FHIR IG analytics| Package | hl7.fhir.in |
| Resource Type | Bundle |
| Id | Bundle-DischargeSummary-example-04.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "DischargeSummary-example-04",
"meta": {
"versionId": "1",
"lastUpdated": "2020-07-09T15:32:26.605+05:30",
"profile": [
"http://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentBundle"
],
"security": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
"code": "V",
"display": "very restricted"
}
]
},
"identifier": {
"system": "http://hip.in",
"value": "eba2ef3a-320f-4f16-8789-ed64965943a3"
},
"type": "document",
"timestamp": "2020-07-09T15:32:26.605+05:30",
"entry": [
{
"fullUrl": "Composition/1",
"resource": {
"resourceType": "Composition",
"id": "1",
"meta": {
"versionId": "1",
"lastUpdated": "2020-07-09T15:32:26.605+05:30",
"profile": [
"http://nrces.in/ndhm/fhir/r4/StructureDefinition/DischargeSummaryRecord"
]
},
"language": "en-IN",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h4>Narrative with Details</h4><p>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</p></div>"
},
"status": "final",
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "373942005",
"display": "Discharge summary"
}
],
"text": "Discharge Summary"
},
"subject": {
"reference": "Patient/1"
},
"encounter": {
"reference": "Encounter/1"
},
"date": "2020-07-09T15:32:26.605+05:30",
"author": [
{
"reference": "Practitioner/1"
}
],
"title": "Discharge Summary",
"confidentiality": "N",
"custodian": {
"reference": "Organization/1"
},
"section": [
{
"title": "Chief complaints",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "422843007",
"display": "Chief complaint section"
}
]
},
"entry": [
{
"reference": "Condition/2"
}
]
},
{
"title": "Medical History",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "371529009",
"display": "History and physical report"
}
]
},
"entry": [
{
"reference": "Procedure/1"
},
{
"reference": "Condition/1"
}
]
},
{
"title": "Investigations",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "721981007",
"display": "Diagnostic studies report"
}
]
},
"entry": [
{
"reference": "DiagnosticReport/1"
}
]
},
{
"title": "Procedures",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "371525003",
"display": "Clinical procedure report"
}
]
},
"entry": [
{
"reference": "Procedure/2"
}
]
},
{
"title": "Medications",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "721912009",
"display": "Medication summary document"
}
]
},
"entry": [
{
"reference": "MedicationRequest/1"
}
]
},
{
"title": "Care Plan",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "734163000",
"display": "Care plan"
}
]
},
"entry": [
{
"reference": "CarePlan/1"
}
]
},
{
"title": "Document Reference",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "373942005",
"display": "Discharge summary"
}
]
},
"entry": [
{
"reference": "DocumentReference/1"
}
]
}
]
}
},
{
"fullUrl": "Practitioner/1",
"resource": {
"resourceType": "Practitioner",
"id": "1",
"meta": {
"versionId": "1",
"lastUpdated": "2020-07-09T15:32:26.605+05:30",
"profile": [
"http://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Dr. DEF, MD (Medicine)</div>"
},
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MD",
"display": "Medical License number"
}
]
},
"system": "https://doctor.ndhm.gov.in",
"value": "21-1521-3828-3227"
}
],
"name": [
{
"text": "DEF"
}
]
}
},
{
"fullUrl": "Organization/1",
"resource": {
"resourceType": "Organization",
"id": "1",
"meta": {
"profile": [
"http://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">UVW Hospital. ph: +91 273 2139 3632, email:<a href=\"mailto:contact@facility.uvw.org\">contact@facility.uvw.org</a></div>"
},
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "PRN",
"display": "Provider number"
}
]
},
"system": "https://facility.ndhm.gov.in",
"value": "4567823"
}
],
"name": "UVW Hospital",
"telecom": [
{
"system": "phone",
"value": "+91 273 2139 3632",
"use": "work"
},
{
"system": "email",
"value": "contact@facility.uvw.org",
"use": "work"
}
]
}
},
{
"fullUrl": "Organization/2",
"resource": {
"resourceType": "Organization",
"id": "1",
"meta": {
"profile": [
