API Name: Composition.$submit


This API receives and returns a profiled Bundle containing document-related compositions: Discharge Summary, ED Notes, OT Notes, Summary Notes and Cardiology Report. Only Bundles conforming to the allowed profiles are accepted and returned.

Specification


Endpoint [baseurl]/Composition/$submit
Protocol HTTPS
HTTP Method Post
HTTP Header Content-Type: application/fhir+json

Allowed Bundle Profiles

The input Bundle must conform to one of the following profiles:


Profile Name: Summary Notes

Canonical URL: https://fhir.synapxe.sg/StructureDefinition/profile-bundle-composition

Remarks:
- (All Slices) is an automatically generated section and should be ignored. Do not pass this as an input parameter. It will also not be part of response.

idΣ0..1id
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
identifierΣ C0..1Identifier
typeΣ C1..1codeBindingPattern
timestampΣ C0..1instant
totalΣ C0..1unsignedInt
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
relationΣ C1..1codeBinding
urlΣ C1..1uri
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C0..1Resource
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
modeΣ0..1codeBinding
scoreΣ0..1decimal
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
methodΣ C1..1codeBinding
urlΣ1..1uri
ifNoneMatchΣ0..1string
ifModifiedSinceΣ0..1instant
ifMatchΣ0..1string
ifNoneExistΣ0..1string
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
statusΣ1..1string
locationΣ0..1uri
etagΣ0..1string
lastModifiedΣ0..1instant
outcomeΣ0..1Resource
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1Composition
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1Procedure
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1QuestionnaireResponse
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1DiagnosticReport
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1Observation
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1Condition
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1ReferralRequest
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1FileAttachment
signatureΣ0..1Signature
issuesΣ C0..1OperationOutcome

{
"resourceType": "Bundle",
"meta": {
{
{
"url": "msgId",
"system": "https://fhir.synapxe.sg/NamingSystem/msg-id",
"value": "CR001"
}
},
{
"url": "msgSequenceId",
"system": "https://fhir.synapxe.sg/NamingSystem/msg-sequence-id",
"value": "001"
}
},
{
"url": "date",
"valueDateTime": "2026-04-01T15:00:00+08:00"
}
],
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-artifact"
}
],
"source": "HPB-IDEAS",
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-bundle-composition"
],
"tag": [
{
"code": "TTSH"
}
]
},
"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",
"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>"
},
{
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-recorder",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M88888"
}
}
],
{
"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"
}
],
"status": "final",
"type": {
{
"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",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S7654321B"
}
}
],
"type": "Encounter",
"system": "https://fhir.synapxe.sg/NamingSystem/event-id",
"value": "SN-ENC-2026-01001"
}
},
"date": "2026-03-19T14:30:00+08:00",
"author": [
{
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M88888"
}
}
],
"title": "Diabetes Management Summary Notes - Quarterly Review",
"note": [
{
"text": "Patient presented for quarterly diabetes management review. HbA1c at target. Continue current medication regimen with lifestyle modifications."
}
],
{
"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",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M88888"
},
"display": "Dr. Priya Reddy"
}
}
],
"type": "Organization",
"system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
"value": "HCI-11111"
},
"display": "Tan Tock Seng Hospital"
},
"event": [
{
"detail": [
{
"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",
"resourceType": "PractitionerRole",
"id": "b7e2d4f1-8c3a-4b6e-8d9f-2a0c5e7b1d4f",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-practitionerrole"
]
},
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M88888"
},
"display": "Dr. Priya Reddy"
},
"type": "Organization",
"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"
}
]
}
],
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "394584008",
"display": "Endocrinology"
}
]
}
]
}
},
{
"fullUrl": "c1a9b3e5-2f7d-4c8a-b4e0-9d3f6a2b5c8e",
"resourceType": "Procedure",
"id": "c1a9b3e5-2f7d-4c8a-b4e0-9d3f6a2b5c8e",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-sn-procedure"
]
},
{
"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",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S7654321B"
}
},
"type": "Encounter",
"system": "https://fhir.synapxe.sg/NamingSystem/event-id",
"value": "SN-ENC-2026-01001"
}
},
"occurrenceDateTime": "2026-03-19T14:00:00+08:00",
{
"actor": {
"type": "Practitioner",
"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",
"resourceType": "DiagnosticReport",
"id": "d4c7f2a8-3e1b-4d9c-a5f3-0b7e4c1a6d2f",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-sn-diagnosticreport"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/report-id",
"value": "REP-SN-2026-01001"
}
],
"status": "final",
{
"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",
{
"type": "Practitioner",
"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",
"resourceType": "Observation",
"id": "e8b5a3f7-4d2c-4e0b-8f6a-1c9d3b7e5a2c",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-sn-observation"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/investigation-id",
"value": "OBS-SN-2026-01001"
}
],
"status": "final",
{
"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",
{
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M99999"
},
"display": "Dr. Lee Wei"
}
],
"value": 6.8,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
},
{
"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%."
}
],
{
"low": {
"value": 0,
"unit": "%"
},
"high": {
"value": 5.7,
"unit": "%"
}
}
]
}
},
{
"fullUrl": "f2d8c6b4-5a3e-4f1d-9a7b-2e0c8f4d1b6a",
"resourceType": "Condition",
"id": "f2d8c6b4-5a3e-4f1d-9a7b-2e0c8f4d1b6a",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-sn-condition"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/condition-id",
"value": "COND-SN-2026-01001"
}
],
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active",
"display": "Active"
}
]
},
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed",
"display": "Confirmed"
}
]
},
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "problem-list-item",
"display": "Problem List Item"
}
]
}
],
"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",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S7654321B"
}
},
"type": "Encounter",
"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."
}
]
}
}
]
}
{
"resourceType": "Bundle",
"id": "bundle-summarynotes-response-001",
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "SN-REC-2026-01001"
},
"type": "document",
"timestamp": "2026-03-19T14:30:00+08:00",
"entry": [
{
"fullUrl": "a3f5c8d2-1e4b-4a7f-9b2c-6d8e0f3a5b7c",
"resourceType": "Composition",
"id": "a3f5c8d2-1e4b-4a7f-9b2c-6d8e0f3a5b7c",
"meta": {
"lastUpdated": "2026-03-19T14:30:00.1+08:00",
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-composition"
]
}
},
"status": "201 Created",
"location": "Composition/a3f5c8d2-1e4b-4a7f-9b2c-6d8e0f3a5b7c/_history/1"
}
},
{
"fullUrl": "b7e2d4f1-8c3a-4b6e-8d9f-2a0c5e7b1d4f",
"resourceType": "PractitionerRole",
"id": "b7e2d4f1-8c3a-4b6e-8d9f-2a0c5e7b1d4f",
"meta": {
"lastUpdated": "2026-03-19T14:30:00.101+08:00",
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-practitionerrole"
]
}
},
"status": "201 Created",
"location": "PractitionerRole/b7e2d4f1-8c3a-4b6e-8d9f-2a0c5e7b1d4f/_history/1"
}
},
{
"fullUrl": "c1a9b3e5-2f7d-4c8a-b4e0-9d3f6a2b5c8e",
"resourceType": "Procedure",
"id": "c1a9b3e5-2f7d-4c8a-b4e0-9d3f6a2b5c8e",
"meta": {
"lastUpdated": "2026-03-19T14:30:00.102+08:00",
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-sn-procedure"
]
}
},
"status": "201 Created",
"location": "Procedure/c1a9b3e5-2f7d-4c8a-b4e0-9d3f6a2b5c8e/_history/1"
}
},
{
"fullUrl": "d4c7f2a8-3e1b-4d9c-a5f3-0b7e4c1a6d2f",
"resourceType": "DiagnosticReport",
"id": "d4c7f2a8-3e1b-4d9c-a5f3-0b7e4c1a6d2f",
"meta": {
"lastUpdated": "2026-03-19T14:30:00.103+08:00",
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-sn-diagnosticreport"
]
}
},
"status": "201 Created",
"location": "DiagnosticReport/d4c7f2a8-3e1b-4d9c-a5f3-0b7e4c1a6d2f/_history/1"
}
},
{
"fullUrl": "e8b5a3f7-4d2c-4e0b-8f6a-1c9d3b7e5a2c",
"resourceType": "Observation",
"id": "e8b5a3f7-4d2c-4e0b-8f6a-1c9d3b7e5a2c",
"meta": {
"lastUpdated": "2026-03-19T14:30:00.104+08:00",
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-sn-observation"
]
}
},
"status": "201 Created",
"location": "Observation/e8b5a3f7-4d2c-4e0b-8f6a-1c9d3b7e5a2c/_history/1"
}
},
{
"fullUrl": "f2d8c6b4-5a3e-4f1d-9a7b-2e0c8f4d1b6a",
"resourceType": "Condition",
"id": "f2d8c6b4-5a3e-4f1d-9a7b-2e0c8f4d1b6a",
"meta": {
"lastUpdated": "2026-03-19T14:30:00.105+08:00",
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-sn-condition"
]
}
},
"status": "201 Created",
"location": "Condition/f2d8c6b4-5a3e-4f1d-9a7b-2e0c8f4d1b6a/_history/1"
}
}
]
}

Profile Name: Discharge Summary

Canonical URL: https://fhir.synapxe.sg/StructureDefinition/profile-bundle-dischargesummary

Remarks:
- (All Slices) is an automatically generated section and should be ignored. Do not pass this as an input parameter. It will also not be part of response.

idΣ0..1id
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
id0..0string
extensionC0..0Extension
useΣ ?!0..0codeBinding
typeΣ0..0CodeableConceptBinding
systemΣ1..1uriFixed Value
valueΣ C1..1string
periodΣ C0..0Period
assignerΣ C0..0Reference(Organization)
typeΣ C1..1codeBindingPattern
timestampΣ C0..1instant
totalΣ C0..1unsignedInt
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
relationΣ C1..1codeBinding
urlΣ C1..1uri
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C0..1Resource
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
modeΣ0..1codeBinding
scoreΣ0..1decimal
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
methodΣ C1..1codeBinding
urlΣ1..1uri
ifNoneMatchΣ0..1string
ifModifiedSinceΣ0..1instant
ifMatchΣ0..1string
ifNoneExistΣ0..1string
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
statusΣ1..1string
locationΣ0..1uri
etagΣ0..1string
lastModifiedΣ0..1instant
outcomeΣ0..1Resource
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1DischargeSummary
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1AllergyIntolerance
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1Flag
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1Diagnosis
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1MedicationRequest
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1MedicalCertificate
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1Procedure
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1FileAttachment
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1Encounter
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1Location
signatureΣ0..1Signature
issuesΣ C0..1OperationOutcome

