Example-EDNotes

This shows an example ED notes.

Bundle
Bundle.id[0]ed-notes-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]34274137
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]140354
Bundle.meta[0].extension[0].extension[2].url[0]date
Bundle.meta[0].extension[0].extension[2].value[0]2026-09-02T10:10:33.237+08:00
Bundle.meta[0].extension[0].url[0]https://fhir.synapxe.sg/StructureDefinition/ext-artifact
Bundle.meta[0].source[0]JHS-EPIC
Bundle.meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-bundle-ednotes
Bundle.meta[0].tag[0].code[0]0200000
Bundle.identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/record-id
Bundle.identifier[0].value[0]JHS100700110478EDS
Bundle.type[0]document
Bundle.timestamp[0]2026-09-02T10:10:33.237+08:00
Bundle.entry[0].fullUrl[0]urn:uuid:4ccc8b30-0b0c-4ad3-8e99-642e54cb51f8
Bundle.entry[0].resource[0].id[0]4ccc8b30-0b0c-4ad3-8e99-642e54cb51f8
Bundle.entry[0].resource[0].meta[0].lastUpdated[0]2026-09-02T10:10:29+08:00
Bundle.entry[0].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-ednotes
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]JHS100700110478EDS
Bundle.entry[0].resource[0].status[0]final
Bundle.entry[0].resource[0].type[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/Document_Type_(NEHR)
Bundle.entry[0].resource[0].type[0].coding[0].code[0]EDNotes
Bundle.entry[0].resource[0].type[0].coding[0].display[0]ED Provider Notes
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]S9382027D
Bundle.entry[0].resource[0].encounter[0].reference[0]urn:uuid:2afa2e69-5d3c-4ab4-bb62-41598bafbced
Bundle.entry[0].resource[0].date[0]2026-09-02T10:10:29+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]08370D
Bundle.entry[0].resource[0].title[0]Emergency Department (ED) Notes
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]0200000
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]54094-8
Bundle.entry[0].resource[0].section[0].code[0].coding[0].display[0]ED Triage note
Bundle.entry[0].resource[0].section[0].entry[0].reference[0]urn:uuid:9434253c-b949-4458-9cab-717a087ad116
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]51846-4
Bundle.entry[0].resource[0].section[1].code[0].coding[0].display[0]ED Consultation note
Bundle.entry[0].resource[0].section[1].entry[0].reference[0]urn:uuid:55c7cd20-d72a-49e3-99b4-d428241c551b
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]8716-3
Bundle.entry[0].resource[0].section[2].code[0].coding[0].display[0]Vital signs
Bundle.entry[0].resource[0].section[2].entry[0].reference[0]urn:uuid:050d815a-e734-4def-bcc1-1cb801e94f57
Bundle.entry[1].fullUrl[0]urn:uuid:2afa2e69-5d3c-4ab4-bb62-41598bafbced
Bundle.entry[1].resource[0].id[0]2afa2e69-5d3c-4ab4-bb62-41598bafbced
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/case-id
Bundle.entry[1].resource[0].identifier[0].value[0]100700110478
Bundle.entry[1].resource[0].status[0]completed
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]2025-09-30T14:48:19+08:00
Bundle.entry[1].resource[0].participant[0].period[0].end[0]2026-03-12T15:02:00+08:00
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]2025-09-18T14:35:58+08:00
Bundle.entry[1].resource[0].participant[1].period[0].end[0]2026-07-27T16:46:14+08:00
Bundle.entry[1].resource[0].actualPeriod[0].start[0]2025-09-18T10:26:00+08:00
Bundle.entry[1].resource[0].actualPeriod[0].end[0]2026-09-02T10:10:00+08:00
Bundle.entry[1].resource[0].plannedEndDate[0]2026-09-02T10:10:00+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]Fever
Bundle.entry[1].resource[0].admission[0].admitSource[0].text[0]Walk In
Bundle.entry[1].resource[0].admission[0].dischargeDisposition[0].text[0]Discharged
Bundle.entry[2].fullUrl[0]urn:uuid:9434253c-b949-4458-9cab-717a087ad116
Bundle.entry[2].resource[0].id[0]9434253c-b949-4458-9cab-717a087ad116
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].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[2].resource[0].code[0].coding[0].code[0]54094-8
Bundle.entry[2].resource[0].code[0].coding[0].display[0]ED Triage note
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]S9382027D
Bundle.entry[2].resource[0].effective[0]2026-03-12T14:53:28+08:00
Bundle.entry[2].resource[0].note[0].text[0]History from: Patient. Medical history: Diabetes mellitus; Hypertension.
