FHIR IG analytics| Package | synapxe.sgcdi |
| Resource Type | Composition |
| Id | EDNotesCreateRequest.json |
| FHIR Version | R5 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Composition",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-composition"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/recordID",
"value": "EDN-123456"
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/accessionNumber",
"value": "ACC-987654"
}
],
"status": "final",
"type": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/nehr-doc-types",
"code": "EDNOTE",
"display": "Emergency Department Notes"
}
]
},
"subject": [
{
"reference": "Patient/123"
}
],
"encounter": {
"reference": "Encounter/456"
},
"date": "2024-07-01T02:00:00+00:00",
"author": [
{
"reference": "Practitioner/789"
}
],
"title": "Emergency Department Notes",
"relatesTo": [
{
"type": "documentation",
"document": {
"contentType": "application/pdf",
"language": "en",
"data": "aGk=",
"size": "12345",
"title": "ED Notes PDF"
}
}
],
"section": [
{
"title": "Triage",
"entry": [
{
"reference": "#triage-com-001"
}
]
},
{
"title": "Consultation",
"entry": [
{
"reference": "#consult-com-001"
}
]
},
{
"title": "Disposition",
"entry": [
{
"reference": "#dispo-com-001"
},
{
"reference": "#mc-123"
}
]
},
{
"title": "Glasgow Coma Scale (GCS) Assessment",
"entry": [
{
"reference": "#gcs-obs-001"
}
]
},
{
"title": "Vital Signs",
"entry": [
{
"reference": "Observation/vitals-obs-001"
}
]
},
{
"title": "Medication Orders",
"entry": [
{
"reference": "#medadmin-001"
}
]
},
{
"title": "Infusion Orders",
"entry": [
{
"reference": "#infusion-admin-001"
}
]
},
{
"title": "Procedure Orders",
"entry": [
{
"reference": "Procedure/procedure-001"
}
]
},
{
"title": "Prescription Orders",
"entry": [
{
"reference": "MedicationRequest/prescription-001"
}
]
}
],
"contained": [
{
"resourceType": "Composition",
"id": "triage-com-001",
"status": "final",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "67781-5",
"display": "Triage note"
}
]
},
"subject": [
{
"reference": "Patient/123",
"display": "Jane Doe"
}
],
"date": "2025-09-02T04:45:00+00:00",
"author": [
{
"reference": "Practitioner/456",
"display": "Nurse Alice Tan"
}
],
"title": "Emergency Department Triage Note",
"section": [
{
"title": "Triage Information Source",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Patient self-reported</p></div>"
}
},
{
"title": "Language",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>English, basic Mandarin</p></div>"
}
},
{
"title": "Mobility",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Patient walked unaided</p></div>"
}
},
{
"title": "Acuity Scale",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Level 2 - Emergent</p></div>"
}
},
{
"title": "Triage Notes",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Patient presented with severe chest pain lasting 30 minutes.</p></div>"
}
},
{
"title": "Medical History",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Hypertension, Diabetes Mellitus</p></div>"
}
},
{
"title": "Pregnancy Status",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Currently pregnant (20 weeks)</p></div>"
}
},
{
"title": "Last Menstrual Period",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>2025-03-10</p></div>"
}
}
]
},
{
"resourceType": "Composition",
"id": "consult-com-001",
"status": "final",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "11488-4",
"display": "Consult note"
}
]
},
"subject": [
{
"reference": "Patient/123",
"display": "John Doe"
}
],
"date": "2025-09-02T08:15:00+00:00",
"author": [
{
"reference": "Practitioner/789",
"display": "Dr. Sarah Lee"
}
],
"title": "Outpatient Consultation Note",
"section": [
{
"title": "Information Source",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Patient self-reported</p></div>"
}
},
{
"title": "Language",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>English</p></div>"
}
},
{
"title": "Acuity Scale",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Level 3 - Urgent</p></div>"
}
},
{
"title": "Consultation Notes",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Patient presented with headache and mild dizziness. Prescribed paracetamol. Follow-up in 1 week.</p></div>"
