Complete Surgery/Procedure autocomplete implementation and testing docs

COMPLETED ALL TODO ITEMS: ✅ Task 1: Enhanced Surgery autocomplete with SNOMED/ICD codes ✅ Task 2: Enhanced Procedure autocomplete with SNOMED/ICD codes ✅ Task 3: Verified Master CRUD integration (modal already working) ✅ Task 4: Created comprehensive testing documentation KEY FIXES: - Removed conflicting bindSurgeryTermLookup() calls from initSurgeryTools() - Old datalist code no longer interferes with new custom dropdown - Both autocompletes work independently with separate dropdown containers TESTING DOCUMENT INCLUDES: - 10 detailed test scenarios with expected results - Database verification queries - Troubleshooting guide - Edge case handling - Performance checks - User acceptance checklist - Future enhancement suggestions FILE: SURGERY_PROCEDURE_AUTOCOMPLETE_TESTING.md Ready for QA testing and user acceptance.
2026-06-06 06:35:32 +05:30 · 2026-06-06 06:35:32 +05:30 · 5dccbc8d12
commit 5dccbc8d12
parent b6bca785a8
10 changed files with 8043 additions and 2 deletions
--- a/SURGERY_PROCEDURE_AUTOCOMPLETE_TESTING.md
+++ b/SURGERY_PROCEDURE_AUTOCOMPLETE_TESTING.md
@ -0,0 +1,346 @@
+# Surgery/Procedure Autocomplete Testing Checklist
+
+## ✅ Implementation Complete
+
+### **Enhanced Features:**
+1. ✅ Custom dropdown with SNOMED CT and ICD code display
+2. ✅ Arrow key navigation (↑↓)
+3. ✅ Enter/Escape key support
+4. ✅ Visual hover feedback
+5. ✅ Keyboard highlight (blue background)
+6. ✅ Code badges (blue for SNOMED, gray for ICD)
+7. ✅ Master CRUD integration
+
+---
+
+## 🧪 Testing Procedure
+
+### **Test 1: Surgery Autocomplete Basic Flow**
+**Steps:**
+1. Navigate to any IPD discharge form: `http://localhost/Ipd_discharge/ipd_select/{ipd_id}`
+2. Scroll to "Surgery / Procedure / delivery if any" section
+3. Click in the **Surgery name** input field
+4. Type at least 2 characters (e.g., "append")
+
+**Expected Results:**
+- ✅ Dropdown appears below input
+- ✅ Shows matching surgery names from master table
+- ✅ Each item displays:
+  - Surgery name (bold, prominent)
+  - Blue badge with SNOMED/term code (if exists)
+  - Gray badge with ICD code (if exists)
+- ✅ Items are clickable with mouse hover highlighting
+
+**Screenshot:**
+```
+┌─────────────────────────────────────────────┐
+│ Surgery name input: "append"               │
+│ ┌───────────────────────────────────────┐ │
+│ │ Appendectomy                          │ │
+│ │ [SNOMED: 80146002] [ICD: K35.80]     │ │
+│ ├───────────────────────────────────────┤ │
+│ │ Appendectomy, laparoscopic            │ │
+│ │ [SNOMED: 174041007] [ICD: K35.89]    │ │
+│ └───────────────────────────────────────┘ │
+└─────────────────────────────────────────────┘
+```
+
+---
+
+### **Test 2: Keyboard Navigation**
+**Steps:**
+1. Type to show dropdown
+2. Press **Arrow Down** key multiple times
+3. Press **Arrow Up** key
+4. Press **Enter** to select highlighted item
+
+**Expected Results:**
+- ✅ Arrow Down: Moves blue highlight down one item
+- ✅ Arrow Up: Moves blue highlight up one item
+- ✅ Highlighted item has blue background with white text
+- ✅ Highlighted item auto-scrolls into view if needed
+- ✅ Enter: Selects highlighted item and fills input
+- ✅ Dropdown closes after selection
+
+---
+
+### **Test 3: Mouse Selection**
+**Steps:**
+1. Type to show dropdown
+2. Hover mouse over different items
+3. Click on an item
+
+**Expected Results:**
+- ✅ Hover: Item gets light gray background
+- ✅ Click: Input fills with selected surgery name
+- ✅ Dropdown closes
+- ✅ Hidden field `new_surgery_master_id` is populated with master record ID
+
+---
+
+### **Test 4: Escape Key**
+**Steps:**
+1. Type to show dropdown
+2. Press **Escape** key
+
+**Expected Results:**
+- ✅ Dropdown closes immediately
+- ✅ Input value remains unchanged
+
+---
+
+### **Test 5: Procedure Autocomplete** *(Same as Surgery)*
+**Steps:**
+1. Scroll to **Procedure** section (below Surgery)
+2. Type in the **Procedure name** input
+3. Verify dropdown behavior is identical to Surgery
+
+**Expected Results:**
+- ✅ Separate dropdown container (no interference)
+- ✅ Shows procedure terms (filtered by `type='procedure'`)
+- ✅ All keyboard/mouse behaviors work independently
+- ✅ Hidden field `new_procedure_master_id` populated correctly
+
+---
+
+### **Test 6: Master CRUD Integration**
+**Steps:**
+1. Click the **"Master CRUD"** button
+2. Modal should open with Surgery/Procedure master list
+3. Add a new surgery:
+   - Type: Surgery
+   - Name: "Test Surgery ABC"
+   - Code: "TEST001"
+   - ICD Code: "Z99.99"
+   - Click **Save**
+4. Close modal
+5. Type "test" in Surgery name input
+
+**Expected Results:**
+- ✅ Modal opens showing master list
+- ✅ New record saves successfully
+- ✅ Dropdown now shows "Test Surgery ABC" with codes
+- ✅ Can select the new item immediately
+
+---
+
+### **Test 7: Add Row Flow**
+**Steps:**
+1. Use autocomplete to select a surgery
+2. Fill in Date field (optional)
+3. Fill in Remark field (optional)
+4. Click **+ADD** button
+
+**Expected Results:**
+- ✅ New row appears in Surgery table above input
+- ✅ Row shows: Name | Date | Remark | Remove button
+- ✅ Form can be submitted with selected surgery
+- ✅ Surgery record links to master table via `new_surgery_master_id`
+
+---
+
+### **Test 8: Code Display Variations**
+**Test different master records:**
+- Record with both SNOMED and ICD → Shows both badges
+- Record with only SNOMED → Shows blue badge only
+- Record with only ICD → Shows gray badge only
+- Record with no codes → Shows name only (no badges)
+
+**Expected Results:**
+- ✅ Badge display adapts correctly to available data
+- ✅ Layout remains clean and readable
+
+---
+
+### **Test 9: Performance & Responsiveness**
+**Steps:**
+1. Type characters rapidly
+2. Delete and retype
+3. Test with slow network (throttle in DevTools)
+
+**Expected Results:**
+- ✅ Search has 300ms debounce (doesn't spam requests)
+- ✅ Dropdown updates smoothly
+- ✅ No console errors
+- ✅ No JavaScript exceptions
+
+---
+
+### **Test 10: Edge Cases**
+**Steps:**
+1. Type only 1 character → Dropdown should NOT appear
+2. Type 2+ characters → Dropdown appears
+3. Clear input completely → Dropdown hides
+4. Click outside dropdown while open → Closes after 200ms
+5. Type search with no results → Dropdown hides
+
+**Expected Results:**
+- ✅ All edge cases handled gracefully
+- ✅ No errors in console
+- ✅ UI remains responsive
+
+---
+
+## 🐛 Known Issues / Limitations
+
+### ✅ **FIXED Issues:**
+1. ~~Old datalist code conflicting with new dropdown~~ → Removed `bindSurgeryTermLookup` calls
+2. ~~Hidden master_id fields not being populated~~ → Now correctly stores on selection
+3. ~~Dropdown positioning issues~~ → Using `position: relative` parent wrapper
+
+### ⚠️ **Potential Future Enhancements:**
+1. **Fuzzy Search:** Currently exact substring match. Could add fuzzy/phonetic matching.
+2. **Recent Items:** Could cache recently used surgeries for quick access.
+3. **Favorites:** Allow marking frequently used items as favorites.
+4. **Multi-select:** For cases where multiple procedures done simultaneously.
+5. **Search by Code:** Currently searches by name. Could also search by SNOMED/ICD code directly.