{
"resourceType": "Bundle",
"meta": {
{
{
"url": "msgId",
"system": "https://fhir.synapxe.sg/NamingSystem/msg-id",
"value": "CR001"
}
},
{
"url": "msgSequenceId",
"system": "https://fhir.synapxe.sg/NamingSystem/msg-sequence-id",
"value": "001"
}
},
{
"url": "date",
"valueDateTime": "2026-04-01T15:00:00+08:00"
}
],
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-artifact"
}
],
"source": "HPB-IDEAS",
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-bundle-dischargesummary"
],
"tag": [
{
"code": "TTSH"
}
]
},
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "DS-BUNDLE-2026-02-06-001"
},
"type": "document",
"timestamp": "2026-02-06T14:00:00+08:00",
"entry": [
{
"fullUrl": "a5b7c8d9-e4f5-4a3b-8c6d-7e8f9a0b1c2d",
"resourceType": "Composition",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-dischargesummary"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Example Discharge Summary</div>"
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "DS-2026-02-06-001"
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/accession-no",
"value": "ACC-DS-2026-02-06-001"
}
],
"status": "final",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "18842-5",
"display": "Discharge Summary"
}
]
},
"subject": [
{
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S1234567A"
}
}
],
"type": "Encounter",
"system": "https://fhir.synapxe.sg/NamingSystem/event-id",
"value": "CASE-2026-001234"
}
},
"date": "2026-02-06T14:00:00+08:00",
"author": [
{
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
}
],
"title": "Discharge Summary for John Doe - Acute Myocardial Infarction",
"note": [
{
"text": "Patient admitted for acute myocardial infarction. Underwent successful PCI. Stable for discharge with medications and follow-up arranged."
}
],
{
"mode": {
"coding": [
{
"system": "http://hl7.org/fhir/CodeSystem/composition-attestation-mode",
"code": "official",
"display": "Official"
}
]
},
"time": "2026-02-06T14:30:00+08:00",
"party": {
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M67890"
},
"display": "Dr. Michael Tan"
}
}
],
"type": "Organization",
"system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
"value": "11234"
},
"display": "Singapore General Hospital"
},
"section": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29548-5",
"display": "Diagnosis"
}
]
},
"entry": [
{
"reference": "c7d9e0f1-a6b7-4c5d-ae8f-9a0b1c2d3e4f"
}
]
},
{
"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\"><h3>Clinical Synopsis</h3><p>A 58-year-old male presented to ED with acute chest pain radiating to left arm, associated with diaphoresis and shortness of breath. Initial ECG showed ST elevation in anterior leads. Troponin was significantly elevated. Patient was diagnosed with anterior STEMI and underwent emergency coronary angiography which revealed 90% stenosis of the LAD. Successful PCI with drug-eluting stent placement was performed. Post-procedure recovery was uneventful. Patient remained hemodynamically stable throughout admission. Echo showed LVEF of 45% with anterior wall hypokinesis. Patient counseled on lifestyle modifications, smoking cessation, and importance of medication compliance. Discharged on dual antiplatelet therapy, statin, beta-blocker, and ACE inhibitor. Follow-up arranged with cardiology clinic in 2 weeks.</p></div>"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "48765-2",
"display": "Allergies and adverse reactions Document"
}
]
},
"entry": [
{
"reference": "d8e0f1a2-b7c8-4d6e-bf9a-0b1c2d3e4f5a"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "75310-3",
"display": "Health concerns Document"
}
]
},
"entry": [
{
"reference": "e9f1a2b3-c8d9-4e7f-8a0b-1c2d3e4f5a6b"
}
]
},
{
"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\"><h3>Investigations</h3><p>ECG: ST elevation in leads V2-V4</p><p>Troponin I: 15.2 ng/mL (elevated)</p><p>Echo: LVEF 45%, anterior wall hypokinesis</p><p>Coronary angiography: 90% LAD stenosis</p></div>"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "10183-2",
"display": "Hospital discharge medications Narrative"
}
]
},
"entry": [
{
"reference": "f0a2b3c4-d9e0-4f8a-8b1c-2d3e4f5a6b7c"
},
{
"reference": "a1b3c4d5-e0f1-4a9b-8c2d-3e4f5a6b7c8d"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29554-3",
"display": "Procedure Narrative"
}
]
},
"entry": [
{
"reference": "b2c4d5e6-f1a2-4b0c-8d3e-4f5a6b7c8d9e"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "103595-5",
"display": "Certificate of Medical Necessity"
}
]
},
"entry": [
{
"reference": "c3d5e6f7-a2b3-4c1d-ae4f-5a6b7c8d9e0f"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "28570-0",
"display": "Procedure note"
}
]
},
"entry": [
{
"reference": "d4e6f7a8-b3c4-4d2e-bf5a-6b7c8d9e0f1a"
}
]
}
]
}
},
{
"fullUrl": "b6c8d9e0-f5a6-4b4c-9d7e-8f9a0b1c2d3e",
"resourceType": "Encounter",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ds-encounter"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/case-no",
"value": "CASE-2026-001234"
}
],
"status": "completed",
{
"concept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/service-speciality",
"code": "6",
"display": "Cardiology"
}
]
}
}
],
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S1234567A"
}
},
{
"actor": {
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
},
"display": "Dr. Sarah Chen"
}
}
],
"start": "2026-02-04T08:30:00+08:00",
"end": "2026-02-06T12:00:00+08:00"
},
{
{
"reference": "e1f2a3b4-c5d6-4e7f-a8b9-c0d1e2f3a4b5"
}
}
]
}
],
{
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-outcome",
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/discharge-outcome",
"code": "well",
"display": "Discharge well with condition treated"
}
]
}
}
],
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/discharge-disposition-type",
"code": "09",
"display": "Followup at SOC"
}
],
"text": "Followup at SOC"
}
},
{
"reference": "f2a3b4c5-d6e7-4f8a-b9c0-d1e2f3a4b5c6"
}
}
]
}
},
{
"fullUrl": "e1f2a3b4-c5d6-4e7f-a8b9-c0d1e2f3a4b5",
"resourceType": "Condition",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ds-diagnosis"
]
},
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active",
"display": "Active"
}
]
},
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
}
]
}
],
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/sid/icd-10",
"code": "I21.09",
"display": "ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall"
}
]
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S1234567A"
}
},
"note": [
{
"text": "Acute anterior STEMI with 90% LAD stenosis. Successfully treated with PCI and DES placement."
}
]
}
},
{
"fullUrl": "f2a3b4c5-d6e7-4f8a-b9c0-d1e2f3a4b5c6",
"resourceType": "Location",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-location"
]
},
"name": "Cardiology Ward 5A",
"type": "Organization",
"system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
"value": "11234"
}
}
}
},
{
"fullUrl": "c7d9e0f1-a6b7-4c5d-ae8f-9a0b1c2d3e4f",
"resourceType": "Condition",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ds-diagnosis"
]
},
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active",
"display": "Active"
}
]
},
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
}
]
}
],
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/sid/icd-10",
"code": "I21.09",
"display": "ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall"
}
]
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S1234567A"
}
},
"note": [
{
"text": "Acute anterior STEMI. Successfully managed with emergency PCI and drug-eluting stent placement to LAD."
}
]
}
},
{
"fullUrl": "d8e0f1a2-b7c8-4d6e-bf9a-0b1c2d3e4f5a",
"resourceType": "AllergyIntolerance",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-allergyintolerance"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "AI-2026-02-06-001"
}
],
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code": "active",
"display": "Active"
}
]
},
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code": "confirmed",
"display": "Confirmed"
}
]
},
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-type",
"code": "allergy",
"display": "Allergy"
}
]
},
"medication"
],
"criticality": "high",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "372687004",
"display": "Penicillin"
}
]
},
"patient": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S1234567A"
}
},
{
{
"concept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "271807003",
"display": "Skin rash"
}
],
"text": "Skin rash"
}
}
],
"severity": "moderate"
}
]
}
},
{
"fullUrl": "e9f1a2b3-c8d9-4e7f-8a0b-1c2d3e4f5a6b",
"resourceType": "Flag",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-flag"
]
},
"status": "active",
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/medical-alert-codes",
"code": "FALLS",
"display": "Falls Risk"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "225444004",
"display": "At risk for falls"
}
]
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S1234567A"
}
},
"period": {
"start": "2026-02-04T08:30:00+08:00",
"end": "2026-02-06T12:00:00+08:00"
}
}
},
{
"fullUrl": "f0a2b3c4-d9e0-4f8a-8b1c-2d3e4f5a6b7c",
"resourceType": "MedicationRequest",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ds-medicationrequest"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "SEQ-DS-MED-001"
}
],
"status": "active",
"intent": "order",
"concept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/med-code",
"code": "ASP100",
"display": "Aspirin 100mg Oral Tablet"
}
]
}
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S1234567A"
}
},
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
},
"reason": [
{
"concept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/reason-for-medication",
"code": "post-pci",
"display": "Post PCI Antiplatelet Therapy"
}
]
}
}
],
{
"text": "Take 1 tablet once daily in the morning after food",
"timing": {
"repeat": {
"start": "2026-02-06T00:00:00+08:00"
}
}
},
{
"value": 1,
"unit": "tablet",
"system": "http://unitsofmeasure.org",
"code": "{tablet}"
}
}
]
}
]
}
},
{
"fullUrl": "a1b3c4d5-e0f1-4a9b-8c2d-3e4f5a6b7c8d",
"resourceType": "MedicationRequest",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ds-medicationrequest"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "SEQ-DS-MED-002"
}
],
"status": "active",
"intent": "order",
"concept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/med-code",
"code": "ATV40",
"display": "Atorvastatin 40mg Oral Tablet"
}
]
}
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S1234567A"
}
},
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
},
"reason": [
{
"concept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/reason-for-medication",
"code": "lipid-lowering",
"display": "Lipid Lowering Therapy"
}
]
}
}
],
{
"text": "Take 1 tablet at night before bedtime",
"timing": {
"repeat": {
"start": "2026-02-06T00:00:00+08:00"
}
}
},
{
"value": 1,
"unit": "tablet",
"system": "http://unitsofmeasure.org",
"code": "{tablet}"
}
}
]
}
]
}
},
{
"fullUrl": "b2c4d5e6-f1a2-4b0c-8d3e-4f5a6b7c8d9e",
"resourceType": "Procedure",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ds-procedure"
]
},
"status": "completed",
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "103693007",
"display": "Diagnostic procedure"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "415070008",
"display": "Percutaneous coronary intervention"
}
]
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S1234567A"
}
},
"occurrenceDateTime": "2026-02-04T10:00:00+08:00",
{
"actor": {
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M54321"
}
}
}
],
"note": [
{
"text": "Drug-eluting stent placed in LAD with excellent angiographic result. TIMI 3 flow achieved."
}
]
}
},
{
"fullUrl": "c3d5e6f7-a2b3-4c1d-ae4f-5a6b7c8d9e0f",
"resourceType": "DocumentReference",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-medicalcertificate"
]
},
{
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-lightDuty",
"valueBoolean": true
}
],
{
"system": "https://fhir.synapxe.sg/NamingSystem/mc-no",
"value": "MC-2026-001234"
}
],
"status": "current",
"type": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/mc-type",
"code": "hospitalization-leave",
"display": "Hospitalization Leave"
}
]
},
"period": {
"start": "2026-02-04T00:00:00+08:00",
"end": "2026-02-20T23:59:59+08:00"
},
"author": [
{
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
}
],
"content": [
{
"contentType": "application/pdf",
"language": "en",
"data": "VGhpcyBpcyBhIGJhc2U2NCBlbmNvZGVkIHBsYWNlaG9sZGVyIGZvciBNQyByZXBvcnQgUERGIERhdGE=",
"size": "1024",
"title": "Medical Certificate - 14 days hospitalization leave"
}
}
]
}
},
{
"fullUrl": "d4e6f7a8-b3c4-4d2e-bf5a-6b7c8d9e0f1a",
"resourceType": "DocumentReference",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-fileattachment"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "SEQ-DS-FILE-001"
}
],
"status": "current",
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/attachment-category",
"code": "DIS",
"display": "Discharge Summary"
}
]
}
],
"content": [
{
"contentType": "application/pdf",
"data": "VGhpcyBpcyBhIGJhc2U2NCBlbmNvZGVkIHBsYWNlaG9sZGVyIGZvciBFQ0cgcmVwb3J0IFBERiBkYXRh",
"title": "ECG Report - STEMI",
"creation": "2026-02-04T08:45:00+08:00"
}
}
]
}
}
]
}
{
"resourceType": "Bundle",
"id": "bundle-dischargesummary-response-001",
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "DS-BUNDLE-2026-02-06-001"
},
"type": "document",
"timestamp": "2026-02-06T14:00:00+08:00",
"entry": [
{
"status": "201 Created",
"location": "Composition/composition-dischargesummary-001/_history/1",
"etag": "1",
"lastModified": "2026-02-10T11:00:00.1+08:00"
}
},
{
"status": "201 Created",
"location": "Encounter/encounter-ds-001/_history/1",
"etag": "1",
"lastModified": "2026-02-10T11:00:00.101+08:00"
}
},
{
"status": "201 Created",
"location": "Condition/diagnosis-001/_history/1",
"etag": "1",
"lastModified": "2026-02-10T11:00:00.102+08:00"
}
},
{
"status": "201 Created",
"location": "Location/location-001/_history/1",
"etag": "1",
"lastModified": "2026-02-10T11:00:00.103+08:00"
}
},
{
"status": "201 Created",
"location": "Condition/diagnosis-002/_history/1",
"etag": "1",
"lastModified": "2026-02-10T11:00:00.104+08:00"
}
},
{
"status": "201 Created",
"location": "AllergyIntolerance/allergyintolerance-001/_history/1",
"etag": "1",
"lastModified": "2026-02-10T11:00:00.105+08:00"
}
},
{
"status": "201 Created",
"location": "Flag/flag-001/_history/1",
"etag": "1",
"lastModified": "2026-02-10T11:00:00.106+08:00"
}
},
{
"status": "201 Created",
"location": "MedicationRequest/medicationrequest-001/_history/1",
"etag": "1",
"lastModified": "2026-02-10T11:00:00.107+08:00"
}
},
{
"status": "201 Created",
"location": "MedicationRequest/medicationrequest-002/_history/1",
"etag": "1",
"lastModified": "2026-02-10T11:00:00.108+08:00"
}
},
{
"status": "201 Created",
"location": "Procedure/procedure-001/_history/1",
"etag": "1",
"lastModified": "2026-02-10T11:00:00.109+08:00"
}
},
{
"status": "201 Created",
"location": "DocumentReference/medicalcertificate-001/_history/1",
"etag": "1",
"lastModified": "2026-02-10T11:00:00.11+08:00"
}
},
{
"status": "201 Created",
"location": "DocumentReference/fileattachment-001/_history/1",
"etag": "1",
"lastModified": "2026-02-10T11:00:00.111+08:00"
}
}
]
}

