Example-BundleEDNotes

This shows an example ED notes.

Bundle
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-ednotes
Bundle.meta[0].tag[0].code[0]TTSH
Bundle.identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/record-id
Bundle.identifier[0].value[0]ED-BUNDLE-2026-03-19-001
Bundle.type[0]document
Bundle.timestamp[0]2026-03-19T11:45:00+08:00
Bundle.entry[0].fullUrl[0]da2ece09-fd25-45ed-a527-a16686c221c7
Bundle.entry[0].resource[0].id[0]ednotes-composition-ed-002
Bundle.entry[0].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-ednotes
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 ED Notes</div>
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]ED-REC-2026-02001
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]ED-ACC-2026-02001
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]15507-7
Bundle.entry[0].resource[0].type[0].coding[0].display[0]Emergency department Progress 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]S5432109C
Bundle.entry[0].resource[0].encounter[0].reference[0]520963e9-1e27-4841-aa7f-8ab58587b3a8
Bundle.entry[0].resource[0].date[0]2026-03-19T11:45:00+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]M67890
Bundle.entry[0].resource[0].title[0]Emergency Department (ED) Notes
Bundle.entry[0].resource[0].note[0].text[0]Patient presented with acute asthma exacerbation. Treated with nebulised salbutamol and ipratropium, IV methylprednisolone. Improved significantly. Discharged on oral steroids and increased inhaler therapy.
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]TTSH
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]9269-2
Bundle.entry[0].resource[0].section[0].code[0].coding[0].display[0]Glasgow coma score total
Bundle.entry[0].resource[0].section[0].entry[0].reference[0]7af10323-0be2-435c-ab1a-949db7baf859
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]8716-3
Bundle.entry[0].resource[0].section[1].code[0].coding[0].display[0]Vital signs
Bundle.entry[0].resource[0].section[1].entry[0].reference[0]c8122627-20d4-4de4-a2dd-6d6720465d4b
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]29549-3
Bundle.entry[0].resource[0].section[2].code[0].coding[0].display[0]Medication administered Narrative
Bundle.entry[0].resource[0].section[2].entry[0].reference[0]7dbf99d7-96d3-4058-87d5-73bd35efff94
Bundle.entry[0].resource[0].section[3].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[0].resource[0].section[3].code[0].coding[0].code[0]75311-1
Bundle.entry[0].resource[0].section[3].code[0].coding[0].display[0]Discharge medications note
Bundle.entry[0].resource[0].section[3].entry[0].reference[0]32f085df-a190-4fe0-b2e8-1d81aad2b0d6
Bundle.entry[0].resource[0].section[4].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[0].resource[0].section[4].code[0].coding[0].code[0]10183-2
Bundle.entry[0].resource[0].section[4].code[0].coding[0].display[0]Hospital discharge medications Narrative
Bundle.entry[0].resource[0].section[4].entry[0].reference[0]1794c895-4ae6-4a2c-ac61-a71bbd33f09f
Bundle.entry[0].resource[0].section[5].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[0].resource[0].section[5].code[0].coding[0].code[0]47519-4
Bundle.entry[0].resource[0].section[5].code[0].coding[0].display[0]History of Procedures Document
Bundle.entry[0].resource[0].section[5].entry[0].reference[0]c9b86bf1-6df0-4a25-b196-3e142c67dc90
Bundle.entry[0].resource[0].section[6].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[0].resource[0].section[6].code[0].coding[0].code[0]48765-2
Bundle.entry[0].resource[0].section[6].code[0].coding[0].display[0]Allergies and adverse reactions Document
Bundle.entry[0].resource[0].section[6].entry[0].reference[0]f3831e19-ff59-44c8-bc74-810ba1884f17
Bundle.entry[0].resource[0].section[7].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[0].resource[0].section[7].code[0].coding[0].code[0]75310-3
Bundle.entry[0].resource[0].section[7].code[0].coding[0].display[0]Health concerns Document
Bundle.entry[0].resource[0].section[7].entry[0].reference[0]7f009bb1-e902-4482-8698-bbd0e41642ec
Bundle.entry[0].resource[0].section[8].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[0].resource[0].section[8].code[0].coding[0].code[0]54094-8
Bundle.entry[0].resource[0].section[8].code[0].coding[0].display[0]ED Triage note
Bundle.entry[0].resource[0].section[8].entry[0].reference[0]b48a2948-46e0-40ea-9e4b-c60ed0192747
Bundle.entry[0].resource[0].section[9].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[0].resource[0].section[9].code[0].coding[0].code[0]51846-4
Bundle.entry[0].resource[0].section[9].code[0].coding[0].display[0]ED Consultation note
Bundle.entry[0].resource[0].section[9].entry[0].reference[0]ec48f24c-99e9-431e-9564-fe662e409fe1
Bundle.entry[0].resource[0].section[10].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[0].resource[0].section[10].code[0].coding[0].code[0]103595-5
Bundle.entry[0].resource[0].section[10].code[0].coding[0].display[0]Certificate of Medical Necessity
Bundle.entry[0].resource[0].section[10].entry[0].reference[0]93a2262c-f63f-455b-af21-6ccf33657880
Bundle.entry[0].resource[0].section[11].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[0].resource[0].section[11].code[0].coding[0].code[0]28570-0
Bundle.entry[0].resource[0].section[11].code[0].coding[0].display[0]Procedure note
Bundle.entry[0].resource[0].section[11].entry[0].reference[0]026bad01-f15e-4571-a395-81d50a55fc1b
