DischargeSummary-example-04
type: Bundle
node role: treeRoot
id:
  v: DischargeSummary-example-04
meta:
  version id:
    v: 1
  last updated:
    v: 2020-07-09T15:32:26.605+05:30
  profile:
    v: https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentBundle
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentBundle
  security:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-Confidentiality
    code:
      v: V
    display:
      v: very restricted
identifier:
  system:
    v: http://hip.in
type:
  v: document
timestamp:
  v: 2020-07-09T15:32:26.605+05:30
entry:
  full url:
    v: Composition/1
  resource: 1
entry:
  full url:
    v: Practitioner/1
  resource: 1
entry:
  full url:
    v: Organization/example-01
  resource: example-01
entry:
  full url:
    v: Organization/2
  resource: 2
entry:
  full url:
    v: Patient/1
  resource: 1
entry:
  full url:
    v: Encounter/1
  resource: 1
entry:
  full url:
    v: Appointment/1
  resource: 1
entry:
  full url:
    v: Condition/1
  resource: 1
entry:
  full url:
    v: Condition/2
  resource: 2
entry:
  full url:
    v: Specimen/1
  resource: 1
entry:
  full url:
    v: DiagnosticReport/1
  resource: 1
entry:
  full url:
    v: Observation/cholesterol
  resource: cholesterol
entry:
  full url:
    v: Observation/triglyceride
  resource: triglyceride
entry:
  full url:
    v: Procedure/example-01
  resource: example-01
entry:
  full url:
    v: Procedure/example-02
  resource: example-02
entry:
  full url:
    v: MedicationRequest/1
  resource: 1
entry:
  full url:
    v: CarePlan/1
  resource: 1
entry:
  full url:
    v: DocumentReference/1
  resource: 1
signature:
  type:
    system:
      v: urn:iso-astm:E1762-95:2013
    code:
      v: 1.2.840.10065.1.12.1.1
    display:
      v: Author's Signature
  when:
    v: 2020-07-09T07:42:33+10:00
  who:
    link: https://nrces.in/ndhm/fhir/r4/Practitioner/1
    reference:
      v: Practitioner/1
  sig format:
    v: image/jpeg

1
type: Composition
id:
  v: 1
meta:
  version id:
    v: 1
  last updated:
    v: 2020-07-09T15:32:26.605+05:30
  profile:
    v: https://nrces.in/ndhm/fhir/r4/StructureDefinition/DischargeSummaryRecord
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/DischargeSummaryRecord
language:
  v: en-IN
text:
  status:
    v: generated
  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
status:
  v: final
type:
  coding: http://snomed.info/id/373942005
    system:
      v: http://snomed.info/sct
    code:
      v: 373942005
    display:
      v: Discharge summary
  text:
    v: Discharge Summary
subject:
  link: https://nrces.in/ndhm/fhir/r4/Patient/1
  reference:
    v: Patient/1
encounter:
  link: https://nrces.in/ndhm/fhir/r4/Encounter/1
  reference:
    v: Encounter/1
date:
  v: 2020-07-09T15:32:26.605+05:30
author:
  link: https://nrces.in/ndhm/fhir/r4/Practitioner/1
  reference:
    v: Practitioner/1
title:
  v: Discharge Summary
confidentiality:
  v: N
custodian:
  link: https://nrces.in/ndhm/fhir/r4/Organization/example-01
  reference:
    v: Organization/example-01
section:
  title:
    v: Chief complaints
  code:
    coding: http://snomed.info/id/422843007
      system:
        v: http://snomed.info/sct
      code:
        v: 422843007
      display:
        v: Chief complaint section
  entry:
    link: https://nrces.in/ndhm/fhir/r4/Condition/2
    reference:
      v: Condition/2
section:
  title:
    v: Medical History
  code:
    coding: http://snomed.info/id/1003642006
      system:
        v: http://snomed.info/sct
      code:
        v: 1003642006
      display:
        v: Past medical history section
  entry:
    link: https://nrces.in/ndhm/fhir/r4/Procedure/example-01
    reference:
      v: Procedure/example-01
  entry:
    link: https://nrces.in/ndhm/fhir/r4/Condition/1
    reference:
      v: Condition/1
section:
  title:
    v: Investigations
  code:
    coding: http://snomed.info/id/721981007
      system:
        v: http://snomed.info/sct
      code:
        v: 721981007
      display:
        v: Diagnostic studies report
  entry:
    link: https://nrces.in/ndhm/fhir/r4/DiagnosticReport/1
    reference:
      v: DiagnosticReport/1
section:
  title:
    v: Procedures
  code:
    coding: http://snomed.info/id/1003640003
      system:
        v: http://snomed.info/sct
      code:
        v: 1003640003
      display:
        v: History of past procedure section
  entry:
    link: https://nrces.in/ndhm/fhir/r4/Procedure/example-02
    reference:
      v: Procedure/example-02
section:
  title:
    v: Medications
  code:
    coding: http://snomed.info/id/1003606003
      system:
        v: http://snomed.info/sct
      code:
        v: 1003606003
      display:
        v: Medication history section
  entry:
    link: https://nrces.in/ndhm/fhir/r4/MedicationRequest/1
    reference:
      v: MedicationRequest/1
section:
  title:
    v: Care Plan
  code:
    coding: http://snomed.info/id/734163000
      system:
        v: http://snomed.info/sct
      code:
        v: 734163000
      display:
        v: Care plan
  entry:
    link: https://nrces.in/ndhm/fhir/r4/CarePlan/1
    reference:
      v: CarePlan/1
section:
  title:
    v: Document Reference
  code:
    coding: http://snomed.info/id/373942005
      system:
        v: http://snomed.info/sct
      code:
        v: 373942005
      display:
        v: Discharge summary
  entry:
    link: https://nrces.in/ndhm/fhir/r4/DocumentReference/1
    reference:
      v: DocumentReference/1

