{ "resourceType": "Bundle", "id": "discharge-A26090000009-v1788637084", "meta": { "versionId": "1", "lastUpdated": "2026-09-06T01:30:00+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-v1788637084" }, "type": "document", "timestamp": "2026-09-06T01:30:00+05:30", "entry": [ { "fullUrl": "urn:uuid:fdf46837-ab78-42a7-a550-8d64a35b6508", "resource": { "resourceType": "Composition", "id": "fdf46837-ab78-42a7-a550-8d64a35b6508", "meta": { "versionId": "1", "lastUpdated": "2026-09-06T01:30:00+05:30", "profile": [ "https://nrces.in/ndhm/fhir/r4/StructureDefinition/DischargeSummaryRecord" ] }, "status": "final", "type": { "coding": [ { "system": "http://snomed.info/sct", "code": "373942005", "display": "Discharge summary" } ], "text": "Discharge Summary" }, "title": "IPD Discharge Summary", "date": "2026-09-06T01:30:00+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:4dd35d04-72c8-468f-afae-a82e1e51cd9e" }, "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" }, { "reference": "urn:uuid:9eb5f7ed-afc9-47e4-a693-c3984efe1da2", "display": "Acute chest pain" }, { "reference": "urn:uuid:3399f570-c2c6-4d1e-aee1-0ed8a0d751df", "display": "Chest Pain" } ] }, { "title": "Clinical History and Risk Profile", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "1003642006", "display": "Past medical history section" } ] }, "entry": [ { "reference": "urn:uuid:8b4f1234-cad1-49ea-8822-111111111111", "display": "Coronary artery disease (CAD)" }, { "reference": "urn:uuid:8b4f1234-cva1-49ea-8822-222222222222", "display": "Cerebrovascular accident (CVA)" }, { "reference": "urn:uuid:8b4f1234-alco-49ea-8822-333333333333", "display": "Alcohol History" } ] }, { "title": "Discharge Diagnosis", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "397659008", "display": "Discharge diagnosis" } ] }, "entry": [ { "reference": "urn:uuid:3a84e6c1-a483-4cde-a4a3-9b3ba8d5ebf7", "display": "VIRAL DISEASE" } ] }, { "title": "Procedures", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "371525003", "display": "Clinical procedure report" } ] }, "entry": [ { "reference": "urn:uuid:95411403-5e4f-4c93-acee-fe7457d5acf5", "display": "Laparoscopy of rectum" } ] }, { "title": "Discharge Medications", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "721981007", "display": "Medication list" } ] }, "entry": [ { "reference": "urn:uuid:a89d0861-d785-4103-aa88-9cb79c119e6d", "display": "ACILOC" }, { "reference": "urn:uuid:657d375d-6fa1-4971-a112-a789d9b2904d", "display": "PANTOP DSR" } ] }, { "title": "General Examination on Admission", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "425044008", "display": "Physical exam section" } ] }, "entry": [ { "reference": "urn:uuid:07c74196-8d31-4ccb-a290-a84f979e5f35", "display": "Pulse" }, { "reference": "urn:uuid:e9902963-cbbf-4b27-a3c6-d374f324e33e", "display": "Respiration" }, { "reference": "urn:uuid:bc6a18f9-ea89-47c6-a99d-850ddfbce149", "display": "BP" }, { "reference": "urn:uuid:ee80de1f-986e-46b1-a3d2-8f23a23df5c0", "display": "SPO2" }, { "reference": "urn:uuid:0fb54648-cd56-4c91-a092-813469aa7c67", "display": "Temp" } ] }, { "title": "Follow-Up Instructions", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "736271009", "display": "Follow-up plan" } ] }, "entry": [ { "reference": "urn:uuid:1b57be60-c849-4bd7-a090-7da51d4ab193", "display": "Dietary Advice" }, { "reference": "urn:uuid:6ef6f128-d10a-4a3b-a660-5cfb966d29ff", "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" ] }, "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" ] }, "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" ] }, "identifier": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "PRN", "display": "Provider number" } ] }, "system": "https://facility.ndhm.gov.in", "value": "IN0510000871" } ], "name": "E-Atria Hospital" } }, { "fullUrl": "urn:uuid:4dd35d04-72c8-468f-afae-a82e1e51cd9e", "resource": { "resourceType": "Encounter", "id": "4dd35d04-72c8-468f-afae-a82e1e51cd9e", "meta": { "profile": [ "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Encounter" ] }, "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": "2026-09-06T01:08:04+05:30" }, "hospitalization": { "dischargeDisposition": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/discharge-disposition", "code": "home", "display": "Home" } ], "text": "Discharged to Home Care" } }, "serviceProvider": { "reference": "urn:uuid:41fddd40-0707-47b6-a22b-17a70e068116", "display": "E-Atria Hospital" } } }, { "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" ] }, "clinicalStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "active", "display": "Active" } ] }, "verificationStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code": "confirmed", "display": "Confirmed" } ] }, "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-category", "code": "encounter-diagnosis", "display": "Encounter Diagnosis" } ] } ], "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" }, "encounter": { "reference": "urn:uuid:4dd35d04-72c8-468f-afae-a82e1e51cd9e" }, "recordedDate": "2026-09-06T01:08:04+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" ] }, "clinicalStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "active", "display": "Active" } ] }, "verificationStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code": "confirmed", "display": "Confirmed" } ] }, "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-category", "code": "encounter-diagnosis", "display": "Encounter Diagnosis" } ] } ], "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" }, "encounter": { "reference": "urn:uuid:4dd35d04-72c8-468f-afae-a82e1e51cd9e" }, "recordedDate": "2026-09-06T01:08:04+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" ] }, "clinicalStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "active", "display": "Active" } ] }, "verificationStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code": "confirmed", "display": "Confirmed" } ] }, "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-category", "code": "encounter-diagnosis", "display": "Encounter Diagnosis" } ] } ], "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" }, "encounter": { "reference": "urn:uuid:4dd35d04-72c8-468f-afae-a82e1e51cd9e" }, "recordedDate": "2026-09-06T01:08:04+05:30" } }, { "fullUrl": "urn:uuid:9eb5f7ed-afc9-47e4-a693-c3984efe1da2", "resource": { "resourceType": "Condition", "id": "9eb5f7ed-afc9-47e4-a693-c3984efe1da2", "meta": { "profile": [ "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Condition" ] }, "clinicalStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "active", "display": "Active" } ] }, "verificationStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code": "confirmed", "display": "Confirmed" } ] }, "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-category", "code": "encounter-diagnosis", "display": "Encounter Diagnosis" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "29857009", "display": "Chest pain" } ], "text": "Acute chest pain" }, "subject": { "reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901", "display": "DEVENDER SINGH" }, "encounter": { "reference": "urn:uuid:4dd35d04-72c8-468f-afae-a82e1e51cd9e" }, "recordedDate": "2026-09-06T01:08:04+05:30" } }, { "fullUrl": "urn:uuid:3399f570-c2c6-4d1e-aee1-0ed8a0d751df", "resource": { "resourceType": "Condition", "id": "3399f570-c2c6-4d1e-aee1-0ed8a0d751df", "meta": { "profile": [ "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Condition" ] }, "clinicalStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "active", "display": "Active" } ] }, "verificationStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code": "confirmed", "display": "Confirmed" } ] }, "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-category", "code": "encounter-diagnosis", "display": "Encounter Diagnosis" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "29857009", "display": "Chest pain" } ], "text": "Chest Pain" }, "subject": { "reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901", "display": "DEVENDER