FHIR © HL7.org  |  FHIRsmith 4.0.1  |  Server Home  |  XIG Home  |  XIG Stats  | 

FHIR IG analytics

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

Resources that use this resource

No resources found


Resources that this resource uses

No resources found


Narrative

No narrative content found in resource


Source1

{
  "resourceType": "Bundle",
  "meta": {
    "extension": [
      {
        "url": "https://fhir.synapxe.sg/StructureDefinition/ext-artifact",
        "extension": [
          {
            "url": "msgId",
            "valueIdentifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/msg-id",
              "value": "CR001"
            }
          },
          {
            "url": "msgSequenceId",
            "valueIdentifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/msg-sequence-id",
              "value": "001"
            }
          },
          {
            "url": "date",
            "valueDateTime": "2026-04-01T15:00:00+08:00"
          }
        ]
      }
    ],
    "profile": [
      "https://fhir.synapxe.sg/StructureDefinition/profile-bundle-diagnosticreport-bs"
    ],
    "source": "HPB-IDEAS",
    "tag": [
      {
        "code": "TTSH"
      }
    ]
  },
  "type": "transaction",
  "entry": [
    {
      "fullUrl": "urn:uuid:a1b2c3d4-e5f6-4a7b-8c9d-0e1f2a3b4c5d",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "a1b2c3d4-e5f6-4a7b-8c9d-0e1f2a3b4c5d",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-diagnosticreport-bs"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Example Breast Screening Report</div>"
        },
        "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": {
          "type": "Patient",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/nric",
            "value": "S1234567A"
          }
        },
        "encounter": {
          "reference": "urn:uuid:b2c3d4e5-f6a7-4b8c-9d0e-1f2a3b4c5d6e"
        },
        "result": [
          {
            "reference": "urn:uuid:c3d4e5f6-a7b8-4c9d-8e0f-1f2a3b4c5d6e",
            "display": "Assessment"
          },
          {
            "reference": "urn:uuid:d4e5f6a7-b8c9-4d0e-9f1a-2b3c4d5e6f7a",
            "display": "Screening"
          },
          {
            "reference": "urn:uuid:e5f6a7b8-c9d0-4e1f-9a2b-3c4d5e6f7a8b",
            "display": "Histopathology"
          },
          {
            "reference": "urn:uuid:f6a7b8c9-d0e1-4f2a-9b3c-4d5e6f7a8b9c",
            "display": "Cytology"
          },
          {
            "reference": "urn:uuid:a7b8c9d0-e1f2-4a3b-9c4d-5e6f7a8b9c0d",
            "display": "Biopsy"
          }
        ],
        "supportingInfo": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "11329-0",
                  "display": "History general Narrative - Reported"
                }
              ]
            },
            "reference": {
              "reference": "urn:uuid:b8c9d0e1-f2a3-4b4c-9d5e-6f7a8b9c0d1e"
            }
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "DiagnosticReport"
      }
    },
    {
      "fullUrl": "urn:uuid:b2c3d4e5-f6a7-4b8c-9d0e-1f2a3b4c5d6e",
      "resource": {
        "resourceType": "Encounter",
        "id": "b2c3d4e5-f6a7-4b8c-9d0e-1f2a3b4c5d6e",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-encounter-screening"
          ]
        },
        "extension": [
          {
            "url": "https://fhir.synapxe.sg/StructureDefinition/ext-screenType",
            "valueString": "Breast Screening"
          }
        ],
        "status": "completed",
        "subject": {
          "type": "Patient",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/nric",
            "value": "S1234567A"
          }
        },
        "serviceProvider": {
          "type": "Organization",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
            "value": "11234"
          }
        },
        "actualPeriod": {
          "start": "2026-04-01T09:00:00+08:00"
        },
        "basedOn": [
          {
            "reference": "urn:uuid:c9d0e1f2-a3b4-4c5d-9e6f-7a8b9c0d1e2f"
          }
        ],
        "location": [
          {
            "location": {
              "display": "Radiology Department - Breast Imaging Unit"
            }
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Encounter"
      }
    },
    {
      "fullUrl": "urn:uuid:c3d4e5f6-a7b8-4c9d-8e0f-1f2a3b4c5d6e",
      "resource": {
        "resourceType": "Observation",
        "id": "c3d4e5f6-a7b8-4c9d-8e0f-1f2a3b4c5d6e",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-assessment-results"
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/investigation-id",
            "value": "AR-BS-2026-001234"
          },
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/workflow-no",
            "value": "WF-BS-2026-001234"
