FHIR IG analytics| Package | synapxe.sgcdi |
| Resource Type | Bundle |
| Id | BundleEDNotesRequest.Example.json |
| FHIR Version | R5 |
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FHIR
FHIRsmith{
"resourceType": "Bundle",
"type": "transaction",
"entry": [
{
"fullUrl": "urn:uuid:ednotes-composition-001",
"resource": {
"resourceType": "Composition",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ednotes"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "ED-COMP-2026-00456"
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/accession-no",
"value": "ACC-ED-2026-00456"
}
],
"status": "final",
"type": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/doc-types",
"code": "EDNOTE",
"display": "ED Notes"
}
],
"text": "ED Notes"
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mrn",
"value": "MRN-9876543"
}
},
"encounter": [
{
"reference": "urn:uuid:edvisit-encounter-001"
}
],
"date": "2026-02-05T16:45:00+08:00",
"author": [
{
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M67890"
},
"display": "Dr. Wei Lin"
}
],
"title": "Emergency Department (ED) Notes",
"custodian": {
"type": "Organization",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
"value": "HCI-98765"
},
"display": "Tan Tock Seng Hospital"
},
"note": [
{
"text": "Patient presented with acute chest pain. ECG and troponin performed. Managed conservatively in ED with GTN and observation. Discharged with follow-up."
}
],
"section": [
{
"title": "Glasgow Coma Scale",
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/ednotes-section-type",
"code": "gcs",
"display": "Glasgow Coma Scale"
}
]
},
"entry": [
{
"reference": "urn:uuid:observation-gcs-001"
}
]
},
{
"title": "Vital Signs",
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/ednotes-section-type",
"code": "vital-signs",
"display": "Vital Signs"
}
]
},
"entry": [
{
"reference": "urn:uuid:observation-vitals-001"
}
]
},
{
"title": "Medication Orders",
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/ednotes-section-type",
"code": "medication-orders",
"display": "Medication Orders"
}
]
},
"entry": [
{
"reference": "urn:uuid:medicationrequest-001"
}
]
},
{
"title": "Infusion Orders",
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/ednotes-section-type",
"code": "infusion-orders",
"display": "Infusion Orders"
}
]
},
"entry": [
{
"reference": "urn:uuid:medicationrequest-infusion-001"
}
]
},
{
"title": "Prescription Orders",
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/ednotes-section-type",
"code": "prescription-orders",
"display": "Prescription Orders"
}
]
},
"entry": [
{
"reference": "urn:uuid:medicationrequest-prescription-001"
}
]
},
{
"title": "Procedures Performed",
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/ednotes-section-type",
"code": "procedures-performed",
"display": "Procedures Performed"
}
]
},
"entry": [
{
"reference": "urn:uuid:procedure-main-001"
}
]
},
{
"title": "Allergies and Intolerances",
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/ednotes-section-type",
"code": "allergies",
"display": "Allergies and Intolerances"
}
]
},
"entry": [
{
"reference": "urn:uuid:allergy-001"
}
]
},
{
"title": "Clinical Alerts",
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/ednotes-section-type",
"code": "alerts",
"display": "Clinical Alerts"
}
]
},
"entry": [
{
"reference": "urn:uuid:flag-001"
}
]
},
{
"title": "Triage Assessment",
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/ednotes-section-type",
"code": "triage-questions",
"display": "Triage Assessment"
}
]
},
"entry": [
{
"reference": "urn:uuid:questionnaire-triage-001"
}
]
},
{
"title": "Consultation",
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/ednotes-section-type",
"code": "consultation",
"display": "Consultation"
}
]
},
"entry": [
{
"reference": "urn:uuid:questionnaire-consultation-001"
}
]
},
{
"title": "Medical Certificates",
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/ednotes-section-type",
"code": "medical-certificates",
"display": "Medical Certificates"
}
]
},
"entry": [
{
"reference": "urn:uuid:medcert-001"
}
]
},
{
"title": "Attachments",
"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",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-edvisit"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "ED-ENC-2026-00456"
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/ed-ref-no",
"value": "EDREF-2026-00456"
}
],
"status": "completed",
"class": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/patient-type",
"code": "EMER",
"display": "Emergency"
}
]
}
],
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mrn",
"value": "MRN-9876543"
}
},
"serviceProvider": {
"type": "Organization",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
"value": "HCI-98765"
},
"display": "Tan Tock Seng Hospital"
},
"participant": [
{
"type": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/edvisit-participant-type",
"code": "triage-nurse",
"display": "Triage Nurse"
}
]
}
],
"period": {
"start": "2026-02-05T13:00:00+08:00",
"end": "2026-02-05T13:15:00+08:00"
},
"actor": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr-no",
"value": "N45678"
},
"display": "Nurse Mary Lim"
}
},
{
"type": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/edvisit-participant-type",
"code": "attending-doctor",
"display": "Attending Doctor"
}
]
}
],
"period": {
"start": "2026-02-05T13:15:00+08:00",
"end": "2026-02-05T16:45:00+08:00"
},
"actor": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr-no",
"value": "M67890"
},
"display": "Dr. Wei Lin"
}
}
],
"actualPeriod": {
"start": "2026-02-05T13:00:00+08:00",
"end": "2026-02-05T16:45:00+08:00"
},
"reason": [
{
"use": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/edvisit-reason-type",
"code": "chief-complaint",
"display": "Chief Complaint"
}
]
}
],
"value": [
{
"concept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "29857009",
"display": "Chest pain"
}
],
"text": "Chest pain radiating to left arm for 30 minutes"
}
}
]
}
],
"diagnosis": [
{
"condition": [
{
"concept": {
"text": "Acute coronary syndrome - non-ST elevation"
}
}
],
"use": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/edvisit-condition-type",
"code": "principal",
"display": "Principal Diagnosis"
}
]
}
]
},
{
"condition": [
{
"concept": {
"text": "Essential hypertension"
}
}
],
"use": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/edvisit-condition-type",
"code": "secondary",
"display": "Secondary Diagnosis"
}
]
}
]
}
],
"admission": {
"admitSource": {
"text": "Self-referred / Walk-in"
},
"dischargeDisposition": {
"extension": [
{
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-ed-disposition",
"extension": [
{
"url": "use",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/edvisit-disposition-type",
"code": "primary",
"display": "Primary Disposition"
}
]
}
},
{
"url": "code",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/discharge-disposition",
"code": "01",
"display": "Discharged"
}
]
}
}
]
},
{
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-ed-dischargeAdvice",
"valueString": "Return immediately if chest pain recurs, worsens, or is accompanied by shortness of breath, dizziness, or sweating."