Bundle.entry[1].fullUrl[0]520963e9-1e27-4841-aa7f-8ab58587b3a8
Bundle.entry[1].resource[0].id[0]edvisit-encounter-ed-002
Bundle.entry[1].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-edvisit
Bundle.entry[1].resource[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/record-id
Bundle.entry[1].resource[0].identifier[0].value[0]ED-ENC-2026-02001
Bundle.entry[1].resource[0].identifier[1].system[0]https://fhir.synapxe.sg/NamingSystem/ed-ref-no
Bundle.entry[1].resource[0].identifier[1].value[0]EDREF-2026-02001
Bundle.entry[1].resource[0].status[0]completed
Bundle.entry[1].resource[0].class[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/patient-type
Bundle.entry[1].resource[0].class[0].coding[0].code[0]EMER
Bundle.entry[1].resource[0].class[0].coding[0].display[0]Emergency
Bundle.entry[1].resource[0].participant[0].type[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/edvisit-participant-type
Bundle.entry[1].resource[0].participant[0].type[0].coding[0].code[0]triage
Bundle.entry[1].resource[0].participant[0].type[0].coding[0].display[0]Triage
Bundle.entry[1].resource[0].participant[0].period[0].start[0]2026-03-19T10:00:00+08:00
Bundle.entry[1].resource[0].participant[0].period[0].end[0]2026-03-19T10:15:00+08:00
Bundle.entry[1].resource[0].participant[0].actor[0].type[0]Practitioner
Bundle.entry[1].resource[0].participant[0].actor[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/mcr-no
Bundle.entry[1].resource[0].participant[0].actor[0].identifier[0].value[0]N45678
Bundle.entry[1].resource[0].participant[0].actor[0].display[0]Nurse Mary Lim
Bundle.entry[1].resource[0].participant[1].type[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/edvisit-participant-type
Bundle.entry[1].resource[0].participant[1].type[0].coding[0].code[0]consultation
Bundle.entry[1].resource[0].participant[1].type[0].coding[0].display[0]Consultation
Bundle.entry[1].resource[0].participant[1].period[0].start[0]2026-03-19T10:15:00+08:00
Bundle.entry[1].resource[0].participant[1].period[0].end[0]2026-03-19T11:45:00+08:00
Bundle.entry[1].resource[0].participant[1].actor[0].type[0]Practitioner
Bundle.entry[1].resource[0].participant[1].actor[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/mcr-no
Bundle.entry[1].resource[0].participant[1].actor[0].identifier[0].value[0]M67890
Bundle.entry[1].resource[0].participant[1].actor[0].display[0]Dr. Wei Lin
Bundle.entry[1].resource[0].actualPeriod[0].start[0]2026-03-19T10:00:00+08:00
Bundle.entry[1].resource[0].actualPeriod[0].end[0]2026-03-19T11:45:00+08:00
Bundle.entry[1].resource[0].reason[0].use[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/edvisit-reason-type
Bundle.entry[1].resource[0].reason[0].use[0].coding[0].code[0]emergency
Bundle.entry[1].resource[0].reason[0].use[0].coding[0].display[0]Emergency
Bundle.entry[1].resource[0].reason[0].value[0].concept[0].text[0]Chest pain radiating to left arm for 30 minutes
Bundle.entry[1].resource[0].diagnosis[0].condition[0].concept[0].text[0]Acute coronary syndrome - non-ST elevation
Bundle.entry[1].resource[0].diagnosis[0].use[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/edvisit-condition-type
Bundle.entry[1].resource[0].diagnosis[0].use[0].coding[0].code[0]principal
Bundle.entry[1].resource[0].diagnosis[0].use[0].coding[0].display[0]Principal Diagnosis
Bundle.entry[1].resource[0].diagnosis[1].condition[0].concept[0].text[0]Essential hypertension
Bundle.entry[1].resource[0].diagnosis[1].use[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/edvisit-condition-type
Bundle.entry[1].resource[0].diagnosis[1].use[0].coding[0].code[0]secondary
Bundle.entry[1].resource[0].diagnosis[1].use[0].coding[0].display[0]Secondary Diagnosis
Bundle.entry[1].resource[0].admission[0].admitSource[0].text[0]Self-referred / Walk-in
Bundle.entry[1].resource[0].admission[0].dischargeDisposition[0].extension[0].extension[0].url[0]use
Bundle.entry[1].resource[0].admission[0].dischargeDisposition[0].extension[0].extension[0].value[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/discharge-disposition-use
Bundle.entry[1].resource[0].admission[0].dischargeDisposition[0].extension[0].extension[0].value[0].coding[0].code[0]principal
Bundle.entry[1].resource[0].admission[0].dischargeDisposition[0].extension[0].extension[0].value[0].coding[0].display[0]Principal Disposition
Bundle.entry[1].resource[0].admission[0].dischargeDisposition[0].extension[0].extension[1].url[0]code
Bundle.entry[1].resource[0].admission[0].dischargeDisposition[0].extension[0].extension[1].value[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/discharge-disposition-type
Bundle.entry[1].resource[0].admission[0].dischargeDisposition[0].extension[0].extension[1].value[0].coding[0].code[0]02
Bundle.entry[1].resource[0].admission[0].dischargeDisposition[0].extension[0].extension[1].value[0].coding[0].display[0]Cancelled After Triage
Bundle.entry[1].resource[0].admission[0].dischargeDisposition[0].extension[0].url[0]https://fhir.synapxe.sg/StructureDefinition/ext-ed-disposition
Bundle.entry[1].resource[0].admission[0].dischargeDisposition[0].extension[1].url[0]https://fhir.synapxe.sg/StructureDefinition/ext-ed-dischargeAdvice
Bundle.entry[1].resource[0].admission[0].dischargeDisposition[0].extension[1].value[0]Return immediately if chest pain recurs, worsens, or is accompanied by shortness of breath, dizziness, or sweating.
