Sri Venkateshwara Multi-Speciality Hospital · Kukatpally, Hyderabad · 60 beds
KR
LD
Lakshmi Devi
58F ABHA 91-4327-8810-4455
Allergy
⚠ Penicillin
⚠ Sulfa drugs
Staff view
✦
What changed since her last visit — 21 Jun 2026
Read 4 years in 8 seconds
Needs your attention
Inconsistencies inside her own record — not predictions
Metformin dose vs renal function. She is on Metformin 1000mg BD, but her eGFR fell to 44 on 14 Mar (was 62). The label caps the dose below eGFR 45.
Sources: Rx 21 Jun · KFT 14 Mar · Reference alert · your call
Allergy recorded, drug prescribed elsewhere. Penicillin allergy is on file here, but Apollo Clinic prescribed Amoxicillin 500mg on 02 Jan (seen via ABHA). She reports no reaction — the allergy may be mis-recorded, or she didn't take it.
Sources: allergy 2022 · external Rx 02 Jan 2026 (ABHA)
Ordered, never resulted. A lipid profile ordered 21 Jun has no result 27 days later. Either it wasn't collected or the result never came back.
Sources: ServiceRequest 21 Jun · no matching DiagnosticReport
HOS flags contradictions between records it already holds. It does not diagnose, and it never changes a prescription.
Active problems & medications
Current as of today, with how long she's been on each
| Problem | Since | Control |
|---|---|---|
| Type 2 diabetes | 2022 | HbA1c 8.4% — above target |
| Hypertension | 2023 | 148/92 last visit |
| Diabetic neuropathy | 2025 | Symptomatic |
| CKD stage 3a newly relevant — see alert | 2026 | eGFR 44 |
| Medication | Dose | On it since | Refills |
|---|---|---|---|
| Metformin | 1000mg BD | Mar 2024 | On time |
| Telmisartan | 40mg OD | Jan 2023 | 12-day gap in May |
| Pregabalin | 75mg HS | Nov 2025 | On time |
Result trajectories
Four years of her own results — the direction is the finding, not any single value
HbA1c8.4%
▲ 7.1 → 8.4 over 4 yrstarget <7%
eGFR44
▼ 78 → 44 · CKD 3adrives the Metformin alert
Systolic BP148
— flat, above targettarget <140
Haemoglobin11.2
▼ 12.8 → 11.2expected with CKD
Weight68 kg
— stablegood adherence sign
Every point is a result already in her record — 2 of them pulled from other hospitals under her ABHA consent. Nothing here is extrapolated.
Overdue & due soon
Care gaps for a T2DM + CKD patient, from her own guideline schedule
| Item | Last done | Status | |
|---|---|---|---|
| Diabetic retinal screening | Never | Overdue 4 yrs | |
| Foot examination | Mar 2025 | Overdue 16 mo | |
| Urine albumin (ACR) | Jan 2025 | Overdue · CKD | |
| Lipid profile | Ordered 21 Jun | No result | |
| HbA1c | 18 Jul 2026 | Current | — |
Records from other hospitals
Pulled under her ABHA consent — she can revoke it at any time
Yashoda Hospital, Secunderabad — 14 Mar 2026
KFT (eGFR 44 — the value driving today's alert), CBC. Already available; no need to repeat.
Apollo Clinic, Kukatpally — 02 Jan 2026
Consultation + Rx Amoxicillin 500mg. Conflicts with her Penicillin allergy — flagged above.
Govt. UPHC Kukatpally — 19 Nov 2025
Immunisation record · influenza vaccine.
Without ABHA the eGFR of 44 would have been invisible here, and she'd have been renewed on a Metformin dose her kidneys no longer tolerate. This is what interoperability is for.
How the Yashoda result actually got here
The ABDM interoperability trace behind every "via ABHA" tag on this page — not a black box
This is the real sequence for the 14 Mar 2026 KFT result that drives today's Metformin dose alert — the same event referenced in her timeline and Clinical Snapshot, traced at the protocol level.
1
Health ID resolved. Her ABHA 91-4327-8810-4455 identifies her the same way to every participating facility — no re-entering demographics at Yashoda to match records.
2
This hospital (the HIU) requests consent. Sri Venkateshwara Hospital, as Health Information User, sends a scoped consent request through the ABDM Gateway (Health Information Exchange & Consent Manager) — scope: lab reports, date range Jan–Mar 2026.
3
She approves it in her own app. Her Consent Manager (her ABHA app, not this hospital's software) shows the request and issues a consent artefact naming the requester, the scope, and an expiry — revocable by her at any time, independent of this hospital.
