1294 lines
60 KiB
JSON
1294 lines
60 KiB
JSON
{
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"resourceType": "Bundle",
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"id": "discharge-9-1788637084",
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"meta": {
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"profile": [
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"https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentBundle"
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],
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"security": [
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{
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"system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
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"code": "V",
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"display": "very restricted"
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}
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]
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},
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"identifier": {
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"system": "https://hms.local/fhir/document",
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"value": "discharge-9-1788637084"
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},
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"type": "document",
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"timestamp": "2026-09-06T01:08:04+05:30",
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"entry": [
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{
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"fullUrl": "urn:uuid:fdf46837-ab78-42a7-a550-8d64a35b6508",
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"resource": {
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"resourceType": "Composition",
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"id": "fdf46837-ab78-42a7-a550-8d64a35b6508",
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"status": "final",
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"type": {
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"coding": [
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{
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"system": "http://snomed.info/sct",
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"code": "373942005",
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"display": "Discharge summary"
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}
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],
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"text": "Discharge Summary"
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},
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"title": "IPD Discharge Summary",
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"date": "2026-09-06T01:08:04+05:30",
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"subject": {
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"reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901",
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"display": "DEVENDER SINGH"
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},
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"author": [
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{
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"reference": "urn:uuid:0c561894-fc78-4bb9-ab25-a2aa05c739e6",
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"display": "Dr. R.K.SUNDRIYAL"
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}
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],
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"custodian": {
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"reference": "urn:uuid:41fddd40-0707-47b6-a22b-17a70e068116",
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"display": "E-Atria Hospital"
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},
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"encounter": {
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"reference": "urn:uuid:5aa94f8b-c161-454c-a6ab-734ce9a9e8f9"
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},
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"meta": {
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"versionId": "1",
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"lastUpdated": "2026-09-06T01:08:04+05:30",
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"profile": [
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"https://nrces.in/ndhm/fhir/r4/StructureDefinition/DischargeSummaryRecord"
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]
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},
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"language": "en-IN",
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"confidentiality": "N",
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"text": {
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"status": "generated",
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"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</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> 2026-09-06T01:08:04+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 style=\"margin-bottom:12px;\"><div style=\"font-size:11pt;font-weight:bold;color:#0f172a;background:#e2e8f0;padding:4px 8px;border-left:4px solid #0284c7;margin-bottom:6px;\">Chief complaints</div><ul><li>Abdominal Pain</li><li>Cough</li><li>Vomiting</li><li>Acute chest pain</li><li>Chest Pain</li></ul></div><div style=\"margin-bottom:12px;\"><div style=\"font-size:11pt;font-weight:bold;color:#0f172a;background:#e2e8f0;padding:4px 8px;border-left:4px solid #0284c7;margin-bottom:6px;\">Discharge Diagnosis</div><ul><li>VIRAL DISEASE</li></ul></div><div style=\"margin-bottom:12px;\"><div style=\"font-size:11pt;font-weight:bold;color:#0f172a;background:#e2e8f0;padding:4px 8px;border-left:4px solid #0284c7;margin-bottom:6px;\">Procedures</div><ul><li>Laparoscopy of rectum</li></ul></div><div style=\"margin-bottom:12px;\"><div