Shushrut EHR

Outpatient · General medicine · 31 Oct 2026 Token G-07 · checked in 09:12 · seen 09:26 · closed 09:41 Dr Anil Mehta, General Physician

Vitals 09:26 · Dr A. Mehta

Measure	Value	Reference
Blood pressure	148/92 mmHg High	below 140/90
Pulse	82 /min	60–100
Temperature	36.8 °C	36.1–37.2
SpO₂	98 %	95 and above
Respiratory rate	16 /min	12–20
Weight, height	78 kg · 168 cm · BMI 27.6	BMI calculated

Notes 09:31 · Dr A. Mehta

Complaint: Review of diabetes and blood pressure. Occasional morning headache for two weeks.
Examination: Alert, well hydrated. Heart sounds normal, chest clear. No pedal oedema.
Plan: Start amlodipine. Continue metformin. Low-salt diet; walk 30 minutes daily. Follow-up on 30 Nov 2026.

Diagnoses ICD-10

E11.9	Type 2 diabetes mellitus without complications
I10	Essential (primary) hypertension

Lab orders 09:34 · Dr A. Mehta

Test	Status	Detail
HbA1c	Report ready, reviewed	Uploaded 10:52 by the lab desk; reviewed 11:05
Lipid profile	Sample collected	09:48 at the collection counter

Prescription 09:38 · Dr A. Mehta

Medicine	Dose	Duration
Metformin 500 mg tabletIn stock at Branch 2	1 tablet · 1-0-1	30 days
Amlodipine 5 mg tabletIn stock at Branch 2	1 tablet · 1-0-0	30 days

Dispensing 09:52 · R. Iyer, Pharmacist

Medicine	Batch, expiry	Quantity
Metformin 500 mg	MTF-24118 · 05/2028	60 tablets
Amlodipine 5 mg	AML-23907 · 11/2027	30 tablets

Scope: Registration A UHID per patient; a guardian required for minors; search across all branches by name, phone or UHID.

Queues and referrals A token sequence per doctor per day; live queues for reception and each doctor; reordering with a recorded reason; live and scheduled referrals to specialists.

Consultation Vitals checked against reference ranges; structured notes; ICD-10 diagnoses; follow-up dates.

Prescribing Dose and frequency in 1-0-1 notation, with duration; live stock availability at the doctor’s branch.

Laboratory Orders, sample collection, report upload and review by the ordering doctor.

Pharmacy Stock by batch and expiry; earliest-expiry-first dispensing; substitutions recorded; the Schedule H1 register.

Treatment room Injections, IV fluids, nebulisation and dressings; courses over several days; short-stay beds.

Campaigns Health camps and drives with eligibility and slot limits; patients tagged to the campaign that brought them.

Reports Visits by doctor, patient sources, campaigns, referral flow, dispensing and expiry, across branches.

Administration Staff, roles and branch assignments; doctor schedules; the test catalogue; message templates.
Architecture: Record A standards-based clinical record core, read directly over HL7 FHIR R4.

Services Queues, pharmacy, laboratory, beds and reports run as separate services, joined to the record by patient identity. Clinical data is never duplicated.

Identity and access Every write is made with the signed-in person’s own short-lived token, so each change is attributable to a person and bounded by their role.
Standards: Standard Specification Used for

HL7 FHIR R4 (4.0.1) The clinical record

ICD-10 ICD-10-CM code set Diagnoses

OAuth 2.0 RFC 6749 Sign-in

PKCE RFC 7636 Sign-in from the browser

Token introspection RFC 7662 Checking tokens in the services
Status: Early access.
In development: Insurance and schemes: pre-authorisation and claims for government schemes and private insurers, handled from the same record. Payer and scheme rules are held as configuration, not code.
Data: The sandbox runs on generated patients. No real patient data has been used in development.
Access: A short form, then straight into the sandbox.

Name Work email Organisation Role Organisation type Anything we should know (optional)

Your details are used only to arrange your sandbox access.

Registration	A UHID per patient; a guardian required for minors; search across all branches by name, phone or UHID.
Queues and referrals	A token sequence per doctor per day; live queues for reception and each doctor; reordering with a recorded reason; live and scheduled referrals to specialists.
Consultation	Vitals checked against reference ranges; structured notes; ICD-10 diagnoses; follow-up dates.
Prescribing	Dose and frequency in 1-0-1 notation, with duration; live stock availability at the doctor’s branch.
Laboratory	Orders, sample collection, report upload and review by the ordering doctor.
Pharmacy	Stock by batch and expiry; earliest-expiry-first dispensing; substitutions recorded; the Schedule H1 register.
Treatment room	Injections, IV fluids, nebulisation and dressings; courses over several days; short-stay beds.
Campaigns	Health camps and drives with eligibility and slot limits; patients tagged to the campaign that brought them.
Reports	Visits by doctor, patient sources, campaigns, referral flow, dispensing and expiry, across branches.
Administration	Staff, roles and branch assignments; doctor schedules; the test catalogue; message templates.

Record	A standards-based clinical record core, read directly over HL7 FHIR R4.
Services	Queues, pharmacy, laboratory, beds and reports run as separate services, joined to the record by patient identity. Clinical data is never duplicated.
Identity and access	Every write is made with the signed-in person’s own short-lived token, so each change is attributable to a person and bounded by their role.

Standard	Specification	Used for
HL7 FHIR	R4 (4.0.1)	The clinical record
ICD-10	ICD-10-CM code set	Diagnoses
OAuth 2.0	RFC 6749	Sign-in
PKCE	RFC 7636	Sign-in from the browser
Token introspection	RFC 7662	Checking tokens in the services