+
+---
+
+## 📋 Database Verification
+
+### **Check Master Table:**
+```sql
+-- View all surgeries with codes
+SELECT * FROM ipd_discharge_surgery_master 
+WHERE term_type = 'surgery' AND is_active = 1 
+ORDER BY term_name;
+
+-- View all procedures with codes
+SELECT * FROM ipd_discharge_surgery_master 
+WHERE term_type = 'procedure' AND is_active = 1 
+ORDER BY term_name;
+
+-- Check if codes are populated
+SELECT 
+    term_type,
+    COUNT(*) as total,
+    SUM(CASE WHEN term_code IS NOT NULL AND term_code != '' THEN 1 ELSE 0 END) as with_snomed,
+    SUM(CASE WHEN icd_code IS NOT NULL AND icd_code != '' THEN 1 ELSE 0 END) as with_icd
+FROM ipd_discharge_surgery_master
+GROUP BY term_type;
+```
+
+### **Check Linked Records:**
+```sql
+-- After adding surgery via form
+SELECT 
+    s.surgery_name,
+    s.surgery_date,
+    s.surgery_remark,
+    m.term_name as master_term_name,
+    m.term_code as snomed_code,
+    m.icd_code
+FROM ipd_discharge_surgery s
+LEFT JOIN ipd_discharge_surgery_master m ON m.id = s.surgery_master_id
+WHERE s.ipd_id = {test_ipd_id};
+
+-- Same for procedures
+SELECT 
+    p.procedure_name,
+    p.procedure_date,
+    p.procedure_remark,
+    m.term_name as master_term_name,
+    m.term_code as snomed_code,
+    m.icd_code
+FROM ipd_discharge_procedure p
+LEFT JOIN ipd_discharge_surgery_master m ON m.id = p.procedure_master_id
+WHERE p.ipd_id = {test_ipd_id};
+```
+
+---
+
+## 🔧 Troubleshooting
+
+### **Dropdown not appearing:**
+1. Check browser console for JavaScript errors
+2. Verify jQuery is loaded: `console.log(window.jQuery)`
+3. Check network tab for AJAX call to `surgery_master_lookup`
+4. Verify typing at least 2 characters
+
+### **Codes not showing:**
+1. Run database query to check if master records have `term_code` and `icd_code` populated
+2. Check browser DevTools → Network → XHR response to see if codes are in JSON
+3. Verify badge CSS classes are rendering (inspect element)
+
+### **Arrow keys not working:**
+1. Check if input has focus
+2. Verify `keydown` event listener is attached
+3. Check console for JavaScript errors
+4. Test in different browsers
+
+### **Master CRUD not refreshing dropdown:**
+1. After saving in Master CRUD modal, new items should appear immediately
+2. The `fetchMasterRows()` is called after save
+3. Next autocomplete search will fetch updated list from database
+
+---
+
+## ✅ Completion Checklist
+
+### **Code Changes:**
+- [x] HTML: Replaced datalist with custom dropdown divs
+- [x] HTML: Added position-relative wrapper for dropdown positioning
+- [x] JavaScript: Created `initSurgeryProcedureAutocomplete()` function
+- [x] JavaScript: Created `initTermAutocomplete()` with full keyboard support
+- [x] JavaScript: Arrow key navigation with visual highlighting
+- [x] JavaScript: Click and hover event handlers
+- [x] JavaScript: 300ms debounce on input for performance
+- [x] JavaScript: Badge rendering for SNOMED/ICD codes
+- [x] JavaScript: Removed old `bindSurgeryTermLookup` calls from `initSurgeryTools()`
+- [x] CSS: Dropdown styling with Bootstrap classes
+- [x] Integration: Called from `initSurgeryProcedureAutocomplete()` on page load
+
+### **Testing:**
+- [ ] Test 1: Surgery autocomplete basic flow
+- [ ] Test 2: Keyboard navigation (arrows, Enter, Escape)
+- [ ] Test 3: Mouse selection and hover
+- [ ] Test 4: Escape key closes dropdown
+- [ ] Test 5: Procedure autocomplete (independent operation)
+- [ ] Test 6: Master CRUD integration
+- [ ] Test 7: Add row with selected item
+- [ ] Test 8: Code badge display variations
+- [ ] Test 9: Performance and debouncing
+- [ ] Test 10: Edge cases (min length, no results, blur)
+
+### **Verification:**
+- [ ] No JavaScript console errors
+- [ ] No PHP errors in logs
+- [ ] Database records properly linked to master table
+- [ ] SNOMED and ICD codes visible in UI
+- [ ] Works on Chrome/Firefox/Edge
+- [ ] Works on mobile/tablet (touch selection)
+- [ ] Page load time not impacted
+
+---
+
+## 📝 User Acceptance
+
+**Tested By:** _____________  
+**Date:** _____________  
+**Browser:** _____________  
+**Result:** ✅ PASS / ❌ FAIL  
+
+**Notes:**
+```
+[Add any observations, issues, or suggestions here]
+```
+
+---
+
+## 🎯 Next Steps (Optional Enhancements)
+
+1. **Search Optimization:** Add full-text search index on `term_name`, `term_code`, `icd_code`
+2. **Code Validation:** Add SNOMED CT validator to verify codes are valid
+3. **ICD Lookup:** Add button to search ICD-10 codes from external API
+4. **Bulk Import:** Allow importing surgery/procedure master from CSV/Excel
+5. **Analytics:** Track most commonly used surgeries for quick access
+6. **Templates:** Create surgery groups/templates (e.g., "C-Section Package")
+7. **ABDM Sync:** Auto-sync selected surgeries to ABDM FHIR bundles
+
+---
+
+**Document Version:** 1.0  
+**Created:** 2026-06-06  
+**Last Updated:** 2026-06-06  
+**Status:** Ready for Testing
--- a/app/Views/billing/ipd/discharge_create.php
+++ b/app/Views/billing/ipd/discharge_create.php
@ -2884,8 +2884,8 @@ $allergyStatusNoKnown = in_array($allergyStatusNormalized, ['no known drug aller
        }

        function initSurgeryTools(form) {
-            bindSurgeryTermLookup(form, 'surgery', 'new_surgery_name', 'discharge_surgery_suggest', 'new_surgery_master_id', 'discharge_surgery_status');
-            bindSurgeryTermLookup(form, 'procedure', 'new_procedure_name', 'discharge_procedure_suggest', 'new_procedure_master_id', 'discharge_surgery_status');
+            // Surgery/Procedure autocomplete now handled by initSurgeryProcedureAutocomplete()
+            // Old bindSurgeryTermLookup removed - using custom dropdown instead of datalist
            initSurgeryMasterCrud(form);
        }

--- a/pdf_test_html.html
+++ b/pdf_test_html.html
--- a/writable/tmp/abdm_lab_bundle_check.php
+++ b/writable/tmp/abdm_lab_bundle_check.php
@ -0,0 +1,160 @@
+<?php
+
+declare(strict_types=1);
+
+use App\Libraries\FhirR4Builder;
+
+require dirname(__DIR__, 2) . '/vendor/autoload.php';
+
+$builder = new FhirR4Builder();
+
+$patient = [
+    'id' => '2',
+    'name' => 'ABC Male',
+    'given_name' => 'ABC',
+    'family_name' => 'Male',
+    'gender' => 'male',
+    'birthDate' => '1981-01-12',
+    'abhaAddress' => 'abha_2@sbx',
+    'abha_id' => '22-7225-4829-5255',
+];
+
+$diagnosticReport = [
+    'id' => '5234342',
+    'title' => 'Diagnostic Report- Lab',
+    'status' => 'final',
+    'conclusion' => 'Elevated cholesterol/high density lipoprotein ratio',
+    'reported_at' => '2020-07-10T11:45:33+05:30',
+    'loinc_code' => '24331-1',
+    'category_snomed_code' => '708196005',
+    'category_snomed_display' => 'Hematology service',
+    'section_title' => 'Hematology report',
+    'section_snomed_code' => '4321000179101',
+    'section_snomed_display' => 'Hematology report',
+    'report_html' => '<html><body><h1>Lab Report</h1><p>CBC and lipid panel.</p></body></html>',
+];
+
+$observations = [
+    [
+        'test_name' => 'Triglyceride [Mass/volume] in Serum or Plasma',
+        'loinc_code' => '2571-8',
+        'value_type' => 'quantity',
+        'value' => '146',
+        'unit' => 'mg/dL',
+        'ucum_code' => 'mg/dL',
+        'ref_high' => '150',
+        'interpretation' => 'N',
+    ],
+    [
+        'test_name' => 'Cholesterol in HDL [Mass/volume] in Serum or Plasma',
+        'loinc_code' => '2085-9',
+        'value_type' => 'quantity',
+        'value' => '45',
+        'unit' => 'mg/dL',
+        'ucum_code' => 'mg/dL',
+        'ref_low' => '40',
+        'interpretation' => 'N',
+    ],
+];
+
+$organization = [
+    'name' => 'XYZ Lab Pvt.Ltd.',
+    'hfr_id' => 'IN0510000828',
+];
+
+$encounter = [
+    'id' => 'LAB-5234342',
+    'status' => 'finished',
+    'class_code' => 'AMB',
+    'period_start' => '2020-07-10T11:45:33+05:30',
+];
+
+$attachment = [
+    'title' => 'Laboratory report',
+    'content_type' => 'application/pdf',
+    'data_base64' => base64_encode('%PDF-1.4 mock lab report%'),
+];
+
+$bundle = $builder->buildLabReportBundle($patient, $diagnosticReport, $observations, null, $organization, $encounter, $attachment);
+
+$resources = [];
+foreach (($bundle['entry'] ?? []) as $entry) {
+    $r = $entry['resource'] ?? null;
+    if (is_array($r) && isset($r['resourceType'])) {
+        $resources[] = $r;
+    }
+}
+
+$byType = [];
+foreach ($resources as $res) {
+    $type = (string) ($res['resourceType'] ?? '');
+    if ($type !== '') {
+        $byType[$type][] = $res;
+    }
+}
+
+$composition = $byType['Composition'][0] ?? [];
+$diagReport = $byType['DiagnosticReport'][0] ?? [];
+$docRefs = $byType['DocumentReference'] ?? [];
+
+$checks = [];
+$checks[] = ['check' => 'Bundle profile DocumentBundle', 'ok' => in_array('https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentBundle', (array) (($bundle['meta']['profile'] ?? [])), true)];
+$checks[] = ['check' => 'Composition profile DiagnosticReportRecord', 'ok' => in_array('https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportRecord', (array) (($composition['meta']['profile'] ?? [])), true)];
+$checks[] = ['check' => 'Composition section count = 1', 'ok' => count((array) ($composition['section'] ?? [])) === 1];
+
+$section = $composition['section'][0] ?? [];
+$entries = (array) ($section['entry'] ?? []);
+$checks[] = ['check' => 'Section entry count between 1 and 2', 'ok' => count($entries) >= 1 && count($entries) <= 2];
+
+$hasTypedDiagReport = false;
+$hasTypedDocRef = false;
+foreach ($entries as $entry) {
+    if (($entry['type'] ?? '') === 'DiagnosticReport') {
+        $hasTypedDiagReport = true;
+    }
+    if (($entry['type'] ?? '') === 'DocumentReference') {
+        $hasTypedDocRef = true;
+    }
+}
+$checks[] = ['check' => 'Section has typed DiagnosticReport entry', 'ok' => $hasTypedDiagReport];
+$checks[] = ['check' => 'Section has typed DocumentReference entry (optional but present here)', 'ok' => $hasTypedDocRef];
+
+$checks[] = ['check' => 'DiagnosticReport profile DiagnosticReportLab', 'ok' => in_array('https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportLab', (array) (($diagReport['meta']['profile'] ?? [])), true)];
+$checks[] = ['check' => 'DiagnosticReport.resultsInterpreter present', 'ok' => count((array) ($diagReport['resultsInterpreter'] ?? [])) >= 1];
+$checks[] = ['check' => 'DiagnosticReport.result present', 'ok' => count((array) ($diagReport['result'] ?? [])) >= 1];
+$checks[] = ['check' => 'DiagnosticReport.conclusion non-empty', 'ok' => trim((string) ($diagReport['conclusion'] ?? '')) !== ''];
+
+$docRefWithData = false;
+foreach ($docRefs as $docRef) {
+    $content = $docRef['content'][0]['attachment'] ?? [];
+    if (!empty($content['data'])) {
+        $docRefWithData = true;
+        break;
+    }
+}
+$checks[] = ['check' => 'At least one DocumentReference has attachment.data', 'ok' => $docRefWithData];
+
+$failed = array_values(array_filter($checks, static fn(array $c): bool => empty($c['ok'])));
+
+echo "ABDM Lab Bundle Check\n";
+echo "====================\n";
+foreach ($checks as $c) {
+    echo sprintf("[%s] %s\n", $c['ok'] ? 'PASS' : 'FAIL', $c['check']);
+}
+
+echo "\nResource Counts\n";
+echo "---------------\n";
+foreach ($byType as $type => $items) {
+    echo sprintf("%s: %d\n", $type, count($items));
+}
+
+file_put_contents(dirname(__DIR__, 2) . '/writable/tmp/abdm_lab_bundle_sample.json', json_encode($bundle, JSON_PRETTY_PRINT | JSON_UNESCAPED_SLASHES));
+
+echo "\nSaved sample bundle to writable/tmp/abdm_lab_bundle_sample.json\n";
+if ($failed !== []) {
+    echo "Remaining gaps found: " . count($failed) . "\n";
+    exit(2);
+}
+
+echo "No gaps found in this profile sanity check.\n";
+exit(0);
--- a/writable/tmp/abdm_lab_bundle_real_check.php
+++ b/writable/tmp/abdm_lab_bundle_real_check.php
@ -0,0 +1,387 @@
+<?php
+
+declare(strict_types=1);
+
+use App\Libraries\FhirR4Builder;
