Example-BundleBreastScreeningReport
This shows an example breast screening report.
| Bundle |
| meta |
| extension |
| extension |
| url : msgId |
| value |
| system : https://fhir.synapxe.sg/NamingSystem/msg-id |
| value : CR001 |
| extension |
| url : msgSequenceId |
| value |
| system : https://fhir.synapxe.sg/NamingSystem/msg-sequence-id |
| value : 001 |
| extension |
| url : date |
| value : 2026-04-01T15:00:00+08:00 |
| url : https://fhir.synapxe.sg/StructureDefinition/ext-artifact |
| source : HPB-IDEAS |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-bundle-diagnosticreport-bs |
| tag |
| code : TTSH |
| type : transaction |
| entry |
| fullUrl : urn:uuid:a1b2c3d4-e5f6-4a7b-8c9d-0e1f2a3b4c5d |
| resource |
| id : a1b2c3d4-e5f6-4a7b-8c9d-0e1f2a3b4c5d |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-diagnosticreport-bs |
| text |
| status : generated |
| 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 |
| result |
| reference : urn:uuid:d4e5f6a7-b8c9-4d0e-9f1a-2b3c4d5e6f7a |
| display : Screening |
| result |
| reference : urn:uuid:e5f6a7b8-c9d0-4e1f-9a2b-3c4d5e6f7a8b |
| display : Histopathology |
| result |
| reference : urn:uuid:f6a7b8c9-d0e1-4f2a-9b3c-4d5e6f7a8b9c |
| display : Cytology |
| result |
| 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 |
| entry |
| fullUrl : urn:uuid:b2c3d4e5-f6a7-4b8c-9d0e-1f2a3b4c5d6e |
| resource |
| 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 |
| value : Breast Screening |
| status : completed |
| subject |
| type : Patient |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/nric |
| value : S1234567A |
| basedOn |
| reference : urn:uuid:c9d0e1f2-a3b4-4c5d-9e6f-7a8b9c0d1e2f |
| serviceProvider |
| type : Organization |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/hci-code |
| value : 11234 |
| actualPeriod |
| start : 2026-04-01T09:00:00+08:00 |
| location |
| location |
| display : Radiology Department - Breast Imaging Unit |
| request |
| method : POST |
| url : Encounter |
| entry |
| fullUrl : urn:uuid:c3d4e5f6-a7b8-4c9d-8e0f-1f2a3b4c5d6e |
| resource |
| 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 |
| identifier |
| 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 |
| effective : 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 |
| entry |
| fullUrl : urn:uuid:d4e5f6a7-b8c9-4d0e-9f1a-2b3c4d5e6f7a |
| resource |
| 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 |
| effective : 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 |
| value : Bilateral digital mammography completed with MLO and CC views. No technical issues. |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:e5f6a7b8-c9d0-4e1f-9a2b-3c4d5e6f7a8b |
| resource |
| 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 |
| value : Core biopsy shows benign fibrocystic changes with focal microcalcifications. No evidence of in situ or invasive carcinoma. |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:f6a7b8c9-d0e1-4f2a-9b3c-4d5e6f7a8b9c |
| resource |
| 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 |
| value : Fine needle aspiration cytology (FNAC): Benign ductal epithelial cells with no atypia. No malignant cells identified. |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:a7b8c9d0-e1f2-4a3b-9c4d-5e6f7a8b9c0d |
| resource |
| 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 |
| value : Ultrasound-guided core needle biopsy: Fibroadenoma with usual ductal hyperplasia. No atypical or malignant features identified. |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:b8c9d0e1-f2a3-4b4c-9d5e-6f7a8b9c0d1e |
| resource |
| 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 |
