Example-BundleCervicalScreeningReport

This shows an example cervical screening report.

Bundle
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-cvs
Bundle.meta[0].tag[0].code[0]TTSH
Bundle.type[0]transaction
Bundle.entry[0].fullUrl[0]urn:uuid:f3a4b5c6-d7e8-4f9a-0b1c-d2e3f4a5b6c7
Bundle.entry[0].resource[0].id[0]diagnosticreport-cvs-001
Bundle.entry[0].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-diagnosticreport-cvs
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 Cervical 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]CVS-RPT-2026-001234
Bundle.entry[0].resource[0].basedOn[0].reference[0]urn:uuid:a4b5c6d7-e8f9-4a0b-1c2d-e3f4a5b6c7d8
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]cervical-screen
Bundle.entry[0].resource[0].code[0].coding[0].display[0]Cervical 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].result[0].reference[0]urn:uuid:b5c6d7e8-f9a0-4b1c-2d3e-f4a5b6c7d8e9
Bundle.entry[0].resource[0].result[1].reference[0]urn:uuid:c6d7e8f9-a0b1-4c2d-3e4f-a5b6c7d8e9f0
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:d7e8f9a0-b1c2-4d3e-4f5a-b6c7d8e9f0a1
Bundle.entry[0].resource[0].conclusionCode[0].text[0]Negative for intraepithelial lesion or malignancy. HPV not detected. Routine screening recommended in 3 years.
Bundle.entry[0].request[0].method[0]POST
Bundle.entry[0].request[0].url[0]DiagnosticReport
Bundle.entry[1].fullUrl[0]urn:uuid:a4b5c6d7-e8f9-4a0b-1c2d-e3f4a5b6c7d8
Bundle.entry[1].resource[0].id[0]service-request-001
Bundle.entry[1].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-servicerequest
Bundle.entry[1].resource[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/order-no
Bundle.entry[1].resource[0].identifier[0].value[0]SR-CVS-2026-001234
Bundle.entry[1].resource[0].status[0]completed
Bundle.entry[1].resource[0].intent[0]order
Bundle.entry[1].resource[0].code[0].concept[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[1].resource[0].code[0].concept[0].coding[0].code[0]440623000
Bundle.entry[1].resource[0].code[0].concept[0].coding[0].display[0]Cervical cancer screening
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].authoredOn[0]2026-01-15T10:00:00+08:00
Bundle.entry[1].resource[0].requester[0].type[0]Practitioner
Bundle.entry[1].resource[0].requester[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/mcr
Bundle.entry[1].resource[0].requester[0].identifier[0].value[0]M12345
Bundle.entry[1].request[0].method[0]POST
Bundle.entry[1].request[0].url[0]ServiceRequest
Bundle.entry[2].fullUrl[0]urn:uuid:b5c6d7e8-f9a0-4b1c-2d3e-f4a5b6c7d8e9
Bundle.entry[2].resource[0].id[0]observation-hpv-001
Bundle.entry[2].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-observation
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]laboratory
Bundle.entry[2].resource[0].category[0].coding[0].display[0]Laboratory
Bundle.entry[2].resource[0].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[2].resource[0].code[0].coding[0].code[0]21440-3
Bundle.entry[2].resource[0].code[0].coding[0].display[0]Human papilloma virus 16+18+31+33+35+39+45+51+52+56+58+59+66+68 DNA [Presence] in Cervix by NAA with probe detection
Bundle.entry[2].resource[0].subject[0].type[0]Patient
Bundle.entry[2].resource[0].subject[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/nric
Bundle.entry[2].resource[0].subject[0].identifier[0].value[0]S1234567A
Bundle.entry[2].resource[0].effective[0]2026-02-09T09:00:00+08:00
Bundle.entry[2].resource[0].value[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[2].resource[0].value[0].coding[0].code[0]260385009
Bundle.entry[2].resource[0].value[0].coding[0].display[0]Negative
Bundle.entry[2].resource[0].value[0].text[0]Not detected
Bundle.entry[2].request[0].method[0]POST
Bundle.entry[2].request[0].url[0]Observation
Bundle.entry[3].fullUrl[0]urn:uuid:c6d7e8f9-a0b1-4c2d-3e4f-a5b6c7d8e9f0
Bundle.entry[3].resource[0].id[0]observation-cytology-001
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]laboratory
Bundle.entry[3].resource[0].category[0].coding[0].display[0]Laboratory
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]19762-4
Bundle.entry[3].resource[0].code[0].coding[0].display[0]General categories Cancer in Cervix by Cyto stain
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]2026-02-09T09:00:00+08:00
Bundle.entry[3].resource[0].value[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[3].resource[0].value[0].coding[0].code[0]280413003
Bundle.entry[3].resource[0].value[0].coding[0].display[0]Negative for intraepithelial lesion or malignancy
Bundle.entry[3].resource[0].value[0].text[0]NILM (Negative for Intraepithelial Lesion or Malignancy)
Bundle.entry[3].request[0].method[0]POST
Bundle.entry[3].request[0].url[0]Observation
Bundle.entry[4].fullUrl[0]urn:uuid:d7e8f9a0-b1c2-4d3e-4f5a-b6c7d8e9f0a1
Bundle.entry[4].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-observation
Bundle.entry[4].resource[0].status[0]final
