FHIR IG analytics| Package | synapxe.sgcdi |
| Resource Type | Bundle |
| Id | BundleBreastScreeningReportRequest.Example.json |
| FHIR Version | R5 |
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No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Bundle",
"type": "transaction",
"entry": [
{
"fullUrl": "urn:uuid:diagnosticreport-bs-001",
"resource": {
"resourceType": "DiagnosticReport",
"id": "diagnosticreport-bs-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-diagnosticreport-bs"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "BS-RPT-2026-001234"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/screen-type",
"code": "breast-screen",
"display": "Breast Screening Report"
}
]
},
"subject": {
"reference": "Patient/patient-001",
"type": "Patient"
},
"encounter": {
"reference": "urn:uuid:encounter-screening-001"
},
"effectiveDateTime": "2026-02-09T09:00:00+08:00",
"issued": "2026-02-09T16:00:00+08:00",
"result": [
{
"reference": "urn:uuid:assessment-result-001"
},
{
"reference": "urn:uuid:screening-result-001"
},
{
"reference": "urn:uuid:pathology-result-001"
},
{
"reference": "urn:uuid:cytology-result-001"
},
{
"reference": "urn:uuid:biopsy-result-001"
}
],
"supportingInfo": [
{
"type": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/supportinginfo-type",
"code": "history"
}
]
},
"reference": {
"reference": "urn:uuid:questionnaire-response-001"
}
}
],
"conclusion": "BI-RADS Category 2: Benign findings. Multiple pathology studies (histopathology, cytology, and core biopsy) confirm benign breast tissue with no evidence of malignancy."
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
},
{
"fullUrl": "urn:uuid:encounter-screening-001",
"resource": {
"resourceType": "Encounter",
"id": "encounter-screening-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-encounter-screening"
]
},
"extension": [
{
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-screenType",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/screen-type",
"code": "breast-screen",
"display": "Breast Screening"
}
]
}
}
],
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/encounter-id",
"value": "ENC-BS-2026-001234"
}
],
"status": "completed",
"class": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB",
"display": "ambulatory"
}
]
}
],
"subject": {
"reference": "Patient/patient-001",
"type": "Patient"
},
"serviceProvider": {
"type": "Organization",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
"value": "11234"
}
},
"actualPeriod": {
"start": "2026-02-09T09:00:00+08:00",
"end": "2026-02-09T11:00:00+08:00"
},
"basedOn": [
{
"reference": "urn:uuid:referral-001"
}
],
"location": [
{
"location": {
"reference": "urn:uuid:location-001"
}
}
]
},
"request": {
"method": "POST",
"url": "Encounter"
}
},
{
"fullUrl": "urn:uuid:assessment-result-001",
"resource": {
"resourceType": "Observation",
"id": "assessment-result-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-assessment-results"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "AR-2026-001234"
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/workflow-no",
"value": "WF-BS-2026-001234"
}
],
"basedOn": [
{
"reference": "urn:uuid:service-request-001"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
}
]
}
],
"code": {
"text": "Breast Screening Assessment Results"
},
"subject": {
"reference": "Patient/patient-001",
"type": "Patient"
},
"effectiveDateTime": "2026-02-09T10:30:00+08:00",
"performer": [
{
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
},
"display": "Dr. Sarah Tan"
}
],
"interpretation": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/birads",
"code": "birads-2",
"display": "BI-RADS Category 2"
}
],
"text": "Benign findings. Routine screening recommended in 1 year."
}
],
"hasMember": [
{
"reference": "urn:uuid:observation-mammography-001"
},
{
"reference": "urn:uuid:clinical-assessment-001"
}
]
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:screening-result-001",
"resource": {
"resourceType": "Observation",
"id": "screening-result-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-observation"
]
},
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "24604-1",
"display": "MG Breast Screening"
}
]
},
"subject": {
"reference": "Patient/patient-001",
"type": "Patient"
},
"effectiveDateTime": "2026-02-09T09:30:00+08:00",
"valueString": "Bilateral digital mammography completed with MLO and CC views"
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:pathology-result-001",
"resource": {
"resourceType": "Observation",
"id": "pathology-result-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-pathology-results"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "PATH-2026-001234"
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/accession-no",
"value": "ACC-BS-2026-001234"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/pathology-results-type",
"code": "histopathology",
"display": "Histopathology"
}
]
},
"subject": {
"reference": "Patient/patient-001",
"type": "Patient"
},
"effectiveDateTime": "2026-02-12T10:00:00+08:00",
"performer": [
{
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M67890"
},
"display": "Dr. Lee Wei Ming"
}
],
"specimen": {
"reference": "urn:uuid:specimen-001"
},
"component": [
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "106221001",
"display": "Microscopic observation"
}
]
},
"valueString": "Core biopsy shows benign fibrocystic changes with focal microcalcifications. No evidence of in situ or invasive carcinoma."