style=\"font-size:11pt;font-weight:bold;color:#0f172a;background:#e2e8f0;padding:4px 8px;border-left:4px solid #0284c7;margin-bottom:6px;\">Discharge Medications</div><ul><li>ACILOC - EMPTY STOMACH | BD | | (BD)</li><li>PANTOP DSR - EMPTY STOMACH | OD | | (OD)</li></ul></div><div style=\"margin-bottom:12px;\"><div style=\"font-size:11pt;font-weight:bold;color:#0f172a;background:#e2e8f0;padding:4px 8px;border-left:4px solid #0284c7;margin-bottom:6px;\">Follow-Up Instructions</div><ul><li>Dietary Advice: 1. Fruits and Vegetables: \u092a\u0930\u094d\u092f\u093e\u092a\u094d\u0924 \u0935\u093f\u091f\u093e\u092e\u093f\u0928 \u0914\u0930 \u0916\u0928\u093f\u091c \u0938\u0941\u0928\u093f\u0936\u094d\u091a\u093f\u0924 \u0915\u0930\u0928\u0947 \u0915\u0947 \u0932\u093f\u090f \u092a\u094d\u0930\u0924\u093f\u0926\u093f\u0928 \u0935\u093f\u092d\u093f\u0928\u094d\u0928 \u092a\u094d\u0930\u0915\u093e\u0930 \u0915\u0947 \u0924\u093e\u091c\u0947 \u092b\u0932 \u0914\u0930 \u0938\u092c\u094d\u091c\u093f\u092f\u094b\u0902 \u0915\u093e \u0938\u0947\u0935\u0928 \u0915\u0930\u0947\u0902\u0964 2. Avoid Processed Foods: \u092e\u0940\u0920\u0947, \u0928\u092e\u0915\u0940\u0928 \u0914\u0930 \u0924\u0932\u0947 \u0939\u0941\u090f \u0916\u093e\u0926\u094d\u092f \u092a\u0926\u093e\u0930\u094d\u0925\u094b\u0902 \u0915\u093e \u0938\u0947\u0935\u0928 \u0938\u0940\u092e\u093f\u0924 \u0915\u0930\u0947\u0902\u0964</li><li>Follow Up: Review After: 1 Month (02-10-2026) Days / as and when required</li></ul></div><div style=\"margin-bottom:12px;\"><div style=\"font-size:11pt;font-weight:bold;color:#0f172a;background:#e2e8f0;padding:4px 8px;border-left:4px solid #0284c7;margin-bottom:6px;\">Document reference</div><ul><li>IPD Discharge Summary</li></ul></div></div>"
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},
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"section": [
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{
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"title": "Chief complaints",
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"code": {
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"coding": [
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{
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"system": "http://snomed.info/sct",
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"code": "422843007",
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"display": "Chief complaint section"
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}
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]
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},
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"entry": [
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{
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"reference": "urn:uuid:ee9837f1-95a6-41fc-aa4f-f245744fc8c6",
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"display": "Abdominal Pain"
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},
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{
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"reference": "urn:uuid:e6d1cece-4973-46d4-ace5-d96047401b20",
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"display": "Cough"
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},
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{
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"reference": "urn:uuid:a712dc95-6feb-4b11-a7ea-5699b8845317",
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"display": "Vomiting"
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},
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{
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"reference": "urn:uuid:9eb5f7ed-afc9-47e4-a693-c3984efe1da2",
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"display": "Acute chest pain"
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},
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{
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"reference": "urn:uuid:3399f570-c2c6-4d1e-aee1-0ed8a0d751df",
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"display": "Chest Pain"
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}
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],
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"text": {
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"status": "generated",
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Abdominal Pain</li><li>Cough</li><li>Vomiting</li><li>Acute chest pain</li><li>Chest Pain</li></ul></div>"
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}
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},
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{
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"title": "Discharge Diagnosis",
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"code": {
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"coding": [
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{
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"system": "http://snomed.info/sct",
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"code": "397659008",
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"display": "Discharge diagnosis"
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}
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]
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},
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"entry": [
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{
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"reference": "urn:uuid:3a84e6c1-a483-4cde-a4a3-9b3ba8d5ebf7",
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"display": "VIRAL DISEASE"
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}
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],
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"text": {
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"status": "generated",
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>VIRAL DISEASE</li></ul></div>"
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}
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},
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{