Bundle.entry[4].resource[0].category[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/observation-category
Bundle.entry[4].resource[0].category[0].coding[0].code[0]social-history
Bundle.entry[4].resource[0].category[0].coding[0].display[0]Social History
Bundle.entry[4].resource[0].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[4].resource[0].code[0].coding[0].code[0]11329-0
Bundle.entry[4].resource[0].code[0].coding[0].display[0]History general Narrative - Reported
Bundle.entry[4].resource[0].subject[0].type[0]Patient
Bundle.entry[4].resource[0].subject[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/nric
Bundle.entry[4].resource[0].subject[0].identifier[0].value[0]S1234567A
Bundle.entry[4].resource[0].effective[0]2026-02-09T09:00:00+08:00
Bundle.entry[4].resource[0].component[0].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[4].resource[0].component[0].code[0].coding[0].code[0]8665-2
Bundle.entry[4].resource[0].component[0].code[0].coding[0].display[0]Date of last menstrual period
Bundle.entry[4].resource[0].component[0].value[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/assessment-answer-type
Bundle.entry[4].resource[0].component[0].value[0].coding[0].code[0]yes
Bundle.entry[4].resource[0].component[0].value[0].coding[0].display[0]Yes
Bundle.entry[4].resource[0].component[1].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[4].resource[0].component[1].code[0].coding[0].code[0]171149006
Bundle.entry[4].resource[0].component[1].code[0].coding[0].display[0]Previous abnormal cervical smear result
Bundle.entry[4].resource[0].component[1].value[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/assessment-answer-type
Bundle.entry[4].resource[0].component[1].value[0].coding[0].code[0]no
Bundle.entry[4].resource[0].component[1].value[0].coding[0].display[0]No
Bundle.entry[4].resource[0].component[2].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[4].resource[0].component[2].code[0].coding[0].code[0]416940007
Bundle.entry[4].resource[0].component[2].code[0].coding[0].display[0]Previous cervical treatment or surgery
Bundle.entry[4].resource[0].component[2].value[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/assessment-answer-type
Bundle.entry[4].resource[0].component[2].value[0].coding[0].code[0]no
Bundle.entry[4].resource[0].component[2].value[0].coding[0].display[0]No
Bundle.entry[4].resource[0].component[3].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[4].resource[0].component[3].code[0].coding[0].code[0]77386006
Bundle.entry[4].resource[0].component[3].code[0].coding[0].display[0]Currently pregnant
Bundle.entry[4].resource[0].component[3].value[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/assessment-answer-type
Bundle.entry[4].resource[0].component[3].value[0].coding[0].code[0]no
Bundle.entry[4].resource[0].component[3].value[0].coding[0].display[0]No
Bundle.entry[4].resource[0].component[4].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[4].resource[0].component[4].code[0].coding[0].code[0]13197004
Bundle.entry[4].resource[0].component[4].code[0].coding[0].display[0]Current contraception method
Bundle.entry[4].resource[0].component[4].value[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/assessment-answer-type
Bundle.entry[4].resource[0].component[4].value[0].coding[0].code[0]yes
Bundle.entry[4].resource[0].component[4].value[0].coding[0].display[0]Yes
Bundle.entry[4].resource[0].component[5].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[4].resource[0].component[5].code[0].coding[0].code[0]8098009
Bundle.entry[4].resource[0].component[5].code[0].coding[0].display[0]History of sexually transmitted infections
Bundle.entry[4].resource[0].component[5].value[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/assessment-answer-type
Bundle.entry[4].resource[0].component[5].value[0].coding[0].code[0]no
Bundle.entry[4].resource[0].component[5].value[0].coding[0].display[0]No
Bundle.entry[4].resource[0].component[6].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[4].resource[0].component[6].code[0].coding[0].code[0]72166-2
Bundle.entry[4].resource[0].component[6].code[0].coding[0].display[0]Tobacco smoking status
Bundle.entry[4].resource[0].component[6].value[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/assessment-answer-type
Bundle.entry[4].resource[0].component[6].value[0].coding[0].code[0]no
Bundle.entry[4].resource[0].component[6].value[0].coding[0].display[0]No
Bundle.entry[4].resource[0].component[7].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[4].resource[0].component[7].code[0].coding[0].code[0]54215-9
Bundle.entry[4].resource[0].component[7].code[0].coding[0].display[0]Date of last cervical screening
Bundle.entry[4].resource[0].component[7].value[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/assessment-answer-type
Bundle.entry[4].resource[0].component[7].value[0].coding[0].code[0]yes
Bundle.entry[4].resource[0].component[7].value[0].coding[0].display[0]Yes