}
]
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:cytology-result-001",
"resource": {
"resourceType": "Observation",
"id": "cytology-result-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-pathology-results"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "CYTO-2026-001234"
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/accession-no",
"value": "ACC-CYTO-2026-001234"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/pathology-results-type",
"code": "cytology",
"display": "Cytology"
}
]
},
"subject": {
"reference": "Patient/patient-001",
"type": "Patient"
},
"effectiveDateTime": "2026-02-10T14:00:00+08:00",
"performer": [
{
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M67891"
},
"display": "Dr. Tan Siew Lan"
}
],
"specimen": {
"reference": "urn:uuid:specimen-002"
},
"component": [
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "250537006",
"display": "Cytology report"
}
]
},
"valueString": "Fine needle aspiration cytology (FNAC) from palpable left breast mass: Benign ductal epithelial cells with no atypia. No malignant cells identified."
}
]
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:biopsy-result-001",
"resource": {
"resourceType": "Observation",
"id": "biopsy-result-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-pathology-results"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "BIOPSY-2026-001234"
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/accession-no",
"value": "ACC-BIOPSY-2026-001234"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/pathology-results-type",
"code": "biopsy",
"display": "Biopsy"
}
]
},
"subject": {
"reference": "Patient/patient-001",
"type": "Patient"
},
"effectiveDateTime": "2026-02-13T15:30:00+08:00",
"performer": [
{
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M67892"
},
"display": "Dr. Lim Kah Hoe"
}
],
"specimen": {
"reference": "urn:uuid:specimen-003"
},
"component": [
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "396447009",
"display": "Biopsy report"
}
]
},
"valueString": "Ultrasound-guided core needle biopsy: Fibroadenoma with usual ductal hyperplasia. No atypical or malignant features identified."
}
]
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:questionnaire-response-001",
"resource": {
"resourceType": "QuestionnaireResponse",
"id": "questionnaire-response-001",
"meta": {
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]
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"status": "completed",
"subject": {
"reference": "Patient/patient-001",
"type": "Patient"
},
"authored": "2026-02-09T09:00:00+08:00",
"author": {
"reference": "Patient/patient-001"
},
"item": [
{
"linkId": "1",
"text": "Family history of breast cancer?",
"answer": [
{
"valueBoolean": false
}
]
},
{
"linkId": "2",
"text": "Previous breast surgery or biopsy?",
"answer": [
{
"valueBoolean": false
}
]
},
{
"linkId": "3",
"text": "Current breast symptoms?",
"answer": [
{
"valueString": "None"
}
]
},
{
"linkId": "4",
"text": "Last mammogram date",
"answer": [
{
"valueDate": "2024-02-15"
}
]
}
]
},
"request": {
"method": "POST",
"url": "QuestionnaireResponse"
}
},
{
"fullUrl": "urn:uuid:referral-001",
"resource": {
"resourceType": "ServiceRequest",
"id": "referral-001",
"meta": {
"profile": [
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]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/referral-id",
"value": "REF-2026-001234"
}
],
"status": "completed",
"intent": "order",
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "3457005",
"display": "Referral"
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]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "268547008",
"display": "Screening mammography"
}
]
},
"subject": {
"reference": "Patient/patient-001",
"type": "Patient"
},
"authoredOn": "2026-01-15T10:00:00+08:00",
"requester": {
"reference": "Practitioner/gp-001",
"display": "Dr. John Wong"
}
},
"request": {
"method": "POST",
"url": "ServiceRequest"
}
},
{
"fullUrl": "urn:uuid:location-001",
"resource": {
"resourceType": "Location",
"id": "location-001",
"meta": {
"profile": [
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]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/location-id",
"value": "LOC-RAD-001"
}
],
"status": "active",
"name": "Radiology Department - Breast Imaging Unit",
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "RADDX",
"display": "Radiology diagnostics or therapeutics unit"
}
]
}
],
"physicalType": {
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{
"system": "http://terminology.hl7.org/CodeSystem/location-physical-type",
"code": "bu",
"display": "Building"
}
]
}
},
"request": {
"method": "POST",
"url": "Location"
}
},
{
"fullUrl": "urn:uuid:observation-mammography-001",
"resource": {
"resourceType": "Observation",
"id": "observation-mammography-001",
"meta": {
"profile": [
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]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/workflow-no",
"value": "WF-MAMMO-2026-001234"
}
],
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{
"reference": "urn:uuid:service-request-001"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/screening-category",
"code": "mammography",
"display": "Mammography"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "42168-2",