| effective : 2026-04-01T09:00:00+08:00 |
| component |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 416940007 |
| display : Family history of breast cancer |
| value |
| coding |
| system : https://fhir.synapxe.sg/CodeSystem/assessment-answer-type |
| code : no |
| display : No |
| component |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 275978003 |
| display : Previous breast screening |
| value |
| coding |
| system : https://fhir.synapxe.sg/CodeSystem/assessment-answer-type |
| code : yes |
| display : Yes |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:c9d0e1f2-a3b4-4c5d-9e6f-7a8b9c0d1e2f |
| resource |
| 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 |
| entry |
| fullUrl : urn:uuid:d0e1f2a3-b4c5-4d6e-9f7a-8b9c0d1e2f3a |
| resource |
| 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 |
| entry |
| fullUrl : urn:uuid:e1f2a3b4-c5d6-4e7f-9a8b-9c0d1e2f3a4b |
| resource |
| 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 |
| effective : 2026-04-01T09:30:00+08:00 |
| performer |
| type : Organization |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/hci-code |
| value : 11234 |
| value : 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 |
| entry |
| fullUrl : urn:uuid:f2a3b4c5-d6e7-4f8a-9b9c-0d1e2f3a4b5c |
| resource |
| 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 |
| effective : 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 |
| hasMember |
| reference : urn:uuid:b0c1d2e3-f4a5-4b6c-8d7e-9f0a1b2c3d4e |
| component |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 271272003 |
| display : Breast examination finding |
| value : Normal bilateral breast examination. No palpable masses, skin changes, nipple discharge, or lymphadenopathy detected. |
| interpretation |
| text : Normal |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:a3b4c5d6-e7f8-4a9b-9c0d-1e2f3a4b5c6d |
| resource |
| 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 |
| collected : 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 |
| entry |
| fullUrl : urn:uuid:b4c5d6e7-f8a9-4b0c-9d1e-2f3a4b5c6d7e |
| resource |
| 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 |
| collected : 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 |
| entry |
| fullUrl : urn:uuid:c5d6e7f8-a9b0-4c1d-9e2f-3a4b5c6d7e8f |
| resource |
| 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 |
| collected : 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 |
| entry |
| fullUrl : urn:uuid:d6e7f8a9-b0c1-4d2e-9f3a-4b5c6d7e8f9a |
| resource |
| 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 |
| entry |
| fullUrl : urn:uuid:e7f8a9b0-c1d2-4e3f-9a4b-5c6d7e8f9a0b |
| resource |
| 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 |
| value : 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 |
| entry |
| fullUrl : urn:uuid:f8a9b0c1-d2e3-4f4a-9b5c-6d7e8f9a0b1c |
| resource |
| 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 |
| value : 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 |
| entry |
| fullUrl : urn:uuid:a9b0c1d2-e3f4-4a5b-9c6d-7e8f9a0b1c2d |
| resource |
| 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 |
| value : 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 |
| entry |
| fullUrl : urn:uuid:b0c1d2e3-f4a5-4b6c-8d7e-9f0a1b2c3d4e |
| resource |
| 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 |
| value |
| system : https://fhir.synapxe.sg/CodeSystem/assessment-answer-type |
| code : no |
| display : No |
| item |
| linkId : previous-screening |
| text : Previous breast screening |
| answer |
| value |
| system : https://fhir.synapxe.sg/CodeSystem/assessment-answer-type |
