FHIR IG analytics| Package | synapxe.sgcdi |
| Resource Type | Bundle |
| Id | BundleOTNotesRequest.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-otnotes"
],
"source": "HPB-IDEAS",
"tag": [
{
"code": "TTSH"
}
]
},
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "OT-BUNDLE-2026-02-09-001"
},
"type": "document",
"timestamp": "2026-02-09T14:30:00+08:00",
"entry": [
{
"fullUrl": "da2ece09-fd25-45ed-a527-a16686c221c7",
"resource": {
"resourceType": "Composition",
"id": "otnotes-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-otnotes"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Example OT Notes</div>"
},
"extension": [
{
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-displayMethod",
"valueString": "OT Clinical Documentation System"
}
],
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "OT-REC-2026-00123"
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/accession-no",
"value": "OT-ACC-2026-00123"
}
],
"status": "final",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "11504-8",
"display": "Surgical operation note"
}
]
},
"subject": [
{
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S1234567C"
}
}
],
"encounter": {
"type": "Encounter",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/event-id",
"value": "OT-ENC-2026-00123"
}
},
"date": "2026-02-09T14:30:00+08:00",
"author": [
{
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
}
],
"title": "Operating Theatre (OT) Notes",
"custodian": {
"type": "Organization",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
"value": "HCI-12345"
}
},
"note": [
{
"text": "Patient tolerated procedure well. No complications noted."
}
],
"section": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29554-3",
"display": "Procedure Narrative"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Surgical debridement performed successfully</p></div>"
},
"entry": [
{
"reference": "520963e9-1e27-4841-aa7f-8ab58587b3a8"
},
{
"reference": "7af10323-0be2-435c-ab1a-949db7baf859"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "85847-2",
"display": "Patient Care team information"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Operating Theatre Team</p></div>"
},
"entry": [
{
"reference": "7f009bb1-e902-4482-8698-bbd0e41642ec"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29548-5",
"display": "Diagnosis"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Pre-operative diagnoses</p></div>"
},
"entry": [
{
"reference": "c8122627-20d4-4de4-a2dd-6d6720465d4b"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8716-3",
"display": "Vital signs"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Intraoperative vital signs and assessments</p></div>"
},
"entry": [
{
"reference": "7dbf99d7-96d3-4058-87d5-73bd35efff94"
},
{
"reference": "32f085df-a190-4fe0-b2e8-1d81aad2b0d6"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29549-3",
"display": "Medication administered Narrative"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Anesthesia and medications administered during procedure</p></div>"
},
"entry": [
{
"reference": "1794c895-4ae6-4a2c-ac61-a71bbd33f09f"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "46264-8",
"display": "History of medical device use"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Medical devices used during procedure</p></div>"
},
"entry": [
{
"reference": "c9b86bf1-6df0-4a25-b196-3e142c67dc90"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "34895-3",
"display": "Diagnostic evidence documents"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Pathology and imaging reports</p></div>"
},
"entry": [
{
"reference": "0987452c-14c1-4f64-9ce1-62141e0b7dfd"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "59773-2",
"display": "Procedure specimens taken Narrative"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Specimens collected during procedure</p></div>"
},
"entry": [
{
"reference": "bfa12881-556f-4257-bb5a-a0167e7def6a"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "28570-0",
"display": "Procedure note"
}
]
},
"entry": [
{
"reference": "f3831e19-ff59-44c8-bc74-810ba1884f17"
}
]
}
]
}
},
{
"fullUrl": "520963e9-1e27-4841-aa7f-8ab58587b3a8",
"resource": {
"resourceType": "Procedure",
"id": "ot-procedure-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ot-procedure"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "PROC-001"
}
],
"status": "completed",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "11466000",
"display": "Debridement of wound"
}
],
"text": "Surgical debridement of infected wound"
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S1234567C"
}
},
"encounter": {
"type": "Encounter",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/event-id",
"value": "OT-ENC-2026-00123"
}
},
"occurrencePeriod": {
"start": "2026-02-09T10:00:00+08:00",
"end": "2026-02-09T11:30:00+08:00"
},
"performer": [
{
"actor": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
},
"function": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "304292004",
"display": "Surgeon"
}
]
},
"period": {
"start": "2026-02-09T10:00:00+08:00",
"end": "2026-02-09T11:30:00+08:00"
}
}
],
"bodySite": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "52795006",
"display": "Structure of left thigh"
}
]
}
],
"outcome": {
"text": "Successful"
},
"focalDevice": [
{
"action": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "129284003",
"display": "Surgical action - implantation"
}
]
},
"manipulated": {
"type": "Device",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/device-serial",
"value": "IMP-2026-789"
},
"display": "Wound Vacuum-Assisted Closure (VAC) Device"
}
}
],
"note": [
{
"text": "Wound debrided successfully, necrotic tissue removed. Hemostasis achieved. VAC device applied."