          }
        ],
        "basedOn": [
          {
            "display": "SR-2026-001234"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "survey",
                "display": "Survey"
              }
            ]
          }
        ],
        "code": {
          "text": "assessment"
        },
        "effectiveDateTime": "2026-04-01T10:30:00+08:00",
        "performer": [
          {
            "type": "Organization",
            "identifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
              "value": "11234"
            }
          }
        ],
        "interpretation": [
          {
            "text": "BI-RADS Category 2: Benign"
          }
        ],
        "hasMember": [
          {
            "reference": "urn:uuid:e1f2a3b4-c5d6-4e7f-9a8b-9c0d1e2f3a4b"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "urn:uuid:d4e5f6a7-b8c9-4d0e-9f1a-2b3c4d5e6f7a",
      "resource": {
        "resourceType": "Observation",
        "id": "d4e5f6a7-b8c9-4d0e-9f1a-2b3c4d5e6f7a",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-observation"
          ]
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "imaging",
                "display": "Imaging"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "24604-1",
              "display": "MG Breast Screening"
            }
          ]
        },
        "subject": {
          "type": "Patient",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/nric",
            "value": "S1234567A"
          }
        },
        "effectiveDateTime": "2026-04-01T09:30:00+08:00",
        "performer": [
          {
            "type": "Organization",
            "identifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
              "value": "11234"
            },
            "display": "Singapore Health Services"
          }
        ],
        "valueString": "Bilateral digital mammography completed with MLO and CC views. No technical issues."
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "urn:uuid:e5f6a7b8-c9d0-4e1f-9a2b-3c4d5e6f7a8b",
      "resource": {
        "resourceType": "Observation",
        "id": "e5f6a7b8-c9d0-4e1f-9a2b-3c4d5e6f7a8b",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-pathology-results"
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/record-id",
            "value": "PATH-HISTO-2026-001234"
          }
        ],
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://fhir.synapxe.sg/CodeSystem/pathology-results-type",
              "code": "histopathology",
              "display": "Histopathology"
            }
          ]
        },
        "performer": [
          {
            "type": "Practitioner",
            "identifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
              "value": "M67890"
            }
          }
        ],
        "hasMember": [
          {
            "reference": "urn:uuid:e7f8a9b0-c1d2-4e3f-9a4b-5c6d7e8f9a0b"
          }
        ],
        "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:f6a7b8c9-d0e1-4f2a-9b3c-4d5e6f7a8b9c",
      "resource": {
        "resourceType": "Observation",
        "id": "f6a7b8c9-d0e1-4f2a-9b3c-4d5e6f7a8b9c",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-pathology-results"
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/record-id",
            "value": "PATH-CYTO-2026-001234"
          }
        ],
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://fhir.synapxe.sg/CodeSystem/pathology-results-type",
              "code": "cytology",
              "display": "Cytology"
            }
          ]
        },
        "performer": [
          {
            "type": "Practitioner",
            "identifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
              "value": "M67891"
            }
          }
        ],
        "hasMember": [
          {
            "reference": "urn:uuid:f8a9b0c1-d2e3-4f4a-9b5c-6d7e8f9a0b1c"
          }
        ],
        "component": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "250537006",
                  "display": "Cytology report"
                }
              ]
            },
            "valueString": "Fine needle aspiration cytology (FNAC): Benign ductal epithelial cells with no atypia. No malignant cells identified."
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "urn:uuid:a7b8c9d0-e1f2-4a3b-9c4d-5e6f7a8b9c0d",
      "resource": {
        "resourceType": "Observation",
        "id": "a7b8c9d0-e1f2-4a3b-9c4d-5e6f7a8b9c0d",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-pathology-results"
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/record-id",
            "value": "PATH-BIO-2026-001234"
          }
        ],
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://fhir.synapxe.sg/CodeSystem/pathology-results-type",
