FHIR IG analytics| Package | synapxe.sgcdi |
| Resource Type | Bundle |
| Id | BundleCardiologyReportRequest.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-cardiology-001",
"resource": {
"resourceType": "Composition",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-cardiologyreport"
]
},
"extension": [
{
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-displayMethod",
"valueCode": "html"
}
],
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "CARDIO-2026-02-06-001"
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/accession-no",
"value": "ACC-2026-02-06-001"
}
],
"status": "final",
"type": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/nehr-doc-types",
"code": "CARDIOLOGY",
"display": "Cardiology Report"
}
]
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S9876543A"
}
},
"encounter": {
"type": "Encounter",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/event-id",
"value": "EVT-2026-02-06-001"
}
},
"date": "2026-02-06T10:30:00+08:00",
"author": [
{
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
}
],
"title": "Cardiology Report",
"attester": [
{
"mode": {
"coding": [
{
"system": "http://hl7.org/fhir/CodeSystem/composition-attestation-mode",
"code": "official",
"display": "Official"
}
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"party": {
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"value": "M67890"
}
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"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
"value": "HCI-12345"
}
},
"note": [
{
"text": "Patient presented with chest pain. Echocardiogram and cardiac catheterization performed. Mild left ventricular hypertrophy noted. Stent placed in LAD."
}
],
"section": [
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/cardiologyreport-section-type",
"code": "procedure",
"display": "Procedure"
}
]
},
"entry": [
{
"reference": "urn:uuid:procedure-echo-001"
}
]
},
{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/cardiologyreport-section-type",
"code": "procedure",
"display": "Procedure"
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"entry": [
{
"reference": "urn:uuid:procedure-cath-001"
}
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{
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/cardiologyreport-section-type",
"code": "fileAttachment",
"display": "DocumentReference"
}
]
},
"entry": [
{
"reference": "urn:uuid:fileattachment-001"
}
]
}
]
},
"request": {
"method": "POST",
"url": "Composition"
}
},
{
"fullUrl": "urn:uuid:procedure-echo-001",
"resource": {
"resourceType": "Procedure",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-cr-procedure"
]
},
"contained": [
{
"resourceType": "ServiceRequest",
"id": "sr-echo-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-cr-servicerequest"
]
},
"status": "active",
"intent": "order",
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S9876543A"
}
},
"occurrenceDateTime": "2026-02-06T08:00:00+08:00",
"requester": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
},
"note": [
{
"text": "Echocardiogram ordered for evaluation of chest pain and suspected LVH."
}
]
},
{
"resourceType": "DiagnosticReport",
"id": "dr-echo-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-cr-diagnosticreport"
]
},
"contained": [
{
"resourceType": "PractitionerRole",
"id": "pr-echo-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-practitionerrole"
]
},
"practitioner": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
},
"code": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "17561000",
"display": "Cardiologist"
}
]
}
]
},
{
"resourceType": "Observation",
"id": "obs-lvef-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-cr-observation"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/investigation-id",
"value": "INV-LVEF-2026-001"
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "1"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "10230-1",
"display": "Left ventricular Ejection fraction"
}
]
},
"valueQuantity": {
"value": 57,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
},
"interpretation": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "N",
"display": "Normal"
}
]
}
],
"note": [
{
"text": "LVEF within normal range. Mild concentric LVH present."
}
]
},
{
"resourceType": "Observation",
"id": "obs-wall-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-cr-observation"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/investigation-id",
"value": "INV-WALL-2026-001"
},
{
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"value": "2"
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"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29468-6",
"display": "Interventricular septum Thickness during diastole by US.M-mode"
}
]
},
"valueQuantity": {
"value": 13,
"unit": "mm",
"system": "http://unitsofmeasure.org",
"code": "mm"
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"interpretation": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "H",
"display": "High"
}
]
}
],
"note": [
{
"text": "Interventricular septum thickness is mildly increased suggesting concentric LVH."
}
]
}
],
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "1"
}
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"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "LAB",
"display": "Laboratory"
}
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"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "34552-0",
"display": "Cardiac 2D echo panel"
}
]
},
"effectiveDateTime": "2026-02-06T09:30:00+08:00",
"performer": [
{
"reference": "#pr-echo-001"
}
],
"result": [
{
"reference": "#obs-lvef-001"
},
{
"reference": "#obs-wall-001"
}
],
"conclusion": "Echocardiogram shows mild concentric left ventricular hypertrophy. LVEF 57%. No significant valvular abnormalities. No pericardial effusion."
}
],
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "1"
}
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"basedOn": [
{
"reference": "#sr-echo-001"
}
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"status": "completed",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "40701008",
"display": "Echocardiography"
}
],
"text": "Transthoracic Echocardiogram (TTE)"
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S9876543A"
}
},
"occurrencePeriod": {
"start": "2026-02-06T09:00:00+08:00",
"end": "2026-02-06T09:30:00+08:00"
},
"performer": [
{
"function": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "17561000",
"display": "Cardiologist"
}
]
},
"actor": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
}
}
],
"location": {
"display": "Cardiac Investigation Unit, Level 3"
},
"reason": [
{
"concept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "29857009",
"display": "Chest pain"
}
]
}
}
],
"bodySite": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "80891009",
"display": "Heart structure"
}
]
}
],
"outcome": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "385669000",
"display": "Successful"
}
]
},
"report": [
{
"reference": "#dr-echo-001"
}
],
"note": [
{
"text": "Echocardiogram completed. Mild concentric LVH noted. LVEF 57%. No significant valvular disease. Recommend cardiac catheterization for further evaluation."
