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Packagesynapxe.sgcdi
Resource TypeBundle
IdBundleCardiologyReportRequest.Example.json
FHIR VersionR5

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Source1

{
  "resourceType": "Bundle",
  "meta": {
    "extension": [
      {
        "url": "https://fhir.synapxe.sg/StructureDefinition/ext-artifact",
        "extension": [
          {
            "url": "msgId",
            "valueIdentifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/msg-id",
              "value": "CR001"
            }
          },
          {
            "url": "msgSequenceId",
            "valueIdentifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/msg-sequence-id",
              "value": "001"
            }
          },
          {
            "url": "date",
            "valueDateTime": "2026-04-01T15:00:00+08:00"
          }
        ]
      }
    ],
    "profile": [
      "https://fhir.synapxe.sg/StructureDefinition/profile-bundle-cardiologyreport"
    ],
    "source": "HPB-IDEAS",
    "tag": [
      {
        "code": "TTSH"
      }
    ]
  },
  "identifier": {
    "system": "https://fhir.synapxe.sg/NamingSystem/bundle-id",
    "value": "BDL-CARDIO-2026-001"
  },
  "type": "document",
  "timestamp": "2026-04-10T08:00:00+08:00",
  "entry": [
    {
      "fullUrl": "urn:uuid:3a7b9c2d-4e5f-4a1b-8c6d-9e0f1a2b3c4d",
      "resource": {
        "resourceType": "Composition",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-cardiologyreport"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Example Cardiology Report</div>"
        },
        "extension": [
          {
            "url": "https://fhir.synapxe.sg/StructureDefinition/ext-displayMethod",
            "valueString": "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": "http://loinc.org",
              "code": "100580-0",
              "display": "Cardiology note"
            }
          ]
        },
        "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"
                }
              ]
            },
            "party": {
              "type": "Practitioner",
              "identifier": {
                "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
                "value": "M67890"
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            }
          }
        ],
        "custodian": {
          "type": "Organization",
          "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": "http://loinc.org",
                  "code": "29554-3",
                  "display": "Procedure Narrative"
                }
              ]
            },
            "entry": [
              {
                "reference": "urn:uuid:5b8c1d3e-6f7a-4b2c-9d0e-1f2a3b4c5d6e"
              }
            ]
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "29554-3",
                  "display": "Procedure Narrative"
                }
              ]
            },
            "entry": [
              {
                "reference": "urn:uuid:7c9d2e4f-8a1b-4c3d-0e1f-2a3b4c5d6e7f"
              }
            ]
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "28570-0",
                  "display": "Procedure note"
                }
              ]
            },
            "entry": [
              {
                "reference": "urn:uuid:9e1f3a5b-0c2d-4e4f-1a2b-3c4d5e6f7a8b"
              }
            ]
          }
        ]
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    },
    {
      "fullUrl": "urn:uuid:5b8c1d3e-6f7a-4b2c-9d0e-1f2a3b4c5d6e",
      "resource": {
        "resourceType": "Procedure",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-cr-procedure"
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
            "value": "1"
          }
        ],
        "basedOn": [
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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": {
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          "end": "2026-02-06T09:30:00+08:00"
        },
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          {
            "function": {
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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 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": "urn:uuid:c3d4e5f6-a7b8-4c9d-0e1f-2a3b4c5d6e7f"
          }
        ],
        "note": [
          {
            "text": "Echocardiogram completed. Mild concentric LVH noted. LVEF 57%. No significant valvular disease. Recommend cardiac catheterization for further evaluation."
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:7c9d2e4f-8a1b-4c3d-0e1f-2a3b4c5d6e7f",
      "resource": {
        "resourceType": "Procedure",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-cr-procedure"
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
            "value": "2"
          }
        ],
        "basedOn": [
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        "status": "completed",
        "category": [
          {
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                "system": "http://snomed.info/sct",
                "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": {
          "start": "2026-02-06T10:00:00+08:00",
          "end": "2026-02-06T11:30:00+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 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": "urn:uuid:d4e5f6a7-b8c9-4d0e-1f2a-3b4c5d6e7f8a"
          }
        ],
        "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": "urn:uuid:e5f6a7b8-c9d0-4e1f-2a3b-4c5d6e7f8a9b"
            }
          }
        ],
        "used": [
          {
            "reference": {
              "reference": "urn:uuid:e5f6a7b8-c9d0-4e1f-2a3b-4c5d6e7f8a9b"
            }
          }
        ],
        "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."
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:a1b2c3d4-e5f6-4a7b-8c9d-0e1f2a3b4c5d",
      "resource": {
        "resourceType": "ServiceRequest",
        "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."
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:b2c3d4e5-f6a7-4b8c-9d0e-1f2a3b4c5d6e",
      "resource": {
        "resourceType": "ServiceRequest",
        "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."
