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

FHIR IG analytics

Packagesynapxe.sgcdi
Resource TypeBundle
IdBreastScreeningReportDocumentResponse.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",
  "id": "8c48dd20-e73e-5f3f-9aa5-315956aff865",
  "meta": {
    "lastUpdated": "2026-04-01T07:00:01+00:00"
  },
  "type": "searchset",
  "total": 1,
  "link": [
    {
      "relation": "self",
      "url": "DiagnosticReport/$retrieve?patient.identifier=https://fhir.synapxe.sg/NamingSystem/nric|S1234567A"
    }
  ],
  "entry": [
    {
      "fullUrl": "urn:uuid:befe5933-9001-5e78-b1b7-edf785d7ac9c",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "befe5933-9001-5e78-b1b7-edf785d7ac9c",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2026-04-01T07:00:01+00:00",
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-diagnosticreport-bs"
          ],
          "source": "HPB-IDEAS",
          "tag": [
            {
              "code": "TTSH"
            }
          ],
          "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": "2026-04-01T07:00:00+00:00"
                }
              ]
            }
          ]
        },
        "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:3bd897b0-eb80-5289-af7a-59dc9df115b3"
        },
        "result": [
          {
            "reference": "urn:uuid:c29e108f-2c16-536d-8745-854ce9dfb387",
            "display": "Assessment"
          },
          {
            "reference": "urn:uuid:694fdbd8-1fde-5180-9a99-9c5ed6453b16",
            "display": "Screening"
          },
          {
            "reference": "urn:uuid:717a997a-65b8-5a64-8f72-1515eab58586",
            "display": "Histopathology"
          },
          {
            "reference": "urn:uuid:a7c5cf1b-225b-5406-b030-03e26b2e9b3f",
            "display": "Cytology"
          },
          {
            "reference": "urn:uuid:4a24e779-62b4-58b1-acfb-8d990ff3c4a0",
            "display": "Biopsy"
          }
        ],
        "supportingInfo": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "11329-0",
                  "display": "History general Narrative - Reported"
                }
              ]
            },
            "reference": {
              "reference": "urn:uuid:51a6efb7-13dd-5a21-8e39-1028ce3d37fc"
            }
          }
        ]
      },
      "search": {
        "mode": "match"
      }
    },
    {
      "fullUrl": "urn:uuid:3bd897b0-eb80-5289-af7a-59dc9df115b3",
      "resource": {
        "resourceType": "Encounter",
        "id": "3bd897b0-eb80-5289-af7a-59dc9df115b3",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2026-04-01T07:00:01+00:00",
          "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": "2026-04-01T01:00:00+00:00"
        },
        "basedOn": [
          {
            "reference": "urn:uuid:16540869-9803-559b-b1cf-da2a285bcffe"
          }
        ],
        "location": [
          {
            "location": {
              "display": "Radiology Department - Breast Imaging Unit"
            }
          }
        ]
      },
      "search": {
        "mode": "include"
      }
    },
    {
      "fullUrl": "urn:uuid:c29e108f-2c16-536d-8745-854ce9dfb387",
      "resource": {
        "resourceType": "Observation",
        "id": "c29e108f-2c16-536d-8745-854ce9dfb387",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2026-04-01T07:00:01+00:00",
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-assessment-results"
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/record-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": "2026-04-01T01:30:00+00:00",
        "performer": [
          {
            "type": "Organization",
            "identifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
              "value": "11234"
            }
          }
        ],
        "hasMember": [
          {
            "reference": "urn:uuid:37d8b5cc-3176-5e8e-9d4b-32a66cc6e2c9"
          }
        ],
        "interpretation": [
          {
            "text": "No abnormalities detected"
          }
        ]
      },
      "search": {
        "mode": "include"
      }
    },
    {
      "fullUrl": "urn:uuid:694fdbd8-1fde-5180-9a99-9c5ed6453b16",
      "resource": {
        "resourceType": "Observation",
        "id": "694fdbd8-1fde-5180-9a99-9c5ed6453b16",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2026-04-01T07:00:01+00:00",
          "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": "2026-04-01T01:30:00+00:00",
        "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."
      },
      "search": {
        "mode": "include"
      }
    },
    {
      "fullUrl": "urn:uuid:717a997a-65b8-5a64-8f72-1515eab58586",
      "resource": {
        "resourceType": "Observation",
        "id": "717a997a-65b8-5a64-8f72-1515eab58586",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2026-04-01T07:00:01+00:00",
          "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:eb7b6ab1-e46b-52bc-9225-50322e5b3370"
          }
        ],
        "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."