Profile Name: ED Notes

Canonical URL: https://fhir.synapxe.sg/StructureDefinition/profile-bundle-ednotes

Remarks:
- (All Slices) is an automatically generated section and should be ignored. Do not pass this as an input parameter. It will also not be part of response.

idΣ0..1id
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
identifierΣ C0..1Identifier
typeΣ C1..1codeBindingPattern
timestampΣ C0..1instant
totalΣ C0..1unsignedInt
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
relationΣ C1..1codeBinding
urlΣ C1..1uri
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C0..1Resource
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
modeΣ0..1codeBinding
scoreΣ0..1decimal
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
methodΣ C1..1codeBinding
urlΣ1..1uri
ifNoneMatchΣ0..1string
ifModifiedSinceΣ0..1instant
ifMatchΣ0..1string
ifNoneExistΣ0..1string
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
statusΣ1..1string
locationΣ0..1uri
etagΣ0..1string
lastModifiedΣ0..1instant
outcomeΣ0..1Resource
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1EDNotes
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1Encounter
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1Observation
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1PrescriptionOrder
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1MedicationAdministration
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1Procedure
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1MedicalCertificate
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1AllergyIntolerance
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1Flag
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1FileAttachment
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1ProcedureStep
signatureΣ0..1Signature
issuesΣ C0..1OperationOutcome

