FHIR IG analytics| Package | hl7.fhir.in |
| Resource Type | Bundle |
| Id | Bundle-OPConsultNote-example-05.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "OPConsultNote-example-05",
"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": "305fecc2-4ba2-46cc-9ccd-efa755aff51d"
},
"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/OPConsultRecord"
]
},
"language": "en-IN",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h4>Narrative with Details</h4><p>This is a OP Consult Note 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>"
},
"identifier": {
"system": "https://ndhm.in/phr",
"value": "645bb0c3-ff7e-4123-bef5-3852a4784813"
},
"status": "final",
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "371530004",
"display": "Clinical consultation report"
}
],
"text": "Clinical Consultation report"
},
"subject": {
"reference": "Patient/1",
"display": "ABC"
},
"encounter": {
"reference": "Encounter/1"
},
"date": "2020-07-09T15:32:26.605+05:30",
"author": [
{
"reference": "Practitioner/1",
"display": "Dr. DEF"
}
],
"title": "Consultation Report",
"custodian": {
"reference": "Organization/1",
"display": "UVW Hospital"
},
"section": [
{
"title": "Chief complaints",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "422843007",
"display": "Chief complaint section"
}
]
},
"entry": [
{
"reference": "Condition/1"
}
]
},
{
"title": "Allergies",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "722446000",
"display": "Allergy record"
}
]
},
"entry": [
{
"reference": "AllergyIntolerance/1"
}
]
},
{
"title": "Medical History",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "371529009",
"display": "History and physical report"
}
]
},
"entry": [
{
"reference": "Condition/2"
}
]
},
{
"title": "Investigation Advice",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "721963009",
"display": "Order document"
}
]
},
"entry": [
{
"reference": "ServiceRequest/1"
}
]
},
{
"title": "Medications",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "721912009",
"display": "Medication summary document"
}
]
},
"entry": [
{
"reference": "MedicationStatement/1"
},
{
"reference": "MedicationRequest/1"
}
]
},
{
"title": "Follow Up",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "736271009",
"display": "Outpatient care plan"
}
]
},
"entry": [
{
"reference": "Appointment/1"
}
]
},
{
"title": "Document Reference",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "371530004",
"display": "Clinical consultation report"
}
]
},
"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": "Dr. 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": "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\">Out Patient Consultation Encounter</div>"
},
"identifier": [
{
"system": "https://ndhm.in",
"value": "S100"
}
],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB",
"display": "ambulatory"
},
"subject": {
"reference": "Patient/1"
},
"period": {
"start": "2020-07-09T14:58:58.181+05:30"
},
"diagnosis": [
{
"condition": {
"reference": "Condition/1"
},
"use": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "33962009",
"display": "Chief complaint"
}
]
}
},
{
"condition": {
"reference": "Condition/3"
},
"use": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "148006",
"display": "Preliminary diagnosis"
}
]
}
}
]
}
},
{
"fullUrl": "AllergyIntolerance/1",
"resource": {
"resourceType": "AllergyIntolerance",
"id": "1",
"meta": {
"profile": [
"http://nrces.in/ndhm/fhir/r4/StructureDefinition/AllergyIntolerance"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>No Known Allergy</p>\n <p>recordedDate:2015-08-06</p>\n </div>"
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code": "active",
"display": "Active"
}
]
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code": "confirmed",
"display": "Confirmed"
}
]
},
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "716186003",
"display": "No Known Allergy (situation)"
}
],
"text": "NKA"
},
"patient": {
"reference": "Patient/1"
},
"recordedDate": "2020-07-09T15:37:31-06:00",
"recorder": {
"reference": "Practitioner/1"
},
"note": [
{
"text": "The patient reports no other known allergy."
}
]
}
},
{
"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\">Brian MRI results discussion</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",
"basedOn": [
{
"reference": "ServiceRequest/1"
}
],
"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\">Foot has swollen</div>"
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active",
"display": "Active"
}
]
},
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "297142003",
"display": "Foot swelling"
}
],
"text": "Foot swelling"
},
"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\">Past Medical Problem of Diabetes mellitus type 1</div>"
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "recurrence",
"display": "Recurrence"
}
]
},
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "46635009",
"display": "Diabetes mellitus type 1"
}
],
"text": "Diabetes mellitus type 1"
},
"subject": {
"reference": "Patient/1"
}
}
},
{
"fullUrl": "Condition/3",
"resource": {
"resourceType": "Condition",
"id": "3",
"meta": {
"profile": [
"http://nrces.in/ndhm/fhir/r4/StructureDefinition/Condition"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Past Medical Problem of Diabetes mellitus type 2</div>"
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "recurrence",
"display": "Recurrence"
}
]
},
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "44054006",
"display": "Diabetes mellitus type 2"
}
],
"text": "Diabetes mellitus type 2"
},
"subject": {
"reference": "Patient/1"
}
}
},
{
"fullUrl": "ServiceRequest/1",
"resource": {
"resourceType": "ServiceRequest",
"id": "1",
"meta": {
"profile": [
"http://nrces.in/ndhm/fhir/r4/StructureDefinition/ServiceRequest"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Service Request for fasting lipid profile</div>"
},
"status": "active",
"intent": "order",
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "108252007",
"display": "Laboratory procedure"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "252150008",
"display": "Fasting lipid profile"
}
],
"text": "Fasting lipid profile"
},
"subject": {
"reference": "Patient/1"
},
"authoredOn": "2020-07-09T15:32:26.605+05:30",
"requester": {
"reference": "Practitioner/1",
"display": "Dr. DEF"
}
}
},
{
"fullUrl": "MedicationStatement/1",
"resource": {
"resourceType": "MedicationStatement",
"id": "1",
"meta": {
"profile": [
"http://nrces.in/ndhm/fhir/r4/StructureDefinition/MedicationStatement"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Atenolol 500 microgram/mL solution for injection</div>"
},
"status": "completed",
"medicationCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "134463001",
"display": "Telmisartan 20 mg oral tablet"
}
]
},
"subject": {
"reference": "Patient/1"
},
"dateAsserted": "2020-02-02T14:58:58.181+05:30"
}
},
{
"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": "353231006",
"display": "Neomycin 5 microgram/mg cutaneous ointment"
}
]
},
"subject": {
"reference": "Patient/1",
"display": "ABC"
},
"authoredOn": "2020-07-09",
"requester": {
"reference": "Practitioner/1",
"display": "Dr. DEF"
},
"reasonReference": [
{
"reference": "Condition/1"
}
],
"dosageInstruction": [
{
"additionalInstruction": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "229799001",
"display": "Twice a day"
}
]
}
],
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "6064005",
"display": "Topical route"
}
]
}
}
]
}
},
{
"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": "4241000179101",
"display": "Laboratory report"
}
],
"text": "Laboratory report"
},
"subject": {
"reference": "Patient/1"
},
"content": [
{
"attachment": {
"contentType": "application/pdf",
"language": "en-IN",
"data": "R0lGODlhfgCRAPcAAAAAAIAAAACAAICAAAAAgIAA oxrXyMY2uvGNcIyj HOeoxkXBh44OOZdn8Ggu+DiPjwtJ2CZyUomCTRGO",
"size": 72,
"hash": "2jmj7l5rSw0yVb/vlWAYkK/YBwk=",
"title": "Laboratory report",
"creation": "2019-05-29T14:58:58.181+05:30"
}
}
]
}
}
]
}