4
Yashoda Hospital (the HIP) responds. As Health Information Provider, Yashoda's system packages the KFT as a FHIR R4 Bundle (DiagnosticReport + Observation resources) and sends it, end-to-end encrypted, through the Gateway to this hospital — it never lands anywhere HOS doesn't control.
5
HOS ingests and reconciles. The FHIR observation for eGFR is matched to her existing record, tagged with its real source ("Yashoda Hospital, via ABHA"), and surfaces as the value that raised today's Metformin alert — not re-typed by anyone.
Illustrative shape, trimmed for length — the same eGFR 44 value shown throughout this page, not a literal captured network payload.
{
"resourceType": "Bundle",
"type": "collection",
"entry": [
{
"resource": {
"resourceType": "DiagnosticReport",
"status": "final",
"code": { "text": "Kidney Function Test" },
"subject": { "display": "Lakshmi Devi", "reference": "ABHA/91-4327-8810-4455" },
"effectiveDateTime": "2026-03-14",
"performer": [{ "display": "Yashoda Hospital, Secunderabad" }],
"result": [{ "reference": "Observation/egfr-20260314" }]
}
},
{
"resource": {
"resourceType": "Observation",
"id": "egfr-20260314",
"status": "final",
"code": { "coding": [{ "system": "http://loinc.org", "code": "62238-1", "display": "eGFR (CKD-EPI)" }] },
"valueQuantity": { "value": 44, "unit": "mL/min/1.73m2" },
"effectiveDateTime": "2026-03-14"
}
}
]
}
Demographics
MRN SVH-2022-08114Date of birth
22 Aug 1967 (58y)
Sex
Female
Phone
+91 98491 22310
Blood group
B+
Address
H.No. 4-6-112, Vivekananda Nagar, Kukatpally, Hyderabad – 500072
Emergency contact
Venkatesh Naidu (son) · +91 90140 55231
Registered on
14 Mar 2022
Registered by
Swapna, Reception
Conditions
4 recordedType 2 Diabetes Mellitus
Hypertension
Diabetic peripheral neuropathy
Chronic kidney disease, stage 3a
Vitals baseline
Last recorded 18 Jul 2026Height
152 cm
Weight
68 kg
BMI
29.4
BP baseline
130/82
Pulse
78
SpO₂
97%
BMI category: Overweight · full vitals history & visit-by-visit trend is on the Timeline tab.
Four years in one record
39 events · 6 departments · 3 facilities — assembled automatically, none of it re-typed
3 events from other hospitals
2022 → 2026
This hospital
Another hospital, via ABHA
Bar height = events recorded that year. Click a year to open it below.
Counts cover the whole record 2022–2026, including years still collapsed below.
2026
15 events · 2 from other hospitals
Open
18 Jul 2026 · 09:42 AM
OPD Visit
Neuropathy workup started — feet numb ×3 weeks
Rx · 2 items
General Medicine · Room 3 Dr. K. Ramesh
Monofilament test reduced bilaterally. Weight 68.0 kg, BP 146/90. Pregabalin continued.
Rx Tab. Metformin 1000mg — రోజుకు రెండు సార్లు — భోజనం తర్వాత · Tab. Pregabalin 75mg — రాత్రి పడుకునే ముందు
18 Jul 2026 · 10:04 AM
Lab Result
HbA1c — 8.4%
High · ref < 6.5%
Central Lab reported by Prasad verified by Dr. K. Ramesh
Point-of-care analyser · sample collected 09:58 · ₹450 billed.
HbA1c
7.9 → 8.1 → 8.4
Mar 26 · Jun 26 · Jul 26
18 Jul 2026 · 11:05 AM
Billing
Invoice SVH/26-27/1184 — ₹1,240
Paid · UPI
Billing desk Swapna
Consultation ₹400 · HbA1c ₹450 · pharmacy ₹390. Self-pay — Star Health policy not claimed for OPD.
21 Jun 2026 · 09:30 AM
OPD Visit
Routine T2DM + hypertension review
BP 148/92
General Medicine · Room 3 Dr. K. Ramesh
Three medicines renewed unchanged. Home BP diary advised. HbA1c and a lipid profile ordered the same morning.
21 Jun 2026 · 09:34 AM
Lab Ordered
Lipid profile — no result on file
27 days open
Central Lab ordered by Dr. K. Ramesh
No sample was logged against this order and no report was ever returned — surfaced on the Clinical Snapshot as an open loop.
21 Jun 2026 · 04:10 PM
Lab Result
HbA1c — 8.1%
High · ref < 6.5%
Central Lab reported by Prasad verified by Dr. K. Ramesh
Released to her patient app the same evening.