1
type: Practitioner
id:
  v: 1
meta:
  version id:
    v: 1
  last updated:
    v: 2020-07-09T15:32:26.605+05:30
  profile:
    v: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner
text:
  status:
    v: generated
  div: Dr. DEF, MD (Medicine)
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: MD
      display:
        v: Medical License number
  system:
    v: https://doctor.ndhm.gov.in
  value:
    v: 21-1521-3828-3227
name:
  text:
    v: DEF

example-01
type: Organization
id:
  v: example-01
meta:
  profile:
    v: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization
text:
  status:
    v: generated
  div: UVW Hospital. ph: +91 273 2139 3632, email:contact@facility.uvw.org
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: PRN
      display:
        v: Provider number
  system:
    v: https://facility.ndhm.gov.in
  value:
    v: 4567823
name:
  v: UVW Hospital
telecom:
  system:
    v: phone
  value:
    v: +91 273 2139 3632
  use:
    v: work
telecom:
  system:
    v: email
  use:
    v: work

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

1
type: Patient
id:
  v: 1
meta:
  version id:
    v: 1
  last updated:
    v: 2020-07-09T14:58:58.181+05:30
  profile:
    v: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient
text:
  status:
    v: generated
  div: ABC, 41 year, Male
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: MR
      display:
        v: Medical record number
  system:
    v: https://healthid.ndhm.gov.in
  value:
    v: 22-7225-4829-5255
name:
  text:
    v: ABC
telecom:
  system:
    v: phone
  value:
    v: +919818512600
  use:
    v: home
gender:
  v: male
birth date:
  v: 1981-01-12

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

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

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

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

1
type: Specimen
id:
  v: 1
meta:
  profile:
    v: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Specimen
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Specimen
text:
  status:
    v: generated
  div: 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
type:
  coding: http://snomed.info/id/119364003
    system:
      v: http://snomed.info/sct
    code:
      v: 119364003
    display:
      v: Serum specimen
subject:
  link: https://nrces.in/ndhm/fhir/r4/Patient/1
  reference:
    v: Patient/1
received time:
  v: 2015-07-08T06:40:17Z
collection:
  collected:
    v: 2020-07-08T06:40:17Z

