FHIR IG analytics| Package | synapxe.sgcdi |
| Resource Type | Bundle |
| Id | BundleEDNotesRequest.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:ednotes-composition-001",
"resource": {
"resourceType": "Composition",
"id": "ednotes-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ednotes"
]
},
"identifier": {
"system": "https://fhir.synapxe.sg/CodeSystem/record-id",
"value": "ED-COMP-2026-00456"
},
"status": "final",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "34133-9",
"display": "Emergency department note"
}
]
},
"subject": {
"identifier": {
"system": "https://fhir.synapxe.sg/CodeSystem/nric",
"value": "S9876543B"
}
},
"encounter": {
"reference": "urn:uuid:edvisit-encounter-001"
},
"date": "2026-02-05T16:45:00+08:00",
"author": [
{
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M67890"
}
}
],
"title": "Emergency Department Clinical Note",
"section": [
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/ednotes-section-type",
"code": "gcs",
"display": "Glasgow Coma Scale"
}
]
},
"entry": [
{
"reference": "urn:uuid:observation-gcs-001"
}
]
},
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/ednotes-section-type",
"code": "vital-signs",
"display": "Vital Signs"
}
]
},
"entry": [
{
"reference": "urn:uuid:observation-vitals-001"
}
]
},
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/ednotes-section-type",
"code": "medication-orders",
"display": "Medication Orders"
}
]
},
"entry": [
{
"reference": "urn:uuid:medicationrequest-001"
}
]
},
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/ednotes-section-type",
"code": "procedures-performed",
"display": "Procedures Performed"
}
]
},
"entry": [
{
"reference": "urn:uuid:procedure-main-001"
}
]
},
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/ednotes-section-type",
"code": "allergies",
"display": "Allergies and Intolerances"
}
]
},
"entry": [
{
"reference": "urn:uuid:allergy-001"
}
]
},
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/ednotes-section-type",
"code": "alerts",
"display": "Clinical Alerts"
}
]
},
"entry": [
{
"reference": "urn:uuid:flag-001"
}
]
},
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/ednotes-section-type",
"code": "triage-questions",
"display": "Triage Assessment"
}
]
},
"entry": [
{
"reference": "urn:uuid:questionnaire-triage-001"
}
]
},
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/ednotes-section-type",
"code": "medical-certificates",
"display": "Medical Certificates"
}
]
},
"entry": [
{
"reference": "urn:uuid:medcert-001"
}
]
},
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/ednotes-section-type",
"code": "file-attachments",
"display": "Attachments"
}
]
},
"entry": [
{
"reference": "urn:uuid:fileattachment-001"
}
]
}
]
},
"request": {
"method": "POST",
"url": "Composition"
}
},
{
"fullUrl": "urn:uuid:edvisit-encounter-001",
"resource": {
"resourceType": "Encounter",
"id": "edvisit-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-edvisit"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/event-id",
"value": "ED-ENC-2026-00456"
}
],
"status": "finished",
"class": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "EMER",
"display": "emergency"
}
]
}
],
"priority": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "17621005",
"display": "Normal priority"
}
]
},
"subject": {
"identifier": {
"system": "https://fhir.synapxe.sg/CodeSystem/nric",
"value": "S9876543B"
}
},
"actualPeriod": {
"start": "2026-02-05T13:00:00+08:00",
"end": "2026-02-05T16:45:00+08:00"
},
"reason": [
{
"value": [
{
"concept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "62315008",
"display": "Chest pain"
}
]
}
}
]
}
],
"serviceProvider": {
"identifier": {
"system": "https://fhir.synapxe.sg/CodeSystem/hci-code",
"value": "HCI-98765"
}
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
},
{
"fullUrl": "urn:uuid:observation-gcs-001",
"resource": {
"resourceType": "Observation",
"id": "gcs-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-observation"
]
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9269-2",
"display": "Glasgow coma score total"
}
]
},
"subject": {
"identifier": {
"system": "https://fhir.synapxe.sg/CodeSystem/nric",
"value": "S9876543B"
}
},
"encounter": {
"reference": "urn:uuid:edvisit-encounter-001"
},
"effectiveDateTime": "2026-02-05T13:10:00+08:00",
"valueQuantity": {
"value": 15,
"system": "http://unitsofmeasure.org",
"code": "{score}"
},
"component": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9268-4",
"display": "Glasgow coma score motor"
}
]
},
"valueQuantity": {
"value": 6,
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9270-0",
"display": "Glasgow coma score verbal"
}
]
},
"valueQuantity": {
"value": 5,
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9267-6",
"display": "Glasgow coma score eye opening"
}
]
},
"valueQuantity": {
"value": 4,