SINGH" }, "encounter": { "reference": "urn:uuid:4dd35d04-72c8-468f-afae-a82e1e51cd9e" }, "recordedDate": "2026-09-06T01:08:04+05:30" } }, { "fullUrl": "urn:uuid:8b4f1234-cad1-49ea-8822-111111111111", "resource": { "resourceType": "Condition", "id": "8b4f1234-cad1-49ea-8822-111111111111", "meta": { "profile": [ "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Condition" ] }, "clinicalStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "active", "display": "Active" } ] }, "verificationStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code": "confirmed", "display": "Confirmed" } ] }, "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-category", "code": "problem-list-item", "display": "Problem List Item" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "53741008", "display": "Coronary artery disease" } ], "text": "Coronary artery disease (CAD)" }, "subject": { "reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901", "display": "DEVENDER SINGH" }, "encounter": { "reference": "urn:uuid:4dd35d04-72c8-468f-afae-a82e1e51cd9e" }, "recordedDate": "2026-09-06T01:30:00+05:30" } }, { "fullUrl": "urn:uuid:8b4f1234-cva1-49ea-8822-222222222222", "resource": { "resourceType": "Condition", "id": "8b4f1234-cva1-49ea-8822-222222222222", "meta": { "profile": [ "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Condition" ] }, "clinicalStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "active", "display": "Active" } ] }, "verificationStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code": "confirmed", "display": "Confirmed" } ] }, "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-category", "code": "problem-list-item", "display": "Problem List Item" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "230690007", "display": "Cerebrovascular accident" } ], "text": "Cerebral vascular accident (CVA)" }, "subject": { "reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901", "display": "DEVENDER SINGH" }, "encounter": { "reference": "urn:uuid:4dd35d04-72c8-468f-afae-a82e1e51cd9e" }, "recordedDate": "2026-09-06T01:30:00+05:30" } }, { "fullUrl": "urn:uuid:8b4f1234-alco-49ea-8822-333333333333", "resource": { "resourceType": "Observation", "id": "8b4f1234-alco-49ea-8822-333333333333", "meta": { "profile": [ "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation" ] }, "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "social-history", "display": "Social History" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "160573003", "display": "Alcohol intake" } ], "text": "Lifestyle and Personal History: Alcohol" }, "subject": { "reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901", "display": "DEVENDER SINGH" }, "encounter": { "reference": "urn:uuid:4dd35d04-72c8-468f-afae-a82e1e51cd9e" }, "effectiveDateTime": "2026-08-28T10:00:00+05:30", "valueString": "Alcohol" } }, { "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" ] }, "clinicalStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "active", "display": "Active" } ] }, "verificationStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code": "confirmed", "display": "Confirmed" } ] }, "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-category", "code": "encounter-diagnosis", "display": "Encounter Diagnosis" } ] } ], "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" }, "encounter": { "reference": "urn:uuid:4dd35d04-72c8-468f-afae-a82e1e51cd9e" }, "recordedDate": "2026-09-06T01:30:00+05:30" } }, { "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" ] }, "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" }, "encounter": { "reference": "urn:uuid:4dd35d04-72c8-468f-afae-a82e1e51cd9e" }, "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" ] }, "status": "active", "intent": "order", "medicationCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "105904009", "display": "Type of drug" } ], "text": "ACILOC" }, "subject": { "reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901", "display": "DEVENDER