| code : yes |
| display : Yes |
| request |
| method : POST |
| url : QuestionnaireResponse |
| Bundle.meta[0].extension[0].extension[0].url[0] | msgId |
| Bundle.meta[0].extension[0].extension[0].value[0].system[0] | https://fhir.synapxe.sg/NamingSystem/msg-id |
| Bundle.meta[0].extension[0].extension[0].value[0].value[0] | CR001 |
| Bundle.meta[0].extension[0].extension[1].url[0] | msgSequenceId |
| Bundle.meta[0].extension[0].extension[1].value[0].system[0] | https://fhir.synapxe.sg/NamingSystem/msg-sequence-id |
| Bundle.meta[0].extension[0].extension[1].value[0].value[0] | 001 |
| Bundle.meta[0].extension[0].extension[2].url[0] | date |
| Bundle.meta[0].extension[0].extension[2].value[0] | 2026-04-01T15:00:00+08:00 |
| Bundle.meta[0].extension[0].url[0] | https://fhir.synapxe.sg/StructureDefinition/ext-artifact |
| Bundle.meta[0].source[0] | HPB-IDEAS |
| Bundle.meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-bundle-diagnosticreport-bs |
| Bundle.meta[0].tag[0].code[0] | TTSH |
| Bundle.type[0] | transaction |
| Bundle.entry[0].fullUrl[0] | urn:uuid:a1b2c3d4-e5f6-4a7b-8c9d-0e1f2a3b4c5d |
| Bundle.entry[0].resource[0].id[0] | a1b2c3d4-e5f6-4a7b-8c9d-0e1f2a3b4c5d |
| Bundle.entry[0].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-diagnosticreport-bs |
| Bundle.entry[0].resource[0].text[0].status[0] | generated |
| Bundle.entry[0].resource[0].text[0].div[0] | <div xmlns="http://www.w3.org/1999/xhtml">Example Breast Screening Report</div> |
| Bundle.entry[0].resource[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/record-id |
| Bundle.entry[0].resource[0].identifier[0].value[0] | BS-RPT-2026-001234 |
| Bundle.entry[0].resource[0].status[0] | final |
| Bundle.entry[0].resource[0].code[0].coding[0].system[0] | https://fhir.synapxe.sg/CodeSystem/screen-type |
| Bundle.entry[0].resource[0].code[0].coding[0].code[0] | breast-screen |
| Bundle.entry[0].resource[0].code[0].coding[0].display[0] | Breast Screening Report |
| Bundle.entry[0].resource[0].subject[0].type[0] | Patient |
| Bundle.entry[0].resource[0].subject[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/nric |
| Bundle.entry[0].resource[0].subject[0].identifier[0].value[0] | S1234567A |
| Bundle.entry[0].resource[0].encounter[0].reference[0] | urn:uuid:b2c3d4e5-f6a7-4b8c-9d0e-1f2a3b4c5d6e |
| Bundle.entry[0].resource[0].result[0].reference[0] | urn:uuid:c3d4e5f6-a7b8-4c9d-8e0f-1f2a3b4c5d6e |
| Bundle.entry[0].resource[0].result[0].display[0] | Assessment |
| Bundle.entry[0].resource[0].result[1].reference[0] | urn:uuid:d4e5f6a7-b8c9-4d0e-9f1a-2b3c4d5e6f7a |
| Bundle.entry[0].resource[0].result[1].display[0] | Screening |
| Bundle.entry[0].resource[0].result[2].reference[0] | urn:uuid:e5f6a7b8-c9d0-4e1f-9a2b-3c4d5e6f7a8b |
| Bundle.entry[0].resource[0].result[2].display[0] | Histopathology |
| Bundle.entry[0].resource[0].result[3].reference[0] | urn:uuid:f6a7b8c9-d0e1-4f2a-9b3c-4d5e6f7a8b9c |
| Bundle.entry[0].resource[0].result[3].display[0] | Cytology |
| Bundle.entry[0].resource[0].result[4].reference[0] | urn:uuid:a7b8c9d0-e1f2-4a3b-9c4d-5e6f7a8b9c0d |
| Bundle.entry[0].resource[0].result[4].display[0] | Biopsy |
| Bundle.entry[0].resource[0].supportingInfo[0].type[0].coding[0].system[0] | http://loinc.org |
| Bundle.entry[0].resource[0].supportingInfo[0].type[0].coding[0].code[0] | 11329-0 |
| Bundle.entry[0].resource[0].supportingInfo[0].type[0].coding[0].display[0] | History general Narrative - Reported |
| Bundle.entry[0].resource[0].supportingInfo[0].reference[0].reference[0] | urn:uuid:b8c9d0e1-f2a3-4b4c-9d5e-6f7a8b9c0d1e |
