Example-BundleOTNotes
This shows an example OT notes.
| 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-otnotes |
| tag |
| code : TTSH |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/record-id |
| value : OT-BUNDLE-2026-02-09-001 |
| type : document |
| timestamp : 2026-02-09T14:30:00+08:00 |
| entry |
| fullUrl : da2ece09-fd25-45ed-a527-a16686c221c7 |
| resource |
| id : otnotes-001 |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-otnotes |
| text |
| status : generated |
| extension |
| url : https://fhir.synapxe.sg/StructureDefinition/ext-displayMethod |
| value : OT Clinical Documentation System |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/record-id |
| value : OT-REC-2026-00123 |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/accession-no |
| value : OT-ACC-2026-00123 |
| status : final |
| type |
| coding |
| system : http://loinc.org |
| code : 11504-8 |
| display : Surgical operation note |
| subject |
| type : Patient |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/nric |
| value : S1234567C |
| encounter |
| type : Encounter |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/event-id |
| value : OT-ENC-2026-00123 |
| date : 2026-02-09T14:30:00+08:00 |
| author |
| type : Practitioner |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/mcr |
| value : M12345 |
| title : Operating Theatre (OT) Notes |
| note |
| text : Patient tolerated procedure well. No complications noted. |
| 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 |
| text |
| status : generated |
| entry |
| reference : 520963e9-1e27-4841-aa7f-8ab58587b3a8 |
| entry |
| reference : 7af10323-0be2-435c-ab1a-949db7baf859 |
| section |
| code |
| coding |
| system : http://loinc.org |
| code : 85847-2 |
| display : Patient Care team information |
| text |
| status : generated |
| entry |
| reference : 7f009bb1-e902-4482-8698-bbd0e41642ec |
| section |
| code |
| coding |
| system : http://loinc.org |
| code : 29548-5 |
| display : Diagnosis |
| text |
| status : generated |
| entry |
| reference : c8122627-20d4-4de4-a2dd-6d6720465d4b |
| section |
| code |
| coding |
| system : http://loinc.org |
| code : 8716-3 |
| display : Vital signs |
| text |
| status : generated |
| entry |
| reference : 7dbf99d7-96d3-4058-87d5-73bd35efff94 |
| entry |
| reference : 32f085df-a190-4fe0-b2e8-1d81aad2b0d6 |
| section |
| code |
| coding |
| system : http://loinc.org |
| code : 29549-3 |
| display : Medication administered Narrative |
| text |
| status : generated |
| entry |
| reference : 1794c895-4ae6-4a2c-ac61-a71bbd33f09f |
| section |
| code |
| coding |
| system : http://loinc.org |
| code : 46264-8 |
| display : History of medical device use |
| text |
| status : generated |
| entry |
| reference : c9b86bf1-6df0-4a25-b196-3e142c67dc90 |
| section |
| code |
| coding |
| system : http://loinc.org |
| code : 34895-3 |
| display : Diagnostic evidence documents |
| text |
| status : generated |
| entry |
| reference : 0987452c-14c1-4f64-9ce1-62141e0b7dfd |
| section |
| code |
| coding |
| system : http://loinc.org |
| code : 59773-2 |
| display : Procedure specimens taken Narrative |
| text |
| status : generated |
| entry |
| reference : bfa12881-556f-4257-bb5a-a0167e7def6a |
| section |
| code |
| coding |
| system : http://loinc.org |
| code : 28570-0 |
| display : Procedure note |
| entry |
| reference : f3831e19-ff59-44c8-bc74-810ba1884f17 |
| entry |
| fullUrl : 520963e9-1e27-4841-aa7f-8ab58587b3a8 |
| resource |
| id : ot-procedure-001 |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-ot-procedure |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/sequence-no |
| value : PROC-001 |
| status : completed |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 11466000 |
| display : Debridement of wound |
| text : Surgical debridement of infected wound |
| subject |
| type : Patient |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/nric |
