Skip to content

Instantly share code, notes, and snippets.

@jibrel

jibrel/sampleDischargeSummery.fhir.json

Forked from sankalpdeveloper/sampleDischargeSummery.fhir.json
Created August 19, 2023 12:30
Show Gist options
  • Save jibrel/32a01342bde00f7140282c5cbe4c19c1 to your computer and use it in GitHub Desktop.
Save jibrel/32a01342bde00f7140282c5cbe4c19c1 to your computer and use it in GitHub Desktop.
Download ZIP
Raw
sampleDischargeSummery.fhir.json
{
"resourceType": "Bundle",
"id": "DischargeSummary",
"type": "document",
"entry": [
{
"fullUrl": "Composition/1",
"resource": {
"resourceType": "Composition",
"id": "1",
"language": "en-IN",
"status": "final",
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "373942005",
"display": "Discharge summary"
}
],
"text": "Discharge Summary"
},
"subject": {
"reference": "Patient/mihir"
},
"encounter": {
"reference": "Encounter/1"
},
"date": "2020-07-09T15:32:26.605+05:30",
"author": [
{
"reference": "Practitioner/1"
}
],
"title": "Discharge Summary",
"confidentiality": "N",
"custodian": {
"reference": "Organization"
},
"section": [
{
"title": "Chief complaints",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "422843007",
"display": "Chief complaint section"
}
]
},
"entry": [
{
"reference": "Condition/2"
}
]
},
{
"title": "Medical History",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1003642006",
"display": "Past medical history section"
}
]
},
"entry": [
{
"reference": "Procedure/1"
},
{
"reference": "Condition/1"
}
]
},
{
"title": "Investigations",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "721981007",
"display": "Diagnostic studies report"
}
]
},
"entry": [
{
"reference": "DiagnosticReport/1"
}
]
},
{
"title": "Procedures",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1003640003",
"display": "History of past procedure section"
}
]
},
"entry": [
{
"reference": "Procedure/2"
}
]
},
{
"title": "Medications",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1003606003",
"display": "Medication history section"
}
]
},
"entry": [
{
"reference": "MedicationRequest/1"
}
]
},
{
"title": "Care Plan",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "734163000",
"display": "Care plan"
}
]
},
"entry": [
{
"reference": "CarePlan/1"
}
]
},
{
"title": "Document Reference",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "373942005",
"display": "Discharge summary"
}
]
},
"entry": [
{
"reference": "DocumentReference/1"
}
]
}
]
}
},
{
"fullUrl": "Practitioner/1",
"resource": {
"resourceType": "Practitioner",
"id": "1",
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MD",
"display": "Medical License number"
}
]
},
"system": "https://doctor.ndhm.gov.in",
"value": "21-1521-3828-3227"
}
],
"name": [
{
"text": "DEF"
}
]
}
},
{
"fullUrl": "Organization",
"resource": {
"resourceType": "Organization",
"name": "UN Mehta Hospital",
"telecom": [
{
"system": "phone",
"value": "+91 079 2268 2395",
"use": "work"
},
{
"system": "email",
"value": "contact@unmehta.org",
"use": "work"
}
]
}
},
{
"fullUrl": "Patient/mihir",
"resource": {
"resourceType": "Patient",
"name": [
{
"text": "Mihir"
}
],
"telecom": [
{
"system": "phone",
"value": "+919773166301",
"use": "mobile"
}
],
"gender": "male",
"birthDate": "1995-05-20"
}
},
{
"fullUrl": "Encounter/1",
"resource": {
"resourceType": "Encounter",
"id": "1",
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "home",
"display": "Home"
},
"subject": {
"reference": "Patient/mihir"
},
"period": {
"start": "2023-04-20T15:32:26.605+05:30",
"end": "2023-04-27T15:32:26.605+05:30"
},
"hospitalization": {
"dischargeDisposition": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
"code": "home",
"display": "Home"
}
],
"text": "Discharged to Home Care"
}
}
}
},
{
"fullUrl": "Appointment/1",
"resource": {
