Example-BundlePapSmearReport

This shows an example pap smear 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-ps
Bundle.meta[0].tag[0].code[0]TTSH
Bundle.type[0]transaction
Bundle.entry[0].fullUrl[0]urn:uuid:e8f9a0b1-c2d3-4e4f-5a6b-c7d8e9f0a1b2
Bundle.entry[0].resource[0].id[0]dr-ps-001
Bundle.entry[0].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-diagnosticreport-ps
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 Pap Smear Report</div>
Bundle.entry[0].resource[0].extension[0].url[0]https://fhir.synapxe.sg/StructureDefinition/ext-orderOfTest
Bundle.entry[0].resource[0].extension[0].value[0]first
Bundle.entry[0].resource[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/diagnosticreport-id
Bundle.entry[0].resource[0].identifier[0].value[0]PS-2026-000123
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]screen-for-life-pap-smear
Bundle.entry[0].resource[0].code[0].coding[0].display[0]Screen For Life - Pap Smear 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]S8234567D
Bundle.entry[0].resource[0].performer[0].type[0]Organization
Bundle.entry[0].resource[0].performer[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/hci-code
Bundle.entry[0].resource[0].performer[0].identifier[0].value[0]11111111
Bundle.entry[0].resource[0].resultsInterpreter[0].type[0]Practitioner
Bundle.entry[0].resource[0].resultsInterpreter[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/mcr
Bundle.entry[0].resource[0].resultsInterpreter[0].identifier[0].value[0]M12345A
Bundle.entry[0].resource[0].specimen[0].reference[0]urn:uuid:f9a0b1c2-d3e4-4f5a-6b7c-d8e9f0a1b2c3
Bundle.entry[0].resource[0].result[0].reference[0]urn:uuid:a0b1c2d3-e4f5-4a6b-7c8d-e9f0a1b2c3d4
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:b1c2d3e4-f5a6-4b7c-8d9e-f0a1b2c3d4e5
Bundle.entry[0].request[0].method[0]POST
Bundle.entry[0].request[0].url[0]DiagnosticReport
Bundle.entry[1].fullUrl[0]urn:uuid:f9a0b1c2-d3e4-4f5a-6b7c-d8e9f0a1b2c3
Bundle.entry[1].resource[0].id[0]specimen-ps-001
Bundle.entry[1].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-specimen
Bundle.entry[1].resource[0].type[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/specimen-type
Bundle.entry[1].resource[0].type[0].coding[0].code[0]cervical-smear
Bundle.entry[1].resource[0].type[0].coding[0].display[0]Cervical Smear
Bundle.entry[1].resource[0].receivedTime[0]2026-02-09T09:30:00+08:00
Bundle.entry[1].resource[0].collection[0].collected[0]2026-02-09T09:15:00+08:00
Bundle.entry[1].resource[0].collection[0].method[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[1].resource[0].collection[0].method[0].coding[0].code[0]129316008
Bundle.entry[1].resource[0].collection[0].method[0].coding[0].display[0]Aspiration - action
Bundle.entry[1].request[0].method[0]POST
Bundle.entry[1].request[0].url[0]Specimen
Bundle.entry[2].fullUrl[0]urn:uuid:a0b1c2d3-e4f5-4a6b-7c8d-e9f0a1b2c3d4
Bundle.entry[2].resource[0].id[0]obs-cytology-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]19762-4
Bundle.entry[2].resource[0].code[0].coding[0].display[0]Cytology report of Cervical or vaginal smear or scraping Cyto stain
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]S8234567D
Bundle.entry[2].resource[0].effective[0]2026-02-09T09:15:00+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]11111111
Bundle.entry[2].resource[0].performer[0].display[0]National University Hospital
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]373887005
Bundle.entry[2].resource[0].value[0].coding[0].display[0]Negative for intraepithelial lesion or malignancy
Bundle.entry[2].request[0].method[0]POST
Bundle.entry[2].request[0].url[0]Observation
Bundle.entry[3].fullUrl[0]urn:uuid:b1c2d3e4-f5a6-4b7c-8d9e-f0a1b2c3d4e5
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]social-history
Bundle.entry[3].resource[0].category[0].coding[0].display[0]Social History
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]11329-0
Bundle.entry[3].resource[0].code[0].coding[0].display[0]History general Narrative - Reported
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]S8234567D
Bundle.entry[3].resource[0].effective[0]2026-02-09T09:00:00+08:00
Bundle.entry[3].resource[0].component[0].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[3].resource[0].component[0].code[0].coding[0].code[0]8665-2
Bundle.entry[3].resource[0].component[0].code[0].coding[0].display[0]Date of last menstrual period
Bundle.entry[3].resource[0].component[0].value[0]2026-01-15
Bundle.entry[3].resource[0].component[1].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[3].resource[0].component[1].code[0].coding[0].code[0]56836-8
Bundle.entry[3].resource[0].component[1].code[0].coding[0].display[0]Age at first sexual intercourse
Bundle.entry[3].resource[0].component[1].value[0]23
Bundle.entry[3].resource[0].component[2].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[3].resource[0].component[2].code[0].coding[0].code[0]224465000