| value : S1234567C |
| encounter |
| type : Encounter |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/event-id |
| value : OT-ENC-2026-00123 |
| occurrence |
| start : 2026-02-09T10:00:00+08:00 |
| end : 2026-02-09T11:30:00+08:00 |
| performer |
| function |
| coding |
| system : http://snomed.info/sct |
| code : 304292004 |
| display : Surgeon |
| actor |
| type : Practitioner |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/mcr |
| value : M12345 |
| period |
| start : 2026-02-09T10:00:00+08:00 |
| end : 2026-02-09T11:30:00+08:00 |
| bodySite |
| coding |
| system : http://snomed.info/sct |
| code : 52795006 |
| display : Structure of left thigh |
| outcome |
| text : Successful |
| note |
| text : Wound debrided successfully, necrotic tissue removed. Hemostasis achieved. VAC device applied. |
| focalDevice |
| action |
| coding |
| system : http://snomed.info/sct |
| code : 129284003 |
| display : Surgical action - implantation |
| manipulated |
| type : Device |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/device-serial |
| value : IMP-2026-789 |
| display : Wound Vacuum-Assisted Closure (VAC) Device |
| entry |
| fullUrl : 7af10323-0be2-435c-ab1a-949db7baf859 |
| resource |
| id : ot-procedure-002 |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-ot-procedure |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/sequence-no |
| value : PROC-002 |
| status : completed |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 225358003 |
| display : Wound closure |
| text : Primary wound closure |
| subject |
| type : Patient |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/nric |
| value : S1234567C |
| encounter |
| type : Encounter |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/event-id |
| value : OT-ENC-2026-00123 |
| occurrence |
| start : 2026-02-09T11:30:00+08:00 |
| end : 2026-02-09T12:00:00+08:00 |
| performer |
| function |
| coding |
| system : http://snomed.info/sct |
| code : 304292004 |
| display : Surgeon |
| actor |
| type : Practitioner |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/mcr |
| value : M12345 |
| period |
| start : 2026-02-09T11:30:00+08:00 |
| end : 2026-02-09T12:00:00+08:00 |
| outcome |
| text : Successful |
| note |
| text : Wound closed primarily with sutures. No tension on wound edges. Good approximation achieved. |
| entry |
| fullUrl : 7f009bb1-e902-4482-8698-bbd0e41642ec |
| resource |
| id : practitionerrole-001 |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-practitionerrole |
| practitioner |
| type : Practitioner |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/mcr |
| value : M12345 |
| display : Dr. Sarah Tan |
| organization |
| type : Organization |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/hci-code |
| value : HCI-12345 |
| display : General Hospital Singapore |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 304292004 |
| display : Surgeon |
| specialty |
| coding |
| system : http://snomed.info/sct |
| code : 394801008 |
| display : Trauma and orthopedics |
| entry |
| fullUrl : c8122627-20d4-4de4-a2dd-6d6720465d4b |
| resource |
| id : ot-condition-001 |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-ot-condition |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/sequence-no |
| value : COND-001 |
| clinicalStatus |
| coding |
| system : http://terminology.hl7.org/CodeSystem/condition-clinical |
| code : active |
| display : Active |
| category |
| coding |
| system : http://terminology.hl7.org/CodeSystem/condition-category |
| code : encounter-diagnosis |
| display : Encounter Diagnosis |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 416462003 |
| display : Wound infection |
| subject |
| type : Patient |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/nric |
| value : S1234567C |
| entry |
| fullUrl : 7dbf99d7-96d3-4058-87d5-73bd35efff94 |
| resource |
