FHIR IG analytics| Package | synapxe.sgcdi |
| Resource Type | Bundle |
| Id | BundleDischargeSummaryRequest.Example.json |
| FHIR Version | R5 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Bundle",
"type": "transaction",
"entry": [
{
"fullUrl": "urn:uuid:composition-dischargesummary-001",
"resource": {
"resourceType": "Composition",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-dischargesummary"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "DS-2026-02-06-001"
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/accession-no",
"value": "ACC-DS-2026-02-06-001"
}
],
"status": "final",
"type": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/doc-types",
"code": "DISCHARGE_SUMMARY",
"display": "Discharge Summary"
}
]
},
"category": [
{
"coding": [
{
"system": "http://loinc.org",
"code": "11490-0",
"display": "Discharge summary"
}
]
}
],
"subject": {
"reference": "Patient/PAT-12345"
},
"encounter": {
"reference": "Encounter/ENC-2026-001"
},
"date": "2026-02-06T14:00:00+08:00",
"author": [
{
"reference": "Practitioner/PRAC-001",
"display": "Dr. Sarah Chen"
}
],
"attester": [
{
"mode": {
"coding": [
{
"system": "http://hl7.org/fhir/CodeSystem/composition-attestation-mode",
"code": "official"
}
]
},
"time": "2026-02-06T14:30:00+08:00",
"party": {
"reference": "Practitioner/PRAC-002",
"display": "Dr. Michael Tan"
}
}
],
"custodian": {
"reference": "Organization/ORG-001",
"display": "Singapore General Hospital"
},
"note": [
{
"text": "Patient admitted for acute myocardial infarction. Underwent successful PCI. Stable for discharge with medications and follow-up arranged."
}
],
"section": [
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/dischargesummary-section-type",
"code": "allergy-adr"
}
]
},
"entry": [
{
"reference": "urn:uuid:allergyintolerance-001"
}
]
},
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/dischargesummary-section-type",
"code": "alerts"
}
]
},
"entry": [
{
"reference": "urn:uuid:flag-001"
}
]
},
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/dischargesummary-section-type",
"code": "diagnosis"
}
]
},
"entry": [
{
"reference": "urn:uuid:diagnosis-001"
}
]
},
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/dischargesummary-section-type",
"code": "investigations"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Investigations</h3><p>ECG: ST elevation in leads V2-V4</p><p>Troponin I: 15.2 ng/mL (elevated)</p><p>Echo: LVEF 45%, anterior wall hypokinesis</p><p>Coronary angiography: 90% LAD stenosis</p></div>"
}
},
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/dischargesummary-section-type",
"code": "medication-requests"
}
]
},
"entry": [
{
"reference": "urn:uuid:medicationrequest-001"
}
]
},
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/dischargesummary-section-type",
"code": "clinical-synopsis"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Clinical Synopsis</h3><p>A 58-year-old male presented to ED with acute chest pain radiating to left arm, associated with diaphoresis and shortness of breath. Initial ECG showed ST elevation in anterior leads. Troponin was significantly elevated. Patient was diagnosed with anterior STEMI and underwent emergency coronary angiography which revealed 90% stenosis of the LAD. Successful PCI with drug-eluting stent placement was performed. Post-procedure recovery was uneventful. Patient remained hemodynamically stable throughout admission. Echo showed LVEF of 45% with anterior wall hypokinesis. Patient counseled on lifestyle modifications, smoking cessation, and importance of medication compliance. Discharged on dual antiplatelet therapy, statin, beta-blocker, and ACE inhibitor. Follow-up arranged with cardiology clinic in 2 weeks.</p></div>"
}
},
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/dischargesummary-section-type",
"code": "procedures"
}
]
},
"entry": [
{
"reference": "urn:uuid:procedure-001"
}
]
},
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/dischargesummary-section-type",
"code": "file-attachments"
}
]
},
"entry": [
{
"reference": "urn:uuid:fileattachment-001"
}
]
}
]
},
"request": {
"method": "POST",
"url": "Composition"
}
},
{
"fullUrl": "urn:uuid:allergyintolerance-001",
"resource": {
"resourceType": "AllergyIntolerance",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-allergyintolerance"
]
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code": "active"
}
]
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code": "confirmed"
}
]
},