| Bundle.entry[0].request[0].method[0] | POST |
| Bundle.entry[0].request[0].url[0] | DiagnosticReport |
| Bundle.entry[1].fullUrl[0] | urn:uuid:b2c3d4e5-f6a7-4b8c-9d0e-1f2a3b4c5d6e |
| Bundle.entry[1].resource[0].id[0] | b2c3d4e5-f6a7-4b8c-9d0e-1f2a3b4c5d6e |
| Bundle.entry[1].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-encounter-screening |
| Bundle.entry[1].resource[0].extension[0].url[0] | https://fhir.synapxe.sg/StructureDefinition/ext-screenType |
| Bundle.entry[1].resource[0].extension[0].value[0] | Breast Screening |
| Bundle.entry[1].resource[0].status[0] | completed |
| Bundle.entry[1].resource[0].subject[0].type[0] | Patient |
| Bundle.entry[1].resource[0].subject[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/nric |
| Bundle.entry[1].resource[0].subject[0].identifier[0].value[0] | S1234567A |
| Bundle.entry[1].resource[0].basedOn[0].reference[0] | urn:uuid:c9d0e1f2-a3b4-4c5d-9e6f-7a8b9c0d1e2f |
| Bundle.entry[1].resource[0].serviceProvider[0].type[0] | Organization |
| Bundle.entry[1].resource[0].serviceProvider[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/hci-code |
| Bundle.entry[1].resource[0].serviceProvider[0].identifier[0].value[0] | 11234 |
| Bundle.entry[1].resource[0].actualPeriod[0].start[0] | 2026-04-01T09:00:00+08:00 |
| Bundle.entry[1].resource[0].location[0].location[0].display[0] | Radiology Department - Breast Imaging Unit |
| Bundle.entry[1].request[0].method[0] | POST |
| Bundle.entry[1].request[0].url[0] | Encounter |
| Bundle.entry[2].fullUrl[0] | urn:uuid:c3d4e5f6-a7b8-4c9d-8e0f-1f2a3b4c5d6e |
| Bundle.entry[2].resource[0].id[0] | c3d4e5f6-a7b8-4c9d-8e0f-1f2a3b4c5d6e |
| Bundle.entry[2].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-assessment-results |
| Bundle.entry[2].resource[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/investigation-id |
| Bundle.entry[2].resource[0].identifier[0].value[0] | AR-BS-2026-001234 |
| Bundle.entry[2].resource[0].identifier[1].system[0] | https://fhir.synapxe.sg/NamingSystem/workflow-no |
| Bundle.entry[2].resource[0].identifier[1].value[0] | WF-BS-2026-001234 |
| Bundle.entry[2].resource[0].basedOn[0].display[0] | SR-2026-001234 |
| Bundle.entry[2].resource[0].status[0] | final |
| Bundle.entry[2].resource[0].category[0].coding[0].system[0] | http://terminology.hl7.org/CodeSystem/observation-category |
| Bundle.entry[2].resource[0].category[0].coding[0].code[0] | survey |
| Bundle.entry[2].resource[0].category[0].coding[0].display[0] | Survey |
| Bundle.entry[2].resource[0].code[0].text[0] | assessment |
| Bundle.entry[2].resource[0].effective[0] | 2026-04-01T10:30:00+08:00 |
| Bundle.entry[2].resource[0].performer[0].type[0] | Organization |
| Bundle.entry[2].resource[0].performer[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/hci-code |
| Bundle.entry[2].resource[0].performer[0].identifier[0].value[0] | 11234 |
| Bundle.entry[2].resource[0].interpretation[0].text[0] | BI-RADS Category 2: Benign |
| Bundle.entry[2].resource[0].hasMember[0].reference[0] | urn:uuid:e1f2a3b4-c5d6-4e7f-9a8b-9c0d1e2f3a4b |
| Bundle.entry[2].request[0].method[0] | POST |
| Bundle.entry[2].request[0].url[0] | Observation |
| Bundle.entry[3].fullUrl[0] | urn:uuid:d4e5f6a7-b8c9-4d0e-9f1a-2b3c4d5e6f7a |
| Bundle.entry[3].resource[0].id[0] | d4e5f6a7-b8c9-4d0e-9f1a-2b3c4d5e6f7a |
| Bundle.entry[3].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-observation |
| Bundle.entry[3].resource[0].status[0] | final |
| Bundle.entry[3].resource[0].category[0].coding[0].system[0] | http://terminology.hl7.org/CodeSystem/observation-category |
| Bundle.entry[3].resource[0].category[0].coding[0].code[0] | imaging |