Bundle.entry[3].fullUrl[0]urn:uuid:55c7cd20-d72a-49e3-99b4-d428241c551b
Bundle.entry[3].resource[0].id[0]55c7cd20-d72a-49e3-99b4-d428241c551b
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].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[3].resource[0].code[0].coding[0].code[0]51846-4
Bundle.entry[3].resource[0].code[0].coding[0].display[0]ED Consultation note
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]S9382027D
Bundle.entry[3].resource[0].effective[0]2026-04-23T12:07:17+08:00
Bundle.entry[3].resource[0].note[0].text[0]Consultation PAC: PAC2. ED Provider Notes: ED Provider Notes; AAAAadda. ED Triage Notes: L sided Chest tightness radiating to L arm a/w SOB and diaphoresis x3/7. Nil giddiness.
Bundle.entry[4].fullUrl[0]urn:uuid:050d815a-e734-4def-bcc1-1cb801e94f57
Bundle.entry[4].resource[0].id[0]050d815a-e734-4def-bcc1-1cb801e94f57
Bundle.entry[4].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-observation
Bundle.entry[4].resource[0].status[0]final
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]8716-3
Bundle.entry[4].resource[0].code[0].coding[0].display[0]Vital signs
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]S9382027D
Bundle.entry[4].resource[0].effective[0]2026-03-12T15:00:00+08:00
Bundle.entry[4].resource[0].component[0].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[4].resource[0].component[0].code[0].coding[0].code[0]8889-8
Bundle.entry[4].resource[0].component[0].code[0].coding[0].display[0]Pulse rate
Bundle.entry[4].resource[0].component[0].value[0]98 (/Min)
Bundle.entry[4].resource[0].component[1].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[4].resource[0].component[1].code[0].coding[0].code[0]8357-6
Bundle.entry[4].resource[0].component[1].code[0].coding[0].display[0]Blood pressure
Bundle.entry[4].resource[0].component[1].value[0]110/70 (mmHg)
Bundle.entry[4].resource[0].component[2].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[4].resource[0].component[2].code[0].coding[0].code[0]9279-1
Bundle.entry[4].resource[0].component[2].code[0].coding[0].display[0]Respiratory rate
Bundle.entry[4].resource[0].component[2].value[0]18 (/Min)
Bundle.entry[4].resource[0].component[3].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[4].resource[0].component[3].code[0].coding[0].code[0]115653-8
Bundle.entry[4].resource[0].component[3].code[0].coding[0].display[0]Oxygen saturation
Bundle.entry[4].resource[0].component[3].value[0]98 (%)
Bundle.entry[4].resource[0].component[4].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[4].resource[0].component[4].code[0].coding[0].code[0]8310-5
Bundle.entry[4].resource[0].component[4].code[0].coding[0].display[0]Body temperature
Bundle.entry[4].resource[0].component[4].value[0]36.7 (°C)
Bundle.entry[4].resource[0].component[5].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[4].resource[0].component[5].code[0].coding[0].code[0]104965-9
Bundle.entry[4].resource[0].component[5].code[0].coding[0].display[0]Exposure Route
Bundle.entry[4].resource[0].component[5].value[0]Tympanic
Bundle.entry[4].resource[0].component[6].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[4].resource[0].component[6].code[0].coding[0].code[0]72097-9
Bundle.entry[4].resource[0].component[6].code[0].coding[0].display[0]Pain score
Bundle.entry[4].resource[0].component[6].value[0]6
{
"resourceType": "Bundle",
"id": "ed-notes-request-example",
"meta": {
"extension": [
{
"extension": [
{
"url": "msgId",
"valueIdentifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/msg-id",
"value": "34274137"
}
},
{
"url": "msgSequenceId",
"valueIdentifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/msg-sequence-id",
"value": "140354"
}
},
{
"url": "date",
"valueDateTime": "2026-09-02T10:10:33.237+08:00"
}
],
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-artifact"
}
],
"source": "JHS-EPIC",
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-bundle-ednotes"
],
"tag": [
{
"code": "0200000"
}
]
},
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "JHS100700110478EDS"
},
"type": "document",
"timestamp": "2026-09-02T10:10:33.237+08:00",
"entry": [
{
"fullUrl": "urn:uuid:4ccc8b30-0b0c-4ad3-8e99-642e54cb51f8",
"resource": {
"resourceType": "Composition",
"id": "4ccc8b30-0b0c-4ad3-8e99-642e54cb51f8",
"meta": {
"lastUpdated": "2026-09-02T10:10:29+08:00",
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-ednotes"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "JHS100700110478EDS"
}
],
"status": "final",
"type": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/Document_Type_(NEHR)",
"code": "EDNotes",
"display": "ED Provider Notes"
}
]
},
"subject": [
{
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S9382027D"
