Example-BundleCardiologyReport
This shows an example cardiology report.
| Bundle |
| meta |
| extension |
| extension |
| url : msgId |
| value |
| system : https://fhir.synapxe.sg/NamingSystem/msg-id |
| value : CR001 |
| extension |
| url : msgSequenceId |
| value |
| system : https://fhir.synapxe.sg/NamingSystem/msg-sequence-id |
| value : 001 |
| extension |
| url : date |
| value : 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 |
| identifier |
| 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 |
| resource |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-cardiologyreport |
| text |
| status : generated |
| extension |
| url : https://fhir.synapxe.sg/StructureDefinition/ext-displayMethod |
| value : html |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/record-id |
| value : CARDIO-2026-02-06-001 |
| identifier |
| 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 |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/nric |
| value : S9876543A |
| encounter |
| type : Encounter |
| identifier |
| 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 |
| identifier |
| 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. |
| attester |
| mode |
| coding |
| system : http://hl7.org/fhir/CodeSystem/composition-attestation-mode |
| code : official |
| display : Official |
| party |
| type : Practitioner |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/mcr |
| value : M67890 |
| custodian |
| type : Organization |
| identifier |
| 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 |
| section |
| code |
| coding |
| system : http://loinc.org |
| code : 29554-3 |
| display : Procedure Narrative |
| entry |
| reference : urn:uuid:7c9d2e4f-8a1b-4c3d-0e1f-2a3b4c5d6e7f |
| section |
| code |
| coding |
| system : http://loinc.org |
| code : 28570-0 |
| display : Procedure note |
| entry |
| reference : urn:uuid:9e1f3a5b-0c2d-4e4f-1a2b-3c4d5e6f7a8b |
| entry |
| fullUrl : urn:uuid:5b8c1d3e-6f7a-4b2c-9d0e-1f2a3b4c5d6e |
| resource |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-cr-procedure |
| identifier |
| 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 |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/nric |
| value : S9876543A |
| occurrence |
| start : 2026-02-06T09:00:00+08:00 |
| end : 2026-02-06T09:30:00+08:00 |
| performer |
| function |
| coding |
| system : http://snomed.info/sct |
| code : 17561000 |
| display : Cardiologist |
| actor |
| type : Practitioner |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/mcr |
| value : M12345 |
| location |
| display : Cardiac Investigation Unit, Level 3 |
| reason |
| concept |
| coding |
| system : http://snomed.info/sct |
| code : 29857009 |
| display : Chest pain |
| bodySite |
| 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. |
| entry |
| fullUrl : urn:uuid:7c9d2e4f-8a1b-4c3d-0e1f-2a3b4c5d6e7f |
| resource |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-cr-procedure |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/sequence-no |
| value : 2 |
| basedOn |
| reference : urn:uuid:b2c3d4e5-f6a7-4b8c-9d0e-1f2a3b4c5d6e |
| status : completed |
| category |
| 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 |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/nric |
| value : S9876543A |
| occurrence |
| start : 2026-02-06T10:00:00+08:00 |
| end : 2026-02-06T11:30:00+08:00 |
| performer |
| function |
| coding |
| system : http://snomed.info/sct |
| code : 17561000 |
| display : Cardiologist |
| actor |
| type : Practitioner |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/mcr |
| value : M12345 |
| location |
| display : Cardiac Catheterization Laboratory 1, Level 5 |
| reason |
| concept |
| coding |
| system : http://snomed.info/sct |
| code : 194828000 |
| display : Angina pectoris |
| bodySite |
| 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 |
| complication |
| concept |
| coding |
| system : https://fhir.synapxe.sg/CodeSystem/complication-types |
| code : none |
| display : No Complications |
| followUp |
| 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. |
| focalDevice |
| action |
| coding |
| system : http://snomed.info/sct |
| code : 129284003 |
| display : Surgical action - implantation |
| manipulated |
| reference : urn:uuid:e5f6a7b8-c9d0-4e1f-2a3b-4c5d6e7f8a9b |
| used |
| reference |
| reference : urn:uuid:e5f6a7b8-c9d0-4e1f-2a3b-4c5d6e7f8a9b |
| entry |
| fullUrl : urn:uuid:a1b2c3d4-e5f6-4a7b-8c9d-0e1f2a3b4c5d |
| resource |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-cr-servicerequest |
| status : active |
| intent : order |
| subject |
| type : Patient |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/nric |
| value : S9876543A |
| occurrence : 2026-02-06T08:00:00+08:00 |
| requester |
| type : Practitioner |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/mcr |
| value : M12345 |
