Need Functional Specification details

ABDM FHIR Resources
#1

Need Functional Specification details

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#2

Hi Kalyan,

Could you be more specific. Which functional specifications are you referring to? Reference to most of the specifications are already on the sandbox documentation. For more details on the FHIR profiles you can refer to https://nrces.in/ndhm.

Hope this clarifies your query.

#3

Hi Padmarajv,

Could you help me to get how hospital functionalities need to synced with given below link
https://nrces.in/ndhm

#4

Hi Kalyan, I hope the webinar hosted yesterday gave you enough information about this.If you still need more information let me know and I can guide you.

#5

Please Share document if any

#6

Hi Kalyan, I assume you have gone thru https://nrces.in/ndhm/fhir/r4/index.html NDHM/NRCeS based on HL7 FHIR. The APIs/resources proposed to be used are very well documented both at NRCes & hl7.org/fhir . Let me attempt to simplify for you

FHIR has number of resources. NDHM however proposed using 24 FHIR resources and 4 clinical records, along with coding standards & value sets, to begin with. More FHIR resources may be added as per the need (my guess). The four clinical records are as follows :

DiagnosticReportRecord
DischargeSummaryRecord
OPConsultRecord
PrescriptionRecord

These are summary records and based on IPD/OPD flow and also follow SNOMED CT standard. Since these are summary records, each of them might contain a section of FHIR record/(s), to be maintained in a proper digital format

Let’s consider an example of OPConsultRecord : It may have references to FHIR resources Patient, Encounter, Practitioner, PractitionerRole, Device, Organization, RelatedPerson and has the following sections. In both cases it may be either all or combinations of FHIR resources

  1. ChiefComplaints - SCT (SNOMED-CT) - 422843007 and may have links to Condition FHIR resource

  2. Physical Examination - SCT - 425044008, link to Observation FHIR resource

  3. Allergies - SCT - 722446000, link to AllergyIntolerance FHIR resource

  4. Medical History - SCT - 371529009, link to previous Condition/Procedure FHIR resource

  5. Family History - SCT - 422432008, link to FamilyMemberHistory FHIR resource

  6. Investigation Advice - SCT - 721963009, link to ServiceRequest FHIR resource

  7. Medications - SCT - 721912009, link to MedicationStatement / MedicationRequest FHIR resource

  8. Follow up - SCT - 736271009, link to Appointment FHIR resource

  9. DocumentReference - SCT - 371530004, link to DocumentReference FHIR record. The actual document could be a PDF document with the sections listed

  10. Clinical Procedure Report - 371525003, link to Procedure FHIR resource

Similar set applies based on the document type in other three cases. You may also check the cardinality of the elements in the summary record

Hope this helps !

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