{
    "resourceType": "Bundle",
    "id": "discharge-A26090000009-v1788660473",
    "meta": {
        "versionId": "1",
        "lastUpdated": "2026-09-06T07:37:53+05:30",
        "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://hms.local/fhir/document",
        "value": "discharge-A26090000009-v1788660473"
    },
    "type": "document",
    "timestamp": "2026-09-06T07:37:53+05:30",
    "entry": [
        {
            "fullUrl": "urn:uuid:fdf46837-ab78-42a7-a550-8d64a35b6508",
            "resource": {
                "resourceType": "Composition",
                "id": "fdf46837-ab78-42a7-a550-8d64a35b6508",
                "status": "final",
                "type": {
                    "coding": [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "373942005",
                            "display": "Discharge summary"
                        }
                    ],
                    "text": "Discharge Summary"
                },
                "title": "Discharge Summary",
                "date": "2026-09-06T07:37:53+05:30",
                "subject": {
                    "reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901",
                    "display": "DEVENDER SINGH"
                },
                "author": [
                    {
                        "reference": "urn:uuid:0c561894-fc78-4bb9-ab25-a2aa05c739e6",
                        "display": "Dr. R.K.SUNDRIYAL"
                    }
                ],
                "custodian": {
                    "reference": "urn:uuid:41fddd40-0707-47b6-a22b-17a70e068116",
                    "display": "E-Atria Hospital"
                },
                "encounter": {
                    "reference": "urn:uuid:ad844f8c-3803-4f39-a00e-5d908e580b55"
                },
                "meta": {
                    "versionId": "1",
                    "lastUpdated": "2026-09-06T07:37:53+05:30",
                    "profile": [
                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/DischargeSummaryRecord"
                    ]
                },
                "language": "en-IN",
                "confidentiality": "N",
                "text": {
                    "status": "generated",
                    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-IN\" lang=\"en-IN\"><div style=\"border-bottom:2px solid #0284c7;padding-bottom:6px;margin-bottom:12px;\"><h2 style=\"margin:0 0 4px 0;color:#0369a1;\">E-Atria Hospital</h2><div style=\"font-size:14pt;font-weight:bold;color:#0284c7;\">IPD Discharge Summary</div></div><table style=\"width:100%;border-collapse:collapse;margin-bottom:14px;background:#f8fafc;font-size:10pt;\"><tr><td style=\"border:1px solid #cbd5e1;padding:6px;\"><strong>Patient:</strong> DEVENDER SINGH</td><td style=\"border:1px solid #cbd5e1;padding:6px;\"><strong>IPD No:</strong> A26090000009-v1788660473</td></tr><tr><td style=\"border:1px solid #cbd5e1;padding:6px;\"><strong>Gender / DOB:</strong> Male / 1979-03-28</td><td style=\"border:1px solid #cbd5e1;padding:6px;\"><strong>ABHA Number:</strong> 91510165305101</td></tr><tr><td style=\"border:1px solid #cbd5e1;padding:6px;\"><strong>Admission Date:</strong> 2026-08-28T10:00:00+05:30</td><td style=\"border:1px solid #cbd5e1;padding:6px;\"><strong>Discharge Date:</strong> 2026-09-06T07:37:53+05:30</td></tr><tr><td style=\"border:1px solid #cbd5e1;padding:6px;\"><strong>Location / Bed:</strong> Ward: General Ward, Bed: GW-12</td><td style=\"border:1px solid #cbd5e1;padding:6px;\"><strong>Doctor:</strong> Dr. R.K.SUNDRIYAL</td></tr></table></div>"
                },
                "section": [
                    {
                        "title": "Chief complaints",
                        "code": {
                            "coding": [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "422843007",
                                    "display": "Chief complaint section"
                                }
                            ]
                        },
                        "entry": [
                            {
                                "reference": "urn:uuid:ee9837f1-95a6-41fc-aa4f-f245744fc8c6",
                                "display": "Abdominal Pain"
                            },
                            {
                                "reference": "urn:uuid:e6d1cece-4973-46d4-ace5-d96047401b20",
                                "display": "Cough"
                            },
                            {
                                "reference": "urn:uuid:a712dc95-6feb-4b11-a7ea-5699b8845317",
                                "display": "Vomiting"
                            }
                        ]
                    },
                    {
                        "title": "Medical History",
                        "code": {
                            "coding": [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "1003642006",
                                    "display": "Past medical history section"
                                }
                            ]
                        },
                        "entry": [
                            {
                                "reference": "urn:uuid:3a84e6c1-a483-4cde-a4a3-9b3ba8d5ebf7",
                                "display": "VIRAL DISEASE"
                            }
                        ]
                    },
                    {
                        "title": "Procedures",
                        "code": {
                            "coding": [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "1003640003",
                                    "display": "History of past procedure section"
                                }
                            ]
                        },
                        "entry": [
                            {
                                "reference": "urn:uuid:95411403-5e4f-4c93-acee-fe7457d5acf5",
                                "display": "Laparoscopy of rectum"
                            }
                        ]
                    },
                    {
                        "title": "Medications",
                        "code": {
                            "coding": [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "1003606003",
                                    "display": "Medication history section"