| note |
| text : Echocardiogram ordered for evaluation of chest pain and suspected LVH. |
| entry |
| fullUrl : urn:uuid:b2c3d4e5-f6a7-4b8c-9d0e-1f2a3b4c5d6e |
| resource |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-cr-servicerequest |
| status : active |
| intent : order |
| subject |
| type : Patient |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/nric |
| value : S9876543A |
| occurrence : 2026-02-06T09:30:00+08:00 |
| requester |
| type : Practitioner |
| identifier |
| 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. |
| entry |
| fullUrl : urn:uuid:c3d4e5f6-a7b8-4c9d-0e1f-2a3b4c5d6e7f |
| resource |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-cr-diagnosticreport |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/sequence-no |
| value : 1 |
| status : final |
| category |
| 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 |
| effective : 2026-02-06T09:30:00+08:00 |
| performer |
| reference : urn:uuid:3de873be-5476-42a5-acf1-4527d23d5a70 |
| result |
| reference : urn:uuid:a8b9c0d1-e2f3-4a4b-5c6d-7e8f9a0b1c2d |
| result |
| 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. |
| entry |
| fullUrl : urn:uuid:d4e5f6a7-b8c9-4d0e-1f2a-3b4c5d6e7f8a |
| resource |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-cr-diagnosticreport |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/sequence-no |
| value : 2 |
| status : final |
| category |
| 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 |
| effective : 2026-02-06T11:30:00+08:00 |
| performer |
| 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. |
| entry |
| fullUrl : urn:uuid:e5f6a7b8-c9d0-4e1f-2a3b-4c5d6e7f8a9b |
| resource |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-device |
| identifier |
| 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 |
| category |
| 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 |
| entry |
| fullUrl : urn:uuid:f6a7b8c9-d0e1-4f2a-3b4c-5d6e7f8a9b0c |
| resource |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-medicationadministration |
| status : completed |
| medication |
| concept |
| coding |
| system : https://fhir.synapxe.sg/CodeSystem/med-code |
| code : ASP100 |
| display : Aspirin 100mg Oral Tablet |
| subject |
| type : Patient |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/nric |
| value : S9876543A |
| occurence : 2026-02-06T10:00:00+08:00 |
| performer |
| actor |
| reference |
| type : Practitioner |
| identifier |
| 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] |
| entry |
| fullUrl : urn:uuid:3de873be-5476-42a5-acf1-4527d23d5a70 |
| resource |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-practitionerrole |
| practitioner |
| type : Practitioner |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/mcr |
| value : M12345 |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 17561000 |
| display : Cardiologist |
| entry |
| fullUrl : urn:uuid:f0d1e2f3-a4b5-4c6d-7e8f-9a0b1c2d3e4f |
| resource |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-practitionerrole |
| practitioner |
| type : Practitioner |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/mcr |
| value : M12345 |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 17561000 |
| display : Cardiologist |
| entry |
| fullUrl : urn:uuid:a8b9c0d1-e2f3-4a4b-5c6d-7e8f9a0b1c2d |
| resource |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-cr-observation |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/investigation-id |
| value : INV-LVEF-2026-001 |
| identifier |
| 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 |
| value : 57 |
| unit : % |
| system : http://unitsofmeasure.org |
| code : % |
| interpretation |
| coding |
| system : http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation |
| code : N |
| display : Normal |
| note |
| text : LVEF within normal range. Mild concentric LVH present. |
| entry |
| fullUrl : urn:uuid:b9c0d1e2-f3a4-4b5c-6d7e-8f9a0b1c2d3e |
| resource |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-cr-observation |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/investigation-id |
| value : INV-WALL-2026-001 |
| identifier |
| 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 |
| value : 13 |
| unit : mm |
| system : http://unitsofmeasure.org |
| code : mm |
| interpretation |
| coding |
| system : http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation |
| code : H |
| display : High |
| note |
| text : Interventricular septum thickness is mildly increased suggesting concentric LVH. |
| entry |
| fullUrl : urn:uuid:c1e2f3a4-b5c6-4d7e-8f9a-0b1c2d3e4f5a |
| resource |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-cr-observation |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/investigation-id |
| value : INV-STEN-2026-001 |
| identifier |
| 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 |
| value : 70% stenosis in proximal LAD |