1
type: DiagnosticReport
id:
  v: 1
meta:
  profile:
    v: https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportLab
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportLab
text:
  status:
    v: generated
  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
identifier:
  system:
    v: https://xyz.com/lab/reports
  value:
    v: 5234342
status:
  v: final
category:
  coding: http://snomed.info/id/708196005
    system:
      v: http://snomed.info/sct
    code:
      v: 708196005
    display:
      v: Hematology service
code:
  coding: https://loinc.org/rdf/24331-1
    system:
      v: http://loinc.org
    code:
      v: 24331-1
    display:
      v: Lipid 1996 panel - Serum or Plasma
  text:
    v: Lipid 1996 panel
subject:
  link: https://nrces.in/ndhm/fhir/r4/Patient/1
  reference:
    v: Patient/1
  display:
    v: ABC
issued:
  v: 2020-07-10T11:45:33+11:00
performer:
  link: https://nrces.in/ndhm/fhir/r4/Organization/2
  reference:
    v: Organization/2
  display:
    v: XYZ Lab Pvt.Ltd.
results interpreter:
  link: https://nrces.in/ndhm/fhir/r4/Practitioner/1
  reference:
    v: Practitioner/1
  display:
    v: Dr. DEF
specimen:
  link: https://nrces.in/ndhm/fhir/r4/Specimen/1
  reference:
    v: Specimen/1
result:
  link: https://nrces.in/ndhm/fhir/r4/Observation/cholesterol
  reference:
    v: Observation/cholesterol
result:
  link: https://nrces.in/ndhm/fhir/r4/Observation/triglyceride
  reference:
    v: Observation/triglyceride
conclusion:
  v: Elevated cholesterol/high density lipoprotein ratio
conclusion code:
  coding: http://snomed.info/id/439953004
    system:
      v: http://snomed.info/sct
    code:
      v: 439953004
    display:
      v: Elevated cholesterol/high density lipoprotein ratio
presented form:
  content type:
    v: application/pdf
  language:
    v: en-IN
  title:
    v: Diagnostic Report

cholesterol
type: Observation
id:
  v: cholesterol
meta:
  profile:
    v: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation
text:
  status:
    v: generated
  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')
status:
  v: final
code:
  coding: https://loinc.org/rdf/35200-5
    system:
      v: http://loinc.org
    code:
      v: 35200-5
    display:
      v: Cholesterol [Mass or Moles/volume] in Serum or Plasma
  text:
    v: Cholesterol [Mass or moles/Vol]
subject:
  link: https://nrces.in/ndhm/fhir/r4/Patient/1
  reference:
    v: Patient/1
performer:
  link: https://nrces.in/ndhm/fhir/r4/Organization/2
  reference:
    v: Organization/2
value: Quantity
  value:
    v: 6.3
  unit:
    v: mmol/L
  system:
    v: http://snomed.info/sct
  code:
    v: 258813002
reference range:
  high:
    value:
      v: 4.5
    unit:
      v: mmol/L
    system:
      v: http://snomed.info/sct
    code:
      v: 258813002

triglyceride
type: Observation
id:
  v: triglyceride
meta:
  profile:
    v: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation
text:
  status:
    v: generated
  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')
status:
  v: final
code:
  coding: https://loinc.org/rdf/35217-9
    system:
      v: http://loinc.org
    code:
      v: 35217-9
    display:
      v: Triglyceride [Mass or Moles/volume] in Serum or Plasma
  text:
    v: Triglyceride [Mass or moles/Vol]
subject:
  link: https://nrces.in/ndhm/fhir/r4/Patient/1
  reference:
    v: Patient/1
performer:
  link: https://nrces.in/ndhm/fhir/r4/Organization/2
  reference:
    v: Organization/2
value: Quantity
  value:
    v: 1.3
  unit:
    v: mmol/L
  system:
    v: http://snomed.info/sct
  code:
    v: 258813002
reference range:
  high:
    value:
      v: 2.0
    unit:
      v: mmol/L
    system:
      v: http://snomed.info/sct
    code:
      v: 258813002