                                }
                            ]
                        },
                        "entry": [
                            {
                                "reference": "urn:uuid:a89d0861-d785-4103-aa88-9cb79c119e6d",
                                "display": "ACILOC"
                            },
                            {
                                "reference": "urn:uuid:657d375d-6fa1-4971-a112-a789d9b2904d",
                                "display": "PANTOP DSR"
                            }
                        ]
                    },
                    {
                        "title": "Care Plan",
                        "code": {
                            "coding": [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "734163000",
                                    "display": "Care plan"
                                }
                            ]
                        },
                        "entry": [
                            {
                                "reference": "urn:uuid:1b57be60-c849-4bd7-a090-7da51d4ab193",
                                "display": "Follow Up"
                            }
                        ]
                    },
                    {
                        "title": "Document Reference",
                        "code": {
                            "coding": [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "373942005",
                                    "display": "Discharge summary"
                                }
                            ]
                        },
                        "entry": [
                            {
                                "reference": "urn:uuid:77c657dd-25fa-4ae0-af23-b46918820bb9",
                                "display": "IPD Discharge Summary"
                            }
                        ]
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901",
            "resource": {
                "resourceType": "Patient",
                "id": "11cef8a6-4cd1-4733-afd0-92898eb57901",
                "meta": {
                    "profile": [
                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient"
                    ]
                },
                "text": {
                    "status": "generated",
                    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Patient:</b> DEVENDER SINGH (Male)</p></div>"
                },
                "identifier": [
                    {
                        "type": {
                            "coding": [
                                {
                                    "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                                    "code": "MR",
                                    "display": "Medical record number"
                                }
                            ]
                        },
                        "system": "https://hms.local/patient-id",
                        "value": "11"
                    },
                    {
                        "type": {
                            "coding": [
                                {
                                    "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                                    "code": "SB",
                                    "display": "Social Beneficiary Identifier"
                                }
                            ]
                        },
                        "system": "https://healthid.ndhm.gov.in",
                        "value": "91510165305101"
                    }
                ],
                "name": [
                    {
                        "use": "official",
                        "text": "DEVENDER SINGH"
                    }
                ],
                "gender": "male",
                "birthDate": "1979-03-28"
            }
        },
        {
            "fullUrl": "urn:uuid:0c561894-fc78-4bb9-ab25-a2aa05c739e6",
            "resource": {
                "resourceType": "Practitioner",
                "id": "0c561894-fc78-4bb9-ab25-a2aa05c739e6",
                "meta": {
                    "profile": [
                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner"
                    ]
                },
                "text": {
                    "status": "generated",
                    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Practitioner:</b> Dr. R.K.SUNDRIYAL</p></div>"
                },
                "identifier": [
                    {
                        "type": {
                            "coding": [
                                {
                                    "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                                    "code": "MD",
                                    "display": "Medical License number"
                                }
                            ]
                        },
                        "system": "https://doctor.ndhm.gov.in",
                        "value": "HPR-4"
                    }
                ],
                "name": [
                    {
                        "use": "official",
                        "text": "Dr. R.K.SUNDRIYAL"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:41fddd40-0707-47b6-a22b-17a70e068116",
            "resource": {
                "resourceType": "Organization",
                "id": "41fddd40-0707-47b6-a22b-17a70e068116",
                "meta": {
                    "profile": [
                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"
                    ]
                },
                "text": {
                    "status": "generated",
                    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Organization:</b> E-Atria Hospital</p></div>"
                },
                "name": "E-Atria Hospital",
                "identifier": [
                    {
                        "type": {
                            "coding": [
                                {
                                    "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                                    "code": "PRN",
                                    "display": "Provider number"
                                }
