Example-BundleSummaryNotes

This shows an example summary 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-composition
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]SN-REC-2026-01001
Bundle.type[0]document
Bundle.timestamp[0]2026-04-01T15:00:00+08:00
Bundle.entry[0].fullUrl[0]a3f5c8d2-1e4b-4a7f-9b2c-6d8e0f3a5b7c
Bundle.entry[0].resource[0].id[0]a3f5c8d2-1e4b-4a7f-9b2c-6d8e0f3a5b7c
Bundle.entry[0].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-composition
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 Summary Notes</div>
Bundle.entry[0].resource[0].extension[0].url[0]https://fhir.synapxe.sg/StructureDefinition/ext-recorder
Bundle.entry[0].resource[0].extension[0].value[0].system[0]https://fhir.synapxe.sg/NamingSystem/mcr
Bundle.entry[0].resource[0].extension[0].value[0].value[0]M88888
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]SN-REC-2026-01001
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]SN-ACC-2026-01001
Bundle.entry[0].resource[0].status[0]final
Bundle.entry[0].resource[0].type[0].extension[0].url[0]https://fhir.synapxe.sg/StructureDefinition/ext-version
Bundle.entry[0].resource[0].type[0].extension[0].value[0]1.0
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]18761-7
Bundle.entry[0].resource[0].type[0].coding[0].display[0]Transfer summary 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]S7654321B
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]SN-ENC-2026-01001
Bundle.entry[0].resource[0].date[0]2026-03-19T14:30:00+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]M88888
Bundle.entry[0].resource[0].title[0]Diabetes Management Summary Notes - Quarterly Review
Bundle.entry[0].resource[0].note[0].text[0]Patient presented for quarterly diabetes management review. HbA1c at target. Continue current medication regimen with lifestyle modifications.
Bundle.entry[0].resource[0].attester[0].mode[0].coding[0].system[0]http://hl7.org/fhir/CodeSystem/composition-attestation-mode
Bundle.entry[0].resource[0].attester[0].mode[0].coding[0].code[0]official
Bundle.entry[0].resource[0].attester[0].mode[0].coding[0].display[0]Official
Bundle.entry[0].resource[0].attester[0].time[0]2026-03-19T14:30:00+08:00
Bundle.entry[0].resource[0].attester[0].party[0].type[0]Practitioner
Bundle.entry[0].resource[0].attester[0].party[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/mcr
Bundle.entry[0].resource[0].attester[0].party[0].identifier[0].value[0]M88888
Bundle.entry[0].resource[0].attester[0].party[0].display[0]Dr. Priya Reddy
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-11111
Bundle.entry[0].resource[0].custodian[0].display[0]Tan Tock Seng Hospital
Bundle.entry[0].resource[0].event[0].detail[0].reference[0].reference[0]c1a9b3e5-2f7d-4c8a-b4e0-9d3f6a2b5c8e
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]34895-3
Bundle.entry[0].resource[0].section[0].code[0].coding[0].display[0]Diagnostic evidence documents
Bundle.entry[0].resource[0].section[0].entry[0].reference[0]d4c7f2a8-3e1b-4d9c-a5f3-0b7e4c1a6d2f
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]30954-2
Bundle.entry[0].resource[0].section[1].code[0].coding[0].display[0]Relevant diagnostic tests and laboratory data
Bundle.entry[0].resource[0].section[1].entry[0].reference[0]e8b5a3f7-4d2c-4e0b-8f6a-1c9d3b7e5a2c
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].entry[0].reference[0]f2d8c6b4-5a3e-4f1d-9a7b-2e0c8f4d1b6a
Bundle.entry[1].fullUrl[0]b7e2d4f1-8c3a-4b6e-8d9f-2a0c5e7b1d4f
Bundle.entry[1].resource[0].id[0]b7e2d4f1-8c3a-4b6e-8d9f-2a0c5e7b1d4f
Bundle.entry[1].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-practitionerrole
Bundle.entry[1].resource[0].practitioner[0].type[0]Practitioner
Bundle.entry[1].resource[0].practitioner[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/mcr
Bundle.entry[1].resource[0].practitioner[0].identifier[0].value[0]M88888
Bundle.entry[1].resource[0].practitioner[0].display[0]Dr. Priya Reddy