Bundle.entry[3].resource[0].component[2].code[0].coding[0].display[0]Number of lifetime sexual partners
Bundle.entry[3].resource[0].component[2].value[0]2
Bundle.entry[3].resource[0].component[3].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[3].resource[0].component[3].code[0].coding[0].code[0]13197004
Bundle.entry[3].resource[0].component[3].code[0].coding[0].display[0]Currently using contraception
Bundle.entry[3].resource[0].component[3].value[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/assessment-answer-type
Bundle.entry[3].resource[0].component[3].value[0].coding[0].code[0]yes
Bundle.entry[3].resource[0].component[3].value[0].coding[0].display[0]Yes
Bundle.entry[3].resource[0].component[4].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[3].resource[0].component[4].code[0].coding[0].code[0]360147008
Bundle.entry[3].resource[0].component[4].code[0].coding[0].display[0]Type of contraception
Bundle.entry[3].resource[0].component[4].value[0]Oral contraceptive pills
Bundle.entry[3].resource[0].component[5].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[3].resource[0].component[5].code[0].coding[0].code[0]171149006
Bundle.entry[3].resource[0].component[5].code[0].coding[0].display[0]Previous abnormal Pap smear result
Bundle.entry[3].resource[0].component[5].value[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/assessment-answer-type
Bundle.entry[3].resource[0].component[5].value[0].coding[0].code[0]no
Bundle.entry[3].resource[0].component[5].value[0].coding[0].display[0]No
Bundle.entry[3].resource[0].component[6].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[3].resource[0].component[6].code[0].coding[0].code[0]57165-1
Bundle.entry[3].resource[0].component[6].code[0].coding[0].display[0]Date of last Pap smear
Bundle.entry[3].resource[0].component[6].value[0]2023-01-20
Bundle.entry[3].resource[0].component[7].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[3].resource[0].component[7].code[0].coding[0].code[0]47527-7
Bundle.entry[3].resource[0].component[7].code[0].coding[0].display[0]Result of last Pap smear
Bundle.entry[3].resource[0].component[7].value[0]Normal
Bundle.entry[3].resource[0].component[8].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[3].resource[0].component[8].code[0].coding[0].code[0]275937005
Bundle.entry[3].resource[0].component[8].code[0].coding[0].display[0]Family history of cervical cancer
Bundle.entry[3].resource[0].component[8].value[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/assessment-answer-type
Bundle.entry[3].resource[0].component[8].value[0].coding[0].code[0]no
Bundle.entry[3].resource[0].component[8].value[0].coding[0].display[0]No
Bundle.entry[3].resource[0].component[9].code[0].coding[0].system[0]http://loinc.org
Bundle.entry[3].resource[0].component[9].code[0].coding[0].code[0]72166-2
Bundle.entry[3].resource[0].component[9].code[0].coding[0].display[0]Tobacco smoking status
Bundle.entry[3].resource[0].component[9].value[0]Never smoked tobacco
Bundle.entry[3].resource[0].component[10].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[3].resource[0].component[10].code[0].coding[0].code[0]16298007
Bundle.entry[3].resource[0].component[10].code[0].coding[0].display[0]History of HPV vaccination
Bundle.entry[3].resource[0].component[10].value[0].coding[0].system[0]https://fhir.synapxe.sg/CodeSystem/assessment-answer-type
Bundle.entry[3].resource[0].component[10].value[0].coding[0].code[0]yes
Bundle.entry[3].resource[0].component[10].value[0].coding[0].display[0]Yes
Bundle.entry[3].resource[0].component[11].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[3].resource[0].component[11].code[0].coding[0].code[0]127785005
Bundle.entry[3].resource[0].component[11].code[0].coding[0].display[0]HPV vaccine details
Bundle.entry[3].resource[0].component[11].value[0]Gardasil 9 - completed 3-dose series at age 14
Bundle.entry[3].request[0].method[0]POST
Bundle.entry[3].request[0].url[0]Observation
{
"resourceType": "Bundle",
"meta": {
"extension": [
{
"extension": [
{
"url": "msgId",
"valueIdentifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/msg-id",
"value": "CR001"
}
},
{
"url": "msgSequenceId",
"valueIdentifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/msg-sequence-id",
"value": "001"
}
},
{
"url": "date",
"valueDateTime": "2026-04-01T15:00:00+08:00"
}
],
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-artifact"
}
],
"source": "HPB-IDEAS",
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-bundle-diagnosticreport-ps"
],
"tag": [
{
"code": "TTSH"
}
]
},
"type": "transaction",
"entry": [
{
"fullUrl": "urn:uuid:e8f9a0b1-c2d3-4e4f-5a6b-c7d8e9f0a1b2",
"resource": {
"resourceType": "DiagnosticReport",
"id": "dr-ps-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-diagnosticreport-ps"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Example Pap Smear Report</div>"
},
"extension": [
{
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-orderOfTest",
"valueString": "first"