| interpretation |
| coding |
| system : http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation |
| code : A |
| display : Abnormal |
| note |
| text : Significant stenosis identified in proximal LAD. Stenting performed. |
| entry |
| fullUrl : urn:uuid:9e1f3a5b-0c2d-4e4f-1a2b-3c4d5e6f7a8b |
| resource |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-fileattachment |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/sequence-no |
| value : SEQ-001 |
| status : current |
| category |
| coding |
| system : https://fhir.synapxe.sg/CodeSystem/attachment-category |
| code : CAR |
| display : Cardiology Report |
| content |
| attachment |
| contentType : application/pdf |
| language : en |
| data : VGhpcyBpcyBhIGJhc2U2NCBlbmNvZGVkIHBsYWNlaG9sZGVyIGZvciBESUNPTSBpbWFnZSBkYXRh |
| size : 1024 |
| title : Echocardiogram Images and Coronary Angiography |
| creation : 2026-02-06T09:30:00+08:00 |
| Bundle.meta[0].extension[0].extension[0].url[0] | msgId |
| Bundle.meta[0].extension[0].extension[0].value[0].system[0] | https://fhir.synapxe.sg/NamingSystem/msg-id |
| Bundle.meta[0].extension[0].extension[0].value[0].value[0] | CR001 |
| Bundle.meta[0].extension[0].extension[1].url[0] | msgSequenceId |
| Bundle.meta[0].extension[0].extension[1].value[0].system[0] | https://fhir.synapxe.sg/NamingSystem/msg-sequence-id |
| Bundle.meta[0].extension[0].extension[1].value[0].value[0] | 001 |
| Bundle.meta[0].extension[0].extension[2].url[0] | date |
| Bundle.meta[0].extension[0].extension[2].value[0] | 2026-04-01T15:00:00+08:00 |
| Bundle.meta[0].extension[0].url[0] | https://fhir.synapxe.sg/StructureDefinition/ext-artifact |
| Bundle.meta[0].source[0] | HPB-IDEAS |
| Bundle.meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-bundle-cardiologyreport |
| Bundle.meta[0].tag[0].code[0] | TTSH |
| Bundle.identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/bundle-id |
| Bundle.identifier[0].value[0] | BDL-CARDIO-2026-001 |
| Bundle.type[0] | document |
| Bundle.timestamp[0] | 2026-04-10T08:00:00+08:00 |
| Bundle.entry[0].fullUrl[0] | urn:uuid:3a7b9c2d-4e5f-4a1b-8c6d-9e0f1a2b3c4d |
| Bundle.entry[0].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-cardiologyreport |
| Bundle.entry[0].resource[0].text[0].status[0] | generated |
| Bundle.entry[0].resource[0].text[0].div[0] | <div xmlns="http://www.w3.org/1999/xhtml">Example Cardiology Report</div> |
| Bundle.entry[0].resource[0].extension[0].url[0] | https://fhir.synapxe.sg/StructureDefinition/ext-displayMethod |
| Bundle.entry[0].resource[0].extension[0].value[0] | html |
| Bundle.entry[0].resource[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/record-id |
| Bundle.entry[0].resource[0].identifier[0].value[0] | CARDIO-2026-02-06-001 |
| Bundle.entry[0].resource[0].identifier[1].system[0] | https://fhir.synapxe.sg/NamingSystem/accession-no |
| Bundle.entry[0].resource[0].identifier[1].value[0] | ACC-2026-02-06-001 |
| Bundle.entry[0].resource[0].status[0] | final |
| Bundle.entry[0].resource[0].type[0].coding[0].system[0] | http://loinc.org |
| Bundle.entry[0].resource[0].type[0].coding[0].code[0] | 100580-0 |
| Bundle.entry[0].resource[0].type[0].coding[0].display[0] | Cardiology note |
| Bundle.entry[0].resource[0].subject[0].type[0] | Patient |
| Bundle.entry[0].resource[0].subject[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/nric |
| Bundle.entry[0].resource[0].subject[0].identifier[0].value[0] | S9876543A |
| Bundle.entry[0].resource[0].encounter[0].type[0] | Encounter |
| Bundle.entry[0].resource[0].encounter[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/event-id |
| Bundle.entry[0].resource[0].encounter[0].identifier[0].value[0] | EVT-2026-02-06-001 |
| Bundle.entry[0].resource[0].date[0] | 2026-02-06T10:30:00+08:00 |
| Bundle.entry[0].resource[0].author[0].type[0] | Practitioner |
| Bundle.entry[0].resource[0].author[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/mcr |
| Bundle.entry[0].resource[0].author[0].identifier[0].value[0] | M12345 |
| Bundle.entry[0].resource[0].title[0] | Cardiology Report |
| Bundle.entry[0].resource[0].note[0].text[0] | Patient presented with chest pain. Echocardiogram and cardiac catheterization performed. Mild left ventricular hypertrophy noted. Stent placed in LAD. |
| Bundle.entry[0].resource[0].attester[0].mode[0].coding[0].system[0] | http://hl7.org/fhir/CodeSystem/composition-attestation-mode |
| Bundle.entry[0].resource[0].attester[0].mode[0].coding[0].code[0] | official |
| Bundle.entry[0].resource[0].attester[0].mode[0].coding[0].display[0] | Official |
| Bundle.entry[0].resource[0].attester[0].party[0].type[0] | Practitioner |
| Bundle.entry[0].resource[0].attester[0].party[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/mcr |
| Bundle.entry[0].resource[0].attester[0].party[0].identifier[0].value[0] | M67890 |
