Example-DischargeSummary

This shows an example discharge summary.

Bundle
Bundle.id[0]discharge-summary-request-example
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]TES_DS_20250828224815-168
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]20250828224920
Bundle.meta[0].extension[0].extension[2].url[0]date
Bundle.meta[0].extension[0].extension[2].value[0]2025-08-28T22:49:20+08:00
Bundle.meta[0].extension[0].url[0]https://fhir.synapxe.sg/StructureDefinition/ext-artifact
Bundle.meta[0].source[0]AHPL-SCM
Bundle.meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-bundle-dischargesummary
Bundle.meta[0].tag[0].code[0]KTPH
Bundle.identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/record-id
Bundle.identifier[0].value[0]TES_DS_Document__20250828224815-3358
Bundle.type[0]document
Bundle.timestamp[0]2025-08-28T22:49:20+08:00
Bundle.entry[0].fullUrl[0]urn:uuid:050d815a-e734-4def-bcc1-1cb801e94f57
Bundle.entry[0].resource[0].id[0]050d815a-e734-4def-bcc1-1cb801e94f57
Bundle.entry[0].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-dischargesummary
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]TES_DS_Document__20250828224815-3358
Bundle.entry[0].resource[0].version[0]1
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].version[0]1
Bundle.entry[0].resource[0].type[0].coding[0].code[0]18842-5
Bundle.entry[0].resource[0].type[0].coding[0].display[0]Discharge Summary
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]S8972392B
Bundle.entry[0].resource[0].subject[0].display[0]Tes_PatientTest
Bundle.entry[0].resource[0].encounter[0].reference[0]urn:uuid:69781142-624a-454f-a2db-3358a910fdca
Bundle.entry[0].resource[0].date[0]2025-07-22T06:00:01+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]M987867D
Bundle.entry[0].resource[0].author[0].display[0]Test Content Document Author Name
Bundle.entry[0].resource[0].title[0]Discharge Summary
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]2025-07-22T10:00:01+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]M987794D
Bundle.entry[0].resource[0].attester[0].party[0].display[0]Test Document Authoriser Name
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]1600000
Bundle.entry[0].resource[0].custodian[0].display[0]KTPH
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]48765-2
Bundle.entry[0].resource[0].section[0].code[0].coding[0].display[0]Allergies and adverse reactions Document
Bundle.entry[0].resource[0].section[0].entry[0].reference[0]urn:uuid:55c7cd20-d72a-49e3-99b4-d428241c551b
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]75310-3
Bundle.entry[0].resource[0].section[1].code[0].coding[0].display[0]Health concerns Document
Bundle.entry[0].resource[0].section[1].entry[0].reference[0]urn:uuid:9434253c-b949-4458-9cab-717a087ad116
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]urn:uuid:d8ae6519-54b5-4fe7-857d-0b3183db317f
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]8648-8
Bundle.entry[0].resource[0].section[3].code[0].coding[0].display[0]Hospital course note
Bundle.entry[0].resource[0].section[3].text[0].status[0]generated
Bundle.entry[0].resource[0].section[3].text[0].div[0]<div xmlns="http://www.w3.org/1999/xhtml"><p>Progress: See Summary</p></div>
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]30954-2
Bundle.entry[0].resource[0].section[4].code[0].coding[0].display[0]Relevant diagnostic tests and laboratory data
Bundle.entry[0].resource[0].section[4].text[0].status[0]generated
Bundle.entry[0].resource[0].section[4].text[0].div[0]<div xmlns="http://www.w3.org/1999/xhtml"><p>InvestigationText SGH SHS-SCM</p></div>
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]10183-2
Bundle.entry[0].resource[0].section[5].code[0].coding[0].display[0]Hospital discharge medications Narrative
