FHIR IG analytics| Package | synapxe.sgcdi |
| Resource Type | Bundle |
| Id | BundleOTNotesRequest.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:otnotes-composition-001",
"resource": {
"resourceType": "Composition",
"id": "otnotes-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-otnotes"
]
},
"extension": [
{
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-displayMethod",
"valueString": "OT Clinical Documentation System"
}
],
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "OT-REC-2026-00123"
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/accession-no",
"value": "OT-ACC-2026-00123"
}
],
"status": "final",
"type": {
"text": "OT Notes"
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mrn",
"value": "MRN123456"
}
},
"encounter": {
"reference": "Encounter/ot-encounter-001"
},
"date": "2026-02-09T14:30:00+08:00",
"author": [
{
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
}
],
"title": "Emergency Department (ED) Notes",
"custodian": {
"type": "Organization",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
"value": "HCI-12345"
}
},
"note": [
{
"text": "Patient tolerated procedure well. No complications noted."
}
],
"section": [
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/otnotes-section-type",
"code": "procedures",
"display": "Procedures"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Surgical debridement performed successfully</p></div>"
},
"entry": [
{
"reference": "urn:uuid:ot-procedure-001"
},
{
"reference": "urn:uuid:ot-procedure-002"
}
]
},
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/otnotes-section-type",
"code": "practitioner",
"display": "Practitioner Information"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Operating Theatre Team</p></div>"
},
"entry": [
{
"reference": "urn:uuid:practitionerrole-001"
}
]
},
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/otnotes-section-type",
"code": "conditions",
"display": "Conditions"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Pre-operative diagnoses</p></div>"
},
"entry": [
{
"reference": "urn:uuid:ot-condition-001"
}
]
},
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/otnotes-section-type",
"code": "observations",
"display": "Observations"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Intraoperative vital signs and assessments</p></div>"
},
"entry": [
{
"reference": "urn:uuid:ot-observation-001"
},
{
"reference": "urn:uuid:ot-observation-002"
}
]
},
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/otnotes-section-type",
"code": "medication-administration",
"display": "Medication Administration"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Anesthesia and medications administered during procedure</p></div>"
},
"entry": [
{
"reference": "urn:uuid:ot-medadmin-001"
}
]
},
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/otnotes-section-type",
"code": "devices",
"display": "Devices"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Medical devices used during procedure</p></div>"
},
"entry": [
{
"reference": "urn:uuid:device-001"
}
]
},
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/otnotes-section-type",
"code": "diagnostic-reports",
"display": "Diagnostic Reports"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Pathology and imaging reports</p></div>"
},
"entry": [
{
"reference": "urn:uuid:ot-diagnosticreport-001"
}
]
},
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/otnotes-section-type",
"code": "specimens",
"display": "Specimens"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Specimens collected during procedure</p></div>"
},
"entry": [
{
"reference": "urn:uuid:ot-specimen-001"
}
]
},
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/otnotes-section-type",
"code": "file-attachments",
"display": "File Attachments"
}
]
},
"entry": [
{
"reference": "urn:uuid:fileattachment-001"
}
]
}
]
},
"request": {
"method": "POST",
"url": "Composition"
}
},
{
"fullUrl": "urn:uuid:ot-procedure-001",
"resource": {
"resourceType": "Procedure",
"id": "ot-procedure-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ot-procedure"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "PROC-001"
}
],
"status": "completed",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "11466000",
"display": "Debridement of wound"
}
],
"text": "Surgical debridement of infected wound"
},
"subject": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mrn",
"value": "MRN123456"
}
},
"encounter": {
"reference": "Encounter/ot-encounter-001"
},
"occurrencePeriod": {
"start": "2026-02-09T10:00:00+08:00",
"end": "2026-02-09T11:30:00+08:00"
},
"performer": [
{
"actor": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
},
"function": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "304292004",
"display": "Surgeon"
}
]
}
}
],
"bodySite": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "52795006",
"display": "Structure of left thigh"
}
],
"text": "Left thigh, lateral aspect"
}
],
"outcome": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "385669000",
"display": "Successful"
}
]
},
"note": [
{
"text": "Wound debrided successfully, necrotic tissue removed. Hemostasis achieved."
