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Packagesynapxe.sgcdi
Resource TypeBundle
IdBundleCervicalScreeningReport.Example.json
FHIR VersionR5

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Source1

{
  "resourceType": "Bundle",
  "type": "transaction",
  "entry": [
    {
      "fullUrl": "urn:uuid:diagnosticreport-cvs-001",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "diagnosticreport-cvs-001",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-diagnosticreport-cvs"
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/record-id",
            "value": "CVS-RPT-2026-001234"
          }
        ],
        "basedOn": [
          {
            "reference": "urn:uuid:service-request-001"
          }
        ],
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://fhir.synapxe.sg/CodeSystem/screen-type",
              "code": "cervical-screen",
              "display": "Cervical Screening Report"
            }
          ]
        },
        "subject": {
          "reference": "Patient/patient-001",
          "type": "Patient"
        },
        "result": [
          {
            "reference": "urn:uuid:observation-hpv-001"
          },
          {
            "reference": "urn:uuid:observation-cytology-001"
          }
        ],
        "supportingInfo": [
          {
            "type": {
              "coding": [
                {
                  "system": "https://fhir.synapxe.sg/CodeSystem/supportinginfo-type",
                  "code": "history"
                }
              ]
            },
            "reference": {
              "reference": "urn:uuid:questionnaire-response-001"
            }
          }
        ],
        "conclusionCode": {
          "text": "Negative for intraepithelial lesion or malignancy. HPV not detected. Routine screening recommended in 3 years."
        }
      },
      "request": {
        "method": "POST",
        "url": "DiagnosticReport"
      }
    },
    {
      "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-CVS-2026-001234"
          }
        ],
        "status": "completed",
        "intent": "order",
        "category": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "108252007",
                "display": "Laboratory procedure"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "440623000",
              "display": "Cervical cancer screening"
            }
          ],
          "text": "Cervical screening with HPV testing and cytology"
        },
        "subject": {
          "reference": "Patient/patient-001",
          "type": "Patient"
        },
        "authoredOn": "2026-01-15T10:00:00+08:00",
        "requester": {
          "reference": "Practitioner/gp-001",
          "display": "Dr. Mary Lim"
        }
      },
      "request": {
        "method": "POST",
        "url": "ServiceRequest"
      }
    },
    {
      "fullUrl": "urn:uuid:observation-hpv-001",
      "resource": {
        "resourceType": "Observation",
        "id": "observation-hpv-001",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-observation"
          ]
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "21440-3",
              "display": "Human papilloma virus 16+18+31+33+35+39+45+51+52+56+58+59+66+68 DNA [Presence] in Cervix by NAA with probe detection"
            }
          ],
          "text": "HPV DNA Test - High-risk types"
        },
        "subject": {
          "reference": "Patient/patient-001",
          "type": "Patient"
        },
        "effectiveDateTime": "2026-02-09T09:00:00+08:00",
        "issued": "2026-02-10T14:00:00+08:00",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "260385009",
              "display": "Negative"
            }
          ],
          "text": "Not detected"
        },
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "N",
                "display": "Normal"
              }
            ],
            "text": "HPV high-risk types not detected"
          }
        ],
        "note": [
          {
            "text": "Molecular testing for high-risk HPV types (16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, 68) - negative."
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "urn:uuid:observation-cytology-001",
      "resource": {
        "resourceType": "Observation",
        "id": "observation-cytology-001",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-observation"
          ]
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "19762-4",
              "display": "General categories Cancer in Cervix by Cyto stain"
            }
          ],
          "text": "Cervical Cytology (Pap Smear)"
        },
        "subject": {
          "reference": "Patient/patient-001",
          "type": "Patient"
        },
        "effectiveDateTime": "2026-02-09T09:00:00+08:00",
        "issued": "2026-02-10T14:00:00+08:00",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "280413003",
              "display": "Negative for intraepithelial lesion or malignancy"
            }
          ],
          "text": "NILM (Negative for Intraepithelial Lesion or Malignancy)"
        },
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "N",
                "display": "Normal"
              }
            ],
            "text": "Normal cytology"
          }
        ],
        "note": [
          {
            "text": "Adequate specimen. Normal squamous and endocervical cells present. No epithelial cell abnormalities identified. No evidence of dysplasia or malignancy."
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "urn:uuid:questionnaire-response-001",
      "resource": {
        "resourceType": "QuestionnaireResponse",
        "id": "questionnaire-response-001",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-questionnaireresponse"
          ]
        },
        "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": "Date of last menstrual period",
            "answer": [
              {
                "valueDate": "2026-01-25"
              }
            ]
          },
          {
            "linkId": "2",
            "text": "Previous abnormal Pap smear results?",
            "answer": [
              {
                "valueBoolean": false
              }
            ]
          },
          {
            "linkId": "3",
            "text": "Previous cervical treatment or surgery?",
            "answer": [
              {
                "valueBoolean": false
              }
            ]
          },
          {
            "linkId": "4",
            "text": "Currently pregnant?",
            "answer": [
              {
                "valueBoolean": false
              }
            ]
          },
          {
            "linkId": "5",
            "text": "Current contraception method",
            "answer": [
              {
                "valueString": "Oral contraceptive pills"
              }
            ]
          },
          {
            "linkId": "6",
            "text": "History of sexually transmitted infections?",
            "answer": [
              {
                "valueBoolean": false
              }
            ]
          },
          {
            "linkId": "7",
            "text": "Smoking status",
            "answer": [
              {
                "valueString": "Non-smoker"
              }
            ]
          },
          {
            "linkId": "8",
            "text": "Date of last cervical screening",
            "answer": [
              {
                "valueDate": "2023-02-10"
              }
            ]
          },
          {
            "linkId": "9",
            "text": "Last screening result",
            "answer": [
              {
                "valueString": "Normal"
              }
            ]
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "QuestionnaireResponse"
      }
    }
  ]
}