12 Jun 2026 · 10:15 AM
OPD Visit
Palpitations reported — 12-lead ECG done
ECG recorded
General Medicine · Room 3 Dr. K. Ramesh
Sinus rhythm recorded, rate 84. No new finding entered in the note. Weight 68.4 kg.
12 Jun 2026 · 10:40 AM
Document
ECG trace uploaded
PDF · 1 page
Reception Swapna
ecg-opd_12jun2026.pdf · 1.2 MB · full file on the Documents section
12 May 2026 · 06:05 PM
Pharmacy
Dispensed — Tab. Telmisartan 40mg ×30
12 days late
Pharmacy counter Ravi Teja
Batch TLM-2605A · previous strip would have run out 30 Apr — a 12-day gap with no Telmisartan. Paid ₹142.
22 Mar 2026 · 12:40 PM
Lab Result
HbA1c — 7.9%
High · ref < 6.5%
Central Lab reported by Prasad verified by Dr. K. Ramesh
Report on file as hba1c-report_22mar2026.pdf.
17 Mar 2026 · 04:20 PM
Teleconsult
Follow-up call on the Yashoda kidney result
Video call · 14 min
General Medicine · video consult Dr. K. Ramesh
Called after the eGFR 44 result came in from Yashoda three days earlier. Advised to avoid NSAIDs and stay well hydrated; the Metformin dose review was deferred to an in-person visit — a dose change like this isn't permitted over teleconsultation under the Telemedicine Practice Guidelines, 2020.
Logged straight into this record — the same timeline as the Yashoda lab result below and every in-person visit, not a separate telemedicine portal.
14 Mar 2026
Lab Result
Kidney function test — eGFR 44
CKD 3a range
⇄ Yashoda Hospital, Secunderabad · via ABHA not ordered by this hospital
Serum creatinine 1.4 mg/dL · blood urea 42 mg/dL · eGFR 44 mL/min/1.73m². Same visit CBC: Hb 11.2 g/dL.
Pulled under her ABHA consent on 19 Jul 2026 — this is the value that put the Metformin dose above its label limit.
12 Jan 2026 · 04:30 PM
Document
Discharge summary uploaded
PDF · 2 pages
General Medicine signed by Dr. K. Ramesh
discharge-summary_LD_12jan2026.pdf · shared to her ABHA health locker · full file on the Documents section
12 Jan 2026 · 05:10 PM
Billing
IPD invoice SVH/25-26/0912 — ₹18,640
Settled
Billing desk insurance: Star Health
Cashless claim ₹14,200 approved · patient paid ₹4,440 at discharge. 3 bed-days, pharmacy and lab itemised on the invoice.
09 – 12 Jan 2026
IPD Admission
Hyperglycemia — 3 days · Bed G-14
Bill ₹18,640
Casualty → General ward nurse Mary Grace Dr. K. Ramesh
Admitted with RBS 412 mg/dL · insulin sliding scale · discharged stable on oral agents.
02 Jan 2026
Consultation
Fever & sore throat — Rx Amoxicillin 500mg
⚠ Allergy conflict
⇄ Apollo Clinic, Kukatpally · via ABHA general practice
Prescribed 5 days of Amoxicillin — a penicillin — while a Penicillin allergy is on file here since 2022. She reports no reaction, so either the allergy is mis-recorded or the course was never taken.
2025
10 events · 1 from another hospital
Preview — 2025
- 4 OPD visits · General Medicine
- HbA1c 7.2% → 7.8% over the year
- Neuropathy recorded · Pregabalin started
- Influenza vaccine · Govt. UPHC (ABHA)
2024
4 events · 2 visits, 1 lab report, 1 refill
Preview — 2024
- HbA1c 7.6% · Mar 2024
- Metformin raised 500mg → 1000mg BD
- 1 pharmacy refill
- Annual review · Nov 2024
2023
4 events · 2 visits, 1 lab report, 1 new medicine
Preview — 2023
- Hypertension recorded · Jan 2023
- Telmisartan 40mg OD started
- HbA1c 7.4% · Sep 2023
- 1 review visit
2022
5 events · where her record begins
Preview — 2022
- Registered 14 Mar 2022 · MRN issued
- T2DM recorded · HbA1c 7.1%
- Metformin 500mg BD started
- Penicillin & Sulfa allergies recorded
✦
✦ Four years in one glance
Draft — awaiting approval
Compiled from 38 events · 11 lab reports · 1 discharge summary · 3 outside records via ABHA (2022 – 2026)
Reports that arrive on paper
Upload an outside printout or a phone photo — HOS reads the values off it so they can join her own trend lines
Transcription · not interpretation
⇧
Drop a report photo or PDF here, or browse to uploadPDF, JPG, PNG up to 10 MB · attaches to Lakshmi Devi's record · values are proposed, never filed automatically
✦
Read from yashoda-kft_14mar2026.jpg — 6 values found
Draft — awaiting approval
Nothing below is in her chart yet. Correct any value, untick what you don't want, then approve — HOS files exactly what you tick and logs your name against it.