Bundle.entry[1].resource[0].organization[0].type[0]Organization
Bundle.entry[1].resource[0].organization[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/hci-code
Bundle.entry[1].resource[0].organization[0].identifier[0].value[0]HCI-11111
Bundle.entry[1].resource[0].organization[0].display[0]Tan Tock Seng Hospital
Bundle.entry[1].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[1].resource[0].code[0].coding[0].code[0]83273008
Bundle.entry[1].resource[0].code[0].coding[0].display[0]Endocrinologist
Bundle.entry[1].resource[0].specialty[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[1].resource[0].specialty[0].coding[0].code[0]394584008
Bundle.entry[1].resource[0].specialty[0].coding[0].display[0]Endocrinology
Bundle.entry[2].fullUrl[0]c1a9b3e5-2f7d-4c8a-b4e0-9d3f6a2b5c8e
Bundle.entry[2].resource[0].id[0]c1a9b3e5-2f7d-4c8a-b4e0-9d3f6a2b5c8e
Bundle.entry[2].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-sn-procedure
Bundle.entry[2].resource[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/procedure-id
Bundle.entry[2].resource[0].identifier[0].value[0]PROC-SN-2026-01001
Bundle.entry[2].resource[0].status[0]completed
Bundle.entry[2].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[2].resource[0].code[0].coding[0].code[0]38842003
Bundle.entry[2].resource[0].code[0].coding[0].display[0]Patient consultation
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]S7654321B
Bundle.entry[2].resource[0].encounter[0].type[0]Encounter
Bundle.entry[2].resource[0].encounter[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/event-id
Bundle.entry[2].resource[0].encounter[0].identifier[0].value[0]SN-ENC-2026-01001
Bundle.entry[2].resource[0].occurrence[0]2026-03-19T14:00:00+08:00
Bundle.entry[2].resource[0].performer[0].actor[0].type[0]Practitioner
Bundle.entry[2].resource[0].performer[0].actor[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/mcr
Bundle.entry[2].resource[0].performer[0].actor[0].identifier[0].value[0]M88888
Bundle.entry[2].resource[0].reason[0].concept[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[2].resource[0].reason[0].concept[0].coding[0].code[0]44054006
Bundle.entry[2].resource[0].reason[0].concept[0].coding[0].display[0]Type 2 diabetes mellitus
Bundle.entry[2].resource[0].outcome[0].text[0]Consultation completed. Diabetes control adequate with current medication regimen.
Bundle.entry[2].resource[0].note[0].text[0]Patient compliant with medications. Blood pressure and lipid levels well-controlled. Continue metformin and linagliptin. Reinforce dietary modifications and regular exercise.
Bundle.entry[3].fullUrl[0]d4c7f2a8-3e1b-4d9c-a5f3-0b7e4c1a6d2f
Bundle.entry[3].resource[0].id[0]d4c7f2a8-3e1b-4d9c-a5f3-0b7e4c1a6d2f
Bundle.entry[3].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-sn-diagnosticreport
Bundle.entry[3].resource[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/report-id
Bundle.entry[3].resource[0].identifier[0].value[0]REP-SN-2026-01001
Bundle.entry[3].resource[0].status[0]final
Bundle.entry[3].resource[0].category[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/v2-0074
Bundle.entry[3].resource[0].category[0].coding[0].code[0]CH
Bundle.entry[3].resource[0].category[0].coding[0].display[0]Chemistry
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]24365-2
Bundle.entry[3].resource[0].code[0].coding[0].display[0]Comprehensive metabolic panel
Bundle.entry[3].resource[0].effective[0]2026-03-19T09:00:00+08:00
Bundle.entry[3].resource[0].issued[0]2026-03-19T12:00:00+08:00
Bundle.entry[3].resource[0].performer[0].type[0]Practitioner
Bundle.entry[3].resource[0].performer[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/mcr
Bundle.entry[3].resource[0].performer[0].identifier[0].value[0]M99999
Bundle.entry[3].resource[0].conclusion[0]HbA1c 6.8% - within target range. Fasting glucose 118 mg/dL. Renal function normal. Lipid panel acceptable with current statin therapy.