}
]
},
"request": {
"method": "POST",
"url": "Procedure"
}
},
{
"fullUrl": "urn:uuid:ot-procedure-002",
"resource": {
"resourceType": "Procedure",
"id": "ot-procedure-002",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ot-procedure"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "PROC-002"
}
],
"status": "completed",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "225358003",
"display": "Wound closure"
}
],
"text": "Primary wound closure"
},
"subject": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mrn",
"value": "MRN123456"
}
},
"encounter": {
"reference": "Encounter/ot-encounter-001"
},
"occurrencePeriod": {
"start": "2026-02-09T11:30:00+08:00",
"end": "2026-02-09T12:00:00+08:00"
},
"performer": [
{
"actor": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
},
"function": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "304292004",
"display": "Surgeon"
}
]
}
}
],
"outcome": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "385669000",
"display": "Successful"
}
]
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
},
{
"fullUrl": "urn:uuid:practitionerrole-001",
"resource": {
"resourceType": "PractitionerRole",
"id": "practitionerrole-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-practitionerrole"
]
},
"practitioner": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
},
"display": "Dr. Sarah Tan"
},
"organization": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
"value": "HCI-12345"
},
"display": "General Hospital Singapore"
},
"code": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "304292004",
"display": "Surgeon"
}
]
}
],
"specialty": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "394801008",
"display": "Trauma and orthopedics"
}
]
}
]
},
"request": {
"method": "POST",
"url": "PractitionerRole"
}
},
{
"fullUrl": "urn:uuid:ot-condition-001",
"resource": {
"resourceType": "Condition",
"id": "ot-condition-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ot-condition"
]
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active",
"display": "Active"
}
]
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed",
"display": "Confirmed"
}
]
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "416462003",
"display": "Wound infection"
}
],
"text": "Infected surgical wound, left thigh"
},
"subject": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mrn",
"value": "MRN123456"
}
},
"encounter": {
"reference": "Encounter/ot-encounter-001"
},
"onsetDateTime": "2026-02-02T00:00:00+08:00",
"recordedDate": "2026-02-09T09:00:00+08:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
},
{
"fullUrl": "urn:uuid:ot-observation-001",
"resource": {
"resourceType": "Observation",
"id": "ot-observation-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ot-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"
}
]
},
"subject": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mrn",
"value": "MRN123456"
}
},
"encounter": {
"reference": "Encounter/ot-encounter-001"
},
"effectiveDateTime": "2026-02-09T10:30:00+08:00",
"component": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic blood pressure"
}
]
},
"valueQuantity": {
"value": 120,
"unit": "mmHg",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic blood pressure"
}
]
},
"valueQuantity": {
"value": 80,
"unit": "mmHg",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}
]
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:ot-observation-002",
"resource": {
"resourceType": "Observation",
"id": "ot-observation-002",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ot-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": "8867-4",
"display": "Heart rate"
}
]
},
"subject": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mrn",
"value": "MRN123456"
}
},
"encounter": {
"reference": "Encounter/ot-encounter-001"
},
"effectiveDateTime": "2026-02-09T10:30:00+08:00",
"valueQuantity": {
"value": 72,
"unit": "beats/minute",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:ot-medadmin-001",
"resource": {
"resourceType": "MedicationAdministration",
"id": "ot-medadmin-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ot-medicationadministration"
]
},
"status": "completed",
"medication": {
"concept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "387517004",
"display": "Propofol"
}
],
"text": "Propofol 10mg/mL injection"
}
},
