SNOMED CT#119364003)

subject: See above (Patient/1)

receivedTime: 2015-07-08 06:40:17+0000

Collections

-	Collected[x]
*	2020-07-08 06:40:17+0000

11. DiagnosticReport/1 (DiagnosticReport/1)

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

12. Observation/cholesterol (Observation/cholesterol)

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')

13. Observation/triglyceride (Observation/triglyceride)

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')

14. Procedure/example-01 (Procedure/example-01)

Placement of stent in coronary artery

15. Procedure/example-02 (Procedure/example-02)

Coronary artery bypass grafting

16. MedicationRequest/1 (MedicationRequest/1)

Generated Narrative: MedicationRequest

Resource MedicationRequest "1"

Profile: MedicationRequest

status: ACTIVE

intent: ORDER

subject: See above (Patient/1: ABC)

authoredOn: 2020-07-09

requester: See above (Practitioner/1: DEF)

DosageInstructions

-	Text	AdditionalInstruction	Timing	Route	Method
*	One tablet at once	With or after food (SNOMED CT#311504000)	Once per 1 days	Oral Route (SNOMED CT#26643006)	Swallow (SNOMED CT#421521009)

17. CarePlan/1 (CarePlan/1)

Care Plan

18. DocumentReference/1 (DocumentReference/1)

Generated Narrative: DocumentReference

Resource DocumentReference "1"

Profile: DocumentReference

status: CURRENT

docStatus: FINAL

type: Discharge Summary (SNOMED CT#373942005)

subject: See above (Patient/1)

content

Attachments

-	ContentType	Language	Data	Title	Creation
*	application/pdf	en-IN	(base64 data - 302213 bytes)	Discharge Summary	2020-07-09 11:46:09+0530