Bundle.entry[0].resource[0].section[5].entry[0].reference[0]urn:uuid:9af66192-7192-481f-9152-e329e6e35062
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]29554-3
Bundle.entry[0].resource[0].section[6].code[0].coding[0].display[0]Procedure Narrative
Bundle.entry[0].resource[0].section[6].entry[0].reference[0]urn:uuid:ae0174e8-83db-4d1a-9074-28bf6f6f1b7a
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]103595-5
Bundle.entry[0].resource[0].section[7].code[0].coding[0].display[0]Certificate of Medical Necessity
Bundle.entry[0].resource[0].section[7].entry[0].reference[0]urn:uuid:4ccc8b30-0b0c-4ad3-8e99-642e54cb51f8
Bundle.entry[1].fullUrl[0]urn:uuid:69781142-624a-454f-a2db-3358a910fdca
Bundle.entry[1].resource[0].id[0]69781142-624a-454f-a2db-3358a910fdca
Bundle.entry[1].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-ds-encounter
Bundle.entry[1].resource[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/case-id
Bundle.entry[1].resource[0].identifier[0].value[0]8114040144G
Bundle.entry[1].resource[0].status[0]completed
Bundle.entry[1].resource[0].serviceType[0].concept[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/service-speciality
Bundle.entry[1].resource[0].serviceType[0].concept[0].coding[0].code[0]6
Bundle.entry[1].resource[0].serviceType[0].concept[0].coding[0].display[0]Cardiology
Bundle.entry[1].resource[0].serviceType[0].concept[0].text[0]Cardiology
Bundle.entry[1].resource[0].subject[0].type[0]Patient
Bundle.entry[1].resource[0].subject[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/nric
Bundle.entry[1].resource[0].subject[0].identifier[0].value[0]S8972392B
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
Bundle.entry[1].resource[0].participant[0].actor[0].identifier[0].value[0]M0988987F
Bundle.entry[1].resource[0].participant[0].actor[0].display[0]Test DisInfo_ResponsibleClinician_Name
Bundle.entry[1].resource[0].actualPeriod[0].start[0]2025-07-20T10:00:01+08:00
Bundle.entry[1].resource[0].actualPeriod[0].end[0]2025-07-22T12:00:01+08:00
Bundle.entry[1].resource[0].admission[0].dischargeDisposition[0].extension[0].url[0]https://fhir.synapxe.sg/StructureDefinition/ext-outcome
Bundle.entry[1].resource[0].admission[0].dischargeDisposition[0].extension[0].value[0].text[0]NIL
Bundle.entry[1].resource[0].admission[0].dischargeDisposition[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/discharge-disposition-type
Bundle.entry[1].resource[0].admission[0].dischargeDisposition[0].coding[0].code[0]Follow up SOC
Bundle.entry[1].resource[0].admission[0].dischargeDisposition[0].coding[0].display[0]Follow up SOC
Bundle.entry[1].resource[0].location[0].location[0].type[0]Location
Bundle.entry[1].resource[0].location[0].location[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/location-id
Bundle.entry[1].resource[0].location[0].location[0].identifier[0].value[0]ICU
Bundle.entry[1].resource[0].location[0].location[0].display[0]Intensive Care Unit
Bundle.entry[2].fullUrl[0]urn:uuid:55c7cd20-d72a-49e3-99b4-d428241c551b
Bundle.entry[2].resource[0].id[0]55c7cd20-d72a-49e3-99b4-d428241c551b
Bundle.entry[2].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-allergyintolerance
Bundle.entry[2].resource[0].code[0].text[0]Allergy Description Field
Bundle.entry[2].resource[0].patient[0].type[0]Patient
Bundle.entry[2].resource[0].patient[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/nric
Bundle.entry[2].resource[0].patient[0].identifier[0].value[0]S8972392B
Bundle.entry[2].resource[0].recordedDate[0]2025-07-22T13:15:34+08:00
Bundle.entry[2].resource[0].reaction[0].manifestation[0].concept[0].text[0]Rashes
Bundle.entry[3].fullUrl[0]urn:uuid:9434253c-b949-4458-9cab-717a087ad116
Bundle.entry[3].resource[0].id[0]9434253c-b949-4458-9cab-717a087ad116
Bundle.entry[3].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-flag
