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

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Narrative

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Source1

{
  "resourceType": "Bundle",
  "id": "edbf190c-6698-5c8e-bdec-bc710054c9a9",
  "meta": {
    "lastUpdated": "2026-08-24T17:17:07+08:00"
  },
  "type": "searchset",
  "total": 1,
  "link": [
    {
      "relation": "self",
      "url": "Composition/$retrieve?patient.identifier=https://fhir.synapxe.sg/NamingSystem/nric|S8440790I"
    }
  ],
  "entry": [
    {
      "fullUrl": "urn:uuid:0ab05f7e-0ecc-546a-bd9b-7adc8b048abb",
      "resource": {
        "resourceType": "Bundle",
        "id": "0ab05f7e-0ecc-546a-bd9b-7adc8b048abb",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2026-08-24T17:17:07+08:00",
          "extension": [
            {
              "url": "https://fhir.synapxe.sg/StructureDefinition/ext-artifact",
              "extension": [
                {
                  "url": "msgId",
                  "valueIdentifier": {
                    "system": "https://fhir.synapxe.sg/NamingSystem/msg-id",
                    "value": "Perf_DS_20260824171706-46918673"
                  }
                },
                {
                  "url": "msgSequenceId",
                  "valueIdentifier": {
                    "system": "https://fhir.synapxe.sg/NamingSystem/msg-sequence-id",
                    "value": "20260824171706"
                  }
                },
                {
                  "url": "date",
                  "valueDateTime": "2026-08-24T17:17:06+08:00"
                }
              ]
            }
          ],
          "tag": [
            {
              "code": "SGH"
            }
          ],
          "source": "SHS-SCM",
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-bundle-dischargesummary"
          ]
        },
        "identifier": {
          "system": "https://fhir.synapxe.sg/NamingSystem/record-id",
          "value": "TES_DS_Document__20260824171706-46918673"
        },
        "type": "document",
        "timestamp": "2026-08-24T17:17:06+08:00",
        "entry": [
          {
            "fullUrl": "urn:uuid:46eae944-8448-57f2-a086-8db862ef27aa",
            "resource": {
              "resourceType": "Composition",
              "id": "46eae944-8448-57f2-a086-8db862ef27aa",
              "meta": {
                "profile": [
                  "https://fhir.synapxe.sg/StructureDefinition/profile-dischargesummary"
                ]
              },
              "identifier": [
                {
                  "system": "https://fhir.synapxe.sg/NamingSystem/record-id",
                  "value": "TES_DS_Document__20260824171706-46918673"
                }
              ],
              "version": "1",
              "status": "corrected",
              "type": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "18842-5",
                    "display": "Discharge Summary",
                    "version": "1"
                  }
                ]
              },
              "subject": [
                {
                  "type": "Patient",
                  "identifier": {
                    "system": "https://fhir.synapxe.sg/NamingSystem/nric",
                    "value": "S8440790I"
                  }
                }
              ],
              "encounter": {
                "reference": "urn:uuid:1e416a9c-96c5-5137-81d2-088b007106fa"
              },
              "date": "2026-08-24T17:14:35+08:00",
              "author": [
                {
                  "type": "Practitioner",
                  "identifier": {
                    "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
                    "value": "M987867D"
                  },
                  "display": "Test Content Document Author Name"
                }
              ],
              "title": "Discharge Summary",
              "attester": [
                {
                  "mode": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/composition-attestation-mode",
                        "code": "official",
                        "display": "Official"
                      }
                    ]
                  },
                  "time": "2026-08-24T17:14:35+08:00",
                  "party": {
                    "type": "Practitioner",
                    "identifier": {
                      "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
                      "value": "M987794D"
                    },
                    "display": "Test Document Authoriser Name"
                  }
                }
              ],
              "custodian": {
                "type": "Organization",
                "identifier": {
                  "system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
                  "value": "9403194"
                },
                "display": "SGH"
              },
              "section": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://loinc.org",
                        "code": "48765-2",
                        "display": "Allergies and adverse reactions Document"
                      }
                    ]
                  },
                  "entry": [
                    {
                      "reference": "urn:uuid:783541f5-b1ec-5380-8f7b-575bbbfb715c"
                    }
                  ]
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://loinc.org",
                        "code": "75310-3",
                        "display": "Health concerns Document"
                      }
                    ]
                  },
                  "entry": [
                    {
                      "reference": "urn:uuid:f543d871-2c9f-5f20-b780-1a004ec66903"
                    }
                  ]
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://loinc.org",
                        "code": "29548-5",
                        "display": "Diagnosis"
                      }
                    ]
                  },
                  "entry": [
                    {
                      "reference": "urn:uuid:5e31ee91-510d-5ad2-bd81-836614d4e7bb"
                    }
                  ]
                },
                {
                  "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\"><p>See Summary</p></div>"
                  }