          }
        ]
      },
      "search": {
        "mode": "include"
      }
    },
    {
      "fullUrl": "urn:uuid:a7c5cf1b-225b-5406-b030-03e26b2e9b3f",
      "resource": {
        "resourceType": "Observation",
        "id": "a7c5cf1b-225b-5406-b030-03e26b2e9b3f",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2026-04-01T07:00:01+00:00",
          "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:0434ccec-95e8-5aee-a0f2-a25b03dbba38"
          }
        ],
        "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."
          }
        ]
      },
      "search": {
        "mode": "include"
      }
    },
    {
      "fullUrl": "urn:uuid:4a24e779-62b4-58b1-acfb-8d990ff3c4a0",
      "resource": {
        "resourceType": "Observation",
        "id": "4a24e779-62b4-58b1-acfb-8d990ff3c4a0",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2026-04-01T07:00:01+00:00",
          "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:41759780-d870-50d3-b76b-547cccb7f77e"
          }
        ],
        "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."
          }
        ]
      },
      "search": {
        "mode": "include"
      }
    },
    {
      "fullUrl": "urn:uuid:51a6efb7-13dd-5a21-8e39-1028ce3d37fc",
      "resource": {
        "resourceType": "Observation",
        "id": "51a6efb7-13dd-5a21-8e39-1028ce3d37fc",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2026-04-01T07:00:01+00:00",
          "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": "2026-04-01T01:00:00+00:00",
        "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"
                }
              ]
            }
          }
        ]
      },
      "search": {
        "mode": "include"
      }
    },
    {
      "fullUrl": "urn:uuid:16540869-9803-559b-b1cf-da2a285bcffe",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "16540869-9803-559b-b1cf-da2a285bcffe",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2026-04-01T07:00:01+00:00",
          "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": "2026-01-15T02:00:00+00:00",
        "requester": {
          "type": "Practitioner",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
            "value": "M00001"
          }
        }
      },
      "search": {
        "mode": "include"
      }
    },
    {
      "fullUrl": "urn:uuid:3531e059-9c92-5c40-a907-1d13d4b618c8",
      "resource": {
        "resourceType": "Location",
        "id": "3531e059-9c92-5c40-a907-1d13d4b618c8",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2026-04-01T07:00:01+00:00",
          "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"
          }
        }
      },
      "search": {
        "mode": "include"
      }
    },
    {
      "fullUrl": "urn:uuid:37d8b5cc-3176-5e8e-9d4b-32a66cc6e2c9",
      "resource": {
        "resourceType": "Observation",
        "id": "37d8b5cc-3176-5e8e-9d4b-32a66cc6e2c9",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2026-04-01T07:00:01+00:00",
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-observation-bs"
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/workflow-no",
            "value": "OBS123456"
          }
        ],
        "basedOn": [
          {
            "reference": "urn:uuid:531a2ba5-231f-5cfb-8a41-50db21cf5f73"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "imaging",
                "display": "Imaging"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "42168-2",
              "display": "Mammography study observation"
            }
          ]
        },
        "valueString": "Bilateral screening mammography (MLO and CC views): Scattered fibroglandular densities. No suspicious masses, architectural distortion, or microcalcifications identified.",
        "effectiveDateTime": "2026-04-01T02:00:00+00:00",
        "performer": [
          {
            "type": "Organization",
            "identifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
              "value": "11234"
            }
          }
        ],
        "interpretation": [
          {
            "text": "BI-RADS 2 - Benign"
          }
        ],
        "hasMember": [
          {
            "reference": "urn:uuid:602c46dc-df27-5b23-abcd-60815bee6c18"
          }
        ]
      },
      "search": {
        "mode": "include"
      }
    },
    {
      "fullUrl": "urn:uuid:602c46dc-df27-5b23-abcd-60815bee6c18",
      "resource": {
        "resourceType": "Observation",
        "id": "602c46dc-df27-5b23-abcd-60815bee6c18",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2026-04-01T07:00:01+00:00",
          "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": "2026-04-01T02:00:00+00:00",
        "performer": [
          {
            "type": "Practitioner",
            "identifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
              "value": "M12345"
            }
          }
        ],
        "interpretation": [
          {
            "text": "Normal bilateral breast examination"
          }
        ],
        "hasMember": [
          {
            "reference": "urn:uuid:37d8b5cc-3176-5e8e-9d4b-32a66cc6e2c9"
          },
          {
            "reference": "urn:uuid:d6fc3029-f3c6-5f43-b04c-aa2b95c2f907"
          }
        ],
        "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"
              }
            ]
          }
        ]
      },
      "search": {