Bundle.entry[4].fullUrl[0]e8b5a3f7-4d2c-4e0b-8f6a-1c9d3b7e5a2c
Bundle.entry[4].resource[0].id[0]e8b5a3f7-4d2c-4e0b-8f6a-1c9d3b7e5a2c
Bundle.entry[4].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-sn-observation
Bundle.entry[4].resource[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/investigation-id
Bundle.entry[4].resource[0].identifier[0].value[0]OBS-SN-2026-01001
Bundle.entry[4].resource[0].status[0]final
Bundle.entry[4].resource[0].category[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/observation-category
Bundle.entry[4].resource[0].category[0].coding[0].code[0]laboratory
Bundle.entry[4].resource[0].category[0].coding[0].display[0]Laboratory
Bundle.entry[4].resource[0].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[4].resource[0].code[0].coding[0].code[0]4548-4
Bundle.entry[4].resource[0].code[0].coding[0].display[0]Hemoglobin A1c
Bundle.entry[4].resource[0].issued[0]2026-03-19T12:00:00+08:00
Bundle.entry[4].resource[0].performer[0].type[0]Practitioner
Bundle.entry[4].resource[0].performer[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/mcr
Bundle.entry[4].resource[0].performer[0].identifier[0].value[0]M99999
Bundle.entry[4].resource[0].performer[0].display[0]Dr. Lee Wei
Bundle.entry[4].resource[0].value[0].value[0]6.8
Bundle.entry[4].resource[0].value[0].unit[0]%
Bundle.entry[4].resource[0].value[0].system[0]http://unitsofmeasure.org
Bundle.entry[4].resource[0].value[0].code[0]%
Bundle.entry[4].resource[0].interpretation[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
Bundle.entry[4].resource[0].interpretation[0].coding[0].code[0]H
Bundle.entry[4].resource[0].interpretation[0].coding[0].display[0]High
Bundle.entry[4].resource[0].note[0].text[0]HbA1c well controlled and approaching therapeutic target of <7.0%.
Bundle.entry[4].resource[0].referenceRange[0].low[0].value[0]0
Bundle.entry[4].resource[0].referenceRange[0].low[0].unit[0]%
Bundle.entry[4].resource[0].referenceRange[0].high[0].value[0]5.7
Bundle.entry[4].resource[0].referenceRange[0].high[0].unit[0]%
Bundle.entry[5].fullUrl[0]f2d8c6b4-5a3e-4f1d-9a7b-2e0c8f4d1b6a
Bundle.entry[5].resource[0].id[0]f2d8c6b4-5a3e-4f1d-9a7b-2e0c8f4d1b6a
Bundle.entry[5].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-sn-condition
Bundle.entry[5].resource[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/condition-id
Bundle.entry[5].resource[0].identifier[0].value[0]COND-SN-2026-01001
Bundle.entry[5].resource[0].clinicalStatus[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/condition-clinical
Bundle.entry[5].resource[0].clinicalStatus[0].coding[0].code[0]active
Bundle.entry[5].resource[0].clinicalStatus[0].coding[0].display[0]Active
Bundle.entry[5].resource[0].verificationStatus[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/condition-ver-status
Bundle.entry[5].resource[0].verificationStatus[0].coding[0].code[0]confirmed
Bundle.entry[5].resource[0].verificationStatus[0].coding[0].display[0]Confirmed
Bundle.entry[5].resource[0].category[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/condition-category
Bundle.entry[5].resource[0].category[0].coding[0].code[0]problem-list-item
Bundle.entry[5].resource[0].category[0].coding[0].display[0]Problem List Item
Bundle.entry[5].resource[0].severity[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[5].resource[0].severity[0].coding[0].code[0]371923003
Bundle.entry[5].resource[0].severity[0].coding[0].display[0]Mild
Bundle.entry[5].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[5].resource[0].code[0].coding[0].code[0]44054006
Bundle.entry[5].resource[0].code[0].coding[0].display[0]Type 2 diabetes mellitus
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]S7654321B
Bundle.entry[5].resource[0].encounter[0].type[0]Encounter
Bundle.entry[5].resource[0].encounter[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/event-id
Bundle.entry[5].resource[0].encounter[0].identifier[0].value[0]SN-ENC-2026-01001
Bundle.entry[5].resource[0].onset[0]2018-06-15T00:00:00+08:00
Bundle.entry[5].resource[0].note[0].text[0]Type 2 diabetes diagnosed 8 years ago. Currently managed with metformin and linagliptin. Well-controlled with HbA1c at target. No current complications or comorbidities noted.