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"title": "Procedures",
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"code": {
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"coding": [
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{
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"system": "http://snomed.info/sct",
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"code": "371525003",
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"display": "Clinical procedure report"
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}
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]
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},
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"entry": [
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{
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"reference": "urn:uuid:95411403-5e4f-4c93-acee-fe7457d5acf5",
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"display": "Laparoscopy of rectum"
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}
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],
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"text": {
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"status": "generated",
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Laparoscopy of rectum</li></ul></div>"
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}
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},
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{
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"title": "Discharge Medications",
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"code": {
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"coding": [
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{
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"system": "http://snomed.info/sct",
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"code": "721981007",
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"display": "Medication list"
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}
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]
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},
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"entry": [
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{
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"reference": "urn:uuid:a89d0861-d785-4103-aa88-9cb79c119e6d",
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"display": "ACILOC"
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},
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{
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"reference": "urn:uuid:657d375d-6fa1-4971-a112-a789d9b2904d",
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"display": "PANTOP DSR"
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}
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],
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"text": {
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"status": "generated",
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|
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>ACILOC - EMPTY STOMACH | BD | | (BD)</li><li>PANTOP DSR - EMPTY STOMACH | OD | | (OD)</li></ul></div>"
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}
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},
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{
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"title": "Follow-Up Instructions",
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"code": {
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"coding": [
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{
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"system": "http://snomed.info/sct",
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"code": "736271009",
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"display": "Follow-up plan"
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}
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]
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},
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"entry": [
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{
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"reference": "urn:uuid:1b57be60-c849-4bd7-a090-7da51d4ab193",
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"display": "Dietary Advice"
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},
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|
{
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|
"reference": "urn:uuid:6ef6f128-d10a-4a3b-a660-5cfb966d29ff",
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|
"display": "Follow Up"
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|
}
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|
],
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"text": {
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"status": "generated",
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Dietary Advice: 1. Fruits and Vegetables: \u092a\u0930\u094d\u092f\u093e\u092a\u094d\u0924 \u0935\u093f\u091f\u093e\u092e\u093f\u0928 \u0914\u0930 \u0916\u0928\u093f\u091c \u0938\u0941\u0928\u093f\u0936\u094d\u091a\u093f\u0924 \u0915\u0930\u0928\u0947 \u0915\u0947 \u0932\u093f\u090f \u092a\u094d\u0930\u0924\u093f\u0926\u093f\u0928 \u0935\u093f\u092d\u093f\u0928\u094d\u0928 \u092a\u094d\u0930\u0915\u093e\u0930 \u0915\u0947 \u0924\u093e\u091c\u0947 \u092b\u0932 \u0914\u0930 \u0938\u092c\u094d\u091c\u093f\u092f\u094b\u0902 \u0915\u093e \u0938\u0947\u0935\u0928 \u0915\u0930\u0947\u0902\u0964 2. Avoid Processed Foods: \u092e\u0940\u0920\u0947, \u0928\u092e\u0915\u0940\u0928 \u0914\u0930 \u0924\u0932\u0947 \u0939\u0941\u090f \u0916\u093e\u0926\u094d\u092f \u092a\u0926\u093e\u0930\u094d\u0925\u094b\u0902 \u0915\u093e \u0938\u0947\u0935\u0928 \u0938\u0940\u092e\u093f\u0924 \u0915\u0930\u0947\u0902\u0964</li><li>Follow Up: Review After: 1 Month (02-10-2026) Days / as and when required</li></ul></div>"
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}
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},
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{