        "mode": "include"
      }
    },
    {
      "fullUrl": "urn:uuid:fdb95fb1-401d-5b5e-a9ff-afb4bf92dd60",
      "resource": {
        "resourceType": "Specimen",
        "id": "fdb95fb1-401d-5b5e-a9ff-afb4bf92dd60",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2026-04-01T07:00:01+00:00",
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-specimen"
          ]
        },
        "type": {
          "coding": [
            {
              "system": "https://fhir.synapxe.sg/CodeSystem/specimen-type",
              "code": "tissue",
              "display": "Tissue"
            }
          ]
        },
        "receivedTime": "2026-04-01T04:00:00+00:00",
        "collection": {
          "collectedDateTime": "2026-04-01T03:00:00+00:00",
          "method": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "129314006",
                "display": "Core needle biopsy"
              }
            ]
          }
        }
      },
      "search": {
        "mode": "include"
      }
    },
    {
      "fullUrl": "urn:uuid:2856ec00-a823-533a-a0f4-848872055605",
      "resource": {
        "resourceType": "Specimen",
        "id": "2856ec00-a823-533a-a0f4-848872055605",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2026-04-01T07:00:01+00:00",
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-specimen"
          ]
        },
        "type": {
          "coding": [
            {
              "system": "https://fhir.synapxe.sg/CodeSystem/specimen-type",
              "code": "aspirate",
              "display": "Aspirate"
            }
          ]
        },
        "receivedTime": "2026-04-01T04:30:00+00:00",
        "collection": {
          "collectedDateTime": "2026-04-01T03:30:00+00:00",
          "method": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "14113009",
                "display": "Fine needle aspiration"
              }
            ]
          }
        }
      },
      "search": {
        "mode": "include"
      }
    },
    {
      "fullUrl": "urn:uuid:5248ae90-fdff-5375-b367-7ac659423e38",
      "resource": {
        "resourceType": "Specimen",
        "id": "5248ae90-fdff-5375-b367-7ac659423e38",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2026-04-01T07:00:01+00:00",
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-specimen"
          ]
        },
        "type": {
          "coding": [
            {
              "system": "https://fhir.synapxe.sg/CodeSystem/specimen-type",
              "code": "tissue",
              "display": "Tissue"
            }
          ]
        },
        "receivedTime": "2026-04-01T05:00:00+00:00",
        "collection": {
          "collectedDateTime": "2026-04-01T04:00:00+00:00",
          "method": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "129314006",
                "display": "Core needle biopsy"
              }
            ]
          }
        }
      },
      "search": {
        "mode": "include"
      }
    },
    {
      "fullUrl": "urn:uuid:531a2ba5-231f-5cfb-8a41-50db21cf5f73",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "531a2ba5-231f-5cfb-8a41-50db21cf5f73",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2026-04-01T07:00:01+00:00",
          "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": "2026-01-15T02:00:00+00:00",
        "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"
            }
          }
        ]
      },
      "search": {
        "mode": "include"
      }
    },
    {
      "fullUrl": "urn:uuid:eb7b6ab1-e46b-52bc-9225-50322e5b3370",
      "resource": {
        "resourceType": "Observation",
        "id": "eb7b6ab1-e46b-52bc-9225-50322e5b3370",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2026-04-01T07:00:01+00:00",
          "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:fdb95fb1-401d-5b5e-a9ff-afb4bf92dd60"
        }
      },
      "search": {
        "mode": "include"
      }
    },
    {
      "fullUrl": "urn:uuid:0434ccec-95e8-5aee-a0f2-a25b03dbba38",
      "resource": {
        "resourceType": "Observation",
        "id": "0434ccec-95e8-5aee-a0f2-a25b03dbba38",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2026-04-01T07:00:01+00:00",
          "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:2856ec00-a823-533a-a0f4-848872055605"
        }
      },
      "search": {
        "mode": "include"
      }
    },
    {
      "fullUrl": "urn:uuid:41759780-d870-50d3-b76b-547cccb7f77e",
      "resource": {
        "resourceType": "Observation",
        "id": "41759780-d870-50d3-b76b-547cccb7f77e",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2026-04-01T07:00:01+00:00",
          "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:5248ae90-fdff-5375-b367-7ac659423e38"
        }
      },
      "search": {
        "mode": "include"
      }
    },
    {
      "fullUrl": "urn:uuid:d6fc3029-f3c6-5f43-b04c-aa2b95c2f907",
      "resource": {
        "resourceType": "QuestionnaireResponse",
        "id": "d6fc3029-f3c6-5f43-b04c-aa2b95c2f907",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2026-04-01T07:00:01+00:00",
          "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": "2026-04-01T01:00:00+00:00",
        "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"
                }
              }
            ]
          }
        ]
      },
      "search": {
        "mode": "include"
      }
    }
  ]
}