FHIR IG analytics| Package | synapxe.sgcdi |
| Resource Type | Bundle |
| Id | BundleSummaryNotesRequest.Example.json |
| FHIR Version | R5 |
No resources found
No resources found
No narrative content found in resource
{
"resourceType": "Bundle",
"type": "transaction",
"entry": [
{
"fullUrl": "urn:uuid:summarynotes-composition-001",
"resource": {
"resourceType": "Composition",
"id": "summarynotes-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-composition"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "SN-REC-2026-00789"
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/accession-no",
"value": "SN-ACC-2026-00789"
}
],
"status": "final",
"type": {
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{
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"valueString": "1.0"
}
],
"coding": [
{
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"code": "SN",
"display": "Summary Notes"
}
]
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S8765432A"
}
},
"encounter": {
"type": "Encounter",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/event-id",
"value": "SN-ENC-2026-00789"
}
},
"date": "2026-02-09T16:00:00+08:00",
"author": [
{
"reference": "urn:uuid:practitionerrole-001"
}
],
"title": "Surgical Summary Notes - Laparoscopic Cholecystectomy",
"custodian": {
"type": "Organization",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
"value": "HCI-54321"
},
"display": "National University Hospital"
},
"attester": [
{
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{
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"display": "Official"
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},
"time": "2026-02-09T16:00:00+08:00",
"party": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M55555"
},
"display": "Dr. Jennifer Lim"
}
}
],
"note": [
{
"text": "Patient underwent successful laparoscopic cholecystectomy. Recovery was uneventful."
}
],
"event": [
{
"detail": [
{
"reference": {
"reference": "urn:uuid:sn-procedure-001"
}
}
]
}
],
"section": [
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/doc-section-type",
"code": "questionnaire",
"display": "Questionnaire"
}
]
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"entry": [
{
"reference": "urn:uuid:sn-questionnaireresponse-001"
}
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{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/doc-section-type",
"code": "report",
"display": "Diagnostic Report"
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]
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"entry": [
{
"reference": "urn:uuid:diagnosticreport-001"
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]
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{
"code": {
"coding": [
{
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"code": "observation",
"display": "Observation"
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"entry": [
{
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{
"code": {
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{
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"code": "condition",
"display": "Condition"
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"entry": [
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{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/doc-section-type",
"code": "referralRequest",
"display": "Referral Request"
}
]
},
"entry": [
{
"reference": "urn:uuid:sn-referralrequest-001"
}
]
},
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/doc-section-type",
"code": "fileAttachment",
"display": "File Attachments"
}
]
},
"entry": [
{
"reference": "urn:uuid:fileattachment-001"
}
]
}
]
},
"request": {
"method": "POST",
"url": "Composition"
}
},
{
"fullUrl": "urn:uuid:practitionerrole-001",
"resource": {
"resourceType": "PractitionerRole",
"id": "practitionerrole-001",
"meta": {
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},
"practitioner": {
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"value": "M55555"
},
"display": "Dr. Jennifer Lim"
},
"organization": {
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"value": "HCI-54321"
},
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},
"code": [
{
"coding": [
{
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"code": "304292004",
"display": "Surgeon"
}
]
}
],
"specialty": [
{
"coding": [
{
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"code": "394609007",
"display": "General surgery"
}
]
}
]
},
"request": {
"method": "POST",
"url": "PractitionerRole"
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},
{
"fullUrl": "urn:uuid:sn-procedure-001",
"resource": {
"resourceType": "Procedure",
"id": "sn-procedure-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-sn-procedure"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/procedure-id",
"value": "PROC-SN-2026-00789"
}
],
"status": "completed",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "45595009",
"display": "Laparoscopic cholecystectomy"
}
],
"text": "Laparoscopic cholecystectomy with intraoperative cholangiography"
},
"subject": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S8765432A"
}
},
"encounter": {
"identifier": {
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"value": "SN-ENC-2026-00789"
}
},
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"end": "2026-02-09T11:30:00+08:00"
},
"recorded": "2026-02-09T11:30:00+08:00",
"performer": [
{
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{
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]
},
"actor": {
"identifier": {
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"value": "M55555"
},
"display": "Dr. Jennifer Lim"
}
}
],
"reason": [
{
"concept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "235919008",
"display": "Acute cholecystitis"
}
]
}
}
],
"bodySite": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "28231008",
"display": "Gallbladder structure"
}
]
}
],
"outcome": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "385669000",
"display": "Successful"
}
],
"text": "Procedure completed successfully without complications"
},
"report": [
{
"reference": "urn:uuid:diagnosticreport-001"
}
],
"complication": [],
"followUp": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "183624006",
"display": "Follow-up 2 weeks"
}
]
}
],
"note": [
{
"text": "Gallbladder removed intact. No bile spillage. Hemostasis achieved. All ports closed appropriately."
