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
{
"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"
}
},
{
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"valueIdentifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/msg-sequence-id",
"value": "001"
}
},
{
"url": "date",
"valueDateTime": "2026-04-01T15:00:00+08:00"
}
]
}
],
"profile": [
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],
"source": "HPB-IDEAS",
"tag": [
{
"code": "TTSH"
}
]
},
"identifier": {
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"value": "DS-BUNDLE-2026-02-06-001"
},
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"timestamp": "2026-02-06T14:00:00+08:00",
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{
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"resource": {
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]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Example Discharge Summary</div>"
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "DS-2026-02-06-001"
},
{
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"value": "ACC-DS-2026-02-06-001"
}
],
"status": "final",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "18842-5",
"display": "Discharge Summary"
}
]
},
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{
"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": "CASE-2026-001234"
}
},
"date": "2026-02-06T14:00:00+08:00",
"author": [
{
"type": "Practitioner",
"identifier": {
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"value": "M12345"
}
}
],
"title": "Discharge Summary for John Doe - Acute Myocardial Infarction",
"attester": [
{
"mode": {
"coding": [
{
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"code": "official",
"display": "Official"
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"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": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29548-5",
"display": "Diagnosis"
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{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8648-8",
"display": "Hospital course note"
}
]
},
"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>"
}
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{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "48765-2",
"display": "Allergies and adverse reactions Document"
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{
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{
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"code": "75310-3",
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{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "30954-2",
"display": "Relevant diagnostic tests and laboratory data"
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"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>"
}
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{
"code": {
"coding": [
{
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"code": "10183-2",
"display": "Hospital discharge medications Narrative"
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{
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"display": "Procedure Narrative"
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{
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"code": "103595-5",
"display": "Certificate of Medical Necessity"
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]
},
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"value": "CASE-2026-001234"
}
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"status": "completed",
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"code": "6",
"display": "Cardiology"
}
]
}
}
],
"subject": {
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"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"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"
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"diagnosis": [
{
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"coding": [
{
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"code": "well",
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}
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"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/discharge-disposition-type",
"code": "09",
"display": "Followup at SOC"
}
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"text": "Followup at SOC"
}
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"location": [
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"location": {
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{
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"code": "active",
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"code": "I21.09",
"display": "ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall"
}
]
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"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S1234567A"
}
},
"note": [
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"text": "Acute anterior STEMI with 90% LAD stenosis. Successfully treated with PCI and DES placement."
}
]
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{
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"resource": {
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},
"name": "Cardiology Ward 5A",
"managingOrganization": {
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"identifier": {
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"value": "11234"
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}
}
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{
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"identifier": {
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"value": "S1234567A"
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"text": "Acute anterior STEMI. Successfully managed with emergency PCI and drug-eluting stent placement to LAD."
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]
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{
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"resource": {
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},
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"value": "AI-2026-02-06-001"
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"category": [
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"criticality": "high",
"code": {
"coding": [
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"code": "372687004",
"display": "Penicillin"
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"patient": {
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"value": "S1234567A"
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"reaction": [
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"code": "271807003",
"display": "Skin rash"
}
],
"text": "Skin rash"
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}
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"severity": "moderate"
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{
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{
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"code": "FALLS",
"display": "Falls Risk"
}
]
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],
"code": {
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"code": "225444004",
"display": "At risk for falls"
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"value": "S1234567A"
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{
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"value": "SEQ-DS-MED-001"
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],
"status": "active",
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{
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"code": "ASP100",
"display": "Aspirin 100mg Oral Tablet"
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}
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"subject": {
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},
"requester": {
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"identifier": {
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"value": "M12345"
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"code": "post-pci",
"display": "Post PCI Antiplatelet Therapy"
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]
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],
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"value": "SEQ-DS-MED-002"
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],
"status": "active",
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"code": "ATV40",
"display": "Atorvastatin 40mg Oral Tablet"
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},
"subject": {
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}
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],
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{
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"value": "M54321"
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}
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],
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"text": "Drug-eluting stent placed in LAD with excellent angiographic result. TIMI 3 flow achieved."
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]
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{
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"valueBoolean": true
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}
],
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"type": {
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{
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"code": "hospitalization-leave",
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"identifier": {
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"end": "2026-02-20T23:59:59+08:00"
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"size": "1024",
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}
}
]
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{
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},
"identifier": [
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"value": "SEQ-DS-FILE-001"
}
],
"status": "current",
"category": [
{
"coding": [
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"system": "https://fhir.synapxe.sg/CodeSystem/attachment-category",
"code": "DIS",
"display": "Discharge Summary"
}
]
}
],
"content": [
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"title": "ECG Report - STEMI",
"creation": "2026-02-04T08:45:00+08:00"
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}