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Packagesynapxe.sgcdi
Resource TypeBundle
IdBundleSummaryNotesRequest.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-composition"
    ],
    "source": "HPB-IDEAS",
    "tag": [
      {
        "code": "TTSH"
      }
    ]
  },
  "identifier": {
    "system": "https://fhir.synapxe.sg/NamingSystem/record-id",
    "value": "SN-REC-2026-01001"
  },
  "type": "document",
  "timestamp": "2026-04-01T15:00:00+08:00",
  "entry": [
    {
      "fullUrl": "a3f5c8d2-1e4b-4a7f-9b2c-6d8e0f3a5b7c",
      "resource": {
        "resourceType": "Composition",
        "id": "a3f5c8d2-1e4b-4a7f-9b2c-6d8e0f3a5b7c",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-composition"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Example Summary Notes</div>"
        },
        "identifier": [
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/record-id",
            "value": "SN-REC-2026-01001"
          },
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/accession-no",
            "value": "SN-ACC-2026-01001"
          }
        ],
        "extension": [
          {
            "url": "https://fhir.synapxe.sg/StructureDefinition/ext-recorder",
            "valueIdentifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
              "value": "M88888"
            }
          }
        ],
        "status": "final",
        "type": {
          "extension": [
            {
              "url": "https://fhir.synapxe.sg/StructureDefinition/ext-version",
              "valueString": "1.0"
            }
          ],
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "18761-7",
              "display": "Transfer summary note"
            }
          ]
        },
        "subject": [
          {
            "type": "Patient",
            "identifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/nric",
              "value": "S7654321B"
            }
          }
        ],
        "encounter": {
          "type": "Encounter",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/event-id",
            "value": "SN-ENC-2026-01001"
          }
        },
        "date": "2026-03-19T14:30:00+08:00",
        "author": [
          {
            "type": "Practitioner",
            "identifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
              "value": "M88888"
            }
          }
        ],
        "title": "Diabetes Management Summary Notes - Quarterly Review",
        "custodian": {
          "type": "Organization",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
            "value": "HCI-11111"
          },
          "display": "Tan Tock Seng Hospital"
        },
        "attester": [
          {
            "mode": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/CodeSystem/composition-attestation-mode",
                  "code": "official",
                  "display": "Official"
                }
              ]
            },
            "time": "2026-03-19T14:30:00+08:00",
            "party": {
              "type": "Practitioner",
              "identifier": {
                "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
                "value": "M88888"
              },
              "display": "Dr. Priya Reddy"
            }
          }
        ],
        "note": [
          {
            "text": "Patient presented for quarterly diabetes management review. HbA1c at target. Continue current medication regimen with lifestyle modifications."
          }
        ],
        "event": [
          {
            "detail": [
              {
                "reference": {
                  "reference": "c1a9b3e5-2f7d-4c8a-b4e0-9d3f6a2b5c8e"
                }
              }
            ]
          }
        ],
        "section": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "34895-3",
                  "display": "Diagnostic evidence documents"
                }
              ]
            },
            "entry": [
              {
                "reference": "d4c7f2a8-3e1b-4d9c-a5f3-0b7e4c1a6d2f"
              }
            ]
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "30954-2",
                  "display": "Relevant diagnostic tests and laboratory data"
                }
              ]
            },
            "entry": [
              {
                "reference": "e8b5a3f7-4d2c-4e0b-8f6a-1c9d3b7e5a2c"
              }
            ]
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "29548-5",
                  "display": "Diagnosis"
                }
              ]
            },
            "entry": [
              {
                "reference": "f2d8c6b4-5a3e-4f1d-9a7b-2e0c8f4d1b6a"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "b7e2d4f1-8c3a-4b6e-8d9f-2a0c5e7b1d4f",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "b7e2d4f1-8c3a-4b6e-8d9f-2a0c5e7b1d4f",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-practitionerrole"
          ]
        },
        "practitioner": {
          "type": "Practitioner",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
            "value": "M88888"
          },
          "display": "Dr. Priya Reddy"
        },
        "organization": {
          "type": "Organization",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
            "value": "HCI-11111"
          },
          "display": "Tan Tock Seng Hospital"
        },
        "code": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "83273008",
                "display": "Endocrinologist"
              }
            ]
          }
        ],
        "specialty": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "394584008",
                "display": "Endocrinology"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "c1a9b3e5-2f7d-4c8a-b4e0-9d3f6a2b5c8e",
      "resource": {
        "resourceType": "Procedure",
        "id": "c1a9b3e5-2f7d-4c8a-b4e0-9d3f6a2b5c8e",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-sn-procedure"
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/procedure-id",
            "value": "PROC-SN-2026-01001"
          }
        ],
        "status": "completed",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "38842003",
              "display": "Patient consultation"
            }
          ]
        },
        "subject": {
          "type": "Patient",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/nric",
            "value": "S7654321B"
          }
        },
        "encounter": {
          "type": "Encounter",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/event-id",
            "value": "SN-ENC-2026-01001"
          }
        },
        "occurrenceDateTime": "2026-03-19T14:00:00+08:00",
        "performer": [
          {
            "actor": {
              "type": "Practitioner",
              "identifier": {
                "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
                "value": "M88888"
              }
            }
          }
        ],
        "reason": [
          {
            "concept": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "44054006",
                  "display": "Type 2 diabetes mellitus"
                }
              ]
            }
          }
        ],
        "outcome": {
          "text": "Consultation completed. Diabetes control adequate with current medication regimen."