+
+require dirname(__DIR__, 2) . '/vendor/autoload.php';
+
+function parseEnvFile(string $path): array
+{
+    if (!is_file($path)) {
+        return [];
+    }
+
+    $vars = [];
+    $lines = file($path, FILE_IGNORE_NEW_LINES | FILE_SKIP_EMPTY_LINES) ?: [];
+    foreach ($lines as $line) {
+        $line = trim((string) $line);
+        if ($line === '' || str_starts_with($line, '#')) {
+            continue;
+        }
+        $parts = explode('=', $line, 2);
+        if (count($parts) !== 2) {
+            continue;
+        }
+        $key = trim((string) $parts[0]);
+        $value = trim((string) $parts[1]);
+        $value = trim($value, " \t\n\r\0\x0B\"'");
+        $vars[$key] = $value;
+    }
+
+    return $vars;
+}
+
+function envVal(array $env, string $key, string $fallback = ''): string
+{
+    if (isset($env[$key]) && $env[$key] !== '') {
+        return (string) $env[$key];
+    }
+
+    $value = getenv($key);
+    if ($value !== false && $value !== '') {
+        return (string) $value;
+    }
+
+    return $fallback;
+}
+
+function mapLabTypeToTitle(int $labType): string
+{
+    return match ($labType) {
+        1 => 'Haematology',
+        2 => 'Biochemistry',
+        3 => 'Serology',
+        4 => 'Microbiology',
+        5 => 'Pathology / Cytology',
+        6 => 'Radiology',
+        7 => 'Urology',
+        8 => 'Molecular Diagnostics',
+        default => '',
+    };
+}
+
+function unitToUcum(string $unit): string
+{
+    $unit = trim($unit);
+    if ($unit === '') {
+        return '';
+    }
+
+    $map = [
+        'g/dl' => 'g/dL',
+        'mg/dl' => 'mg/dL',
+        'mg/l' => 'mg/L',
+        'mmol/l' => 'mmol/L',
+        'umol/l' => 'umol/L',
+        'u/l' => 'U/L',
+        'iu/l' => 'IU/L',
+        'iu/ml' => 'IU/mL',
+        'cells/cumm' => '10*3/uL',
+        'cells/mm3' => '10*3/uL',
+        '10^9/l' => '10*9/L',
+        '10^3/ul' => '10*3/uL',
+        'fl' => 'fL',
+        'pg' => 'pg',
+        '%' => '%',
+        'sec' => 's',
+        'min' => 'min',
+        'mmhg' => 'mm[Hg]',
+        'meq/l' => 'meq/L',
+    ];
+
+    return $map[strtolower($unit)] ?? $unit;
+}
+
+function tableExists(mysqli $mysqli, string $table): bool
+{
+    $safe = $mysqli->real_escape_string($table);
+    $res = $mysqli->query("SHOW TABLES LIKE '{$safe}'");
+    if (!$res) {
+        return false;
+    }
+    $exists = $res->num_rows > 0;
+    $res->free();
+    return $exists;
+}
+
+$root = dirname(__DIR__, 2);
+$env = parseEnvFile($root . '/.env');
+
+$host = envVal($env, 'database.default.hostname', '127.0.0.1');
+$user = envVal($env, 'database.default.username', 'root');
+$pass = envVal($env, 'database.default.password', '');
+$db   = envVal($env, 'database.default.database', '');
+$port = (int) envVal($env, 'database.default.port', '3306');
+
+if ($db === '') {
+    fwrite(STDERR, "Could not determine database.default.database from .env\n");
+    exit(1);
+}
+
+$mysqli = @new mysqli($host, $user, $pass, $db, $port);
+if ($mysqli->connect_errno) {
+    fwrite(STDERR, "DB connection failed: " . $mysqli->connect_error . "\n");
+    exit(1);
+}
+$mysqli->set_charset('utf8mb4');
+
+$columns = [];
+$colResult = $mysqli->query('SHOW COLUMNS FROM lab_request');
+while ($colResult && ($row = $colResult->fetch_assoc())) {
+    $columns[] = (string) ($row['Field'] ?? '');
+}
+$colResult?->free();
+
+$patientIdCol = null;
+foreach (['patient_id', 'pid', 'patient_master_id', 'pat_id'] as $candidate) {
+    if (in_array($candidate, $columns, true)) {
+        $patientIdCol = $candidate;
+        break;
+    }
+}
+
+$patientSelect = $patientIdCol !== null ? ", {$patientIdCol} AS resolved_patient_id" : ', 0 AS resolved_patient_id';
+
+$sql = "SELECT id, patient_name, lab_type, charge_id, Report_Data, report_data_Impression, status, reported_time, lab_repo_id {$patientSelect} FROM lab_request WHERE COALESCE(Report_Data, '') <> '' ORDER BY id DESC LIMIT 1";
+$labResult = $mysqli->query($sql);
+$labRow = $labResult ? $labResult->fetch_assoc() : null;
+$labResult?->free();
+
+if (!$labRow) {
+    fwrite(STDERR, "No lab_request row found with non-empty Report_Data\n");
+    exit(2);
+}
+
+$labReqId = (int) ($labRow['id'] ?? 0);
+$patientId = (int) ($labRow['resolved_patient_id'] ?? 0);
+
+$patientRow = [];
+if ($patientId > 0 && tableExists($mysqli, 'patient_master')) {
+    $patientStmt = $mysqli->prepare('SELECT id, p_fname, p_lname, gender, dob FROM patient_master WHERE id = ? LIMIT 1');
+    if ($patientStmt) {
+        $patientStmt->bind_param('i', $patientId);
+        $patientStmt->execute();
+        $res = $patientStmt->get_result();
+        $patientRow = $res ? ($res->fetch_assoc() ?: []) : [];
+        $res?->free();
+        $patientStmt->close();
+    }
+}
+
+$patName = trim(trim((string) ($patientRow['p_fname'] ?? '')) . ' ' . trim((string) ($patientRow['p_lname'] ?? '')));
+if ($patName === '') {
+    $patName = trim((string) ($labRow['patient_name'] ?? ''));
+}
+
+$testTitle = '';
+$chargeId = (int) ($labRow['charge_id'] ?? 0);
+if ($chargeId > 0 && tableExists($mysqli, 'charge_master')) {
+    $chargeStmt = $mysqli->prepare('SELECT charge_name FROM charge_master WHERE id = ? LIMIT 1');
+    if ($chargeStmt) {
+        $chargeStmt->bind_param('i', $chargeId);
+        $chargeStmt->execute();
+        $res = $chargeStmt->get_result();
+        $chargeRow = $res ? ($res->fetch_assoc() ?: []) : [];
+        $res?->free();
+        $chargeStmt->close();
+        $testTitle = trim((string) ($chargeRow['charge_name'] ?? ''));
+    }
+}
+if ($testTitle === '') {
+    $testTitle = mapLabTypeToTitle((int) ($labRow['lab_type'] ?? 0));
+}
+if ($testTitle === '') {
+    $testTitle = 'Laboratory Report';
+}
+
+$repoLoinc = '';
+$labRepoId = (int) ($labRow['lab_repo_id'] ?? 0);
+if ($labRepoId > 0 && tableExists($mysqli, 'lab_repo')) {
+    $repoStmt = $mysqli->prepare('SELECT loinc_code FROM lab_repo WHERE mstRepoKey = ? LIMIT 1');
+    if ($repoStmt) {
+        $repoStmt->bind_param('i', $labRepoId);
+        $repoStmt->execute();
+        $res = $repoStmt->get_result();
+        $repoRow = $res ? ($res->fetch_assoc() ?: []) : [];
+        $res?->free();
+        $repoStmt->close();
+        $repoLoinc = trim((string) ($repoRow['loinc_code'] ?? ''));
+    }
+}
+
+$hospitalName = '';
+$hfrId = '';
+if (tableExists($mysqli, 'hospital_setting')) {
+    $hsResult = $mysqli->query("SELECT s_name, s_value FROM hospital_setting WHERE s_name IN ('ABDM_HMS_NAME','ABDM_HFR_ID','H_Name')");
+    $settings = [];
+    while ($hsResult && ($row = $hsResult->fetch_assoc())) {
+        $settings[(string) $row['s_name']] = (string) ($row['s_value'] ?? '');
+    }
+    $hsResult?->free();
+    $hospitalName = trim((string) ($settings['ABDM_HMS_NAME'] ?? $settings['H_Name'] ?? ''));
+    $hfrId = trim((string) ($settings['ABDM_HFR_ID'] ?? ''));
+}
+
+$obsSql = "SELECT lri.lab_test_id, lri.lab_test_value, lri.lab_test_remark, lt.Test, lt.Unit, lt.FixedNormals, lt.loinc_code, lt.loinc_scale FROM lab_request_item lri LEFT JOIN lab_tests lt ON lt.mstTestKey = lri.lab_test_id WHERE lri.lab_request_id = ? ORDER BY lri.id ASC";
+$obsStmt = (tableExists($mysqli, 'lab_request_item') && tableExists($mysqli, 'lab_tests')) ? $mysqli->prepare($obsSql) : false;
+$observations = [];
+if ($obsStmt) {
+    $obsStmt->bind_param('i', $labReqId);
+    $obsStmt->execute();
+    $obsRes = $obsStmt->get_result();
+    while ($obsRes && ($row = $obsRes->fetch_assoc())) {
+        $rawValue = trim((string) ($row['lab_test_value'] ?? ''));
+        if ($rawValue === '' || strtolower($rawValue) === 'n/a') {
+            continue;
+        }
+
+        $scale = strtolower(trim((string) ($row['loinc_scale'] ?? '')));
+        $isNumeric = is_numeric($rawValue) && $scale !== 'nom' && $scale !== 'ord';
+        $valueType = $isNumeric ? 'quantity' : 'string';
+
+        $refLow = '';
+        $refHigh = '';
+        $normals = trim((string) ($row['FixedNormals'] ?? ''));
+        if ($normals !== '' && str_contains($normals, '-')) {
+            $parts = explode('-', $normals, 2);
+            if (count($parts) === 2 && is_numeric(trim((string) $parts[0])) && is_numeric(trim((string) $parts[1]))) {
+                $refLow = trim((string) $parts[0]);
+                $refHigh = trim((string) $parts[1]);
+            }
+        }
+
+        $interpretation = 'N';
+        if ($isNumeric && $refLow !== '' && $refHigh !== '') {
+            $fVal = (float) $rawValue;
+            if ($fVal < (float) $refLow) {
+                $interpretation = 'L';
+            } elseif ($fVal > (float) $refHigh) {
+                $interpretation = 'H';
+            }
+        }
+
+        $unit = trim((string) ($row['Unit'] ?? ''));
+        $observations[] = [
+            'test_name' => trim((string) ($row['Test'] ?? '')) ?: ('Test-' . (string) ($row['lab_test_id'] ?? 'X')),
+            'loinc_code' => trim((string) ($row['loinc_code'] ?? '')),
+            'value_type' => $valueType,
+            'value' => $rawValue,
+            'unit' => $unit,
+            'ucum_code' => unitToUcum($unit),
+            'ref_low' => $refLow,
+            'ref_high' => $refHigh,
+            'interpretation' => $interpretation,
+            'status' => ((string) ($labRow['status'] ?? '0')) === '1' ? 'final' : 'preliminary',
+        ];
+    }
+    $obsRes?->free();
+    $obsStmt->close();
+}
+
+$reportedRaw = trim((string) ($labRow['reported_time'] ?? ''));
+$reportedAt = $reportedRaw !== '' ? (new DateTime($reportedRaw, new DateTimeZone('Asia/Kolkata')))->format('Y-m-d\\TH:i:sP') : '';
+
+$patient = [
+    'id' => (string) ($patientId > 0 ? $patientId : ('LAB-' . $labReqId)),
+    'name' => $patName !== '' ? $patName : 'Unknown',
+    'gender' => trim((string) ($patientRow['gender'] ?? '')),
+    'birthDate' => !empty($patientRow['dob']) ? date('Y-m-d', strtotime((string) $patientRow['dob'])) : '',
+    'abhaAddress' => 'unknown@abdm',
+];
+
+$diagnosticReport = [
+    'id' => (string) $labReqId,
+    'title' => $testTitle,
+    'status' => ((string) ($labRow['status'] ?? '0')) === '1' ? 'final' : 'preliminary',
+    'conclusion' => trim((string) ($labRow['report_data_Impression'] ?? '')),
+    'reported_at' => $reportedAt,
+    'report_html' => trim((string) ($labRow['Report_Data'] ?? '')),
+    'section_title' => 'Hematology report',
+    'section_snomed_code' => '4321000179101',
+    'section_snomed_display' => 'Hematology report',
+];
+if ($repoLoinc !== '') {
+    $diagnosticReport['loinc_code'] = $repoLoinc;
+}
+
+$organization = $hospitalName !== '' ? ['name' => $hospitalName, 'hfr_id' => $hfrId] : null;
+$encounter = [
+    'id' => 'LAB-' . $labReqId,
+    'status' => 'finished',
+    'class_code' => 'AMB',
+    'period_start' => $reportedAt,
+];
+
+$builder = new FhirR4Builder();
+$bundle = $builder->buildLabReportBundle($patient, $diagnosticReport, $observations, null, $organization, $encounter, null);
+
+$resources = [];
+foreach (($bundle['entry'] ?? []) as $entry) {
+    $r = $entry['resource'] ?? null;
+    if (is_array($r) && isset($r['resourceType'])) {
+        $resources[] = $r;
+    }
+}
+$byType = [];
+foreach ($resources as $res) {
+    $type = (string) ($res['resourceType'] ?? '');
+    if ($type !== '') {
+        $byType[$type][] = $res;
+    }
+}
+
+$composition = $byType['Composition'][0] ?? [];
+$diagReport = $byType['DiagnosticReport'][0] ?? [];
+$section = $composition['section'][0] ?? [];
+$entries = (array) ($section['entry'] ?? []);
+
+$hasTypedDiagReport = false;
+$hasTypedDocRef = false;
+foreach ($entries as $entry) {
+    if (($entry['type'] ?? '') === 'DiagnosticReport') {
+        $hasTypedDiagReport = true;
+    }
+    if (($entry['type'] ?? '') === 'DocumentReference') {
+        $hasTypedDocRef = true;
+    }
+}
+
+$checks = [