| id : ot-observation-001 |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-ot-observation |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/sequence-no |
| value : OBS-001 |
| status : final |
| code |
| coding |
| system : http://loinc.org |
| code : 8310-5 |
| display : Body temperature |
| issued : 2026-02-09T10:15:00+08:00 |
| value |
| value : 38.5 |
| unit : degrees Celsius |
| system : http://unitsofmeasure.org |
| code : Cel |
| interpretation |
| coding |
| system : http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation |
| code : H |
| display : High |
| note |
| text : Patient had a fever during the procedure, likely due to infection. Temperature normalized after administration of antipyretics. |
| method |
| coding |
| system : http://snomed.info/sct |
| code : 169890003 |
| display : Measurement of body temperature |
| entry |
| fullUrl : 32f085df-a190-4fe0-b2e8-1d81aad2b0d6 |
| resource |
| id : ot-observation-002 |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-ot-observation |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/sequence-no |
| value : OBS-001 |
| status : final |
| code |
| coding |
| system : http://loinc.org |
| code : 8867-4 |
| display : Heart rate |
| issued : 2026-02-09T10:20:00+08:00 |
| value |
| value : 72 |
| unit : beats/minute |
| system : http://unitsofmeasure.org |
| code : /min |
| interpretation |
| coding |
| system : http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation |
| code : N |
| display : Normal |
| note |
| text : Patient's heart rate was stable throughout the procedure. |
| method |
| coding |
| system : http://snomed.info/sct |
| code : 8867-4 |
| display : Heart rate |
| entry |
| fullUrl : 1794c895-4ae6-4a2c-ac61-a71bbd33f09f |
| resource |
| id : ot-medadmin-001 |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-ot-medicationadministration |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/sequence-no |
| value : MEDADMIN-001 |
| status : completed |
| medication |
| concept |
| coding |
| system : https://fhir.synapxe.sg/CodeSystem/med-code |
| code : PRED10MG |
| display : Prednisolone 10 mg |
| subject |
| type : Patient |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/nric |
| value : S1234567C |
| occurence : 2026-02-09T09:55:00+08:00 |
| dosage |
| extension |
| url : https://fhir.synapxe.sg/StructureDefinition/ext-ot-frequency |
| value |
| coding |
| system : https://fhir.synapxe.sg/CodeSystem/otnotes-section-codes |
| code : intraoperative |
| display : Intraoperative |
| text : 2mg/kg IV |
| route |
| coding |
| system : http://snomed.info/sct |
| code : 47625008 |
| display : Intravenous route |
| dose |
| value : 150 |
| unit : mg |
| system : http://unitsofmeasure.org |
| code : mg |
| entry |
| fullUrl : c9b86bf1-6df0-4a25-b196-3e142c67dc90 |
| resource |
| id : device-001 |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-device |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/device-serial |
| value : SN-987654321 |
| manufacturer : MedTech Surgical Instruments Ltd |
| expirationDate : 2027-12-31 |
| lotNumber : LOT-2025-456 |
| category |
| coding |
| system : http://hl7.org/fhir/device-category |
| code : single-use |
| display : Single Use |
| type |
| coding |
| system : http://snomed.info/sct |
| code : 52124006 |
| display : Surgical knife |
| entry |
| fullUrl : 0987452c-14c1-4f64-9ce1-62141e0b7dfd |
| resource |
| id : ot-diagnosticreport-001 |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-ot-diagnosticreport |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/sequence-no |
| value : DR-001 |
| status : final |
| category |
| coding |
| system : http://terminology.hl7.org/CodeSystem/v2-0074 |
| code : MB |
| display : Microbiology |
| code |
| coding |
| system : http://loinc.org |
| code : 600-7 |
| display : Bacteria identified in Specimen by Culture |
| effective : 2026-02-09T12:00:00+08:00 |
| issued : 2026-02-09T14:30:00+08:00 |
| performer |
| type : Practitioner |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/mcr |
