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": "DIS",
"display": "Discharge Summary"
}
]
},
"category": [
{
"coding": [
{
"system": "http://loinc.org",
"code": "11490-0",
"display": "Discharge summary"
}
]
}
],
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric-fin",
"value": "S1234567A"
}
},
"encounter": [
{
"reference": "urn:uuid:encounter-ds-001"
}
],
"date": "2026-02-06T14:00:00+08:00",
"author": [
{
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
},
"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": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M67890"
},
"display": "Dr. Michael Tan"
}
}
],
"custodian": {
"type": "Organization",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
"value": "11234"
},
"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": [
{
"title": "Diagnosis",
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/dischargesummary-section-type",
"code": "diagnosis"
}
]
},
"entry": [
{
"reference": "urn:uuid:diagnosis-001"
}
]
},
{
"title": "Clinical Synopsis",
"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>"
}
},
{
"title": "Allergies and Adverse Drug Reactions",
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/dischargesummary-section-type",
"code": "allergy-adr"
}
]
},
"entry": [
{
"reference": "urn:uuid:allergyintolerance-001"
}
]
},
{
"title": "Alerts",
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/dischargesummary-section-type",
"code": "alerts"
}
]
},
"entry": [
{
"reference": "urn:uuid:flag-001"
}
]
},
{
"title": "Investigations",
"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>"
}
},
{
"title": "Medication Requests",
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/dischargesummary-section-type",
"code": "medication-requests"
}
]
},
"entry": [
{
"reference": "urn:uuid:medicationrequest-001"
},
{
"reference": "urn:uuid:medicationrequest-002"
}
]
},
{
"title": "Procedures",
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/dischargesummary-section-type",
"code": "procedures"
}
]
},
"entry": [
{
"reference": "urn:uuid:procedure-001"
}
]
},
{
"title": "Medical Certificates",
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/dischargesummary-section-type",
"code": "medical-certificates"
}
]
},
"entry": [
{
"reference": "urn:uuid:medicalcertificate-001"
}
]
},
{
"title": "File Attachments",
"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:encounter-ds-001",
"resource": {
"resourceType": "Encounter",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ds-encounter"
]
},
"contained": [
{
"resourceType": "Condition",
"id": "diagnosis-primary",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ds-diagnosis"
]
},
"clinicalStatus": {
"text": "active"
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "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"
}
]
},
"note": [
{
"text": "Acute anterior STEMI with 90% LAD stenosis. Successfully treated with PCI and DES placement."
}
]
},
{
"resourceType": "Location",
"id": "location-ward",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-location"
]
},
"name": "Cardiology Ward 5A",
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "HU",
"display": "Hospital unit"
}
]
}
]
}
],
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/case-no",
"value": "CASE-2026-001234"
}
],
"status": "completed",
"serviceType": [
{
"concept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/service-speciality",
"code": "102",
"display": "Cardiology"
}
]
}
}
],
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric-fin",
"value": "S1234567A"
}
},
"participant": [
{
"actor": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
},
"display": "Dr. Sarah Chen"
}
}
],
"actualPeriod": {
"start": "2026-02-04T08:30:00+08:00",
"end": "2026-02-06T12:00:00+08:00"
},
"diagnosis": [
{
"condition": [
{
"reference": {
"reference": "#diagnosis-primary"
}
}
]
}
],
"admission": {
"dischargeDisposition": {
"extension": [
{
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-outcome",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/discharge-outcome",
"code": "well",
"display": "Discharge well with condition treated"
}
]
}
}
],
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/discharge-disposition",
"code": "09",
"display": "Follow-up at SOC"
}
],
"text": "Patient discharged well after successful PCI. Follow-up at Cardiology SOC in 2 weeks."
}
},
"location": [
{
"location": {
"reference": "#location-ward"
}
}
]
},
"request": {
"method": "POST",
"url": "Encounter"
}
},
{
"fullUrl": "urn:uuid:diagnosis-001",
"resource": {
"resourceType": "Condition",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ds-diagnosis"
]
},
"clinicalStatus": {
"text": "active"
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "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": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric-fin",
"value": "S1234567A"
}
},
"note": [
{
"text": "Acute anterior STEMI. Successfully managed with emergency PCI and drug-eluting stent placement to LAD."