| Bundle.entry[3].resource[0].category[0].coding[0].display[0] | Imaging |
| Bundle.entry[3].resource[0].code[0].coding[0].system[0] | http://loinc.org |
| Bundle.entry[3].resource[0].code[0].coding[0].code[0] | 24604-1 |
| Bundle.entry[3].resource[0].code[0].coding[0].display[0] | MG Breast Screening |
| Bundle.entry[3].resource[0].subject[0].type[0] | Patient |
| Bundle.entry[3].resource[0].subject[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/nric |
| Bundle.entry[3].resource[0].subject[0].identifier[0].value[0] | S1234567A |
| Bundle.entry[3].resource[0].effective[0] | 2026-04-01T09:30:00+08:00 |
| Bundle.entry[3].resource[0].performer[0].type[0] | Organization |
| Bundle.entry[3].resource[0].performer[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/hci-code |
| Bundle.entry[3].resource[0].performer[0].identifier[0].value[0] | 11234 |
| Bundle.entry[3].resource[0].performer[0].display[0] | Singapore Health Services |
| Bundle.entry[3].resource[0].value[0] | Bilateral digital mammography completed with MLO and CC views. No technical issues. |
| Bundle.entry[3].request[0].method[0] | POST |
| Bundle.entry[3].request[0].url[0] | Observation |
| Bundle.entry[4].fullUrl[0] | urn:uuid:e5f6a7b8-c9d0-4e1f-9a2b-3c4d5e6f7a8b |
| Bundle.entry[4].resource[0].id[0] | e5f6a7b8-c9d0-4e1f-9a2b-3c4d5e6f7a8b |
| Bundle.entry[4].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-pathology-results |
| Bundle.entry[4].resource[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/record-id |
| Bundle.entry[4].resource[0].identifier[0].value[0] | PATH-HISTO-2026-001234 |
| Bundle.entry[4].resource[0].status[0] | final |
| Bundle.entry[4].resource[0].code[0].coding[0].system[0] | https://fhir.synapxe.sg/CodeSystem/pathology-results-type |
| Bundle.entry[4].resource[0].code[0].coding[0].code[0] | histopathology |
| Bundle.entry[4].resource[0].code[0].coding[0].display[0] | Histopathology |
| Bundle.entry[4].resource[0].performer[0].type[0] | Practitioner |
| Bundle.entry[4].resource[0].performer[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/mcr |
| Bundle.entry[4].resource[0].performer[0].identifier[0].value[0] | M67890 |
| Bundle.entry[4].resource[0].hasMember[0].reference[0] | urn:uuid:e7f8a9b0-c1d2-4e3f-9a4b-5c6d7e8f9a0b |
| Bundle.entry[4].resource[0].component[0].code[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[4].resource[0].component[0].code[0].coding[0].code[0] | 106221001 |
| Bundle.entry[4].resource[0].component[0].code[0].coding[0].display[0] | Microscopic observation |
| Bundle.entry[4].resource[0].component[0].value[0] | Core biopsy shows benign fibrocystic changes with focal microcalcifications. No evidence of in situ or invasive carcinoma. |
| Bundle.entry[4].request[0].method[0] | POST |
| Bundle.entry[4].request[0].url[0] | Observation |
| Bundle.entry[5].fullUrl[0] | urn:uuid:f6a7b8c9-d0e1-4f2a-9b3c-4d5e6f7a8b9c |
| Bundle.entry[5].resource[0].id[0] | f6a7b8c9-d0e1-4f2a-9b3c-4d5e6f7a8b9c |
| Bundle.entry[5].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-pathology-results |
| Bundle.entry[5].resource[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/record-id |
| Bundle.entry[5].resource[0].identifier[0].value[0] | PATH-CYTO-2026-001234 |
| Bundle.entry[5].resource[0].status[0] | final |
| Bundle.entry[5].resource[0].code[0].coding[0].system[0] | https://fhir.synapxe.sg/CodeSystem/pathology-results-type |
| Bundle.entry[5].resource[0].code[0].coding[0].code[0] | cytology |
| Bundle.entry[5].resource[0].code[0].coding[0].display[0] | Cytology |
| Bundle.entry[5].resource[0].performer[0].type[0] | Practitioner |