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
}
]
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:observation-vitals-001",
"resource": {
"resourceType": "Observation",
"id": "vitals-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-observation"
]
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital Signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
}
]
},
"subject": {
"identifier": {
"system": "https://fhir.synapxe.sg/CodeSystem/nric",
"value": "S9876543B"
}
},
"encounter": {
"reference": "urn:uuid:edvisit-encounter-001"
},
"effectiveDateTime": "2026-02-05T13:05:00+08:00",
"component": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic blood pressure"
}
]
},
"valueQuantity": {
"value": 145,
"unit": "mmHg",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic blood pressure"
}
]
},
"valueQuantity": {
"value": 92,
"unit": "mmHg",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}
]
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:medicationrequest-001",
"resource": {
"resourceType": "MedicationRequest",
"id": "medreq-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ed-medicationrequest"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/prescription-id",
"value": "ED-MR-2026-00456"
}
],
"status": "active",
"intent": "order",
"medicationCodeableConcept": {
"coding": [
{
"system": "http://www.whocc.no/atc",
"code": "C01DA02",
"display": "Glyceryl trinitrate"
}
],
"text": "Glyceryl Trinitrate 0.5mg sublingual tablet"
},
"subject": {
"identifier": {
"system": "https://fhir.synapxe.sg/CodeSystem/nric",
"value": "S9876543B"
}
},
"encounter": {
"reference": "urn:uuid:edvisit-encounter-001"
},
"authoredOn": "2026-02-05T14:00:00+08:00",
"requester": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M67890"
}
},
"reason": [
{
"concept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "62315008",
"display": "Chest pain"
}
]
}
}
],
"dosageInstruction": [
{
"text": "Place 1 tablet under tongue, may repeat every 5 minutes as needed for chest pain, maximum 3 doses",
"timing": {
"repeat": {
"frequency": 1,
"period": 5,
"periodUnit": "min"
}
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "37839007",
"display": "Sublingual route"
}
]
},
"doseAndRate": [
{
"doseQuantity": {
"value": 1,
"unit": "Tablet",
"system": "http://unitsofmeasure.org",
"code": "{tablet}"
}
}
],
"maxDosePerPeriod": [
{
"numerator": {
"value": 3,
"unit": "Tablet",
"system": "http://unitsofmeasure.org",
"code": "{tablet}"
},
"denominator": {
"value": 15,
"unit": "minutes",
"system": "http://unitsofmeasure.org",
"code": "min"
}
}
]
}
]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
},
{
"fullUrl": "urn:uuid:procedure-main-001",
"resource": {
"resourceType": "Procedure",
"id": "procedure-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ed-procedure"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/procedure-id",
"value": "ED-PROC-2026-00456"
}
],
"status": "completed",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "29303009",
"display": "Electrocardiographic procedure"
}
],
"text": "12-lead ECG"
},
"subject": {
"identifier": {
"system": "https://fhir.synapxe.sg/CodeSystem/nric",
"value": "S9876543B"
}
},
"encounter": {
"reference": "urn:uuid:edvisit-encounter-001"
},
"occurrenceDateTime": "2026-02-05T13:20:00+08:00",
"performer": [
{
"actor": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M67890"
}
}
}
],
"outcome": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "385669000",
"display": "Successful"
}
]
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
},
{
"fullUrl": "urn:uuid:stepprocedure-001",
"resource": {
"resourceType": "Procedure",
"id": "stepprocedure-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ed-stepProcedure"
]
},
"partOf": [
{
"reference": "urn:uuid:procedure-main-001"
}
],
"status": "completed",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "397740003",
"display": "Prepare patient for electrocardiogram"
}
],
"text": "Patient preparation and electrode placement"
},
"subject": {
"identifier": {
"system": "https://fhir.synapxe.sg/CodeSystem/nric",
"value": "S9876543B"
}
},
"encounter": {
"reference": "urn:uuid:edvisit-encounter-001"
},
"occurrenceDateTime": "2026-02-05T13:15:00+08:00"
},
"request": {
"method": "POST",
"url": "Procedure"
}
},
{
"fullUrl": "urn:uuid:stepprocedure-002",
"resource": {
"resourceType": "Procedure",
"id": "stepprocedure-002",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ed-stepProcedure"
]
},
"partOf": [
{
"reference": "urn:uuid:procedure-main-001"
}
],
"status": "completed",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "252465000",
"display": "Pulse oximetry"
}
],
"text": "Continuous oxygen saturation monitoring"
},
"subject": {
"identifier": {
"system": "https://fhir.synapxe.sg/CodeSystem/nric",
"value": "S9876543B"
