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

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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-cvs"
    ],
    "source": "HPB-IDEAS",
    "tag": [
      {
        "code": "TTSH"
      }
    ]
  },
  "type": "transaction",
  "entry": [
    {
      "fullUrl": "urn:uuid:f3a4b5c6-d7e8-4f9a-0b1c-d2e3f4a5b6c7",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "diagnosticreport-cvs-001",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-diagnosticreport-cvs"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Example Cervical Screening Report</div>"
        },
        "identifier": [
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/record-id",
            "value": "CVS-RPT-2026-001234"
          }
        ],
        "basedOn": [
          {
            "reference": "urn:uuid:a4b5c6d7-e8f9-4a0b-1c2d-e3f4a5b6c7d8"
          }
        ],
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://fhir.synapxe.sg/CodeSystem/screen-type",
              "code": "cervical-screen",
              "display": "Cervical Screening Report"
            }
          ]
        },
        "subject": {
          "type": "Patient",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/nric",
            "value": "S1234567A"
          }
        },
        "result": [
          {
            "reference": "urn:uuid:b5c6d7e8-f9a0-4b1c-2d3e-f4a5b6c7d8e9"
          },
          {
            "reference": "urn:uuid:c6d7e8f9-a0b1-4c2d-3e4f-a5b6c7d8e9f0"
          }
        ],
        "conclusionCode": [
          {
            "text": "Negative for intraepithelial lesion or malignancy. HPV not detected. Routine screening recommended in 3 years."
          }
        ],
        "supportingInfo": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "11329-0",
                  "display": "History general Narrative - Reported"
                }
              ]
            },
            "reference": {
              "reference": "urn:uuid:d7e8f9a0-b1c2-4d3e-4f5a-b6c7d8e9f0a1"
            }
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "DiagnosticReport"
      }
    },
    {
      "fullUrl": "urn:uuid:a4b5c6d7-e8f9-4a0b-1c2d-e3f4a5b6c7d8",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "service-request-001",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-servicerequest"
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/order-no",
            "value": "SR-CVS-2026-001234"
          }
        ],
        "status": "completed",
        "intent": "order",
        "code": {
          "concept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "440623000",
                "display": "Cervical cancer screening"
              }
            ]
          }
        },
        "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": "M12345"
          }
        }
      },
      "request": {
        "method": "POST",
        "url": "ServiceRequest"
      }
    },
    {
      "fullUrl": "urn:uuid:b5c6d7e8-f9a0-4b1c-2d3e-f4a5b6c7d8e9",
      "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"
            }
          ]
        },
        "subject": {
          "type": "Patient",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/nric",
            "value": "S1234567A"
          }
        },
        "effectiveDateTime": "2026-02-09T09:00:00+08:00",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "260385009",
              "display": "Negative"
            }
          ],
          "text": "Not detected"
        }
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "urn:uuid:c6d7e8f9-a0b1-4c2d-3e4f-a5b6c7d8e9f0",
      "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"
            }
          ]
        },
        "subject": {
          "type": "Patient",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/nric",
            "value": "S1234567A"
          }
        },
        "effectiveDateTime": "2026-02-09T09:00:00+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)"
        }
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "urn:uuid:d7e8f9a0-b1c2-4d3e-4f5a-b6c7d8e9f0a1",
      "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": "2026-02-09T09:00:00+08:00",
        "component": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "8665-2",
                  "display": "Date of last menstrual period"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
                  "code": "yes",
                  "display": "Yes"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "171149006",
                  "display": "Previous abnormal cervical smear result"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
                  "code": "no",
                  "display": "No"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "416940007",
                  "display": "Previous cervical treatment or surgery"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
                  "code": "no",
                  "display": "No"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "77386006",
                  "display": "Currently pregnant"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
                  "code": "no",
                  "display": "No"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "13197004",
                  "display": "Current contraception method"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
                  "code": "yes",
                  "display": "Yes"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "8098009",
                  "display": "History of sexually transmitted infections"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
                  "code": "no",
                  "display": "No"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "72166-2",
                  "display": "Tobacco smoking status"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
                  "code": "no",
                  "display": "No"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "54215-9",
                  "display": "Date of last cervical screening"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
                  "code": "yes",
                  "display": "Yes"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "54215-9",
                  "display": "Last cervical screening result"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
                  "code": "yes",
                  "display": "Yes"
                }
              ]
            }
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    }
  ]
}