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

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Source1

{
  "resourceType": "Bundle",
  "id": "discharge-summary-request-example",
  "meta": {
    "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"
            }
          }
        ]
      }
    }
  ]
}