}
},
"encounter": {
"reference": "urn:uuid:edvisit-encounter-001"
},
"occurrencePeriod": {
"start": "2026-02-05T13:10:00+08:00",
"end": "2026-02-05T16:30:00+08:00"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
},
{
"fullUrl": "urn:uuid:allergy-001",
"resource": {
"resourceType": "AllergyIntolerance",
"id": "allergy-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-allergyintolerance"
]
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code": "active",
"display": "Active"
}
]
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code": "confirmed",
"display": "Confirmed"
}
]
},
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/allergy-intolerance-type",
"code": "allergy",
"display": "Allergy"
}
]
},
"category": [
"medication"
],
"criticality": "high",
"code": {
"coding": [
{
"system": "http://www.whocc.no/atc",
"code": "N02BA01",
"display": "Aspirin"
}
]
},
"patient": {
"identifier": {
"system": "https://fhir.synapxe.sg/CodeSystem/nric",
"value": "S9876543B"
}
},
"recordedDate": "2026-02-05T13:05:00+08:00",
"reaction": [
{
"manifestation": [
{
"concept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "267036007",
"display": "Dyspnea"
}
]
}
},
{
"concept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "271807003",
"display": "Skin rash"
}
]
}
}
],
"severity": "severe"
}
]
},
"request": {
"method": "POST",
"url": "AllergyIntolerance"
}
},
{
"fullUrl": "urn:uuid:flag-001",
"resource": {
"resourceType": "Flag",
"id": "flag-001",
"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": "161663000",
"display": "History of myocardial infarction"
}
]
},
"subject": {
"identifier": {
"system": "https://fhir.synapxe.sg/CodeSystem/nric",
"value": "S9876543B"
}
},
"period": {
"start": "2026-02-05T13:00:00+08:00"
},
"encounter": {
"reference": "urn:uuid:edvisit-encounter-001"
}
},
"request": {
"method": "POST",
"url": "Flag"
}
},
{
"fullUrl": "urn:uuid:questionnaire-triage-001",
"resource": {
"resourceType": "QuestionnaireResponse",
"id": "qr-triage-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ed-questionnaireresponse"
]
},
"questionnaire": "https://fhir.synapxe.sg/Questionnaire/ed-triage",
"status": "completed",
"subject": {
"identifier": {
"system": "https://fhir.synapxe.sg/CodeSystem/nric",
"value": "S9876543B"
}
},
"encounter": {
"reference": "urn:uuid:edvisit-encounter-001"
},
"authored": "2026-02-05T13:02:00+08:00",
"author": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M67890"
}
},
"item": [
{
"linkId": "1",
"text": "Chief complaint",
"answer": [
{
"valueString": "Chest pain radiating to left arm for 30 minutes"
}
]
},
{
"linkId": "2",
"text": "Pain severity (0-10)",
"answer": [
{
"valueInteger": 8
}
]
},
{
"linkId": "3",
"text": "Associated symptoms",
"answer": [
{
"valueString": "Shortness of breath, nausea, sweating"
}
]
},
{
"linkId": "4",
"text": "Triage category",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "17621005",
"display": "Category 2 - Emergency"
}
}
]
}
]
},
"request": {
"method": "POST",
"url": "QuestionnaireResponse"
}
},
{
"fullUrl": "urn:uuid:medcert-001",
"resource": {
"resourceType": "DocumentReference",
"id": "medcert-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-medicalcertificate"
]
},
"status": "current",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "28570-0",
"display": "Procedure note"
}
],
"text": "Medical Certificate"
},
"category": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/document-type",
"code": "medical-certificate",
"display": "Medical Certificate"
}
]
}
],
"subject": {
"identifier": {
"system": "https://fhir.synapxe.sg/CodeSystem/nric",
"value": "S9876543B"
}
},
"context": [
{
"reference": "urn:uuid:edvisit-encounter-001"
}
],
"date": "2026-02-05T16:30:00+08:00",
"author": [
{
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M67890"
}
}
],
"content": [
{
"attachment": {
"contentType": "application/pdf",
"title": "Medical Certificate - 2 days rest",
"creation": "2026-02-05T16:30:00+08:00"
}
}
]
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
},
{
"fullUrl": "urn:uuid:fileattachment-001",
"resource": {
"resourceType": "DocumentReference",
"id": "file-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-fileattachment"
]
},
"status": "current",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "11525-3",
"display": "US Pelvis Fetus for pregnancy"
}
],
"text": "ECG Report"
},
"subject": {
"identifier": {
"system": "https://fhir.synapxe.sg/CodeSystem/nric",
"value": "S9876543B"
}
},
"context": [
{
"reference": "urn:uuid:edvisit-encounter-001"
}
],
"content": [
{
"attachment": {
"contentType": "application/pdf",
"url": "https://example.org/files/ecg-report-2026-02-05.pdf",
"title": "12-lead ECG Report",
"creation": "2026-02-05T13:25:00+08:00"
}
}
]
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}
]
}