"resourceType": "Appointment",
"id": "1",
"status": "booked",
"serviceCategory": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "408443003",
"display": "General medical practice"
}
]
}
],
"serviceType": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "11429006",
"display": "Consultation"
}
]
}
],
"appointmentType": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "185389009",
"display": "Follow-up visit"
}
]
},
"reasonReference": [
{
"reference": "Condition/1"
}
],
"description": "Discussion on the results of your recent Lab Test and further consultation",
"start": "2023-04-12T09:00:00Z",
"end": "2023-04-12T09:30:00Z",
"created": "2020-07-09T14:58:58.181+05:30",
"participant": [
{
"actor": {
"reference": "Patient/mihir"
},
"status": "accepted"
},
{
"actor": {
"reference": "Practitioner/1"
},
"status": "accepted"
}
]
}
},
{
"fullUrl": "Condition/1",
"resource": {
"resourceType": "Condition",
"id": "1",
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "recurrence",
"display": "Recurrence"
}
]
},
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "440700005",
"display": "History of aortoiliac atherosclerosis"
}
],
"text": "Patient complained about pain in left arm"
},
"subject": {
"reference": "Patient/mihir"
}
}
},
{
"fullUrl": "Condition/2",
"resource": {
"resourceType": "Condition",
"id": "2",
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active",
"display": "Active"
}
]
},
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "22298006",
"display": "Myocardial infarction"
}
],
"text": "pain in the chest, neck, back or arms, as well as fatigue, lightheadedness, abnormal heartbeat and anxiety."
},
"subject": {
"reference": "Patient/mihir"
}
}
},
{
"fullUrl": "Specimen/1",
"resource": {
"resourceType": "Specimen",
"id": "1",
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "119364003",
"display": "Serum specimen"
}
]
},
"subject": {
"reference": "Patient/mihir"
},
"receivedTime": "2015-07-08T06:40:17Z",
"collection": {
"collectedDateTime": "2020-07-08T06:40:17Z"
}
}
},
{
"fullUrl": "DiagnosticReport/1",
"resource": {
"resourceType": "DiagnosticReport",
"id": "1",
"status": "final",
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "708196005",
"display": "Hematology service"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "24331-1",
"display": "Lipid 1996 panel - Serum or Plasma"
}
],
"text": "Lipid 1996 panel"
},
"subject": {
"reference": "Patient/mihir",
"display": "ABC"
},
"issued": "2023-04-10T11:45:33+11:00",
"performer": [
{
"reference": "Organization",
"display": "UN Mehta"
}
],
"resultsInterpreter": [
{
"reference": "Practitioner/1",
"display": "Dr. DEF"
}
],
"specimen": [
{
"reference": "Specimen/1"
}
],
"result": [
{
"reference": "Observation/cholesterol"
},
{
"reference": "Observation/triglyceride"
}
],
"conclusion": "Elevated cholesterol/high density lipoprotein ratio",
"conclusionCode": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "439953004",
"display": "Elevated cholesterol/high density lipoprotein ratio"
}
]
}
],
"presentedForm": [
{
"contentType": "application/pdf",
"language": "en-IN",
"data": "",
"title": "Diagnostic Report"
}
]
}
},
{
"fullUrl": "Observation/cholesterol",
"resource": {
"resourceType": "Observation",
"id": "cholesterol",
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "35200-5",
"display": "Cholesterol [Mass or Moles/volume] in Serum or Plasma"
}
],
"text": "Cholesterol [Mass or moles/Vol]"
},
"subject": {
"reference": "Patient/mihir"
},
"performer": [
{
"reference": "Organization"
}
],
"valueQuantity": {
"value": 6.3,
"unit": "mmol/L",
"system": "http://snomed.info/sct",
"code": "258813002"
},
"referenceRange": [
{
"high": {
"value": 4.5,
"unit": "mmol/L",
"system": "http://snomed.info/sct",
"code": "258813002"
