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

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Source1

{
  "resourceType": "Bundle",
  "id": "018db83a-5fcc-5d7b-b173-098125662f5f",
  "meta": {
    "lastUpdated": "2026-09-02T10:10:34+08:00"
  },
  "type": "searchset",
  "total": 1,
  "link": [
    {
      "relation": "self",
      "url": "Composition/$retrieve?patient.identifier=https://fhir.synapxe.sg/NamingSystem/nric|S9382027D"
    }
  ],
  "entry": [
    {
      "fullUrl": "urn:uuid:89d18c75-2eea-50f3-b641-7e9c0cb8b7ba",
      "resource": {
        "resourceType": "Bundle",
        "id": "89d18c75-2eea-50f3-b641-7e9c0cb8b7ba",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2026-09-02T10:10:34+08:00",
          "extension": [
            {
              "url": "https://fhir.synapxe.sg/StructureDefinition/ext-artifact",
              "extension": [
                {
                  "url": "msgId",
                  "valueIdentifier": {
                    "system": "https://fhir.synapxe.sg/NamingSystem/msg-id",
                    "value": "34274137"
                  }
                },
                {
                  "url": "msgSequenceId",
                  "valueIdentifier": {
                    "system": "https://fhir.synapxe.sg/NamingSystem/msg-sequence-id",
                    "value": "140354"
                  }
                },
                {
                  "url": "date",
                  "valueDateTime": "2026-09-02T10:10:33.237+08:00"
                }
              ]
            }
          ],
          "tag": [
            {
              "code": "0200000"
            }
          ],
          "source": "JHS-EPIC",
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-bundle-ednotes"
          ]
        },
        "identifier": {
          "system": "https://fhir.synapxe.sg/NamingSystem/record-id",
          "value": "JHS100700110478EDS"
        },
        "type": "document",
        "timestamp": "2026-09-02T10:10:33.237+08:00",
        "entry": [
          {
            "fullUrl": "urn:uuid:2b27bb2b-4c50-5833-a9a5-e7e4f15c71f7",
            "resource": {
              "resourceType": "Composition",
              "id": "2b27bb2b-4c50-5833-a9a5-e7e4f15c71f7",
              "meta": {
                "profile": [
                  "https://fhir.synapxe.sg/StructureDefinition/profile-ednotes"
                ],
                "lastUpdated": "2026-09-02T10:10:29+08:00"
              },
              "subject": [
                {
                  "type": "Patient",
                  "identifier": {
                    "system": "https://fhir.synapxe.sg/NamingSystem/nric",
                    "value": "S9382027D"
                  }
                }
              ],
              "identifier": [
                {
                  "system": "https://fhir.synapxe.sg/NamingSystem/record-id",
                  "value": "JHS100700110478EDS"
                }
              ],
              "status": "final",
              "type": {
                "coding": [
                  {
                    "system": "https://fhir.synapxe.sg/CodeSystem/Document_Type_(NEHR)",
                    "code": "EDNotes",
                    "display": "ED Provider Notes"
                  }
                ]
              },
              "encounter": {
                "reference": "urn:uuid:5a4ac8af-1d8f-52f4-b797-48a45326401d"
              },
              "date": "2026-09-02T10:10:29+08:00",
              "author": [
                {
                  "type": "Practitioner",
                  "identifier": {
                    "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
                    "value": "08370D"
                  }
                }
              ],
              "title": "Emergency Department (ED) Notes",
              "custodian": {
                "type": "Organization",
                "identifier": {
                  "system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
                  "value": "0200000"
                }
              },
              "section": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://loinc.org",
                        "code": "54094-8",
                        "display": "ED Triage note"
                      }
                    ]
                  },
                  "entry": [
                    {
                      "reference": "urn:uuid:b5f5da2d-4090-5262-afa0-1d62d8ed2913"
                    }
                  ]
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://loinc.org",
                        "code": "51846-4",
                        "display": "ED Consultation note"
                      }
                    ]
                  },
                  "entry": [
                    {
                      "reference": "urn:uuid:94551e33-e5fc-5834-8968-74c62ecdf84b"
                    }
                  ]
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://loinc.org",
                        "code": "8716-3",
                        "display": "Vital signs"
                      }
                    ]
                  },
                  "entry": [
                    {
                      "reference": "urn:uuid:c517908a-ee37-5248-93d8-0d5910bfd722"
                    }
                  ]
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:5a4ac8af-1d8f-52f4-b797-48a45326401d",
            "resource": {
              "resourceType": "Encounter",
              "id": "5a4ac8af-1d8f-52f4-b797-48a45326401d",
              "meta": {
                "profile": [
                  "https://fhir.synapxe.sg/StructureDefinition/profile-edvisit"
                ]
              },
              "identifier": [
                {
                  "system": "https://fhir.synapxe.sg/NamingSystem/case-id",
                  "value": "100700110478"
                }
              ],
              "status": "completed",
              "participant": [
                {
                  "type": [
                    {
                      "coding": [
                        {
                          "system": "https://fhir.synapxe.sg/CodeSystem/edvisit-participant-type",
                          "code": "triage",
                          "display": "Triage"
                        }
                      ]
                    }
                  ],
                  "period": {
                    "start": "2025-09-30T14:48:19+08:00",
                    "end": "2026-03-12T15:02:00+08:00"
                  }
                },
                {
                  "type": [
                    {
                      "coding": [
                        {
                          "system": "https://fhir.synapxe.sg/CodeSystem/edvisit-participant-type",
                          "code": "consultation",
                          "display": "Consultation"
                        }
                      ]
                    }
                  ],
                  "period": {
                    "start": "2025-09-18T14:35:58+08:00",
                    "end": "2026-07-27T16:46:14+08:00"
                  }
                },
                {
                  "actor": {
                    "type": "Practitioner",
                    "identifier": {
                      "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
                      "value": "08370D"
                    },