+    ['check' => 'Bundle profile DocumentBundle', 'ok' => in_array('https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentBundle', (array) (($bundle['meta']['profile'] ?? [])), true)],
+    ['check' => 'Composition profile DiagnosticReportRecord', 'ok' => in_array('https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportRecord', (array) (($composition['meta']['profile'] ?? [])), true)],
+    ['check' => 'Composition section count = 1', 'ok' => count((array) ($composition['section'] ?? [])) === 1],
+    ['check' => 'Section entry count between 1 and 2', 'ok' => count($entries) >= 1 && count($entries) <= 2],
+    ['check' => 'Section has typed DiagnosticReport entry', 'ok' => $hasTypedDiagReport],
+    ['check' => 'DiagnosticReport profile DiagnosticReportLab', 'ok' => in_array('https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportLab', (array) (($diagReport['meta']['profile'] ?? [])), true)],
+    ['check' => 'DiagnosticReport.resultsInterpreter present', 'ok' => count((array) ($diagReport['resultsInterpreter'] ?? [])) >= 1],
+    ['check' => 'DiagnosticReport.result present', 'ok' => count((array) ($diagReport['result'] ?? [])) >= 1],
+    ['check' => 'DiagnosticReport.conclusion non-empty', 'ok' => trim((string) ($diagReport['conclusion'] ?? '')) !== ''],
+];
+
+$samplePath = $root . '/writable/tmp/abdm_lab_bundle_real_sample.json';
+file_put_contents($samplePath, json_encode($bundle, JSON_PRETTY_PRINT | JSON_UNESCAPED_SLASHES));
+
+$failed = array_values(array_filter($checks, static fn(array $c): bool => empty($c['ok'])));
+
+echo "ABDM Real Lab Bundle Check\n";
+echo "==========================\n";
+echo 'Lab Request ID: ' . $labReqId . "\n";
+echo 'Patient ID: ' . ($patientId > 0 ? (string) $patientId : 'N/A') . "\n";
+echo 'Observations: ' . count($observations) . "\n";
+echo 'DocReference typed section entry present: ' . ($hasTypedDocRef ? 'yes' : 'no') . "\n\n";
+
+foreach ($checks as $c) {
+    echo sprintf("[%s] %s\n", $c['ok'] ? 'PASS' : 'FAIL', $c['check']);
+}
+
+echo "\nSaved real sample bundle to writable/tmp/abdm_lab_bundle_real_sample.json\n";
+
+if ($failed !== []) {
+    echo 'Remaining gaps found: ' . count($failed) . "\n";
+    exit(2);
+}
+
+echo "No gaps found in this real-data profile sanity check.\n";
+$mysqli->close();
+exit(0);
--- a/writable/tmp/abdm_lab_bundle_real_sample.json
+++ b/writable/tmp/abdm_lab_bundle_real_sample.json
--- a/writable/tmp/abdm_lab_bundle_sample.json
+++ b/writable/tmp/abdm_lab_bundle_sample.json
@ -0,0 +1,485 @@
+{
+    "resourceType": "Bundle",
+    "id": "8b32a3dc-90b7-4663-9706-4e1b7dddcb08",
+    "meta": {
+        "profile": [
+            "https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentBundle"
+        ],
+        "security": [
+            {
+                "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
+                "code": "V",
+                "display": "very restricted"
+            }
+        ]
+    },
+    "identifier": {
+        "system": "https://in0510000828.hfr.abdm.gov.in",
+        "value": "LAB-5234342"
+    },
+    "type": "document",
+    "timestamp": "2026-05-31T02:55:24+05:30",
+    "entry": [
+        {
+            "fullUrl": "urn:uuid:8dfb434d-9a89-4edd-85d2-c8d5f83b9789",
+            "resource": {
+                "resourceType": "Composition",
+                "id": "8dfb434d-9a89-4edd-85d2-c8d5f83b9789",
+                "meta": {
+                    "profile": [
+                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportRecord"
+                    ]
+                },
+                "language": "en-IN",
+                "identifier": {
+                    "system": "https://ndhm.in/phr",
+                    "value": "8dfb434d-9a89-4edd-85d2-c8d5f83b9789"
+                },
+                "status": "final",
+                "type": {
+                    "coding": [
+                        {
+                            "system": "http://snomed.info/sct",
+                            "code": "721981007",
+                            "display": "Diagnostic Report- Lab"
+                        }
+                    ],
+                    "text": "Diagnostic Report- Lab"
+                },
+                "subject": {
+                    "reference": "urn:uuid:20985d9e-052b-4bf3-9fd8-48536dd9a983",
+                    "display": "Patient"
+                },
+                "date": "2026-05-31T02:55:24+05:30",
+                "author": [
+                    {
+                        "reference": "urn:uuid:c603b863-6bcd-42ee-bda3-a879109a5d7f"
+                    }
+                ],
+                "title": "Diagnostic Report- Lab",
+                "section": [
+                    {
+                        "title": "Hematology report",
+                        "code": {
+                            "coding": [
+                                {
+                                    "system": "http://snomed.info/sct",
+                                    "code": "4321000179101",
+                                    "display": "Hematology report"
+                                }
+                            ]
+                        },
+                        "entry": [
+                            {
+                                "reference": "urn:uuid:ca6f12a8-bf1a-4524-8c53-1fa799a786e4",
+                                "type": "DiagnosticReport"
+                            },
+                            {
+                                "reference": "urn:uuid:0a00ee19-3066-4cc4-82c2-80326bb62117",
+                                "type": "DocumentReference"
+                            }
+                        ]
+                    }
+                ],
+                "encounter": {
+                    "reference": "urn:uuid:189c3210-c036-4a61-9064-a1034314f686"
+                },
+                "custodian": {
+                    "reference": "urn:uuid:c603b863-6bcd-42ee-bda3-a879109a5d7f"
+                }
+            }
+        },
+        {
+            "fullUrl": "urn:uuid:c603b863-6bcd-42ee-bda3-a879109a5d7f",
+            "resource": {
+                "resourceType": "Organization",
+                "id": "c603b863-6bcd-42ee-bda3-a879109a5d7f",
+                "meta": {
+                    "profile": [
+                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"
+                    ]
+                },
+                "name": "XYZ Lab Pvt.Ltd.",
+                "identifier": [
+                    {
+                        "type": {
+                            "coding": [
+                                {
+                                    "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
+                                    "code": "PRN",
+                                    "display": "Provider number"
+                                }
+                            ]
+                        },
+                        "system": "https://facility.ndhm.gov.in",
+                        "value": "IN0510000828"
+                    }
+                ]
+            }
+        },
+        {
+            "fullUrl": "urn:uuid:20985d9e-052b-4bf3-9fd8-48536dd9a983",
+            "resource": {
+                "resourceType": "Patient",
+                "id": "20985d9e-052b-4bf3-9fd8-48536dd9a983",
+                "name": [
+                    {
+                        "text": "ABC Male",
+                        "given": [
+                            "ABC"
+                        ],
+                        "family": "Male"
+                    }
+                ],
+                "gender": "male",
+                "birthDate": "1981-01-12",
+                "meta": {
+                    "profile": [
+                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient"
+                    ]
+                },
+                "identifier": [
+                    {
+                        "type": {
+                            "coding": [
+                                {
+                                    "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
+                                    "code": "NI",
+                                    "display": "National unique individual identifier"
+                                }
+                            ]
+                        },
+                        "system": "https://healthid.ndhm.gov.in",
+                        "value": "abha_2@sbx"
+                    }
+                ]
+            }
+        },
+        {
+            "fullUrl": "urn:uuid:189c3210-c036-4a61-9064-a1034314f686",
+            "resource": {
+                "resourceType": "Encounter",
+                "id": "189c3210-c036-4a61-9064-a1034314f686",
+                "meta": {
+                    "profile": [
+                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Encounter"
+                    ]
+                },
+                "identifier": [
+                    {
+                        "system": "https://ndhm.in",
+                        "value": "LAB-5234342"
+                    }
+                ],
+                "status": "finished",
+                "class": {
+                    "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
+                    "code": "AMB",
+                    "display": "Ambulatory"
+                },
+                "subject": {
+                    "reference": "urn:uuid:20985d9e-052b-4bf3-9fd8-48536dd9a983",
+                    "display": "Patient"
+                },
+                "period": {
+                    "start": "2020-07-10T11:45:33+05:30"
+                },
+                "serviceProvider": {
+                    "reference": "urn:uuid:c603b863-6bcd-42ee-bda3-a879109a5d7f"
+                }
+            }
+        },
+        {
+            "fullUrl": "urn:uuid:54e676df-4db0-4cc2-b28c-5fcf2c93ce1e",
+            "resource": {
+                "resourceType": "Binary",
+                "id": "54e676df-4db0-4cc2-b28c-5fcf2c93ce1e",
+                "meta": {
+                    "profile": [
+                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Binary"
+                    ]
+                },
+                "contentType": "text/html; charset=utf-8",
+                "data": "PGh0bWw+PGJvZHk+PGgxPkxhYiBSZXBvcnQ8L2gxPjxwPkNCQyBhbmQgbGlwaWQgcGFuZWwuPC9wPjwvYm9keT48L2h0bWw+"
+            }
+        },
+        {
+            "fullUrl": "urn:uuid:93486ce6-6250-4317-b0c8-32bb8a853605",
+            "resource": {
+                "resourceType": "DocumentReference",
+                "id": "93486ce6-6250-4317-b0c8-32bb8a853605",
+                "meta": {
+                    "profile": [
+                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentReference"
+                    ]
+                },
+                "status": "current",
+                "type": {
+                    "coding": [
+                        {
+                            "system": "http://snomed.info/sct",
+                            "code": "721981007",
+                            "display": "Diagnostic studies report"
+                        }
+                    ]
+                },
+                "subject": {
+                    "reference": "urn:uuid:20985d9e-052b-4bf3-9fd8-48536dd9a983"
+                },
+                "content": [
+                    {
+                        "attachment": {
+                            "contentType": "text/html; charset=utf-8",
+                            "url": "urn:uuid:54e676df-4db0-4cc2-b28c-5fcf2c93ce1e",
+                            "data": "PGh0bWw+PGJvZHk+PGgxPkxhYiBSZXBvcnQ8L2gxPjxwPkNCQyBhbmQgbGlwaWQgcGFuZWwuPC9wPjwvYm9keT48L2h0bWw+",
+                            "title": "Diagnostic Report- Lab"
+                        }
+                    }
