FHIR Implementation Guide for ABDM
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This page is part of the FHIR Implementation Guide for ABDM (v6.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Example Bundle: OPConsultNote-example-05

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

Generated Narrative: Composition

Resource Composition "f1ab8bba-a0ed-476a-a902-a1e08517020b" Version "1" Updated "2020-07-09 15:32:26+0530" (Language "en-IN")

Profile: OPConsultRecord

identifier: https://ndhm.in/phr/645bb0c3-ff7e-4123-bef5-3852a4784813

status: FINAL

type: Clinical Consultation report (SNOMED CT#371530004 "Clinical consultation report")

encounter: See above (urn:uuid:1d87ab20-8b86-4b41-a30d-984b2208d945: Encounter)

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

author: See above (urn:uuid:dc36f7c9-7ea5-4984-a02e-7102c215db17: Dr. DEF)

title: Consultation Report

custodian: See above (urn:uuid:928a6d70-b826-4432-9c9b-686cbfe94520: UVW Hospital)


Chief complaints

Allergies

Medical History

Investigation Advice

Medications

Procedure

Follow Up

Document Reference


Additional Document Content


2. urn:uuid:dc36f7c9-7ea5-4984-a02e-7102c215db17 (Practitioner/dc36f7c9-7ea5-4984-a02e-7102c215db17)

Dr. DEF, MD (Medicine)


3. urn:uuid:928a6d70-b826-4432-9c9b-686cbfe94520 (Organization/928a6d70-b826-4432-9c9b-686cbfe94520)

Generated Narrative: Organization

Resource Organization "928a6d70-b826-4432-9c9b-686cbfe94520"

Profile: Organization

identifier: Provider number/4567823

name: UVW Hospital

Contacts

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


4. urn:uuid:f8d9e19e-5598-428c-ae03-b1cd44968b41 (Patient/f8d9e19e-5598-428c-ae03-b1cd44968b41)

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


5. urn:uuid:1d87ab20-8b86-4b41-a30d-984b2208d945 (Encounter/1d87ab20-8b86-4b41-a30d-984b2208d945)

Not done yet


6. urn:uuid:ee04915e-4df7-40a8-918c-a003368dd2cd (AllergyIntolerance/ee04915e-4df7-40a8-918c-a003368dd2cd)

Generated Narrative: AllergyIntolerance

Resource AllergyIntolerance "ee04915e-4df7-40a8-918c-a003368dd2cd"

Profile: AllergyIntolerance

clinicalStatus: Active (AllergyIntolerance Clinical Status Codes#active)

verificationStatus: Confirmed (AllergyIntolerance Verification Status#confirmed)

code: NKA (SNOMED CT#716186003 "No known allergy")

patient: See above (urn:uuid:f8d9e19e-5598-428c-ae03-b1cd44968b41: Patient)

recordedDate: 2020-07-09 15:37:31-0600

note: The patient reports no other known allergy.


7. urn:uuid:9c1e7930-caec-4cce-bece-581fce5e2f17 (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

basedOn: See above (urn:uuid:3875cb2d-c589-41d8-87c2-1f488e743184: ServiceRequest)

participant

actor: See above (urn:uuid:f8d9e19e-5598-428c-ae03-b1cd44968b41: Patient)

status: ACCEPTED

participant

actor: See above (urn:uuid:dc36f7c9-7ea5-4984-a02e-7102c215db17: Practitioner)

status: ACCEPTED


8. urn:uuid:b650b103-5eee-43c3-b53a-228872e77488 (Condition/1)

Generated Narrative: Condition

Resource Condition "1"

Profile: Condition

clinicalStatus: Active (Condition Clinical Status Codes#active)

code: Foot swelling (SNOMED CT#297142003)

subject: See above (urn:uuid:f8d9e19e-5598-428c-ae03-b1cd44968b41: Patient)


9. urn:uuid:cefb9cf6-c8ea-4872-b804-a9e415457e8b (Condition/2)

Past Medical Problem of Diabetes mellitus type 1


10. urn:uuid:555ae62e-12b7-4b6c-927c-50f391a69d0e (Condition/555ae62e-12b7-4b6c-927c-50f391a69d0e)

Past Medical Problem of Diabetes mellitus type 2


11. urn:uuid:1cba7eda-9163-4a85-ac35-ea551f9e8eb0 (Procedure/1cba7eda-9163-4a85-ac35-ea551f9e8eb0)

Generated Narrative: Procedure

Resource Procedure "1cba7eda-9163-4a85-ac35-ea551f9e8eb0"

Profile: Procedure

status: COMPLETED

code: Assessment of diabetic foot ulcer (SNOMED CT#713130008)

subject: See above (urn:uuid:f8d9e19e-5598-428c-ae03-b1cd44968b41: Patient)

followUp: Diabetes medication review (SNOMED CT#394725008)


12. urn:uuid:3875cb2d-c589-41d8-87c2-1f488e743184 (ServiceRequest/3875cb2d-c589-41d8-87c2-1f488e743184)

Generated Narrative: ServiceRequest

Resource ServiceRequest "3875cb2d-c589-41d8-87c2-1f488e743184"

Profile: ServiceRequest

status: ACTIVE

intent: ORDER

category: Laboratory procedure (SNOMED CT#108252007)

code: Fasting lipid profile (SNOMED CT#252150008)

subject: See above (urn:uuid:f8d9e19e-5598-428c-ae03-b1cd44968b41: Patient)

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

requester: See above (urn:uuid:dc36f7c9-7ea5-4984-a02e-7102c215db17: Dr. DEF)


13. urn:uuid:8987b084-cba3-4606-947f-c20ec5b4fa96 (MedicationStatement/8987b084-cba3-4606-947f-c20ec5b4fa96)

Generated Narrative: MedicationStatement

Resource MedicationStatement "8987b084-cba3-4606-947f-c20ec5b4fa96"

Profile: MedicationStatement

status: RECORDED

subject: See above (urn:uuid:f8d9e19e-5598-428c-ae03-b1cd44968b41: Patient)

dateAsserted: 2020-02-02 14:58:58+0530


14. urn:uuid:bceda2f2-484f-45f3-8bf1-f8bcd7631f50 (MedicationRequest/bceda2f2-484f-45f3-8bf1-f8bcd7631f50)

Generated Narrative: MedicationRequest

Resource MedicationRequest "bceda2f2-484f-45f3-8bf1-f8bcd7631f50"

Profile: MedicationRequest

status: ACTIVE

intent: ORDER

subject: See above (urn:uuid:f8d9e19e-5598-428c-ae03-b1cd44968b41: ABC)

authoredOn: 2020-07-09

requester: See above (urn:uuid:dc36f7c9-7ea5-4984-a02e-7102c215db17: Dr. DEF)

DosageInstructions

-AdditionalInstructionRoute
*Twice a day (SNOMED CT#229799001)Topical route (SNOMED CT#6064005)


15. urn:uuid:44486a09-bcad-420b-ba14-b769fafb7f84 (DocumentReference/44486a09-bcad-420b-ba14-b769fafb7f84)

Generated Narrative: DocumentReference

Resource DocumentReference "44486a09-bcad-420b-ba14-b769fafb7f84"

Profile: DocumentReference

status: CURRENT

docStatus: FINAL

type: Laboratory report (SNOMED CT#4241000179101)

subject: See above (urn:uuid:f8d9e19e-5598-428c-ae03-b1cd44968b41: Patient)

content

Attachments

-ContentTypeLanguageDataTitleCreation
*application/pdfen-IN(base64 data - 302995 bytes)Laboratory report2019-05-29 14:58:58+0530