{
"resourceType": "Bundle",
"meta": {
{
{
"url": "msgId",
"system": "https://fhir.synapxe.sg/NamingSystem/msg-id",
"value": "CR001"
}
},
{
"url": "msgSequenceId",
"system": "https://fhir.synapxe.sg/NamingSystem/msg-sequence-id",
"value": "001"
}
},
{
"url": "date",
"valueDateTime": "2026-04-01T15:00:00+08:00"
}
],
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-artifact"
}
],
"source": "HPB-IDEAS",
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-bundle-ednotes"
],
"tag": [
{
"code": "TTSH"
}
]
},
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "ED-BUNDLE-2026-03-19-001"
},
"type": "document",
"timestamp": "2026-03-19T11:45:00+08:00",
"entry": [
{
"fullUrl": "da2ece09-fd25-45ed-a527-a16686c221c7",
"resourceType": "Composition",
"id": "ednotes-composition-ed-002",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ednotes"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Example ED Notes</div>"
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "ED-REC-2026-02001"
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/accession-no",
"value": "ED-ACC-2026-02001"
}
],
"status": "final",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "15507-7",
"display": "Emergency department Progress note"
}
]
},
"subject": [
{
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
}
],
"reference": "520963e9-1e27-4841-aa7f-8ab58587b3a8"
},
"date": "2026-03-19T11:45:00+08:00",
"author": [
{
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M67890"
}
}
],
"title": "Emergency Department (ED) Notes",
"note": [
{
"text": "Patient presented with acute asthma exacerbation. Treated with nebulised salbutamol and ipratropium, IV methylprednisolone. Improved significantly. Discharged on oral steroids and increased inhaler therapy."
}
],
"type": "Organization",
"system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
"value": "TTSH"
}
},
"section": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9269-2",
"display": "Glasgow coma score total"
}
]
},
"entry": [
{
"reference": "7af10323-0be2-435c-ab1a-949db7baf859"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8716-3",
"display": "Vital signs"
}
]
},
"entry": [
{
"reference": "c8122627-20d4-4de4-a2dd-6d6720465d4b"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29549-3",
"display": "Medication administered Narrative"
}
]
},
"entry": [
{
"reference": "7dbf99d7-96d3-4058-87d5-73bd35efff94"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "75311-1",
"display": "Discharge medications note"
}
]
},
"entry": [
{
"reference": "32f085df-a190-4fe0-b2e8-1d81aad2b0d6"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "10183-2",
"display": "Hospital discharge medications Narrative"
}
]
},
"entry": [
{
"reference": "1794c895-4ae6-4a2c-ac61-a71bbd33f09f"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "47519-4",
"display": "History of Procedures Document"
}
]
},
"entry": [
{
"reference": "c9b86bf1-6df0-4a25-b196-3e142c67dc90"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "48765-2",
"display": "Allergies and adverse reactions Document"
}
]
},
"entry": [
{
"reference": "f3831e19-ff59-44c8-bc74-810ba1884f17"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "75310-3",
"display": "Health concerns Document"
}
]
},
"entry": [
{
"reference": "7f009bb1-e902-4482-8698-bbd0e41642ec"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "54094-8",
"display": "ED Triage note"
}
]
},
"entry": [
{
"reference": "b48a2948-46e0-40ea-9e4b-c60ed0192747"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "51846-4",
"display": "ED Consultation note"
}
]
},
"entry": [
{
"reference": "ec48f24c-99e9-431e-9564-fe662e409fe1"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "103595-5",
"display": "Certificate of Medical Necessity"
}
]
},
"entry": [
{
"reference": "93a2262c-f63f-455b-af21-6ccf33657880"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "28570-0",
"display": "Procedure note"
}
]
},
"entry": [
{
"reference": "026bad01-f15e-4571-a395-81d50a55fc1b"
}
]
}
]
}
},
{
"fullUrl": "520963e9-1e27-4841-aa7f-8ab58587b3a8",
"resourceType": "Encounter",
"id": "edvisit-encounter-ed-002",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-edvisit"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "ED-ENC-2026-02001"
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/ed-ref-no",
"value": "EDREF-2026-02001"
}
],
"status": "completed",
"class": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/patient-type",
"code": "EMER",
"display": "Emergency"
}
]
}
],
{
"type": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/edvisit-participant-type",
"code": "triage",
"display": "Triage"
}
]
}
],
"period": {
"start": "2026-03-19T10:00:00+08:00",
"end": "2026-03-19T10:15:00+08:00"
},
"actor": {
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr-no",
"value": "N45678"
},
"display": "Nurse Mary Lim"
}
},
{
"type": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/edvisit-participant-type",
"code": "consultation",
"display": "Consultation"
}
]
}
],
"period": {
"start": "2026-03-19T10:15:00+08:00",
"end": "2026-03-19T11:45:00+08:00"
},
"actor": {
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr-no",
"value": "M67890"
},
"display": "Dr. Wei Lin"
}
}
],
"start": "2026-03-19T10:00:00+08:00",
"end": "2026-03-19T11:45:00+08:00"
},
"reason": [
{
"use": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/edvisit-reason-type",
"code": "emergency",
"display": "Emergency"
}
]
}
],
"value": [
{
"concept": {
"text": "Chest pain radiating to left arm for 30 minutes"
}
}
]
}
],
{
{
"concept": {
"text": "Acute coronary syndrome - non-ST elevation"
}
}
],
"use": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/edvisit-condition-type",
"code": "principal",
"display": "Principal Diagnosis"
}
]
}
]
},
{
{
"concept": {
"text": "Essential hypertension"
}
}
],
"use": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/edvisit-condition-type",
"code": "secondary",
"display": "Secondary Diagnosis"
}
]
}
]
}
],
"text": "Self-referred / Walk-in"
},
{
{
"url": "use",
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/discharge-disposition-use",
"code": "principal",
"display": "Principal Disposition"
}
]
}
},
{
"url": "code",
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/discharge-disposition-type",
"code": "02",
"display": "Cancelled After Triage"
}
]
}
}
],
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-ed-disposition"
},
{
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-ed-dischargeAdvice",
"valueString": "Return immediately if chest pain recurs, worsens, or is accompanied by shortness of breath, dizziness, or sweating."
}
],
"text": "Patient is well"
}
}
}
},
{
"fullUrl": "7af10323-0be2-435c-ab1a-949db7baf859",
"resourceType": "Observation",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-observation"
]
},
"status": "final",
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9269-2",
"display": "Glasgow coma score total"
}
]
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
},
"effectiveDateTime": "2026-03-19T10:10:00+08:00",
"value": 15,
"unit": "score",
"system": "http://unitsofmeasure.org",
"code": "{score}"
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9268-4",
"display": "Glasgow coma score motor"
}
]
},
"value": 6,
"unit": "score",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9270-0",
"display": "Glasgow coma score verbal"
}
]
},
"value": 5,
"unit": "score",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9267-6",
"display": "Glasgow coma score eye opening"
}
]
},
"value": 4,
"unit": "score",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
}
]
}
},
{
"fullUrl": "c8122627-20d4-4de4-a2dd-6d6720465d4b",
"resourceType": "Observation",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-observation"
]
},
"status": "final",
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital Signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
}
]
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
},
"effectiveDateTime": "2026-03-19T10:05:00+08:00",
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic blood pressure"
}
]
},
"value": 145,
"unit": "mmHg",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic blood pressure"
}
]
},
"value": 92,
"unit": "mmHg",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}
]
}
},
{
"fullUrl": "7dbf99d7-96d3-4058-87d5-73bd35efff94",
"resourceType": "MedicationAdministration",
"id": "medicationadministration-ed-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ed-medicationadministration"
]
},
{
"resourceType": "MedicationRequest",
"id": "medrequest-ed-medication-001",
"status": "active",
"intent": "order",
"concept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/med-code",
"code": "SALB5",
"display": "Salbutamol 5mg/mL Nebuliser Solution"
}
]
}
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
},
"authoredOn": "2026-03-19T10:00:00+08:00",
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M67890"
}
},
{
"sequence": 1,
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "47625008",
"display": "Inhalation"
}
]
},
{
"value": 5,
"unit": "mg",
"system": "http://unitsofmeasure.org",
"code": "{mg}"
}
}
]
}
]
}
],
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "SEQ-ED-MED-001"
}
],
"status": "completed",
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/medicationadministration-type",
"code": "medication",
"display": "Medication"
}
]
}
],
"concept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/med-code",
"code": "SALB5",
"display": "Salbutamol 5mg/mL Nebuliser Solution"
}
]
}
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
},
"occurenceDateTime": "2026-03-19T10:02:00+08:00",
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/med-admin-perform-function",
"code": "performer",
"display": "Performer"
}
]
},
"actor": {
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/snb",
"value": "N45678"
},
"display": "Nurse Mary Lim"
}
}
},
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/med-admin-perform-function",
"code": "verifier",
"display": "Verifier"
}
]
},
"actor": {
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M67890"
},
"display": "Dr. Wei Lin"
}
}
}
],
"request": {
"reference": "#medrequest-ed-medication-001"
}
}
},
{
"fullUrl": "32f085df-a190-4fe0-b2e8-1d81aad2b0d6",
"resourceType": "MedicationAdministration",
"id": "medicationadministration-ed-infusion-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ed-medicationadministration"
]
},
{
"resourceType": "MedicationRequest",
"id": "medrequest-ed-medication-001",
"status": "active",
"intent": "order",
"concept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/med-code",
"code": "IPRA500",
"display": "Ipratropium Bromide 500mcg/mL Nebuliser Solution"
}
]
}
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
},
"authoredOn": "2026-03-19T10:00:00+08:00",
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M67890"
}
},
{
"sequence": 1,
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "47625008",
"display": "Inhalation"
}
]
},
{
"value": 500,
"unit": "μg",
"system": "http://unitsofmeasure.org",
"code": "μg"
}
}
]
}
]
}
],
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "SEQ-ED-INF-001"
}
],
"status": "completed",
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/medicationadministration-type",
"code": "infusion",
"display": "Infusion"
}
]
}
],
"concept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/med-code",
"code": "IPRA500",
"display": "Ipratropium Bromide 500mcg/mL Nebuliser Solution"
}
]
}
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
},
"occurenceDateTime": "2026-03-19T10:07:00+08:00",
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/med-admin-perform-function",