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"title": "Document reference",
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"code": {
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"coding": [
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{
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"system": "http://snomed.info/sct",
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"code": "373942005",
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"display": "Discharge summary"
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}
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]
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},
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"entry": [
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{
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"reference": "urn:uuid:77c657dd-25fa-4ae0-af23-b46918820bb9",
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"display": "IPD Discharge Summary"
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}
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],
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"text": {
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"status": "generated",
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>IPD Discharge Summary</li></ul></div>"
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}
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}
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]
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}
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},
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{
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"fullUrl": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901",
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"resource": {
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"resourceType": "Patient",
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"id": "11cef8a6-4cd1-4733-afd0-92898eb57901",
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"meta": {
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"profile": [
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"https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient"
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]
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},
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"text": {
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"status": "generated",
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Patient:</b> DEVENDER SINGH (Male)</p></div>"
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},
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"identifier": [
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{
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"type": {
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"coding": [
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{
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"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
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"code": "MR",
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"display": "Medical record number"
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}
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]
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},
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"system": "https://hms.local/patient-id",
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"value": "11"
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},
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{
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"type": {
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"coding": [
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{
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"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
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"code": "SB",
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"display": "Social Beneficiary Identifier"
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}
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]
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},
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"system": "https://healthid.ndhm.gov.in",
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"value": "91510165305101"
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},
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{
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"type": {
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"coding": [
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{
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"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
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"code": "MR",
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"display": "Medical record number"
|
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}
|
|
],
|
|
"text": "UHID"
|
|
},
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|
"system": "https://hms.local/uhid",
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|
"value": "A26080000011"
|
|
},
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|
{
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|
"system": "https://healthid.ndhm.gov.in/abha-address",
|
|
"value": "singhdevender0328@sbx"
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}
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],
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"name": [
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{
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"use": "official",
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"text": "DEVENDER SINGH"
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}
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],
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"gender": "male",
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"birthDate": "1979-03-28"
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}