"display": "Mammography study observation"
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},
"subject": {
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"type": "Patient"
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"performer": [
{
"type": "Practitioner",
"identifier": {
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"value": "M12345"
},
"display": "Dr. Sarah Tan"
}
],
"valueString": "Bilateral screening mammography (MLO and CC views): Scattered fibroglandular densities noted bilaterally. No suspicious masses, architectural distortion, or microcalcifications.",
"interpretation": [
{
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/birads",
"code": "birads-2",
"display": "BI-RADS 2"
}
],
"text": "Benign finding"
}
],
"bodySite": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "76752008",
"display": "Breast"
}
]
}
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:clinical-assessment-001",
"resource": {
"resourceType": "Observation",
"id": "clinical-assessment-001",
"meta": {
"profile": [
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]
},
"status": "final",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "386053000",
"display": "Clinical assessment"
}
]
},
"subject": {
"reference": "Patient/patient-001",
"type": "Patient"
},
"effectiveDateTime": "2026-02-09T10:00:00+08:00",
"performer": [
{
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
},
"display": "Dr. Sarah Tan"
}
],
"valueString": "Clinical breast examination: Normal findings bilaterally. No palpable masses, skin changes, nipple discharge, or lymphadenopathy.",
"hasMember": [
{
"reference": "urn:uuid:observation-mammography-001"
},
{
"reference": "urn:uuid:questionnaire-response-001"
}
]
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:specimen-001",
"resource": {
"resourceType": "Specimen",
"id": "specimen-001",
"meta": {
"profile": [
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]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/specimen-id",
"value": "SPEC-BS-2026-001234"
}
],
"status": "available",
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "119376003",
"display": "Tissue specimen"
}
]
},
"subject": {
"reference": "Patient/patient-001",
"type": "Patient"
},
"receivedTime": "2026-02-09T12:00:00+08:00",
"collection": {
"collectedDateTime": "2026-02-09T11:00:00+08:00",
"method": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "129314006",
"display": "Core needle biopsy"
}
]
},
"bodySite": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "80248007",
"display": "Right breast"
}
]
}
}
},
"request": {
"method": "POST",
"url": "Specimen"
}
},
{
"fullUrl": "urn:uuid:specimen-002",
"resource": {
"resourceType": "Specimen",
"id": "specimen-002",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-specimen"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/specimen-id",
"value": "SPEC-CYTO-2026-001234"
}
],
"status": "available",
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "258415003",
"display": "Cytology specimen"
}
]
},
"subject": {
"reference": "Patient/patient-001",
"type": "Patient"
},
"receivedTime": "2026-02-10T11:30:00+08:00",
"collection": {
"collectedDateTime": "2026-02-10T10:30:00+08:00",
"method": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "14113009",
"display": "Fine needle aspiration"
}
]
},
"bodySite": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "78904004",
"display": "Left breast"
}
]
}
}
},
"request": {
"method": "POST",
"url": "Specimen"
}
},
{
"fullUrl": "urn:uuid:specimen-003",
"resource": {
"resourceType": "Specimen",
"id": "specimen-003",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-specimen"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/specimen-id",
"value": "SPEC-BIOPSY-2026-001234"
}
],
"status": "available",
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "430914008",
"display": "Biopsy specimen"
}
]
},
"subject": {
"reference": "Patient/patient-001",
"type": "Patient"
},
"receivedTime": "2026-02-11T15:00:00+08:00",
"collection": {
"collectedDateTime": "2026-02-11T14:00:00+08:00",
"method": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "129314006",
"display": "Core needle biopsy"
}
]
},
"bodySite": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "78904004",
"display": "Left breast"
}
]
}
}
},
"request": {
"method": "POST",
"url": "Specimen"
}
},
{
"fullUrl": "urn:uuid:service-request-001",
"resource": {
"resourceType": "ServiceRequest",
"id": "service-request-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-servicerequest"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/service-request-id",
"value": "SR-2026-001234"
}
],
"status": "completed",
"intent": "order",
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "363679005",
"display": "Imaging"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "42168-2",
"display": "Mammography"
}
]
},
"subject": {
"reference": "Patient/patient-001",
"type": "Patient"
},
"encounter": {
"reference": "urn:uuid:encounter-screening-001"
},
"authoredOn": "2026-01-15T10:00:00+08:00",
"requester": {
"reference": "Practitioner/gp-001",
"display": "Dr. John Wong"
},
"performer": [
{
"reference": "Practitioner/radiologist-001",
"display": "Dr. Sarah Tan"
}
]
},
"request": {
"method": "POST",
"url": "ServiceRequest"
}
}
]
}