                            ]
                        },
                        "system": "https://facility.ndhm.gov.in",
                        "value": "IN0510000871"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:ee9837f1-95a6-41fc-aa4f-f245744fc8c6",
            "resource": {
                "resourceType": "Condition",
                "id": "ee9837f1-95a6-41fc-aa4f-f245744fc8c6",
                "meta": {
                    "profile": [
                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Condition"
                    ]
                },
                "text": {
                    "status": "generated",
                    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Condition:</b> Abdominal Pain</p></div>"
                },
                "clinicalStatus": {
                    "coding": [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                            "code": "active",
                            "display": "Active"
                        }
                    ]
                },
                "code": {
                    "coding": [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "21522000",
                            "display": "Abdominal pain"
                        }
                    ],
                    "text": "Abdominal Pain"
                },
                "subject": {
                    "reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901",
                    "display": "DEVENDER SINGH"
                },
                "recordedDate": "2026-08-28T10:00:00+05:30"
            }
        },
        {
            "fullUrl": "urn:uuid:e6d1cece-4973-46d4-ace5-d96047401b20",
            "resource": {
                "resourceType": "Condition",
                "id": "e6d1cece-4973-46d4-ace5-d96047401b20",
                "meta": {
                    "profile": [
                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Condition"
                    ]
                },
                "text": {
                    "status": "generated",
                    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Condition:</b> Cough</p></div>"
                },
                "clinicalStatus": {
                    "coding": [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                            "code": "active",
                            "display": "Active"
                        }
                    ]
                },
                "code": {
                    "coding": [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "49727002",
                            "display": "Cough"
                        }
                    ],
                    "text": "Cough"
                },
                "subject": {
                    "reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901",
                    "display": "DEVENDER SINGH"
                },
                "recordedDate": "2026-08-28T10:00:00+05:30"
            }
        },
        {
            "fullUrl": "urn:uuid:a712dc95-6feb-4b11-a7ea-5699b8845317",
            "resource": {
                "resourceType": "Condition",
                "id": "a712dc95-6feb-4b11-a7ea-5699b8845317",
                "meta": {
                    "profile": [
                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Condition"
                    ]
                },
                "text": {
                    "status": "generated",
                    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Condition:</b> Vomiting</p></div>"
                },
                "clinicalStatus": {
                    "coding": [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                            "code": "active",
                            "display": "Active"
                        }
                    ]
                },
                "code": {
                    "coding": [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "422400008",
                            "display": "Vomiting"
                        }
                    ],
                    "text": "Vomiting"
                },
                "subject": {
                    "reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901",
                    "display": "DEVENDER SINGH"
                },
                "recordedDate": "2026-08-28T10:00:00+05:30"
            }
        },
        {
            "fullUrl": "urn:uuid:3a84e6c1-a483-4cde-a4a3-9b3ba8d5ebf7",
            "resource": {
                "resourceType": "Condition",
                "id": "3a84e6c1-a483-4cde-a4a3-9b3ba8d5ebf7",
                "meta": {
                    "profile": [
                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Condition"
                    ]
                },
                "text": {
                    "status": "generated",
                    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Condition:</b> VIRAL DISEASE</p></div>"
                },
                "clinicalStatus": {
                    "coding": [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                            "code": "active",
                            "display": "Active"
                        }
                    ]
                },
                "code": {
                    "coding": [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "404684003",
                            "display": "Clinical finding"
                        }
                    ],
                    "text": "VIRAL DISEASE"
                },
                "subject": {
                    "reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901",
                    "display": "DEVENDER SINGH"
                },
                "recordedDate": "2026-08-28T10:00:00+05:30"
            }
        },
        {
            "fullUrl": "urn:uuid:ad844f8c-3803-4f39-a00e-5d908e580b55",
            "resource": {
                "resourceType": "Encounter",
                "id": "ad844f8c-3803-4f39-a00e-5d908e580b55",
                "meta": {
                    "profile": [
                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Encounter"
                    ]
                },
                "text": {
                    "status": "generated",
