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fix(abdm): correct condition categories, snomed resolutions, vital signs and physical exam units in discharge fhir generator

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DevSoftTech Server 2026-09-04 05:22:45 +05:30
parent df835008d5
commit 4058850941
1 changed files with 68 additions and 6 deletions
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74
app/Libraries/Abdm/Fhir/Generators/DischargeFhirGenerator.php
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@ -99,8 +99,18 @@ class DischargeFhirGenerator extends \App\Libraries\Abdm\Fhir\Generators\Abstrac
}
$conditionGroups = [
['items' => $chiefComplaintsList, 'prefix' => 'discharge-chief-complaint-'],
['items' => $diagnosesList, 'prefix' => 'discharge-diagnosis-'],
[
'items' => $chiefComplaintsList,
'prefix' => 'discharge-chief-complaint-',
'category_code' => 'problem-list-item',
'category_display' => 'Problem List Item',
],
[
'items' => $diagnosesList,
'prefix' => 'discharge-diagnosis-',
'category_code' => 'encounter-diagnosis',
'category_display' => 'Encounter Diagnosis',
],
];
foreach ($conditionGroups as $group) {
foreach ($group['items'] as $idx => $cond) {
@ -134,8 +144,8 @@ class DischargeFhirGenerator extends \App\Libraries\Abdm\Fhir\Generators\Abstrac
]]],
'category' => [['coding' => [[
'system' => 'http://terminology.hl7.org/CodeSystem/condition-category',
'code' => 'encounter-diagnosis',
'display' => 'Encounter Diagnosis',
'code' => $group['category_code'],
'display' => $group['category_display'],
]]]],
'code' => ['coding' => $coding, 'text' => $text],
'subject' => ['reference' => $patientRef],
@ -269,7 +279,7 @@ class DischargeFhirGenerator extends \App\Libraries\Abdm\Fhir\Generators\Abstrac
} else {
$coding[] = [
'system' => 'http://snomed.info/sct',
'code' => '364075005',
'code' => $this->resolvePhysicalExamSnomedCode($text),
'display' => $text,
];
}
@ -579,6 +589,9 @@ class DischargeFhirGenerator extends \App\Libraries\Abdm\Fhir\Generators\Abstrac
if (str_contains($upper, 'SPO2') || str_contains($upper, 'OXYGEN')) {
return ['code' => '2708-6', 'display' => 'Oxygen saturation in Arterial blood by Pulse oximetry'];
}
if (str_contains($upper, 'RBS') || str_contains($upper, 'RANDOM BLOOD SUGAR') || str_contains($upper, 'GLUCOSE')) {
return ['code' => '2345-7', 'display' => 'Glucose [Mass/volume] in Serum or Plasma'];
}
if (str_contains($upper, 'TEMP')) {
return ['code' => '8310-5', 'display' => 'Body temperature'];
}
@ -613,8 +626,11 @@ class DischargeFhirGenerator extends \App\Libraries\Abdm\Fhir\Generators\Abstrac
if (str_contains($upper, 'SPO2') || str_contains($upper, 'OXYGEN')) {
return ['unit' => '%', 'code' => '%'];
}
if (str_contains($upper, 'RBS') || str_contains($upper, 'RANDOM BLOOD SUGAR') || str_contains($upper, 'GLUCOSE')) {
return ['unit' => 'mg/dL', 'code' => 'mg/dL'];
}
if (str_contains($upper, 'TEMP')) {
return ['unit' => 'degC', 'code' => 'Cel'];
return ['unit' => 'degF', 'code' => '[degF]'];
}
if (str_contains($upper, 'WEIGHT')) {
return ['unit' => 'kg', 'code' => 'kg'];
@ -626,15 +642,61 @@ class DischargeFhirGenerator extends \App\Libraries\Abdm\Fhir\Generators\Abstrac
return ['unit' => '', 'code' => ''];
}
private function resolvePhysicalExamSnomedCode(string $text): string
{
$upper = strtoupper(trim($text));
if (str_contains($upper, 'PALLOR')) {
return '89521008';
}
if (str_contains($upper, 'JAUNDICE') || str_contains($upper, 'ICTERUS')) {
return '18165004';
}
if (str_contains($upper, 'CYANOSIS')) {
return '119419001';
}
if (str_contains($upper, 'CLUBBING')) {
return '30760006';
}
if (str_contains($upper, 'EDEMA') || str_contains($upper, 'OEDEMA')) {
return '267038008';
}
if (str_contains($upper, 'JVP')) {
return '271649006';
}
return '364075005';
}
private function resolveFallbackSnomedCode(string $text): string
{
$upper = strtoupper(trim($text));
if (str_contains($upper, 'VIRAL FEVER')) {
return '409702008';
}
if (str_contains($upper, 'TYPHOID')) {
return '4834000';
}
if (str_contains($upper, 'DENGUE')) {
return '38362002';
}
if (str_contains($upper, 'MALARIA')) {
return '61462000';
}
if (str_contains($upper, 'FEVER') || str_contains($upper, 'PYREXIA')) {
return '386661006';
}
if (str_contains($upper, 'BREATHLESS') || str_contains($upper, 'DYSPNEA')) {
return '267036007';
}
if (str_contains($upper, 'COUGH')) {
return '49727002';
}
if (str_contains($upper, 'ABDOMINAL PAIN') || str_contains($upper, 'ABDOMEN PAIN')) {
return '21522000';
}
if (str_contains($upper, 'CHEST PAIN')) {
return '29857009';
}
if (str_contains($upper, 'PAIN')) {
return '22253000';
}