Regarding FHR Implementation

Query

Certain Information is not visible in ABHA SBX App for a Particular JSON.Certain Data is not visible as mentioned as listed in table

Explanation
We have created the FHIR Bundle JSON for the Prescription and also validated the FHIR Json via https://inferno.healthit.gov/validator/ , however, partial information is visible in the ABHA SBX App, and skipped information which includes Patient Details, Additionally Allergies, Allergy, Pathology Test, Pathology Test Linking in Reports, Additional Diagnosis, etc.

Description:-

JSON Object is shared along with the document.

Kindly help.

Hey @jagjotwadali ,

Please try with given bundle,

{
“resourceType”: “Bundle”,
“id”: “65b57f77-d92f-4443-a16a-561cf411bd69”,
“meta”: {
“lastUpdated”: “2022-01-01T00:00:00.000+05:30”
},
“identifier”: {
“system”: “https://nvhcp.gov.in/bundle”,
“value”: “65b57f77-d92f-4443-a16a-561cf411bd69”
},
“type”: “document”,
“timestamp”: “2022-01-01T00:00:00.000+05:30”,
“entry”: [
{
“fullUrl”: “Composition/1eea2b7e-ccc8-4ef4-80f7-b768a36bd2fe”,
“resource”: {
“resourceType”: “Composition”,
“id”: “1eea2b7e-ccc8-4ef4-80f7-b768a36bd2fe”,

    "status": "final",
    "type": {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "440545006",
          "display": "Prescription record"
        }
      ]
    },
    "subject": {
      "reference": "Patient/RVH9999"
    },
   
    "date": "2022-01-26T00:00:00.605+05:30",
    "author": [
      {
        "reference": "Practitioner/MAX5001"
      }
    ],
    "title": "Prescription",
    "section": [
      {
        "title": "OPD Prescription",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "440545006",
              "display": "Prescription record"
            }
          ]
        },
        "entry": [
          {
            "reference": "MedicationRequest/aca6ea17-e467-4875-afb4-f821a10da611"
          },
          {
            "reference": "MedicationRequest/a5999b54-5176-4580-8ad7-a63440cf4949"
          },
		  {
            "reference": "MedicationRequest/3"
          },
		  {
            "reference": "MedicationRequest/4"
          },
		  {
            "reference": "DiagnosticReport/1"
          }
          
        ]
      }
    ]
  }
},
{
  "fullUrl": "Practitioner/MAX5001",
  "resource": {
    "resourceType": "Practitioner",
    "id": "MAX5001",
   
    "name": [
      {
        "text": "Dr.Dr. Amanpreet Kaur (OST Ludhiana)",
        "prefix": [
          "Dr"
        ],
        "suffix": [
          "MD"
        ]
      }
    ]
  }
},
{
  "fullUrl": "Patient/RVH9999",
  "resource": {
    "resourceType": "Patient",
    "id": "RVH9999",
    "name": [
      {
        "text": "Keith David"
      }
    ],
    "gender": "male"
  }
},


{
  "fullUrl": "MedicationRequest/aca6ea17-e467-4875-afb4-f821a10da611",
  "resource": {
    "resourceType": "MedicationRequest",
    "id": "aca6ea17-e467-4875-afb4-f821a10da611",
    "status": "active",
    "intent": "order",
    "medicationCodeableConcept": {
      "text": "Screening Details"
    },
    "subject": {
      "reference": "Patient/RVH9999"
    },
    "authoredOn": "2022-01-01T00:00:00+05:30",
    "requester": {
      "reference": "Practitioner/MAX5001"
    },
    "reasonReference": [
      {
        "reference": "Condition/cac4d05a-9452-47fd-88ef-8455a756c8dd"
      }
    ],
    "dosageInstruction": [
      {
        "text": "Rapid Diagnostic Test - Positive \n Date of Result - 01 Jan 2022"
      }
    ]
  }
},