| value : M54321 |
| display : Dr. Sarah Tan |
| conclusion : Methicillin-resistant Staphylococcus aureus (MRSA) isolated. Sensitive to vancomycin and linezolid. |
| entry |
| fullUrl : bfa12881-556f-4257-bb5a-a0167e7def6a |
| resource |
| id : ot-specimen-001 |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-ot-specimen |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/sequence-no |
| value : SPEC-001 |
| type |
| coding |
| system : https://fhir.synapxe.sg/CodeSystem/specimen-type |
| code : swab |
| display : Swab |
| receivedTime : 2026-02-09T12:15:00+08:00 |
| collection |
| collected : 2026-02-09T12:00:00+08:00 |
| bodySite |
| concept |
| coding |
| system : http://snomed.info/sct |
| code : 52795006 |
| display : Structure of left thigh |
| entry |
| fullUrl : f3831e19-ff59-44c8-bc74-810ba1884f17 |
| resource |
| id : fileattachment-001 |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-fileattachment |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/sequence-no |
| value : FILE-001 |
| status : current |
| category |
| coding |
| system : https://fhir.synapxe.sg/CodeSystem/attachment-category |
| code : OTNOTE |
| display : Operating Theatre Notes |
| content |
| attachment |
| contentType : image/jpeg |
| data : /9j/4AAQSkZJRgABAQAAAQABAAD/2wCEAAkGBxMSEhUTExMWFhUXGR8aGBgYHh8fIB0fHx8fHh8fHSggHRolHR8fITEhJSkrLi4uFx8zODMsNygtLisBCgoKDg0OGxAQGy0lHyUt |
| size : 245680 |
| title : Pre-operative wound photograph |
| creation : 2026-02-09T09:30:00+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-otnotes |
| 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] | OT-BUNDLE-2026-02-09-001 |
| Bundle.type[0] | document |
| Bundle.timestamp[0] | 2026-02-09T14:30:00+08:00 |
| Bundle.entry[0].fullUrl[0] | da2ece09-fd25-45ed-a527-a16686c221c7 |
| Bundle.entry[0].resource[0].id[0] | otnotes-001 |
| Bundle.entry[0].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-otnotes |
| 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 OT Notes</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] | OT Clinical Documentation System |
| 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] | OT-REC-2026-00123 |
| 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] | OT-ACC-2026-00123 |
| 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] | 11504-8 |
| Bundle.entry[0].resource[0].type[0].coding[0].display[0] | Surgical operation 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] | S1234567C |
| 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] | OT-ENC-2026-00123 |
| Bundle.entry[0].resource[0].date[0] | 2026-02-09T14:30:00+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] | Operating Theatre (OT) Notes |
| Bundle.entry[0].resource[0].note[0].text[0] | Patient tolerated procedure well. No complications noted. |
| 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].text[0].status[0] | generated |
| Bundle.entry[0].resource[0].section[0].text[0].div[0] | <div xmlns="http://www.w3.org/1999/xhtml"><p>Surgical debridement performed successfully</p></div> |
| Bundle.entry[0].resource[0].section[0].entry[0].reference[0] | 520963e9-1e27-4841-aa7f-8ab58587b3a8 |
| Bundle.entry[0].resource[0].section[0].entry[1].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] | 85847-2 |
| Bundle.entry[0].resource[0].section[1].code[0].coding[0].display[0] | Patient Care team information |
| Bundle.entry[0].resource[0].section[1].text[0].status[0] | generated |
| Bundle.entry[0].resource[0].section[1].text[0].div[0] | <div xmlns="http://www.w3.org/1999/xhtml"><p>Operating Theatre Team</p></div> |
| Bundle.entry[0].resource[0].section[1].entry[0].reference[0] | 7f009bb1-e902-4482-8698-bbd0e41642ec |
| 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] | 29548-5 |
| Bundle.entry[0].resource[0].section[2].code[0].coding[0].display[0] | Diagnosis |
| Bundle.entry[0].resource[0].section[2].text[0].status[0] | generated |