"http://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">XYZ Lab Pvt.Ltd. ph: +91 243 2634 1234, email:<a href=\"mailto:contact@labs.xyz.org\">contact@labs.xyz.org</a></div>"
},
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "PRN",
"display": "Provider number"
}
]
},
"system": "https://facility.ndhm.gov.in",
"value": "4567878"
}
],
"name": "XYZ Lab Pvt.Ltd.",
"telecom": [
{
"system": "phone",
"value": "+91 243 2634 1234",
"use": "work"
},
{
"system": "email",
"value": "contact@labs.xyz.org",
"use": "work"
}
]
}
},
{
"fullUrl": "Patient/1",
"resource": {
"resourceType": "Patient",
"id": "1",
"meta": {
"versionId": "1",
"lastUpdated": "2020-07-09T14:58:58.181+05:30",
"profile": [
"http://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">ABC, 41 year, Male</div>"
},
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR",
"display": "Medical record number"
}
]
},
"system": "https://healthid.ndhm.gov.in",
"value": "22-7225-4829-5255"
}
],
"name": [
{
"text": "ABC"
}
],
"telecom": [
{
"system": "phone",
"value": "+919818512600",
"use": "home"
}
],
"gender": "male",
"birthDate": "1981-01-12"
}
},
{
"fullUrl": "Encounter/1",
"resource": {
"resourceType": "Encounter",
"id": "1",
"meta": {
"lastUpdated": "2020-07-09T14:58:58.181+05:30",
"profile": [
"http://nrces.in/ndhm/fhir/r4/StructureDefinition/Encounter"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"> Admitted to Cardiac Unit,UVW Hospital between June 28 and July 9 2020</div>"
},
"identifier": [
{
"system": "https://ndhm.in",
"value": "S100"
}
],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "IMP",
"display": "inpatient encounter"
},
"subject": {
"reference": "Patient/1"
},
"period": {
"start": "2020-04-20T15:32:26.605+05:30",
"end": "2020-05-01T15:32:26.605+05:30"
},
"hospitalization": {
"dischargeDisposition": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
"code": "home",
"display": "Home"
}
],
"text": "Discharged to Home Care"
}
}
}
},
{
"fullUrl": "Appointment/1",
"resource": {
"resourceType": "Appointment",
"id": "1",
"meta": {
"profile": [
"http://nrces.in/ndhm/fhir/r4/StructureDefinition/Appointment"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Follow up for further consultation</div>"
},
"status": "booked",
"serviceCategory": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "408443003",
"display": "General medical practice"
}
]
}
],
"serviceType": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "11429006",
"display": "Consultation"
}
]
}
],
"appointmentType": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "185389009",
"display": "Follow-up visit"
}
]
},
"reasonReference": [
{
"reference": "Condition/1"
}
],
"description": "Discussion on the results of your recent Lab Test and further consultation",
"start": "2020-07-12T09:00:00Z",
"end": "2020-07-12T09:30:00Z",
"created": "2020-07-09T14:58:58.181+05:30",
"participant": [
{
"actor": {
"reference": "Patient/1"
},
"status": "accepted"
},
{
"actor": {
"reference": "Practitioner/1"
},
"status": "accepted"
}
]
}
},
{
"fullUrl": "Condition/1",
"resource": {
"resourceType": "Condition",
"id": "1",
"meta": {
"profile": [
"http://nrces.in/ndhm/fhir/r4/StructureDefinition/Condition"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">History of aortoiliac atherosclerosis</div>"
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "recurrence",
"display": "Recurrence"
}
]
},
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "440700005",
"display": "History of aortoiliac atherosclerosis"
}
],
"text": "Patient complained about pain in left arm"
},
"subject": {
"reference": "Patient/1"
}
}
},
{
"fullUrl": "Condition/2",
"resource": {
"resourceType": "Condition",
"id": "2",
"meta": {
"profile": [
"http://nrces.in/ndhm/fhir/r4/StructureDefinition/Condition"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Myocardial infarction</div>"
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active",
"display": "Active"
}
]
},
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "22298006",
"display": "Myocardial infarction"
}
],
"text": "pain in the chest, neck, back or arms, as well as fatigue, lightheadedness, abnormal heartbeat and anxiety."