Bundle.entry[3].resource[0].status[0]active
Bundle.entry[3].resource[0].code[0].text[0]Alert Description Field
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]S8972392B
Bundle.entry[3].resource[0].period[0].start[0]2025-07-22T13:16:34+08:00
Bundle.entry[4].fullUrl[0]urn:uuid:d8ae6519-54b5-4fe7-857d-0b3183db317f
Bundle.entry[4].resource[0].id[0]d8ae6519-54b5-4fe7-857d-0b3183db317f
Bundle.entry[4].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-ds-diagnosis
Bundle.entry[4].resource[0].clinicalStatus[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/condition-clinical
Bundle.entry[4].resource[0].clinicalStatus[0].coding[0].code[0]active
Bundle.entry[4].resource[0].clinicalStatus[0].coding[0].display[0]Active
Bundle.entry[4].resource[0].category[0].text[0]Primary Diagnosis
Bundle.entry[4].resource[0].code[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/diagnosis
Bundle.entry[4].resource[0].code[0].coding[0].code[0]25064002
Bundle.entry[4].resource[0].code[0].coding[0].display[0]Headache
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]S8972392B
Bundle.entry[4].resource[0].note[0].text[0]diag 1
Bundle.entry[5].fullUrl[0]urn:uuid:9af66192-7192-481f-9152-e329e6e35062
Bundle.entry[5].resource[0].id[0]9af66192-7192-481f-9152-e329e6e35062
Bundle.entry[5].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-ds-medicationrequest
Bundle.entry[5].resource[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/sequence-no
Bundle.entry[5].resource[0].identifier[0].value[0]1
Bundle.entry[5].resource[0].status[0]active
Bundle.entry[5].resource[0].intent[0]order
Bundle.entry[5].resource[0].medication[0].concept[0].text[0]Medication Name 2
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]S8972392B
Bundle.entry[5].resource[0].requester[0].type[0]Practitioner
Bundle.entry[5].resource[0].requester[0].display[0]SHS Doctor
Bundle.entry[5].resource[0].note[0].text[0]Medication Instruction
Bundle.entry[5].resource[0].dosageInstruction[0].text[0]456
Bundle.entry[5].resource[0].dosageInstruction[0].timing[0].repeat[0].bounds[0].start[0]2025-07-22T10:00:15+08:00
Bundle.entry[5].resource[0].dosageInstruction[0].timing[0].repeat[0].bounds[0].end[0]2025-07-22T10:00:16+08:00
Bundle.entry[5].resource[0].dosageInstruction[0].route[0].text[0]Facility
Bundle.entry[6].fullUrl[0]urn:uuid:ae0174e8-83db-4d1a-9074-28bf6f6f1b7a
Bundle.entry[6].resource[0].id[0]ae0174e8-83db-4d1a-9074-28bf6f6f1b7a
Bundle.entry[6].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-ds-procedure
Bundle.entry[6].resource[0].status[0]completed
Bundle.entry[6].resource[0].category[0].text[0]Heart Procedure
Bundle.entry[6].resource[0].code[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/procedure-code
Bundle.entry[6].resource[0].code[0].coding[0].code[0]123
Bundle.entry[6].resource[0].code[0].coding[0].display[0]Heart Procedure SGH CR594
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]S8972392B
Bundle.entry[6].resource[0].occurrence[0]2025-07-22T13:16:44+08:00
Bundle.entry[6].resource[0].performer[0].actor[0].type[0]Practitioner
Bundle.entry[6].resource[0].performer[0].actor[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/mcr
Bundle.entry[6].resource[0].performer[0].actor[0].identifier[0].value[0]T7777777B
Bundle.entry[6].resource[0].performer[0].actor[0].display[0]SGH Doctor
Bundle.entry[7].fullUrl[0]urn:uuid:4ccc8b30-0b0c-4ad3-8e99-642e54cb51f8
Bundle.entry[7].resource[0].id[0]4ccc8b30-0b0c-4ad3-8e99-642e54cb51f8
Bundle.entry[7].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-medicalcertificate
Bundle.entry[7].resource[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/mc-no
Bundle.entry[7].resource[0].identifier[0].value[0]CVM20172054412
Bundle.entry[7].resource[0].status[0]current