}
}
]
}
},
{
"fullUrl": "Observation/triglyceride",
"resource": {
"resourceType": "Observation",
"id": "triglyceride",
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "35217-9",
"display": "Triglyceride [Mass or Moles/volume] in Serum or Plasma"
}
],
"text": "Triglyceride [Mass or moles/Vol]"
},
"subject": {
"reference": "Patient/mihir"
},
"performer": [
{
"reference": "Organization"
}
],
"valueQuantity": {
"value": 1.3,
"unit": "mmol/L",
"system": "http://snomed.info/sct",
"code": "258813002"
},
"referenceRange": [
{
"high": {
"value": 2.0,
"unit": "mmol/L",
"system": "http://snomed.info/sct",
"code": "258813002"
}
}
]
}
},
{
"fullUrl": "Procedure/1",
"resource": {
"resourceType": "Procedure",
"id": "1",
"status": "completed",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "36969009",
"display": "Placement of stent in coronary artery"
}
],
"text": "Placement of stent in coronary artery"
},
"subject": {
"reference": "Patient/mihir"
},
"performedDateTime": "2022-05-12",
"complication": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "131148009",
"display": "Bleeding"
}
]
}
]
}
},
{
"fullUrl": "Procedure/2",
"resource": {
"resourceType": "Procedure",
"id": "2",
"status": "completed",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "232717009",
"display": "Coronary artery bypass grafting"
}
],
"text": "Coronary artery bypass grafting"
},
"subject": {
"reference": "Patient/mihir"
},
"performedDateTime": "2023-01-05"
}
},
{
"fullUrl": "MedicationRequest/1",
"resource": {
"resourceType": "MedicationRequest",
"id": "1",
"status": "active",
"intent": "order",
"medicationCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "765082007",
"display": "Nitroglycerin 5 mg buccal tablet"
}
]
},
"subject": {
"reference": "Patient/mihir",
"display": "ABC"
},
"authoredOn": "2022-07-09",
"requester": {
"reference": "Practitioner/1",
"display": "DEF"
},
"reasonReference": [
{
"reference": "Condition/2"
}
],
"dosageInstruction": [
{
"text": "One tablet at once",
"additionalInstruction": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "311504000",
"display": "With or after food"
}
]
}
],
"timing": {
"repeat": {
"frequency": 1,
"period": 1,
"periodUnit": "d"
}
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "26643006",
"display": "Oral Route"
}
]
},
"method": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "421521009",
"display": "Swallow"
}
]
}
}
]
}
},
{
"fullUrl": "CarePlan/1",
"resource": {
"resourceType": "CarePlan",
"id": "1",
"status": "active",
"intent": "plan",
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "736368003",
"display": "Coronary heart disease care plan"
}
]
}
],
"title": "Coronary heart disease care plan",
"description": "Treatment of coronary artery and related disease problems",
"subject": {
"reference": "Patient/mihir",
"display": "ABC"
},
"activity": [
{
"outcomeReference": [
{
"reference": "Appointment/1"
}
]
}
]
}
},
{
"fullUrl": "DocumentReference/1",
"resource": {
"resourceType": "DocumentReference",
"id": "1",
"status": "current",
"docStatus": "final",
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "373942005",
"display": "Discharge Summary"
}
],
"text": "Discharge Summary"
},
"subject": {
"reference": "Patient/mihir"
},
"content": [
{
"attachment": {
"contentType": "application/pdf",
"language": "en-IN",
"data": "",
"title": "Discharge Summary",
"creation": "2022-07-09T11:46:09+05:30"
}
}
]
}
}
],
"signature": {
"type": [
{
"system": "urn:iso-astm:E1762-95:2013",
"code": "1.2.840.10065.1.12.1.1",
"display": "Author's Signature"
}
],
"when": "2020-07-09T07:42:33+10:00",
"who": {
"reference": "Practitioner/1"
},
"sigFormat": "image/jpeg",
"data": ""
}
}
Sign up for free to join this conversation on GitHub. Already have an account? Sign in to comment