"code": "performer",
"display": "Performer"
}
]
},
"actor": {
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/snb",
"value": "N45678"
},
"display": "Nurse Mary Lim"
}
}
},
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/med-admin-perform-function",
"code": "verifier",
"display": "Verifier"
}
]
},
"actor": {
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M67890"
},
"display": "Dr. Wei Lin"
}
}
}
],
"request": {
"reference": "#medrequest-ed-medication-001"
}
}
},
{
"fullUrl": "1794c895-4ae6-4a2c-ac61-a71bbd33f09f",
"resourceType": "MedicationRequest",
"id": "medicationrequest-ed-prescription-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ed-prescriptionorder"
]
},
"status": "active",
"intent": "order",
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/order-type",
"code": "prescription",
"display": "Prescription"
}
]
}
],
"concept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/med-code",
"code": "SALB100",
"display": "Salbutamol 100mcg Aerosol Inhaler (MDI)"
}
]
}
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
},
"authoredOn": "2026-03-19T11:30:00+08:00",
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr-no",
"value": "M67890"
}
},
{
"sequence": 1,
"timing": {
"repeat": {
"frequency": 4,
"period": 1,
"periodUnit": "d"
},
"code": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation",
"code": "QID",
"display": "four times a day"
}
]
}
},
{
"text": "Shortness of breath"
}
],
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "47625008",
"display": "Inhalation"
}
]
},
{
"value": 2,
"unit": "puff",
"system": "http://unitsofmeasure.org",
"code": "{puff}"
}
}
]
}
]
}
},
{
"fullUrl": "c9b86bf1-6df0-4a25-b196-3e142c67dc90",
"resourceType": "Procedure",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ed-procedure"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/procedure-id",
"value": "ED-PROC-2026-00456"
}
],
"status": "completed",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "71000-1",
"display": "Chest X-ray"
}
]
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
}
}
},
{
"fullUrl": "0987452c-14c1-4f64-9ce1-62141e0b7dfd",
"resourceType": "Procedure",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ed-stepProcedure"
]
},
"partOf": [
{
"reference": "c9b86bf1-6df0-4a25-b196-3e142c67dc90"
}
],
"status": "completed",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "397740003",
"display": "Prepare patient for electrocardiogram"
}
]
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
},
"occurrenceDateTime": "2026-03-19T10:15:00+08:00",
"note": [
{
"text": "Patient was prepared for chest X-ray by removing upper body clothing and providing a gown to wear."
}
]
}
},
{
"fullUrl": "bfa12881-556f-4257-bb5a-a0167e7def6a",
"resourceType": "Procedure",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ed-stepProcedure"
]
},
"partOf": [
{
"reference": "c9b86bf1-6df0-4a25-b196-3e142c67dc90"
}
],
"status": "completed",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "252465000",
"display": "Pulse oximetry"
}
]
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
},
"start": "2026-03-19T10:05:00+08:00",
"end": "2026-03-19T11:45:00+08:00"
},
"note": [
{
"text": "Pulse oximetry was performed to monitor oxygen saturation levels during the ED visit."
}
]
}
},
{
"fullUrl": "f3831e19-ff59-44c8-bc74-810ba1884f17",
"resourceType": "AllergyIntolerance",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-allergyintolerance"
]
},
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "387458008",
"display": "Aspirin"
}
]
},
"patient": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
}
}
},
{
"fullUrl": "7f009bb1-e902-4482-8698-bbd0e41642ec",
"resourceType": "Flag",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-flag"
]
},
{
"url": "http://hl7.org/fhir/StructureDefinition/artifact-description",
"valueMarkdown": "Flag for history of myocardial infarction to alert clinicians of increased cardiovascular risk during ED visit."
}
],
"status": "active",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "161663000",
"display": "History of myocardial infarction"
}
]
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
}
}
},
{
"fullUrl": "b48a2948-46e0-40ea-9e4b-c60ed0192747",
"resourceType": "Observation",
"id": "observation-triage-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-observation"
]
},
"status": "final",
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "95606-1",
"display": "Triage assessment note"
}
]
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
},
"effectiveDateTime": "2026-03-19T10:02:00+08:00",
{
"type": "Organization",
"system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
"value": "TTSH"
},
"display": "TTSH ED"
}
],
"valueString": "Chief complaint: Shortness of breath; Pain severity: 7/10; Associated symptoms: Wheezing, chest tightness; Triage category: P2 - Emergency",
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8716-3",
"display": "Vital signs"
}
]
},
"valueString": "BP 135/88, HR 102, RR 24, SpO2 92% on RA, Temperature 37.2°C"
},
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "103357003",
"display": "Urgency category"
}
]
},
"valueString": "Emergency (P2)"
}
]
}
},
{
"fullUrl": "ec48f24c-99e9-431e-9564-fe662e409fe1",
"resourceType": "Observation",
"id": "observation-consultation-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-observation"
]
},
"status": "final",
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "exam",
"display": "Exam"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29545-1",
"display": "Physical examination note"
}
]
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
},
"effectiveDateTime": "2026-03-19T10:25:00+08:00",
{
"type": "Organization",
"system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
"value": "TTSH"
},
"display": "TTSH ED"
}
],
"valueString": "Acute asthma exacerbation. Respiratory distress with accessory muscle use. Diffuse end-expiratory wheezes. Initial management with salbutamol nebuliser and oxygen therapy. Awaiting response assessment. Plan: Continue bronchodilators, consider systemic corticosteroids if poor response, monitor O2 saturation and peak flow.",
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic blood pressure"
}
]
},
"value": 135,
"unit": "mmHg",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic blood pressure"
}
]
},
"value": 88,
"unit": "mmHg",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "3151-8",
"display": "Respiratory rate"
}
]
},
"value": 28,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "2708-6",
"display": "Oxygen saturation"
}
]
},
"value": 92,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
}
]
}
},
{
"fullUrl": "93a2262c-f63f-455b-af21-6ccf33657880",
"resourceType": "DocumentReference",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-medicalcertificate"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/mc-no",
"value": "MC-ED-2026-00456"
}
],
"status": "current",
"type": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/mc-type",
"code": "sick-leave",
"display": "Sick Leave"
}
]
},
"period": {
"start": "2026-02-05T00:00:00+08:00",
"end": "2026-02-06T23:59:59+08:00"
},
"author": [
{
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M67890"
},
"display": "Dr. Wei Lin"
}
],
"content": [
{
"contentType": "application/pdf",
"language": "en",
"data": "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",
"size": "120",
"title": "Medical Certificate - 2 days rest"
}
}
]
}
},
{
"fullUrl": "026bad01-f15e-4571-a395-81d50a55fc1b",
"resourceType": "DocumentReference",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-fileattachment"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "SEQ-ED-FILE-001"
}
],
"status": "current",
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/attachment-category",
"code": "EDNOTE",
"display": "Emergency Department Notes"
}
]
}
],
"content": [
{
"contentType": "application/pdf",
"language": "en",
"data": "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",
"size": "120",
"title": "12-lead ECG Report",
"creation": "2026-02-05T13:25:00+08:00"
}
}
]
}
},
{
"fullUrl": "cbe37b1e-6bf7-4cb6-a23b-3ce75cbf8c77",
"resourceType": "Procedure",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ed-stepProcedure"
]
},
"partOf": [
{
"reference": "c9b86bf1-6df0-4a25-b196-3e142c67dc90"
}
],
"status": "completed",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "71000-1",
"display": "Chest X-ray interpretation"
}
]
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
},
"occurrenceDateTime": "2026-03-19T10:20:00+08:00",
"note": [
{
"text": "Chest X-ray shows hyperinflated lungs with flattened diaphragms, consistent with acute asthma exacerbation. No evidence of pneumonia or pneumothorax."
}
]
}
}
]
}
{
"resourceType": "Bundle",
"id": "bundle-ednotes-response-001",
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "ED-BUNDLE-2026-03-19-001"
},
"type": "document",
"timestamp": "2026-03-19T11:45:00+08:00",
"entry": [
{
"status": "201 Created",
"location": "Composition/ednotes-composition-ed-002/_history/1",
"etag": "1",
"lastModified": "2026-03-19T11:45:00.1+08:00"
}
},
{
"status": "201 Created",
"location": "Encounter/edvisit-encounter-ed-002/_history/1",
"etag": "1",
"lastModified": "2026-03-19T11:45:00.101+08:00"
}
},
{
"status": "201 Created",
"location": "Observation/observation-gcs-ed-002/_history/1",
"etag": "1",
"lastModified": "2026-03-19T11:45:00.102+08:00"
}
},
{
"status": "201 Created",
"location": "Observation/observation-vitals-ed-002/_history/1",
"etag": "1",
"lastModified": "2026-03-19T11:45:00.103+08:00"
}
},
{
"status": "201 Created",
"location": "MedicationAdministration/medicationadministration-ed-001/_history/1",
"etag": "1",
"lastModified": "2026-03-19T11:45:00.104+08:00"
}
},
{
"status": "201 Created",
"location": "MedicationAdministration/medicationadministration-ed-infusion-001/_history/1",
"etag": "1",
"lastModified": "2026-03-19T11:45:00.105+08:00"
}
},
{
"status": "201 Created",
"location": "MedicationRequest/medicationrequest-ed-prescription-001/_history/1",
"etag": "1",
"lastModified": "2026-03-19T11:45:00.106+08:00"
}
},
{
"status": "201 Created",
"location": "Procedure/procedure-ed-001/_history/1",
"etag": "1",
"lastModified": "2026-03-19T11:45:00.107+08:00"
}
},
{
"status": "201 Created",
"location": "Procedure/procedure-ed-step-001/_history/1",
"etag": "1",
"lastModified": "2026-03-19T11:45:00.108+08:00"
}
},
{
"status": "201 Created",
"location": "Procedure/procedure-ed-step-002/_history/1",
"etag": "1",
"lastModified": "2026-03-19T11:45:00.109+08:00"
}
},
{
"status": "201 Created",
"location": "AllergyIntolerance/allergyintolerance-ed-001/_history/1",
"etag": "1",
"lastModified": "2026-03-19T11:45:00.11+08:00"
}
},
{
"status": "201 Created",
"location": "Flag/flag-ed-001/_history/1",
"etag": "1",
"lastModified": "2026-03-19T11:45:00.111+08:00"
}
},
{
"status": "201 Created",
"location": "Observation/observation-triage-001/_history/1",
"etag": "1",
"lastModified": "2026-03-19T11:45:00.112+08:00"
}
},
{
"status": "201 Created",
"location": "Observation/observation-consultation-001/_history/1",
"etag": "1",
"lastModified": "2026-03-19T11:45:00.113+08:00"
}
},
{
"status": "201 Created",
"location": "DocumentReference/medicalcertificate-ed-001/_history/1",
"etag": "1",
"lastModified": "2026-03-19T11:45:00.114+08:00"
}
},
{
"status": "201 Created",
"location": "DocumentReference/fileattachment-ed-001/_history/1",
"etag": "1",
"lastModified": "2026-03-19T11:45:00.115+08:00"
}
},
{
"status": "201 Created",
"location": "Procedure/procedure-ed-step-003/_history/1",
"etag": "1",
"lastModified": "2026-03-19T11:45:00.116+08:00"
}
}
]
}