Bundle.entry[7].resource[0].type[0].text[0]Unfit for Duty
Bundle.entry[7].resource[0].period[0].start[0]2025-07-22
Bundle.entry[7].resource[0].period[0].end[0]2025-07-22
Bundle.entry[7].resource[0].author[0].type[0]Practitioner
Bundle.entry[7].resource[0].author[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/mcr
Bundle.entry[7].resource[0].author[0].identifier[0].value[0]63013F
Bundle.entry[7].resource[0].author[0].display[0]Provider Doctor Name
Bundle.entry[7].resource[0].content[0].attachment[0].contentType[0]text/plain
Bundle.entry[7].resource[0].content[0].attachment[0].title[0]Unfit for Duty
{
"resourceType": "Bundle",
"id": "discharge-summary-request-example",
"meta": {
"extension": [
{
"extension": [
{
"url": "msgId",
"valueIdentifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/msg-id",
"value": "TES_DS_20250828224815-168"
}
},
{
"url": "msgSequenceId",
"valueIdentifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/msg-sequence-id",
"value": "20250828224920"
}
},
{
"url": "date",
"valueDateTime": "2025-08-28T22:49:20+08:00"
}
],
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-artifact"
}
],
"source": "AHPL-SCM",
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-bundle-dischargesummary"
],
"tag": [
{
"code": "KTPH"
}
]
},
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "TES_DS_Document__20250828224815-3358"
},
"type": "document",
"timestamp": "2025-08-28T22:49:20+08:00",
"entry": [
{
"fullUrl": "urn:uuid:050d815a-e734-4def-bcc1-1cb801e94f57",
"resource": {
"resourceType": "Composition",
"id": "050d815a-e734-4def-bcc1-1cb801e94f57",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-dischargesummary"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "TES_DS_Document__20250828224815-3358"
}
],
"version": "1",
"status": "final",
"type": {
"coding": [
{
"system": "http://loinc.org",
"version": "1",
"code": "18842-5",
"display": "Discharge Summary"
}
]
},
"subject": [
{
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S8972392B"
},
"display": "Tes_PatientTest"
}
],
"encounter": {
"reference": "urn:uuid:69781142-624a-454f-a2db-3358a910fdca"
},
"date": "2025-07-22T06:00:01+08:00",
"author": [
{
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M987867D"
},
"display": "Test Content Document Author Name"
}
],
"title": "Discharge Summary",
"attester": [
{
"mode": {
"coding": [
{
"system": "http://hl7.org/fhir/CodeSystem/composition-attestation-mode",
"code": "official",
"display": "Official"
}
]
},
"time": "2025-07-22T10:00:01+08:00",
"party": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M987794D"
},
"display": "Test Document Authoriser Name"
}
}
],
"custodian": {
"type": "Organization",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
"value": "1600000"
},
"display": "KTPH"
},
"section": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "48765-2",
"display": "Allergies and adverse reactions Document"
}
]
},
"entry": [
{
"reference": "urn:uuid:55c7cd20-d72a-49e3-99b4-d428241c551b"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "75310-3",
"display": "Health concerns Document"
}
]
},
"entry": [
{
"reference": "urn:uuid:9434253c-b949-4458-9cab-717a087ad116"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29548-5",
"display": "Diagnosis"
}
]
},
"entry": [
{
"reference": "urn:uuid:d8ae6519-54b5-4fe7-857d-0b3183db317f"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8648-8",
"display": "Hospital course note"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Progress: See Summary</p></div>"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "30954-2",
"display": "Relevant diagnostic tests and laboratory data"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>InvestigationText SGH SHS-SCM</p></div>"
}
},
{
"code": {
"coding": [
{
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