devsofttech_hms_ci4/scratch/user_updated_bundle.json

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