| Bundle.entry[5].resource[0].performer[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/mcr |
| Bundle.entry[5].resource[0].performer[0].identifier[0].value[0] | M67891 |
| Bundle.entry[5].resource[0].hasMember[0].reference[0] | urn:uuid:f8a9b0c1-d2e3-4f4a-9b5c-6d7e8f9a0b1c |
| Bundle.entry[5].resource[0].component[0].code[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[5].resource[0].component[0].code[0].coding[0].code[0] | 250537006 |
| Bundle.entry[5].resource[0].component[0].code[0].coding[0].display[0] | Cytology report |
| Bundle.entry[5].resource[0].component[0].value[0] | Fine needle aspiration cytology (FNAC): Benign ductal epithelial cells with no atypia. No malignant cells identified. |
| Bundle.entry[5].request[0].method[0] | POST |
| Bundle.entry[5].request[0].url[0] | Observation |
| Bundle.entry[6].fullUrl[0] | urn:uuid:a7b8c9d0-e1f2-4a3b-9c4d-5e6f7a8b9c0d |
| Bundle.entry[6].resource[0].id[0] | a7b8c9d0-e1f2-4a3b-9c4d-5e6f7a8b9c0d |
| Bundle.entry[6].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-pathology-results |
| Bundle.entry[6].resource[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/record-id |
| Bundle.entry[6].resource[0].identifier[0].value[0] | PATH-BIO-2026-001234 |
| Bundle.entry[6].resource[0].status[0] | final |
| Bundle.entry[6].resource[0].code[0].coding[0].system[0] | https://fhir.synapxe.sg/CodeSystem/pathology-results-type |
| Bundle.entry[6].resource[0].code[0].coding[0].code[0] | biopsy |
| Bundle.entry[6].resource[0].code[0].coding[0].display[0] | Biopsy |
| Bundle.entry[6].resource[0].performer[0].type[0] | Practitioner |
| Bundle.entry[6].resource[0].performer[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/mcr |
| Bundle.entry[6].resource[0].performer[0].identifier[0].value[0] | M67892 |
| Bundle.entry[6].resource[0].hasMember[0].reference[0] | urn:uuid:a9b0c1d2-e3f4-4a5b-9c6d-7e8f9a0b1c2d |
| Bundle.entry[6].resource[0].component[0].code[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[6].resource[0].component[0].code[0].coding[0].code[0] | 396447009 |
| Bundle.entry[6].resource[0].component[0].code[0].coding[0].display[0] | Biopsy report |
| Bundle.entry[6].resource[0].component[0].value[0] | Ultrasound-guided core needle biopsy: Fibroadenoma with usual ductal hyperplasia. No atypical or malignant features identified. |
| Bundle.entry[6].request[0].method[0] | POST |
| Bundle.entry[6].request[0].url[0] | Observation |
| Bundle.entry[7].fullUrl[0] | urn:uuid:b8c9d0e1-f2a3-4b4c-9d5e-6f7a8b9c0d1e |
| Bundle.entry[7].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-observation |
| Bundle.entry[7].resource[0].status[0] | final |
| Bundle.entry[7].resource[0].category[0].coding[0].system[0] | http://terminology.hl7.org/CodeSystem/observation-category |
| Bundle.entry[7].resource[0].category[0].coding[0].code[0] | social-history |
| Bundle.entry[7].resource[0].category[0].coding[0].display[0] | Social History |
| Bundle.entry[7].resource[0].code[0].coding[0].system[0] | http://loinc.org |
| Bundle.entry[7].resource[0].code[0].coding[0].code[0] | 11329-0 |
| Bundle.entry[7].resource[0].code[0].coding[0].display[0] | History general Narrative - Reported |
| Bundle.entry[7].resource[0].subject[0].type[0] | Patient |
| Bundle.entry[7].resource[0].subject[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/nric |
| Bundle.entry[7].resource[0].subject[0].identifier[0].value[0] | S1234567A |
| Bundle.entry[7].resource[0].effective[0] | 2026-04-01T09:00:00+08:00 |
| Bundle.entry[7].resource[0].component[0].code[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[7].resource[0].component[0].code[0].coding[0].code[0] | 416940007 |