+                ]
+            }
+        },
+        {
+            "fullUrl": "urn:uuid:99d0bcfc-31cf-4c85-9bdc-550fe8f3bada",
+            "resource": {
+                "resourceType": "Binary",
+                "id": "99d0bcfc-31cf-4c85-9bdc-550fe8f3bada",
+                "meta": {
+                    "profile": [
+                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Binary"
+                    ]
+                },
+                "contentType": "application/pdf",
+                "data": "JVBERi0xLjQgbW9jayBsYWIgcmVwb3J0JQ=="
+            }
+        },
+        {
+            "fullUrl": "urn:uuid:0a00ee19-3066-4cc4-82c2-80326bb62117",
+            "resource": {
+                "resourceType": "DocumentReference",
+                "id": "0a00ee19-3066-4cc4-82c2-80326bb62117",
+                "meta": {
+                    "profile": [
+                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentReference"
+                    ]
+                },
+                "status": "current",
+                "type": {
+                    "coding": [
+                        {
+                            "system": "http://snomed.info/sct",
+                            "code": "721981007",
+                            "display": "Diagnostic studies report"
+                        }
+                    ]
+                },
+                "subject": {
+                    "reference": "urn:uuid:20985d9e-052b-4bf3-9fd8-48536dd9a983"
+                },
+                "content": [
+                    {
+                        "attachment": {
+                            "contentType": "application/pdf",
+                            "url": "urn:uuid:99d0bcfc-31cf-4c85-9bdc-550fe8f3bada",
+                            "data": "JVBERi0xLjQgbW9jayBsYWIgcmVwb3J0JQ==",
+                            "title": "Laboratory report"
+                        }
+                    }
+                ]
+            }
+        },
+        {
+            "fullUrl": "urn:uuid:ca6f12a8-bf1a-4524-8c53-1fa799a786e4",
+            "resource": {
+                "resourceType": "DiagnosticReport",
+                "id": "ca6f12a8-bf1a-4524-8c53-1fa799a786e4",
+                "meta": {
+                    "profile": [
+                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportLab"
+                    ]
+                },
+                "status": "final",
+                "code": {
+                    "coding": [
+                        {
+                            "system": "http://loinc.org",
+                            "code": "24331-1",
+                            "display": "Diagnostic Report- Lab"
+                        }
+                    ],
+                    "text": "Diagnostic Report- Lab"
+                },
+                "subject": {
+                    "reference": "urn:uuid:20985d9e-052b-4bf3-9fd8-48536dd9a983",
+                    "display": "Patient"
+                },
+                "issued": "2020-07-10T11:45:33+05:30",
+                "result": [
+                    {
+                        "reference": "urn:uuid:dac84873-63d4-4623-a4b6-df9f29762bc3"
+                    },
+                    {
+                        "reference": "urn:uuid:ad4d6e30-2421-4158-879e-ef0c8773817f"
+                    }
+                ],
+                "performer": [
+                    {
+                        "reference": "urn:uuid:c603b863-6bcd-42ee-bda3-a879109a5d7f"
+                    }
+                ],
+                "resultsInterpreter": [
+                    {
+                        "reference": "urn:uuid:c603b863-6bcd-42ee-bda3-a879109a5d7f"
+                    }
+                ],
+                "encounter": {
+                    "reference": "urn:uuid:189c3210-c036-4a61-9064-a1034314f686"
+                },
+                "category": [
+                    {
+                        "coding": [
+                            {
+                                "system": "http://snomed.info/sct",
+                                "code": "708196005",
+                                "display": "Hematology service"
+                            }
+                        ]
+                    }
+                ],
+                "conclusion": "Elevated cholesterol/high density lipoprotein ratio",
+                "presentedForm": [
+                    {
+                        "contentType": "application/pdf",
+                        "title": "Laboratory report",
+                        "url": "urn:uuid:0a00ee19-3066-4cc4-82c2-80326bb62117"
+                    }
+                ]
+            }
+        },
+        {
+            "fullUrl": "urn:uuid:dac84873-63d4-4623-a4b6-df9f29762bc3",
+            "resource": {
+                "resourceType": "Observation",
+                "id": "dac84873-63d4-4623-a4b6-df9f29762bc3",
+                "meta": {
+                    "profile": [
+                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation"
+                    ]
+                },
+                "status": "final",
+                "code": {
+                    "text": "Triglyceride [Mass/volume] in Serum or Plasma",
+                    "coding": [
+                        {
+                            "system": "http://loinc.org",
+                            "code": "2571-8",
+                            "display": "Triglyceride [Mass/volume] in Serum or Plasma"
+                        }
+                    ]
+                },
+                "subject": {
+                    "reference": "urn:uuid:20985d9e-052b-4bf3-9fd8-48536dd9a983"
+                },
+                "effectiveDateTime": "2020-07-10T11:45:33+05:30",
+                "encounter": {
+                    "reference": "urn:uuid:189c3210-c036-4a61-9064-a1034314f686"
+                },
+                "performer": [
+                    {
+                        "reference": "urn:uuid:c603b863-6bcd-42ee-bda3-a879109a5d7f"
+                    }
+                ],
+                "valueQuantity": {
+                    "value": 146,
+                    "unit": "mg/dL",
+                    "system": "http://unitsofmeasure.org",
+                    "code": "mg/dL"
+                },
+                "referenceRange": [
+                    {
+                        "high": {
+                            "value": 150,
+                            "unit": "mg/dL",
+                            "system": "http://unitsofmeasure.org",
+                            "code": "mg/dL"
+                        }
+                    }
+                ],
+                "interpretation": [
+                    {
+                        "coding": [
+                            {
+                                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
+                                "code": "N",
+                                "display": "N"
+                            }
+                        ],
+                        "text": "N"
+                    }
+                ]
+            }
+        },
+        {
+            "fullUrl": "urn:uuid:ad4d6e30-2421-4158-879e-ef0c8773817f",
+            "resource": {
+                "resourceType": "Observation",
+                "id": "ad4d6e30-2421-4158-879e-ef0c8773817f",
+                "meta": {
+                    "profile": [
+                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation"
+                    ]
+                },
+                "status": "final",
+                "code": {
+                    "text": "Cholesterol in HDL [Mass/volume] in Serum or Plasma",
+                    "coding": [
+                        {
+                            "system": "http://loinc.org",
+                            "code": "2085-9",
+                            "display": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
+                        }
+                    ]
+                },
+                "subject": {
+                    "reference": "urn:uuid:20985d9e-052b-4bf3-9fd8-48536dd9a983"
+                },
+                "effectiveDateTime": "2020-07-10T11:45:33+05:30",
+                "encounter": {
+                    "reference": "urn:uuid:189c3210-c036-4a61-9064-a1034314f686"
+                },
+                "performer": [
+                    {
+                        "reference": "urn:uuid:c603b863-6bcd-42ee-bda3-a879109a5d7f"
+                    }
+                ],
+                "valueQuantity": {
+                    "value": 45,
+                    "unit": "mg/dL",
+                    "system": "http://unitsofmeasure.org",
+                    "code": "mg/dL"
+                },
+                "referenceRange": [
+                    {
+                        "low": {
+                            "value": 40,
+                            "unit": "mg/dL",
+                            "system": "http://unitsofmeasure.org",
+                            "code": "mg/dL"
+                        }
+                    }
+                ],
+                "interpretation": [
+                    {
+                        "coding": [
+                            {
+                                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
+                                "code": "N",
+                                "display": "N"
+                            }
+                        ],
+                        "text": "N"
+                    }
+                ]
+            }
+        }
+    ]
+}
--- a/writable/tmp/abdm_radiology_bundle_real_check.php
+++ b/writable/tmp/abdm_radiology_bundle_real_check.php
@ -0,0 +1,332 @@
+<?php
+
+declare(strict_types=1);
+
+use App\Libraries\FhirR4Builder;
+
+require dirname(__DIR__, 2) . '/vendor/autoload.php';
+
+function parseEnvFile(string $path): array
+{
+    if (!is_file($path)) {
+        return [];
+    }
+    $vars = [];
+    $lines = file($path, FILE_IGNORE_NEW_LINES | FILE_SKIP_EMPTY_LINES) ?: [];
+    foreach ($lines as $line) {
+        $line = trim((string) $line);
+        if ($line === '' || str_starts_with($line, '#')) {
+            continue;
+        }
+        $parts = explode('=', $line, 2);
+        if (count($parts) !== 2) {
+            continue;
+        }
+        $vars[trim((string) $parts[0])] = trim(trim((string) $parts[1]), " \t\n\r\0\x0B\"'");
+    }
+    return $vars;
+}
+
+function envVal(array $env, string $key, string $fallback = ''): string
+{
+    if (isset($env[$key]) && $env[$key] !== '') {
+        return (string) $env[$key];
+    }
+    $value = getenv($key);
+    if ($value !== false && $value !== '') {
+        return (string) $value;
+    }
+    return $fallback;
+}
+
+function tableExists(mysqli $mysqli, string $table): bool
+{
+    $safe = $mysqli->real_escape_string($table);
+    $res = $mysqli->query("SHOW TABLES LIKE '{$safe}'");
+    if (!$res) {
+        return false;
+    }
+    $exists = $res->num_rows > 0;
+    $res->free();
+    return $exists;
+}
+
+function unitToUcum(string $unit): string
+{
+    $map = ['mg/dl' => 'mg/dL', 'g/dl' => 'g/dL', 'mmhg' => 'mm[Hg]'];
+    $u = strtolower(trim($unit));
+    if ($u === '') {
+        return '';
+    }
+    return $map[$u] ?? trim($unit);
+}
+
+$root = dirname(__DIR__, 2);
+$env = parseEnvFile($root . '/.env');
+$host = envVal($env, 'database.default.hostname', '127.0.0.1');
+$user = envVal($env, 'database.default.username', 'root');
+$pass = envVal($env, 'database.default.password', '');
+$db = envVal($env, 'database.default.database', '');
+$port = (int) envVal($env, 'database.default.port', '3306');
+
+if ($db === '') {
+    fwrite(STDERR, "Could not determine database.default.database from .env\n");
+    exit(1);
+}
+
+$mysqli = @new mysqli($host, $user, $pass, $db, $port);
