FHIR Implementation Guide for ABDM
6.0.0 - active
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. For a full list of available versions, see the Directory of published versions
Generated Narrative: Composition
Resource Composition "f1ab8bba-a0ed-476a-a902-a1e08517020b" Version "1" Updated "2020-07-09 15:32:26+0530" (Language "en-IN")
Profile: DischargeSummaryRecord
Security Labels:
status: FINAL
type: Discharge Summary (SNOMED CT#373942005 "Discharge summary")
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: Practitioner)
title: Discharge Summary
custodian: See above (urn:uuid:f7941403-b480-48b3-985a-ec4b6b04c1c2: Organization)
2. urn:uuid:dc36f7c9-7ea5-4984-a02e-7102c215db17 (Practitioner/dc36f7c9-7ea5-4984-a02e-7102c215db17)
Generated Narrative: Practitioner
Resource Practitioner "dc36f7c9-7ea5-4984-a02e-7102c215db17" Version "1" Updated "2020-07-09 15:32:26+0530"
Profile: Practitioner
identifier: Medical License number/21-1521-3828-3227
name: DEF
3. urn:uuid:f7941403-b480-48b3-985a-ec4b6b04c1c2 (Organization/f7941403-b480-48b3-985a-ec4b6b04c1c2)
Generated Narrative: Organization
Resource Organization "f7941403-b480-48b3-985a-ec4b6b04c1c2"
Profile: Organization
identifier: Provider number/4567823
name: UVW Hospital
Contacts
Telecom +91 273 2139 3632, contact@facility.uvw.org
4. urn:uuid:17d60df2-7d6d-455a-8046-2d8680bce946 (Organization/17d60df2-7d6d-455a-8046-2d8680bce946)
Generated Narrative: Organization
Resource Organization "17d60df2-7d6d-455a-8046-2d8680bce946"
Profile: Organization
identifier: Provider number/4567878
name: XYZ Lab Pvt.Ltd.
Contacts
Telecom +91 243 2634 1234, contact@labs.xyz.org
5. 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)
6. urn:uuid:1d87ab20-8b86-4b41-a30d-984b2208d945 (Encounter/1d87ab20-8b86-4b41-a30d-984b2208d945)
Not done yet
7. urn:uuid:9c1e7930-caec-4cce-bece-581fce5e2f17 (Appointment/9c1e7930-caec-4cce-bece-581fce5e2f17)
Generated Narrative: Appointment
Resource Appointment "9c1e7930-caec-4cce-bece-581fce5e2f17"
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 (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/b650b103-5eee-43c3-b53a-228872e77488)
Generated Narrative: Condition
Resource Condition "b650b103-5eee-43c3-b53a-228872e77488"
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 (urn:uuid:f8d9e19e-5598-428c-ae03-b1cd44968b41: Patient)
9. urn:uuid:cefb9cf6-c8ea-4872-b804-a9e415457e8b (Condition/cefb9cf6-c8ea-4872-b804-a9e415457e8b)
Generated Narrative: Condition
Resource Condition "cefb9cf6-c8ea-4872-b804-a9e415457e8b"
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 (urn:uuid:f8d9e19e-5598-428c-ae03-b1cd44968b41: Patient)
10. urn:uuid:361b2a51-a3cf-4923-8c58-41141ce95ed5 (Specimen/361b2a51-a3cf-4923-8c58-41141ce95ed5)
Resource Specimen "361b2a51-a3cf-4923-8c58-41141ce95ed5"
Profile: Specimen
type: Serum specimen (SNOMED CT#119364003)
subject: See above (urn:uuid:f8d9e19e-5598-428c-ae03-b1cd44968b41: Patient)
receivedTime: 2015-07-08 06:40:17+0000
Collections
Collected[x] 2020-07-08 06:40:17+0000
11. urn:uuid:690adbcf-8d17-4206-bfaa-c7de730d06d7 (DiagnosticReport/690adbcf-8d17-4206-bfaa-c7de730d06d7)
Lipid 1996 panel (Hematology service)
Subject Not done yet Reported 2020-07-10 11:45:33+1100 Identifier: https://xyz.com/lab/reports
/5234342Report Details
Code Value Reference Range When For Cholesterol [Mass/volume] in Serum or Plasma 156 mg/dL <200.0 mg/dL 2020-09-29 Triglyceride [Mass/volume] in Serum or Plasma 146.0 mg/dL <150.0 mg/dL 2020-09-29 Cholesterol in HDL [Mass/volume] in Serum or Plasma 45.0 mg/dL >40.0 mg/dL 2020-09-29 Elevated cholesterol/high density lipoprotein ratio