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},
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{
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"fullUrl": "urn:uuid:0c561894-fc78-4bb9-ab25-a2aa05c739e6",
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"resource": {
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"resourceType": "Practitioner",
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"id": "0c561894-fc78-4bb9-ab25-a2aa05c739e6",
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"meta": {
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"profile": [
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"https://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner"
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]
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|
},
|
|
"text": {
|
|
"status": "generated",
|
|
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Practitioner:</b> Dr. R.K.SUNDRIYAL</p></div>"
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},
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"identifier": [
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{
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"type": {
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"coding": [
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{
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|
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
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|
"code": "MD",
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|
"display": "Medical License number"
|
|
}
|
|
]
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|
},
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|
"system": "https://doctor.ndhm.gov.in",
|
|
"value": "HPR-4"
|
|
}
|
|
],
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"name": [
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{
|
|
"use": "official",
|
|
"text": "Dr. R.K.SUNDRIYAL"
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}
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]
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}
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},
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{
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"fullUrl": "urn:uuid:41fddd40-0707-47b6-a22b-17a70e068116",
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"resource": {
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"resourceType": "Organization",
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"id": "41fddd40-0707-47b6-a22b-17a70e068116",
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"meta": {
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"profile": [
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"https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"
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]
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},
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"text": {
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"status": "generated",
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Organization:</b> E-Atria Hospital</p></div>"
|
|
},
|
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"name": "E-Atria Hospital",
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"identifier": [
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{
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"type": {
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"coding": [
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{
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"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
|
|
"code": "PRN",
|
|
"display": "Provider number"
|
|
}
|
|
]
|
|
},
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"system": "https://facility.ndhm.gov.in",
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"value": "IN0510000871"
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}
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]
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}
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},
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{
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"status": "generated",
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Problem List Item:</b> Abdominal Pain</p></div>"
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"code": "21522000",
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"display": "Abdominal Pain"
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}
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"text": "Abdominal Pain"
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"status": "generated",
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},
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"code": "49727002",
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"display": "Cough"
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}
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"text": {
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"status": "generated",
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Problem List Item:</b> Vomiting</p></div>"
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},
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"code": "422400008",
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}
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"status": "generated",
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Problem List Item:</b> Acute chest pain</p></div>"
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"code": "29857009",
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"text": {
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"status": "generated",
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Encounter:</b> inpatient encounter 9</p></div>"
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},
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"status": "finished",
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{