SINGH" }, "encounter": { "reference": "urn:uuid:4dd35d04-72c8-468f-afae-a82e1e51cd9e" }, "authoredOn": "2026-09-06T01:30:00+05:30", "requester": { "reference": "urn:uuid:0c561894-fc78-4bb9-ab25-a2aa05c739e6", "display": "Dr. R.K.SUNDRIYAL" }, "dosageInstruction": [ { "text": "Take 1 tablet twice daily before meals", "timing": { "repeat": { "frequency": 2, "period": 1, "periodUnit": "d" } }, "route": { "coding": [ { "system": "http://snomed.info/sct", "code": "26643006", "display": "Oral route" } ] }, "doseAndRate": [ { "doseQuantity": { "value": 1, "unit": "Tablet", "system": "http://unitsofmeasure.org", "code": "tbl" } } ] } ] } }, { "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" ] }, "status": "active", "intent": "order", "medicationCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "105904009", "display": "Type of drug" } ], "text": "PANTOP DSR" }, "subject": { "reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901", "display": "DEVENDER SINGH" }, "encounter": { "reference": "urn:uuid:4dd35d04-72c8-468f-afae-a82e1e51cd9e" }, "requester": { "reference": "urn:uuid:0c561894-fc78-4bb9-ab25-a2aa05c739e6", "display": "Dr. R.K.SUNDRIYAL" }, "dosageInstruction": [ { "text": "Take 1 tablet once daily before meals", "timing": { "repeat": { "frequency": 1, "period": 1, "periodUnit": "d" } }, "route": { "coding": [ { "system": "http://snomed.info/sct", "code": "26643006", "display": "Oral route" } ] }, "doseAndRate": [ { "doseQuantity": { "value": 1, "unit": "Tablet", "system": "http://unitsofmeasure.org", "code": "tbl" } } ] } ] } }, { "fullUrl": "urn:uuid:07c74196-8d31-4ccb-a290-a84f979e5f35", "resource": { "resourceType": "Observation", "id": "07c74196-8d31-4ccb-a290-a84f979e5f35", "meta": { "profile": [ "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation" ] }, "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs", "display": "Vital Signs" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "8867-4", "display": "Heart rate" } ], "text": "Pulse /min" }, "subject": { "reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901", "display": "DEVENDER SINGH" }, "encounter": { "reference": "urn:uuid:4dd35d04-72c8-468f-afae-a82e1e51cd9e" }, "effectiveDateTime": "2026-08-28T10:00:00+05:30", "valueQuantity": { "value": 70, "unit": "/min", "system": "http://unitsofmeasure.org", "code": "/min" } } }, { "fullUrl": "urn:uuid:e9902963-cbbf-4b27-a3c6-d374f324e33e", "resource": { "resourceType": "Observation", "id": "e9902963-cbbf-4b27-a3c6-d374f324e33e", "meta": { "profile": [ "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation" ] }, "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs", "display": "Vital Signs" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "9279-1", "display": "Respiratory rate" } ], "text": "Respiration /min" }, "subject": { "reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901", "display": "DEVENDER SINGH" }, "encounter": { "reference": "urn:uuid:4dd35d04-72c8-468f-afae-a82e1e51cd9e" }, "effectiveDateTime": "2026-08-28T10:00:00+05:30", "valueQuantity": { "value": 20, "unit": "/min", "system": "http://unitsofmeasure.org", "code": "/min" } } }, { "fullUrl": "urn:uuid:bc6a18f9-ea89-47c6-a99d-850ddfbce149", "resource": { "resourceType": "Observation", "id": "bc6a18f9-ea89-47c6-a99d-850ddfbce149", "meta": { "profile": [ "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation" ] }, "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs", "display": "Vital Signs" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "85354-9", "display": "Blood pressure panel with all children optional" } ], "text": "BP mmHg" }, "subject": { "reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901", "display": "DEVENDER SINGH" }, "encounter": { "reference": "urn:uuid:4dd35d04-72c8-468f-afae-a82e1e51cd9e" }, "effectiveDateTime": "2026-08-28T10:00:00+05:30", "component": [ { "code": { "coding": [ { "system": "http://loinc.org", "code": "8480-6", "display": "Systolic blood pressure" } ], "text": "Systolic blood pressure" }, "valueQuantity": { "value": 140, "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "8462-4", "display": "Diastolic blood