"subject": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mrn",
"value": "MRN123456"
}
},
"encounter": {
"reference": "Encounter/ot-encounter-001"
},
"occurenceDateTime": "2026-02-09T09:55:00+08:00",
"performer": [
{
"actor": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M67890"
},
"display": "Dr. Ahmad bin Hassan (Anesthesiologist)"
}
}
],
"dosage": {
"text": "2mg/kg IV",
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "47625008",
"display": "Intravenous route"
}
]
},
"dose": {
"value": 150,
"unit": "mg",
"system": "http://unitsofmeasure.org",
"code": "mg"
}
}
},
"request": {
"method": "POST",
"url": "MedicationAdministration"
}
},
{
"fullUrl": "urn:uuid:device-001",
"resource": {
"resourceType": "Device",
"id": "device-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-device"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/device-serial",
"value": "SN-987654321"
}
],
"displayName": "Surgical Scalpel with Safety Guard",
"type": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "52124006",
"display": "Surgical knife"
}
]
}
],
"lotNumber": "LOT-2025-456",
"manufacturer": "MedTech Surgical Instruments Ltd",
"expirationDate": "2027-12-31",
"patient": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mrn",
"value": "MRN123456"
}
}
},
"request": {
"method": "POST",
"url": "Device"
}
},
{
"fullUrl": "urn:uuid:ot-diagnosticreport-001",
"resource": {
"resourceType": "DiagnosticReport",
"id": "ot-diagnosticreport-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ot-diagnosticreport"
]
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "MB",
"display": "Microbiology"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "600-7",
"display": "Bacteria identified in Specimen by Culture"
}
],
"text": "Wound culture and sensitivity"
},
"subject": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mrn",
"value": "MRN123456"
}
},
"encounter": {
"reference": "Encounter/ot-encounter-001"
},
"effectiveDateTime": "2026-02-09T12:00:00+08:00",
"issued": "2026-02-09T14:30:00+08:00",
"performer": [
{
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
"value": "HCI-12345"
},
"display": "General Hospital Singapore - Microbiology Lab"
}
],
"specimen": [
{
"reference": "urn:uuid:ot-specimen-001"
}
],
"conclusion": "Methicillin-resistant Staphylococcus aureus (MRSA) isolated. Sensitive to vancomycin and linezolid."
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
},
{
"fullUrl": "urn:uuid:ot-specimen-001",
"resource": {
"resourceType": "Specimen",
"id": "ot-specimen-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ot-specimen"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/specimen-id",
"value": "SPEC-2026-00123"
}
],
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "258529004",
"display": "Wound swab"
}
],
"text": "Wound swab from left thigh"
},
"subject": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mrn",
"value": "MRN123456"
}
},
"receivedTime": "2026-02-09T12:15:00+08:00",
"collection": {
"collectedDateTime": "2026-02-09T12:00:00+08:00",
"collector": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
},
"display": "Dr. Sarah Tan"
},
"bodySite": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "52795006",
"display": "Structure of left thigh"
}
]
}
},
"note": [
{
"text": "Specimen collected from infected wound area before debridement"
}
]
},
"request": {
"method": "POST",
"url": "Specimen"
}
},
{
"fullUrl": "urn:uuid:fileattachment-001",
"resource": {
"resourceType": "DocumentReference",
"id": "fileattachment-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-fileattachment"
]
},
"status": "current",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "18748-4",
"display": "Diagnostic imaging study"
}
],
"text": "Pre-operative photograph"
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/document-classcode",
"code": "image",
"display": "Image"
}
]
}
],
"subject": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mrn",
"value": "MRN123456"
}
},
"context": [
{
"reference": {
"reference": "Encounter/ot-encounter-001"
}
}
],
"content": [
{
"attachment": {
"contentType": "image/jpeg",
"url": "https://storage.synapxe.sg/ot-images/OT-2026-00123-preop.jpg",
"title": "Pre-operative wound photograph",
"creation": "2026-02-09T09:30:00+08:00",
"size": 245680
}
}
]
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}
]
}