| File | Test | Value | Unit | Reference range | Report date | Status |
|---|---|---|---|---|---|---|
| Serum creatinine page 1 · line 4 |
mg/dL | 0.6 – 1.1 | 14 Mar 2026 | Outside reference range | ||
| Blood urea page 1 · line 5 |
mg/dL | 15 – 40 | 14 Mar 2026 | Outside reference range | ||
| Serum potassium page 1 · line 7 |
mmol/L | 3.5 – 5.1 | 14 Mar 2026 | Within range | ||
| Serum sodium page 1 · line 6 · blurred |
mmol/L | 135 – 145 | 14 Mar 2026 | Low confidence — read it yourself | ||
| eGFR (CKD-EPI) page 1 · line 8 |
mL/min/1.73m² | > 90 | 14 Mar 2026 | Already on file · ABHA | ||
| Haemoglobin page 2 · line 2 |
g/dL | 12.0 – 15.0 | 14 Mar 2026 | Already on file · ABHA |
Source: the uploaded image only · header read as Yashoda Hospital, Secunderabad, collected 14 Mar 2026 · every value keeps a link to the line it was read from. HOS transcribes what the page says. It does not interpret the result, and it does not touch any prescription.
✓ Filed to her chart as Observations dated 14 Mar 2026 — creatinine 1.4, urea 42, potassium 4.6. They now sit on her result trajectories, attributed to Yashoda Hospital, with this photo as the source document. Sodium was left unfiled.
Why this matters more here than anywhere else: a repeat KFT costs her ₹600 and a second trip. The report was already in her hand — it just wasn't in any system.
Uploaded files
4 files on record
PDF
discharge-summary_LD_12jan2026.pdf
Discharge
PDF
hba1c-report_22mar2026.pdf
Lab report
PDF
ecg-opd_12jun2026.pdf
Diagnostic
JPG
insurance-card_LD_14mar2022.jpg
ID / Insurance
Lab reports and discharge summaries here are the same files she can download from her own app. Insurance and ID scans are staff-only.
Linked family accounts
1 linkedVN
Venkatesh Naidu Linked account
Consent & privacy
DPDP readyDPDP data request
Patient rightsUnder the Digital Personal Data Protection Act, Lakshmi Devi can request an export of her health records held by this hospital, or request a correction to inaccurate data.
No pending requests on file. Last export: none requested yet.
✓ Data export requested 18 Jul 2026 · ref DPDP-2026-0447 · status: In progress — due 25 Jul 2026.
✓ Correction request logged 18 Jul 2026 · ref DPDP-2026-0448 · status: In progress — due 25 Jul 2026.
Patient-initiated requests are logged and fulfilled within 7 days.
What she controls
Her consent, per category — she can change these herself from her app
| Category | Visible to her | Shared outside |
|---|---|---|
| Prescriptions every Rx, in Telugu or English | Yes | ABHA · on request |
| Lab reports released after the doctor validates | Yes | ABHA · on request |
| Bills & receipts | Yes | No |
| Discharge summaries | Yes | ABHA · on request |
| Doctor's private notes differentials, clinical reasoning | No | Never |
| Unvalidated results still on the analyser | Not yet | No |
| Internal AI drafts before a human approves | No | Never |
The three No rows are the important ones. A patient portal that leaks a differential diagnosis or an unapproved AI draft causes real harm — so those categories are structurally excluded, not merely hidden behind a flag.
Her app, right now
Same data, patient language — R3
Your next visit
01 Aug 2026, 10:30 AM · Dr. K. Ramesh
Please come fasting — a blood test is planned.
Please come fasting — a blood test is planned.
Your sugar report — 18 Jul
HbA1c 8.4%. Your doctor's target for you is below 7%.
Plain-language explanation, in Telugu or English.
Plain-language explanation, in Telugu or English.
Your medicines (3)
Metformin · Telmisartan · Pregabalin
With a reminder if a refill is late.
With a reminder if a refill is late.
Bills
₹1,240 paid on 18 Jul · receipt available
Doctor's clinical notes, AI drafts and unvalidated results are not shown here.
She can revoke ABHA sharing, request a correction, or download everything — from this screen.