              "code": "biopsy",
              "display": "Biopsy"
            }
          ]
        },
        "performer": [
          {
            "type": "Practitioner",
            "identifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
              "value": "M67892"
            }
          }
        ],
        "hasMember": [
          {
            "reference": "urn:uuid:a9b0c1d2-e3f4-4a5b-9c6d-7e8f9a0b1c2d"
          }
        ],
        "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:b8c9d0e1-f2a3-4b4c-9d5e-6f7a8b9c0d1e",
      "resource": {
        "resourceType": "Observation",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-observation"
          ]
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "social-history",
                "display": "Social History"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "11329-0",
              "display": "History general Narrative - Reported"
            }
          ]
        },
        "subject": {
          "type": "Patient",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/nric",
            "value": "S1234567A"
          }
        },
        "effectiveDateTime": "2026-04-01T09:00:00+08:00",
        "component": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "416940007",
                  "display": "Family history of breast cancer"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
                  "code": "no",
                  "display": "No"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "275978003",
                  "display": "Previous breast screening"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
                  "code": "yes",
                  "display": "Yes"
                }
              ]
            }
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "urn:uuid:c9d0e1f2-a3b4-4c5d-9e6f-7a8b9c0d1e2f",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "c9d0e1f2-a3b4-4c5d-9e6f-7a8b9c0d1e2f",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-referral"
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/referral-id",
            "value": "REF-2026-001234"
          }
        ],
        "status": "completed",
        "intent": "order",
        "category": [
          {
            "coding": [
              {
                "system": "https://fhir.synapxe.sg/CodeSystem/referral-type",
                "code": "StepDownCare",
                "display": "Step-Down Care"
              }
            ]
          }
        ],
        "priority": "routine",
        "subject": {
          "type": "Patient",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/nric",
            "value": "S1234567A"
          }
        },
        "authoredOn": "2026-01-15T10:00:00+08:00",
        "requester": {
          "type": "Practitioner",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
            "value": "M00001"
          }
        }
      },
      "request": {
        "method": "POST",
        "url": "ServiceRequest"
      }
    },
    {
      "fullUrl": "urn:uuid:d0e1f2a3-b4c5-4d6e-9f7a-8b9c0d1e2f3a",
      "resource": {
        "resourceType": "Location",
        "id": "d0e1f2a3-b4c5-4d6e-9f7a-8b9c0d1e2f3a",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-location"
          ]
        },
        "name": "Radiology Department - Breast Imaging Unit",
        "managingOrganization": {
          "type": "Organization",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
            "value": "11234"
          }
        }
      },
      "request": {
        "method": "POST",
        "url": "Location"
      }
    },
    {
      "fullUrl": "urn:uuid:e1f2a3b4-c5d6-4e7f-9a8b-9c0d1e2f3a4b",
      "resource": {
        "resourceType": "Observation",
        "id": "e1f2a3b4-c5d6-4e7f-9a8b-9c0d1e2f3a4b",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-observation-bs"
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/workflow-no",
            "value": "WF-MAMMO-2026-001234"
          }
        ],
        "basedOn": [
          {
            "display": "SR-2026-001234"
          }
        ],
        "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"
            }
          ]
        },
        "effectiveDateTime": "2026-04-01T09:30:00+08:00",
        "performer": [
          {
            "type": "Organization",
            "identifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
              "value": "11234"
            }
          }
        ],
        "valueString": "Bilateral screening mammography (MLO and CC views): Scattered fibroglandular densities. No suspicious masses, architectural distortion, or microcalcifications identified.",
        "interpretation": [
          {
            "text": "BI-RADS 2 - Benign"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "urn:uuid:f2a3b4c5-d6e7-4f8a-9b9c-0d1e2f3a4b5c",
