Atrius India Core FHIR Implementation Guide
0.1.0 - ci-build

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

: Example AtriusIn OP Consult Record

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<Composition xmlns="http://hl7.org/fhir">
  <id value="atrius-in-op-consult-record-example"/>
  <meta>
    <profile
             value="https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-op-consult-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-op-consult-record-example</b></p><a name="atrius-in-op-consult-record-example"> </a><a name="hcatrius-in-op-consult-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-op-consult-record.html">Atrius India Core OP Consult Record</a></p></div><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 371530004}">Clinical consultation report</span></p><p><b>encounter</b>: <a href="Encounter-atrius-in-encounter-example.html">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = ; period = 2026-05-20 09:00:00+0530 --&gt; 2026-05-20 09:45:00+0530</a></p><p><b>date</b>: 2026-06-20 10:30:00+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>: OPD Consultation Note</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>2026-06-20 10:35:00+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="371530004"/>
      <display value="Clinical consultation report"/>
    </coding>
    <text value="Clinical consultation report"/>
  </type>
  <subject>🔗 
    <reference value="Patient/atrius-in-patient-example"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/atrius-in-encounter-example"/>
  </encounter>
  <date value="2026-06-20T10:30:00+05:30"/>
  <author>🔗 
    <reference value="Practitioner/atrius-in-practitioner-example"/>
  </author>
  <title value="OPD Consultation Note"/>
  <attester>
    <mode value="professional"/>
    <time value="2026-06-20T10:35:00+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>Intermittent chest discomfort for 2 days.</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>Alert, vitals stable, chest clear.</p></div>
    </text>
    <entry>🔗 
      <reference value="Observation/atrius-in-op-consult-exam-example"/>
    </entry>
  </section>
  <section>
    <title value="Medical history"/>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="371529009"/>
        <display value="History and physical report"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>Non-exertional, no radiation, no diaphoresis.</p></div>
    </text>
    <entry>🔗 
      <reference value="Condition/atrius-in-op-consult-hpi-example"/>
    </entry>
  </section>
  <section>
    <title value="Follow up"/>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="390906007"/>
        <display value="Follow-up encounter"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>Rest, follow up in 1 week, return if worsening.</p></div>
    </text>
    <entry>🔗 
      <reference value="Appointment/atrius-in-op-consult-followup-example"/>
    </entry>
  </section>
  <section>
    <title value="Assessment"/>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="404684003"/>
        <display value="Clinical finding"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>Atypical chest pain, low suspicion for ACS.</p></div>
    </text>
    <entry>🔗 
      <reference value="Observation/atrius-in-op-consult-assessment-example"/>
    </entry>
  </section>
</Composition>