FHIR IG analytics| Package | synapxe.sgcdi |
| Resource Type | Bundle |
| Id | BundleEDNotesRequest.Example.json |
| FHIR Version | R5 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"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-ednotes"
],
"source": "HPB-IDEAS",
"tag": [
{
"code": "TTSH"
}
]
},
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "ED-BUNDLE-2026-03-19-001"
},
"type": "document",
"timestamp": "2026-03-19T11:45:00+08:00",
"entry": [
{
"fullUrl": "da2ece09-fd25-45ed-a527-a16686c221c7",
"resource": {
"resourceType": "Composition",
"id": "ednotes-composition-ed-002",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ednotes"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Example ED Notes</div>"
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "ED-REC-2026-02001"
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/accession-no",
"value": "ED-ACC-2026-02001"
}
],
"status": "final",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "15507-7",
"display": "Emergency department Progress note"
}
]
},
"subject": [
{
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
}
],
"encounter": {
"reference": "520963e9-1e27-4841-aa7f-8ab58587b3a8"
},
"date": "2026-03-19T11:45:00+08:00",
"author": [
{
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M67890"
}
}
],
"title": "Emergency Department (ED) Notes",
"custodian": {
"type": "Organization",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
"value": "TTSH"
}
},
"note": [
{
"text": "Patient presented with acute asthma exacerbation. Treated with nebulised salbutamol and ipratropium, IV methylprednisolone. Improved significantly. Discharged on oral steroids and increased inhaler therapy."
}
],
"section": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9269-2",
"display": "Glasgow coma score total"
}
]
},
"entry": [
{
"reference": "7af10323-0be2-435c-ab1a-949db7baf859"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8716-3",
"display": "Vital signs"
}
]
},
"entry": [
{
"reference": "c8122627-20d4-4de4-a2dd-6d6720465d4b"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29549-3",
"display": "Medication administered Narrative"
}
]
},
"entry": [
{
"reference": "7dbf99d7-96d3-4058-87d5-73bd35efff94"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "75311-1",
"display": "Discharge medications note"
}
]
},
"entry": [
{
"reference": "32f085df-a190-4fe0-b2e8-1d81aad2b0d6"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "10183-2",
"display": "Hospital discharge medications Narrative"
}
]
},
"entry": [
{
"reference": "1794c895-4ae6-4a2c-ac61-a71bbd33f09f"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "47519-4",
"display": "History of Procedures Document"
}
]
},
"entry": [
{
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}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "48765-2",
"display": "Allergies and adverse reactions Document"
}
]
},
"entry": [
{
"reference": "f3831e19-ff59-44c8-bc74-810ba1884f17"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "75310-3",
"display": "Health concerns Document"
}
]
},
"entry": [
{
"reference": "7f009bb1-e902-4482-8698-bbd0e41642ec"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "54094-8",
"display": "ED Triage note"
}
]
},
"entry": [
{
"reference": "b48a2948-46e0-40ea-9e4b-c60ed0192747"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "51846-4",
"display": "ED Consultation note"
}
]
},
"entry": [
{
"reference": "ec48f24c-99e9-431e-9564-fe662e409fe1"
}
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},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "103595-5",
"display": "Certificate of Medical Necessity"
}
]
},
"entry": [
{
"reference": "93a2262c-f63f-455b-af21-6ccf33657880"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "28570-0",
"display": "Procedure note"
}
]
},
"entry": [
{
"reference": "026bad01-f15e-4571-a395-81d50a55fc1b"
}
]
}
]
}
},
{
"fullUrl": "520963e9-1e27-4841-aa7f-8ab58587b3a8",
"resource": {
"resourceType": "Encounter",
"id": "edvisit-encounter-ed-002",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-edvisit"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "ED-ENC-2026-02001"
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/ed-ref-no",
"value": "EDREF-2026-02001"
}
],
"status": "completed",
"class": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/patient-type",
"code": "EMER",
"display": "Emergency"
}
]
}
],
"participant": [
{
"type": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/edvisit-participant-type",
"code": "triage",
"display": "Triage"
}
]
}
],
"period": {
"start": "2026-03-19T10:00:00+08:00",
"end": "2026-03-19T10:15:00+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": "consultation",
"display": "Consultation"
}
]
}
],
"period": {
"start": "2026-03-19T10:15:00+08:00",
"end": "2026-03-19T11:45:00+08:00"
},
"actor": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr-no",
"value": "M67890"
},
"display": "Dr. Wei Lin"
}
}
],
"actualPeriod": {
"start": "2026-03-19T10:00:00+08:00",
"end": "2026-03-19T11:45:00+08:00"
},
"reason": [
{
"use": [
{
"coding": [
{
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"code": "emergency",
"display": "Emergency"
}
]
}
],
"value": [
{
"concept": {
"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/discharge-disposition-use",
"code": "principal",
"display": "Principal Disposition"
}
]
}
},
{
"url": "code",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/discharge-disposition-type",
"code": "02",
"display": "Cancelled After Triage"
}
]
}
}
]
},
{
"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."