        },
        "note": [
          {
            "text": "Patient compliant with medications. Blood pressure and lipid levels well-controlled. Continue metformin and linagliptin. Reinforce dietary modifications and regular exercise."
          }
        ]
      }
    },
    {
      "fullUrl": "d4c7f2a8-3e1b-4d9c-a5f3-0b7e4c1a6d2f",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "d4c7f2a8-3e1b-4d9c-a5f3-0b7e4c1a6d2f",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-sn-diagnosticreport"
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/report-id",
            "value": "REP-SN-2026-01001"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                "code": "CH",
                "display": "Chemistry"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "24365-2",
              "display": "Comprehensive metabolic panel"
            }
          ]
        },
        "effectiveDateTime": "2026-03-19T09:00:00+08:00",
        "issued": "2026-03-19T12:00:00+08:00",
        "performer": [
          {
            "type": "Practitioner",
            "identifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
              "value": "M99999"
            }
          }
        ],
        "conclusion": "HbA1c 6.8% - within target range. Fasting glucose 118 mg/dL. Renal function normal. Lipid panel acceptable with current statin therapy."
      }
    },
    {
      "fullUrl": "e8b5a3f7-4d2c-4e0b-8f6a-1c9d3b7e5a2c",
      "resource": {
        "resourceType": "Observation",
        "id": "e8b5a3f7-4d2c-4e0b-8f6a-1c9d3b7e5a2c",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-sn-observation"
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/investigation-id",
            "value": "OBS-SN-2026-01001"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "4548-4",
              "display": "Hemoglobin A1c"
            }
          ]
        },
        "issued": "2026-03-19T12:00:00+08:00",
        "performer": [
          {
            "type": "Practitioner",
            "identifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
              "value": "M99999"
            },
            "display": "Dr. Lee Wei"
          }
        ],
        "valueQuantity": {
          "value": 6.8,
          "unit": "%",
          "system": "http://unitsofmeasure.org",
          "code": "%"
        },
        "referenceRange": [
          {
            "low": {
              "value": 0,
              "unit": "%"
            },
            "high": {
              "value": 5.7,
              "unit": "%"
            }
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "H",
                "display": "High"
              }
            ]
          }
        ],
        "note": [
          {
            "text": "HbA1c well controlled and approaching therapeutic target of <7.0%."
          }
        ]
      }
    },
    {
      "fullUrl": "f2d8c6b4-5a3e-4f1d-9a7b-2e0c8f4d1b6a",
      "resource": {
        "resourceType": "Condition",
        "id": "f2d8c6b4-5a3e-4f1d-9a7b-2e0c8f4d1b6a",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-sn-condition"
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/condition-id",
            "value": "COND-SN-2026-01001"
          }
        ],
        "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": "http://terminology.hl7.org/CodeSystem/condition-category",
                "code": "problem-list-item",
                "display": "Problem List Item"
              }
            ]
          }
        ],
        "severity": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "371923003",
              "display": "Mild"
            }
          ]
        },
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "44054006",
              "display": "Type 2 diabetes mellitus"
            }
          ]
        },
        "subject": {
          "type": "Patient",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/nric",
            "value": "S7654321B"
          }
        },
        "encounter": {
          "type": "Encounter",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/event-id",
            "value": "SN-ENC-2026-01001"
          }
        },
        "onsetDateTime": "2018-06-15T00:00:00+08:00",
        "note": [
          {
            "text": "Type 2 diabetes diagnosed 8 years ago. Currently managed with metformin and linagliptin. Well-controlled with HbA1c at target. No current complications or comorbidities noted."
          }
        ]
      }
    }
  ]
}