Bundle.entry[1].resource[0].admission[0].dischargeDisposition[0].text[0]Patient is well
Bundle.entry[2].fullUrl[0]7af10323-0be2-435c-ab1a-949db7baf859
Bundle.entry[2].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-observation
Bundle.entry[2].resource[0].status[0]final
Bundle.entry[2].resource[0].category[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/observation-category
Bundle.entry[2].resource[0].category[0].coding[0].code[0]survey
Bundle.entry[2].resource[0].category[0].coding[0].display[0]Survey
Bundle.entry[2].resource[0].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[2].resource[0].code[0].coding[0].code[0]9269-2
Bundle.entry[2].resource[0].code[0].coding[0].display[0]Glasgow coma score total
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]S5432109C
Bundle.entry[2].resource[0].effective[0]2026-03-19T10:10:00+08:00
Bundle.entry[2].resource[0].value[0].value[0]15
Bundle.entry[2].resource[0].value[0].unit[0]score
Bundle.entry[2].resource[0].value[0].system[0]http://unitsofmeasure.org
Bundle.entry[2].resource[0].value[0].code[0]{score}
Bundle.entry[2].resource[0].component[0].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[2].resource[0].component[0].code[0].coding[0].code[0]9268-4
Bundle.entry[2].resource[0].component[0].code[0].coding[0].display[0]Glasgow coma score motor
Bundle.entry[2].resource[0].component[0].value[0].value[0]6
Bundle.entry[2].resource[0].component[0].value[0].unit[0]score
Bundle.entry[2].resource[0].component[0].value[0].system[0]http://unitsofmeasure.org
Bundle.entry[2].resource[0].component[0].value[0].code[0]{score}
Bundle.entry[2].resource[0].component[1].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[2].resource[0].component[1].code[0].coding[0].code[0]9270-0
Bundle.entry[2].resource[0].component[1].code[0].coding[0].display[0]Glasgow coma score verbal
Bundle.entry[2].resource[0].component[1].value[0].value[0]5
Bundle.entry[2].resource[0].component[1].value[0].unit[0]score
Bundle.entry[2].resource[0].component[1].value[0].system[0]http://unitsofmeasure.org
Bundle.entry[2].resource[0].component[1].value[0].code[0]{score}
Bundle.entry[2].resource[0].component[2].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[2].resource[0].component[2].code[0].coding[0].code[0]9267-6
Bundle.entry[2].resource[0].component[2].code[0].coding[0].display[0]Glasgow coma score eye opening
Bundle.entry[2].resource[0].component[2].value[0].value[0]4
Bundle.entry[2].resource[0].component[2].value[0].unit[0]score
Bundle.entry[2].resource[0].component[2].value[0].system[0]http://unitsofmeasure.org
Bundle.entry[2].resource[0].component[2].value[0].code[0]{score}
Bundle.entry[3].fullUrl[0]c8122627-20d4-4de4-a2dd-6d6720465d4b
Bundle.entry[3].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-observation
Bundle.entry[3].resource[0].status[0]final
Bundle.entry[3].resource[0].category[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/observation-category
Bundle.entry[3].resource[0].category[0].coding[0].code[0]vital-signs
Bundle.entry[3].resource[0].category[0].coding[0].display[0]Vital Signs
Bundle.entry[3].resource[0].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[3].resource[0].code[0].coding[0].code[0]85354-9
Bundle.entry[3].resource[0].code[0].coding[0].display[0]Blood pressure panel with all children optional
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]S5432109C
Bundle.entry[3].resource[0].effective[0]2026-03-19T10:05:00+08:00
Bundle.entry[3].resource[0].component[0].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[3].resource[0].component[0].code[0].coding[0].code[0]8480-6
Bundle.entry[3].resource[0].component[0].code[0].coding[0].display[0]Systolic blood pressure
Bundle.entry[3].resource[0].component[0].value[0].value[0]145
Bundle.entry[3].resource[0].component[0].value[0].unit[0]mmHg
Bundle.entry[3].resource[0].component[0].value[0].system[0]http://unitsofmeasure.org
Bundle.entry[3].resource[0].component[0].value[0].code[0]mm[Hg]
Bundle.entry[3].resource[0].component[1].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[3].resource[0].component[1].code[0].coding[0].code[0]8462-4
Bundle.entry[3].resource[0].component[1].code[0].coding[0].display[0]Diastolic blood pressure
Bundle.entry[3].resource[0].component[1].value[0].value[0]92
Bundle.entry[3].resource[0].component[1].value[0].unit[0]mmHg
Bundle.entry[3].resource[0].component[1].value[0].system[0]http://unitsofmeasure.org
Bundle.entry[3].resource[0].component[1].value[0].code[0]mm[Hg]
Bundle.entry[4].fullUrl[0]7dbf99d7-96d3-4058-87d5-73bd35efff94
Bundle.entry[4].resource[0].id[0]medicationadministration-ed-001
Bundle.entry[4].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-ed-medicationadministration
Bundle.entry[4].resource[0].contained[0].id[0]medrequest-ed-medication-001
Bundle.entry[4].resource[0].contained[0].status[0]active
Bundle.entry[4].resource[0].contained[0].intent[0]order
Bundle.entry[4].resource[0].contained[0].medication[0].concept[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/med-code
Bundle.entry[4].resource[0].contained[0].medication[0].concept[0].coding[0].code[0]SALB5
Bundle.entry[4].resource[0].contained[0].medication[0].concept[0].coding[0].display[0]Salbutamol 5mg/mL Nebuliser Solution
Bundle.entry[4].resource[0].contained[0].subject[0].type[0]Patient
Bundle.entry[4].resource[0].contained[0].subject[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/nric
Bundle.entry[4].resource[0].contained[0].subject[0].identifier[0].value[0]S5432109C
Bundle.entry[4].resource[0].contained[0].authoredOn[0]2026-03-19T10:00:00+08:00
Bundle.entry[4].resource[0].contained[0].requester[0].type[0]Practitioner
Bundle.entry[4].resource[0].contained[0].requester[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/mcr
Bundle.entry[4].resource[0].contained[0].requester[0].identifier[0].value[0]M67890
Bundle.entry[4].resource[0].contained[0].dosageInstruction[0].sequence[0]1
Bundle.entry[4].resource[0].contained[0].dosageInstruction[0].route[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[4].resource[0].contained[0].dosageInstruction[0].route[0].coding[0].code[0]47625008
Bundle.entry[4].resource[0].contained[0].dosageInstruction[0].route[0].coding[0].display[0]Inhalation
Bundle.entry[4].resource[0].contained[0].dosageInstruction[0].doseAndRate[0].dose[0].value[0]5
Bundle.entry[4].resource[0].contained[0].dosageInstruction[0].doseAndRate[0].dose[0].unit[0]mg
Bundle.entry[4].resource[0].contained[0].dosageInstruction[0].doseAndRate[0].dose[0].system[0]http://unitsofmeasure.org