                    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Encounter:</b> inpatient encounter A26090000009-v1788660473</p></div>"
                },
                "identifier": [
                    {
                        "system": "https://hms.local/encounter-id",
                        "value": "A26090000009-v1788660473"
                    },
                    {
                        "system": "https://hms.local/ipd-number",
                        "value": "A26090000009-v1788660473"
                    }
                ],
                "status": "finished",
                "class": {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                    "code": "IMP",
                    "display": "inpatient encounter"
                },
                "subject": {
                    "reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901",
                    "display": "DEVENDER SINGH"
                },
                "period": {
                    "start": "2026-08-28T10:00:00+05:30",
                    "end": "2026-09-06T07:37:53+05:30"
                },
                "hospitalization": {
                    "dischargeDisposition": {
                        "coding": [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                                "code": "home",
                                "display": "Home"
                            }
                        ],
                        "text": "Discharged to Home Care"
                    }
                }
            }
        },
        {
            "fullUrl": "urn:uuid:95411403-5e4f-4c93-acee-fe7457d5acf5",
            "resource": {
                "resourceType": "Procedure",
                "id": "95411403-5e4f-4c93-acee-fe7457d5acf5",
                "meta": {
                    "profile": [
                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Procedure"
                    ]
                },
                "text": {
                    "status": "generated",
                    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Procedure:</b> Laparoscopy of rectum</p></div>"
                },
                "status": "completed",
                "code": {
                    "coding": [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "86174004",
                            "display": "Laparoscopy"
                        }
                    ],
                    "text": "Laparoscopy of rectum"
                },
                "subject": {
                    "reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901",
                    "display": "DEVENDER SINGH"
                },
                "performedDateTime": "2026-08-28T00:00:00+05:30"
            }
        },
        {
            "fullUrl": "urn:uuid:a89d0861-d785-4103-aa88-9cb79c119e6d",
            "resource": {
                "resourceType": "MedicationRequest",
                "id": "a89d0861-d785-4103-aa88-9cb79c119e6d",
                "meta": {
                    "profile": [
                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/MedicationRequest"
                    ]
                },
                "text": {
                    "status": "generated",
                    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Medication:</b> ACILOC - EMPTY STOMACH | BD |    |     (BD)</p></div>"
                },
                "status": "active",
                "intent": "order",
                "subject": {
                    "reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901",
                    "display": "DEVENDER SINGH"
                },
                "authoredOn": "2026-09-06T07:37:53+05:30",
                "medicationCodeableConcept": {
                    "coding": [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "105904009",
                            "display": "ACILOC"
                        }
                    ],
                    "text": "ACILOC"
                },
                "requester": {
                    "reference": "urn:uuid:0c561894-fc78-4bb9-ab25-a2aa05c739e6",
                    "display": "Dr. R.K.SUNDRIYAL"
                },
                "dosageInstruction": [
                    {
                        "text": "Take 1 Tablet Twice daily before food / empty stomach for 5 days",
                        "timing": {
                            "repeat": {
                                "frequency": 2,
                                "period": 1,
                                "periodUnit": "d"
                            }
                        },
                        "route": {
                            "coding": [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "26643006",
                                    "display": "Oral Route"
                                }
                            ]
                        },
                        "additionalInstruction": [
                            {
                                "coding": [
                                    {
                                        "system": "http://snomed.info/sct",
                                        "code": "307165006",
                                        "display": "Before meals"
                                    }
                                ],
                                "text": "Before food / Empty stomach"
                            }
                        ],
                        "method": {
                            "coding": [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "421521009",
                                    "display": "Swallow"
                                }
                            ]
                        }
                    }
                ],
                "category": [
                    {
                        "coding": [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                                "code": "discharge",
                                "display": "Discharge"
                            }
                        ],
                        "text": "Discharge"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:657d375d-6fa1-4971-a112-a789d9b2904d",
            "resource": {
                "resourceType": "MedicationRequest",