Coded Conclusions :
- Elevated cholesterol/high density lipoprotein ratio
12. urn:uuid:33ec33a8-5378-4f77-87cc-81ce161cab6f (Observation/33ec33a8-5378-4f77-87cc-81ce161cab6f)
Generated Narrative: Observation
Resource Observation "33ec33a8-5378-4f77-87cc-81ce161cab6f"
Profile: Observation
status: FINAL
code: Cholesterol [Mass/volume] in Serum or Plasma (LOINC#2093-3)
subject: See above (urn:uuid:f8d9e19e-5598-428c-ae03-b1cd44968b41: Patient)
effective: 2020-09-29
performer: See above (urn:uuid:17d60df2-7d6d-455a-8046-2d8680bce946: Organization)
value: 156 mg/dL (Details: SNOMED CT code 258797006 = 'milligram/decilitre')
ReferenceRanges
High 200.0 mg/dL (Details: SNOMED CT code 258797006 = 'milligram/decilitre')
13. urn:uuid:7f080c22-0b63-4d3c-9d7f-588729288fbd (Observation/7f080c22-0b63-4d3c-9d7f-588729288fbd)
Generated Narrative: Observation
Resource Observation "7f080c22-0b63-4d3c-9d7f-588729288fbd"
Profile: Observation
status: FINAL
code: Triglyceride [Mass/volume] in Serum or Plasma (LOINC#2571-8)
subject: See above (urn:uuid:f8d9e19e-5598-428c-ae03-b1cd44968b41: Patient)
effective: 2020-09-29
performer: See above (urn:uuid:17d60df2-7d6d-455a-8046-2d8680bce946: Organization)
value: 146.0 mg/dL (Details: SNOMED CT code 258797006 = 'milligram/decilitre')
ReferenceRanges
High 150.0 mg/dL (Details: SNOMED CT code 258797006 = 'milligram/decilitre')
14. urn:uuid:16425add-3878-4a6c-a659-a50782be8fa7 (Observation/16425add-3878-4a6c-a659-a50782be8fa7)
Generated Narrative: Observation
Resource Observation "16425add-3878-4a6c-a659-a50782be8fa7"
Profile: Observation
status: FINAL
code: Cholesterol in HDL [Mass/volume] in Serum or Plasma (LOINC#2085-9)
subject: See above (urn:uuid:f8d9e19e-5598-428c-ae03-b1cd44968b41: Patient)
effective: 2020-09-29
performer: See above (urn:uuid:17d60df2-7d6d-455a-8046-2d8680bce946: Organization)
value: 45.0 mg/dL (Details: SNOMED CT code 258797006 = 'milligram/decilitre')
ReferenceRanges
Low 40.0 mg/dL (Details: SNOMED CT code 258797006 = 'milligram/decilitre')
15. urn:uuid:201f6c48-c041-4d95-9b28-4e2b4b9144c7 (Procedure/201f6c48-c041-4d95-9b28-4e2b4b9144c7)
Generated Narrative: Procedure
Resource Procedure "201f6c48-c041-4d95-9b28-4e2b4b9144c7"
Profile: Procedure
status: COMPLETED
code: Placement of stent in coronary artery (SNOMED CT#36969009)
subject: See above (urn:uuid:f8d9e19e-5598-428c-ae03-b1cd44968b41: Patient)
complication: Bleeding (SNOMED CT#131148009)
16. urn:uuid:c78d56c3-3602-4bab-b727-6dda59968d18 (Procedure/c78d56c3-3602-4bab-b727-6dda59968d18)
Generated Narrative: Procedure
Resource Procedure "c78d56c3-3602-4bab-b727-6dda59968d18"
Profile: Procedure
status: COMPLETED
code: Coronary artery bypass grafting (SNOMED CT#232717009)
subject: See above (urn:uuid:f8d9e19e-5598-428c-ae03-b1cd44968b41: Patient)
17. 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: 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. urn:uuid:419b0145-7812-41af-9a6a-8d308e44f3a1 (CarePlan/419b0145-7812-41af-9a6a-8d308e44f3a1)
Resource CarePlan "419b0145-7812-41af-9a6a-8d308e44f3a1"
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 (urn:uuid:f8d9e19e-5598-428c-ae03-b1cd44968b41: ABC)
activity
19. 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: Discharge Summary (SNOMED CT#373942005)
subject: See above (urn:uuid:f8d9e19e-5598-428c-ae03-b1cd44968b41: Patient)
content
Attachments
ContentType Language Data Title Creation application/pdf en-IN (base64 data - 302213 bytes) Discharge Summary 2020-07-09 11:46:09+0530