}
]
},
"request": {
"method": "POST",
"url": "Condition"
}
},
{
"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",
"display": "Active"
}
]
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code": "confirmed",
"display": "Confirmed"
}
]
},
"type": "allergy",
"category": [
"medication"
],
"criticality": "high",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "372687004",
"display": "Penicillin"
}
],
"text": "Penicillin allergy"
},
"patient": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric-fin",
"value": "S1234567A"
}
},
"reaction": [
{
"manifestation": [
{
"concept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "271807003",
"display": "Skin rash"
}
],
"text": "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"
}
],
"text": "Fall risk - post cardiac procedure"
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric-fin",
"value": "S1234567A"
}
},
"period": {
"start": "2026-02-04T08:30:00+08:00"
}
},
"request": {
"method": "POST",
"url": "Flag"
}
},
{
"fullUrl": "urn:uuid:medicationrequest-001",
"resource": {
"resourceType": "MedicationRequest",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ds-medicationrequest"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "SEQ-DS-MED-001"
}
],
"status": "active",
"intent": "order",
"medication": {
"concept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/med-code",
"code": "ASP100",
"display": "Aspirin 100mg Oral Tablet"
}
],
"text": "Aspirin 100mg"
}
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric-fin",
"value": "S1234567A"
}
},
"requester": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
},
"display": "Dr. Sarah Chen"
},
"reason": [
{
"concept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/reason-for-medication",
"code": "post-pci",
"display": "Post PCI antiplatelet therapy"
}
],
"text": "Dual antiplatelet therapy post coronary stent insertion"
}
}
],
"dosageInstruction": [
{
"text": "Take 1 tablet once daily in the morning after food",
"additionalInstruction": [
{
"text": "Continue indefinitely unless advised otherwise by cardiologist"
}
],
"timing": {
"repeat": {
"frequency": 1,
"period": 1,
"periodUnit": "d"
}
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "26643006",
"display": "Oral route"
}
],
"text": "Oral"
},
"doseAndRate": [
{
"doseQuantity": {
"value": 1,
"unit": "tablet",
"system": "http://unitsofmeasure.org",
"code": "{tablet}"
}
}
]
}
]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
},
{
"fullUrl": "urn:uuid:medicationrequest-002",
"resource": {
"resourceType": "MedicationRequest",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ds-medicationrequest"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "SEQ-DS-MED-002"
}
],
"status": "active",
"intent": "order",
"medication": {
"concept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/med-code",
"code": "ATV40",
"display": "Atorvastatin 40mg Oral Tablet"
}
],
"text": "Atorvastatin 40mg"
}
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric-fin",
"value": "S1234567A"
}
},
"requester": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
},
"display": "Dr. Sarah Chen"
},
"reason": [
{
"concept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/reason-for-medication",
"code": "lipid-lowering",
"display": "Lipid lowering therapy"
}
],
"text": "High-intensity statin therapy for secondary prevention of cardiovascular events"
}
}
],
"dosageInstruction": [
{
"text": "Take 1 tablet at night before bedtime",
"additionalInstruction": [
{
"text": "Monitor liver function tests in 6 weeks"
}
],
"timing": {
"repeat": {
"frequency": 1,
"period": 1,
"periodUnit": "d"
}
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "26643006",
"display": "Oral route"
}
],
"text": "Oral"
},
"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",
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "103693007",
"display": "Diagnostic procedure"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "415070008",
"display": "Percutaneous coronary intervention"
}
],
"text": "PCI with drug-eluting stent placement to LAD"
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric-fin",
"value": "S1234567A"
}
},
"occurrenceDateTime": "2026-02-04T10:00:00+08:00",
"performer": [
{
"actor": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M54321"
},
"display": "Dr. James Wong"
}
}
],
"note": [
{
"text": "Drug-eluting stent placed in LAD with excellent angiographic result. TIMI 3 flow achieved."
}
]
},
"request": {
"method": "POST",
"url": "Procedure"
}
},
{
"fullUrl": "urn:uuid:medicalcertificate-001",
"resource": {
"resourceType": "DocumentReference",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-medicalcertificate"
]
},
"extension": [
{
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-lightDuty",
"valuePeriod": {
"start": "2026-02-06T00:00:00+08:00",
"end": "2026-02-20T23:59:59+08:00"
}
}
],
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/mc-no",
"value": "MC-2026-001234"
}
],
"status": "current",
"type": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/mc-type",
"code": "hospitalization-leave",
"display": "Hospitalization Leave"
}
],
"text": "Medical Certificate - Hospitalization Leave"
},
"author": [
{
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
},
"display": "Dr. Sarah Chen"
}
],
"period": {
"start": "2026-02-04T00:00:00+08:00",
"end": "2026-02-20T23:59:59+08:00"
},
"content": [
{
"attachment": {
"contentType": "application/pdf",
"title": "Medical Certificate - 14 days hospitalization leave"
}
}
]
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
},
{
"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-FILE-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"
}
}
]
}