{
  "fullUrl": "DiagnosticReport/1",
  "resource": {
    "resourceType": "DiagnosticReport",
    "id": "1",
    "meta": {
      "versionId": "1",
      "lastUpdated": "2020-07-09T15:32:26.605+05:30"
    },
    "text": {
      "status": "generated",
      "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-IN\" lang=\"en-IN\">\n\t\t\t\t\t\t<h3>Lipid Report for ABC issued 9-July 2020 14:26</h3>\n\t\t\t\t\t\t<pre>\nTest                  Units       Value       Reference Range\nCholesterol           mmol/l      6.3         &lt;4.5\nTriglyceride          mmol/L      1.3         &lt;2.0\n\n      </pre>\n\t\t\t\t\t\t<p>XYZ Lab Pvt.Ltd., Inc signed: Dr. DEF Pathologist</p>\n\t\t\t\t\t</div>"
    },
    "identifier": [
      {
        "system": "https://xyz.com/lab/reports",
        "value": "5234342"
      }
    ],
    "basedOn": [
      {
        "reference": "ServiceRequest/1"
      }
    ],
    "status": "final",
    "category": [
      {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "708196005",
            "display": "Hematology service"
          }
        ]
      }
    ],
    "code": {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "273407003",
          "display": "Rapid screening test"
        }
      ],
      "text": "Rapid Diagnostic Test -HEP-C"
    },
    "subject": {
      "reference": "Patient/1",
      "display": "ABC"
    },
    "issued": "2020-07-10T11:45:33+11:00",
    "performer": [
      {
        "reference": "Organization/1",
        "display": "XYZ Lab Pvt.Ltd."
      }
    ],
    "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"
          }
        ]
      }
    ]
   
  }
},

{
  "fullUrl": "MedicationRequest/a5999b54-5176-4580-8ad7-a63440cf4949",
  "resource": {
    "resourceType": "MedicationRequest",
    "id": "a5999b54-5176-4580-8ad7-a63440cf4949",
    "status": "active",
    "intent": "order",
	"medicationCodeableConcept": {
      "text": "Viral Load Details"
    },
    "subject": {
      "reference": "Patient/RVH9999"
    },
    "authoredOn": "2022-01-01T00:00:00+05:30",
    "requester": {
      "reference": "Practitioner/MAX5001"
    },
    "reasonReference": [
      {
        "reference": "Condition/87dc2d46-7296-4537-8eb2-cada4b62fb93"
      }
    ],
    "dosageInstruction": [
      {
        "text": "Test Result Date - Detected \n  Test Result Date  07 Jan 2022 \n Viral Load (IU/ml) - 1300"
      }
    ]
  }
},
{
  "fullUrl": "MedicationRequest/3",
  "resource": {
    "resourceType": "MedicationRequest",
    "id": "3",
    "status": "active",
    "intent": "order",
	"medicationCodeableConcept": {
      "text": "Visit - 26 Jan 2022"
    },
    "subject": {
      "reference": "Patient/RVH9999"
    },
    "authoredOn": "2022-01-01T00:00:00+05:30",
    "requester": {
      "reference": "Practitioner/MAX5001"
    },
    "reasonReference": [
      {
        "reference": "Condition/87dc2d46-7296-4537-8eb2-cada4b62fb93"
      }
    ],
    "dosageInstruction": [
      {
        "text": "Reg1: Sofosbuvir + Daclatasvir \n Sofosbuvir 400 mg,Daclatasvir60 mg  "
      }
    ]
  }
},
{
  "fullUrl": "MedicationRequest/4",
  "resource": {
    "resourceType": "MedicationRequest",
    "id": "4",
    "status": "active",
    "intent": "order",
	"medicationCodeableConcept": {
      "text": "Visit - 20 Feb 2022"
    },
    "subject": {
      "reference": "Patient/RVH9999"
    },
    "authoredOn": "2022-01-01T00:00:00+05:30",
    "requester": {
      "reference": "Practitioner/MAX5001"
    },
    "reasonReference": [
      {
        "reference": "Condition/87dc2d46-7296-4537-8eb2-cada4b62fb93"
      }
    ],
    "dosageInstruction": [
      {
        "text": "Reg1: Sofosbuvir + Daclatasvir \n Sofosbuvir 400 mg,Daclatasvir60 mg \n No side effects  "
      }
    ]
  }
}  ]}

Thanks

We are seeing Diagnostic Report is showing under the Medication Section as per the JSON you shared. Is this the right approach?

Please see the Screenshot below.

@jagjotwadali,

Bundle can be managed .
If you able to show them on app that means flow is fine from your end.

Thanks