}
]
},
"request": {
"method": "POST",
"url": "Procedure"
}
},
{
"fullUrl": "urn:uuid:procedure-cath-001",
"resource": {
"resourceType": "Procedure",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-cr-procedure"
]
},
"contained": [
{
"resourceType": "ServiceRequest",
"id": "sr-cath-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-cr-servicerequest"
]
},
"status": "active",
"intent": "order",
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S9876543A"
}
},
"occurrenceDateTime": "2026-02-06T09:30:00+08:00",
"requester": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
},
"note": [
{
"text": "Cardiac catheterization with coronary angiography ordered for further evaluation of chest pain and LVH."
}
]
},
{
"resourceType": "DiagnosticReport",
"id": "dr-cath-001",
"meta": {
"profile": [
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"contained": [
{
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"id": "pr-cath-001",
"meta": {
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},
"practitioner": {
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"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
},
"code": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "17561000",
"display": "Cardiologist"
}
]
}
]
},
{
"resourceType": "Observation",
"id": "obs-stenosis-001",
"meta": {
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},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/investigation-id",
"value": "INV-STEN-2026-001"
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "1"
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"status": "final",
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{
"system": "http://loinc.org",
"code": "LP94892-4",
"display": "Coronary artery stenosis"
}
]
},
"valueString": "70% stenosis in proximal LAD",
"interpretation": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "A",
"display": "Abnormal"
}
]
}
],
"note": [
{
"text": "Significant stenosis identified in proximal LAD. Stenting performed."
}
]
}
],
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "2"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "LAB",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "18745-0",
"display": "Cardiac catheterization study"
}
]
},
"effectiveDateTime": "2026-02-06T11:30:00+08:00",
"performer": [
{
"reference": "#pr-cath-001"
}
],
"result": [
{
"reference": "#obs-stenosis-001"
}
],
"conclusion": "Coronary angiography reveals 70% stenosis in proximal LAD. PCI with DES performed successfully. TIMI 3 flow post-intervention. RCA and LCx are normal."
},
{
"resourceType": "Device",
"id": "dev-stent-001",
"meta": {
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"https://fhir.synapxe.sg/StructureDefinition/profile-device"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/device-serial",
"value": "DES-2026-LAD-001"
}
],
"displayName": "Drug-Eluting Coronary Stent 3.0mm x 18mm",
"type": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "360046005",
"display": "Coronary artery stent"
}
]
}
],
"lotNumber": "LOT-DES-2026-078",
"manufacturer": "Medtronic Cardiovascular",
"expirationDate": "2028-06-30"
},
{
"resourceType": "MedicationAdministration",
"id": "medadmin-heparin-001",
"meta": {
"profile": [
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},
"status": "completed",
"medication": {
"concept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "372877000",
"display": "Heparin"
}
],
"text": "Unfractionated Heparin 5000 IU IV bolus"
}
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S9876543A"
}
},
"occurrenceDateTime": "2026-02-06T10:00:00+08:00",
"performer": [
{
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"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
}
}
],
"dosage": {
"text": "5000 IU IV bolus prior to catheterization",
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "47625008",
"display": "Intravenous route"
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"dose": {
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"unit": "IU",
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"value": "2"
}
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"status": "completed",
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"code": "103693007",
"display": "Diagnostic procedure"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "41976001",
"display": "Cardiac catheterization"
}
],
"text": "Percutaneous Coronary Intervention with Drug-Eluting Stent"
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S9876543A"
}
},
"occurrencePeriod": {
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"end": "2026-02-06T11:30:00+08:00"
},
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{
"system": "http://snomed.info/sct",
"code": "17561000",
"display": "Cardiologist"
}
]
},
"actor": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
}
}
],
"location": {
"display": "Cardiac Catheterization Laboratory 1, Level 5"
},
"reason": [
{
"concept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "194828000",
"display": "Angina pectoris"
}
]
}
}
],
"bodySite": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "68787003",
"display": "Structure of left anterior descending branch of left coronary artery"
}
]
}
],
"outcome": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "385669000",
"display": "Successful"
}
]
},
"report": [
{
"reference": "#dr-cath-001"
}
],
"complication": [
{
"concept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/complication-types",
"code": "none",
"display": "No Complications"
}
]
}
}
],
"followUp": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/followup-types",
"code": "outpatient",
"display": "Outpatient Follow-up"
}
]
}
],
"focalDevice": [
{
"action": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "129284003",
"display": "Surgical action - implantation"
}
]
},
"manipulated": {
"reference": "#dev-stent-001"
}
}
],
"used": [
{
"reference": {
"reference": "#medadmin-heparin-001"
}
}
],
"note": [
{
"text": "PCI with DES to proximal LAD performed successfully. 70% stenosis reduced to 0% residual. TIMI 3 flow achieved. Patient tolerated procedure well. Heparin administered during procedure. No complications. Dual antiplatelet therapy prescribed post-procedure."
}
]
},
"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-001"
}
],
"status": "current",
"category": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/attachment-category",
"code": "DICOM",
"display": "DICOM Image"
}
]
}
],
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S9876543A"
}
},
"content": [
{
"attachment": {
"contentType": "application/dicom",
"data": "VGhpcyBpcyBhIGJhc2U2NCBlbmNvZGVkIHBsYWNlaG9sZGVyIGZvciBESUNPTSBpbWFnZSBkYXRh",
"title": "Echocardiogram Images and Coronary Angiography",
"creation": "2026-02-06T09:30:00+08:00"
}
}
]
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}
]
}