| Bundle.entry[0].resource[0].custodian[0].type[0] | Organization |
| Bundle.entry[0].resource[0].custodian[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/hci-code |
| Bundle.entry[0].resource[0].custodian[0].identifier[0].value[0] | HCI-12345 |
| Bundle.entry[0].resource[0].section[0].code[0].coding[0].system[0] | http://loinc.org |
| Bundle.entry[0].resource[0].section[0].code[0].coding[0].code[0] | 29554-3 |
| Bundle.entry[0].resource[0].section[0].code[0].coding[0].display[0] | Procedure Narrative |
| Bundle.entry[0].resource[0].section[0].entry[0].reference[0] | urn:uuid:5b8c1d3e-6f7a-4b2c-9d0e-1f2a3b4c5d6e |
| Bundle.entry[0].resource[0].section[1].code[0].coding[0].system[0] | http://loinc.org |
| Bundle.entry[0].resource[0].section[1].code[0].coding[0].code[0] | 29554-3 |
| Bundle.entry[0].resource[0].section[1].code[0].coding[0].display[0] | Procedure Narrative |
| Bundle.entry[0].resource[0].section[1].entry[0].reference[0] | urn:uuid:7c9d2e4f-8a1b-4c3d-0e1f-2a3b4c5d6e7f |
| Bundle.entry[0].resource[0].section[2].code[0].coding[0].system[0] | http://loinc.org |
| Bundle.entry[0].resource[0].section[2].code[0].coding[0].code[0] | 28570-0 |
| Bundle.entry[0].resource[0].section[2].code[0].coding[0].display[0] | Procedure note |
| Bundle.entry[0].resource[0].section[2].entry[0].reference[0] | urn:uuid:9e1f3a5b-0c2d-4e4f-1a2b-3c4d5e6f7a8b |
| Bundle.entry[1].fullUrl[0] | urn:uuid:5b8c1d3e-6f7a-4b2c-9d0e-1f2a3b4c5d6e |
| Bundle.entry[1].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-cr-procedure |
| Bundle.entry[1].resource[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/sequence-no |
| Bundle.entry[1].resource[0].identifier[0].value[0] | 1 |
| Bundle.entry[1].resource[0].basedOn[0].reference[0] | urn:uuid:a1b2c3d4-e5f6-4a7b-8c9d-0e1f2a3b4c5d |
| Bundle.entry[1].resource[0].status[0] | completed |
| Bundle.entry[1].resource[0].code[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[1].resource[0].code[0].coding[0].code[0] | 40701008 |
| Bundle.entry[1].resource[0].code[0].coding[0].display[0] | Echocardiography |
| Bundle.entry[1].resource[0].code[0].text[0] | Transthoracic Echocardiogram (TTE) |
| Bundle.entry[1].resource[0].subject[0].type[0] | Patient |
| Bundle.entry[1].resource[0].subject[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/nric |
| Bundle.entry[1].resource[0].subject[0].identifier[0].value[0] | S9876543A |
| Bundle.entry[1].resource[0].occurrence[0].start[0] | 2026-02-06T09:00:00+08:00 |
| Bundle.entry[1].resource[0].occurrence[0].end[0] | 2026-02-06T09:30:00+08:00 |
| Bundle.entry[1].resource[0].performer[0].function[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[1].resource[0].performer[0].function[0].coding[0].code[0] | 17561000 |
| Bundle.entry[1].resource[0].performer[0].function[0].coding[0].display[0] | Cardiologist |
| Bundle.entry[1].resource[0].performer[0].actor[0].type[0] | Practitioner |
| Bundle.entry[1].resource[0].performer[0].actor[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/mcr |
| Bundle.entry[1].resource[0].performer[0].actor[0].identifier[0].value[0] | M12345 |
| Bundle.entry[1].resource[0].location[0].display[0] | Cardiac Investigation Unit, Level 3 |
| Bundle.entry[1].resource[0].reason[0].concept[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[1].resource[0].reason[0].concept[0].coding[0].code[0] | 29857009 |
| Bundle.entry[1].resource[0].reason[0].concept[0].coding[0].display[0] | Chest pain |
| Bundle.entry[1].resource[0].bodySite[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[1].resource[0].bodySite[0].coding[0].code[0] | 80891009 |
| Bundle.entry[1].resource[0].bodySite[0].coding[0].display[0] | Heart structure |
| Bundle.entry[1].resource[0].outcome[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[1].resource[0].outcome[0].coding[0].code[0] | 385669000 |
| Bundle.entry[1].resource[0].outcome[0].coding[0].display[0] | Successful |
| Bundle.entry[1].resource[0].report[0].reference[0] | urn:uuid:c3d4e5f6-a7b8-4c9d-0e1f-2a3b4c5d6e7f |
| Bundle.entry[1].resource[0].note[0].text[0] | Echocardiogram completed. Mild concentric LVH noted. LVEF 57%. No significant valvular disease. Recommend cardiac catheterization for further evaluation. |
| Bundle.entry[2].fullUrl[0] | urn:uuid:7c9d2e4f-8a1b-4c3d-0e1f-2a3b4c5d6e7f |
| Bundle.entry[2].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-cr-procedure |
| Bundle.entry[2].resource[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/sequence-no |
| Bundle.entry[2].resource[0].identifier[0].value[0] | 2 |
| Bundle.entry[2].resource[0].basedOn[0].reference[0] | urn:uuid:b2c3d4e5-f6a7-4b8c-9d0e-1f2a3b4c5d6e |
| Bundle.entry[2].resource[0].status[0] | completed |
| Bundle.entry[2].resource[0].category[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[2].resource[0].category[0].coding[0].code[0] | 103693007 |