example-01
type: Procedure
id:
  v: example-01
meta:
  profile:
    v: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Procedure
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Procedure
text:
  status:
    v: generated
  div: Placement of stent in coronary artery
status:
  v: completed
code:
  coding: http://snomed.info/id/36969009
    system:
      v: http://snomed.info/sct
    code:
      v: 36969009
    display:
      v: Placement of stent in coronary artery
  text:
    v: Placement of stent in coronary artery
subject:
  link: https://nrces.in/ndhm/fhir/r4/Patient/1
  reference:
    v: Patient/1
performed:
  v: 2019-05-12
complication:
  coding: http://snomed.info/id/131148009
    system:
      v: http://snomed.info/sct
    code:
      v: 131148009
    display:
      v: Bleeding

example-02
type: Procedure
id:
  v: example-02
meta:
  profile:
    v: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Procedure
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Procedure
text:
  status:
    v: generated
  div: Coronary artery bypass grafting
status:
  v: completed
code:
  coding: http://snomed.info/id/232717009
    system:
      v: http://snomed.info/sct
    code:
      v: 232717009
    display:
      v: Coronary artery bypass grafting
  text:
    v: Coronary artery bypass grafting
subject:
  link: https://nrces.in/ndhm/fhir/r4/Patient/1
  reference:
    v: Patient/1
performed:
  v: 2020-07-05

1
type: MedicationRequest
id:
  v: 1
meta:
  profile:
    v: https://nrces.in/ndhm/fhir/r4/StructureDefinition/MedicationRequest
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/MedicationRequest
text:
  status:
    v: generated
  div: Generated Narrative: MedicationRequest Resource MedicationRequest "1" Profile: MedicationRequest status: active intent: order medication: Nitroglycerin 5 mg buccal tablet (SNOMED CT#765082007) subject: See above (Patient/1: ABC) authoredOn: 2020-07-09 requester: See above (Practitioner/1: DEF) reasonReference: See above (Condition/2) 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)
status:
  v: active
intent:
  v: order
medication: CodeableConcept
  coding: http://snomed.info/id/765082007
    system:
      v: http://snomed.info/sct
    code:
      v: 765082007
    display:
      v: Nitroglycerin 5 mg buccal tablet
subject:
  link: https://nrces.in/ndhm/fhir/r4/Patient/1
  reference:
    v: Patient/1
  display:
    v: ABC
authored on:
  v: 2020-07-09
requester:
  link: https://nrces.in/ndhm/fhir/r4/Practitioner/1
  reference:
    v: Practitioner/1
  display:
    v: DEF
reason reference:
  link: https://nrces.in/ndhm/fhir/r4/Condition/2
  reference:
    v: Condition/2
dosage instruction:
  text:
    v: One tablet at once
  additional instruction:
    coding: http://snomed.info/id/311504000
      system:
        v: http://snomed.info/sct
      code:
        v: 311504000
      display:
        v: With or after food
  timing:
    repeat:
      frequency:
        v: 1
      period:
        v: 1
      period unit:
        v: d
  route:
    coding: http://snomed.info/id/26643006
      system:
        v: http://snomed.info/sct
      code:
        v: 26643006
      display:
        v: Oral Route
  method:
    coding: http://snomed.info/id/421521009
      system:
        v: http://snomed.info/sct
      code:
        v: 421521009
      display:
        v: Swallow

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

1
type: DocumentReference
id:
  v: 1
meta:
  profile:
    v: https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentReference
    link: https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentReference
text:
  status:
    v: generated
  div: 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
status:
  v: current
doc status:
  v: final
type:
  coding: http://snomed.info/id/373942005
    system:
      v: http://snomed.info/sct
    code:
      v: 373942005
    display:
      v: Discharge Summary
  text:
    v: Discharge Summary
subject:
  link: https://nrces.in/ndhm/fhir/r4/Patient/1
  reference:
    v: Patient/1
content:
  attachment:
    content type:
      v: application/pdf
    language:
      v: en-IN
    title:
      v: Discharge Summary
    creation:
      v: 2020-07-09T11:46:09+05:30