pressure" } ], "text": "Diastolic blood pressure" }, "valueQuantity": { "value": 90, "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } } ] } }, { "fullUrl": "urn:uuid:ee80de1f-986e-46b1-a3d2-8f23a23df5c0", "resource": { "resourceType": "Observation", "id": "ee80de1f-986e-46b1-a3d2-8f23a23df5c0", "meta": { "profile": [ "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation" ] }, "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs", "display": "Vital Signs" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "59408-5", "display": "Oxygen saturation in Arterial blood by Pulse oximetry" } ], "text": "SPO2" }, "subject": { "reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901", "display": "DEVENDER SINGH" }, "encounter": { "reference": "urn:uuid:4dd35d04-72c8-468f-afae-a82e1e51cd9e" }, "effectiveDateTime": "2026-08-28T10:00:00+05:30", "valueQuantity": { "value": 95, "unit": "%", "system": "http://unitsofmeasure.org", "code": "%" } } }, { "fullUrl": "urn:uuid:0fb54648-cd56-4c91-a092-813469aa7c67", "resource": { "resourceType": "Observation", "id": "0fb54648-cd56-4c91-a092-813469aa7c67", "meta": { "profile": [ "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation" ] }, "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs", "display": "Vital Signs" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "8310-5", "display": "Body temperature" } ], "text": "Temp F" }, "subject": { "reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901", "display": "DEVENDER SINGH" }, "encounter": { "reference": "urn:uuid:4dd35d04-72c8-468f-afae-a82e1e51cd9e" }, "effectiveDateTime": "2026-08-28T10:00:00+05:30", "valueQuantity": { "value": 96, "unit": "degF", "system": "http://unitsofmeasure.org", "code": "[degF]" } } }, { "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" ] }, "status": "active", "intent": "plan", "title": "Dietary Advice", "description": "Fruits and Vegetables: Consume fresh fruits and vegetables daily. Avoid processed, sugary, and salty foods.", "subject": { "reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901", "display": "DEVENDER SINGH" }, "encounter": { "reference": "urn:uuid:4dd35d04-72c8-468f-afae-a82e1e51cd9e" }, "author": { "reference": "urn:uuid:0c561894-fc78-4bb9-ab25-a2aa05c739e6", "display": "Dr. R.K.SUNDRIYAL" }, "category": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "736271009", "display": "Outpatient care plan" } ] } ] } }, { "fullUrl": "urn:uuid:6ef6f128-d10a-4a3b-a660-5cfb966d29ff", "resource": { "resourceType": "CarePlan", "id": "6ef6f128-d10a-4a3b-a660-5cfb966d29ff", "meta": { "profile": [ "https://nrces.in/ndhm/fhir/r4/StructureDefinition/CarePlan" ] }, "status": "active", "intent": "plan", "title": "Follow Up", "description": "Review After: 1 Month (02-10-2026) / as and when required", "subject": { "reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901", "display": "DEVENDER SINGH" }, "encounter": { "reference": "urn:uuid:4dd35d04-72c8-468f-afae-a82e1e51cd9e" }, "author": { "reference": "urn:uuid:0c561894-fc78-4bb9-ab25-a2aa05c739e6", "display": "Dr. R.K.SUNDRIYAL" }, "category": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "736271009", "display": "Outpatient 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" ] }, "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" }, "date": "2026-09-06T01:30:00+05:30", "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" }, "description": "IPD Discharge Summary", "content": [ { "attachment": { "contentType": "application/pdf", "language": "en-IN", "data": "JVBERi0xLjQKJeLjz9MKMSAwIG9iajw8L1R5cGUvQ2F0YWxvZy9QYWdlcyAyIDAgUj4+ZW5kb2JqCjIgMCBvYmo8PC9UeXBlL1BhZ2VzL0tpZHNbMyAwIFJdL0NvdW50IDE+PmVuZG9iagozIDAgb2JqPDwvVHlwZS9QYWdlL1BhcmVudCAyIDAgUi9NZWRpYUJveFswIDAgNTk1IDg0Ml0+PmVuZG9iagp4cmVmCjAgNAowMDAwMDAwMDAwIDY1NTM1IGYKMDAwMDAwMDAwOSAwMDAwMCBuCjAwMDAwMDAwNTYgMDAwMDAgbgowMDAwMDAwMTE1IDAwMDAwIG4KdHJhaWxlcjw8L1NpemUgNC9Sb290IDEgMCBSPj4Kc3RhcnR4cmVmCjE3MwolaUVPRg==", "title": "IPD Discharge Summary", "creation": "2026-09-06T01:30:00+05:30" } } ] } } ] }