Bundle.entry[4].resource[0].contained[0].dosageInstruction[0].doseAndRate[0].dose[0].code[0]{mg}
Bundle.entry[4].resource[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/sequence-no
Bundle.entry[4].resource[0].identifier[0].value[0]SEQ-ED-MED-001
Bundle.entry[4].resource[0].status[0]completed
Bundle.entry[4].resource[0].category[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/medicationadministration-type
Bundle.entry[4].resource[0].category[0].coding[0].code[0]medication
Bundle.entry[4].resource[0].category[0].coding[0].display[0]Medication
Bundle.entry[4].resource[0].medication[0].concept[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/med-code
Bundle.entry[4].resource[0].medication[0].concept[0].coding[0].code[0]SALB5
Bundle.entry[4].resource[0].medication[0].concept[0].coding[0].display[0]Salbutamol 5mg/mL Nebuliser Solution
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]S5432109C
Bundle.entry[4].resource[0].occurence[0]2026-03-19T10:02:00+08:00
Bundle.entry[4].resource[0].performer[0].function[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/med-admin-perform-function
Bundle.entry[4].resource[0].performer[0].function[0].coding[0].code[0]performer
Bundle.entry[4].resource[0].performer[0].function[0].coding[0].display[0]Performer
Bundle.entry[4].resource[0].performer[0].actor[0].reference[0].type[0]Practitioner
Bundle.entry[4].resource[0].performer[0].actor[0].reference[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/snb
Bundle.entry[4].resource[0].performer[0].actor[0].reference[0].identifier[0].value[0]N45678
Bundle.entry[4].resource[0].performer[0].actor[0].reference[0].display[0]Nurse Mary Lim
Bundle.entry[4].resource[0].performer[1].function[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/med-admin-perform-function
Bundle.entry[4].resource[0].performer[1].function[0].coding[0].code[0]verifier
Bundle.entry[4].resource[0].performer[1].function[0].coding[0].display[0]Verifier
Bundle.entry[4].resource[0].performer[1].actor[0].reference[0].type[0]Practitioner
Bundle.entry[4].resource[0].performer[1].actor[0].reference[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/mcr
Bundle.entry[4].resource[0].performer[1].actor[0].reference[0].identifier[0].value[0]M67890
Bundle.entry[4].resource[0].performer[1].actor[0].reference[0].display[0]Dr. Wei Lin
Bundle.entry[4].resource[0].request[0].reference[0]#medrequest-ed-medication-001
Bundle.entry[5].fullUrl[0]32f085df-a190-4fe0-b2e8-1d81aad2b0d6
Bundle.entry[5].resource[0].id[0]medicationadministration-ed-infusion-001
Bundle.entry[5].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-ed-medicationadministration
Bundle.entry[5].resource[0].contained[0].id[0]medrequest-ed-medication-001
Bundle.entry[5].resource[0].contained[0].status[0]active
Bundle.entry[5].resource[0].contained[0].intent[0]order
Bundle.entry[5].resource[0].contained[0].medication[0].concept[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/med-code
Bundle.entry[5].resource[0].contained[0].medication[0].concept[0].coding[0].code[0]IPRA500
Bundle.entry[5].resource[0].contained[0].medication[0].concept[0].coding[0].display[0]Ipratropium Bromide 500mcg/mL Nebuliser Solution
Bundle.entry[5].resource[0].contained[0].subject[0].type[0]Patient
Bundle.entry[5].resource[0].contained[0].subject[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/nric
Bundle.entry[5].resource[0].contained[0].subject[0].identifier[0].value[0]S5432109C
Bundle.entry[5].resource[0].contained[0].authoredOn[0]2026-03-19T10:00:00+08:00
Bundle.entry[5].resource[0].contained[0].requester[0].type[0]Practitioner
Bundle.entry[5].resource[0].contained[0].requester[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/mcr
Bundle.entry[5].resource[0].contained[0].requester[0].identifier[0].value[0]M67890
Bundle.entry[5].resource[0].contained[0].dosageInstruction[0].sequence[0]1
Bundle.entry[5].resource[0].contained[0].dosageInstruction[0].route[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[5].resource[0].contained[0].dosageInstruction[0].route[0].coding[0].code[0]47625008
Bundle.entry[5].resource[0].contained[0].dosageInstruction[0].route[0].coding[0].display[0]Inhalation
Bundle.entry[5].resource[0].contained[0].dosageInstruction[0].doseAndRate[0].dose[0].value[0]500
Bundle.entry[5].resource[0].contained[0].dosageInstruction[0].doseAndRate[0].dose[0].unit[0]μg
Bundle.entry[5].resource[0].contained[0].dosageInstruction[0].doseAndRate[0].dose[0].system[0]http://unitsofmeasure.org
Bundle.entry[5].resource[0].contained[0].dosageInstruction[0].doseAndRate[0].dose[0].code[0]μg
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]SEQ-ED-INF-001
Bundle.entry[5].resource[0].status[0]completed
Bundle.entry[5].resource[0].category[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/medicationadministration-type
Bundle.entry[5].resource[0].category[0].coding[0].code[0]infusion
Bundle.entry[5].resource[0].category[0].coding[0].display[0]Infusion
Bundle.entry[5].resource[0].medication[0].concept[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/med-code
Bundle.entry[5].resource[0].medication[0].concept[0].coding[0].code[0]IPRA500
Bundle.entry[5].resource[0].medication[0].concept[0].coding[0].display[0]Ipratropium Bromide 500mcg/mL Nebuliser Solution
Bundle.entry[5].resource[0].subject[0].type[0]Patient
Bundle.entry[5].resource[0].subject[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/nric
Bundle.entry[5].resource[0].subject[0].identifier[0].value[0]S5432109C
Bundle.entry[5].resource[0].occurence[0]2026-03-19T10:07:00+08:00
Bundle.entry[5].resource[0].performer[0].function[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/med-admin-perform-function
Bundle.entry[5].resource[0].performer[0].function[0].coding[0].code[0]performer
Bundle.entry[5].resource[0].performer[0].function[0].coding[0].display[0]Performer
Bundle.entry[5].resource[0].performer[0].actor[0].reference[0].type[0]Practitioner
Bundle.entry[5].resource[0].performer[0].actor[0].reference[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/snb
Bundle.entry[5].resource[0].performer[0].actor[0].reference[0].identifier[0].value[0]N45678
Bundle.entry[5].resource[0].performer[0].actor[0].reference[0].display[0]Nurse Mary Lim
Bundle.entry[5].resource[0].performer[1].function[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/med-admin-perform-function
Bundle.entry[5].resource[0].performer[1].function[0].coding[0].code[0]verifier
Bundle.entry[5].resource[0].performer[1].function[0].coding[0].display[0]Verifier
