"Bundle", "id" => "discharge-A26090000009-v1788637084", "meta" => [ "versionId" => "1", "lastUpdated" => "2026-09-06T01:08:04+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" => "2026-09-06T01:08:04+05:30", "entry" => [ // Entry 0: Composition [ "fullUrl" => "urn:uuid:fdf46837-ab78-42a7-a550-8d64a35b6508", "resource" => [ "resourceType" => "Composition", "id" => "fdf46837-ab78-42a7-a550-8d64a35b6508", "meta" => [ "versionId" => "1", "lastUpdated" => "2026-09-06T01:08:04+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" => "2026-09-06T01:08:04+05:30", "subject" => [ "reference" => "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901", "display" => "DEVENDER SINGH" ], "encounter" => [ "reference" => "urn:uuid:4dd35d04-72c8-468f-afae-a82e1e51cd9e", "display" => "Encounter" ], "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" ], "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" => "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" => "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"] ] ] ] ] ], // Entry 1: Patient [ "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" ] ], // Entry 2: Practitioner [ "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" ] ] ] ], // Entry 3: Organization [ "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" ] ], // Entry 4: Encounter [ "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" ] ] ], // Entry 5: Condition - Abdominal Pain [ "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" ] ], // Entry 6: Condition - Cough [ "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" ] ], // Entry 7: Condition - Vomiting [ "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" ] ], // Entry 8: Condition - Acute chest pain [ "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" ] ], // Entry 9: Condition - Chest Pain [ "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" ] ], // Entry 10: Condition - Discharge Diagnosis [ "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" => "2026-09-06T01:08:04+05:30" ] ], // Entry 11: Procedure [ "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" ] ], // Entry 12: MedicationRequest 1 [ "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" => "2026-09-06T01:08:04+05:30", "requester" => [ "reference" => "urn:uuid:0c561894-fc78-4bb9-ab25-a2aa05c739e6", "display" => "Dr. R.K.SUNDRIYAL" ], "dosageInstruction" => [ [ "text" => "EMPTY STOMACH | BD | (BD)", "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" ] ] ] ] ] ] ], // Entry 13: MedicationRequest 2 [ "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" ], "authoredOn" => "2026-09-06T01:08:04+05:30", "requester" => [ "reference" => "urn:uuid:0c561894-fc78-4bb9-ab25-a2aa05c739e6", "display" => "Dr. R.K.SUNDRIYAL" ], "dosageInstruction" => [ [ "text" => "EMPTY STOMACH | OD | (OD)", "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" ] ] ] ] ] ] ], // Entry 14: CarePlan - Dietary Advice [ "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" ] ] ] ] ] ], // Entry 15: CarePlan - Follow Up [ "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" ] ] ] ] ] ], // Entry 16: DocumentReference (Blank PDF) [ "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" => "2026-09-06T01:08:04+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" => $blankPdfBase64, "title" => "IPD Discharge Summary", "creation" => "2026-09-06T01:08:04+05:30" ] ] ] ] ] ] ]; $validator = new \App\Libraries\Abdm\Fhir\Support\FhirBundleValidator(); $result = $validator->validate($bundle); echo "Validation passed: " . ($result->valid ? "YES" : "NO") . "\n"; echo "Score: " . $result->score . "%\n"; if (!empty($result->errors)) { print_r($result->errors); } file_put_contents('d:/Workplace/HMS_CI4_OLD/scratch/validated_step_by_step_bundle.json', json_encode($bundle, JSON_PRETTY_PRINT | JSON_UNESCAPED_SLASHES)); echo "Saved scratch/validated_step_by_step_bundle.json (" . strlen(json_encode($bundle)) . " bytes)\n";