| Bundle.entry[0].resource[0].section[2].text[0].div[0] | <div xmlns="http://www.w3.org/1999/xhtml"><p>Pre-operative diagnoses</p></div> |
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| Bundle.entry[5].resource[0].issued[0] | 2026-02-09T10:15:00+08:00 |
| Bundle.entry[5].resource[0].value[0].value[0] | 38.5 |
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| Bundle.entry[5].resource[0].interpretation[0].coding[0].display[0] | High |
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| Bundle.entry[6].resource[0].issued[0] | 2026-02-09T10:20:00+08:00 |
| Bundle.entry[6].resource[0].value[0].value[0] | 72 |
| Bundle.entry[6].resource[0].value[0].unit[0] | beats/minute |
| Bundle.entry[6].resource[0].value[0].system[0] | http://unitsofmeasure.org |
| Bundle.entry[6].resource[0].value[0].code[0] | /min |
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| Bundle.entry[6].resource[0].note[0].text[0] | Patient's heart rate was stable throughout the procedure. |
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| Bundle.entry[7].resource[0].medication[0].concept[0].coding[0].display[0] | Prednisolone 10 mg |
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| Bundle.entry[7].resource[0].occurence[0] | 2026-02-09T09:55:00+08:00 |
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| Bundle.entry[7].resource[0].dosage[0].extension[0].value[0].coding[0].system[0] | https://fhir.synapxe.sg/CodeSystem/otnotes-section-codes |
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| Bundle.entry[7].resource[0].dosage[0].extension[0].value[0].coding[0].display[0] | Intraoperative |
| Bundle.entry[7].resource[0].dosage[0].text[0] | 2mg/kg IV |
| Bundle.entry[7].resource[0].dosage[0].route[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[7].resource[0].dosage[0].route[0].coding[0].code[0] | 47625008 |
| Bundle.entry[7].resource[0].dosage[0].route[0].coding[0].display[0] | Intravenous route |
| Bundle.entry[7].resource[0].dosage[0].dose[0].value[0] | 150 |
| Bundle.entry[7].resource[0].dosage[0].dose[0].unit[0] | mg |
| Bundle.entry[7].resource[0].dosage[0].dose[0].system[0] | http://unitsofmeasure.org |
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| Bundle.entry[8].resource[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/device-serial |
| Bundle.entry[8].resource[0].identifier[0].value[0] | SN-987654321 |
| Bundle.entry[8].resource[0].manufacturer[0] | MedTech Surgical Instruments Ltd |
| Bundle.entry[8].resource[0].expirationDate[0] | 2027-12-31 |
| Bundle.entry[8].resource[0].lotNumber[0] | LOT-2025-456 |
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| Bundle.entry[8].resource[0].category[0].coding[0].display[0] | Single Use |
| Bundle.entry[8].resource[0].type[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[8].resource[0].type[0].coding[0].code[0] | 52124006 |
| Bundle.entry[8].resource[0].type[0].coding[0].display[0] | Surgical knife |
| Bundle.entry[9].fullUrl[0] | 0987452c-14c1-4f64-9ce1-62141e0b7dfd |
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| Bundle.entry[9].resource[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/sequence-no |
| Bundle.entry[9].resource[0].identifier[0].value[0] | DR-001 |
| Bundle.entry[9].resource[0].status[0] | final |
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| Bundle.entry[9].resource[0].category[0].coding[0].display[0] | Microbiology |
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| Bundle.entry[9].resource[0].code[0].coding[0].code[0] | 600-7 |
| Bundle.entry[9].resource[0].code[0].coding[0].display[0] | Bacteria identified in Specimen by Culture |
| Bundle.entry[9].resource[0].effective[0] | 2026-02-09T12:00:00+08:00 |
| Bundle.entry[9].resource[0].issued[0] | 2026-02-09T14:30:00+08:00 |
| Bundle.entry[9].resource[0].performer[0].type[0] | Practitioner |
| Bundle.entry[9].resource[0].performer[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/mcr |