| Bundle.entry[2].resource[0].category[0].coding[0].display[0] | Diagnostic procedure |
| Bundle.entry[2].resource[0].code[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[2].resource[0].code[0].coding[0].code[0] | 41976001 |
| Bundle.entry[2].resource[0].code[0].coding[0].display[0] | Cardiac catheterization |
| Bundle.entry[2].resource[0].code[0].text[0] | Percutaneous Coronary Intervention with Drug-Eluting Stent |
| Bundle.entry[2].resource[0].subject[0].type[0] | Patient |
| Bundle.entry[2].resource[0].subject[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/nric |
| Bundle.entry[2].resource[0].subject[0].identifier[0].value[0] | S9876543A |
| Bundle.entry[2].resource[0].occurrence[0].start[0] | 2026-02-06T10:00:00+08:00 |
| Bundle.entry[2].resource[0].occurrence[0].end[0] | 2026-02-06T11:30:00+08:00 |
| Bundle.entry[2].resource[0].performer[0].function[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[2].resource[0].performer[0].function[0].coding[0].code[0] | 17561000 |
| Bundle.entry[2].resource[0].performer[0].function[0].coding[0].display[0] | Cardiologist |
| Bundle.entry[2].resource[0].performer[0].actor[0].type[0] | Practitioner |
| Bundle.entry[2].resource[0].performer[0].actor[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/mcr |
| Bundle.entry[2].resource[0].performer[0].actor[0].identifier[0].value[0] | M12345 |
| Bundle.entry[2].resource[0].location[0].display[0] | Cardiac Catheterization Laboratory 1, Level 5 |
| Bundle.entry[2].resource[0].reason[0].concept[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[2].resource[0].reason[0].concept[0].coding[0].code[0] | 194828000 |
| Bundle.entry[2].resource[0].reason[0].concept[0].coding[0].display[0] | Angina pectoris |
| Bundle.entry[2].resource[0].bodySite[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[2].resource[0].bodySite[0].coding[0].code[0] | 68787003 |
| Bundle.entry[2].resource[0].bodySite[0].coding[0].display[0] | Structure of left anterior descending branch of left coronary artery |
| Bundle.entry[2].resource[0].outcome[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[2].resource[0].outcome[0].coding[0].code[0] | 385669000 |
| Bundle.entry[2].resource[0].outcome[0].coding[0].display[0] | Successful |
| Bundle.entry[2].resource[0].report[0].reference[0] | urn:uuid:d4e5f6a7-b8c9-4d0e-1f2a-3b4c5d6e7f8a |
| Bundle.entry[2].resource[0].complication[0].concept[0].coding[0].system[0] | https://fhir.synapxe.sg/CodeSystem/complication-types |
| Bundle.entry[2].resource[0].complication[0].concept[0].coding[0].code[0] | none |
| Bundle.entry[2].resource[0].complication[0].concept[0].coding[0].display[0] | No Complications |
| Bundle.entry[2].resource[0].followUp[0].coding[0].system[0] | https://fhir.synapxe.sg/CodeSystem/followup-types |
| Bundle.entry[2].resource[0].followUp[0].coding[0].code[0] | outpatient |
| Bundle.entry[2].resource[0].followUp[0].coding[0].display[0] | Outpatient Follow-up |
| Bundle.entry[2].resource[0].note[0].text[0] | 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. |
| Bundle.entry[2].resource[0].focalDevice[0].action[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[2].resource[0].focalDevice[0].action[0].coding[0].code[0] | 129284003 |
| Bundle.entry[2].resource[0].focalDevice[0].action[0].coding[0].display[0] | Surgical action - implantation |
| Bundle.entry[2].resource[0].focalDevice[0].manipulated[0].reference[0] | urn:uuid:e5f6a7b8-c9d0-4e1f-2a3b-4c5d6e7f8a9b |
| Bundle.entry[2].resource[0].used[0].reference[0].reference[0] | urn:uuid:e5f6a7b8-c9d0-4e1f-2a3b-4c5d6e7f8a9b |
| Bundle.entry[3].fullUrl[0] | urn:uuid:a1b2c3d4-e5f6-4a7b-8c9d-0e1f2a3b4c5d |
| Bundle.entry[3].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-cr-servicerequest |
| Bundle.entry[3].resource[0].status[0] | active |
| Bundle.entry[3].resource[0].intent[0] | order |
| Bundle.entry[3].resource[0].subject[0].type[0] | Patient |
| Bundle.entry[3].resource[0].subject[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/nric |
| Bundle.entry[3].resource[0].subject[0].identifier[0].value[0] | S9876543A |
| Bundle.entry[3].resource[0].occurrence[0] | 2026-02-06T08:00:00+08:00 |
| Bundle.entry[3].resource[0].requester[0].type[0] | Practitioner |
| Bundle.entry[3].resource[0].requester[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/mcr |
| Bundle.entry[3].resource[0].requester[0].identifier[0].value[0] | M12345 |
| Bundle.entry[3].resource[0].note[0].text[0] | Echocardiogram ordered for evaluation of chest pain and suspected LVH. |
| Bundle.entry[4].fullUrl[0] | urn:uuid:b2c3d4e5-f6a7-4b8c-9d0e-1f2a3b4c5d6e |
| Bundle.entry[4].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-cr-servicerequest |
| Bundle.entry[4].resource[0].status[0] | active |
| Bundle.entry[4].resource[0].intent[0] | order |
| Bundle.entry[4].resource[0].subject[0].type[0] | Patient |