}
]
},
"request": {
"method": "POST",
"url": "Procedure"
}
},
{
"fullUrl": "urn:uuid:sn-questionnaireresponse-001",
"resource": {
"resourceType": "QuestionnaireResponse",
"id": "sn-questionnaireresponse-001",
"meta": {
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]
},
"questionnaire": "https://fhir.synapxe.sg/Questionnaire/surgical-assessment",
"status": "completed",
"subject": {
"identifier": {
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"value": "S8765432A"
}
},
"encounter": {
"identifier": {
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"value": "SN-ENC-2026-00789"
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},
"authored": "2026-02-09T08:00:00+08:00",
"author": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M55555"
},
"display": "Dr. Jennifer Lim"
},
"item": [
{
"linkId": "1",
"text": "Pre-operative Assessment",
"item": [
{
"linkId": "1.1",
"text": "ASA Classification",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "413107003",
"display": "ASA II - Patient with mild systemic disease"
}
}
]
},
{
"linkId": "1.2",
"text": "Fasting Status",
"answer": [
{
"valueString": "NPO since midnight, 8 hours fasting"
}
]
}
]
},
{
"linkId": "2",
"text": "Intraoperative Findings",
"item": [
{
"linkId": "2.1",
"text": "Gallbladder condition",
"answer": [
{
"valueString": "Inflamed gallbladder with multiple small stones. No perforation."
}
]
},
{
"linkId": "2.2",
"text": "Any complications during surgery",
"answer": [
{
"valueBoolean": false
}
]
}
]
},
{
"linkId": "3",
"text": "Post-operative Plan",
"item": [
{
"linkId": "3.1",
"text": "Discharge plan",
"answer": [
{
"valueString": "Discharge on day 2 post-op if stable"
}
]
}
]
}
]
},
"request": {
"method": "POST",
"url": "QuestionnaireResponse"
}
},
{
"fullUrl": "urn:uuid:diagnosticreport-001",
"resource": {
"resourceType": "DiagnosticReport",
"id": "diagnosticreport-001",
"meta": {
"profile": [
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]
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "SP",
"display": "Surgical Pathology"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "60567-5",
"display": "Comprehensive surgical pathology report"
}
],
"text": "Histopathology Report - Gallbladder"
},
"subject": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S8765432A"
}
},
"encounter": {
"identifier": {
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"value": "SN-ENC-2026-00789"
}
},
"effectiveDateTime": "2026-02-09T11:30:00+08:00",
"issued": "2026-02-11T14:00:00+08:00",
"performer": [
{
"identifier": {
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"value": "HCI-54321"
},
"display": "National University Hospital - Pathology Department"
}
],
"result": [
{
"reference": "urn:uuid:sn-observation-001"
}
],
"conclusion": "Chronic cholecystitis with cholelithiasis. Multiple pigmented gallstones. No evidence of dysplasia or malignancy."