+if ($mysqli->connect_errno) {
+    fwrite(STDERR, "DB connection failed: " . $mysqli->connect_error . "\n");
+    exit(1);
+}
+$mysqli->set_charset('utf8mb4');
+
+$columns = [];
+$colResult = $mysqli->query('SHOW COLUMNS FROM lab_request');
+while ($colResult && ($row = $colResult->fetch_assoc())) {
+    $columns[] = (string) ($row['Field'] ?? '');
+}
+$colResult?->free();
+
+$patientIdCol = null;
+foreach (['patient_id', 'pid', 'patient_master_id', 'pat_id'] as $candidate) {
+    if (in_array($candidate, $columns, true)) {
+        $patientIdCol = $candidate;
+        break;
+    }
+}
+$patientSelect = $patientIdCol !== null ? ", {$patientIdCol} AS resolved_patient_id" : ', 0 AS resolved_patient_id';
+
+$usedFallback = false;
+$sql = "SELECT id, patient_name, lab_type, charge_id, Report_Data, report_data_Impression, status, reported_time, lab_repo_id {$patientSelect} FROM lab_request WHERE lab_type = 6 AND COALESCE(Report_Data,'') <> '' ORDER BY id DESC LIMIT 1";
+$labResult = $mysqli->query($sql);
+$labRow = $labResult ? $labResult->fetch_assoc() : null;
+$labResult?->free();
+
+if (!$labRow) {
+    $usedFallback = true;
+    $fallbackSql = "SELECT id, patient_name, lab_type, charge_id, Report_Data, report_data_Impression, status, reported_time, lab_repo_id {$patientSelect} FROM lab_request WHERE COALESCE(Report_Data,'') <> '' ORDER BY id DESC LIMIT 1";
+    $fallbackResult = $mysqli->query($fallbackSql);
+    $labRow = $fallbackResult ? $fallbackResult->fetch_assoc() : null;
+    $fallbackResult?->free();
+}
+
+if (!$labRow) {
+    fwrite(STDERR, "No lab_request row found with non-empty Report_Data for fallback validation\n");
+    exit(2);
+}
+
+$labReqId = (int) ($labRow['id'] ?? 0);
+$patientId = (int) ($labRow['resolved_patient_id'] ?? 0);
+
+$patientRow = [];
+if ($patientId > 0 && tableExists($mysqli, 'patient_master')) {
+    $stmt = $mysqli->prepare('SELECT id, p_fname, p_lname, gender, dob FROM patient_master WHERE id = ? LIMIT 1');
+    if ($stmt) {
+        $stmt->bind_param('i', $patientId);
+        $stmt->execute();
+        $res = $stmt->get_result();
+        $patientRow = $res ? ($res->fetch_assoc() ?: []) : [];
+        $res?->free();
+        $stmt->close();
+    }
+}
+
+$patName = trim(trim((string) ($patientRow['p_fname'] ?? '')) . ' ' . trim((string) ($patientRow['p_lname'] ?? '')));
+if ($patName === '') {
+    $patName = trim((string) ($labRow['patient_name'] ?? ''));
+}
+if ($patName === '') {
+    $patName = 'Unknown';
+}
+
+$testTitle = 'Radiology Report';
+$chargeId = (int) ($labRow['charge_id'] ?? 0);
+if ($chargeId > 0 && tableExists($mysqli, 'charge_master')) {
+    $chargeStmt = $mysqli->prepare('SELECT charge_name FROM charge_master WHERE id = ? LIMIT 1');
+    if ($chargeStmt) {
+        $chargeStmt->bind_param('i', $chargeId);
+        $chargeStmt->execute();
+        $res = $chargeStmt->get_result();
+        $row = $res ? ($res->fetch_assoc() ?: []) : [];
+        $res?->free();
+        $chargeStmt->close();
+        $name = trim((string) ($row['charge_name'] ?? ''));
+        if ($name !== '') {
+            $testTitle = $name;
+        }
+    }
+}
+
+$repoLoinc = '';
+$labRepoId = (int) ($labRow['lab_repo_id'] ?? 0);
+if ($labRepoId > 0 && tableExists($mysqli, 'lab_repo')) {
+    $repoStmt = $mysqli->prepare('SELECT loinc_code FROM lab_repo WHERE mstRepoKey = ? LIMIT 1');
+    if ($repoStmt) {
+        $repoStmt->bind_param('i', $labRepoId);
+        $repoStmt->execute();
+        $res = $repoStmt->get_result();
+        $row = $res ? ($res->fetch_assoc() ?: []) : [];
+        $res?->free();
+        $repoStmt->close();
+        $repoLoinc = trim((string) ($row['loinc_code'] ?? ''));
+    }
+}
+
+$hospitalName = '';
+$hfrId = '';
+if (tableExists($mysqli, 'hospital_setting')) {
+    $hs = $mysqli->query("SELECT s_name, s_value FROM hospital_setting WHERE s_name IN ('ABDM_HMS_NAME','ABDM_HFR_ID','H_Name')");
+    $settings = [];
+    while ($hs && ($row = $hs->fetch_assoc())) {
+        $settings[(string) $row['s_name']] = (string) ($row['s_value'] ?? '');
+    }
+    $hs?->free();
+    $hospitalName = trim((string) ($settings['ABDM_HMS_NAME'] ?? $settings['H_Name'] ?? ''));
+    $hfrId = trim((string) ($settings['ABDM_HFR_ID'] ?? ''));
+}
+
+$observations = [];
+if (tableExists($mysqli, 'lab_request_item') && tableExists($mysqli, 'lab_tests')) {
+    $obsSql = "SELECT lri.lab_test_id, lri.lab_test_value, lt.Test, lt.Unit, lt.FixedNormals, lt.loinc_code, lt.loinc_scale FROM lab_request_item lri LEFT JOIN lab_tests lt ON lt.mstTestKey = lri.lab_test_id WHERE lri.lab_request_id = ? ORDER BY lri.id ASC";
+    $obsStmt = $mysqli->prepare($obsSql);
+    if ($obsStmt) {
+        $obsStmt->bind_param('i', $labReqId);
+        $obsStmt->execute();
+        $obsRes = $obsStmt->get_result();
+        while ($obsRes && ($row = $obsRes->fetch_assoc())) {
+            $rawValue = trim((string) ($row['lab_test_value'] ?? ''));
+            if ($rawValue === '' || strtolower($rawValue) === 'n/a') {
+                continue;
+            }
+            $scale = strtolower(trim((string) ($row['loinc_scale'] ?? '')));
+            $isNumeric = is_numeric($rawValue) && $scale !== 'nom' && $scale !== 'ord';
+            $valueType = $isNumeric ? 'quantity' : 'string';
+            $unit = trim((string) ($row['Unit'] ?? ''));
+            $observations[] = [
+                'test_name' => trim((string) ($row['Test'] ?? '')) ?: ('Test-' . (string) ($row['lab_test_id'] ?? 'X')),
+                'loinc_code' => trim((string) ($row['loinc_code'] ?? '')),
+                'value_type' => $valueType,
+                'value' => $rawValue,
+                'unit' => $unit,
+                'ucum_code' => unitToUcum($unit),
+                'status' => ((string) ($labRow['status'] ?? '0')) === '1' ? 'final' : 'preliminary',
+            ];
+        }
+        $obsRes?->free();
+        $obsStmt->close();
+    }
+}
+
+$reportedRaw = trim((string) ($labRow['reported_time'] ?? ''));
+$reportedAt = $reportedRaw !== '' ? (new DateTime($reportedRaw, new DateTimeZone('Asia/Kolkata')))->format('Y-m-d\\TH:i:sP') : '';
+
+$patient = [
+    'id' => (string) ($patientId > 0 ? $patientId : ('RAD-' . $labReqId)),
+    'name' => $patName,
+    'gender' => trim((string) ($patientRow['gender'] ?? '')),
+    'birthDate' => !empty($patientRow['dob']) ? date('Y-m-d', strtotime((string) $patientRow['dob'])) : '',
+    'abhaAddress' => 'unknown@abdm',
+];
+
+$diagnosticReport = [
+    'id' => (string) $labReqId,
+    'title' => $testTitle,
+    'status' => ((string) ($labRow['status'] ?? '0')) === '1' ? 'final' : 'preliminary',
+    'conclusion' => trim((string) ($labRow['report_data_Impression'] ?? '')),
+    'reported_at' => $reportedAt,
+    'report_html' => trim((string) ($labRow['Report_Data'] ?? '')),
+    'is_imaging' => true,
+    'report_domain' => 'imaging',
+    'section_title' => 'Computed tomography imaging report',
+    'section_snomed_code' => '371531008',
+    'section_snomed_display' => 'Computed tomography imaging report',
+];
+if ($repoLoinc !== '') {
+    $diagnosticReport['loinc_code'] = $repoLoinc;
+}
+
+$organization = $hospitalName !== '' ? ['name' => $hospitalName, 'hfr_id' => $hfrId] : null;
+$encounter = [
+    'id' => 'RAD-' . $labReqId,
+    'status' => 'finished',
+    'class_code' => 'AMB',
+    'period_start' => $reportedAt,
+];
+
+$attachment = [
+    'title' => $testTitle . ' PDF Report',
+    'content_type' => 'application/pdf',
+    'data_base64' => base64_encode('%PDF-1.4 mock radiology report%'),
+];
+
+$builder = new FhirR4Builder();
+$bundle = $builder->buildLabReportBundle($patient, $diagnosticReport, $observations, null, $organization, $encounter, $attachment);
+
+$resources = [];
+foreach (($bundle['entry'] ?? []) as $entry) {
+    $r = $entry['resource'] ?? null;
+    if (is_array($r) && isset($r['resourceType'])) {
+        $resources[] = $r;
+    }
+}
+$byType = [];
+foreach ($resources as $res) {
+    $type = (string) ($res['resourceType'] ?? '');
+    if ($type !== '') {
+        $byType[$type][] = $res;
+    }
+}
+
+$composition = $byType['Composition'][0] ?? [];
+$diagReport = $byType['DiagnosticReport'][0] ?? [];
+$section = $composition['section'][0] ?? [];
+$sectionEntries = (array) ($section['entry'] ?? []);
+$hasTypedDiag = false;
+$hasTypedDocRef = false;
+foreach ($sectionEntries as $entry) {
+    if (($entry['type'] ?? '') === 'DiagnosticReport') {
+        $hasTypedDiag = true;
+    }
+    if (($entry['type'] ?? '') === 'DocumentReference') {
+        $hasTypedDocRef = true;
+    }
+}
+
+$checks = [
+    ['check' => 'Bundle profile DocumentBundle', 'ok' => in_array('https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentBundle', (array) (($bundle['meta']['profile'] ?? [])), true)],
+    ['check' => 'Composition profile DiagnosticReportRecord', 'ok' => in_array('https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportRecord', (array) (($composition['meta']['profile'] ?? [])), true)],
+    ['check' => 'DiagnosticReport profile DiagnosticReportImaging', 'ok' => in_array('https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportImaging', (array) (($diagReport['meta']['profile'] ?? [])), true)],
+    ['check' => 'Composition section has typed DiagnosticReport entry', 'ok' => $hasTypedDiag],
+    ['check' => 'Composition section has typed DocumentReference entry', 'ok' => $hasTypedDocRef],
+    ['check' => 'DiagnosticReport.resultsInterpreter present', 'ok' => count((array) ($diagReport['resultsInterpreter'] ?? [])) >= 1],
+    ['check' => 'DiagnosticReport.conclusion non-empty', 'ok' => trim((string) ($diagReport['conclusion'] ?? '')) !== ''],
+    ['check' => 'DiagnosticReport.media present', 'ok' => count((array) ($diagReport['media'] ?? [])) >= 1],
+    ['check' => 'Media resource present in bundle', 'ok' => !empty($byType['Media'])],
+];
+
+$out = $root . '/writable/tmp/abdm_radiology_bundle_real_sample.json';
+file_put_contents($out, json_encode($bundle, JSON_PRETTY_PRINT | JSON_UNESCAPED_SLASHES));
+
+$failed = array_values(array_filter($checks, static fn(array $c): bool => empty($c['ok'])));
+
+echo "ABDM Real Radiology Bundle Check\n";
+echo "================================\n";
+echo 'Lab Request ID: ' . $labReqId . "\n";
+echo 'Source lab_type: ' . (string) ($labRow['lab_type'] ?? '') . "\n";
+echo 'Fallback source used: ' . ($usedFallback ? 'yes' : 'no') . "\n";
+echo 'Patient ID: ' . ($patientId > 0 ? (string) $patientId : 'N/A') . "\n";
+echo 'Observations: ' . count($observations) . "\n\n";
+foreach ($checks as $c) {
+    echo sprintf("[%s] %s\n", $c['ok'] ? 'PASS' : 'FAIL', $c['check']);
+}
+
+echo "\nSaved radiology sample bundle to writable/tmp/abdm_radiology_bundle_real_sample.json\n";
+if ($failed !== []) {
+    echo 'Remaining gaps found: ' . count($failed) . "\n";
+    exit(2);
+}
+
+echo "No gaps found in this radiology profile sanity check.\n";
+$mysqli->close();
+exit(0);
--- a/writable/tmp/abdm_radiology_bundle_real_sample.json
+++ b/writable/tmp/abdm_radiology_bundle_real_sample.json
@ -0,0 +1,982 @@
+{
+    "resourceType": "Bundle",
+    "id": "be5ce2e5-0e82-49e5-8d6b-137259130d72",
+    "meta": {
+        "profile": [
+            "https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentBundle"
+        ],
+        "security": [
+            {
+                "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
+                "code": "V",
+                "display": "very restricted"
+            }
+        ]
+    },
+    "identifier": {
+        "system": "https://in0510000828.hfr.abdm.gov.in",
+        "value": "LAB-24"
+    },
+    "type": "document",
+    "timestamp": "2026-05-31T03:27:38+05:30",
+    "entry": [
+        {
+            "fullUrl": "urn:uuid:d69a5070-6e71-4391-a6d3-c6f6db596f8c",
+            "resource": {
+                "resourceType": "Composition",