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://loinc.org",
                        "code": "30954-2",
                        "display": "Relevant diagnostic tests and laboratory data"
                      }
                    ]
                  },
                  "text": {
                    "status": "generated",
                    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>InvestigationText SGH SHS-SCM</p></div>"
                  }
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://loinc.org",
                        "code": "10183-2",
                        "display": "Hospital discharge medications Narrative"
                      }
                    ]
                  },
                  "entry": [
                    {
                      "reference": "urn:uuid:516c762f-4323-5363-be27-76f7b3b9bc3c"
                    }
                  ]
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://loinc.org",
                        "code": "29554-3",
                        "display": "Procedure Narrative"
                      }
                    ]
                  },
                  "entry": [
                    {
                      "reference": "urn:uuid:e9f010f8-8608-50e1-8748-b13238e4ffaf"
                    }
                  ]
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://loinc.org",
                        "code": "103595-5",
                        "display": "Certificate of Medical Necessity"
                      }
                    ]
                  },
                  "entry": [
                    {
                      "reference": "urn:uuid:e5633d07-5bda-58a9-8ead-0ab04350790a"
                    }
                  ]
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:1e416a9c-96c5-5137-81d2-088b007106fa",
            "resource": {
              "resourceType": "Encounter",
              "id": "1e416a9c-96c5-5137-81d2-088b007106fa",
              "meta": {
                "profile": [
                  "https://fhir.synapxe.sg/StructureDefinition/profile-ds-encounter"
                ]
              },
              "identifier": [
                {
                  "system": "https://fhir.synapxe.sg/NamingSystem/case-id",
                  "value": "8114040144G"
                }
              ],
              "status": "completed",
              "serviceType": [
                {
                  "concept": {
                    "coding": [
                      {
                        "system": "https://fhir.synapxe.sg/CodeSystem/service-speciality",
                        "code": "6",
                        "display": "Cardiology"
                      }
                    ],
                    "text": "Cardiology"
                  }
                }
              ],
              "subject": {
                "type": "Patient",
                "identifier": {
                  "system": "https://fhir.synapxe.sg/NamingSystem/nric",
                  "value": "S8440790I"
                }
              },
              "actualPeriod": {
                "start": "2025-07-20T10:00:01+08:00",
                "end": "2025-07-22T12:00:01+08:00"
              },
              "participant": [
                {
                  "actor": {
                    "type": "Practitioner",
                    "identifier": {
                      "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
                      "value": "M0988987F"
                    },
                    "display": "Test DisInfo_ResponsibleClinician_Name"
                  }
                }
              ],
              "location": [
                {
                  "location": {
                    "type": "Location",
                    "identifier": {
                      "system": "https://fhir.synapxe.sg/NamingSystem/location-id",
                      "value": "ICU"
                    },
                    "display": "Intensive Care Unit"
                  }
                }
              ],
              "admission": {
                "dischargeDisposition": {
                  "extension": [
                    {
                      "url": "https://fhir.synapxe.sg/StructureDefinition/ext-outcome",
                      "valueCodeableConcept": {
                        "text": "NIL"
                      }
                    }
                  ],
                  "coding": [
                    {
                      "system": "https://fhir.synapxe.sg/CodeSystem/discharge-disposition-type",
                      "code": "Follow up SOC",
                      "display": "Follow up SOC"
                    }
                  ]
                }
              }
            }
          },
          {
            "fullUrl": "urn:uuid:783541f5-b1ec-5380-8f7b-575bbbfb715c",
            "resource": {
              "resourceType": "AllergyIntolerance",
              "id": "783541f5-b1ec-5380-8f7b-575bbbfb715c",
              "meta": {
                "profile": [
                  "https://fhir.synapxe.sg/StructureDefinition/profile-allergyintolerance"
                ]
              },
              "code": {
                "text": "Allergy Description Field"
              },
              "patient": {
                "type": "Patient",
                "identifier": {
                  "system": "https://fhir.synapxe.sg/NamingSystem/nric",
                  "value": "S8440790I"
                }
              },
              "recordedDate": "2026-08-24T17:14:35+08:00",
              "reaction": [
                {
                  "manifestation": [
                    {
                      "concept": {
                        "text": "Rashes"
                      }
                    }
                  ]
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:f543d871-2c9f-5f20-b780-1a004ec66903",
            "resource": {
              "resourceType": "Flag",
              "id": "f543d871-2c9f-5f20-b780-1a004ec66903",
              "meta": {
                "profile": [
                  "https://fhir.synapxe.sg/StructureDefinition/profile-flag"
                ]
              },
              "status": "active",
              "code": {
                "text": "Alert Description Field"
              },
              "subject": {
                "type": "Patient",
                "identifier": {