      "resource": {
        "resourceType": "Observation",
        "id": "f2a3b4c5-d6e7-4f8a-9b9c-0d1e2f3a4b5c",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-clinical-assessment"
          ]
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "text": "clinical assessment"
        },
        "effectiveDateTime": "2026-04-01T10:00:00+08:00",
        "performer": [
          {
            "type": "Practitioner",
            "identifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
              "value": "M12345"
            }
          }
        ],
        "interpretation": [
          {
            "text": "Normal bilateral breast examination"
          }
        ],
        "hasMember": [
          {
            "reference": "urn:uuid:e1f2a3b4-c5d6-4e7f-9a8b-9c0d1e2f3a4b"
          },
          {
            "reference": "urn:uuid:b0c1d2e3-f4a5-4b6c-8d7e-9f0a1b2c3d4e"
          }
        ],
        "component": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "271272003",
                  "display": "Breast examination finding"
                }
              ]
            },
            "valueString": "Normal bilateral breast examination. No palpable masses, skin changes, nipple discharge, or lymphadenopathy detected.",
            "interpretation": [
              {
                "text": "Normal"
              }
            ]
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "urn:uuid:a3b4c5d6-e7f8-4a9b-9c0d-1e2f3a4b5c6d",
      "resource": {
        "resourceType": "Specimen",
        "id": "a3b4c5d6-e7f8-4a9b-9c0d-1e2f3a4b5c6d",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-specimen"
          ]
        },
        "type": {
          "coding": [
            {
              "system": "https://fhir.synapxe.sg/CodeSystem/specimen-type",
              "code": "tissue",
              "display": "Tissue"
            }
          ]
        },
        "receivedTime": "2026-04-01T12:00:00+08:00",
        "collection": {
          "collectedDateTime": "2026-04-01T11:00:00+08:00",
          "method": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "129314006",
                "display": "Core needle biopsy"
              }
            ]
          }
        }
      },
      "request": {
        "method": "POST",
        "url": "Specimen"
      }
    },
    {
      "fullUrl": "urn:uuid:b4c5d6e7-f8a9-4b0c-9d1e-2f3a4b5c6d7e",
      "resource": {
        "resourceType": "Specimen",
        "id": "b4c5d6e7-f8a9-4b0c-9d1e-2f3a4b5c6d7e",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-specimen"
          ]
        },
        "type": {
          "coding": [
            {
              "system": "https://fhir.synapxe.sg/CodeSystem/specimen-type",
              "code": "aspirate",
              "display": "Aspirate"
            }
          ]
        },
        "receivedTime": "2026-04-01T12:30:00+08:00",
        "collection": {
          "collectedDateTime": "2026-04-01T11:30:00+08:00",
          "method": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "14113009",
                "display": "Fine needle aspiration"
              }
            ]
          }
        }
      },
      "request": {
        "method": "POST",
        "url": "Specimen"
      }
    },
    {
      "fullUrl": "urn:uuid:c5d6e7f8-a9b0-4c1d-9e2f-3a4b5c6d7e8f",
      "resource": {
        "resourceType": "Specimen",
        "id": "c5d6e7f8-a9b0-4c1d-9e2f-3a4b5c6d7e8f",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-specimen"
          ]
        },
        "type": {
          "coding": [
            {
              "system": "https://fhir.synapxe.sg/CodeSystem/specimen-type",
              "code": "tissue",
              "display": "Tissue"
            }
          ]
        },
        "receivedTime": "2026-04-01T13:00:00+08:00",
        "collection": {
          "collectedDateTime": "2026-04-01T12:00:00+08:00",
          "method": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "129314006",
                "display": "Core needle biopsy"
              }
            ]
          }
        }
      },
      "request": {
        "method": "POST",
        "url": "Specimen"
      }
    },
    {
      "fullUrl": "urn:uuid:d6e7f8a9-b0c1-4d2e-9f3a-4b5c6d7e8f9a",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "d6e7f8a9-b0c1-4d2e-9f3a-4b5c6d7e8f9a",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-servicerequest"
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/order-no",
            "value": "SR-2026-001234"
          }
        ],
        "status": "completed",
        "intent": "order",
        "code": {
          "concept": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "42168-2",
                "display": "Mammography"
              }
            ]
          }