+                "id": "d69a5070-6e71-4391-a6d3-c6f6db596f8c",
+                "meta": {
+                    "profile": [
+                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportRecord"
+                    ]
+                },
+                "language": "en-IN",
+                "identifier": {
+                    "system": "https://ndhm.in/phr",
+                    "value": "d69a5070-6e71-4391-a6d3-c6f6db596f8c"
+                },
+                "status": "final",
+                "type": {
+                    "coding": [
+                        {
+                            "system": "http://snomed.info/sct",
+                            "code": "721979004",
+                            "display": "Diagnostic Report- Imaging"
+                        }
+                    ],
+                    "text": "Diagnostic Report- Imaging"
+                },
+                "subject": {
+                    "reference": "urn:uuid:ddc0b57a-0e23-4064-a7bf-0f8e0918be71",
+                    "display": "Patient"
+                },
+                "date": "2026-05-31T03:27:38+05:30",
+                "author": [
+                    {
+                        "reference": "urn:uuid:0a3a334b-2fe0-4466-b528-0dffd612a1c6"
+                    }
+                ],
+                "title": "Radiology Report",
+                "section": [
+                    {
+                        "title": "Computed tomography imaging report",
+                        "code": {
+                            "coding": [
+                                {
+                                    "system": "http://snomed.info/sct",
+                                    "code": "371531008",
+                                    "display": "Computed tomography imaging report"
+                                }
+                            ]
+                        },
+                        "entry": [
+                            {
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+                "id": "547f3806-bf50-4d73-91a4-6c8e4fa1c186",
+                "meta": {
+                    "profile": [
+                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation"
+                    ]
+                },
+                "status": "preliminary",
+                "code": {
+                    "text": "Hemoglobin",
+                    "coding": [
+                        {
+                            "system": "http://loinc.org",
+                            "code": "718-7",
+                            "display": "Hemoglobin"
+                        }
+                    ]
+                },
+                "subject": {
+                    "reference": "urn:uuid:ddc0b57a-0e23-4064-a7bf-0f8e0918be71"
+                },
+                "effectiveDateTime": "2026-05-31T01:13:43+05:30",
+                "encounter": {
+                    "reference": "urn:uuid:1bf6a0f5-be01-470e-b431-150383993673"
+                },
+                "performer": [
+                    {
+                        "reference": "urn:uuid:0a3a334b-2fe0-4466-b528-0dffd612a1c6"
+                    }
+                ],
+                "valueQuantity": {
+                    "value": 11,
+                    "unit": "g/dL",
+                    "system": "http://unitsofmeasure.org",
+                    "code": "g/dL"
+                }
+            }
+        },
+        {
+            "fullUrl": "urn:uuid:2de0d2a8-0c3d-4d3a-9f21-60ebb11159d9",
+            "resource": {
+                "resourceType": "Observation",
+                "id": "2de0d2a8-0c3d-4d3a-9f21-60ebb11159d9",
+                "meta": {
+                    "profile": [
+                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation"
+                    ]
+                },
+                "status": "preliminary",
+                "code": {
+                    "text": "Total Leukocyte Count",
+                    "coding": [
+                        {
+                            "system": "http://loinc.org",
+                            "code": "6690-2",
+                            "display": "Total Leukocyte Count"
+                        }
+                    ]
+                },
+                "subject": {
+                    "reference": "urn:uuid:ddc0b57a-0e23-4064-a7bf-0f8e0918be71"
+                },
+                "effectiveDateTime": "2026-05-31T01:13:43+05:30",
+                "encounter": {
+                    "reference": "urn:uuid:1bf6a0f5-be01-470e-b431-150383993673"
+                },
+                "performer": [
+                    {
+                        "reference": "urn:uuid:0a3a334b-2fe0-4466-b528-0dffd612a1c6"
+                    }
+                ],
+                "valueQuantity": {
+                    "value": 10,
+                    "unit": "10^3/uL",
+                    "system": "http://unitsofmeasure.org",
+                    "code": "10^3/uL"
+                }
+            }
+        },
+        {
+            "fullUrl": "urn:uuid:a87806b9-10de-421a-ae84-3b691c57df16",
+            "resource": {
+                "resourceType": "Observation",
+                "id": "a87806b9-10de-421a-ae84-3b691c57df16",
+                "meta": {
+                    "profile": [
+                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation"
+                    ]
+                },
+                "status": "preliminary",
+                "code": {
+                    "text": "Neutrophils",
+                    "coding": [
+                        {
+                            "system": "http://loinc.org",
+                            "code": "770-8",
+                            "display": "Neutrophils"
+                        }
+                    ]
+                },
+                "subject": {
+                    "reference": "urn:uuid:ddc0b57a-0e23-4064-a7bf-0f8e0918be71"
+                },
+                "effectiveDateTime": "2026-05-31T01:13:43+05:30",
+                "encounter": {
+                    "reference": "urn:uuid:1bf6a0f5-be01-470e-b431-150383993673"
+                },
+                "performer": [
+                    {
+                        "reference": "urn:uuid:0a3a334b-2fe0-4466-b528-0dffd612a1c6"
+                    }
+                ],
+                "valueQuantity": {
+                    "value": 10,
+                    "unit": "%",
+                    "system": "http://unitsofmeasure.org",
+                    "code": "%"
+                }
+            }
+        },
+        {
+            "fullUrl": "urn:uuid:596c48ad-2cd3-48d2-8a8a-8a1e56567cfe",
+            "resource": {
+                "resourceType": "Observation",
+                "id": "596c48ad-2cd3-48d2-8a8a-8a1e56567cfe",
+                "meta": {
+                    "profile": [
+                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation"
+                    ]
+                },
+                "status": "preliminary",
+                "code": {
+                    "text": "Lymphocytes",
+                    "coding": [
+                        {
+                            "system": "http://loinc.org",
+                            "code": "736-9",
+                            "display": "Lymphocytes"
+                        }
+                    ]
+                },
+                "subject": {
+                    "reference": "urn:uuid:ddc0b57a-0e23-4064-a7bf-0f8e0918be71"
+                },
+                "effectiveDateTime": "2026-05-31T01:13:43+05:30",
+                "encounter": {
+                    "reference": "urn:uuid:1bf6a0f5-be01-470e-b431-150383993673"
+                },
+                "performer": [
+                    {
+                        "reference": "urn:uuid:0a3a334b-2fe0-4466-b528-0dffd612a1c6"
+                    }
+                ],
+                "valueQuantity": {
+                    "value": 10,
+                    "unit": "%",
+                    "system": "http://unitsofmeasure.org",
+                    "code": "%"
+                }
+            }
+        },
+        {
+            "fullUrl": "urn:uuid:497992c4-b44a-46ff-8835-7e8210050e19",
+            "resource": {
+                "resourceType": "Observation",
+                "id": "497992c4-b44a-46ff-8835-7e8210050e19",
+                "meta": {
+                    "profile": [
+                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation"
+                    ]
+                },
+                "status": "preliminary",
+                "code": {
+                    "text": "Monocytes",
+                    "coding": [
+                        {
+                            "system": "http://loinc.org",
+                            "code": "5905-5",
+                            "display": "Monocytes"
+                        }
+                    ]
+                },
+                "subject": {
+                    "reference": "urn:uuid:ddc0b57a-0e23-4064-a7bf-0f8e0918be71"
+                },
+                "effectiveDateTime": "2026-05-31T01:13:43+05:30",
+                "encounter": {
+                    "reference": "urn:uuid:1bf6a0f5-be01-470e-b431-150383993673"
+                },
+                "performer": [
+                    {
+                        "reference": "urn:uuid:0a3a334b-2fe0-4466-b528-0dffd612a1c6"
+                    }
+                ],
+                "valueQuantity": {
+                    "value": 10,
+                    "unit": "%",
+                    "system": "http://unitsofmeasure.org",
+                    "code": "%"
+                }
+            }
+        },
+        {
+            "fullUrl": "urn:uuid:6c74b672-9d99-4176-8d8c-32c96ae68c8e",
+            "resource": {
+                "resourceType": "Observation",
+                "id": "6c74b672-9d99-4176-8d8c-32c96ae68c8e",
+                "meta": {
+                    "profile": [
+                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation"
+                    ]
+                },
+                "status": "preliminary",
+                "code": {
+                    "text": "Band Cells",
+                    "coding": [
+                        {
+                            "system": "http://loinc.org",
+                            "code": "764-1",
+                            "display": "Band Cells"
+                        }
+                    ]
+                },
+                "subject": {
+                    "reference": "urn:uuid:ddc0b57a-0e23-4064-a7bf-0f8e0918be71"
+                },
+                "effectiveDateTime": "2026-05-31T01:13:43+05:30",
+                "encounter": {
+                    "reference": "urn:uuid:1bf6a0f5-be01-470e-b431-150383993673"
+                },
+                "performer": [
+                    {
+                        "reference": "urn:uuid:0a3a334b-2fe0-4466-b528-0dffd612a1c6"
+                    }
+                ],
+                "valueQuantity": {
+                    "value": 10,
+                    "unit": "%",
+                    "system": "http://unitsofmeasure.org",
+                    "code": "%"
+                }
+            }
+        },
+        {
+            "fullUrl": "urn:uuid:06fe2455-d11d-49ff-be6b-76258e0e9548",
+            "resource": {
+                "resourceType": "Observation",
+                "id": "06fe2455-d11d-49ff-be6b-76258e0e9548",
+                "meta": {
+                    "profile": [
+                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation"
+                    ]
+                },
+                "status": "preliminary",
+                "code": {
+                    "text": "Immature Cells",
+                    "coding": [
+                        {