| Bundle.entry[4].resource[0].subject[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/nric |
| Bundle.entry[4].resource[0].subject[0].identifier[0].value[0] | S9876543A |
| Bundle.entry[4].resource[0].occurrence[0] | 2026-02-06T09:30:00+08:00 |
| Bundle.entry[4].resource[0].requester[0].type[0] | Practitioner |
| Bundle.entry[4].resource[0].requester[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/mcr |
| Bundle.entry[4].resource[0].requester[0].identifier[0].value[0] | M12345 |
| Bundle.entry[4].resource[0].note[0].text[0] | Cardiac catheterization with coronary angiography ordered for further evaluation of chest pain and LVH. |
| Bundle.entry[5].fullUrl[0] | urn:uuid:c3d4e5f6-a7b8-4c9d-0e1f-2a3b4c5d6e7f |
| Bundle.entry[5].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-cr-diagnosticreport |
| Bundle.entry[5].resource[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/sequence-no |
| Bundle.entry[5].resource[0].identifier[0].value[0] | 1 |
| Bundle.entry[5].resource[0].status[0] | final |
| Bundle.entry[5].resource[0].category[0].coding[0].system[0] | http://terminology.hl7.org/CodeSystem/v2-0074 |
| Bundle.entry[5].resource[0].category[0].coding[0].code[0] | LAB |
| Bundle.entry[5].resource[0].category[0].coding[0].display[0] | Laboratory |
| Bundle.entry[5].resource[0].code[0].coding[0].system[0] | http://loinc.org |
| Bundle.entry[5].resource[0].code[0].coding[0].code[0] | 34552-0 |
| Bundle.entry[5].resource[0].code[0].coding[0].display[0] | Cardiac 2D echo panel |
| Bundle.entry[5].resource[0].effective[0] | 2026-02-06T09:30:00+08:00 |
| Bundle.entry[5].resource[0].performer[0].reference[0] | urn:uuid:3de873be-5476-42a5-acf1-4527d23d5a70 |
| Bundle.entry[5].resource[0].result[0].reference[0] | urn:uuid:a8b9c0d1-e2f3-4a4b-5c6d-7e8f9a0b1c2d |
| Bundle.entry[5].resource[0].result[1].reference[0] | urn:uuid:b9c0d1e2-f3a4-4b5c-6d7e-8f9a0b1c2d3e |
| Bundle.entry[5].resource[0].conclusion[0] | Echocardiogram shows mild concentric left ventricular hypertrophy. LVEF 57%. No significant valvular abnormalities. No pericardial effusion. |
| Bundle.entry[6].fullUrl[0] | urn:uuid:d4e5f6a7-b8c9-4d0e-1f2a-3b4c5d6e7f8a |
| Bundle.entry[6].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-cr-diagnosticreport |
| Bundle.entry[6].resource[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/sequence-no |
| Bundle.entry[6].resource[0].identifier[0].value[0] | 2 |
| Bundle.entry[6].resource[0].status[0] | final |
| Bundle.entry[6].resource[0].category[0].coding[0].system[0] | http://terminology.hl7.org/CodeSystem/v2-0074 |
| Bundle.entry[6].resource[0].category[0].coding[0].code[0] | LAB |
| Bundle.entry[6].resource[0].category[0].coding[0].display[0] | Laboratory |
| Bundle.entry[6].resource[0].code[0].coding[0].system[0] | http://loinc.org |
| Bundle.entry[6].resource[0].code[0].coding[0].code[0] | 18745-0 |
| Bundle.entry[6].resource[0].code[0].coding[0].display[0] | Cardiac catheterization study |
| Bundle.entry[6].resource[0].effective[0] | 2026-02-06T11:30:00+08:00 |
| Bundle.entry[6].resource[0].performer[0].reference[0] | urn:uuid:f0d1e2f3-a4b5-4c6d-7e8f-9a0b1c2d3e4f |
| Bundle.entry[6].resource[0].result[0].reference[0] | urn:uuid:c1e2f3a4-b5c6-4d7e-8f9a-0b1c2d3e4f5a |
| Bundle.entry[6].resource[0].conclusion[0] | Coronary angiography reveals 70% stenosis in proximal LAD. PCI with DES performed successfully. TIMI 3 flow post-intervention. RCA and LCx are normal. |
| Bundle.entry[7].fullUrl[0] | urn:uuid:e5f6a7b8-c9d0-4e1f-2a3b-4c5d6e7f8a9b |
| Bundle.entry[7].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-device |
| Bundle.entry[7].resource[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/device-serial |
| Bundle.entry[7].resource[0].identifier[0].value[0] | DES-2026-LAD-001 |
| Bundle.entry[7].resource[0].manufacturer[0] | Medtronic Cardiovascular |
| Bundle.entry[7].resource[0].expirationDate[0] | 2028-06-30 |
| Bundle.entry[7].resource[0].lotNumber[0] | LOT-DES-2026-078 |
| Bundle.entry[7].resource[0].category[0].coding[0].system[0] | http://hl7.org/fhir/device-category |
| Bundle.entry[7].resource[0].category[0].coding[0].code[0] | implantable |
| Bundle.entry[7].resource[0].category[0].coding[0].display[0] | Implantable |
| Bundle.entry[7].resource[0].type[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[7].resource[0].type[0].coding[0].code[0] | 360046005 |
| Bundle.entry[7].resource[0].type[0].coding[0].display[0] | Coronary artery stent |
| Bundle.entry[8].fullUrl[0] | urn:uuid:f6a7b8c9-d0e1-4f2a-3b4c-5d6e7f8a9b0c |
| Bundle.entry[8].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-medicationadministration |
| Bundle.entry[8].resource[0].status[0] | completed |
| Bundle.entry[8].resource[0].medication[0].concept[0].coding[0].system[0] | https://fhir.synapxe.sg/CodeSystem/med-code |
| Bundle.entry[8].resource[0].medication[0].concept[0].coding[0].code[0] | ASP100 |