Bundle.entry[5].resource[0].performer[1].actor[0].reference[0].type[0]Practitioner
Bundle.entry[5].resource[0].performer[1].actor[0].reference[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/mcr
Bundle.entry[5].resource[0].performer[1].actor[0].reference[0].identifier[0].value[0]M67890
Bundle.entry[5].resource[0].performer[1].actor[0].reference[0].display[0]Dr. Wei Lin
Bundle.entry[5].resource[0].request[0].reference[0]#medrequest-ed-medication-001
Bundle.entry[6].fullUrl[0]1794c895-4ae6-4a2c-ac61-a71bbd33f09f
Bundle.entry[6].resource[0].id[0]medicationrequest-ed-prescription-001
Bundle.entry[6].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-ed-prescriptionorder
Bundle.entry[6].resource[0].status[0]active
Bundle.entry[6].resource[0].intent[0]order
Bundle.entry[6].resource[0].category[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/order-type
Bundle.entry[6].resource[0].category[0].coding[0].code[0]prescription
Bundle.entry[6].resource[0].category[0].coding[0].display[0]Prescription
Bundle.entry[6].resource[0].medication[0].concept[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/med-code
Bundle.entry[6].resource[0].medication[0].concept[0].coding[0].code[0]SALB100
Bundle.entry[6].resource[0].medication[0].concept[0].coding[0].display[0]Salbutamol 100mcg Aerosol Inhaler (MDI)
Bundle.entry[6].resource[0].subject[0].type[0]Patient
Bundle.entry[6].resource[0].subject[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/nric
Bundle.entry[6].resource[0].subject[0].identifier[0].value[0]S5432109C
Bundle.entry[6].resource[0].authoredOn[0]2026-03-19T11:30:00+08:00
Bundle.entry[6].resource[0].requester[0].type[0]Practitioner
Bundle.entry[6].resource[0].requester[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/mcr-no
Bundle.entry[6].resource[0].requester[0].identifier[0].value[0]M67890
Bundle.entry[6].resource[0].dosageInstruction[0].sequence[0]1
Bundle.entry[6].resource[0].dosageInstruction[0].timing[0].repeat[0].frequency[0]4
Bundle.entry[6].resource[0].dosageInstruction[0].timing[0].repeat[0].period[0]1
Bundle.entry[6].resource[0].dosageInstruction[0].timing[0].repeat[0].periodUnit[0]d
Bundle.entry[6].resource[0].dosageInstruction[0].timing[0].code[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation
Bundle.entry[6].resource[0].dosageInstruction[0].timing[0].code[0].coding[0].code[0]QID
Bundle.entry[6].resource[0].dosageInstruction[0].timing[0].code[0].coding[0].display[0]four times a day
Bundle.entry[6].resource[0].dosageInstruction[0].asNeededFor[0].text[0]Shortness of breath
Bundle.entry[6].resource[0].dosageInstruction[0].route[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[6].resource[0].dosageInstruction[0].route[0].coding[0].code[0]47625008
Bundle.entry[6].resource[0].dosageInstruction[0].route[0].coding[0].display[0]Inhalation
Bundle.entry[6].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].value[0]2
Bundle.entry[6].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].unit[0]puff
Bundle.entry[6].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].system[0]http://unitsofmeasure.org
Bundle.entry[6].resource[0].dosageInstruction[0].doseAndRate[0].dose[0].code[0]{puff}
Bundle.entry[7].fullUrl[0]c9b86bf1-6df0-4a25-b196-3e142c67dc90
Bundle.entry[7].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-ed-procedure
Bundle.entry[7].resource[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/procedure-id
Bundle.entry[7].resource[0].identifier[0].value[0]ED-PROC-2026-00456
Bundle.entry[7].resource[0].status[0]completed
Bundle.entry[7].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[7].resource[0].code[0].coding[0].code[0]71000-1
Bundle.entry[7].resource[0].code[0].coding[0].display[0]Chest X-ray
Bundle.entry[7].resource[0].subject[0].type[0]Patient
Bundle.entry[7].resource[0].subject[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/nric
Bundle.entry[7].resource[0].subject[0].identifier[0].value[0]S5432109C
Bundle.entry[8].fullUrl[0]0987452c-14c1-4f64-9ce1-62141e0b7dfd
Bundle.entry[8].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-ed-stepProcedure
Bundle.entry[8].resource[0].partOf[0].reference[0]c9b86bf1-6df0-4a25-b196-3e142c67dc90
Bundle.entry[8].resource[0].status[0]completed
Bundle.entry[8].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[8].resource[0].code[0].coding[0].code[0]397740003
Bundle.entry[8].resource[0].code[0].coding[0].display[0]Prepare patient for electrocardiogram
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]S5432109C
Bundle.entry[8].resource[0].occurrence[0]2026-03-19T10:15:00+08:00
Bundle.entry[8].resource[0].note[0].text[0]Patient was prepared for chest X-ray by removing upper body clothing and providing a gown to wear.
Bundle.entry[9].fullUrl[0]bfa12881-556f-4257-bb5a-a0167e7def6a
Bundle.entry[9].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-ed-stepProcedure
Bundle.entry[9].resource[0].partOf[0].reference[0]c9b86bf1-6df0-4a25-b196-3e142c67dc90
Bundle.entry[9].resource[0].status[0]completed
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]252465000
Bundle.entry[9].resource[0].code[0].coding[0].display[0]Pulse oximetry
Bundle.entry[9].resource[0].subject[0].type[0]Patient
Bundle.entry[9].resource[0].subject[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/nric
Bundle.entry[9].resource[0].subject[0].identifier[0].value[0]S5432109C
Bundle.entry[9].resource[0].occurrence[0].start[0]2026-03-19T10:05:00+08:00
Bundle.entry[9].resource[0].occurrence[0].end[0]2026-03-19T11:45:00+08:00
Bundle.entry[9].resource[0].note[0].text[0]Pulse oximetry was performed to monitor oxygen saturation levels during the ED visit.
Bundle.entry[10].fullUrl[0]f3831e19-ff59-44c8-bc74-810ba1884f17
Bundle.entry[10].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-allergyintolerance
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]387458008
Bundle.entry[10].resource[0].code[0].coding[0].display[0]Aspirin
Bundle.entry[10].resource[0].patient[0].type[0]Patient
Bundle.entry[10].resource[0].patient[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/nric
Bundle.entry[10].resource[0].patient[0].identifier[0].value[0]S5432109C
Bundle.entry[11].fullUrl[0]7f009bb1-e902-4482-8698-bbd0e41642ec
Bundle.entry[11].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-flag
Bundle.entry[11].resource[0].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/artifact-description
Bundle.entry[11].resource[0].extension[0].value[0]Flag for history of myocardial infarction to alert clinicians of increased cardiovascular risk during ED visit.
