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angshu/Sample OP Consultation 1

Created August 10, 2020 07:53
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Sample OP Consultation 1
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"reference": "Organization/MaxSaket01"
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"section": [
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"title": "Chief Complaints",
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{
"title": "Allergy Section",
"code": {
"coding": [
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"code": "722446000",
"display": "Allergy Record"
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},
"entry": [
{
"reference": "AllergyIntolerance/example"
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{
"reference": "AllergyIntolerance/medication"
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{
"title": "Physical Examination",
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"title": "Prescription",
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"entry": [
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"reference": "MedicationRequest/87e40b9e-5841-48a3-a4de-b2c9d1d751d6"
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{
"title": "Clinical consultation",
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"system": "https://projecteka.in/sct",
"code": "371530004",
"display": "Clinical consultation report"
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{
"title": "Procedures",
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"title": "Diagnostic Reports",
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{
"title": "Care Plan",
"code": {
"coding": [
{
"system": "https://projecteka.in/sct",
"code": "734163000",
"display": "Care Plan"
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]
},
"entry": [
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"reference": "CarePlan/604bc683-3a8c-4c43-a823-4b35b96a38d6"
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]
},
{
"title": "Follow up",
"code": {
"coding": [
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"system": "https://projecteka.in/sct",
"code": "736271009",
"display": "Follow up"
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"entry": [
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"reference": "Appointment/cb93d975-2ff3-4278-b120-9c24aa9080f3"
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"fullUrl": "Practitioner/MAX5001",
"resource": {
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"identifier": [
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"system": "https://www.mciindia.in/doctor",
"value": "MAX5001"
}
],
"name": [
{
"text": "Laxmikanth J",
"prefix": [
"Dr"
],
"suffix": [
"MD"
]
}
]
}
},
{
"fullUrl": "Organization/MaxSaket01",
"resource": {
"resourceType": "Organization",
"id": "MaxSaket01",
"name": "Max Super Speciality Hospital, Saket",
"alias": [
"Max"
],
"telecom": [
{
"system": "phone",
"value": "(+91) 011-2651-5050"
},
{
"system": "fax",
"value": "(+91) 011-2651-5051"
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"address": [
{
"line": [
"1, 2, Press Enclave Marg, Saket Institutional Area, Saket"
],
"city": "New Delhi",
"state": "New Delhi",
"postalCode": "110017",
"country": "INDIA"
}
],
"endpoint": [
{
"reference": "https://www.max.in/hospital-network/max-super-speciality-hospital-saket",
"display": "Website"
}
]
}
},
{
"fullUrl": "Patient/RVH1003",
"resource": {
"resourceType": "Patient",
"id": "RVH1003",
"name": [
{
"text": "Hina Patel"
}
],
"gender": "female"
}
},
{
"fullUrl": "Encounter/a7432a66-b0fa-47ac-9c67-9202b7ed9d3c",
"resource": {
"resourceType": "Encounter",
"id": "a7432a66-b0fa-47ac-9c67-9202b7ed9d3c",
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB",
"display": "Outpatient visit"
},
"subject": {
"reference": "Patient/RVH1003"
},
"period": {
"start": "2020-08-03T00:00:00+05:30"
}
}
},
{
"fullUrl": "Condition/448895fd-9d24-4415-9cc0-0e7d1772e079",
"resource": {
"resourceType": "Condition",
"id": "448895fd-9d24-4415-9cc0-0e7d1772e079",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "problem-list-item",
"display": "problem list"
}
],
"text": "problem list"
}
],
"severity": {
"text": "Mild"
},
"code": {
"coding": [
{
"system": "https://projecteka.in/sct",
"code": "386661006",
"display": "Fever"
}
],
"text": "Fever"
},
"subject": {
"reference": "Patient/RVH1003"
},
"onsetDateTime": "2020-07-04T00:00:00+05:30"
}
},
{
"fullUrl": "AllergyIntolerance/example",
"resource": {
"resourceType": "AllergyIntolerance",
"id": "example",
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code": "active",
"display": "Active"
}
]
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code": "confirmed",
"display": "Confirmed"
}
]
},
"type": "allergy",
"category": [
"food"
],
"criticality": "high",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "227493005",
"display": "Cashew nuts"
}
]
},
"patient": {
"reference": "Patient/RVH1003"
},
"onsetString": "Past 1 year",
"asserter": {
"reference": "Practitioner/MAX5001"
},
"note": [
{
"text": "The criticality is high becasue of the observed anaphylactic reaction when challenged with cashew extract."