},
"subject": {
"reference": "Patient/1"
}
}
},
{
"fullUrl": "DiagnosticReport/1",
"resource": {
"resourceType": "DiagnosticReport",
"id": "1",
"meta": {
"profile": [
"http://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportLab"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t\t\t\t<h3>Lipid Report for ABC issued 9-July 2020 14:26</h3>\n\t\t\t\t\t\t<pre>\nTest Units Value Reference Range\nCholesterol mmol/L 6.3 <4.5\nTriglyceride mmol/L 1.3 <2.0\n\n </pre>\n\t\t\t\t\t\t<p>XYZ Lab Pvt.Ltd., Inc signed: Dr. DEF Pathologist</p>\n\t\t\t\t\t</div>"
},
"identifier": [
{
"system": "https://xyz.com/lab/reports",
"value": "5234342"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "708196005",
"display": "Hematology service"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "24331-1",
"display": "Lipid 1996 panel - Serum or Plasma"
}
],
"text": "Lipid Panel"
},
"subject": {
"reference": "Patient/1",
"display": "ABC"
},
"issued": "2020-07-10T11:45:33+11:00",
"performer": [
{
"reference": "Organization/2",
"display": "XYZ Lab Pvt.Ltd."
}
],
"resultsInterpreter": [
{
"reference": "Practitioner/1",
"display": "Dr. DEF"
}
],
"specimen": [
{
"reference": "Specimen/1"
}
],
"result": [
{
"reference": "Observation/cholesterol"
},
{
"reference": "Observation/triglyceride"
}
],
"conclusion": "Elevated cholesterol/high density lipoprotein ratio",
"conclusionCode": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "439953004",
"display": "Elevated cholesterol/high density lipoprotein ratio"
}
]
}
],
"presentedForm": [
{
"contentType": "application/pdf",
"language": "en-IN",
"data": "R0lGODlhfgCRAPcAAAAAAIAAAACAAICAAAAAgIAA oxrXyMY2uvGNcIyj HOeoxkXBh44OOZdn8Ggu+DiPjwtJ2CZyUomCTRGO",
"title": "Diagnostic Report"
}
]
}
},
{
"fullUrl": "Observation/cholesterol",
"resource": {
"resourceType": "Observation",
"id": "cholesterol",
"meta": {
"profile": [
"http://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: cholesterol</p><p><b>status</b>: final</p><p><b>code</b>: Cholesterol <span>(Details : {LOINC code '35200-5' = 'Cholesterol [Mass or Moles/volume] in Serum or Plasma', given as 'Cholesterol [Moles/volume] in Serum or Plasma'})</span></p><p><b>subject</b>: <a>ABC</a></p><p><b>performer</b>: <a>XYZ Lab Pvt.Ltd.</a></p><p><b>value</b>: 6.3 mmol/L<span> (Details: UCUM code mmol/L = 'mmol/L')</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>High</b></td></tr><tr><td>*</td><td>4.5 mmol/L<span> (Details: UCUM code mmol/L = 'mmol/L')</span></td></tr></table></div>"
},
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "35200-5",
"display": "Cholesterol [Moles/volume] in Serum or Plasma"
}
],
"text": "Cholesterol"
},
"subject": {
"reference": "Patient/1"
},
"performer": [
{
"reference": "Organization/2"
}
],
"valueQuantity": {
"value": 6.3,
"unit": "mmol/L",
"system": "http://snomed.info/sct",
"code": "258813002"
},
"referenceRange": [
{
"high": {
"value": 4.5,
"unit": "mmol/L",
"system": "http://snomed.info/sct",
"code": "258813002"
}
}
]
}
},
{
"fullUrl": "Observation/triglyceride",
"resource": {
"resourceType": "Observation",
"id": "triglyceride",
"meta": {
"profile": [
"http://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: triglyceride</p><p><b>status</b>: final</p><p><b>code</b>: Triglyceride <span>(Details : {LOINC code '35217-9' = 'Triglyceride [Mass or Moles/volume] in Serum or Plasma', given as 'Triglyceride [Moles/volume] in Serum or Plasma'})</span></p><p><b>subject</b>: <a>ABC</a></p><p><b>performer</b>: <a>XYZ Lab Pvt.Ltd.</a></p><p><b>value</b>: 1.3 mmol/L<span> (Details: UCUM code mmol/L = 'mmol/L')</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>High</b></td></tr><tr><td>*</td><td>2.0 mmol/L<span> (Details: UCUM code mmol/L = 'mmol/L')</span></td></tr></table></div>"
},
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "35217-9",
"display": "Triglyceride [Moles/volume] in Serum or Plasma"
}
],
"text": "Triglycerides, serum by Enzymatic method"
},
"subject": {
"reference": "Patient/1"
},
"performer": [
{