        },
        "subject": {
          "type": "Patient",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/nric",
            "value": "S1234567A"
          }
        },
        "encounter": {
          "type": "Encounter",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/event-id",
            "value": "ENC-BS-2026-001234"
          }
        },
        "authoredOn": "2026-01-15T10:00:00+08:00",
        "requester": {
          "type": "Practitioner",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
            "value": "M12345"
          }
        },
        "performer": [
          {
            "type": "Practitioner",
            "identifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
              "value": "M12345"
            }
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "ServiceRequest"
      }
    },
    {
      "fullUrl": "urn:uuid:e7f8a9b0-c1d2-4e3f-9a4b-5c6d7e8f9a0b",
      "resource": {
        "resourceType": "Observation",
        "id": "e7f8a9b0-c1d2-4e3f-9a4b-5c6d7e8f9a0b",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-pathology-result-specimen"
          ]
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://fhir.synapxe.sg/CodeSystem/pathology-results-type",
              "code": "histopathology",
              "display": "Histopathology"
            }
          ]
        },
        "valueString": "Core biopsy shows benign fibrocystic changes with focal microcalcifications. No evidence of in situ or invasive carcinoma.",
        "specimen": {
          "reference": "urn:uuid:a3b4c5d6-e7f8-4a9b-9c0d-1e2f3a4b5c6d"
        }
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "urn:uuid:f8a9b0c1-d2e3-4f4a-9b5c-6d7e8f9a0b1c",
      "resource": {
        "resourceType": "Observation",
        "id": "f8a9b0c1-d2e3-4f4a-9b5c-6d7e8f9a0b1c",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-pathology-result-specimen"
          ]
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://fhir.synapxe.sg/CodeSystem/pathology-results-type",
              "code": "cytology",
              "display": "Cytology"
            }
          ]
        },
        "valueString": "Fine needle aspiration cytology (FNAC): Benign ductal epithelial cells with no atypia. No malignant cells identified.",
        "specimen": {
          "reference": "urn:uuid:b4c5d6e7-f8a9-4b0c-9d1e-2f3a4b5c6d7e"
        }
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "urn:uuid:a9b0c1d2-e3f4-4a5b-9c6d-7e8f9a0b1c2d",
      "resource": {
        "resourceType": "Observation",
        "id": "a9b0c1d2-e3f4-4a5b-9c6d-7e8f9a0b1c2d",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-pathology-result-specimen"
          ]
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://fhir.synapxe.sg/CodeSystem/pathology-results-type",
              "code": "biopsy",
              "display": "Biopsy"
            }
          ]
        },
        "valueString": "Ultrasound-guided core needle biopsy: Fibroadenoma with usual ductal hyperplasia. No atypical or malignant features identified.",
        "specimen": {
          "reference": "urn:uuid:c5d6e7f8-a9b0-4c1d-9e2f-3a4b5c6d7e8f"
        }
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "urn:uuid:b0c1d2e3-f4a5-4b6c-8d7e-9f0a1b2c3d4e",
      "resource": {
        "resourceType": "QuestionnaireResponse",
        "id": "b0c1d2e3-f4a5-4b6c-8d7e-9f0a1b2c3d4e",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-questionnaireresponse"
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/record-id",
            "value": "QR-BS-2026-001234"
          }
        ],
        "questionnaire": "https://fhir.synapxe.sg/Questionnaire/breast-screening-history",
        "status": "completed",
        "subject": {
          "type": "Patient",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/nric",
            "value": "S1234567A"
          }
        },
        "authored": "2026-04-01T09:00:00+08:00",
        "item": [
          {
            "linkId": "family-history",
            "text": "Family history of breast cancer",
            "answer": [
              {
                "valueCoding": {
                  "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
                  "code": "no",
                  "display": "No"
                }
              }
            ]
          },
          {
            "linkId": "previous-screening",
            "text": "Previous breast screening",
            "answer": [
              {
                "valueCoding": {
                  "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
                  "code": "yes",
                  "display": "Yes"
                }
              }
            ]
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "QuestionnaireResponse"
      }
    }
  ]
}