785 lines
43 KiB
PHP
785 lines
43 KiB
PHP
<?php
|
|
require __DIR__ . '/../vendor/autoload.php';
|
|
|
|
$generator = new \App\Libraries\Abdm\Fhir\Generators\DischargeFhirGenerator();
|
|
|
|
$source = [
|
|
'record_id' => 9,
|
|
'completed_at' => '2026-09-06T01:30:00+05:30',
|
|
'patient' => [
|
|
'id' => 11,
|
|
'uhid' => 'A26080000011',
|
|
'name' => 'DEVENDER SINGH',
|
|
'gender' => 'male',
|
|
'dob' => '1979-03-28',
|
|
'abha_id' => '91510165305101',
|
|
'abha_address' => 'singhdevender0328@sbx',
|
|
],
|
|
'doctor' => [
|
|
'id' => 4,
|
|
'name' => 'Dr. R.K.SUNDRIYAL',
|
|
'hpr_id' => 'HPR-4',
|
|
],
|
|
'organization' => [
|
|
'id' => 'IN0510000871',
|
|
'name' => 'E-Atria Hospital',
|
|
],
|
|
'encounter' => [
|
|
'id' => 9,
|
|
'ipd_no' => 'A26090000009',
|
|
'start' => '2026-08-28T10:00:00+05:30',
|
|
'end' => '2026-09-06T01:30:00+05:30',
|
|
'class_code' => 'IMP',
|
|
'location_display' => 'Ward: General Ward, Bed: GW-12',
|
|
],
|
|
'chief_complaints' => [
|
|
['name' => 'Abdominal Pain', 'code' => '21522000'],
|
|
['name' => 'Cough', 'code' => '49727002'],
|
|
['name' => 'Vomiting', 'code' => '422400008'],
|
|
['name' => 'Acute chest pain', 'code' => '423341008'],
|
|
['name' => 'Chest Pain', 'code' => '29857009'],
|
|
],
|
|
'diagnoses' => [
|
|
['name' => 'VIRAL DISEASE', 'code' => '404684003'],
|
|
],
|
|
'procedures' => [
|
|
['name' => 'Laparoscopy of rectum', 'code' => '86174004'],
|
|
],
|
|
'medications' => [
|
|
[
|
|
'name' => 'ACILOC',
|
|
'dosage' => 'Take 1 tablet twice daily before meals',
|
|
'frequency' => 2,
|
|
'period_unit' => 'd',
|
|
'route' => 'Oral route',
|
|
],
|
|
[
|
|
'name' => 'PANTOP DSR',
|
|
'dosage' => 'Take 1 tablet once daily before meals',
|
|
'frequency' => 1,
|
|
'period_unit' => 'd',
|
|
'route' => 'Oral route',
|
|
],
|
|
],
|
|
'observations' => [
|
|
[
|
|
'text' => 'Pulse /min',
|
|
'value' => '70',
|
|
'category' => 'Condition on Admission Time',
|
|
'loinc_code' => '8867-4',
|
|
'loinc_display' => 'Heart rate',
|
|
],
|
|
[
|
|
'text' => 'Respiration /min',
|
|
'value' => '20',
|
|
'category' => 'Condition on Admission Time',
|
|
'loinc_code' => '9279-1',
|
|
'loinc_display' => 'Respiratory rate',
|
|
],
|
|
[
|
|
'text' => 'BP mmHg',
|
|
'value' => '140/90',
|
|
'category' => 'Condition on Admission Time',
|
|
'loinc_code' => '85354-9',
|
|
'loinc_display' => 'Blood pressure panel with all children optional',
|
|
],
|
|
[
|
|
'text' => 'SPO2',
|
|
'value' => '95',
|
|
'category' => 'Condition on Admission Time',
|
|
'loinc_code' => '59408-5',
|
|
'loinc_display' => 'Oxygen saturation in Arterial blood by Pulse oximetry',
|
|
],
|
|
[
|
|
'text' => 'Temp F',
|
|
'value' => '96',
|
|
'category' => 'Condition on Admission Time',
|
|
'loinc_code' => '8310-5',
|
|
'loinc_display' => 'Body temperature',
|
|
],
|
|
],
|
|
'care_plans' => [
|
|
[
|
|
'title' => 'Dietary Advice',
|
|
'description' => 'Fruits and Vegetables: Consume fresh fruits and vegetables daily. Avoid processed, sugary, and salty foods.',
|
|
],
|
|
[
|
|
'title' => 'Follow Up',
|
|
'description' => 'Review After: 1 Month (02-10-2026) / as and when required',
|
|
],
|
|
],
|
|
'documents' => []
|
|
];
|
|
|
|
$bundle = [
|
|
"resourceType" => "Bundle",
|
|
"id" => "discharge-A26090000009-v" . time(),
|
|
"meta" => [
|
|
"versionId" => "1",
|
|
"lastUpdated" => "2026-09-06T02:08:00+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-v" . time()
|
|
],
|
|
"type" => "document",
|
|
