Release updates of FHIR Implementation Guide for NDHM May 2021

Hello,

The FHIR Implementation Guide for NDHM has been updated (https://www.nrces.in/ndhm) for the following major changes:

*Two new Clinical artifacts introduced:

  • WellnessRecord: To record details of daily observations and conditions such as vital signs, body measurements, physical activities, etc. collected via PHR/various healthcare devices by a patient

  • HealthDocumentRecord: To support uploading and sharing of the scanned health document through the PHR application. Scope of this record creation is limited to the envisaged Health Locker while sharing and receiving may be possible through other components over NDHM.

  • New FHIR Profiles for specific Observation structures (supported in WelnessRecord):

    • ObservationBodyMeasurement
    • ObservationGeneralAssessment
    • ObservationLifestyle
    • ObservationPhysicalActivity
    • ObservationVitalSigns
    • ObservationWomenHealth
  • New ValueSets:

    • Lifestyle
    • Women Health
    • General Assessment
    • Physical Activity
    • Body Measurement
    • Vital Signs
    • Alcohol Drinking Status
    • Tobacco Smoking Status
    • Tobacco Chewing Status
    • Mental Status
    • Diet Type
    • General Wellbeing
  • Over 35 examples covering WellnessRecord, HealthDocumentRecord, and the new Observation profiles.

  • Provision to display and copy the canonical URL of all the Profiles.

Apart from the IG, NDHM FHIR Usage Samples also have been updated to demonstrate creating, validating, and parsing of the data for the new Clinical Artifacts. They can be downloaded at https://www.nrces.in/services/tools-and-technologies