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"system": "https://hms.local/encounter-id",
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"value": "9"
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},
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|
{
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|
"system": "https://hms.local/ipd-number",
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"value": "A26090000009"
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{
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|
"system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
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|
"code": "home",
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"display": "Home"
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}
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|
],
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"text": "Discharged to Home Care"
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}
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},
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"serviceProvider": {
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"reference": "urn:uuid:41fddd40-0707-47b6-a22b-17a70e068116",
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{
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"location": {
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"display": "Ward: General Ward, Bed: GW-12"
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"display": "VIRAL DISEASE"
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"use": {
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{
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|
"system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
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"code": "DD",
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"display": "Discharge diagnosis"
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}
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}
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}
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{
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"fullUrl": "urn:uuid:95411403-5e4f-4c93-acee-fe7457d5acf5",
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"resource": {
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"resourceType": "Procedure",
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"id": "95411403-5e4f-4c93-acee-fe7457d5acf5",
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"profile": [
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"https://nrces.in/ndhm/fhir/r4/StructureDefinition/Procedure"
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]
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|
},
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"text": {
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|
"status": "generated",
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|
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Procedure:</b> Laparoscopy of rectum</p></div>"
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|
},
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"status": "completed",
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|
"code": {
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|
"coding": [
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{
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|
"system": "http://snomed.info/sct",
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|
"code": "86174004",
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|
"display": "Laparoscopy of rectum"
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|
}
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|
],
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|
"text": "Laparoscopy of rectum"
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|
},
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"subject": {
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"reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901",
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"display": "DEVENDER SINGH"
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},
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"encounter": {
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"reference": "urn:uuid:5aa94f8b-c161-454c-a6ab-734ce9a9e8f9"
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"performedDateTime": "2026-09-06T01:08:04+05:30"
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}
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{
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"fullUrl": "urn:uuid:a89d0861-d785-4103-aa88-9cb79c119e6d",
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"resource": {
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"resourceType": "MedicationRequest",
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"id": "a89d0861-d785-4103-aa88-9cb79c119e6d",
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"meta": {
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"profile": [
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"https://nrces.in/ndhm/fhir/r4/StructureDefinition/MedicationRequest"
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]
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|
},
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"text": {
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|
"status": "generated",
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Medication:</b> ACILOC - EMPTY STOMACH | BD | | (BD)</p></div>"
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},
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"status": "active",
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"intent": "order",
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"category": [
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{
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"coding": [
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{
|
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"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
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|
