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Packagesynapxe.sgcdi
Resource TypeBundle
IdBundlePapSmearReportRequest.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-ps"
    ],
    "source": "HPB-IDEAS",
    "tag": [
      {
        "code": "TTSH"
      }
    ]
  },
  "type": "transaction",
  "entry": [
    {
      "fullUrl": "urn:uuid:e8f9a0b1-c2d3-4e4f-5a6b-c7d8e9f0a1b2",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "dr-ps-001",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-diagnosticreport-ps"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Example Pap Smear Report</div>"
        },
        "extension": [
          {
            "url": "https://fhir.synapxe.sg/StructureDefinition/ext-orderOfTest",
            "valueString": "first"
          }
        ],
        "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 - Pap Smear Screening Report"
            }
          ]
        },
        "subject": {
          "type": "Patient",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/nric",
            "value": "S8234567D"
          }
        },
        "performer": [
          {
            "type": "Organization",
            "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:f9a0b1c2-d3e4-4f5a-6b7c-d8e9f0a1b2c3"
          }
        ],
        "result": [
          {
            "reference": "urn:uuid:a0b1c2d3-e4f5-4a6b-7c8d-e9f0a1b2c3d4"
          }
        ],
        "supportingInfo": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "11329-0",
                  "display": "History general Narrative - Reported"
                }
              ]
            },
            "reference": {
              "reference": "urn:uuid:b1c2d3e4-f5a6-4b7c-8d9e-f0a1b2c3d4e5"
            }
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "DiagnosticReport"
      }
    },
    {
      "fullUrl": "urn:uuid:f9a0b1c2-d3e4-4f5a-6b7c-d8e9f0a1b2c3",
      "resource": {
        "resourceType": "Specimen",
        "id": "specimen-ps-001",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-specimen"
          ]
        },
        "type": {
          "coding": [
            {
              "system": "https://fhir.synapxe.sg/CodeSystem/specimen-type",
              "code": "cervical-smear",
              "display": "Cervical Smear"
            }
          ]
        },
        "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"
              }
            ]
          }
        }
      },
      "request": {
        "method": "POST",
        "url": "Specimen"
      }
    },
    {
      "fullUrl": "urn:uuid:a0b1c2d3-e4f5-4a6b-7c8d-e9f0a1b2c3d4",
      "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"
            }
          ]
        },
        "subject": {
          "type": "Patient",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/nric",
            "value": "S8234567D"
          }
        },
        "effectiveDateTime": "2026-02-09T09:15:00+08:00",
        "performer": [
          {
            "type": "Organization",
            "identifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
              "value": "11111111"
            },
            "display": "National University Hospital"
          }
        ],
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "373887005",
              "display": "Negative for intraepithelial lesion or malignancy"
            }
          ]
        }
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "urn:uuid:b1c2d3e4-f5a6-4b7c-8d9e-f0a1b2c3d4e5",
      "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": "S8234567D"
          }
        },
        "effectiveDateTime": "2026-02-09T09:00:00+08:00",
        "component": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "8665-2",
                  "display": "Date of last menstrual period"
                }
              ]
            },
            "valueString": "2026-01-15"
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "56836-8",
                  "display": "Age at first sexual intercourse"
                }
              ]
            },
            "valueString": "23"
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "224465000",
                  "display": "Number of lifetime sexual partners"
                }
              ]
            },
            "valueString": "2"
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "13197004",
                  "display": "Currently using contraception"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
                  "code": "yes",
                  "display": "Yes"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "360147008",
                  "display": "Type of contraception"
                }
              ]
            },
            "valueString": "Oral contraceptive pills"
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "171149006",
                  "display": "Previous abnormal Pap smear result"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
                  "code": "no",
                  "display": "No"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "57165-1",
                  "display": "Date of last Pap smear"
                }
              ]
            },
            "valueString": "2023-01-20"
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "47527-7",
                  "display": "Result of last Pap smear"
                }
              ]
            },
            "valueString": "Normal"
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "275937005",
                  "display": "Family history of cervical cancer"
                }
              ]
            },
            "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"
                }
              ]
            },
            "valueString": "Never smoked tobacco"
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "16298007",
                  "display": "History of HPV vaccination"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
                  "code": "yes",
                  "display": "Yes"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "127785005",
                  "display": "HPV vaccine details"
                }
              ]
            },
            "valueString": "Gardasil 9 - completed 3-dose series at age 14"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    }
  ]
}