| Bundle.entry[9].resource[0].performer[0].identifier[0].value[0] | M54321 |
| Bundle.entry[9].resource[0].performer[0].display[0] | Dr. Sarah Tan |
| Bundle.entry[9].resource[0].conclusion[0] | Methicillin-resistant Staphylococcus aureus (MRSA) isolated. Sensitive to vancomycin and linezolid. |
| Bundle.entry[10].fullUrl[0] | bfa12881-556f-4257-bb5a-a0167e7def6a |
| Bundle.entry[10].resource[0].id[0] | ot-specimen-001 |
| Bundle.entry[10].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-ot-specimen |
| Bundle.entry[10].resource[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/sequence-no |
| Bundle.entry[10].resource[0].identifier[0].value[0] | SPEC-001 |
| Bundle.entry[10].resource[0].type[0].coding[0].system[0] | https://fhir.synapxe.sg/CodeSystem/specimen-type |
| Bundle.entry[10].resource[0].type[0].coding[0].code[0] | swab |
| Bundle.entry[10].resource[0].type[0].coding[0].display[0] | Swab |
| Bundle.entry[10].resource[0].receivedTime[0] | 2026-02-09T12:15:00+08:00 |
| Bundle.entry[10].resource[0].collection[0].collected[0] | 2026-02-09T12:00:00+08:00 |
| Bundle.entry[10].resource[0].collection[0].bodySite[0].concept[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[10].resource[0].collection[0].bodySite[0].concept[0].coding[0].code[0] | 52795006 |
| Bundle.entry[10].resource[0].collection[0].bodySite[0].concept[0].coding[0].display[0] | Structure of left thigh |
| Bundle.entry[11].fullUrl[0] | f3831e19-ff59-44c8-bc74-810ba1884f17 |
| Bundle.entry[11].resource[0].id[0] | fileattachment-001 |
| Bundle.entry[11].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-fileattachment |
| Bundle.entry[11].resource[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/sequence-no |
| Bundle.entry[11].resource[0].identifier[0].value[0] | FILE-001 |
| Bundle.entry[11].resource[0].status[0] | current |
| Bundle.entry[11].resource[0].category[0].coding[0].system[0] | https://fhir.synapxe.sg/CodeSystem/attachment-category |
| Bundle.entry[11].resource[0].category[0].coding[0].code[0] | OTNOTE |
| Bundle.entry[11].resource[0].category[0].coding[0].display[0] | Operating Theatre Notes |
| Bundle.entry[11].resource[0].content[0].attachment[0].contentType[0] | image/jpeg |
| Bundle.entry[11].resource[0].content[0].attachment[0].data[0] | /9j/4AAQSkZJRgABAQAAAQABAAD/2wCEAAkGBxMSEhUTExMWFhUXGR8aGBgYHh8fIB0fHx8fHh8fHSggHRolHR8fITEhJSkrLi4uFx8zODMsNygtLisBCgoKDg0OGxAQGy0lHyUt |
| Bundle.entry[11].resource[0].content[0].attachment[0].size[0] | 245680 |
| Bundle.entry[11].resource[0].content[0].attachment[0].title[0] | Pre-operative wound photograph |
| Bundle.entry[11].resource[0].content[0].attachment[0].creation[0] | 2026-02-09T09:30:00+08:00 |
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Surgical debridement performed successfully</p></div>"
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Intraoperative vital signs and assessments</p></div>"
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Anesthesia and medications administered during procedure</p></div>"
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Medical devices used during procedure</p></div>"
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Specimens collected during procedure</p></div>"
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"text": "Wound debrided successfully, necrotic tissue removed. Hemostasis achieved. VAC device applied."
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"text": "Wound closed primarily with sutures. No tension on wound edges. Good approximation achieved."
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"text": "Patient had a fever during the procedure, likely due to infection. Temperature normalized after administration of antipyretics."
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"conclusion": "Methicillin-resistant Staphylococcus aureus (MRSA) isolated. Sensitive to vancomycin and linezolid."
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