"reference": "Organization/2"
}
],
"valueQuantity": {
"value": 1.3,
"unit": "mmol/L",
"system": "http://snomed.info/sct",
"code": "258813002"
},
"referenceRange": [
{
"high": {
"value": 2,
"unit": "mmol/L",
"system": "http://snomed.info/sct",
"code": "258813002"
}
}
]
}
},
{
"fullUrl": "Procedure/1",
"resource": {
"resourceType": "Procedure",
"id": "1",
"meta": {
"profile": [
"http://nrces.in/ndhm/fhir/r4/StructureDefinition/Procedure"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Placement of stent in coronary artery</div>"
},
"status": "completed",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "36969009",
"display": "Placement of stent in coronary artery"
}
],
"text": "Placement of stent in coronary artery"
},
"subject": {
"reference": "Patient/1"
},
"performedDateTime": "2019-05-12",
"complication": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "131148009",
"display": "Bleeding"
}
]
}
]
}
},
{
"fullUrl": "Procedure/2",
"resource": {
"resourceType": "Procedure",
"id": "1",
"meta": {
"profile": [
"http://nrces.in/ndhm/fhir/r4/StructureDefinition/Procedure"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Coronary artery bypass grafting</div>"
},
"status": "completed",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "232717009",
"display": "Coronary artery bypass grafting"
}
],
"text": "Coronary artery bypass grafting"
},
"subject": {
"reference": "Patient/1"
},
"performedDateTime": "2020-07-05"
}
},
{
"fullUrl": "MedicationRequest/1",
"resource": {
"resourceType": "MedicationRequest",
"id": "1",
"meta": {
"profile": [
"http://nrces.in/ndhm/fhir/r4/StructureDefinition/MedicationRequest"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p></div>"
},
"status": "active",
"intent": "order",
"medicationCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "765082007",
"display": "Nitroglycerin 5 mg buccal tablet"
}
]
},
"subject": {
"reference": "Patient/1",
"display": "ABC"
},
"authoredOn": "2020-07-09",
"requester": {
"reference": "Practitioner/1",
"display": "DEF"
},
"reasonReference": [
{
"reference": "Condition/2"
}
],
"dosageInstruction": [
{
"text": "One tablet at once",
"additionalInstruction": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "311504000",
"display": "With or after food"
}
]
}
],
"timing": {
"repeat": {
"frequency": 1,
"period": 1,
"periodUnit": "d"
}
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "26643006",
"display": "Oral Route"
}
]
},
"method": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "421521009",
"display": "Swallow"
}
]
}
}
]
}
},
{
"fullUrl": "CarePlan/1",
"resource": {
"resourceType": "CarePlan",
"id": "1",
"meta": {
"profile": [
"http://nrces.in/ndhm/fhir/r4/StructureDefinition/CarePlan"
]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Care Plan</div>"
},
"status": "active",
"intent": "plan",
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "736368003",
"display": "Coronary heart disease care plan"
}
]
}
],
"title": "Coronary heart disease care plan",
"description": "Treatment of coronary artery and related disease problems",
"subject": {
"reference": "Patient/1",
"display": "ABC"
},
"activity": [
{
"outcomeReference": [
{
"reference": "Appointment/1"
}
]
}
]
}
},
{
"fullUrl": "DocumentReference/1",
"resource": {
"resourceType": "DocumentReference",
"id": "1",
"meta": {
"profile": [
"http://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentReference"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p></div>"
},
"status": "current",
"docStatus": "final",
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "373942005",
"display": "Discharge Summary"
}
],
"text": "Discharge Summary"
},
"subject": {
"reference": "Patient/1"
},
"content": [
{
"attachment": {
"contentType": "application/pdf",
"language": "en-IN",
"data": "R0lGODlhfgCRAPcAAAAAAIAAAACAAICAAAAAgIAA oxrXyMY2uvGNcIyj HOeoxkXBh44OOZdn8Ggu+DiPjwtJ2CZyUomCTRGO",
"size": 72,
"hash": "2jmj7l5rSw0yVb/vlWAYkK/YBwk=",
"title": "Discharge Summary",
"creation": "2020-07-09T11:46:09+05:30"
}
}
]
}
}
]
}