ABC Male, DoB: 1981-01-12 ( Medical record number: 22-7225-4829-5255)

---

Generated Narrative: Composition

status: FINAL

type: Discharge Summary (SNOMED CT#373942005 "Discharge summary")

encounter: See above (Encounter/1)

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

author: See above (Practitioner/1)

title: Discharge Summary

custodian: See above (Organization/example-01)

---

• 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)

Generated Narrative: Practitioner

Resource Practitioner "1" Version "1" Updated "2020-07-09 15:32:26+0530"

Profile: Practitioner

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

name: DEF

---

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

Generated Narrative: Organization

Resource Organization "example-01"

Profile: Organization

identifier: Provider number: 4567823

name: UVW Hospital

Contacts

-	Telecom
*	+91 273 2139 3632, contact@facility.uvw.org

---

4. Organization/2 (Organization/1)

Generated Narrative: Organization

Resource Organization "1"

Profile: Organization

identifier: Provider number: 4567878

name: XYZ Lab Pvt.Ltd.

Contacts

-	Telecom
*	+91 243 2634 1234, contact@labs.xyz.org

---

5. Patient/1 (Patient/1)

ABC Male, DoB: 1981-01-12 ( Medical record number: 22-7225-4829-5255)

---

6. Encounter/1 (Encounter/1)

Not done yet

---

7. Appointment/1 (Appointment/1)

Generated Narrative: Appointment

Resource Appointment "1"

Profile: Appointment

status: BOOKED

serviceCategory: General medical practice (SNOMED CT#408443003)

serviceType: Consultation (SNOMED CT#11429006)

appointmentType: Follow-up visit (SNOMED CT#185389009)

description: Discussion on the results of your recent Lab Test and further consultation

start: 12-Jul-2020, 2:30:00 PM

end: 12-Jul-2020, 3:00:00 PM

created: 2020-07-09 14:58:58+0530

participant

actor: See above (Patient/1)

status: ACCEPTED

participant

actor: See above (Practitioner/1)

status: ACCEPTED

---

8. Condition/1 (Condition/1)

Generated Narrative: Condition

Resource Condition "1"

Profile: Condition

clinicalStatus: Recurrence (Condition Clinical Status Codes#recurrence)

code: Patient complained about pain in left arm (SNOMED CT#440700005 "History of aortoiliac atherosclerosis")

subject: See above (Patient/1)

---

9. Condition/2 (Condition/2)

Generated Narrative: Condition

Resource Condition "2"

Profile: Condition

clinicalStatus: Active (Condition Clinical Status Codes#active)

code: pain in the chest, neck, back or arms, as well as fatigue, lightheadedness, abnormal heartbeat and anxiety. (SNOMED CT#22298006 "Myocardial infarction")

subject: See above (Patient/1)

---

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 1996 panel (Hematology service)

Subject	Not done yet
Reported	2020-07-10 11:45:33+1100
Identifier:	id: 5234342

Report Details

Code	Value	Reference Range	When For
Cholesterol [Mass/volume] in Serum or Plasma	156 mg/dL	<200.00 mg/dL	2020-09-29
Triglyceride [Mass/volume] in Serum or Plasma	146.00 mg/dL	<150.00 mg/dL	2020-09-29
Cholesterol in HDL [Mass/volume] in Serum or Plasma	45.00 mg/dL	>40.00 mg/dL	2020-09-29

Elevated cholesterol/high density lipoprotein ratio

Coded Conclusions :

• Elevated cholesterol/high density lipoprotein ratio

---

12. Observation/cholesterol (Observation/cholesterol)

Generated Narrative: Observation

Resource Observation "cholesterol"

Profile: Observation

status: FINAL

code: Cholesterol [Mass/volume] in Serum or Plasma (LOINC#2093-3)

subject: See above (Patient/1)

effective: 2020-09-29

performer: See above (Organization/2)

value: 156 mg/dL (Details: SNOMED CT code 258797006 = 'milligram/decilitre')

ReferenceRanges

-	High
*	200.00 mg/dL (Details: SNOMED CT code 258797006 = 'milligram/decilitre')

---

13. Observation/triglyceride (Observation/triglyceride)

Generated Narrative: Observation

Resource Observation "triglyceride"

Profile: Observation

status: FINAL

code: Triglyceride [Mass/volume] in Serum or Plasma (LOINC#2571-8)

subject: See above (Patient/1)

effective: 2020-09-29

performer: See above (Organization/2)

value: 146.00 mg/dL (Details: SNOMED CT code 258797006 = 'milligram/decilitre')

ReferenceRanges

-	High
*	150.00 mg/dL (Details: SNOMED CT code 258797006 = 'milligram/decilitre')

---

14. Observation/cholesterol-in-hdl (Observation/cholesterol-in-hdl)

Generated Narrative: Observation

Resource Observation "cholesterol-in-hdl"

Profile: Observation

status: FINAL

code: Cholesterol in HDL [Mass/volume] in Serum or Plasma (LOINC#2085-9)

subject: See above (Patient/1)

effective: 2020-09-29

performer: See above (Organization/2)

value: 45.00 mg/dL (Details: SNOMED CT code 258797006 = 'milligram/decilitre')

ReferenceRanges

-	Low
*	40.00 mg/dL (Details: SNOMED CT code 258797006 = 'milligram/decilitre')

---

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

Generated Narrative: Procedure

Resource Procedure "example-01"

Profile: Procedure

status: COMPLETED

code: Placement of stent in coronary artery (SNOMED CT#36969009)

subject: See above (Patient/1)

complication: Bleeding (SNOMED CT#131148009)

---

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

Generated Narrative: Procedure

Resource Procedure "example-02"

Profile: Procedure

status: COMPLETED

code: Coronary artery bypass grafting (SNOMED CT#232717009)

subject: See above (Patient/1)

---

17. 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)

---

18. CarePlan/1 (CarePlan/1)

Generated Narrative: CarePlan

Resource CarePlan "1"

Profile: CarePlan

status: ACTIVE

intent: PLAN

category: Coronary heart disease care plan (SNOMED CT#736368003)

title: Coronary heart disease care plan

description: Treatment of coronary artery and related disease problems

subject: See above (Patient/1: ABC)

activity

---

19. 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