}
]
}
},
{
"fullUrl": "7af10323-0be2-435c-ab1a-949db7baf859",
"resource": {
"resourceType": "Procedure",
"id": "ot-procedure-002",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ot-procedure"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "PROC-002"
}
],
"status": "completed",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "225358003",
"display": "Wound closure"
}
],
"text": "Primary wound closure"
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S1234567C"
}
},
"encounter": {
"type": "Encounter",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/event-id",
"value": "OT-ENC-2026-00123"
}
},
"occurrencePeriod": {
"start": "2026-02-09T11:30:00+08:00",
"end": "2026-02-09T12:00:00+08:00"
},
"performer": [
{
"actor": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
},
"function": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "304292004",
"display": "Surgeon"
}
]
},
"period": {
"start": "2026-02-09T11:30:00+08:00",
"end": "2026-02-09T12:00:00+08:00"
}
}
],
"outcome": {
"text": "Successful"
},
"note": [
{
"text": "Wound closed primarily with sutures. No tension on wound edges. Good approximation achieved."
}
]
}
},
{
"fullUrl": "7f009bb1-e902-4482-8698-bbd0e41642ec",
"resource": {
"resourceType": "PractitionerRole",
"id": "practitionerrole-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-practitionerrole"
]
},
"practitioner": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
},
"display": "Dr. Sarah Tan"
},
"organization": {
"type": "Organization",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
"value": "HCI-12345"
},
"display": "General Hospital Singapore"
},
"code": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "304292004",
"display": "Surgeon"
}
]
}
],
"specialty": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "394801008",
"display": "Trauma and orthopedics"
}
]
}
]
}
},
{
"fullUrl": "c8122627-20d4-4de4-a2dd-6d6720465d4b",
"resource": {
"resourceType": "Condition",
"id": "ot-condition-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ot-condition"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "COND-001"
}
],
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active",
"display": "Active"
}
]
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "416462003",
"display": "Wound infection"
}
]
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S1234567C"
}
}
}
},
{
"fullUrl": "7dbf99d7-96d3-4058-87d5-73bd35efff94",
"resource": {
"resourceType": "Observation",
"id": "ot-observation-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ot-observation"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "OBS-001"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8310-5",
"display": "Body temperature"
}
]
},
"issued": "2026-02-09T10:15:00+08:00",
"valueQuantity": {
"value": 38.5,
"unit": "degrees Celsius",
"system": "http://unitsofmeasure.org",
"code": "Cel"
},
"interpretation": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "H",
"display": "High"
}
]
}
],
"note": [
{
"text": "Patient had a fever during the procedure, likely due to infection. Temperature normalized after administration of antipyretics."
}
],
"method": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "169890003",
"display": "Measurement of body temperature"
}
]
}
}
},
{
"fullUrl": "32f085df-a190-4fe0-b2e8-1d81aad2b0d6",
"resource": {
"resourceType": "Observation",
"id": "ot-observation-002",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ot-observation"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "OBS-001"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
}
]
},
"issued": "2026-02-09T10:20:00+08:00",
"valueQuantity": {
"value": 72,
"unit": "beats/minute",
"system": "http://unitsofmeasure.org",
"code": "/min"
},
"interpretation": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "N",
"display": "Normal"
}
]
}
],
"note": [
{
"text": "Patient's heart rate was stable throughout the procedure."