Bundle.entry[11].resource[0].status[0]active
Bundle.entry[11].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[11].resource[0].code[0].coding[0].code[0]161663000
Bundle.entry[11].resource[0].code[0].coding[0].display[0]History of myocardial infarction
Bundle.entry[11].resource[0].subject[0].type[0]Patient
Bundle.entry[11].resource[0].subject[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/nric
Bundle.entry[11].resource[0].subject[0].identifier[0].value[0]S5432109C
Bundle.entry[12].fullUrl[0]b48a2948-46e0-40ea-9e4b-c60ed0192747
Bundle.entry[12].resource[0].id[0]observation-triage-001
Bundle.entry[12].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-observation
Bundle.entry[12].resource[0].status[0]final
Bundle.entry[12].resource[0].category[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/observation-category
Bundle.entry[12].resource[0].category[0].coding[0].code[0]survey
Bundle.entry[12].resource[0].category[0].coding[0].display[0]Survey
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]95606-1
Bundle.entry[12].resource[0].code[0].coding[0].display[0]Triage assessment note
Bundle.entry[12].resource[0].subject[0].type[0]Patient
Bundle.entry[12].resource[0].subject[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/nric
Bundle.entry[12].resource[0].subject[0].identifier[0].value[0]S5432109C
Bundle.entry[12].resource[0].effective[0]2026-03-19T10:02:00+08:00
Bundle.entry[12].resource[0].performer[0].type[0]Organization
Bundle.entry[12].resource[0].performer[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/hci-code
Bundle.entry[12].resource[0].performer[0].identifier[0].value[0]TTSH
Bundle.entry[12].resource[0].performer[0].display[0]TTSH ED
Bundle.entry[12].resource[0].value[0]Chief complaint: Shortness of breath; Pain severity: 7/10; Associated symptoms: Wheezing, chest tightness; Triage category: P2 - Emergency
Bundle.entry[12].resource[0].component[0].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[12].resource[0].component[0].code[0].coding[0].code[0]8716-3
Bundle.entry[12].resource[0].component[0].code[0].coding[0].display[0]Vital signs
Bundle.entry[12].resource[0].component[0].value[0]BP 135/88, HR 102, RR 24, SpO2 92% on RA, Temperature 37.2°C
Bundle.entry[12].resource[0].component[1].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[12].resource[0].component[1].code[0].coding[0].code[0]103357003
Bundle.entry[12].resource[0].component[1].code[0].coding[0].display[0]Urgency category
Bundle.entry[12].resource[0].component[1].value[0]Emergency (P2)
Bundle.entry[13].fullUrl[0]ec48f24c-99e9-431e-9564-fe662e409fe1
Bundle.entry[13].resource[0].id[0]observation-consultation-001
Bundle.entry[13].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-observation
Bundle.entry[13].resource[0].status[0]final
Bundle.entry[13].resource[0].category[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/observation-category
Bundle.entry[13].resource[0].category[0].coding[0].code[0]exam
Bundle.entry[13].resource[0].category[0].coding[0].display[0]Exam
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]29545-1
Bundle.entry[13].resource[0].code[0].coding[0].display[0]Physical examination note
Bundle.entry[13].resource[0].subject[0].type[0]Patient
Bundle.entry[13].resource[0].subject[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/nric
Bundle.entry[13].resource[0].subject[0].identifier[0].value[0]S5432109C
Bundle.entry[13].resource[0].effective[0]2026-03-19T10:25:00+08:00
Bundle.entry[13].resource[0].performer[0].type[0]Organization
Bundle.entry[13].resource[0].performer[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/hci-code
Bundle.entry[13].resource[0].performer[0].identifier[0].value[0]TTSH
Bundle.entry[13].resource[0].performer[0].display[0]TTSH ED
Bundle.entry[13].resource[0].value[0]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.
Bundle.entry[13].resource[0].component[0].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[13].resource[0].component[0].code[0].coding[0].code[0]8480-6
Bundle.entry[13].resource[0].component[0].code[0].coding[0].display[0]Systolic blood pressure
Bundle.entry[13].resource[0].component[0].value[0].value[0]135
Bundle.entry[13].resource[0].component[0].value[0].unit[0]mmHg
Bundle.entry[13].resource[0].component[0].value[0].system[0]http://unitsofmeasure.org
Bundle.entry[13].resource[0].component[0].value[0].code[0]mm[Hg]
Bundle.entry[13].resource[0].component[1].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[13].resource[0].component[1].code[0].coding[0].code[0]8462-4
Bundle.entry[13].resource[0].component[1].code[0].coding[0].display[0]Diastolic blood pressure
Bundle.entry[13].resource[0].component[1].value[0].value[0]88
Bundle.entry[13].resource[0].component[1].value[0].unit[0]mmHg
Bundle.entry[13].resource[0].component[1].value[0].system[0]http://unitsofmeasure.org
Bundle.entry[13].resource[0].component[1].value[0].code[0]mm[Hg]
Bundle.entry[13].resource[0].component[2].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[13].resource[0].component[2].code[0].coding[0].code[0]3151-8
Bundle.entry[13].resource[0].component[2].code[0].coding[0].display[0]Respiratory rate
Bundle.entry[13].resource[0].component[2].value[0].value[0]28
Bundle.entry[13].resource[0].component[2].value[0].unit[0]/min
Bundle.entry[13].resource[0].component[2].value[0].system[0]http://unitsofmeasure.org
Bundle.entry[13].resource[0].component[2].value[0].code[0]/min
Bundle.entry[13].resource[0].component[3].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[13].resource[0].component[3].code[0].coding[0].code[0]2708-6
Bundle.entry[13].resource[0].component[3].code[0].coding[0].display[0]Oxygen saturation
Bundle.entry[13].resource[0].component[3].value[0].value[0]92
Bundle.entry[13].resource[0].component[3].value[0].unit[0]%
Bundle.entry[13].resource[0].component[3].value[0].system[0]http://unitsofmeasure.org
Bundle.entry[13].resource[0].component[3].value[0].code[0]%
Bundle.entry[14].fullUrl[0]93a2262c-f63f-455b-af21-6ccf33657880
Bundle.entry[14].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-medicalcertificate
Bundle.entry[14].resource[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/mc-no
Bundle.entry[14].resource[0].identifier[0].value[0]MC-ED-2026-00456
Bundle.entry[14].resource[0].status[0]current
Bundle.entry[14].resource[0].type[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/mc-type
Bundle.entry[14].resource[0].type[0].coding[0].code[0]sick-leave
Bundle.entry[14].resource[0].type[0].coding[0].display[0]Sick Leave
Bundle.entry[14].resource[0].period[0].start[0]2026-02-05T00:00:00+08:00
Bundle.entry[14].resource[0].period[0].end[0]2026-02-06T23:59:59+08:00
Bundle.entry[14].resource[0].author[0].type[0]Practitioner
Bundle.entry[14].resource[0].author[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/mcr
Bundle.entry[14].resource[0].author[0].identifier[0].value[0]M67890
Bundle.entry[14].resource[0].author[0].display[0]Dr. Wei Lin
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]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
Bundle.entry[14].resource[0].content[0].attachment[0].size[0]120
Bundle.entry[14].resource[0].content[0].attachment[0].title[0]Medical Certificate - 2 days rest
Bundle.entry[15].fullUrl[0]026bad01-f15e-4571-a395-81d50a55fc1b
Bundle.entry[15].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-fileattachment
Bundle.entry[15].resource[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/sequence-no
Bundle.entry[15].resource[0].identifier[0].value[0]SEQ-ED-FILE-001
