Atrius India Core FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

: Example AtriusIn Discharge Summary Record

Raw xml | Download

<Composition xmlns="http://hl7.org/fhir">
  <id value="atrius-in-discharge-summary-record-example"/>
  <meta>
    <profile
             value="https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-discharge-summary-record"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Composition atrius-in-discharge-summary-record-example</b></p><a name="atrius-in-discharge-summary-record-example"> </a><a name="hcatrius-in-discharge-summary-record-example"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-atrius-in-discharge-summary-record.html">Atrius India Core Discharge Summary Record</a></p></div><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 373942005}">Discharge summary</span></p><p><b>encounter</b>: <a href="Encounter-atrius-in-encounter-inpatient-example.html">Encounter: status = in-progress; class = inpatient encounter (ActCode#IMP); type = ; period = 2026-07-03 10:00:00+0530 --&gt; (ongoing); reasonCode = </a></p><p><b>date</b>: 2026-07-05 11:00:00+0530</p><p><b>author</b>: <a href="Practitioner-atrius-in-practitioner-example.html">Practitioner Dr. Arjun Mehta(official)</a></p><p><b>title</b>: Discharge Summary</p><h3>Attesters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td style="display: none">*</td><td>Professional</td><td>2026-07-05 11:05:00+0530</td><td><a href="Practitioner-atrius-in-practitioner-example.html">Practitioner Dr. Arjun Mehta(official)</a></td></tr></table></div>
  </text>
  <status value="final"/>
  <type>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="373942005"/>
      <display value="Discharge summary"/>
    </coding>
    <text value="Discharge summary"/>
  </type>
  <subject>🔗 
    <reference value="Patient/atrius-in-patient-example"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/atrius-in-encounter-inpatient-example"/>
  </encounter>
  <date value="2026-07-05T11:00:00+05:30"/>
  <author>🔗 
    <reference value="Practitioner/atrius-in-practitioner-example"/>
  </author>
  <title value="Discharge Summary"/>
  <attester>
    <mode value="professional"/>
    <time value="2026-07-05T11:05:00+05:30"/>
    <party>🔗 
      <reference value="Practitioner/atrius-in-practitioner-example"/>
    </party>
  </attester>
  <section>
    <title value="Chief complaints"/>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="422843007"/>
        <display value="Chief complaint section"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>Hypertension follow-up admission.</p></div>
    </text>
    <entry>🔗 
      <reference value="Condition/atrius-in-op-consult-cc-example"/>
    </entry>
  </section>
  <section>
    <title value="Physical examination"/>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="425044008"/>
        <display value="Physical exam section"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>Vitals stable.</p></div>
    </text>
    <entry>🔗 
      <reference value="Observation/atrius-in-op-consult-exam-example"/>
    </entry>
  </section>
  <section>
    <title value="Allergies"/>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="722446000"/>
        <display value="Allergy record"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>Penicillin — urticaria.</p></div>
    </text>
    <entry>🔗 
      <reference
                 value="AllergyIntolerance/atrius-in-allergyintolerance-example"/>
    </entry>
  </section>
  <section>
    <title value="Past medical history"/>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="1003642006"/>
        <display value="Past medical history section"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>Essential hypertension.</p></div>
    </text>
    <entry>🔗 
      <reference value="Condition/atrius-in-condition-problem-example"/>
    </entry>
  </section>
  <section>
    <title value="Family history"/>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="422432008"/>
        <display value="Family history section"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>Father with CAD.</p></div>
    </text>
    <entry>🔗 
      <reference
                 value="FamilyMemberHistory/atrius-in-familymemberhistory-example"/>
    </entry>
  </section>
  <section>
    <title value="Investigations"/>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="721981007"/>
        <display value="Diagnostic studies report"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>CBC final.</p></div>
    </text>
    <entry>🔗 
      <reference
                 value="DiagnosticReport/atrius-in-diagnosticreport-lab-example"/>
    </entry>
  </section>
  <section>
    <title value="Medications"/>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="1003606003"/>
        <display value="Medication history section"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>Paracetamol TDS.</p></div>
    </text>
    <entry>🔗 
      <reference
                 value="MedicationRequest/atrius-in-medicationrequest-example"/>
    </entry>
  </section>
  <section>
    <title value="Procedures"/>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="1003640003"/>
        <display value="History of past procedure section"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>Point-of-care ultrasound.</p></div>
    </text>
    <entry>🔗 
      <reference value="Procedure/atrius-in-procedure-example"/>
    </entry>
  </section>
  <section>
    <title value="Care plan"/>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="734163000"/>
        <display value="Care plan"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>BP control goal.</p></div>
    </text>
    <entry>🔗 
      <reference value="CarePlan/atrius-in-careplan-example"/>
    </entry>
  </section>
  <section>
    <title value="Attachments"/>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="373942005"/>
        <display value="Discharge summary"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>See attached note.</p></div>
    </text>
    <entry>🔗 
      <reference
                 value="DocumentReference/atrius-in-documentreference-example"/>
    </entry>
  </section>
</Composition>