}
],
"method": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "8867-4",
"display": "Heart rate"
}
]
}
}
},
{
"fullUrl": "1794c895-4ae6-4a2c-ac61-a71bbd33f09f",
"resource": {
"resourceType": "MedicationAdministration",
"id": "ot-medadmin-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ot-medicationadministration"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "MEDADMIN-001"
}
],
"status": "completed",
"medication": {
"concept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/med-code",
"code": "PRED10MG",
"display": "Prednisolone 10 mg"
}
]
}
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S1234567C"
}
},
"occurenceDateTime": "2026-02-09T09:55:00+08:00",
"dosage": {
"extension": [
{
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-ot-frequency",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/otnotes-section-codes",
"code": "intraoperative",
"display": "Intraoperative"
}
]
}
}
],
"text": "2mg/kg IV",
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "47625008",
"display": "Intravenous route"
}
]
},
"dose": {
"value": 150,
"unit": "mg",
"system": "http://unitsofmeasure.org",
"code": "mg"
}
}
}
},
{
"fullUrl": "c9b86bf1-6df0-4a25-b196-3e142c67dc90",
"resource": {
"resourceType": "Device",
"id": "device-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-device"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/device-serial",
"value": "SN-987654321"
}
],
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/device-category",
"code": "single-use",
"display": "Single Use"
}
]
}
],
"type": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "52124006",
"display": "Surgical knife"
}
]
}
],
"lotNumber": "LOT-2025-456",
"manufacturer": "MedTech Surgical Instruments Ltd",
"expirationDate": "2027-12-31"
}
},
{
"fullUrl": "0987452c-14c1-4f64-9ce1-62141e0b7dfd",
"resource": {
"resourceType": "DiagnosticReport",
"id": "ot-diagnosticreport-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ot-diagnosticreport"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "DR-001"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "MB",
"display": "Microbiology"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "600-7",
"display": "Bacteria identified in Specimen by Culture"
}
]
},
"effectiveDateTime": "2026-02-09T12:00:00+08:00",
"issued": "2026-02-09T14:30:00+08:00",
"performer": [
{
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M54321"
},
"display": "Dr. Sarah Tan"
}
],
"conclusion": "Methicillin-resistant Staphylococcus aureus (MRSA) isolated. Sensitive to vancomycin and linezolid."
}
},
{
"fullUrl": "bfa12881-556f-4257-bb5a-a0167e7def6a",
"resource": {
"resourceType": "Specimen",
"id": "ot-specimen-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ot-specimen"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "SPEC-001"
}
],
"type": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/specimen-type",
"code": "swab",
"display": "Swab"
}
]
},
"receivedTime": "2026-02-09T12:15:00+08:00",
"collection": {
"collectedDateTime": "2026-02-09T12:00:00+08:00",
"bodySite": {
"concept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "52795006",
"display": "Structure of left thigh"
}
]
}
}
}
}
},
{
"fullUrl": "f3831e19-ff59-44c8-bc74-810ba1884f17",
"resource": {
"resourceType": "DocumentReference",
"id": "fileattachment-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-fileattachment"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "FILE-001"
}
],
"status": "current",
"category": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/attachment-category",
"code": "OTNOTE",
"display": "Operating Theatre Notes"
}
]
}
],
"content": [
{
"attachment": {
"contentType": "image/jpeg",
"data": "/9j/4AAQSkZJRgABAQAAAQABAAD/2wCEAAkGBxMSEhUTExMWFhUXGR8aGBgYHh8fIB0fHx8fHh8fHSggHRolHR8fITEhJSkrLi4uFx8zODMsNygtLisBCgoKDg0OGxAQGy0lHyUt",
"title": "Pre-operative wound photograph",
"creation": "2026-02-09T09:30:00+08:00",
"size": "245680"
}
}
]
}
}
]
}