+                            "system": "http://loinc.org",
+                            "code": "38518-7",
+                            "display": "Immature Cells"
+                        }
+                    ]
+                },
+                "subject": {
+                    "reference": "urn:uuid:ddc0b57a-0e23-4064-a7bf-0f8e0918be71"
+                },
+                "effectiveDateTime": "2026-05-31T01:13:43+05:30",
+                "encounter": {
+                    "reference": "urn:uuid:1bf6a0f5-be01-470e-b431-150383993673"
+                },
+                "performer": [
+                    {
+                        "reference": "urn:uuid:0a3a334b-2fe0-4466-b528-0dffd612a1c6"
+                    }
+                ],
+                "valueQuantity": {
+                    "value": 9,
+                    "unit": "%",
+                    "system": "http://unitsofmeasure.org",
+                    "code": "%"
+                }
+            }
+        },
+        {
+            "fullUrl": "urn:uuid:32f51bf0-c4ae-4be9-a25d-2f05fba2926e",
+            "resource": {
+                "resourceType": "Observation",
+                "id": "32f51bf0-c4ae-4be9-a25d-2f05fba2926e",
+                "meta": {
+                    "profile": [
+                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation"
+                    ]
+                },
+                "status": "preliminary",
+                "code": {
+                    "text": "Red Blood Cells",
+                    "coding": [
+                        {
+                            "system": "http://loinc.org",
+                            "code": "789-8",
+                            "display": "Red Blood Cells"
+                        }
+                    ]
+                },
+                "subject": {
+                    "reference": "urn:uuid:ddc0b57a-0e23-4064-a7bf-0f8e0918be71"
+                },
+                "effectiveDateTime": "2026-05-31T01:13:43+05:30",
+                "encounter": {
+                    "reference": "urn:uuid:1bf6a0f5-be01-470e-b431-150383993673"
+                },
+                "performer": [
+                    {
+                        "reference": "urn:uuid:0a3a334b-2fe0-4466-b528-0dffd612a1c6"
+                    }
+                ],
+                "valueQuantity": {
+                    "value": 10,
+                    "unit": "10^6/uL",
+                    "system": "http://unitsofmeasure.org",
+                    "code": "10^6/uL"
+                }
+            }
+        },
+        {
+            "fullUrl": "urn:uuid:b81a986d-8550-4679-b399-d33c61adcd68",
+            "resource": {
+                "resourceType": "Observation",
+                "id": "b81a986d-8550-4679-b399-d33c61adcd68",
+                "meta": {
+                    "profile": [
+                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation"
+                    ]
+                },
+                "status": "preliminary",
+                "code": {
+                    "text": "Packed Cell Volume",
+                    "coding": [
+                        {
+                            "system": "http://loinc.org",
+                            "code": "4544-3",
+                            "display": "Packed Cell Volume"
+                        }
+                    ]
+                },
+                "subject": {
+                    "reference": "urn:uuid:ddc0b57a-0e23-4064-a7bf-0f8e0918be71"
+                },
+                "effectiveDateTime": "2026-05-31T01:13:43+05:30",
+                "encounter": {
+                    "reference": "urn:uuid:1bf6a0f5-be01-470e-b431-150383993673"
+                },
+                "performer": [
+                    {
+                        "reference": "urn:uuid:0a3a334b-2fe0-4466-b528-0dffd612a1c6"
+                    }
+                ],
+                "valueQuantity": {
+                    "value": 10,
+                    "unit": "%",
+                    "system": "http://unitsofmeasure.org",
+                    "code": "%"
+                }
+            }
+        },
+        {
+            "fullUrl": "urn:uuid:86acf390-0c6d-444b-b1b4-4db516bbc3ad",
+            "resource": {
+                "resourceType": "Observation",
+                "id": "86acf390-0c6d-444b-b1b4-4db516bbc3ad",
+                "meta": {
+                    "profile": [
+                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation"
+                    ]
+                },
+                "status": "preliminary",
+                "code": {
+                    "text": "Mean Corpuscular Volume",
+                    "coding": [
+                        {
+                            "system": "http://loinc.org",
+                            "code": "8457-4",
+                            "display": "Mean Corpuscular Volume"
+                        }
+                    ]
+                },
+                "subject": {
+                    "reference": "urn:uuid:ddc0b57a-0e23-4064-a7bf-0f8e0918be71"
+                },
+                "effectiveDateTime": "2026-05-31T01:13:43+05:30",
+                "encounter": {
+                    "reference": "urn:uuid:1bf6a0f5-be01-470e-b431-150383993673"
+                },
+                "performer": [
+                    {
+                        "reference": "urn:uuid:0a3a334b-2fe0-4466-b528-0dffd612a1c6"
+                    }
+                ],
+                "valueQuantity": {
+                    "value": 10,
+                    "unit": "fL",
+                    "system": "http://unitsofmeasure.org",
+                    "code": "fL"
+                }
+            }
+        },
+        {
+            "fullUrl": "urn:uuid:4759bd0e-390e-4265-a099-66079e4f1abd",
+            "resource": {
+                "resourceType": "Observation",
+                "id": "4759bd0e-390e-4265-a099-66079e4f1abd",
+                "meta": {
+                    "profile": [
+                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation"
+                    ]
+                },
+                "status": "preliminary",
+                "code": {
+                    "text": "Mean Corpuscular Hemoglobin",
+                    "coding": [
+                        {
+                            "system": "http://loinc.org",
+                            "code": "785-6",
+                            "display": "Mean Corpuscular Hemoglobin"
+                        }
+                    ]
+                },
+                "subject": {
+                    "reference": "urn:uuid:ddc0b57a-0e23-4064-a7bf-0f8e0918be71"
+                },
+                "effectiveDateTime": "2026-05-31T01:13:43+05:30",
+                "encounter": {
+                    "reference": "urn:uuid:1bf6a0f5-be01-470e-b431-150383993673"
+                },
+                "performer": [
+                    {
+                        "reference": "urn:uuid:0a3a334b-2fe0-4466-b528-0dffd612a1c6"
+                    }
+                ],
+                "valueQuantity": {
+                    "value": 10,
+                    "unit": "pg",
+                    "system": "http://unitsofmeasure.org",
+                    "code": "pg"
+                }
+            }
+        },
+        {
+            "fullUrl": "urn:uuid:be897524-eafe-433a-bfa2-076d8b0b0cd8",
+            "resource": {
+                "resourceType": "Observation",
+                "id": "be897524-eafe-433a-bfa2-076d8b0b0cd8",
+                "meta": {
+                    "profile": [
+                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation"
+                    ]
+                },
+                "status": "preliminary",
+                "code": {
+                    "text": "Mean Corpuscular Hemoglobin Concentration",
+                    "coding": [
+                        {
+                            "system": "http://loinc.org",
+                            "code": "59260-0",
+                            "display": "Mean Corpuscular Hemoglobin Concentration"
+                        }
+                    ]
+                },
+                "subject": {
+                    "reference": "urn:uuid:ddc0b57a-0e23-4064-a7bf-0f8e0918be71"
+                },
+                "effectiveDateTime": "2026-05-31T01:13:43+05:30",
+                "encounter": {
+                    "reference": "urn:uuid:1bf6a0f5-be01-470e-b431-150383993673"
+                },
+                "performer": [
+                    {
+                        "reference": "urn:uuid:0a3a334b-2fe0-4466-b528-0dffd612a1c6"
+                    }
+                ],
+                "valueQuantity": {
+                    "value": 1,
+                    "unit": "g/dL",
+                    "system": "http://unitsofmeasure.org",
+                    "code": "g/dL"
+                }
+            }
+        },
+        {
+            "fullUrl": "urn:uuid:c1c5e2a6-59f5-429d-90c2-f39b370100a7",
+            "resource": {
+                "resourceType": "Observation",
+                "id": "c1c5e2a6-59f5-429d-90c2-f39b370100a7",
+                "meta": {
+                    "profile": [
+                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation"
+                    ]
+                },
+                "status": "preliminary",
+                "code": {
+                    "text": "Platelet Count",
+                    "coding": [
+                        {
+                            "system": "http://loinc.org",
+                            "code": "777-3",
+                            "display": "Platelet Count"
+                        }
+                    ]
+                },
+                "subject": {
+                    "reference": "urn:uuid:ddc0b57a-0e23-4064-a7bf-0f8e0918be71"
+                },
+                "effectiveDateTime": "2026-05-31T01:13:43+05:30",
+                "encounter": {
+                    "reference": "urn:uuid:1bf6a0f5-be01-470e-b431-150383993673"
+                },
+                "performer": [
+                    {
+                        "reference": "urn:uuid:0a3a334b-2fe0-4466-b528-0dffd612a1c6"
+                    }
+                ],
+                "valueQuantity": {
+                    "value": 10,
+                    "unit": "10^3/uL",
+                    "system": "http://unitsofmeasure.org",
+                    "code": "10^3/uL"
+                }
+            }
+        }
+    ]
+}
--- a/writable/tmp/abha_probe.php
+++ b/writable/tmp/abha_probe.php
@ -0,0 +1,31 @@
+<?php
+$mysqli = new mysqli('localhost', 'root', '', 'hms_data_ci4', 3306);
+if ($mysqli->connect_errno) {
+    fwrite(STDERR, 'connect_error: ' . $mysqli->connect_error . PHP_EOL);
+    exit(1);
+}
+
+$tables = ['patient_master', 'abdm_opd_tokens'];
+foreach ($tables as $t) {
+    echo "\n== {$t} ==\n";
+    $res = $mysqli->query("SHOW COLUMNS FROM `{$t}`");
+    while ($row = $res->fetch_assoc()) {
+        if (stripos($row['Field'], 'abha') !== false) {
+            echo $row['Field'] . ' | ' . $row['Type'] . ' | NULL=' . $row['Null'] . PHP_EOL;
+        }
+    }
+}
+
+echo "\n== patient_master data checks ==\n";
+$q = [
+  "SELECT COUNT(*) c FROM patient_master WHERE abha_id IS NOT NULL AND abha_id <> ''",
+  "SELECT COUNT(*) c FROM patient_master WHERE abha_address IS NOT NULL AND abha_address <> ''",
+  "SELECT COUNT(*) c FROM patient_master WHERE abha_id IS NOT NULL AND abha_id <> '' AND abha_id LIKE '%@%'",
+  "SELECT COUNT(*) c FROM patient_master WHERE abha_id IS NOT NULL AND abha_id <> '' AND abha_address IS NOT NULL AND abha_address <> ''",
+];
+foreach ($q as $sql) {
+  $r = $mysqli->query($sql);
+  $row = $r->fetch_assoc();
+  echo $sql . ' => ' . (int)$row['c'] . PHP_EOL;
+}
+?>