Bundle.entry[4].resource[0].component[8].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[4].resource[0].component[8].code[0].coding[0].code[0]54215-9
Bundle.entry[4].resource[0].component[8].code[0].coding[0].display[0]Last cervical screening result
Bundle.entry[4].resource[0].component[8].value[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/assessment-answer-type
Bundle.entry[4].resource[0].component[8].value[0].coding[0].code[0]yes
Bundle.entry[4].resource[0].component[8].value[0].coding[0].display[0]Yes
Bundle.entry[4].request[0].method[0]POST
Bundle.entry[4].request[0].url[0]Observation
{
"resourceType": "Bundle",
"meta": {
{
{
"url": "msgId",
"system": "https://fhir.synapxe.sg/NamingSystem/msg-id",
"value": "CR001"
}
},
{
"url": "msgSequenceId",
"system": "https://fhir.synapxe.sg/NamingSystem/msg-sequence-id",
"value": "001"
}
},
{
"url": "date",
"valueDateTime": "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-cvs"
],
"tag": [
{
"code": "TTSH"
}
]
},
"type": "transaction",
"entry": [
{
"fullUrl": "urn:uuid:f3a4b5c6-d7e8-4f9a-0b1c-d2e3f4a5b6c7",
"resourceType": "DiagnosticReport",
"id": "diagnosticreport-cvs-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-diagnosticreport-cvs"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Example Cervical Screening Report</div>"
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "CVS-RPT-2026-001234"
}
],
"basedOn": [
{
"reference": "urn:uuid:a4b5c6d7-e8f9-4a0b-1c2d-e3f4a5b6c7d8"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/screen-type",
"code": "cervical-screen",
"display": "Cervical Screening Report"
}
]
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S1234567A"
}
},
"result": [
{
"reference": "urn:uuid:b5c6d7e8-f9a0-4b1c-2d3e-f4a5b6c7d8e9"
},
{
"reference": "urn:uuid:c6d7e8f9-a0b1-4c2d-3e4f-a5b6c7d8e9f0"
}
],
{
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "11329-0",
"display": "History general Narrative - Reported"
}
]
},
"reference": "urn:uuid:d7e8f9a0-b1c2-4d3e-4f5a-b6c7d8e9f0a1"
}
}
],
{
"text": "Negative for intraepithelial lesion or malignancy. HPV not detected. Routine screening recommended in 3 years."
}
]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
},
{
"fullUrl": "urn:uuid:a4b5c6d7-e8f9-4a0b-1c2d-e3f4a5b6c7d8",
"resourceType": "ServiceRequest",
"id": "service-request-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-servicerequest"
]
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/order-no",
"value": "SR-CVS-2026-001234"
}
],
"status": "completed",
"intent": "order",
"code": {
"concept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "440623000",
"display": "Cervical cancer screening"
}
]
}
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S1234567A"
}
},
"authoredOn": "2026-01-15T10:00:00+08:00",
"type": "Practitioner",
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345"
}
}
},
"request": {
"method": "POST",
"url": "ServiceRequest"
}
},
{
"fullUrl": "urn:uuid:b5c6d7e8-f9a0-4b1c-2d3e-f4a5b6c7d8e9",
"resourceType": "Observation",
"id": "observation-hpv-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-observation"
]
},
"status": "final",
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "21440-3",
"display": "Human papilloma virus 16+18+31+33+35+39+45+51+52+56+58+59+66+68 DNA [Presence] in Cervix by NAA with probe detection"
}
]
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S1234567A"
}
},
"effectiveDateTime": "2026-02-09T09:00:00+08:00",
"coding": [
{
"system": "http://snomed.info/sct",
"code": "260385009",
"display": "Negative"
}
],
"text": "Not detected"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:c6d7e8f9-a0b1-4c2d-3e4f-a5b6c7d8e9f0",
"resourceType": "Observation",
"id": "observation-cytology-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-observation"
]
},
"status": "final",
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "19762-4",
"display": "General categories Cancer in Cervix by Cyto stain"
}
]
},
"subject": {
"type": "Patient",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S1234567A"
}
},
"effectiveDateTime": "2026-02-09T09:00:00+08:00",
"coding": [
{
"system": "http://snomed.info/sct",
"code": "280413003",
"display": "Negative for intraepithelial lesion or malignancy"
}
],
"text": "NILM (Negative for Intraepithelial Lesion or Malignancy)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:d7e8f9a0-b1c2-4d3e-4f5a-b6c7d8e9f0a1",
"resourceType": "Observation",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-observation"
]
},
"status": "final",
{
"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",
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S1234567A"
}
},
"effectiveDateTime": "2026-02-09T09:00:00+08:00",
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8665-2",
"display": "Date of last menstrual period"
}
]
},
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
"code": "yes",
"display": "Yes"
}
]
}
},
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "171149006",
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