}
}
],
"encounter": {
"reference": "urn:uuid:2afa2e69-5d3c-4ab4-bb62-41598bafbced"
},
"date": "2026-09-02T10:10:29+08:00",
"author": [
{
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "08370D"
}
}
],
"title": "Emergency Department (ED) Notes",
"custodian": {
"type": "Organization",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
"value": "0200000"
}
},
"section": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "54094-8",
"display": "ED Triage note"
}
]
},
"entry": [
{
"reference": "urn:uuid:9434253c-b949-4458-9cab-717a087ad116"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "51846-4",
"display": "ED Consultation note"
}
]
},
"entry": [
{
"reference": "urn:uuid:55c7cd20-d72a-49e3-99b4-d428241c551b"
}
]
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8716-3",
"display": "Vital signs"
}
]
},
"entry": [
{
"reference": "urn:uuid:050d815a-e734-4def-bcc1-1cb801e94f57"
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:2afa2e69-5d3c-4ab4-bb62-41598bafbced",
"resource": {
"resourceType": "Encounter",
"id": "2afa2e69-5d3c-4ab4-bb62-41598bafbced",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-edvisit"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/case-id",
"value": "100700110478"
}
],
"status": "completed",
"participant": [
{
"type": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/edvisit-participant-type",
"code": "triage",
"display": "Triage"
}
]
}
],
"period": {
"start": "2025-09-30T14:48:19+08:00",
"end": "2026-03-12T15:02:00+08:00"
}
},
{
"type": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/edvisit-participant-type",
"code": "consultation",
"display": "Consultation"
}
]
}
],
"period": {
"start": "2025-09-18T14:35:58+08:00",
"end": "2026-07-27T16:46:14+08:00"
}
}
],
"actualPeriod": {
"start": "2025-09-18T10:26:00+08:00",
"end": "2026-09-02T10:10:00+08:00"
},
"plannedEndDate": "2026-09-02T10:10:00+08:00",
"reason": [
{
"use": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/edvisit-reason-type",
"code": "emergency",
"display": "Emergency"
}
]
}
],
"value": [
{
"concept": {
"text": "Fever"
}
}
]
}
],
"admission": {
"admitSource": {
"text": "Walk In"
},
"dischargeDisposition": {
"text": "Discharged"
}
}
}
},
{
"fullUrl": "urn:uuid:9434253c-b949-4458-9cab-717a087ad116",
"resource": {
"resourceType": "Observation",
"id": "9434253c-b949-4458-9cab-717a087ad116",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-observation"
]
},
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "54094-8",
"display": "ED Triage note"
}
]
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S9382027D"
}
},
"effectiveDateTime": "2026-03-12T14:53:28+08:00",
"note": [
{
"text": "History from: Patient. Medical history: Diabetes mellitus; Hypertension."
}
]
}
},
{
"fullUrl": "urn:uuid:55c7cd20-d72a-49e3-99b4-d428241c551b",
"resource": {
"resourceType": "Observation",
"id": "55c7cd20-d72a-49e3-99b4-d428241c551b",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-observation"
]
},
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "51846-4",
"display": "ED Consultation note"
}
]
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S9382027D"
}
},
"effectiveDateTime": "2026-04-23T12:07:17+08:00",
"note": [
{
"text": "Consultation PAC: PAC2. ED Provider Notes: ED Provider Notes; AAAAadda. ED Triage Notes: L sided Chest tightness radiating to L arm a/w SOB and diaphoresis x3/7. Nil giddiness."
}
]
}
},
{
"fullUrl": "urn:uuid:050d815a-e734-4def-bcc1-1cb801e94f57",
"resource": {
"resourceType": "Observation",
"id": "050d815a-e734-4def-bcc1-1cb801e94f57",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-observation"
]
},
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8716-3",
"display": "Vital signs"
}
]
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S9382027D"
}
},
"effectiveDateTime": "2026-03-12T15:00:00+08:00",
"component": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8889-8",
"display": "Pulse rate"
}
]
},
"valueString": "98 (/Min)"
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8357-6",
"display": "Blood pressure"
}
]
},
"valueString": "110/70 (mmHg)"
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
}
]
},
"valueString": "18 (/Min)"
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "115653-8",
"display": "Oxygen saturation"
}
]
},
"valueString": "98 (%)"
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8310-5",
"display": "Body temperature"
}
]
},
"valueString": "36.7 (°C)"
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "104965-9",
"display": "Exposure Route"
}
]
},
"valueString": "Tympanic"
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "72097-9",
"display": "Pain score"
}
]
},
"valueString": "6"
}
]
}
}
]
}