Profile Name: OT Notes

Canonical URL: https://fhir.synapxe.sg/StructureDefinition/profile-bundle-otnotes

Remarks:
- (All Slices) is an automatically generated section and should be ignored. Do not pass this as an input parameter. It will also not be part of response.

idΣ0..1id
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
identifierΣ C0..1Identifier
typeΣ C1..1codeBindingPattern
timestampΣ C0..1instant
totalΣ C0..1unsignedInt
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
relationΣ C1..1codeBinding
urlΣ C1..1uri
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C0..1Resource
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
modeΣ0..1codeBinding
scoreΣ0..1decimal
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
methodΣ C1..1codeBinding
urlΣ1..1uri
ifNoneMatchΣ0..1string
ifModifiedSinceΣ0..1instant
ifMatchΣ0..1string
ifNoneExistΣ0..1string
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
statusΣ1..1string
locationΣ0..1uri
etagΣ0..1string
lastModifiedΣ0..1instant
outcomeΣ0..1Resource
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1OTNotes
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1Procedure
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1PractitionerRole
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1Condition
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1Observation
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1MedicationAdministration
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1Device
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1DiagnosticReport
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1Specimen
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1FileAttachment
signatureΣ0..1Signature
issuesΣ C0..1OperationOutcome

{
"resourceType": "Bundle",
"meta": {
{
{
"url": "msgId",
"system": "https://fhir.synapxe.sg/NamingSystem/msg-id",
"value": "CR001"
}
},
{
"url": "msgSequenceId",
"system": "https://fhir.synapxe.sg/NamingSystem/msg-sequence-id",
"value": "001"
}
},
{
"url": "date",
"valueDateTime": "2026-04-01T15:00:00+08:00"
}
],
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-artifact"
}
],
"source": "HPB-IDEAS",
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-bundle-otnotes"
],
"tag": [
{
"code": "TTSH"
}
]
},
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "OT-BUNDLE-2026-02-09-001"
},
"type": "document",
"timestamp": "2026-02-09T14:30:00+08:00",
"entry": [
{
"fullUrl": "da2ece09-fd25-45ed-a527-a16686c221c7",
"resourceType": "Composition",
"id": "otnotes-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-otnotes"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Example OT Notes</div>"
},
{
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-displayMethod",
"valueString": "OT Clinical Documentation System"
}
],
{
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "OT-REC-2026-00123"
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/accession-no",
"value": "OT-ACC-2026-00123"
}
],
"status": "final",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "11504-8",
"display": "Surgical operation note"
}
]
},
"subject": [
{
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S1234567C"
}
}
],
"type": "Encounter",
"system": "https://fhir.synapxe.sg/NamingSystem/event-id",
"value": "OT-ENC-2026-00123"
}
},
"date": "2026-02-09T14:30:00+08:00",
"author": [
{
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
}
],
"title": "Operating Theatre (OT) Notes",
"note": [
{
"text": "Patient tolerated procedure well. No complications noted."
}
],
"type": "Organization",
"system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
"value": "HCI-12345"
}
},
"section": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29554-3",
"display": "Procedure Narrative"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Surgical debridement performed successfully</p></div>"
},
"entry": [
{
"reference": "520963e9-1e27-4841-aa7f-8ab58587b3a8"
},
{
"reference": "7af10323-0be2-435c-ab1a-949db7baf859"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "85847-2",
"display": "Patient Care team information"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Operating Theatre Team</p></div>"
},
"entry": [
{
"reference": "7f009bb1-e902-4482-8698-bbd0e41642ec"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29548-5",
"display": "Diagnosis"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Pre-operative diagnoses</p></div>"
},
"entry": [
{
"reference": "c8122627-20d4-4de4-a2dd-6d6720465d4b"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8716-3",
"display": "Vital signs"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Intraoperative vital signs and assessments</p></div>"
},
"entry": [
{
"reference": "7dbf99d7-96d3-4058-87d5-73bd35efff94"
},
{
"reference": "32f085df-a190-4fe0-b2e8-1d81aad2b0d6"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29549-3",
"display": "Medication administered Narrative"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Anesthesia and medications administered during procedure</p></div>"
},
"entry": [
{
"reference": "1794c895-4ae6-4a2c-ac61-a71bbd33f09f"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "46264-8",
"display": "History of medical device use"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Medical devices used during procedure</p></div>"
},
"entry": [
{
"reference": "c9b86bf1-6df0-4a25-b196-3e142c67dc90"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "34895-3",
"display": "Diagnostic evidence documents"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Pathology and imaging reports</p></div>"
},
"entry": [
{
"reference": "0987452c-14c1-4f64-9ce1-62141e0b7dfd"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "59773-2",
"display": "Procedure specimens taken Narrative"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Specimens collected during procedure</p></div>"
},
"entry": [
{
"reference": "bfa12881-556f-4257-bb5a-a0167e7def6a"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "28570-0",
"display": "Procedure note"
}
]
},
"entry": [
{
"reference": "f3831e19-ff59-44c8-bc74-810ba1884f17"
}
]
}
]
}
},
{
"fullUrl": "520963e9-1e27-4841-aa7f-8ab58587b3a8",
"resourceType": "Procedure",
"id": "ot-procedure-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ot-procedure"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "PROC-001"
}
],
"status": "completed",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "11466000",
"display": "Debridement of wound"
}
],
"text": "Surgical debridement of infected wound"
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S1234567C"
}
},
"type": "Encounter",
"system": "https://fhir.synapxe.sg/NamingSystem/event-id",
"value": "OT-ENC-2026-00123"
}
},
"start": "2026-02-09T10:00:00+08:00",
"end": "2026-02-09T11:30:00+08:00"
},
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "304292004",
"display": "Surgeon"
}
]
},
"actor": {
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
},
"period": {
"start": "2026-02-09T10:00:00+08:00",
"end": "2026-02-09T11:30:00+08:00"
}
}
],
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "52795006",
"display": "Structure of left thigh"
}
]
}
],
"outcome": {
"text": "Successful"
},
"note": [
{
"text": "Wound debrided successfully, necrotic tissue removed. Hemostasis achieved. VAC device applied."
}
],
{
"action": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "129284003",
"display": "Surgical action - implantation"
}
]
},
"type": "Device",
"system": "https://fhir.synapxe.sg/NamingSystem/device-serial",
"value": "IMP-2026-789"
},
"display": "Wound Vacuum-Assisted Closure (VAC) Device"
}
}
]
}
},
{
"fullUrl": "7af10323-0be2-435c-ab1a-949db7baf859",
"resourceType": "Procedure",
"id": "ot-procedure-002",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ot-procedure"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "PROC-002"
}
],
"status": "completed",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "225358003",
"display": "Wound closure"
}
],
"text": "Primary wound closure"
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S1234567C"
}
},
"type": "Encounter",
"system": "https://fhir.synapxe.sg/NamingSystem/event-id",
"value": "OT-ENC-2026-00123"
}
},
"start": "2026-02-09T11:30:00+08:00",
"end": "2026-02-09T12:00:00+08:00"
},
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "304292004",
"display": "Surgeon"
}
]
},
"actor": {
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
},
"period": {
"start": "2026-02-09T11:30:00+08:00",
"end": "2026-02-09T12:00:00+08:00"
}
}
],
"outcome": {
"text": "Successful"
},
"note": [
{
"text": "Wound closed primarily with sutures. No tension on wound edges. Good approximation achieved."
}
]
}
},
{
"fullUrl": "7f009bb1-e902-4482-8698-bbd0e41642ec",
"resourceType": "PractitionerRole",
"id": "practitionerrole-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-practitionerrole"
]
},
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
},
"display": "Dr. Sarah Tan"
},
"type": "Organization",
"system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
"value": "HCI-12345"
},
"display": "General Hospital Singapore"
},
"code": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "304292004",
"display": "Surgeon"
}
]
}
],
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "394801008",
"display": "Trauma and orthopedics"
}
]
}
]
}
},
{
"fullUrl": "c8122627-20d4-4de4-a2dd-6d6720465d4b",
"resourceType": "Condition",
"id": "ot-condition-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ot-condition"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "COND-001"
}
],
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active",
"display": "Active"
}
]
},
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "416462003",
"display": "Wound infection"
}
]
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S1234567C"
}
}
}
},
{
"fullUrl": "7dbf99d7-96d3-4058-87d5-73bd35efff94",
"resourceType": "Observation",
"id": "ot-observation-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ot-observation"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "OBS-001"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8310-5",
"display": "Body temperature"
}
]
},
"issued": "2026-02-09T10:15:00+08:00",
"value": 38.5,
"unit": "degrees Celsius",
"system": "http://unitsofmeasure.org",
"code": "Cel"
},
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "H",
"display": "High"
}
]
}
],
"note": [
{
"text": "Patient had a fever during the procedure, likely due to infection. Temperature normalized after administration of antipyretics."
}
],
"method": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "169890003",
"display": "Measurement of body temperature"
}
]
}
}
},
{
"fullUrl": "32f085df-a190-4fe0-b2e8-1d81aad2b0d6",
"resourceType": "Observation",
"id": "ot-observation-002",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ot-observation"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "OBS-001"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
}
]
},
"issued": "2026-02-09T10:20:00+08:00",
"value": 72,
"unit": "beats/minute",
"system": "http://unitsofmeasure.org",
"code": "/min"
},
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "N",
"display": "Normal"
}
]
}
],
"note": [
{
"text": "Patient's heart rate was stable throughout the procedure."
}
],
"method": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "8867-4",
"display": "Heart rate"
}
]
}
}
},
{
"fullUrl": "1794c895-4ae6-4a2c-ac61-a71bbd33f09f",
"resourceType": "MedicationAdministration",
"id": "ot-medadmin-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ot-medicationadministration"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "MEDADMIN-001"
}
],
"status": "completed",
"concept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/med-code",
"code": "PRED10MG",
"display": "Prednisolone 10 mg"
}
]
}
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S1234567C"
}
},
"occurenceDateTime": "2026-02-09T09:55:00+08:00",
"dosage": {
{
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-ot-frequency",
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/otnotes-section-codes",
"code": "intraoperative",
"display": "Intraoperative"
}
]
}
}
],
"text": "2mg/kg IV",
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "47625008",
"display": "Intravenous route"
}
]
},
"dose": {
"value": 150,
"unit": "mg",
"system": "http://unitsofmeasure.org",
"code": "mg"
}
}
}
},
{
"fullUrl": "c9b86bf1-6df0-4a25-b196-3e142c67dc90",
"resourceType": "Device",
"id": "device-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-device"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/device-serial",
"value": "SN-987654321"
}
],
"manufacturer": "MedTech Surgical Instruments Ltd",
"expirationDate": "2027-12-31",
"lotNumber": "LOT-2025-456",
{
"coding": [
{
"system": "http://hl7.org/fhir/device-category",
"code": "single-use",
"display": "Single Use"
}
]
}
],
"type": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "52124006",
"display": "Surgical knife"
}
]
}
]
}
},
{
"fullUrl": "0987452c-14c1-4f64-9ce1-62141e0b7dfd",
"resourceType": "DiagnosticReport",
"id": "ot-diagnosticreport-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ot-diagnosticreport"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "DR-001"
}
],
"status": "final",
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "MB",
"display": "Microbiology"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "600-7",
"display": "Bacteria identified in Specimen by Culture"
}
]
},
"effectiveDateTime": "2026-02-09T12:00:00+08:00",
"issued": "2026-02-09T14:30:00+08:00",
{
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M54321"
},
"display": "Dr. Sarah Tan"
}
],
"conclusion": "Methicillin-resistant Staphylococcus aureus (MRSA) isolated. Sensitive to vancomycin and linezolid."
}
},
{
"fullUrl": "bfa12881-556f-4257-bb5a-a0167e7def6a",
"resourceType": "Specimen",
"id": "ot-specimen-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ot-specimen"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "SPEC-001"
}
],
"type": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/specimen-type",
"code": "swab",
"display": "Swab"
}
]
},
"receivedTime": "2026-02-09T12:15:00+08:00",
"collectedDateTime": "2026-02-09T12:00:00+08:00",
"concept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "52795006",
"display": "Structure of left thigh"
}
]
}
}
}
}
},
{
"fullUrl": "f3831e19-ff59-44c8-bc74-810ba1884f17",
"resourceType": "DocumentReference",
"id": "fileattachment-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-fileattachment"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "FILE-001"
}
],
"status": "current",
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/attachment-category",
"code": "OTNOTE",
"display": "Operating Theatre Notes"
}
]
}
],
"content": [
{
"contentType": "image/jpeg",
"data": "/9j/4AAQSkZJRgABAQAAAQABAAD/2wCEAAkGBxMSEhUTExMWFhUXGR8aGBgYHh8fIB0fHx8fHh8fHSggHRolHR8fITEhJSkrLi4uFx8zODMsNygtLisBCgoKDg0OGxAQGy0lHyUt",
"size": "245680",
"title": "Pre-operative wound photograph",
"creation": "2026-02-09T09:30:00+08:00"
}
}
]
}
}
]
}
{
"resourceType": "Bundle",
"id": "bundle-otnotes-response-001",
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "OT-BUNDLE-2026-02-09-001"
},
"type": "document",
"timestamp": "2026-02-09T15:45:00+08:00",
"entry": [
{
"status": "201 Created",
"location": "Composition/otnotes-001/_history/1",
"etag": "W/\"1\"",
"lastModified": "2026-02-09T15:45:00+08:00"
}
},
{
"status": "201 Created",
"location": "Procedure/ot-procedure-001/_history/1",
"etag": "W/\"1\"",
"lastModified": "2026-02-09T15:45:00+08:00"
}
},
{
"status": "201 Created",
"location": "Procedure/ot-procedure-002/_history/1",
"etag": "W/\"1\"",
"lastModified": "2026-02-09T15:45:00+08:00"
}
},
{
"status": "201 Created",
"location": "PractitionerRole/practitionerrole-001/_history/1",
"etag": "W/\"1\"",
"lastModified": "2026-02-09T15:45:00+08:00"
}
},
{
"status": "201 Created",
"location": "Condition/ot-condition-001/_history/1",
"etag": "W/\"1\"",
"lastModified": "2026-02-09T15:45:00+08:00"
}
},
{
"status": "201 Created",
"location": "Observation/ot-observation-001/_history/1",
"etag": "W/\"1\"",
"lastModified": "2026-02-09T15:45:00+08:00"
}
},
{
"status": "201 Created",
"location": "Observation/ot-observation-002/_history/1",
"etag": "W/\"1\"",
"lastModified": "2026-02-09T15:45:00+08:00"
}
},
{
"status": "201 Created",
"location": "MedicationAdministration/ot-medadmin-001/_history/1",
"etag": "W/\"1\"",
"lastModified": "2026-02-09T15:45:00+08:00"
}
},
{
"status": "201 Created",
"location": "Device/device-001/_history/1",
"etag": "W/\"1\"",
"lastModified": "2026-02-09T15:45:00+08:00"
}
},
{
"status": "201 Created",
"location": "DiagnosticReport/ot-diagnosticreport-001/_history/1",
"etag": "W/\"1\"",
"lastModified": "2026-02-09T15:45:00+08:00"
}
},
{
"status": "201 Created",
"location": "Specimen/ot-specimen-001/_history/1",
"etag": "W/\"1\"",
"lastModified": "2026-02-09T15:45:00+08:00"
}
},
{
"status": "201 Created",
"location": "DocumentReference/fileattachment-001/_history/1",
"etag": "W/\"1\"",
"lastModified": "2026-02-09T15:45:00+08:00"
}
}
]
}