}
}
]
},
{
"resourceType": "Composition",
"id": "dispo-com-001",
"status": "final",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "18842-5",
"display": "Discharge summary"
}
]
},
"subject": [
{
"reference": "Patient/123",
"display": "Jane Doe"
}
],
"date": "2025-09-02T10:30:00+00:00",
"author": [
{
"reference": "Practitioner/456",
"display": "Dr. Alice Tan"
}
],
"title": "Disposition Note",
"section": [
{
"title": "General Condition",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Patient stable, ambulant</p></div>"
}
},
{
"title": "Discharge Advice",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Rest and avoid strenuous activity</p></div>"
}
},
{
"title": "Police Case Flag",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>No</p></div>"
}
},
{
"title": "Coroner Case Flag",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>No</p></div>"
}
},
{
"title": "Remarks",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Patient discharged home</p></div>"
}
},
{
"title": "Status and Amendment",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Status: Final, Amendment: None</p></div>"
}
}
]
},
{
"resourceType": "DocumentReference",
"id": "mc-123",
"status": "current",
"type": {
"coding": [
{
"system": "http://fhir.synapxe.sg/CodeSystem/mc-type",
"code": "outpatient",
"display": "Outpatient Medical Certificate"
}
]
},
"subject": {
"reference": "Patient/123"
},
"date": "2025-09-02T10:30:00+00:00",
"author": [
{
"reference": "Practitioner/456",
"display": "Dr. Alice Tan"
}
],
"description": "Medical Certificate issued to Jane Doe",
"content": [
{
"attachment": {
"contentType": "application/pdf",
"url": "Binary/mc-123",
"title": "Medical Certificate MC123456",
"creation": "2025-09-02T10:30:00+00:00"
}
}
],
"period": {
"start": "2025-09-02",
"end": "2025-09-04"
}
},
{
"resourceType": "Observation",
"id": "gcs-obs-001",
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9269-2",
"display": "Glasgow coma score total"
}
]
},
"subject": {
"reference": "Patient/123"
},
"effectiveDateTime": "2025-09-02T11:55:00+00:00",
"valueQuantity": {
"value": 15,
"unit": "score"
},
"component": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9267-6",
"display": "GCS eye subscore"
}
]
},
"valueQuantity": {
"value": 4
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9270-0",
"display": "GCS verbal subscore"
}
]
},
"valueQuantity": {
"value": 5
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9268-4",
"display": "GCS motor subscore"
}
]
},
"valueQuantity": {
"value": 6
}
}
]
},
{
"resourceType": "MedicationAdministration",
"id": "medadmin-001",
"status": "completed",
"medication": {
"concept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "387517004",
"display": "Paracetamol 500mg tablet"
}
]
}
},
"subject": {
"reference": "Patient/123"
},
"occurenceDateTime": "2025-09-02T06:00:00+00:00",
"performer": [
{
"function": {
"text": "Administered by"
},
"actor": {
"reference": {
"reference": "Practitioner/789",
"display": "Nurse Alice Tan"
}
}
},
{
"function": {
"text": "Checked by"
},
"actor": {
"reference": {
"reference": "Practitioner/456",
"display": "Dr. Alice Tan"
}
}
}
],
"request": {
"reference": "MedicationRequest/medorder-001"
},
"note": [
{
"text": "Patient tolerated first dose well, no adverse effects."
}
]
},
{
"resourceType": "MedicationAdministration",
"id": "infusion-admin-001",
"status": "completed",
"medication": {
"concept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "431941000124103",
"display": "Normal saline 0.9%"
}
]
}
},
"subject": {
"reference": "Patient/123"
},
"occurencePeriod": {
"start": "2025-09-02T00:10:00+00:00",
"end": "2025-09-02T04:10:00+00:00"
},
"performer": [
{
"function": {
"text": "Administered by"
},
"actor": {
"reference": {
"reference": "Practitioner/789",
"display": "Nurse Alice Tan"
}
}
},
{
"function": {
"text": "Checked by"
},
"actor": {
"reference": {
"reference": "Practitioner/456",
"display": "Dr. Alice Tan"
}
}
}
],
"request": {
"reference": "MedicationRequest/infusion-order-001"
},
"note": [
{
"text": "Patient tolerated infusion well, vital signs stable"
}
]
}
]
}