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

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Source1

{
  "resourceType": "Bundle",
  "type": "transaction",
  "entry": [
    {
      "fullUrl": "urn:uuid:diagnosticreport-colo-001",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "diagnosticreport-colo-001",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-diagnosticreport-colo"
          ]
        },
        "extension": [
          {
            "url": "https://fhir.synapxe.sg/StructureDefinition/ext-orderOfTest",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.synapxe.sg/CodeSystem/order-of-test",
                  "code": "first",
                  "display": "First Test"
                }
              ]
            }
          },
          {
            "url": "https://fhir.synapxe.sg/StructureDefinition/ext-followupType",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.synapxe.sg/CodeSystem/followup-type",
                  "code": "routine",
                  "display": "Routine Follow-up"
                }
              ]
            }
          }
        ],
        "identifier": [
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/record-id",
            "value": "COLO-RPT-2026-001234"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "https://fhir.synapxe.sg/CodeSystem/screen-type",
                "code": "colorectal-screen",
                "display": "Colorectal Screening"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "https://fhir.synapxe.sg/CodeSystem/screen-type",
              "code": "colorectal-screen",
              "display": "Colorectal Screening Report"
            }
          ]
        },
        "subject": {
          "reference": "Patient/patient-001",
          "type": "Patient"
        },
        "effectiveDateTime": "2026-02-09T09:00:00+08:00",
        "issued": "2026-02-10T14:00:00+08:00",
        "performer": [
          {
            "type": "Organization",
            "identifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
              "value": "11234"
            }
          }
        ],
        "resultsInterpreter": [
          {
            "type": "Practitioner",
            "identifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
              "value": "M12345"
            }
          }
        ],
        "specimen": {
          "reference": "urn:uuid:specimen-001"
        },
        "result": [
          {
            "reference": "urn:uuid:observation-fit-001"
          }
        ],
        "supportingInfo": [
          {
            "type": {
              "coding": [
                {
                  "system": "https://fhir.synapxe.sg/CodeSystem/supportinginfo-type",
                  "code": "history"
                }
              ]
            },
            "reference": {
              "reference": "urn:uuid:questionnaire-response-history-001"
            }
          },
          {
            "type": {
              "coding": [
                {
                  "system": "https://fhir.synapxe.sg/CodeSystem/supportinginfo-type",
                  "code": "history"
                }
              ]
            },
            "reference": {
              "reference": "urn:uuid:questionnaire-response-followup-001"
            }
          }
        ],
        "conclusion": "Negative fecal immunochemical test (FIT). No occult blood detected. Routine screening recommended in 1 year."
      },
      "request": {
        "method": "POST",
        "url": "DiagnosticReport"
      }
    },
    {
      "fullUrl": "urn:uuid:specimen-001",
      "resource": {
        "resourceType": "Specimen",
        "id": "specimen-001",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-specimen"
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/specimen-id",
            "value": "SPEC-COLO-2026-001234"
          }
        ],
        "status": "available",
        "type": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "119339001",
              "display": "Stool specimen"
            }
          ]
        },
        "subject": {
          "reference": "Patient/patient-001",
          "type": "Patient"
        },
        "receivedTime": "2026-02-09T10:00:00+08:00",
        "collection": {
          "collectedDateTime": "2026-02-08T08:00:00+08:00",
          "method": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "129316008",
                "display": "Collection of fecal specimen"
              }
            ]
          }
        }
      },
      "request": {
        "method": "POST",
        "url": "Specimen"
      }
    },
    {
      "fullUrl": "urn:uuid:observation-fit-001",
      "resource": {
        "resourceType": "Observation",
        "id": "observation-fit-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": "29771-3",
              "display": "Hemoglobin [Presence] in Stool by Immunoassay"
            }
          ],
          "text": "Fecal Immunochemical Test (FIT)"
        },
        "subject": {
          "reference": "Patient/patient-001",
          "type": "Patient"
        },
        "effectiveDateTime": "2026-02-09T09:00:00+08:00",
        "issued": "2026-02-10T14:00:00+08:00",
        "performer": [
          {
            "type": "Organization",
            "identifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
              "value": "11234"
            }
          }
        ],
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "260385009",
              "display": "Negative"
            }
          ]
        },
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "N",
                "display": "Normal"
              }
            ],
            "text": "Negative for occult blood"
          }
        ],
        "specimen": {
          "reference": "urn:uuid:specimen-001"
        },
        "note": [
          {
            "text": "No occult blood detected. Patient advised to continue routine screening annually."
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "urn:uuid:questionnaire-response-history-001",
      "resource": {
        "resourceType": "QuestionnaireResponse",
        "id": "questionnaire-response-history-001",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-questionnaireresponse"
          ]
        },
        "status": "completed",
        "subject": {
          "reference": "Patient/patient-001",
          "type": "Patient"
        },
        "authored": "2026-02-08T10:00:00+08:00",
        "author": {
          "reference": "Patient/patient-001"
        },
        "item": [
          {
            "linkId": "1",
            "text": "Family history of colorectal cancer?",
            "answer": [
              {
                "valueBoolean": false
              }
            ]
          },
          {
            "linkId": "2",
            "text": "Personal history of inflammatory bowel disease?",
            "answer": [
              {
                "valueBoolean": false
              }
            ]
          },
          {
            "linkId": "3",
            "text": "Personal history of polyps?",
            "answer": [
              {
                "valueBoolean": false
              }
            ]
          },
          {
            "linkId": "4",
            "text": "Recent blood in stool?",
            "answer": [
              {
                "valueBoolean": false
              }
            ]
          },
          {
            "linkId": "5",
            "text": "Recent change in bowel habits?",
            "answer": [
              {
                "valueBoolean": false
              }
            ]
          },
          {
            "linkId": "6",
            "text": "Unexplained weight loss?",
            "answer": [
              {
                "valueBoolean": false
              }
            ]
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "QuestionnaireResponse"
      }
    },
    {
      "fullUrl": "urn:uuid:questionnaire-response-followup-001",
      "resource": {
        "resourceType": "QuestionnaireResponse",
        "id": "questionnaire-response-followup-001",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-questionnaireresponse"
          ]
        },
        "status": "completed",
        "subject": {
          "reference": "Patient/patient-001",
          "type": "Patient"
        },
        "authored": "2026-02-08T10:00:00+08:00",
        "author": {
          "reference": "Practitioner/practitioner-001"
        },
        "item": [
          {
            "linkId": "1",
            "text": "Last colorectal screening date",
            "answer": [
              {
                "valueDate": "2025-02-15"
              }
            ]
          },
          {
            "linkId": "2",
            "text": "Last screening result",
            "answer": [
              {
                "valueString": "Negative"
              }
            ]
          },
          {
            "linkId": "3",
            "text": "Recommended follow-up interval",
            "answer": [
              {
                "valueString": "Annual screening recommended due to age 50+"
              }
            ]
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "QuestionnaireResponse"
      }
    }
  ]
}