                "id": "657d375d-6fa1-4971-a112-a789d9b2904d",
                "meta": {
                    "profile": [
                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/MedicationRequest"
                    ]
                },
                "text": {
                    "status": "generated",
                    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Medication:</b> PANTOP DSR - EMPTY STOMACH | OD |    |     (OD)</p></div>"
                },
                "status": "active",
                "intent": "order",
                "subject": {
                    "reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901",
                    "display": "DEVENDER SINGH"
                },
                "authoredOn": "2026-09-06T07:37:53+05:30",
                "medicationCodeableConcept": {
                    "coding": [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "105904009",
                            "display": "PANTOP DSR"
                        }
                    ],
                    "text": "PANTOP DSR"
                },
                "requester": {
                    "reference": "urn:uuid:0c561894-fc78-4bb9-ab25-a2aa05c739e6",
                    "display": "Dr. R.K.SUNDRIYAL"
                },
                "dosageInstruction": [
                    {
                        "text": "Take 1 Tablet Once daily before food / empty stomach for 5 days",
                        "timing": {
                            "repeat": {
                                "frequency": 1,
                                "period": 1,
                                "periodUnit": "d"
                            }
                        },
                        "route": {
                            "coding": [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "26643006",
                                    "display": "Oral Route"
                                }
                            ]
                        },
                        "additionalInstruction": [
                            {
                                "coding": [
                                    {
                                        "system": "http://snomed.info/sct",
                                        "code": "307165006",
                                        "display": "Before meals"
                                    }
                                ],
                                "text": "Before food / Empty stomach"
                            }
                        ],
                        "method": {
                            "coding": [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "421521009",
                                    "display": "Swallow"
                                }
                            ]
                        }
                    }
                ],
                "category": [
                    {
                        "coding": [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                                "code": "discharge",
                                "display": "Discharge"
                            }
                        ],
                        "text": "Discharge"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:1b57be60-c849-4bd7-a090-7da51d4ab193",
            "resource": {
                "resourceType": "CarePlan",
                "id": "1b57be60-c849-4bd7-a090-7da51d4ab193",
                "meta": {
                    "profile": [
                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/CarePlan"
                    ]
                },
                "text": {
                    "status": "generated",
                    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Follow Up:</b> Review After 1 Month (02-10-2026) or as and when required</p></div>"
                },
                "status": "active",
                "intent": "plan",
                "title": "Follow Up",
                "description": "Review After 1 Month (02-10-2026) or as and when required",
                "subject": {
                    "reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901",
                    "display": "DEVENDER SINGH"
                },
                "category": [
                    {
                        "coding": [
                            {
                                "system": "http://snomed.info/sct",
                                "code": "734163000",
                                "display": "Care plan"
                            }
                        ]
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:77c657dd-25fa-4ae0-af23-b46918820bb9",
            "resource": {
                "resourceType": "DocumentReference",
                "id": "77c657dd-25fa-4ae0-af23-b46918820bb9",
                "meta": {
                    "profile": [
                        "https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentReference"
                    ]
                },
                "text": {
                    "status": "generated",
                    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Attached Document:</b> IPD Discharge Summary</p></div>"
                },
                "status": "current",
                "docStatus": "final",
                "type": {
                    "coding": [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "373942005",
                            "display": "Discharge summary"
                        }
                    ],
                    "text": "IPD Discharge Summary"
                },
                "subject": {
                    "reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901",
                    "display": "DEVENDER SINGH"
                },
                "description": "IPD Discharge Summary",
                "content": [
                    {
                        "attachment": {
                            "contentType": "application/pdf",
                            "language": "en-IN",
                            "data": "JVBERi0xLjQK...",
                            "title": "IPD Discharge Summary",
                            "creation": "2026-09-06T07:37:53+05:30"
                        }
                    }
                ]
            }
        }
    ]
}