}
],
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/discharge-disposition",
"code": "01",
"display": "Discharged"
}
],
"text": "Patient discharged from ED with outpatient follow-up"
}
},
"location": [
{
"location": {
"type": "Location",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/location-id",
"value": "ED-RESUS-01"
},
"display": "ED Resuscitation Bay 1"
},
"form": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/ed-location-type",
"code": "resuscitation",
"display": "Resuscitation"
}
]
},
"period": {
"start": "2026-02-05T13:00:00+08:00",
"end": "2026-02-05T14:30:00+08:00"
}
},
{
"location": {
"type": "Location",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/location-id",
"value": "ED-OBS-05"
},
"display": "ED Observation Bed 5"
},
"form": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/ed-location-type",
"code": "observation",
"display": "Observation"
}
]
},
"period": {
"start": "2026-02-05T14:30:00+08:00",
"end": "2026-02-05T16:45:00+08:00"
}
}
]
},
"request": {
"method": "POST",
"url": "Encounter"
}
},
{
"fullUrl": "urn:uuid:observation-gcs-001",
"resource": {
"resourceType": "Observation",
"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": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mrn",
"value": "MRN-9876543"
}
},
"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",
"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": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mrn",
"value": "MRN-9876543"
}
},
"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",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ed-medicationrequest"
]
},
"status": "active",
"intent": "order",
"category": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/order-type",
"code": "medication",
"display": "Medication"
}
]
}
],
"medication": {
"concept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/med-code",
"code": "GTN05",
"display": "Glyceryl Trinitrate 0.5mg Sublingual Tablet"
}
],
"text": "GTN 0.5mg sublingual tablet"
}
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mrn",
"value": "MRN-9876543"
}
},
"encounter": {
"reference": "urn:uuid:edvisit-encounter-001"
},
"authoredOn": "2026-02-05T14:00:00+08:00",
"requester": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M67890"
},
"display": "Dr. Wei Lin"
},
"performer": [
{
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "N45678"
},
"display": "Nurse Mary Lim"
}
],
"reason": [
{
"concept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "29857009",
"display": "Chest pain"
}
]
}
}
],
"note": [
{
"text": "Administered in resuscitation bay. Monitor BP before and after administration."
}
],
"dosageInstruction": [
{
"sequence": 1,
"text": "Place 1 tablet under tongue, may repeat every 5 minutes as needed for chest pain, maximum 3 doses",
"additionalInstruction": [
{
"text": "Monitor blood pressure before and after each dose"
}
],
"asNeededFor": [
{
"text": "Chest pain"
}
],
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "37839007",
"display": "Sublingual route"
}
],
"text": "Sublingual"
},
"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:medicationrequest-infusion-001",
"resource": {
"resourceType": "MedicationRequest",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ed-medicationrequest"
]
},
"status": "active",
"intent": "order",
"category": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/order-type",
"code": "infusion",
"display": "Infusion"
}
]
}
],
"medication": {
"concept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/med-code",
"code": "NS1000",
"display": "Normal Saline 0.9% 1000ml IV Solution"
}
],
"text": "Normal Saline 0.9% 1000ml"
}
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mrn",
"value": "MRN-9876543"
}
},
"encounter": {
"reference": "urn:uuid:edvisit-encounter-001"
},
"authoredOn": "2026-02-05T13:30:00+08:00",
"requester": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M67890"
},
"display": "Dr. Wei Lin"
},
"dosageInstruction": [
{
"sequence": 1,
"text": "Infuse 1000ml Normal Saline over 4 hours",
"additionalInstruction": [
{
"text": "Monitor fluid balance and urine output"
}
],
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "47625008",
"display": "Intravenous route"
}
],
"text": "IV"
},
"doseAndRate": [
{
"doseQuantity": {
"value": 1000,
"unit": "mL",
"system": "http://unitsofmeasure.org",
"code": "mL"
}
}
]
}
]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
},
{
"fullUrl": "urn:uuid:medicationrequest-prescription-001",
"resource": {
"resourceType": "MedicationRequest",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ed-medicationrequest"
]
},
"status": "active",
"intent": "order",
"category": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/order-type",
"code": "prescription",
"display": "Prescription"
}
]
}
],
"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/mrn",
"value": "MRN-9876543"
}
},
"encounter": {
"reference": "urn:uuid:edvisit-encounter-001"
},
"authoredOn": "2026-02-05T16:30:00+08:00",
"requester": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M67890"
},
"display": "Dr. Wei Lin"
},
"dosageInstruction": [
{
"sequence": 1,
"text": "Take 1 tablet once daily after food",
"additionalInstruction": [
{
"text": "Take with food to reduce gastric irritation"
}
],
"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}"
}
}
]
}
],
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