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:c3d4e5f6-a7b8-4c9d-0e1f-2a3b4c5d6e7f",
      "resource": {
        "resourceType": "DiagnosticReport",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-cr-diagnosticreport"
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
            "value": "1"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                "code": "LAB",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "34552-0",
              "display": "Cardiac 2D echo panel"
            }
          ]
        },
        "effectiveDateTime": "2026-02-06T09:30:00+08:00",
        "performer": [
          {
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        "result": [
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          },
          {
            "reference": "urn:uuid:b9c0d1e2-f3a4-4b5c-6d7e-8f9a0b1c2d3e"
          }
        ],
        "conclusion": "Echocardiogram shows mild concentric left ventricular hypertrophy. LVEF 57%. No significant valvular abnormalities. No pericardial effusion."
      }
    },
    {
      "fullUrl": "urn:uuid:d4e5f6a7-b8c9-4d0e-1f2a-3b4c5d6e7f8a",
      "resource": {
        "resourceType": "DiagnosticReport",
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          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-cr-diagnosticreport"
          ]
        },
        "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": [
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        "result": [
          {
            "reference": "urn:uuid:c1e2f3a4-b5c6-4d7e-8f9a-0b1c2d3e4f5a"
          }
        ],
        "conclusion": "Coronary angiography reveals 70% stenosis in proximal LAD. PCI with DES performed successfully. TIMI 3 flow post-intervention. RCA and LCx are normal."
      }
    },
    {
      "fullUrl": "urn:uuid:e5f6a7b8-c9d0-4e1f-2a3b-4c5d6e7f8a9b",
      "resource": {
        "resourceType": "Device",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-device"
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/device-serial",
            "value": "DES-2026-LAD-001"
          }
        ],
        "category": [
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/device-category",
                "code": "implantable",
                "display": "Implantable"
              }
            ]
          }
        ],
        "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"
      }
    },
    {
      "fullUrl": "urn:uuid:f6a7b8c9-d0e1-4f2a-3b4c-5d6e7f8a9b0c",
      "resource": {
        "resourceType": "MedicationAdministration",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-medicationadministration"
          ]
        },
        "status": "completed",
        "medication": {
          "concept": {
            "coding": [
              {
                "system": "https://fhir.synapxe.sg/CodeSystem/med-code",
                "code": "ASP100",
                "display": "Aspirin 100mg Oral Tablet"
              }
            ]
          }
        },
        "subject": {
          "type": "Patient",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/nric",
            "value": "S9876543A"
          }
        },
        "occurenceDateTime": "2026-02-06T10:00:00+08:00",
        "performer": [
          {
            "actor": {
              "reference": {
                "type": "Practitioner",
                "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"
              }
            ]
          },
          "dose": {
            "value": 5000,
            "unit": "IU",
            "system": "http://unitsofmeasure.org",
            "code": "[iU]"
          }
        }
      }
    },
    {
      "fullUrl": "urn:uuid:3de873be-5476-42a5-acf1-4527d23d5a70",
      "resource": {
        "resourceType": "PractitionerRole",
        "meta": {
          "profile": [
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          ]
        },
        "practitioner": {
          "type": "Practitioner",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
            "value": "M12345"
          }
        },
        "code": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "17561000",
                "display": "Cardiologist"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:f0d1e2f3-a4b5-4c6d-7e8f-9a0b1c2d3e4f",
      "resource": {
        "resourceType": "PractitionerRole",
        "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"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:a8b9c0d1-e2f3-4a4b-5c6d-7e8f9a0b1c2d",
      "resource": {
        "resourceType": "Observation",
        "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",
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                "code": "N",
                "display": "Normal"
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            "text": "LVEF within normal range. Mild concentric LVH present."
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              "system": "http://loinc.org",
              "code": "29468-6",
              "display": "Interventricular septum Thickness during diastole by US.M-mode"
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                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "H",
                "display": "High"
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            ]
          }
        ],
        "note": [
          {
            "text": "Interventricular septum thickness is mildly increased suggesting concentric LVH."
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    },
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              "code": "LP94892-4",
              "display": "Coronary artery stenosis"
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                "code": "A",
                "display": "Abnormal"
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            ]
          }
        ],
        "note": [
          {
            "text": "Significant stenosis identified in proximal LAD. Stenting performed."
          }
        ]
      }
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      "resource": {
        "resourceType": "DocumentReference",
        "meta": {
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        },
        "identifier": [
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            "system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
            "value": "SEQ-001"
          }
        ],
        "status": "current",
        "category": [
          {
            "coding": [
              {
                "system": "https://fhir.synapxe.sg/CodeSystem/attachment-category",
                "code": "CAR",
                "display": "Cardiology Report"
              }
            ]
          }
        ],
        "content": [
          {
            "attachment": {
              "contentType": "application/pdf",
              "language": "en",
              "data": "VGhpcyBpcyBhIGJhc2U2NCBlbmNvZGVkIHBsYWNlaG9sZGVyIGZvciBESUNPTSBpbWFnZSBkYXRh",
              "size": "1024",
              "title": "Echocardiogram Images and Coronary Angiography",
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}