Example-CervicalScreeningReport

This shows an example cervical screening report.

Bundle
Bundle.id[0]cervical-screening-report-request-example
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]CVS001
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]2026-03-17T10:00:00+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]KKH
Bundle.type[0]transaction
Bundle.entry[0].fullUrl[0]urn:uuid:3c9e1f2a-7b4d-4e8a-9c1f-5a2b6d8e0f13
Bundle.entry[0].resource[0].id[0]diagnosticreport-cvs-001
Bundle.entry[0].resource[0].meta[0].extension[0].extension[0].url[0]msgId
Bundle.entry[0].resource[0].meta[0].extension[0].extension[0].value[0].system[0]https://fhir.synapxe.sg/NamingSystem/msg-id
Bundle.entry[0].resource[0].meta[0].extension[0].extension[0].value[0].value[0]CVS001
Bundle.entry[0].resource[0].meta[0].extension[0].extension[1].url[0]msgSequenceId
Bundle.entry[0].resource[0].meta[0].extension[0].extension[1].value[0].system[0]https://fhir.synapxe.sg/NamingSystem/msg-sequence-id
Bundle.entry[0].resource[0].meta[0].extension[0].extension[1].value[0].value[0]001
Bundle.entry[0].resource[0].meta[0].extension[0].extension[2].url[0]date
Bundle.entry[0].resource[0].meta[0].extension[0].extension[2].value[0]2026-03-17T10:00:00+08:00
Bundle.entry[0].resource[0].meta[0].extension[0].url[0]https://fhir.synapxe.sg/StructureDefinition/ext-artifact
Bundle.entry[0].resource[0].meta[0].source[0]HPB-IDEAS
Bundle.entry[0].resource[0].meta[0].profile[0]https://fhir.synapxe.sg/StructureDefinition/profile-diagnosticreport-cvs
Bundle.entry[0].resource[0].meta[0].tag[0].code[0]KKH
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-2026-000456
Bundle.entry[0].resource[0].basedOn[0].reference[0]urn:uuid:4d0f2a3b-8c5e-4f9b-8d2a-6b3c7e9f1a24
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:5e1a3b4c-9d6f-4a0c-8e3b-7c4d8f0a2b35
Bundle.entry[0].resource[0].result[1].reference[0]urn:uuid:6f2b4c5d-0e7a-4b1d-9f4c-8d5e9a1b3c46
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:7a3c5d6e-1f8b-4c2e-8a5d-9e6f0b2c4d57
Bundle.entry[0].resource[0].conclusionCode[0].text[0]Negative for intraepithelial lesion or malignancy (NILM), HPV not detected. Routine recall in 5 years.
Bundle.entry[0].request[0].method[0]POST
Bundle.entry[0].request[0].url[0]DiagnosticReport
Bundle.entry[1].fullUrl[0]urn:uuid:4d0f2a3b-8c5e-4f9b-8d2a-6b3c7e9f1a24
Bundle.entry[1].resource[0].id[0]servicerequest-cvs-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-2026-000456
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://loinc.org
Bundle.entry[1].resource[0].code[0].concept[0].coding[0].code[0]10524-7
Bundle.entry[1].resource[0].code[0].concept[0].coding[0].display[0]Microscopic observation [Identifier] in Cervix by Cyto stain
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].encounter[0].type[0]Encounter
Bundle.entry[1].resource[0].encounter[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/event-id
Bundle.entry[1].resource[0].encounter[0].identifier[0].value[0]ENC-CVS-2026-000456
Bundle.entry[1].resource[0].authoredOn[0]2026-03-10T09:00:00+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]M54321
Bundle.entry[1].resource[0].performer[0].type[0]Practitioner
Bundle.entry[1].resource[0].performer[0].identifier[0].system[0]https://fhir.synapxe.sg/NamingSystem/mcr
Bundle.entry[1].resource[0].performer[0].identifier[0].value[0]M54321
Bundle.entry[1].request[0].method[0]POST
Bundle.entry[1].request[0].url[0]ServiceRequest
Bundle.entry[2].fullUrl[0]urn:uuid:5e1a3b4c-9d6f-4a0c-8e3b-7c4d8f0a2b35
Bundle.entry[2].resource[0].id[0]observation-cervical-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]10524-7
Bundle.entry[2].resource[0].code[0].coding[0].display[0]Microscopic observation [Identifier] in Cervix by 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]S1234567A
Bundle.entry[2].resource[0].effective[0]2026-03-10T09:30:00+08:00
Bundle.entry[2].resource[0].value[0]Negative for intraepithelial lesion or malignancy (NILM). Specimen adequacy: satisfactory for evaluation.
Bundle.entry[2].request[0].method[0]POST
Bundle.entry[2].request[0].url[0]Observation
Bundle.entry[3].fullUrl[0]urn:uuid:6f2b4c5d-0e7a-4b1d-9f4c-8d5e9a1b3c46
Bundle.entry[3].resource[0].id[0]observation-hpv-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]21440-3
Bundle.entry[3].resource[0].code[0].coding[0].display[0]Human papilloma virus 16+18+31+33+35+45+51+52+56 DNA [Presence] in Cervix by Probe
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]2026-03-10T09:30:00+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]260415000
Bundle.entry[3].resource[0].value[0].coding[0].display[0]Not detected
Bundle.entry[3].request[0].method[0]POST
Bundle.entry[3].request[0].url[0]Observation
Bundle.entry[4].fullUrl[0]urn:uuid:7a3c5d6e-1f8b-4c2e-8a5d-9e6f0b2c4d57
Bundle.entry[4].resource[0].id[0]observation-cervical-history-001
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]2026-03-10T09:30:00+08:00
Bundle.entry[4].resource[0].value[0]Last cervical screen in 2021 was normal. Not pregnant. No abnormal bleeding reported.
Bundle.entry[4].request[0].method[0]POST
Bundle.entry[4].request[0].url[0]Observation
{
"resourceType": "Bundle",
"id": "cervical-screening-report-request-example",
"meta": {
"extension": [
{
"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"
}
],
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-artifact"
}
],
"source": "HPB-IDEAS",
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-bundle-diagnosticreport-cvs"
],
"tag": [
{
"code": "KKH"
}
]
},
"type": "transaction",
"entry": [
{
"fullUrl": "urn:uuid:3c9e1f2a-7b4d-4e8a-9c1f-5a2b6d8e0f13",
"resource": {
"resourceType": "DiagnosticReport",
"id": "diagnosticreport-cvs-001",
"meta": {
"extension": [
{
"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"
}
],
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-artifact"
}
],
"source": "HPB-IDEAS",
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-diagnosticreport-cvs"
],
"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"
}
}
]
}