}
],
"text": "Patient is well"
}
}
}
},
{
"fullUrl": "7af10323-0be2-435c-ab1a-949db7baf859",
"resource": {
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"meta": {
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]
},
"status": "final",
"category": [
{
"coding": [
{
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"code": "survey",
"display": "Survey"
}
]
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"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9269-2",
"display": "Glasgow coma score total"
}
]
},
"subject": {
"type": "Patient",
"identifier": {
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"value": "S5432109C"
}
},
"effectiveDateTime": "2026-03-19T10:10:00+08:00",
"valueQuantity": {
"value": 15,
"system": "http://unitsofmeasure.org",
"code": "{score}",
"unit": "score"
},
"component": [
{
"code": {
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{
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"system": "http://unitsofmeasure.org",
"code": "{score}",
"unit": "score"
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{
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"valueQuantity": {
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"code": "{score}",
"unit": "score"
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{
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"code": "9267-6",
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"valueQuantity": {
"value": 4,
"system": "http://unitsofmeasure.org",
"code": "{score}",
"unit": "score"
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}
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{
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"resource": {
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},
"status": "final",
"category": [
{
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{
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"code": "vital-signs",
"display": "Vital Signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
}
]
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"value": "S5432109C"
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"component": [
{
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{
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"display": "Systolic blood pressure"
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"valueQuantity": {
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"unit": "mmHg",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
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},
{
"code": {
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{
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"code": "8462-4",
"display": "Diastolic blood pressure"
}
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"valueQuantity": {
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"unit": "mmHg",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}
]
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{
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"resource": {
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"id": "medicationadministration-ed-001",
"meta": {
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]
},
"contained": [
{
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"id": "medrequest-ed-medication-001",
"status": "active",
"intent": "order",
"medication": {
"concept": {
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{
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"code": "SALB5",
"display": "Salbutamol 5mg/mL Nebuliser Solution"
}
]
}
},
"subject": {
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"value": "S5432109C"
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"system": "http://unitsofmeasure.org",
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],
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"value": "SEQ-ED-MED-001"
}
],
"status": "completed",
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{
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{
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"code": "medication",
"display": "Medication"
}
]
}
],
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{
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}
]
}
},
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"value": "S5432109C"
}
},
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"performer": [
{
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"code": "performer",
"display": "Performer"
}
]
},
"actor": {
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"type": "Practitioner",
"identifier": {
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"value": "N45678"
},
"display": "Nurse Mary Lim"
}
}
},
{
"function": {
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{
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"code": "verifier",
"display": "Verifier"
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]
},
"actor": {
"reference": {
"type": "Practitioner",
"identifier": {
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"value": "M67890"
},
"display": "Dr. Wei Lin"
}
}
}
]
}
},
{
"fullUrl": "32f085df-a190-4fe0-b2e8-1d81aad2b0d6",
"resource": {
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"meta": {
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]
},
"contained": [
{
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{
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}
]
}
},
"subject": {
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"value": "S5432109C"
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},
"doseAndRate": [
{
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"unit": "μg",
"system": "http://unitsofmeasure.org",
"code": "μg"
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}
],
"identifier": [
{
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"value": "SEQ-ED-INF-001"
}
],
"status": "completed",
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{
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{
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"code": "infusion",
"display": "Infusion"
}
]
}
],
"medication": {
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{
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"code": "IPRA500",
"display": "Ipratropium Bromide 500mcg/mL Nebuliser Solution"
}
]
}
},
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},
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{
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}
]
},
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"reference": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/snb",
"value": "N45678"
},
"display": "Nurse Mary Lim"
}
}
},
{
"function": {
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{
"system": "http://terminology.hl7.org/CodeSystem/med-admin-perform-function",
"code": "verifier",
"display": "Verifier"
}
]
},
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"reference": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M67890"
},
"display": "Dr. Wei Lin"
}
}
}
]
}
},
{
"fullUrl": "1794c895-4ae6-4a2c-ac61-a71bbd33f09f",
"resource": {
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"id": "medicationrequest-ed-prescription-001",
"meta": {
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]
},
"status": "active",
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{
"coding": [
{
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"code": "prescription",
"display": "Prescription"
}
]
}
],
"medication": {
"concept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/med-code",
"code": "SALB100",
"display": "Salbutamol 100mcg Aerosol Inhaler (MDI)"
}
]
}
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
},
"authoredOn": "2026-03-19T11:30:00+08:00",
"requester": {
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