"code": "community",
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|
"display": "Discharge Medication"
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|
}
|
|
],
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|
"text": "Discharge Medication"
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}
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],
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"subject": {
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"reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901",
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"display": "DEVENDER SINGH"
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},
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"authoredOn": "2026-09-06T01:08:04+05:30",
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"medicationCodeableConcept": {
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"coding": [
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{
|
|
"system": "http://snomed.info/sct",
|
|
"code": "105904009",
|
|
"display": "Type of drug"
|
|
}
|
|
],
|
|
"text": "ACILOC"
|
|
},
|
|
"encounter": {
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"reference": "urn:uuid:5aa94f8b-c161-454c-a6ab-734ce9a9e8f9"
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},
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"requester": {
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"reference": "urn:uuid:0c561894-fc78-4bb9-ab25-a2aa05c739e6",
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"display": "Dr. R.K.SUNDRIYAL"
|
|
},
|
|
"dosageInstruction": [
|
|
{
|
|
"text": "EMPTY STOMACH | BD | | (BD)",
|
|
"timing": {
|
|
"repeat": {
|
|
"frequency": 2,
|
|
"period": 1,
|
|
"periodUnit": "d"
|
|
},
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"code": {
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|
"coding": [
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{
|
|
"system": "http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation",
|
|
"code": "BID",
|
|
"display": "Twice daily"
|
|
}
|
|
],
|
|
"text": "BID (Twice daily)"
|
|
}
|
|
},
|
|
"route": {
|
|
"coding": [
|
|
{
|
|
"system": "http://snomed.info/sct",
|
|
"code": "260548002",
|
|
"display": "Oral route"
|
|
}
|
|
],
|
|
"text": "Oral"
|
|
},
|
|
"doseAndRate": [
|
|
{
|
|
"type": {
|
|
"coding": [
|
|
{
|
|
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
|
|
"code": "ordered",
|
|
"display": "Ordered"
|
|
}
|
|
]
|
|
},
|
|
"doseQuantity": {
|
|
"value": 1,
|
|
"unit": "Tablet",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "tbl"
|
|
}
|
|
}
|
|
],
|
|
"additionalInstruction": [
|
|
{
|
|
"coding": [
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|
{
|
|
"system": "http://snomed.info/sct",
|
|
"code": "307165006",
|
|
"display": "Before meals"
|
|
}
|
|
],
|
|
"text": "Before food / Empty stomach"
|
|
}
|
|
]
|
|
}
|
|
],
|
|
"dispenseRequest": {
|
|
"expectedSupplyDuration": {
|
|
"value": 5,
|
|
"unit": "days",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "d"
|
|
}
|
|
}
|
|
}
|
|
},
|
|
{
|
|
"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",
|
|
"category": [
|
|
{
|
|
"coding": [
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|
{
|
|
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
|
|
"code": "community",
|
|
"display": "Discharge Medication"
|
|
}
|
|
],
|
|
"text": "Discharge Medication"
|
|
}
|
|
],
|
|
"subject": {
|
|
"reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901",
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|
"display": "DEVENDER SINGH"
|
|
},
|
|
"authoredOn": "2026-09-06T01:08:04+05:30",
|
|
"medicationCodeableConcept": {
|
|
"coding": [
|
|
{
|
|
"system": "http://snomed.info/sct",
|
|
"code": "105904009",
|
|
"display": "Type of drug"
|
|
}
|
|
],
|
|
"text": "PANTOP DSR"
|
|
},
|
|
"encounter": {
|
|
"reference": "urn:uuid:5aa94f8b-c161-454c-a6ab-734ce9a9e8f9"
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},
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"requester": {
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|
"reference": "urn:uuid:0c561894-fc78-4bb9-ab25-a2aa05c739e6",
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|
"display": "Dr. R.K.SUNDRIYAL"
|
|
},
|
|
"dosageInstruction": [
|
|
{
|
|
"text": "EMPTY STOMACH | OD | | (OD)",
|
|
"timing": {
|
|
"repeat": {
|
|
"frequency": 1,
|
|
"period": 1,
|
|
"periodUnit": "d"
|
|
},
|
|
"code": {
|
|
"coding": [
|
|
{
|
|
"system": "http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation",
|
|
"code": "QD",
|
|
"display": "Once daily"
|
|
}
|
|
],
|
|
"text": "QD (Once daily)"
|
|
}
|
|
},
|
|
"route": {
|
|
"coding": [
|
|
{
|
|
"system": "http://snomed.info/sct",
|
|
"code": "260548002",
|
|
"display": "Oral route"
|
|
}
|
|
],
|
|
"text": "Oral"
|
|
},
|
|
"doseAndRate": [
|
|
{
|
|
"type": {
|
|
"coding": [
|
|
{
|
|
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
|
|
"code": "ordered",
|
|
"display": "Ordered"
|
|
}
|
|
]
|
|
},
|
|
"doseQuantity": {
|
|
"value": 1,
|
|
"unit": "Tablet",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "tbl"
|
|
}
|
|
}
|
|
],
|
|
"additionalInstruction": [
|
|
{
|
|
"coding": [
|
|
{
|
|
"system": "http://snomed.info/sct",
|
|
"code": "307165006",
|
|
"display": "Before meals"
|
|
}
|
|
],
|
|
"text": "Before food / Empty stomach"
|
|
}
|
|
]
|
|
}
|
|
],
|
|
"dispenseRequest": {
|
|
"expectedSupplyDuration": {
|
|
"value": 5,
|
|
"unit": "days",
|
|
"system": "http://unitsofmeasure.org",
|
|
"code": "d"
|
|
}
|
|
}
|
|
}
|
|
},
|
|
{
|
|
"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>Dietary Advice:</b> 1. Fruits and Vegetables: \u092a\u0930\u094d\u092f\u093e\u092a\u094d\u0924 \u0935\u093f\u091f\u093e\u092e\u093f\u0928 \u0914\u0930 \u0916\u0928\u093f\u091c \u0938\u0941\u0928\u093f\u0936\u094d\u091a\u093f\u0924 \u0915\u0930\u0928\u0947 \u0915\u0947 \u0932\u093f\u090f \u092a\u094d\u0930\u0924\u093f\u0926\u093f\u0928 \u0935\u093f\u092d\u093f\u0928\u094d\u0928 \u092a\u094d\u0930\u0915\u093e\u0930 \u0915\u0947 \u0924\u093e\u091c\u0947 \u092b\u0932 \u0914\u0930 \u0938\u092c\u094d\u091c\u093f\u092f\u094b\u0902 \u0915\u093e \u0938\u0947\u0935\u0928 \u0915\u0930\u0947\u0902\u0964 2. Avoid Processed Foods: \u092e\u0940\u0920\u0947, \u0928\u092e\u0915\u0940\u0928 \u0914\u0930 \u0924\u0932\u0947 \u0939\u0941\u090f \u0916\u093e\u0926\u094d\u092f \u092a\u0926\u093e\u0930\u094d\u0925\u094b\u0902 \u0915\u093e \u0938\u0947\u0935\u0928 \u0938\u0940\u092e\u093f\u0924 \u0915\u0930\u0947\u0902\u0964</p></div>"
