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Packagesynapxe.sgcdi
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IdListPutPatientProblemListRequest.Example.json
FHIR VersionR5

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Source1

{
  "resourceType": "List",
  "meta": {
    "profile": [
      "https://fhir.synapxe.sg/StructureDefinition/profile-list-problem"
    ]
  },
  "contained": [
    {
      "resourceType": "Condition",
      "id": "problem-001",
      "meta": {
        "profile": [
          "https://fhir.synapxe.sg/StructureDefinition/profile-problem"
        ]
      },
      "extension": [
        {
          "url": "https://fhir.synapxe.sg/StructureDefinition/ext-healthDomain",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "https://fhir.synapxe.sg/CodeSystem/healthdomain-types",
                "code": "medical",
                "display": "Medical"
              }
            ]
          }
        },
        {
          "url": "https://fhir.synapxe.sg/StructureDefinition/ext-serviceSpeciality",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "https://fhir.synapxe.sg/CodeSystem/department-specialty",
                "code": "PGN",
                "display": "Paediatric Genetics"
              }
            ]
          }
        },
        {
          "url": "https://fhir.synapxe.sg/StructureDefinition/ext-conditionType",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "https://fhir.synapxe.sg/CodeSystem/condition-type",
                "code": "primary",
                "display": "Primary"
              }
            ]
          }
        }
      ],
      "identifier": [
        {
          "system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
          "value": "SEQ-PROB-001"
        }
      ],
      "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": "https://fhir.synapxe.sg/CodeSystem/healthdomain-types",
              "code": "medical",
              "display": "Medical"
            }
          ]
        }
      ],
      "severity": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "24484000",
            "display": "Severe"
          }
        ]
      },
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "73211009",
            "display": "Diabetes mellitus"
          }
        ]
      },
      "bodySite": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "15776009",
              "display": "Pancreatic structure"
            }
          ]
        }
      ],
      "subject": {
        "type": "Patient",
        "identifier": {
          "system": "https://fhir.synapxe.sg/NamingSystem/nric",
          "value": "S1234567A"
        }
      },
      "onsetDateTime": "2024-06-15T00:00:00+08:00",
      "recordedDate": "2024-06-15T10:30:00+08:00",
      "participant": [
        {
          "function": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                "code": "author",
                "display": "Author"
              }
            ]
          },
          "actor": {
            "type": "Practitioner",
            "identifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
              "value": "M12345"
            },
            "display": "Dr. Sarah Lim"
          }
        }
      ],
      "stage": [
        {
          "summary": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "786005",
                "display": "Clinical stage I"
              }
            ]
          }
        }
      ],
      "note": [
        {
          "authorReference": {
            "type": "Practitioner",
            "identifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
              "value": "M12345"
            },
            "display": "Dr. Sarah Lim"
          },
          "time": "2024-06-15T10:30:00+08:00",
          "text": "Patient diagnosed with Type 2 Diabetes Mellitus. Started on Metformin 500mg BD. HbA1c at diagnosis: 8.2%. Target HbA1c < 7%."
        }
      ]
    },
    {
      "resourceType": "Condition",
      "id": "problem-002",
      "meta": {
        "profile": [
          "https://fhir.synapxe.sg/StructureDefinition/profile-problem"
        ]
      },
      "extension": [
        {
          "url": "https://fhir.synapxe.sg/StructureDefinition/ext-healthDomain",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "https://fhir.synapxe.sg/CodeSystem/healthdomain-types",
                "code": "medical",
                "display": "Medical"
              }
            ]
          }
        },
        {
          "url": "https://fhir.synapxe.sg/StructureDefinition/ext-serviceSpeciality",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "https://fhir.synapxe.sg/CodeSystem/department-specialty",
                "code": "PGN",
                "display": "Paediatric Genetics"
              }
            ]
          }
        },
        {
          "url": "https://fhir.synapxe.sg/StructureDefinition/ext-conditionType",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "https://fhir.synapxe.sg/CodeSystem/condition-type",
                "code": "secondary",
                "display": "Secondary"
              }
            ]
          }
        }
      ],
      "identifier": [
        {
          "system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
          "value": "SEQ-PROB-002"
        }
      ],
      "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": "https://fhir.synapxe.sg/CodeSystem/healthdomain-types",
              "code": "medical",
              "display": "Medical"
            }
          ]
        }
      ],
      "severity": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "6736007",
            "display": "Moderate"
          }
        ]
      },
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "38341003",
            "display": "Hypertensive disorder"
          }
        ]
      },
      "bodySite": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "80891009",
              "display": "Heart structure"
            }
          ]
        }
      ],
      "subject": {
        "type": "Patient",
        "identifier": {
          "system": "https://fhir.synapxe.sg/NamingSystem/nric",
          "value": "S1234567A"
        }
      },
      "onsetAge": {
        "value": 55,
        "unit": "years",
        "system": "http://unitsofmeasure.org",
        "code": "a"
      },
      "abatementDateTime": "2026-01-20T00:00:00+08:00",
      "recordedDate": "2023-03-10T14:00:00+08:00",
      "participant": [
        {
          "function": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                "code": "author",
                "display": "Author"
              }
            ]
          },
          "actor": {
            "type": "Practitioner",
            "identifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
              "value": "M67890"
            },
            "display": "Dr. Michael Tan"
          }
        },
        {
          "function": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                "code": "informant",
                "display": "Informant"
              }
            ]
          },
          "actor": {
            "type": "Organization",
            "identifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
              "value": "11234"
            },
            "display": "National University Hospital"
          }
        }
      ],
      "note": [
        {
          "authorString": "Dr. Michael Tan",
          "time": "2023-03-10T14:00:00+08:00",
          "text": "Essential hypertension diagnosed during routine health screening. Currently managed with Amlodipine 5mg OD. Blood pressure well controlled at last visit (128/78 mmHg)."
        }
      ]
    }
  ],
  "extension": [
    {
      "url": "https://fhir.synapxe.sg/StructureDefinition/ext-context",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://fhir.synapxe.sg/CodeSystem/clinical-setting",
            "code": "admission",
            "display": "Admission"
          }
        ]
      }
    },
    {
      "url": "https://fhir.synapxe.sg/StructureDefinition/ext-statusReason",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://fhir.synapxe.sg/CodeSystem/status-reason",
            "code": "reviewed",
            "display": "Reviewed"
          }
        ]
      }
    }
  ],
  "identifier": [
    {
      "system": "https://fhir.synapxe.sg/NamingSystem/problem-list-id",
      "value": "PL-2026-001234"
    }
  ],
  "status": "current",
  "mode": "working",
  "code": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/list-example-use-codes",
        "code": "problems",
        "display": "Problem List"
      }
    ]
  },
  "subject": {
    "type": "Patient",
    "identifier": {
      "system": "https://fhir.synapxe.sg/NamingSystem/nric",
      "value": "S1234567A"
    }
  },
  "encounter": {
    "type": "Encounter",
    "identifier": {
      "system": "https://fhir.synapxe.sg/NamingSystem/event-id",
      "value": "EVT-2026-001234"
    }
  },
  "source": {
    "type": "Organization",
    "identifier": {
      "system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
      "value": "11234"
    },
    "display": "National University Hospital"
  },
  "note": [
    {
      "text": "Patient problem list reviewed during admission. Two active conditions identified: Diabetes Mellitus (primary) and Essential Hypertension (secondary). Both conditions are under management with current medications."
    }
  ],
  "entry": [
    {
      "item": {
        "reference": "#problem-001"
      }
    },
    {
      "item": {
        "reference": "#problem-002"
      }
    }
  ]
}