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

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Source1

{
  "resourceType": "Bundle",
  "id": "ed-notes-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": "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"
          }
        ]
      }
    }
  ]
}