Bundle.entry[15].resource[0].status[0]current
Bundle.entry[15].resource[0].category[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/attachment-category
Bundle.entry[15].resource[0].category[0].coding[0].code[0]EDNOTE
Bundle.entry[15].resource[0].category[0].coding[0].display[0]Emergency Department Notes
Bundle.entry[15].resource[0].content[0].attachment[0].contentType[0]application/pdf
Bundle.entry[15].resource[0].content[0].attachment[0].language[0]en
Bundle.entry[15].resource[0].content[0].attachment[0].data[0]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
Bundle.entry[15].resource[0].content[0].attachment[0].size[0]120
Bundle.entry[15].resource[0].content[0].attachment[0].title[0]12-lead ECG Report
Bundle.entry[15].resource[0].content[0].attachment[0].creation[0]2026-02-05T13:25:00+08:00
Bundle.entry[16].fullUrl[0]cbe37b1e-6bf7-4cb6-a23b-3ce75cbf8c77
Bundle.entry[16].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-ed-stepProcedure
Bundle.entry[16].resource[0].partOf[0].reference[0]c9b86bf1-6df0-4a25-b196-3e142c67dc90
Bundle.entry[16].resource[0].status[0]completed
Bundle.entry[16].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[16].resource[0].code[0].coding[0].code[0]71000-1
Bundle.entry[16].resource[0].code[0].coding[0].display[0]Chest X-ray interpretation
Bundle.entry[16].resource[0].subject[0].type[0]Patient
Bundle.entry[16].resource[0].subject[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/nric
Bundle.entry[16].resource[0].subject[0].identifier[0].value[0]S5432109C
Bundle.entry[16].resource[0].occurrence[0]2026-03-19T10:20:00+08:00
Bundle.entry[16].resource[0].note[0].text[0]Chest X-ray shows hyperinflated lungs with flattened diaphragms, consistent with acute asthma exacerbation. No evidence of pneumonia or pneumothorax.
{
"resourceType": "Bundle",
"meta": {
"extension": [
{
"extension": [
{
"url": "msgId",
"valueIdentifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/msg-id",
"value": "CR001"
}
},
{
"url": "msgSequenceId",
"valueIdentifier": {
"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"
}
]
},
"identifier": {
"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",
"resource": {
"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>"
},
"identifier": [
{
"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",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
}
],
"encounter": {
"reference": "520963e9-1e27-4841-aa7f-8ab58587b3a8"
},
"date": "2026-03-19T11:45:00+08:00",
"author": [
{
"type": "Practitioner",
"identifier": {
"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."
}
],
"custodian": {
"type": "Organization",
"identifier": {
"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",
"resource": {
"resourceType": "Encounter",
"id": "edvisit-encounter-ed-002",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-edvisit"
]
},
"identifier": [
{
"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"
}
]
}
],
"participant": [
{
"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",
"identifier": {
"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",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr-no",
"value": "M67890"
},
"display": "Dr. Wei Lin"
}
}
],
"actualPeriod": {
"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"
}
}
]
}
],
"diagnosis": [
{
"condition": [
{
"concept": {
"text": "Acute coronary syndrome - non-ST elevation"
}
}
],
"use": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/edvisit-condition-type",
"code": "principal",
"display": "Principal Diagnosis"
}
]
}
]
},
{
"condition": [
{
"concept": {
"text": "Essential hypertension"
}
}
],
"use": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/edvisit-condition-type",
"code": "secondary",
"display": "Secondary Diagnosis"
}
]
}
]
}
],
"admission": {
"admitSource": {
"text": "Self-referred / Walk-in"
},
"dischargeDisposition": {
"extension": [
{
"extension": [
{
"url": "use",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/discharge-disposition-use",
"code": "principal",
"display": "Principal Disposition"
}
]
}
},
{
"url": "code",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/discharge-disposition-type",
"code": "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",
"resource": {
"resourceType": "Observation",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-observation"
]
},
"status": "final",
"category": [
{
"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",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
},
"effectiveDateTime": "2026-03-19T10:10:00+08:00",
"valueQuantity": {
"value": 15,
"unit": "score",
"system": "http://unitsofmeasure.org",
"code": "{score}"
},
"component": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9268-4",
"display": "Glasgow coma score motor"
}
]
},
"valueQuantity": {
"value": 6,
"unit": "score",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9270-0",
"display": "Glasgow coma score verbal"
}
]
},
"valueQuantity": {
"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"
}
]
},
"valueQuantity": {
"value": 4,
"unit": "score",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
}
]
}
},
{
"fullUrl": "c8122627-20d4-4de4-a2dd-6d6720465d4b",
"resource": {
"resourceType": "Observation",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-observation"
]
},
"status": "final",
"category": [
{
"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",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
},
"effectiveDateTime": "2026-03-19T10:05:00+08:00",
"component": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic blood pressure"
}
]
},
"valueQuantity": {
"value": 145,
"unit": "mmHg",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic blood pressure"
}
]
},
"valueQuantity": {
"value": 92,
"unit": "mmHg",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}
]
}
},
{
"fullUrl": "7dbf99d7-96d3-4058-87d5-73bd35efff94",
"resource": {
"resourceType": "MedicationAdministration",
"id": "medicationadministration-ed-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ed-medicationadministration"
]
},
"contained": [
{
"resourceType": "MedicationRequest",
"id": "medrequest-ed-medication-001",
"status": "active",
"intent": "order",
"medication": {
"concept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/med-code",
"code": "SALB5",
"display": "Salbutamol 5mg/mL Nebuliser Solution"
}
]
}
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
},
"authoredOn": "2026-03-19T10:00:00+08:00",
"requester": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M67890"
}
},
"dosageInstruction": [
{
"sequence": 1,
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "47625008",
"display": "Inhalation"
}
]
},
"doseAndRate": [
{
"doseQuantity": {
"value": 5,
"unit": "mg",
"system": "http://unitsofmeasure.org",
"code": "{mg}"
}
}
]
}
]
}
],
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "SEQ-ED-MED-001"
}
],
"status": "completed",
"category": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/medicationadministration-type",
"code": "medication",
"display": "Medication"
}
]
}
],
"medication": {
"concept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/med-code",
"code": "SALB5",
"display": "Salbutamol 5mg/mL Nebuliser Solution"
}
]
}
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
},
"occurenceDateTime": "2026-03-19T10:02:00+08:00",
"performer": [
{
"function": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/med-admin-perform-function",
"code": "performer",
"display": "Performer"
}
]
},
"actor": {