"timestamp" => "2026-09-06T02:08:00+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" => "2026-09-06T02:08:00+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" => "2026-09-06T02:08:00+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" => "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" => "Cerebral vascular 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"]
|
|
]
|
|
]
|
|
]
|
|
]
|
|
],
|
|
// 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" => "2026-09-06T02:08:00+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"
|
|
]
|
|
]
|
|
],
|
|
// Chief complaints
|
|
[
|
|
"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" => "2026-09-06T02:08:00+05:30"
|
|
]
|
|
],
|
|
[
|
|
"fullUrl" => "urn:uuid:e6d1cece-4973-46d4-ace5-d96047401b20",
|
|
"resource" => [
|
|
"resourceType" => "Condition",
|
|
"id" => "e6d1cece-4973-46d4-ace5-d96047401b20",
|
|
"meta" => ["profile" => ["https://nrces.in/ndhm/fhir/r4/StructureDefinition/Condition"]],
|
|
"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" => "2026-09-06T02:08:00+05:30"
|
|
]
|
|
],
|
|
[
|
|
"fullUrl" => "urn:uuid:a712dc95-6feb-4b11-a7ea-5699b8845317",
|
|
"resource" => [
|
|
"resourceType" => "Condition",
|
|
"id" => "a712dc95-6feb-4b11-a7ea-5699b8845317",
|
|
"meta" => ["profile" => ["https://nrces.in/ndhm/fhir/r4/StructureDefinition/Condition"]],
|
|
"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" => "2026-09-06T02:08:00+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" => "423341008", "display" => "Acute 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" => "2026-09-06T02:08:00+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" => "2026-09-06T02:08:00+05:30"
|
|
]
|
|
],
|
|
// Clinical History & Risk Profile
|
|
[
|
|
"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" => "2026-09-06T02:08:00+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" => "2026-09-06T02:08:00+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"
|
|
]
|
|
],
|
|
// 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" => "2026-09-06T02:08:00+05:30"
|
|
]
|
|
],
|
|
// 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"
|
|
]
|
|
],
|
|
// Medications
|
|
[
|
|
"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" => "2026-09-06T02:08:00+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"],
|
|
"authoredOn" => "2026-09-06T02:08:00+05:30",
|
|
"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"]]]
|
|
]]
|
|
]
|
|
],
|
|
// Physical Exam Vitals
|
|
[
|
|
"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]"]
|
|
]
|
|
],
|
|
// Follow-Up Instructions (CarePlans)
|
|
[
|
|
"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",
|
|
"category" => [["coding" => [["system" => "http://snomed.info/sct", "code" => "736271009", "display" => "Outpatient care 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"]
|
|
]
|
|
],
|
|
[
|
|
"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",
|
|
"category" => [["coding" => [["system" => "http://snomed.info/sct", "code" => "736271009", "display" => "Outpatient care 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"]
|
|
]
|
|
]
|
|
]
|
|
];
|
|
|
|
$validator = new \App\Libraries\Abdm\Fhir\Support\FhirBundleValidator();
|
|
$val = $validator->validate($bundle);
|
|
|
|
echo "Validation Result (Without PDF):\n";
|
|
echo "Valid: " . ($val->valid ? "YES" : "NO") . " | Score: " . $val->score . "%\n";
|
|
echo "Total Entries: " . count($bundle['entry']) . "\n";
|
|
if (!empty($val->errors)) {
|
|
echo "Errors: " . print_r($val->errors, true) . "\n";
|
|
}
|
|
|
|
file_put_contents(__DIR__ . '/bundle_without_pdf.json', json_encode($bundle, JSON_PRETTY_PRINT | JSON_UNESCAPED_SLASHES));
|