| Bundle.entry[7].resource[0].component[0].code[0].coding[0].display[0] | Family history of breast cancer |
| Bundle.entry[7].resource[0].component[0].value[0].coding[0].system[0] | https://fhir.synapxe.sg/CodeSystem/assessment-answer-type |
| Bundle.entry[7].resource[0].component[0].value[0].coding[0].code[0] | no |
| Bundle.entry[7].resource[0].component[0].value[0].coding[0].display[0] | No |
| Bundle.entry[7].resource[0].component[1].code[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[7].resource[0].component[1].code[0].coding[0].code[0] | 275978003 |
| Bundle.entry[7].resource[0].component[1].code[0].coding[0].display[0] | Previous breast screening |
| Bundle.entry[7].resource[0].component[1].value[0].coding[0].system[0] | https://fhir.synapxe.sg/CodeSystem/assessment-answer-type |
| Bundle.entry[7].resource[0].component[1].value[0].coding[0].code[0] | yes |
| Bundle.entry[7].resource[0].component[1].value[0].coding[0].display[0] | Yes |
| Bundle.entry[7].request[0].method[0] | POST |
| Bundle.entry[7].request[0].url[0] | Observation |
| Bundle.entry[8].fullUrl[0] | urn:uuid:c9d0e1f2-a3b4-4c5d-9e6f-7a8b9c0d1e2f |
| Bundle.entry[8].resource[0].id[0] | c9d0e1f2-a3b4-4c5d-9e6f-7a8b9c0d1e2f |
| Bundle.entry[8].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-referral |
| Bundle.entry[8].resource[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/referral-id |
| Bundle.entry[8].resource[0].identifier[0].value[0] | REF-2026-001234 |
| Bundle.entry[8].resource[0].status[0] | completed |
| Bundle.entry[8].resource[0].intent[0] | order |
| Bundle.entry[8].resource[0].category[0].coding[0].system[0] | https://fhir.synapxe.sg/CodeSystem/referral-type |
| Bundle.entry[8].resource[0].category[0].coding[0].code[0] | StepDownCare |
| Bundle.entry[8].resource[0].category[0].coding[0].display[0] | Step-Down Care |
| Bundle.entry[8].resource[0].priority[0] | routine |
| Bundle.entry[8].resource[0].subject[0].type[0] | Patient |
| Bundle.entry[8].resource[0].subject[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/nric |
| Bundle.entry[8].resource[0].subject[0].identifier[0].value[0] | S1234567A |
| Bundle.entry[8].resource[0].authoredOn[0] | 2026-01-15T10:00:00+08:00 |
| Bundle.entry[8].resource[0].requester[0].type[0] | Practitioner |
| Bundle.entry[8].resource[0].requester[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/mcr |
| Bundle.entry[8].resource[0].requester[0].identifier[0].value[0] | M00001 |
| Bundle.entry[8].request[0].method[0] | POST |
| Bundle.entry[8].request[0].url[0] | ServiceRequest |
| Bundle.entry[9].fullUrl[0] | urn:uuid:d0e1f2a3-b4c5-4d6e-9f7a-8b9c0d1e2f3a |
| Bundle.entry[9].resource[0].id[0] | d0e1f2a3-b4c5-4d6e-9f7a-8b9c0d1e2f3a |
| Bundle.entry[9].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-location |
| Bundle.entry[9].resource[0].name[0] | Radiology Department - Breast Imaging Unit |
| Bundle.entry[9].resource[0].managingOrganization[0].type[0] | Organization |
| Bundle.entry[9].resource[0].managingOrganization[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/hci-code |
| Bundle.entry[9].resource[0].managingOrganization[0].identifier[0].value[0] | 11234 |
| Bundle.entry[9].request[0].method[0] | POST |
| Bundle.entry[9].request[0].url[0] | Location |
| Bundle.entry[10].fullUrl[0] | urn:uuid:e1f2a3b4-c5d6-4e7f-9a8b-9c0d1e2f3a4b |
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| Bundle.entry[10].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-observation-bs |
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