"reference": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/snb",
"value": "N45678"
},
"display": "Nurse Mary Lim"
}
}
},
{
"function": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/med-admin-perform-function",
"code": "verifier",
"display": "Verifier"
}
]
},
"actor": {
"reference": {
"type": "Practitioner",
"identifier": {
"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",
"resource": {
"resourceType": "MedicationAdministration",
"id": "medicationadministration-ed-infusion-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ed-medicationadministration"
]
},
"contained": [
{
"resourceType": "MedicationRequest",
"id": "medrequest-ed-medication-001",
"status": "active",
"intent": "order",
"medication": {
"concept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/med-code",
"code": "IPRA500",
"display": "Ipratropium Bromide 500mcg/mL Nebuliser Solution"
}
]
}
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
},
"authoredOn": "2026-03-19T10:00:00+08:00",
"requester": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M67890"
}
},
"dosageInstruction": [
{
"sequence": 1,
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "47625008",
"display": "Inhalation"
}
]
},
"doseAndRate": [
{
"doseQuantity": {
"value": 500,
"unit": "μg",
"system": "http://unitsofmeasure.org",
"code": "μg"
}
}
]
}
]
}
],
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "SEQ-ED-INF-001"
}
],
"status": "completed",
"category": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/medicationadministration-type",
"code": "infusion",
"display": "Infusion"
}
]
}
],
"medication": {
"concept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/med-code",
"code": "IPRA500",
"display": "Ipratropium Bromide 500mcg/mL Nebuliser Solution"
}
]
}
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
},
"occurenceDateTime": "2026-03-19T10:07:00+08:00",
"performer": [
{
"function": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/med-admin-perform-function",
"code": "performer",
"display": "Performer"
}
]
},
"actor": {
"reference": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/snb",
"value": "N45678"
},
"display": "Nurse Mary Lim"
}
}
},
{
"function": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/med-admin-perform-function",
"code": "verifier",
"display": "Verifier"
}
]
},
"actor": {
"reference": {
"type": "Practitioner",
"identifier": {
"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",
"resource": {
"resourceType": "MedicationRequest",
"id": "medicationrequest-ed-prescription-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ed-prescriptionorder"
]
},
"status": "active",
"intent": "order",
"category": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/order-type",
"code": "prescription",
"display": "Prescription"
}
]
}
],
"medication": {
"concept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/med-code",
"code": "SALB100",
"display": "Salbutamol 100mcg Aerosol Inhaler (MDI)"
}
]
}
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
},
"authoredOn": "2026-03-19T11:30:00+08:00",
"requester": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr-no",
"value": "M67890"
}
},
"dosageInstruction": [
{
"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"
}
]
}
},
"asNeededFor": [
{
"text": "Shortness of breath"
}
],
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "47625008",
"display": "Inhalation"
}
]
},
"doseAndRate": [
{
"doseQuantity": {
"value": 2,
"unit": "puff",
"system": "http://unitsofmeasure.org",
"code": "{puff}"
}
}
]
}
]
}
},
{
"fullUrl": "c9b86bf1-6df0-4a25-b196-3e142c67dc90",
"resource": {
"resourceType": "Procedure",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ed-procedure"
]
},
"identifier": [
{
"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",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
}
}
},
{
"fullUrl": "0987452c-14c1-4f64-9ce1-62141e0b7dfd",
"resource": {
"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",
"identifier": {
"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",
"resource": {
"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",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
},
"occurrencePeriod": {
"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",
"resource": {
"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",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
}
}
},
{
"fullUrl": "7f009bb1-e902-4482-8698-bbd0e41642ec",
"resource": {
"resourceType": "Flag",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-flag"
]
},
"extension": [
{
"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",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
}
}
},
{
"fullUrl": "b48a2948-46e0-40ea-9e4b-c60ed0192747",
"resource": {
"resourceType": "Observation",
"id": "observation-triage-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-observation"
]
},
"status": "final",
"category": [
{
"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",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
},
"effectiveDateTime": "2026-03-19T10:02:00+08:00",
"performer": [
{
"type": "Organization",
"identifier": {
"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",
"component": [
{
"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",
"resource": {
"resourceType": "Observation",
"id": "observation-consultation-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-observation"
]
},
"status": "final",
"category": [
{
"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",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S5432109C"
}
},
"effectiveDateTime": "2026-03-19T10:25:00+08:00",
"performer": [
{
"type": "Organization",
"identifier": {
"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.",
"component": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic blood pressure"
}
]
},
"valueQuantity": {
"value": 135,
"unit": "mmHg",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic blood pressure"
}
]
},
"valueQuantity": {
"value": 88,
"unit": "mmHg",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "3151-8",
"display": "Respiratory rate"
}
]
},
"valueQuantity": {
"value": 28,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "2708-6",
"display": "Oxygen saturation"
}
]
},
"valueQuantity": {
"value": 92,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
}
]
}
},
{
"fullUrl": "93a2262c-f63f-455b-af21-6ccf33657880",
"resource": {
"resourceType": "DocumentReference",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-medicalcertificate"
]
},
"identifier": [
{
"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",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M67890"
},
"display": "Dr. Wei Lin"
}
],
"content": [
{
"attachment": {
"contentType": "application/pdf",
"language": "en",
"data": "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",
"size": "120",
"title": "Medical Certificate - 2 days rest"
}
}
]
}
},
{
"fullUrl": "026bad01-f15e-4571-a395-81d50a55fc1b",
"resource": {
"resourceType": "DocumentReference",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-fileattachment"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
"value": "SEQ-ED-FILE-001"
}
],
"status": "current",
"category": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/attachment-category",
"code": "EDNOTE",
"display": "Emergency Department Notes"
}
]
}
],
"content": [
{
"attachment": {
"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",
"resource": {
"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",
"identifier": {
"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."
}
]
}
}
]
}