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/allergy-intolerance-type",
"code": "allergy"
}
]
},
"category": [
"medication"
],
"criticality": "high",
"code": {
"coding": [
{
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "7984",
"display": "Penicillin"
}
]
},
"patient": {
"reference": "Patient/PAT-12345"
},
"reaction": [
{
"manifestation": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "271807003",
"display": "Skin rash"
}
]
}
],
"severity": "moderate"
}
]
},
"request": {
"method": "POST",
"url": "AllergyIntolerance"
}
},
{
"fullUrl": "urn:uuid:flag-001",
"resource": {
"resourceType": "Flag",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-flag"
]
},
"status": "active",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/flag-category",
"code": "clinical",
"display": "Clinical"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "225444004",
"display": "At risk for falls"
}
]
},
"subject": {
"reference": "Patient/PAT-12345"
}
},
"request": {
"method": "POST",
"url": "Flag"
}
},
{
"fullUrl": "urn:uuid:diagnosis-001",
"resource": {
"resourceType": "Condition",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ds-diagnosis"
]
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active"
}
]
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
}
]
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis"
}
]
}
],
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/sid/icd-10",
"code": "I21.09",
"display": "ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall"
}
]
},
"subject": {
"reference": "Patient/PAT-12345"
},
"encounter": {
"reference": "Encounter/ENC-2026-001"
},
"onsetDateTime": "2026-02-04T08:30:00+08:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
},
{
"fullUrl": "urn:uuid:medicationrequest-001",
"resource": {
"resourceType": "MedicationRequest",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ds-medicationrequest"
]
},
"status": "active",
"intent": "order",
"medication": {
"concept": {
"coding": [
{
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "309362",
"display": "Aspirin 100 MG Oral Tablet"
}
]
}
},
"subject": {
"reference": "Patient/PAT-12345"
},
"encounter": {
"reference": "Encounter/ENC-2026-001"
},
"authoredOn": "2026-02-06T14:00:00+08:00",
"requester": {
"reference": "Practitioner/PRAC-001"
},
"dosageInstruction": [
{
"text": "Take 1 tablet once daily in the morning",
"timing": {
"repeat": {
"frequency": 1,
"period": 1,
"periodUnit": "d"
}
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "26643006",
"display": "Oral route"
}
]
},
"doseAndRate": [
{
"doseQuantity": {
"value": 1,
"unit": "tablet",
"system": "http://unitsofmeasure.org",
"code": "{tablet}"
}
}
]
}
]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
},
{
"fullUrl": "urn:uuid:procedure-001",
"resource": {
"resourceType": "Procedure",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ds-procedure"
]
},
"status": "completed",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "415070008",
"display": "Percutaneous coronary intervention"
}
]
},
"subject": {
"reference": "Patient/PAT-12345"
},
"encounter": {
"reference": "Encounter/ENC-2026-001"
},
"occurrenceDateTime": "2026-02-04T10:00:00+08:00",
"performer": [
{
"function": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "304292004",
"display": "Interventional cardiologist"
}
]
},
"actor": {
"reference": "Practitioner/PRAC-003"
}
}
],
"outcome": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "385669000",
"display": "Successful"
}
]
},
"note": [
{
"text": "Drug-eluting stent placed in LAD with excellent angiographic result. TIMI 3 flow achieved."
}
],
"bodySite": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "33795007",
"display": "Left anterior descending coronary artery"
}
]
}
]
},
"request": {
"method": "POST",
"url": "Procedure"
}
},
{
"fullUrl": "urn:uuid:fileattachment-001",
"resource": {
"resourceType": "DocumentReference",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-fileattachment"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "SEQ-DS-001"
}
],
"status": "current",
"category": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/attachment-category",
"code": "ECG",
"display": "ECG Report"
}
]
}
],
"content": [
{
"attachment": {
"contentType": "application/pdf",
"data": "VGhpcyBpcyBhIGJhc2U2NCBlbmNvZGVkIHBsYWNlaG9sZGVyIGZvciBFQ0cgcmVwb3J0IFBERiBkYXRh",
"title": "ECG Report - STEMI",
"creation": "2026-02-04T08:45:00+08:00"
}
}
]
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}
]
}