{
"resourceType": "Bundle",
"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-composition"
],
"tag": [
{
"code": "TTSH"
}
]
},
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "SN-REC-2026-01001"
},
"type": "document",
"timestamp": "2026-04-01T15:00:00+08:00",
"entry": [
{
"fullUrl": "a3f5c8d2-1e4b-4a7f-9b2c-6d8e0f3a5b7c",
"resource": {
"resourceType": "Composition",
"id": "a3f5c8d2-1e4b-4a7f-9b2c-6d8e0f3a5b7c",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-composition"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Example Summary Notes</div>"
},
"extension": [
{
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-recorder",
"valueIdentifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M88888"
}
}
],
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "SN-REC-2026-01001"
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/accession-no",
"value": "SN-ACC-2026-01001"
}
],
"status": "final",
"type": {
"extension": [
{
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-version",
"valueString": "1.0"
}
],
"coding": [
{
"system": "http://loinc.org",
"code": "18761-7",
"display": "Transfer summary note"
}
]
},
"subject": [
{
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S7654321B"
}
}
],
"encounter": {
"type": "Encounter",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/event-id",
"value": "SN-ENC-2026-01001"
}
},
"date": "2026-03-19T14:30:00+08:00",
"author": [
{
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M88888"
}
}
],
"title": "Diabetes Management Summary Notes - Quarterly Review",
"note": [
{
"text": "Patient presented for quarterly diabetes management review. HbA1c at target. Continue current medication regimen with lifestyle modifications."
}
],
"attester": [
{
"mode": {
"coding": [
{
"system": "http://hl7.org/fhir/CodeSystem/composition-attestation-mode",
"code": "official",
"display": "Official"
}
]
},
"time": "2026-03-19T14:30:00+08:00",
"party": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M88888"
},
"display": "Dr. Priya Reddy"
}
}
],
"custodian": {
"type": "Organization",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
"value": "HCI-11111"
},
"display": "Tan Tock Seng Hospital"
},
"event": [
{
"detail": [
{
"reference": {
"reference": "c1a9b3e5-2f7d-4c8a-b4e0-9d3f6a2b5c8e"
}
}
]
}
],
"section": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "34895-3",
"display": "Diagnostic evidence documents"
}
]
},
"entry": [
{
"reference": "d4c7f2a8-3e1b-4d9c-a5f3-0b7e4c1a6d2f"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "30954-2",
"display": "Relevant diagnostic tests and laboratory data"
}
]
},
"entry": [
{
"reference": "e8b5a3f7-4d2c-4e0b-8f6a-1c9d3b7e5a2c"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29548-5",
"display": "Diagnosis"
}
]
},
"entry": [
{
"reference": "f2d8c6b4-5a3e-4f1d-9a7b-2e0c8f4d1b6a"
}
]
}
]
}
},
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