FHIR IG analytics| Package | synapxe.sgcdi |
| Resource Type | Bundle |
| Id | BundlePapSmearReport.Example.json |
| FHIR Version | R5 |
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FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "bundle-papsmear-report-example",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-bundle-diagnosticreport-ps"
]
},
"type": "transaction",
"entry": [
{
"fullUrl": "urn:uuid:dr-ps-001",
"resource": {
"resourceType": "DiagnosticReport",
"id": "dr-ps-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-diagnosticreport-ps"
]
},
"extension": [
{
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-orderOfTest",
"valueInteger": 1
}
],
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/diagnosticreport-id",
"value": "PS-2026-000123"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/screen-type",
"code": "screen-for-life-pap-smear",
"display": "Screen For Life - PapSmear Screening Report"
}
]
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric-fin",
"value": "S8234567D"
}
},
"performer": [
{
"reference": {
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
"value": "11111111"
}
}
}
],
"resultsInterpreter": [
{
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345A"
}
}
],
"specimen": [
{
"reference": "urn:uuid:specimen-ps-001"
}
],
"result": [
{
"reference": "urn:uuid:obs-cytology-001"
}
],
"supportingInfo": [
{
"type": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/supportinginfo-type",
"code": "history",
"display": "Patient History"
}
]
},
"reference": {
"reference": "urn:uuid:qr-history-001"
}
}
]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
},
{
"fullUrl": "urn:uuid:specimen-ps-001",
"resource": {
"resourceType": "Specimen",
"id": "specimen-ps-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-specimen"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/specimen-id",
"value": "SPEC-PS-2026-123"
}
],
"status": "available",
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "16215491000119109",
"display": "Specimen from cervix obtained by cytobrush"
}
],
"text": "Cervical specimen"
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric-fin",
"value": "S8234567D"
}
},
"receivedTime": "2026-02-09T09:30:00+08:00",
"collection": {
"collectedDateTime": "2026-02-09T09:15:00+08:00",
"method": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "129316008",
"display": "Aspiration - action"
}
]
},
"bodySite": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "71252005",
"display": "Cervix uteri structure"
}
]
}
}
},
"request": {
"method": "POST",
"url": "Specimen"
}
},
{
"fullUrl": "urn:uuid:obs-cytology-001",
"resource": {
"resourceType": "Observation",
"id": "obs-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": "Cytology report of Cervical or vaginal smear or scraping Cyto stain"
}
],
"text": "Cervical cytology"
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric-fin",
"value": "S8234567D"
}
},
"effectiveDateTime": "2026-02-09T09:15:00+08:00",
"issued": "2026-02-09T14:30:00+08:00",
"performer": [
{
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345A"
}
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "373887005",
"display": "Negative for intraepithelial lesion or malignancy"
}
],
"text": "NILM - Negative for Intraepithelial Lesion or Malignancy"
},
"specimen": {
"reference": "urn:uuid:specimen-ps-001"
},
"note": [
{
"text": "Adequate specimen. Endocervical cells present. No atypical cells identified. Recommend routine screening in 3 years."
}
]
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:qr-history-001",
"resource": {
"resourceType": "QuestionnaireResponse",
"id": "qr-history-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-questionnaireresponse"
]
},
"questionnaire": "https://fhir.synapxe.sg/Questionnaire/papsmear-patient-history",
"status": "completed",
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric-fin",
"value": "S8234567D"
}
},
"authored": "2026-02-09T09:00:00+08:00",
"author": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345A"
}
},
"item": [
{
"linkId": "1",
"text": "Date of last menstrual period",
"answer": [
{
"valueDate": "2026-01-15"
}
]
},
{
"linkId": "2",
"text": "Age at first sexual intercourse",
"answer": [
{
"valueInteger": 23
}
]
},
{
"linkId": "3",
"text": "Number of lifetime sexual partners",
"answer": [
{
"valueInteger": 2
}
]
},
{
"linkId": "4",
"text": "Currently using contraception?",
"answer": [
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v2-0136",
"code": "Y",
"display": "Yes"
}
}
]
},
{
"linkId": "5",
"text": "Type of contraception",
"answer": [
{
"valueString": "Oral contraceptive pills"
}
]
},
{
"linkId": "6",
"text": "Previous abnormal Pap smear results?",
"answer": [
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v2-0136",
"code": "N",
"display": "No"
}
}
]
},
{
"linkId": "7",
"text": "Date of last Pap smear",
"answer": [
{
"valueDate": "2023-01-20"
}
]
},
{
"linkId": "8",
"text": "Result of last Pap smear",
"answer": [
{
"valueString": "Normal"
}
]
},
{
"linkId": "9",
"text": "Family history of cervical cancer?",
"answer": [
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v2-0136",
"code": "N",
"display": "No"
}
}
]
},
{
"linkId": "10",
"text": "Current smoking status",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco"
}
}
]
},
{
"linkId": "11",
"text": "History of HPV vaccination?",
"answer": [
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v2-0136",
"code": "Y",
"display": "Yes"
}
}
]
},
{
"linkId": "12",
"text": "HPV vaccine details",
"answer": [
{
"valueString": "Gardasil 9 - completed 3-dose series at age 14"
}
]
}
]
},
"request": {
"method": "POST",
"url": "QuestionnaireResponse"
}
}
]
}