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

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Source1

{
  "resourceType": "Bundle",
  "id": "cervical-screening-report-request-example",
  "meta": {
    "extension": [
      {
        "url": "https://fhir.synapxe.sg/StructureDefinition/ext-artifact",
        "extension": [
          {
            "url": "msgId",
            "valueIdentifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/msg-id",
              "value": "CVS001"
            }
          },
          {
            "url": "msgSequenceId",
            "valueIdentifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/msg-sequence-id",
              "value": "001"
            }
          },
          {
            "url": "date",
            "valueDateTime": "2026-03-17T10:00:00+08:00"
          }
        ]
      }
    ],
    "profile": [
      "https://fhir.synapxe.sg/StructureDefinition/profile-bundle-diagnosticreport-cvs"
    ],
    "source": "HPB-IDEAS",
    "tag": [
      {
        "code": "KKH"
      }
    ]
  },
  "type": "transaction",
  "entry": [
    {
      "fullUrl": "urn:uuid:3c9e1f2a-7b4d-4e8a-9c1f-5a2b6d8e0f13",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "diagnosticreport-cvs-001",
        "meta": {
          "extension": [
            {
              "url": "https://fhir.synapxe.sg/StructureDefinition/ext-artifact",
              "extension": [
                {
                  "url": "msgId",
                  "valueIdentifier": {
                    "system": "https://fhir.synapxe.sg/NamingSystem/msg-id",
                    "value": "CVS001"
                  }
                },
                {
                  "url": "msgSequenceId",
                  "valueIdentifier": {
                    "system": "https://fhir.synapxe.sg/NamingSystem/msg-sequence-id",
                    "value": "001"
                  }
                },
                {
                  "url": "date",
                  "valueDateTime": "2026-03-17T10:00:00+08:00"
                }
              ]
            }
          ],
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-diagnosticreport-cvs"
          ],
          "source": "HPB-IDEAS",
          "tag": [
            {
              "code": "KKH"
            }
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/record-id",
            "value": "CVS-RPT-2026-000456"
          }
        ],
        "basedOn": [
          {
            "reference": "urn:uuid:4d0f2a3b-8c5e-4f9b-8d2a-6b3c7e9f1a24"
          }
        ],
        "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:5e1a3b4c-9d6f-4a0c-8e3b-7c4d8f0a2b35"
          },
          {
            "reference": "urn:uuid:6f2b4c5d-0e7a-4b1d-9f4c-8d5e9a1b3c46"
          }
        ],
        "supportingInfo": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "11329-0",
                  "display": "History general Narrative - Reported"
                }
              ]
            },
            "reference": {
              "reference": "urn:uuid:7a3c5d6e-1f8b-4c2e-8a5d-9e6f0b2c4d57"
            }
          }
        ],
        "conclusionCode": [
          {
            "text": "Negative for intraepithelial lesion or malignancy (NILM), HPV not detected. Routine recall in 5 years."
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "DiagnosticReport"
      }
    },
    {
      "fullUrl": "urn:uuid:4d0f2a3b-8c5e-4f9b-8d2a-6b3c7e9f1a24",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "servicerequest-cvs-001",
        "meta": {
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-servicerequest"
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/order-no",
            "value": "SR-CVS-2026-000456"
          }
        ],
        "status": "completed",
        "intent": "order",
        "code": {
          "concept": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "10524-7",
                "display": "Microscopic observation [Identifier] in Cervix by Cyto stain"
              }
            ]
          }
        },
        "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-CVS-2026-000456"
          }
        },
        "authoredOn": "2026-03-10T09:00:00+08:00",
        "requester": {
          "type": "Practitioner",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
            "value": "M54321"
          }
        },
        "performer": [
          {
            "type": "Practitioner",
            "identifier": {
              "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
              "value": "M54321"
            }
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "ServiceRequest"
      }
    },
    {
      "fullUrl": "urn:uuid:5e1a3b4c-9d6f-4a0c-8e3b-7c4d8f0a2b35",
      "resource": {
        "resourceType": "Observation",
        "id": "observation-cervical-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": "10524-7",
              "display": "Microscopic observation [Identifier] in Cervix by Cyto stain"
            }
          ]
        },
        "subject": {
          "type": "Patient",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/nric",
            "value": "S1234567A"
          }
        },
        "effectiveDateTime": "2026-03-10T09:30:00+08:00",
        "valueString": "Negative for intraepithelial lesion or malignancy (NILM). Specimen adequacy: satisfactory for evaluation."
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "urn:uuid:6f2b4c5d-0e7a-4b1d-9f4c-8d5e9a1b3c46",
      "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+45+51+52+56 DNA [Presence] in Cervix by Probe"
            }
          ]
        },
        "subject": {
          "type": "Patient",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/nric",
            "value": "S1234567A"
          }
        },
        "effectiveDateTime": "2026-03-10T09:30:00+08:00",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "260415000",
              "display": "Not detected"
            }
          ]
        }
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "urn:uuid:7a3c5d6e-1f8b-4c2e-8a5d-9e6f0b2c4d57",
      "resource": {
        "resourceType": "Observation",
        "id": "observation-cervical-history-001",
        "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": "2026-03-10T09:30:00+08:00",
        "valueString": "Last cervical screen in 2021 was normal. Not pregnant. No abnormal bleeding reported."
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    }
  ]
}