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
},
{
"fullUrl": "urn:uuid:sn-observation-001",
"resource": {
"resourceType": "Observation",
"id": "sn-observation-001",
"meta": {
"profile": [
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]
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "22637-3",
"display": "Pathology report final diagnosis"
}
],
"text": "Histopathology findings"
},
"subject": {
"identifier": {
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"value": "S8765432A"
}
},
"encounter": {
"identifier": {
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"value": "SN-ENC-2026-00789"
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},
"effectiveDateTime": "2026-02-11T14:00:00+08:00",
"issued": "2026-02-11T14:00:00+08:00",
"performer": [
{
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M77777"
},
"display": "Dr. Ahmad Pathologist"
}
],
"valueString": "Gallbladder wall shows chronic inflammatory changes. Multiple pigmented stones identified. No evidence of dysplasia or malignancy.",
"note": [
{
"text": "Specimen: Gallbladder, entire. Gross description: Received fresh a 9cm gallbladder. Wall thickness ranges 0.2-0.5cm. Contains multiple black pigmented stones."
}
]
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:sn-condition-001",
"resource": {
"resourceType": "Condition",
"id": "sn-condition-001",
"meta": {
"profile": [
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]
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved",
"display": "Resolved"
}
]
},
"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"
}
]
}
],
"severity": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "24484000",
"display": "Severe"
}
]
},
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "235919008",
"display": "Acute cholecystitis"
}
],
"text": "Acute cholecystitis with cholelithiasis"
},
"bodySite": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "28231008",
"display": "Gallbladder structure"
}
]
}
],
"subject": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S8765432A"
}
},
"encounter": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/event-id",
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}
},
"onsetDateTime": "2026-02-05T00:00:00+08:00",
"abatementDateTime": "2026-02-09T11:30:00+08:00",
"recordedDate": "2026-02-09T16:00:00+08:00",
"note": [
{
"text": "Patient presented with right upper quadrant pain, fever, and positive Murphy's sign. Ultrasound confirmed acute cholecystitis. Condition resolved following surgical removal of gallbladder."
}
]
},
"request": {
"method": "POST",
"url": "Condition"
}
},
{
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"resource": {
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"id": "sn-referralrequest-001",
"meta": {
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]
},
"status": "active",
"intent": "order",
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "3457005",
"display": "Referral"
}
]
}
],
"priority": "routine",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "183561000",
"display": "Referral to gastroenterologist"
}
],
"text": "Post-operative follow-up with gastroenterology"
},
"subject": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S8765432A"
}
},
"encounter": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/event-id",
"value": "SN-ENC-2026-00789"
}
},
"occurrenceDateTime": "2026-02-23T00:00:00+08:00",
"authoredOn": "2026-02-09T16:00:00+08:00",
"requester": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M55555"
},
"display": "Dr. Jennifer Lim"
},
"performer": [
{
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
"value": "HCI-54321-GASTRO"
},
"display": "NUH Gastroenterology Clinic"
}
],
"reasonCode": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "302497006",
"display": "Post-operative disorder of digestive system"
}
],
"text": "Follow-up for post-cholecystectomy syndrome monitoring"
}
],
"note": [
{
"text": "Patient to be reviewed in 2 weeks for assessment of post-operative bile duct function and to rule out post-cholecystectomy syndrome."
}
]
},
"request": {
"method": "POST",
"url": "ServiceRequest"
}
},
{
"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": "Intraoperative cholangiogram images"
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/document-classcode",
"code": "image",
"display": "Image"
}
]
}
],
"subject": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S8765432A"
}
},
"context": [
{
"reference": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/event-id",
"value": "SN-ENC-2026-00789"
}
}
}
],
"content": [
{
"attachment": {
"contentType": "image/dicom",
"url": "https://pacs.nuh.sg/studies/SN-2026-00789-cholangiogram",
"title": "Intraoperative Cholangiogram",
"creation": "2026-02-09T10:15:00+08:00",
"size": 1524288
}
}
]
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}
]
}