| Bundle.entry[8].resource[0].medication[0].concept[0].coding[0].display[0] | Aspirin 100mg Oral Tablet |
| Bundle.entry[8].resource[0].subject[0].type[0] | Patient |
| Bundle.entry[8].resource[0].subject[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/nric |
| Bundle.entry[8].resource[0].subject[0].identifier[0].value[0] | S9876543A |
| Bundle.entry[8].resource[0].occurence[0] | 2026-02-06T10:00:00+08:00 |
| Bundle.entry[8].resource[0].performer[0].actor[0].reference[0].type[0] | Practitioner |
| Bundle.entry[8].resource[0].performer[0].actor[0].reference[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/mcr |
| Bundle.entry[8].resource[0].performer[0].actor[0].reference[0].identifier[0].value[0] | M12345 |
| Bundle.entry[8].resource[0].dosage[0].text[0] | 5000 IU IV bolus prior to catheterization |
| Bundle.entry[8].resource[0].dosage[0].route[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[8].resource[0].dosage[0].route[0].coding[0].code[0] | 47625008 |
| Bundle.entry[8].resource[0].dosage[0].route[0].coding[0].display[0] | Intravenous route |
| Bundle.entry[8].resource[0].dosage[0].dose[0].value[0] | 5000 |
| Bundle.entry[8].resource[0].dosage[0].dose[0].unit[0] | IU |
| Bundle.entry[8].resource[0].dosage[0].dose[0].system[0] | http://unitsofmeasure.org |
| Bundle.entry[8].resource[0].dosage[0].dose[0].code[0] | [iU] |
| Bundle.entry[9].fullUrl[0] | urn:uuid:3de873be-5476-42a5-acf1-4527d23d5a70 |
| Bundle.entry[9].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-practitionerrole |
| Bundle.entry[9].resource[0].practitioner[0].type[0] | Practitioner |
| Bundle.entry[9].resource[0].practitioner[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/mcr |
| Bundle.entry[9].resource[0].practitioner[0].identifier[0].value[0] | M12345 |
| Bundle.entry[9].resource[0].code[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[9].resource[0].code[0].coding[0].code[0] | 17561000 |
| Bundle.entry[9].resource[0].code[0].coding[0].display[0] | Cardiologist |
| Bundle.entry[10].fullUrl[0] | urn:uuid:f0d1e2f3-a4b5-4c6d-7e8f-9a0b1c2d3e4f |
| Bundle.entry[10].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-practitionerrole |
| Bundle.entry[10].resource[0].practitioner[0].type[0] | Practitioner |
| Bundle.entry[10].resource[0].practitioner[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/mcr |
| Bundle.entry[10].resource[0].practitioner[0].identifier[0].value[0] | M12345 |
| Bundle.entry[10].resource[0].code[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[10].resource[0].code[0].coding[0].code[0] | 17561000 |
| Bundle.entry[10].resource[0].code[0].coding[0].display[0] | Cardiologist |
| Bundle.entry[11].fullUrl[0] | urn:uuid:a8b9c0d1-e2f3-4a4b-5c6d-7e8f9a0b1c2d |
| Bundle.entry[11].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-cr-observation |
| Bundle.entry[11].resource[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/investigation-id |
| Bundle.entry[11].resource[0].identifier[0].value[0] | INV-LVEF-2026-001 |
| Bundle.entry[11].resource[0].identifier[1].system[0] | https://fhir.synapxe.sg/NamingSystem/sequence-no |
| Bundle.entry[11].resource[0].identifier[1].value[0] | 1 |
| Bundle.entry[11].resource[0].status[0] | final |
| Bundle.entry[11].resource[0].code[0].coding[0].system[0] | http://loinc.org |
| Bundle.entry[11].resource[0].code[0].coding[0].code[0] | 10230-1 |
| Bundle.entry[11].resource[0].code[0].coding[0].display[0] | Left ventricular Ejection fraction |
| Bundle.entry[11].resource[0].value[0].value[0] | 57 |
| Bundle.entry[11].resource[0].value[0].unit[0] | % |
| Bundle.entry[11].resource[0].value[0].system[0] | http://unitsofmeasure.org |
| Bundle.entry[11].resource[0].value[0].code[0] | % |
| Bundle.entry[11].resource[0].interpretation[0].coding[0].system[0] | http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation |
| Bundle.entry[11].resource[0].interpretation[0].coding[0].code[0] | N |
| Bundle.entry[11].resource[0].interpretation[0].coding[0].display[0] | Normal |
| Bundle.entry[11].resource[0].note[0].text[0] | LVEF within normal range. Mild concentric LVH present. |
| Bundle.entry[12].fullUrl[0] | urn:uuid:b9c0d1e2-f3a4-4b5c-6d7e-8f9a0b1c2d3e |
| Bundle.entry[12].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-cr-observation |
| Bundle.entry[12].resource[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/investigation-id |
| Bundle.entry[12].resource[0].identifier[0].value[0] | INV-WALL-2026-001 |
| Bundle.entry[12].resource[0].identifier[1].system[0] | https://fhir.synapxe.sg/NamingSystem/sequence-no |
| Bundle.entry[12].resource[0].identifier[1].value[0] | 2 |
| Bundle.entry[12].resource[0].status[0] | final |
| Bundle.entry[12].resource[0].code[0].coding[0].system[0] | http://loinc.org |
| Bundle.entry[12].resource[0].code[0].coding[0].code[0] | 29468-6 |