                  "system": "https://fhir.synapxe.sg/NamingSystem/nric",
                  "value": "S8440790I"
                }
              },
              "period": {
                "start": "2026-08-24T17:14:35+08:00"
              }
            }
          },
          {
            "fullUrl": "urn:uuid:5e31ee91-510d-5ad2-bd81-836614d4e7bb",
            "resource": {
              "resourceType": "Condition",
              "id": "5e31ee91-510d-5ad2-bd81-836614d4e7bb",
              "meta": {
                "profile": [
                  "https://fhir.synapxe.sg/StructureDefinition/profile-ds-diagnosis"
                ]
              },
              "clinicalStatus": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                    "code": "active",
                    "display": "Active"
                  }
                ]
              },
              "category": [
                {
                  "text": "Primary Diagnosis"
                }
              ],
              "code": {
                "coding": [
                  {
                    "system": "https://fhir.synapxe.sg/CodeSystem/diagnosis",
                    "code": "25064002",
                    "display": "Headache"
                  }
                ]
              },
              "subject": {
                "type": "Patient",
                "identifier": {
                  "system": "https://fhir.synapxe.sg/NamingSystem/nric",
                  "value": "S8440790I"
                }
              },
              "note": [
                {
                  "text": "diag 1"
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:516c762f-4323-5363-be27-76f7b3b9bc3c",
            "resource": {
              "resourceType": "MedicationRequest",
              "id": "516c762f-4323-5363-be27-76f7b3b9bc3c",
              "meta": {
                "profile": [
                  "https://fhir.synapxe.sg/StructureDefinition/profile-ds-medicationrequest"
                ]
              },
              "identifier": [
                {
                  "system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
                  "value": "1"
                }
              ],
              "status": "active",
              "intent": "order",
              "medication": {
                "concept": {
                  "text": "Medication Name 2"
                }
              },
              "subject": {
                "type": "Patient",
                "identifier": {
                  "system": "https://fhir.synapxe.sg/NamingSystem/nric",
                  "value": "S8440790I"
                }
              },
              "requester": {
                "type": "Practitioner",
                "display": "SHS Doctor"
              },
              "note": [
                {
                  "text": "Medication Instruction"
                }
              ],
              "dosageInstruction": [
                {
                  "text": "456",
                  "timing": {
                    "repeat": {
                      "boundsPeriod": {
                        "start": "2026-08-24T17:14:35+08:00",
                        "end": "2026-08-24T17:14:35+08:00"
                      }
                    }
                  },
                  "route": {
                    "text": "Facility"
                  }
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:e9f010f8-8608-50e1-8748-b13238e4ffaf",
            "resource": {
              "resourceType": "Procedure",
              "id": "e9f010f8-8608-50e1-8748-b13238e4ffaf",
              "meta": {
                "profile": [
                  "https://fhir.synapxe.sg/StructureDefinition/profile-ds-procedure"
                ]
              },
              "status": "completed",
              "category": [
                {
                  "text": "Heart Procedure"
                }
              ],
              "code": {
                "coding": [
                  {
                    "system": "https://fhir.synapxe.sg/CodeSystem/procedure-code",
                    "code": "123",
                    "display": "Heart Procedure SGH CR594"
                  }
                ]
              },
              "subject": {
                "type": "Patient",
                "identifier": {
                  "system": "https://fhir.synapxe.sg/NamingSystem/nric",
                  "value": "S8440790I"
                }
              },
              "occurrenceDateTime": "2026-08-24T17:14:35+08:00",
              "performer": [
                {
                  "actor": {
                    "type": "Practitioner",
                    "identifier": {
                      "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
                      "value": "T7777777B"
                    },
                    "display": "SGH Doctor"
                  }
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:e5633d07-5bda-58a9-8ead-0ab04350790a",
            "resource": {
              "resourceType": "DocumentReference",
              "id": "e5633d07-5bda-58a9-8ead-0ab04350790a",
              "meta": {
                "profile": [
                  "https://fhir.synapxe.sg/StructureDefinition/profile-medicalcertificate"
                ]
              },
              "identifier": [
                {
                  "system": "https://fhir.synapxe.sg/NamingSystem/mc-no",
                  "value": "CVM20172054412"
                }
              ],
              "status": "current",
              "type": {
                "text": "Unfit for Duty"
              },
              "author": [
                {
                  "type": "Practitioner",
                  "identifier": {
                    "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
                    "value": "63013F"
                  },
                  "display": "Provider Doctor Name"
                }
              ],
              "period": {
                "start": "2025-07-22",
                "end": "2025-07-22"
              },
              "content": [
                {
                  "attachment": {
                    "contentType": "text/plain",
                    "title": "Unfit for Duty"
                  }
                }
              ]
            }
          }
        ]
      },
      "search": {
        "mode": "match"
      }
    }
  ]
}