}
],
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/diagnosticreport-id",
"value": "PS-2026-000123"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/screen-type",
"code": "screen-for-life-pap-smear",
"display": "Screen For Life - Pap Smear Screening Report"
}
]
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S8234567D"
}
},
"performer": [
{
"type": "Organization",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
"value": "11111111"
}
}
],
"resultsInterpreter": [
{
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M12345A"
}
}
],
"specimen": [
{
"reference": "urn:uuid:f9a0b1c2-d3e4-4f5a-6b7c-d8e9f0a1b2c3"
}
],
"result": [
{
"reference": "urn:uuid:a0b1c2d3-e4f5-4a6b-7c8d-e9f0a1b2c3d4"
}
],
"supportingInfo": [
{
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "11329-0",
"display": "History general Narrative - Reported"
}
]
},
"reference": {
"reference": "urn:uuid:b1c2d3e4-f5a6-4b7c-8d9e-f0a1b2c3d4e5"
}
}
]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
},
{
"fullUrl": "urn:uuid:f9a0b1c2-d3e4-4f5a-6b7c-d8e9f0a1b2c3",
"resource": {
"resourceType": "Specimen",
"id": "specimen-ps-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-specimen"
]
},
"type": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/specimen-type",
"code": "cervical-smear",
"display": "Cervical Smear"
}
]
},
"receivedTime": "2026-02-09T09:30:00+08:00",
"collection": {
"collectedDateTime": "2026-02-09T09:15:00+08:00",
"method": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "129316008",
"display": "Aspiration - action"
}
]
}
}
},
"request": {
"method": "POST",
"url": "Specimen"
}
},
{
"fullUrl": "urn:uuid:a0b1c2d3-e4f5-4a6b-7c8d-e9f0a1b2c3d4",
"resource": {
"resourceType": "Observation",
"id": "obs-cytology-001",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-observation"
]
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "19762-4",
"display": "Cytology report of Cervical or vaginal smear or scraping Cyto stain"
}
]
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S8234567D"
}
},
"effectiveDateTime": "2026-02-09T09:15:00+08:00",
"performer": [
{
"type": "Organization",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
"value": "11111111"
},
"display": "National University Hospital"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "373887005",
"display": "Negative for intraepithelial lesion or malignancy"
}
]
}
},
"request": {
"method": "POST",
"url": "Observation"
}
},
{
"fullUrl": "urn:uuid:b1c2d3e4-f5a6-4b7c-8d9e-f0a1b2c3d4e5",
"resource": {
"resourceType": "Observation",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-observation"
]
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social History"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "11329-0",
"display": "History general Narrative - Reported"
}
]
},
"subject": {
"type": "Patient",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S8234567D"
}
},
"effectiveDateTime": "2026-02-09T09:00:00+08:00",
"component": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8665-2",
"display": "Date of last menstrual period"
}
]
},
"valueString": "2026-01-15"
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "56836-8",
"display": "Age at first sexual intercourse"
}
]
},
"valueString": "23"
},
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "224465000",
"display": "Number of lifetime sexual partners"
}
]
},
"valueString": "2"
},
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "13197004",
"display": "Currently using contraception"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
"code": "yes",
"display": "Yes"
}
]
}
},
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "360147008",
"display": "Type of contraception"
}
]
},
"valueString": "Oral contraceptive pills"
},
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "171149006",
"display": "Previous abnormal Pap smear result"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
"code": "no",
"display": "No"
}
]
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "57165-1",
"display": "Date of last Pap smear"
}
]
},
"valueString": "2023-01-20"
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "47527-7",
"display": "Result of last Pap smear"
}
]
},
"valueString": "Normal"
},
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "275937005",
"display": "Family history of cervical cancer"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
"code": "no",
"display": "No"
}
]
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
}
]
},
"valueString": "Never smoked tobacco"
},
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "16298007",
"display": "History of HPV vaccination"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
"code": "yes",
"display": "Yes"
}
]
}
},
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "127785005",
"display": "HPV vaccine details"
}
]
},
"valueString": "Gardasil 9 - completed 3-dose series at age 14"
}
]
},
"request": {
"method": "POST",
"url": "Observation"
}
}
]
}