                    "display": "FOO, CHIK LOON"
                  }
                }
              ],
              "actualPeriod": {
                "start": "2025-09-18T10:26:00+08:00",
                "end": "2026-09-02T10:10:00+08:00"
              },
              "plannedEndDate": "2026-09-02T10:10:00+08:00",
              "diagnosis": [
                {
                  "use": [
                    {
                      "coding": [
                        {
                          "system": "https://fhir.synapxe.sg/CodeSystem/edvisit-condition-type",
                          "code": "principal",
                          "display": "Principal Diagnosis"
                        }
                      ]
                    }
                  ],
                  "condition": [
                    {
                      "concept": {
                        "text": "Fever"
                      }
                    }
                  ]
                }
              ],
              "admission": {
                "admitSource": {
                  "text": "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": "1",
                                "display": "Discharged"
                              }
                            ]
                          }
                        }
                      ]
                    }
                  ],
                  "text": "Discharged"
                }
              }
            }
          },
          {
            "fullUrl": "urn:uuid:b5f5da2d-4090-5262-afa0-1d62d8ed2913",
            "resource": {
              "resourceType": "Observation",
              "id": "b5f5da2d-4090-5262-afa0-1d62d8ed2913",
              "meta": {
                "profile": [
                  "https://fhir.synapxe.sg/StructureDefinition/profile-observation"
                ]
              },
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "54094-8",
                    "display": "ED Triage note"
                  }
                ]
              },
              "subject": {
                "type": "Patient",
                "identifier": {
                  "system": "https://fhir.synapxe.sg/NamingSystem/nric",
                  "value": "S9382027D"
                }
              },
              "effectiveDateTime": "2025-09-30T14:48:19+08:00",
              "component": [
                {
                  "code": {
                    "text": "History from"
                  },
                  "valueString": "Patient"
                },
                {
                  "code": {
                    "text": "Medical history"
                  },
                  "valueString": "Diabetes mellitus\nHypertension"
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:94551e33-e5fc-5834-8968-74c62ecdf84b",
            "resource": {
              "resourceType": "Observation",
              "id": "94551e33-e5fc-5834-8968-74c62ecdf84b",
              "meta": {
                "profile": [
                  "https://fhir.synapxe.sg/StructureDefinition/profile-observation"
                ]
              },
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "51846-4",
                    "display": "ED Consultation note"
                  }
                ]
              },
              "subject": {
                "type": "Patient",
                "identifier": {
                  "system": "https://fhir.synapxe.sg/NamingSystem/nric",
                  "value": "S9382027D"
                }
              },
              "effectiveDateTime": "2025-09-18T14:35:58+08:00",
              "component": [
                {
                  "code": {
                    "text": "Consultation PAC"
                  },
                  "valueString": "PAC2"
                }
              ],
              "note": [
                {
                  "text": "ED Provider Notes\nAAAAadda"
                },
                {
                  "text": "ED Triage Notes\nL sided Chest tightness radiating to L arm a/w SOB and diaphoresis x3/7 .\n\nNil giddiness"
                },
                {
                  "text": "ED Triage Notes\n\n12/03/26 14:52\nArrival Documentation\nAny Medication given/ taken before this ED visit? (!) Yes\nOthers Chronic meds 1100H"
                },
                {
                  "text": "ED Triage Notes\n\n12/03/26 14:49\nArrival Documentation\nAny Medication given/ taken before this ED visit? No/ Unable"
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:c517908a-ee37-5248-93d8-0d5910bfd722",
            "resource": {
              "resourceType": "Observation",
              "id": "c517908a-ee37-5248-93d8-0d5910bfd722",
              "meta": {
                "profile": [
                  "https://fhir.synapxe.sg/StructureDefinition/profile-observation"
                ]
              },
              "status": "final",
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "8716-3",
                    "display": "Vital signs"
                  }
                ]
              },
              "subject": {
                "type": "Patient",
                "identifier": {
                  "system": "https://fhir.synapxe.sg/NamingSystem/nric",
                  "value": "S9382027D"
                }
              },
              "effectiveDateTime": "2026-03-12T15:00:00+08:00",
              "component": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://loinc.org",
                        "code": "8889-8",
                        "display": "Pulse rate"
                      }
                    ]
                  },
                  "valueString": "98 (/Min)"
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://loinc.org",
                        "code": "8357-6",
                        "display": "Blood pressure"
                      }
                    ]
                  },
                  "valueString": "110/70 (mmHg)"
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://loinc.org",
                        "code": "9279-1",
                        "display": "Respiratory rate"
                      }
                    ]
                  },
                  "valueString": "18 (/Min)"
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://loinc.org",
                        "code": "115653-8",
                        "display": "Oxygen saturation"
                      }
                    ]
                  },
                  "valueString": "98 (%)"
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://loinc.org",
                        "code": "8310-5",
                        "display": "Body temperature"
                      }
                    ]
                  },
                  "valueString": "36.7 (°C)"
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://loinc.org",
                        "code": "104965-9",
                        "display": "Exposure Route"
                      }
                    ]
                  },
                  "valueString": "Tympanic"
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://loinc.org",
                        "code": "72097-9",
                        "display": "Pain score"
                      }
                    ]
                  },
                  "valueString": "6"
                }
              ]
            }
          }
        ]
      },
      "search": {
        "mode": "match"
      }
    }
  ]
}