}
]
}
},
{
"fullUrl": "AllergyIntolerance/medication",
"resource": {
"resourceType": "AllergyIntolerance",
"id": "medication",
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code": "active",
"display": "Active"
}
]
},
"category": [
"medication"
],
"criticality": "high",
"code": {
"coding": [
{
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "7980",
"display": "Penicillin G"
}
]
},
"patient": {
"reference": "Patient/RVH1003"
},
"onsetString": "Past 2 year",
"asserter": {
"reference": "Practitioner/MAX5001"
}
}
},
{
"fullUrl": "Observation/e38e8c59-971a-4089-b965-45f5d4d86cd5",
"resource": {
"resourceType": "Observation",
"id": "e38e8c59-971a-4089-b965-45f5d4d86cd5",
"status": "final",
"code": {
"text": "respiratory rate"
},
"effectiveDateTime": "2020-08-03T00:00:00+05:30",
"valueString": "14"
}
},
{
"fullUrl": "Condition/9933b4dc-7cc6-4891-8b42-8e52a578f844",
"resource": {
"resourceType": "Condition",
"id": "9933b4dc-7cc6-4891-8b42-8e52a578f844",
"code": {
"text": "inflammation"
},
"subject": {
"reference": "Patient/RVH1003"
}
}
},
{
"fullUrl": "MedicationRequest/87e40b9e-5841-48a3-a4de-b2c9d1d751d6",
"resource": {
"resourceType": "MedicationRequest",
"id": "87e40b9e-5841-48a3-a4de-b2c9d1d751d6",
"status": "active",
"intent": "order",
"medicationCodeableConcept": {
"text": "ibuprofen 500 mg"
},
"subject": {
"reference": "Patient/RVH1003"
},
"authoredOn": "2020-08-03T00:00:00+05:30",
"requester": {
"reference": "Practitioner/MAX5001"
},
"reasonReference": [
{
"reference": "Condition/9933b4dc-7cc6-4891-8b42-8e52a578f844"
}
],
"dosageInstruction": [
{
"text": "1 tablet 3 times a day"
}
]
}
},
{
"fullUrl": "Practitioner/MAX1456",
"resource": {
"resourceType": "Practitioner",
"id": "MAX1456",
"identifier": [
{
"system": "https://www.mciindia.in/doctor",
"value": "MAX1456"
}
],
"name": [
{
"text": "Harsh Dhave",
"prefix": [
"Dr"
],
"suffix": [
"MBBS"
]
}
]
}
},
{
"fullUrl": "DocumentReference/14d29344-d015-4aa0-b354-e892ae04fba0",
"resource": {
"resourceType": "DocumentReference",
"id": "14d29344-d015-4aa0-b354-e892ae04fba0",
"status": "current",
"type": {
"coding": [
{
"system": "https://projecteka.in/loinc",
"code": "30954-2",
"display": "Surgical Pathology Report"
}
]
},
"author": [
{
"reference": "Practitioner/MAX1456"
}
],
"content": [
{
"attachment": {
"contentType": "application/pdf",
"url":"/attachments/abc.pdf",
"title": "Surgical Pathology Report"
}
}
]
}
},
{
"fullUrl": "Procedure/cd3b8777-2f96-4d5c-ae43-4f9106affa2c",
"resource": {
"resourceType": "Procedure",
"id": "cd3b8777-2f96-4d5c-ae43-4f9106affa2c",
"status": "completed",
"code": {
"coding": [
{
"system": "https://projecteka.in/sct",
"code": "232717009",
"display": "Coronary artery bypass grafting"
}
]
},
"subject": {
"reference": "Patient/RVH1003"
},
"performedDateTime": "2020-08-03T01:00:00+05:30",
"asserter": {
"reference": "Practitioner/MAX5001"
},
"complication": [
{
"coding": [
{
"system": "https://projecteka.in/sct",
"code": "131148009",
"display": "Bleeding"
}
]
}
]
}
},
{
"fullUrl": "DiagnosticReport/cdcfc412-18f5-4a26-b0e4-2aa094024b8a",
"resource": {
"resourceType": "DiagnosticReport",
"id": "cdcfc412-18f5-4a26-b0e4-2aa094024b8a",
"status": "final",
"code": {
"coding": [
{
"system": "https://projecteka.in/loinc",
"code": "718-7",
"display": "Hemoglobin [Mass/volume] in Blood"
}
],
"text": "Hemoglobin [Mass/volume] in Blood"
},
"subject": {
"reference": "Patient/RVH1003"
},
"issued": "2020-08-03T00:00:00.000+05:30",
"performer": [
{
"reference": "Organization/MaxSaket01"
}
],
"resultsInterpreter": [
{
"reference": "Practitioner/MAX1234"
}
],
"presentedForm": [
{
"contentType": "application/pdf",
"url": "/attachments/test.abc",
"title": "Surgical Pathology Report"
}
]
}
},
{
"fullUrl": "Practitioner/MAX1234",
"resource": {
"resourceType": "Practitioner",
"id": "MAX1234",
"identifier": [
{
"system": "https://www.mciindia.in/doctor",
"value": "MAX1234"
}
],
"name": [
{
"text": "Manju Sengar",
"prefix": [
"Dr"
],
"suffix": [
"MD"
]
}
]
}
},
{
"fullUrl": "CarePlan/604bc683-3a8c-4c43-a823-4b35b96a38d6",
"resource": {
"resourceType": "CarePlan",
"id": "604bc683-3a8c-4c43-a823-4b35b96a38d6",
"status": "active",
"intent": "plan",
"title": "Active Plan for next 2 months",
"description": "Actively monitor progress. Review every week to start with. Medications to be revised after 2 weeks.",
"subject": {
"reference": "Patient/RVH1003"
},
"period": {
"start": "2020-08-03T00:00:00+05:30",
"end": "2020-10-02T00:00:00+05:30"
},
"author": {
"reference": "Practitioner/MAX5001"
},
"note": [
{
"text": "Actively monitor progress."
},
{
"text": "Review every week to start with. Medications to be revised after 2 weeks."
}
]
}
},
{
"fullUrl": "Appointment/cb93d975-2ff3-4278-b120-9c24aa9080f3",
"resource": {
"resourceType": "Appointment",
"id": "cb93d975-2ff3-4278-b120-9c24aa9080f3",
"status": "proposed",
"description": "Review progress in 7 days",
"start": "2020-08-10T00:00:00.000+05:30",
"end": "2020-08-10T00:30:00.000+05:30",
"participant": [
{
"actor": {
"reference": "Practitioner/MAX5001"
},
"status": "tentative"
}
]
}
}
]
}
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