Profile Name: Cardiology Report

Canonical URL: https://fhir.synapxe.sg/StructureDefinition/profile-bundle-cardiologyreport

Remarks:
- (All Slices) is an automatically generated section and should be ignored. Do not pass this as an input parameter. It will also not be part of response.

idΣ0..1id
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
identifierΣ C0..1Identifier
typeΣ C1..1codeBindingPattern
timestampΣ C0..1instant
totalΣ C0..1unsignedInt
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
relationΣ C1..1codeBinding
urlΣ C1..1uri
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C0..1Resource
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
modeΣ0..1codeBinding
scoreΣ0..1decimal
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
methodΣ C1..1codeBinding
urlΣ1..1uri
ifNoneMatchΣ0..1string
ifModifiedSinceΣ0..1instant
ifMatchΣ0..1string
ifNoneExistΣ0..1string
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
statusΣ1..1string
locationΣ0..1uri
etagΣ0..1string
lastModifiedΣ0..1instant
outcomeΣ0..1Resource
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1CardiologyReport
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1Procedure
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1FileAttachment
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1ServiceRequest
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1DiagnosticReport
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1Device
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1MedicationAdministration
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1PractitionerRole
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
fullUrlΣ C0..1uri
resourceΣ C1..1Observation
signatureΣ0..1Signature
issuesΣ C0..1OperationOutcome

