d_s_bisht/devsofttech_hms_ci4
1
0
Fork 0
Code Issues Pull Requests Actions Packages Projects Releases Wiki Activity

fix(fhir): ensure strict canonical display values for SNOMED/LOINC/HL7 codings to prevent PHR validation errors

Browse Source
This commit is contained in:
DevSoftTech Server 2026-09-04 20:14:44 +05:30
parent 6525422af4
commit a6bb1f7cda
1 changed files with 9 additions and 3 deletions
Show Stats Download Patch File Download Diff File Expand all files Collapse all files

12
app/Libraries/Abdm/Fhir/Generators/DischargeFhirGenerator.php
View File

@ -273,6 +273,7 @@ class DischargeFhirGenerator extends \App\Libraries\Abdm\Fhir\Generators\Abstrac
// ABDM PHR: use exam category for admission/discharge condition observations;
// vital-signs category only for true vital measurements.
$obsCategoryCode = ($isAdm || $isDis) ? 'exam' : 'vital-signs';
$obsCategoryCanonicalDisplay = ($isAdm || $isDis) ? 'Exam' : 'Vital Signs';
$obsCategorySystem = 'http://terminology.hl7.org/CodeSystem/observation-category';
$coding = [];
@ -314,7 +315,7 @@ class DischargeFhirGenerator extends \App\Libraries\Abdm\Fhir\Generators\Abstrac
'coding' => [[
'system' => $obsCategorySystem,
'code' => $obsCategoryCode,
'display' => $obsCategoryDisplay,
'display' => $obsCategoryCanonicalDisplay,
]],
]],
'code' => [
@ -595,12 +596,17 @@ class DischargeFhirGenerator extends \App\Libraries\Abdm\Fhir\Generators\Abstrac
$docTitle = trim((string) ($document['title'] ?? 'Clinical document'));
$snomedCode = trim((string) ($document['snomed_code'] ?? ''));
$snomedDisplay = trim((string) ($document['snomed_display'] ?? ''));
if ($snomedCode === '') {
if (stripos($docTitle, 'Bill') !== false || stripos($docTitle, 'Invoice') !== false) {
$snomedCode = '823651000000106'; // Billing record
$snomedDisplay = 'Billing record';
} else {
$snomedCode = '373942005'; // Discharge summary
$snomedDisplay = 'Discharge summary';
}
} elseif ($snomedDisplay === '') {
$snomedDisplay = $docTitle;
}
$rawBytes = base64_decode($data);
@ -620,7 +626,7 @@ class DischargeFhirGenerator extends \App\Libraries\Abdm\Fhir\Generators\Abstrac
'type' => ['coding' => [[
'system' => 'http://snomed.info/sct',
'code' => $snomedCode,
'display' => $docTitle,
'display' => $snomedDisplay,
]], 'text' => $docTitle],
'subject' => [
'reference' => $patientRef,
@ -812,7 +818,7 @@ class DischargeFhirGenerator extends \App\Libraries\Abdm\Fhir\Generators\Abstrac
return ['code' => '8462-4', 'display' => 'Diastolic blood pressure'];
}
if (str_contains($upper, 'SPO2') || str_contains($upper, 'OXYGEN')) {
return ['code' => '2708-6', 'display' => 'Oxygen saturation in Arterial blood by Pulse oximetry'];
return ['code' => '59408-5', 'display' => 'Oxygen saturation in Arterial blood by Pulse oximetry'];
}
if (str_contains($upper, 'RBS') || str_contains($upper, 'RANDOM BLOOD SUGAR') || str_contains($upper, 'GLUCOSE')) {
return ['code' => '2345-7', 'display' => 'Glucose [Mass/volume] in Serum or Plasma'];