| Bundle.entry[12].resource[0].code[0].coding[0].display[0] | Interventricular septum Thickness during diastole by US.M-mode |
| Bundle.entry[12].resource[0].value[0].value[0] | 13 |
| Bundle.entry[12].resource[0].value[0].unit[0] | mm |
| Bundle.entry[12].resource[0].value[0].system[0] | http://unitsofmeasure.org |
| Bundle.entry[12].resource[0].value[0].code[0] | mm |
| Bundle.entry[12].resource[0].interpretation[0].coding[0].system[0] | http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation |
| Bundle.entry[12].resource[0].interpretation[0].coding[0].code[0] | H |
| Bundle.entry[12].resource[0].interpretation[0].coding[0].display[0] | High |
| Bundle.entry[12].resource[0].note[0].text[0] | Interventricular septum thickness is mildly increased suggesting concentric LVH. |
| Bundle.entry[13].fullUrl[0] | urn:uuid:c1e2f3a4-b5c6-4d7e-8f9a-0b1c2d3e4f5a |
| Bundle.entry[13].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-cr-observation |
| Bundle.entry[13].resource[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/investigation-id |
| Bundle.entry[13].resource[0].identifier[0].value[0] | INV-STEN-2026-001 |
| Bundle.entry[13].resource[0].identifier[1].system[0] | https://fhir.synapxe.sg/NamingSystem/sequence-no |
| Bundle.entry[13].resource[0].identifier[1].value[0] | 1 |
| Bundle.entry[13].resource[0].status[0] | final |
| Bundle.entry[13].resource[0].code[0].coding[0].system[0] | http://loinc.org |
| Bundle.entry[13].resource[0].code[0].coding[0].code[0] | LP94892-4 |
| Bundle.entry[13].resource[0].code[0].coding[0].display[0] | Coronary artery stenosis |
| Bundle.entry[13].resource[0].value[0] | 70% stenosis in proximal LAD |
| Bundle.entry[13].resource[0].interpretation[0].coding[0].system[0] | http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation |
| Bundle.entry[13].resource[0].interpretation[0].coding[0].code[0] | A |
| Bundle.entry[13].resource[0].interpretation[0].coding[0].display[0] | Abnormal |
| Bundle.entry[13].resource[0].note[0].text[0] | Significant stenosis identified in proximal LAD. Stenting performed. |
| Bundle.entry[14].fullUrl[0] | urn:uuid:9e1f3a5b-0c2d-4e4f-1a2b-3c4d5e6f7a8b |
| Bundle.entry[14].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-fileattachment |
| Bundle.entry[14].resource[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/sequence-no |
| Bundle.entry[14].resource[0].identifier[0].value[0] | SEQ-001 |
| Bundle.entry[14].resource[0].status[0] | current |
| Bundle.entry[14].resource[0].category[0].coding[0].system[0] | https://fhir.synapxe.sg/CodeSystem/attachment-category |
| Bundle.entry[14].resource[0].category[0].coding[0].code[0] | CAR |
| Bundle.entry[14].resource[0].category[0].coding[0].display[0] | Cardiology Report |
| Bundle.entry[14].resource[0].content[0].attachment[0].contentType[0] | application/pdf |
| Bundle.entry[14].resource[0].content[0].attachment[0].language[0] | en |
| Bundle.entry[14].resource[0].content[0].attachment[0].data[0] | VGhpcyBpcyBhIGJhc2U2NCBlbmNvZGVkIHBsYWNlaG9sZGVyIGZvciBESUNPTSBpbWFnZSBkYXRh |
| Bundle.entry[14].resource[0].content[0].attachment[0].size[0] | 1024 |
| Bundle.entry[14].resource[0].content[0].attachment[0].title[0] | Echocardiogram Images and Coronary Angiography |
| Bundle.entry[14].resource[0].content[0].attachment[0].creation[0] | 2026-02-06T09:30:00+08:00 |
{
{
{
}
},
{
}
},
{
}
],
}
],
"https://fhir.synapxe.sg/StructureDefinition/profile-bundle-cardiologyreport"
],
]
},
},
{
},
},
],
{
},
{
}
],
},
{
}
}
],
}
},
{
}
}
],
{
"text": "Patient presented with chest pain. Echocardiogram and cardiac catheterization performed. Mild left ventricular hypertrophy noted. Stent placed in LAD."
}
],
{
{
}
]
},
}
}
}
],
}
},
{
},
]
},
{
},
]
},
{
},
]
}
]
}
},
{
},
],
],
],
},
}
},
},
{
},
}
}
}
],
},
{
}
}
],
{
]
}
],
},
],
{
"text": "Echocardiogram completed. Mild concentric LVH noted. LVEF 57%. No significant valvular disease. Recommend cardiac catheterization for further evaluation."
}
]
}
},
{
},
],
],
{
]
}
],
],
},
}
},
},
{
},
}
}
}
],
},
{
]
}
}
],
{
{
}
]
}
],
},
],
{
{
}
]
}
}
],
{
{
}
]
}
],
{
"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."
}
],
{
{
}
]
},
}
}
],
]
}
},
{
},
}
},
}
},
]
}
},
{
},
}
},
}
},
{
"text": "Cardiac catheterization with coronary angiography ordered for further evaluation of chest pain and LVH."
}
]
}
},
{
},
],
{
{
}
]
}
],
]
},
],
{
},
{
}
],
"conclusion": "Echocardiogram shows mild concentric left ventricular hypertrophy. LVEF 57%. No significant valvular abnormalities. No pericardial effusion."
}
},
{
},
],
{
{
}
]
}
],
]
},
],
],
"conclusion": "Coronary angiography reveals 70% stenosis in proximal LAD. PCI with DES performed successfully. TIMI 3 flow post-intervention. RCA and LCx are normal."
}
},
{
},
],
{
{
}
]
}
],
{
]
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{
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