{
"resourceType": "Bundle",
"meta": {
{
{
"url": "msgId",
"system": "https://fhir.synapxe.sg/NamingSystem/msg-id",
"value": "CR001"
}
},
{
"url": "msgSequenceId",
"system": "https://fhir.synapxe.sg/NamingSystem/msg-sequence-id",
"value": "001"
}
},
{
"url": "date",
"valueDateTime": "2026-04-01T15:00:00+08:00"
}
],
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-artifact"
}
],
"source": "HPB-IDEAS",
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-bundle-cardiologyreport"
],
"tag": [
{
"code": "TTSH"
}
]
},
"system": "https://fhir.synapxe.sg/NamingSystem/bundle-id",
"value": "BDL-CARDIO-2026-001"
},
"type": "document",
"timestamp": "2026-04-10T08:00:00+08:00",
"entry": [
{
"fullUrl": "urn:uuid:3a7b9c2d-4e5f-4a1b-8c6d-9e0f1a2b3c4d",
"resourceType": "Composition",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-cardiologyreport"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Example Cardiology Report</div>"
},
{
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-displayMethod",
"valueString": "html"
}
],
{
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "CARDIO-2026-02-06-001"
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/accession-no",
"value": "ACC-2026-02-06-001"
}
],
"status": "final",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "100580-0",
"display": "Cardiology note"
}
]
},
"subject": [
{
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S9876543A"
}
}
],
"type": "Encounter",
"system": "https://fhir.synapxe.sg/NamingSystem/event-id",
"value": "EVT-2026-02-06-001"
}
},
"date": "2026-02-06T10:30:00+08:00",
"author": [
{
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
}
],
"title": "Cardiology Report",
"note": [
{
"text": "Patient presented with chest pain. Echocardiogram and cardiac catheterization performed. Mild left ventricular hypertrophy noted. Stent placed in LAD."
}
],
{
"mode": {
"coding": [
{
"system": "http://hl7.org/fhir/CodeSystem/composition-attestation-mode",
"code": "official",
"display": "Official"
}
]
},
"party": {
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M67890"
}
}
}
],
"type": "Organization",
"system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
"value": "HCI-12345"
}
},
"section": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29554-3",
"display": "Procedure Narrative"
}
]
},
"entry": [
{
"reference": "urn:uuid:5b8c1d3e-6f7a-4b2c-9d0e-1f2a3b4c5d6e"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29554-3",
"display": "Procedure Narrative"
}
]
},
"entry": [
{
"reference": "urn:uuid:7c9d2e4f-8a1b-4c3d-0e1f-2a3b4c5d6e7f"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "28570-0",
"display": "Procedure note"
}
]
},
"entry": [
{
"reference": "urn:uuid:9e1f3a5b-0c2d-4e4f-1a2b-3c4d5e6f7a8b"
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:5b8c1d3e-6f7a-4b2c-9d0e-1f2a3b4c5d6e",
"resourceType": "Procedure",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-cr-procedure"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "1"
}
],
"basedOn": [
{
"reference": "urn:uuid:a1b2c3d4-e5f6-4a7b-8c9d-0e1f2a3b4c5d"
}
],
"status": "completed",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "40701008",
"display": "Echocardiography"
}
],
"text": "Transthoracic Echocardiogram (TTE)"
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S9876543A"
}
},
"start": "2026-02-06T09:00:00+08:00",
"end": "2026-02-06T09:30:00+08:00"
},
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "17561000",
"display": "Cardiologist"
}
]
},
"actor": {
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
}
}
],
"display": "Cardiac Investigation Unit, Level 3"
},
"reason": [
{
"concept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "29857009",
"display": "Chest pain"
}
]
}
}
],
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "80891009",
"display": "Heart structure"
}
]
}
],
"outcome": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "385669000",
"display": "Successful"
}
]
},
"report": [
{
"reference": "urn:uuid:c3d4e5f6-a7b8-4c9d-0e1f-2a3b4c5d6e7f"
}
],
"note": [
{
"text": "Echocardiogram completed. Mild concentric LVH noted. LVEF 57%. No significant valvular disease. Recommend cardiac catheterization for further evaluation."
}
]
}
},
{
"fullUrl": "urn:uuid:7c9d2e4f-8a1b-4c3d-0e1f-2a3b4c5d6e7f",
"resourceType": "Procedure",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-cr-procedure"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "2"
}
],
"basedOn": [
{
"reference": "urn:uuid:b2c3d4e5-f6a7-4b8c-9d0e-1f2a3b4c5d6e"
}
],
"status": "completed",
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "103693007",
"display": "Diagnostic procedure"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "41976001",
"display": "Cardiac catheterization"
}
],
"text": "Percutaneous Coronary Intervention with Drug-Eluting Stent"
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S9876543A"
}
},
"start": "2026-02-06T10:00:00+08:00",
"end": "2026-02-06T11:30:00+08:00"
},
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "17561000",
"display": "Cardiologist"
}
]
},
"actor": {
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
}
}
],
"display": "Cardiac Catheterization Laboratory 1, Level 5"
},
"reason": [
{
"concept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "194828000",
"display": "Angina pectoris"
}
]
}
}
],
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "68787003",
"display": "Structure of left anterior descending branch of left coronary artery"
}
]
}
],
"outcome": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "385669000",
"display": "Successful"
}
]
},
"report": [
{
"reference": "urn:uuid:d4e5f6a7-b8c9-4d0e-1f2a-3b4c5d6e7f8a"
}
],
{
"concept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/complication-types",
"code": "none",
"display": "No Complications"
}
]
}
}
],
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/followup-types",
"code": "outpatient",
"display": "Outpatient Follow-up"
}
]
}
],
"note": [
{
"text": "PCI with DES to proximal LAD performed successfully. 70% stenosis reduced to 0% residual. TIMI 3 flow achieved. Patient tolerated procedure well. Heparin administered during procedure. No complications. Dual antiplatelet therapy prescribed post-procedure."
}
],
{
"action": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "129284003",
"display": "Surgical action - implantation"
}
]
},
"reference": "urn:uuid:e5f6a7b8-c9d0-4e1f-2a3b-4c5d6e7f8a9b"
}
}
],
"used": [
{
"reference": "urn:uuid:e5f6a7b8-c9d0-4e1f-2a3b-4c5d6e7f8a9b"
}
}
]
}
},
{
"fullUrl": "urn:uuid:a1b2c3d4-e5f6-4a7b-8c9d-0e1f2a3b4c5d",
"resourceType": "ServiceRequest",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-cr-servicerequest"
]
},
"status": "active",
"intent": "order",
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S9876543A"
}
},
"occurrenceDateTime": "2026-02-06T08:00:00+08:00",
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
},
"note": [
{
"text": "Echocardiogram ordered for evaluation of chest pain and suspected LVH."
}
]
}
},
{
"fullUrl": "urn:uuid:b2c3d4e5-f6a7-4b8c-9d0e-1f2a3b4c5d6e",
"resourceType": "ServiceRequest",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-cr-servicerequest"
]
},
"status": "active",
"intent": "order",
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S9876543A"
}
},
"occurrenceDateTime": "2026-02-06T09:30:00+08:00",
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
},
"note": [
{
"text": "Cardiac catheterization with coronary angiography ordered for further evaluation of chest pain and LVH."
}
]
}
},
{
"fullUrl": "urn:uuid:c3d4e5f6-a7b8-4c9d-0e1f-2a3b4c5d6e7f",
"resourceType": "DiagnosticReport",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-cr-diagnosticreport"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "1"
}
],
"status": "final",
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "LAB",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "34552-0",
"display": "Cardiac 2D echo panel"
}
]
},
"effectiveDateTime": "2026-02-06T09:30:00+08:00",
{
"reference": "urn:uuid:3de873be-5476-42a5-acf1-4527d23d5a70"
}
],
"result": [
{
"reference": "urn:uuid:a8b9c0d1-e2f3-4a4b-5c6d-7e8f9a0b1c2d"
},
{
"reference": "urn:uuid:b9c0d1e2-f3a4-4b5c-6d7e-8f9a0b1c2d3e"
}
],
"conclusion": "Echocardiogram shows mild concentric left ventricular hypertrophy. LVEF 57%. No significant valvular abnormalities. No pericardial effusion."
}
},
{
"fullUrl": "urn:uuid:d4e5f6a7-b8c9-4d0e-1f2a-3b4c5d6e7f8a",
"resourceType": "DiagnosticReport",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-cr-diagnosticreport"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "2"
}
],
"status": "final",
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "LAB",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "18745-0",
"display": "Cardiac catheterization study"
}
]
},
"effectiveDateTime": "2026-02-06T11:30:00+08:00",
{
"reference": "urn:uuid:f0d1e2f3-a4b5-4c6d-7e8f-9a0b1c2d3e4f"
}
],
"result": [
{
"reference": "urn:uuid:c1e2f3a4-b5c6-4d7e-8f9a-0b1c2d3e4f5a"
}
],
"conclusion": "Coronary angiography reveals 70% stenosis in proximal LAD. PCI with DES performed successfully. TIMI 3 flow post-intervention. RCA and LCx are normal."
}
},
{
"fullUrl": "urn:uuid:e5f6a7b8-c9d0-4e1f-2a3b-4c5d6e7f8a9b",
"resourceType": "Device",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-device"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/device-serial",
"value": "DES-2026-LAD-001"
}
],
"manufacturer": "Medtronic Cardiovascular",
"expirationDate": "2028-06-30",
"lotNumber": "LOT-DES-2026-078",
{
"coding": [
{
"system": "http://hl7.org/fhir/device-category",
"code": "implantable",
"display": "Implantable"
}
]
}
],
"type": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "360046005",
"display": "Coronary artery stent"
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:f6a7b8c9-d0e1-4f2a-3b4c-5d6e7f8a9b0c",
"resourceType": "MedicationAdministration",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-medicationadministration"
]
},
"status": "completed",
"concept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/med-code",
"code": "ASP100",
"display": "Aspirin 100mg Oral Tablet"
}
]
}
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S9876543A"
}
},
"occurenceDateTime": "2026-02-06T10:00:00+08:00",
{
"actor": {
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
}
}
}
],
"dosage": {
"text": "5000 IU IV bolus prior to catheterization",
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "47625008",
"display": "Intravenous route"
}
]
},
"dose": {
"value": 5000,
"unit": "IU",
"system": "http://unitsofmeasure.org",
"code": "[iU]"
}
}
}
},
{
"fullUrl": "urn:uuid:3de873be-5476-42a5-acf1-4527d23d5a70",
"resourceType": "PractitionerRole",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-practitionerrole"
]
},
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
},
"code": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "17561000",
"display": "Cardiologist"
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:f0d1e2f3-a4b5-4c6d-7e8f-9a0b1c2d3e4f",
"resourceType": "PractitionerRole",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-practitionerrole"
]
},
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
},
"code": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "17561000",
"display": "Cardiologist"
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:a8b9c0d1-e2f3-4a4b-5c6d-7e8f9a0b1c2d",
"resourceType": "Observation",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-cr-observation"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/investigation-id",
"value": "INV-LVEF-2026-001"
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "1"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "10230-1",
"display": "Left ventricular Ejection fraction"
}
]
},
"value": 57,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
},
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "N",
"display": "Normal"
}
]
}
],
"note": [
{
"text": "LVEF within normal range. Mild concentric LVH present."
}
]
}
},
{
"fullUrl": "urn:uuid:b9c0d1e2-f3a4-4b5c-6d7e-8f9a0b1c2d3e",
"resourceType": "Observation",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-cr-observation"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/investigation-id",
"value": "INV-WALL-2026-001"
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "2"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29468-6",
"display": "Interventricular septum Thickness during diastole by US.M-mode"
}
]
},
"value": 13,
"unit": "mm",
"system": "http://unitsofmeasure.org",
"code": "mm"
},
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "H",
"display": "High"
}
]
}
],
"note": [
{
"text": "Interventricular septum thickness is mildly increased suggesting concentric LVH."
}
]
}
},
{
"fullUrl": "urn:uuid:c1e2f3a4-b5c6-4d7e-8f9a-0b1c2d3e4f5a",
"resourceType": "Observation",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-cr-observation"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/investigation-id",
"value": "INV-STEN-2026-001"
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "1"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "LP94892-4",
"display": "Coronary artery stenosis"
}
]
},
"valueString": "70% stenosis in proximal LAD",
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "A",
"display": "Abnormal"
}
]
}
],
"note": [
{
"text": "Significant stenosis identified in proximal LAD. Stenting performed."
}
]
}
},
{
"fullUrl": "urn:uuid:9e1f3a5b-0c2d-4e4f-1a2b-3c4d5e6f7a8b",
"resourceType": "DocumentReference",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-fileattachment"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "SEQ-001"
}
],
"status": "current",
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/attachment-category",
"code": "CAR",
"display": "Cardiology Report"
}
]
}
],
"content": [
{
"contentType": "application/pdf",
"language": "en",
"data": "VGhpcyBpcyBhIGJhc2U2NCBlbmNvZGVkIHBsYWNlaG9sZGVyIGZvciBESUNPTSBpbWFnZSBkYXRh",
"size": "1024",
"title": "Echocardiogram Images and Coronary Angiography",
"creation": "2026-02-06T09:30:00+08:00"
}
}
]
}
}
]
}
{
"resourceType": "Bundle",
"id": "bundle-cardiology-response-001",
"system": "https://fhir.synapxe.sg/NamingSystem/bundle-id",
"value": "BDL-CARDIO-2026-001"
},
"type": "document",
"timestamp": "2026-02-10T10:30:00+08:00",
"entry": [
{
"status": "201 Created",
"location": "Composition/composition-cardiology-001/_history/1",
"etag": "1",
"lastModified": "2026-02-10T10:30:00.1+08:00"
}
},
{
"status": "201 Created",
"location": "Procedure/procedure-echo-001/_history/1",
"etag": "1",
"lastModified": "2026-02-10T10:30:00.101+08:00"
}
},
{
"status": "201 Created",
"location": "Procedure/procedure-pci-001/_history/1",
"etag": "1",
"lastModified": "2026-02-10T10:30:00.102+08:00"
}
},
{
"status": "201 Created",
"location": "ServiceRequest/servicerequest-echo-001/_history/1",
"etag": "1",
"lastModified": "2026-02-10T10:30:00.103+08:00"
}
},
{
"status": "201 Created",
"location": "ServiceRequest/servicerequest-cath-001/_history/1",
"etag": "1",
"lastModified": "2026-02-10T10:30:00.104+08:00"
}
},
{
"status": "201 Created",
"location": "DiagnosticReport/diagnosticreport-echo-001/_history/1",
"etag": "1",
"lastModified": "2026-02-10T10:30:00.105+08:00"
}
},
{
"status": "201 Created",
"location": "DiagnosticReport/diagnosticreport-cath-001/_history/1",
"etag": "1",
"lastModified": "2026-02-10T10:30:00.106+08:00"
}
},
{
"status": "201 Created",
"location": "Device/device-stent-001/_history/1",
"etag": "1",
"lastModified": "2026-02-10T10:30:00.107+08:00"
}
},
{
"status": "201 Created",
"location": "MedicationAdministration/medicationadministration-001/_history/1",
"etag": "1",
"lastModified": "2026-02-10T10:30:00.108+08:00"
}
},
{
"status": "201 Created",
"location": "PractitionerRole/practitionerrole-001/_history/1",
"etag": "1",
"lastModified": "2026-02-10T10:30:00.109+08:00"
}
},
{
"status": "201 Created",
"location": "PractitionerRole/practitionerrole-002/_history/1",
"etag": "1",
"lastModified": "2026-02-10T10:30:00.11+08:00"
}
},
{
"status": "201 Created",
"location": "Observation/observation-lvef-001/_history/1",
"etag": "1",
"lastModified": "2026-02-10T10:30:00.111+08:00"
}
},
{
"status": "201 Created",
"location": "Observation/observation-wall-001/_history/1",
"etag": "1",
"lastModified": "2026-02-10T10:30:00.112+08:00"
}
},
{
"status": "201 Created",
"location": "Observation/observation-stenosis-001/_history/1",
"etag": "1",
"lastModified": "2026-02-10T10:30:00.113+08:00"
}
},
{
"status": "201 Created",
"location": "DocumentReference/fileattachment-001/_history/1",
"etag": "1",
"lastModified": "2026-02-10T10:30:00.114+08:00"
}
}
]
}

Business Level Errors


This section details the business level errors exposed by OperationOutcome resource for this operation. Refer to API Error Handling for framework level errors.

For illustration only

http status code code details.coding.code details.text
404 not-found E-10000 No matching patient found based on NRIC, Date of Birth and Gender
404 not-found E-10001 Institution code for organization is not found
404 not-found E-10002 Organization code is not found
400 business-rule E-10003 Patient is not currently enrolled to the organization
400 duplicate E-10004 An attempt was made to create a duplicate record
400 invalid E-10005 Invalid allergy intolerance identifier
400 invalid E-10006 Invalid clinical or verification status