|
|
},
|
|
"status": "active",
|
|
"intent": "plan",
|
|
"title": "Dietary Advice",
|
|
"description": "1. Fruits and Vegetables: \u092a\u0930\u094d\u092f\u093e\u092a\u094d\u0924 \u0935\u093f\u091f\u093e\u092e\u093f\u0928 \u0914\u0930 \u0916\u0928\u093f\u091c \u0938\u0941\u0928\u093f\u0936\u094d\u091a\u093f\u0924 \u0915\u0930\u0928\u0947 \u0915\u0947 \u0932\u093f\u090f \u092a\u094d\u0930\u0924\u093f\u0926\u093f\u0928 \u0935\u093f\u092d\u093f\u0928\u094d\u0928 \u092a\u094d\u0930\u0915\u093e\u0930 \u0915\u0947 \u0924\u093e\u091c\u0947 \u092b\u0932 \u0914\u0930 \u0938\u092c\u094d\u091c\u093f\u092f\u094b\u0902 \u0915\u093e \u0938\u0947\u0935\u0928 \u0915\u0930\u0947\u0902\u0964 2. Avoid Processed Foods: \u092e\u0940\u0920\u0947, \u0928\u092e\u0915\u0940\u0928 \u0914\u0930 \u0924\u0932\u0947 \u0939\u0941\u090f \u0916\u093e\u0926\u094d\u092f \u092a\u0926\u093e\u0930\u094d\u0925\u094b\u0902 \u0915\u093e \u0938\u0947\u0935\u0928 \u0938\u0940\u092e\u093f\u0924 \u0915\u0930\u0947\u0902\u0964",
|
|
"subject": {
|
|
"reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901",
|
|
"display": "DEVENDER SINGH"
|
|
},
|
|
"created": "2026-09-06T01:08:04+05:30",
|
|
"category": [
|
|
{
|
|
"coding": [
|
|
{
|
|
"system": "http://snomed.info/sct",
|
|
"code": "736271009",
|
|
"display": "Outpatient care plan"
|
|
}
|
|
]
|
|
}
|
|
],
|
|
"activity": [
|
|
{
|
|
"detail": {
|
|
"kind": "ServiceRequest",
|
|
"code": {
|
|
"coding": [
|
|
{
|
|
"system": "http://snomed.info/sct",
|
|
"code": "385676005",
|
|
"display": "General advice and education"
|
|
}
|
|
]
|
|
},
|
|
"status": "scheduled",
|
|
"description": "1. Fruits and Vegetables: \u092a\u0930\u094d\u092f\u093e\u092a\u094d\u0924 \u0935\u093f\u091f\u093e\u092e\u093f\u0928 \u0914\u0930 \u0916\u0928\u093f\u091c \u0938\u0941\u0928\u093f\u0936\u094d\u091a\u093f\u0924 \u0915\u0930\u0928\u0947 \u0915\u0947 \u0932\u093f\u090f \u092a\u094d\u0930\u0924\u093f\u0926\u093f\u0928 \u0935\u093f\u092d\u093f\u0928\u094d\u0928 \u092a\u094d\u0930\u0915\u093e\u0930 \u0915\u0947 \u0924\u093e\u091c\u0947 \u092b\u0932 \u0914\u0930 \u0938\u092c\u094d\u091c\u093f\u092f\u094b\u0902 \u0915\u093e \u0938\u0947\u0935\u0928 \u0915\u0930\u0947\u0902\u0964 2. Avoid Processed Foods: \u092e\u0940\u0920\u0947, \u0928\u092e\u0915\u0940\u0928 \u0914\u0930 \u0924\u0932\u0947 \u0939\u0941\u090f \u0916\u093e\u0926\u094d\u092f \u092a\u0926\u093e\u0930\u094d\u0925\u094b\u0902 \u0915\u093e \u0938\u0947\u0935\u0928 \u0938\u0940\u092e\u093f\u0924 \u0915\u0930\u0947\u0902\u0964"
|
|
}
|
|
}
|
|
],
|
|
"encounter": {
|
|
"reference": "urn:uuid:5aa94f8b-c161-454c-a6ab-734ce9a9e8f9"
|
|
},
|
|
"author": {
|
|
"reference": "urn:uuid:0c561894-fc78-4bb9-ab25-a2aa05c739e6",
|
|
"display": "Dr. R.K.SUNDRIYAL"
|
|
}
|
|
}
|
|
},
|
|
{
|
|
"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"
|
|
]
|
|
},
|
|
"text": {
|
|
"status": "generated",
|
|
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Follow Up:</b> Review After: 1 Month (02-10-2026) Days / as and when required</p></div>"
|
|
},
|
|
"status": "active",
|
|
"intent": "plan",
|
|
"title": "Follow Up",
|
|
"description": "Review After: 1 Month (02-10-2026) Days / as and when required",
|
|
"subject": {
|
|
"reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901",
|
|
"display": "DEVENDER SINGH"
|
|
},
|
|
"created": "2026-09-06T01:08:04+05:30",
|
|
"category": [
|
|
{
|
|
"coding": [
|
|
{
|
|
"system": "http://snomed.info/sct",
|
|
"code": "736271009",
|
|
"display": "Outpatient care plan"
|
|
}
|
|
]
|
|
}
|
|
],
|
|
"activity": [
|
|
{
|
|
"detail": {
|
|
"kind": "ServiceRequest",
|
|
"code": {
|
|
"coding": [
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|
{
|
|
"system": "http://snomed.info/sct",
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|
"code": "385676005",
|
|
"display": "General advice and education"
|
|
}
|
|
]
|
|
},
|
|
"status": "scheduled",
|
|
"description": "Review After: 1 Month (02-10-2026) Days / as and when required"
|
|
}
|
|
}
|
|
],
|
|
"encounter": {
|
|
"reference": "urn:uuid:5aa94f8b-c161-454c-a6ab-734ce9a9e8f9"
|
|
},
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"author": {
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"reference": "urn:uuid:0c561894-fc78-4bb9-ab25-a2aa05c739e6",
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|
"display": "Dr. R.K.SUNDRIYAL"
|
|
}
|
|
}
|
|
},
|
|
{
|
|
"fullUrl": "urn:uuid:77c657dd-25fa-4ae0-af23-b46918820bb9",
|
|
"resource": {
|
|
"resourceType": "DocumentReference",
|
|
"id": "77c657dd-25fa-4ae0-af23-b46918820bb9",
|
|
"meta": {
|
|
"profile": [
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"https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentReference"
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|
]
|
|
},
|
|
"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": {
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|
"reference": "urn:uuid:11cef8a6-4cd1-4733-afd0-92898eb57901",
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|
"display": "DEVENDER SINGH"
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},
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"date": "2026-09-06T01:08:04+05:30",
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"author": [
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{
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|
"reference": "urn:uuid:0c561894-fc78-4bb9-ab25-a2aa05c739e6",
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|
"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==",
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|
"size": 304,
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"title": "IPD Discharge Summary",
|
|
"creation": "2026-09-06T01:08:04+05:30",
|
|
"hash": "AdWrvbVdLmcbyEeCoBWeJD3cdBg="
|
|
}
|
|
}
|
|
]
|
|
}
|
|
}
|
|
]
|
|
} |