FHIR IG analytics| Package | synapxe.sgcdi |
| Resource Type | Bundle |
| Id | BundleGenomicsReportRequest.Example.json |
| FHIR Version | R5 |
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FHIR
FHIRsmith{
"resourceType": "Bundle",
"meta": {
"extension": [
{
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-artifact",
"extension": [
{
"url": "msgId",
"valueIdentifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/msg-id",
"value": "GR001"
}
},
{
"url": "msgSequenceId",
"valueIdentifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/msg-sequence-id",
"value": "001"
}
},
{
"url": "date",
"valueDateTime": "2026-07-29T14:30:00+08:00"
}
]
}
],
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-bundle-genomicsreport"
],
"source": "GENOMICS-LAB",
"tag": [
{
"code": "SGH"
}
]
},
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/bundle-id",
"value": "BDL-GR-2026-001"
},
"type": "transaction",
"timestamp": "2026-07-29T14:30:00+08:00",
"entry": [
{
"fullUrl": "urn:uuid:2a5e8c1d-9b3f-4e2a-7c8d-1f0a2b3c4d5e",
"resource": {
"resourceType": "DiagnosticReport",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-genomicsreport"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/record-id",
"value": "GR-2026-07-29-001"
},
{
"system": "https://fhir.synapxe.sg/NamingSystem/accession-no",
"value": "ACC-2026-07-29-001"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "51969-4",
"display": "Genetic analysis report"
}
]
},
"subject": {
"type": "Patient",
"reference": "urn:uuid:5b4c7a1e-2f8d-4c9e-6b3a-8f1d2e3c4d5f"
},
"issued": "2026-07-29T14:30:00+08:00",
"performer": [
{
"type": "Organization",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/hci-code",
"value": "HCI-98765"
}
}
],
"resultsInterpreter": [
{
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M45678"
}
}
],
"specimen": [
{
"type": "Specimen",
"reference": "urn:uuid:4e7a2c1f-8b3d-5f9e-1c4a-9d2e3f4a5b6c"
}
],
"result": [
{
"type": "Observation",
"reference": "urn:uuid:6d5e3c7f-1a8b-9c2d-4e5f-1a2b3c4d5e6f"
},
{
"type": "Observation",
"reference": "urn:uuid:7e6f4d8a-2b9c-0d3e-5f6a-2b3c4d5e6f7a"
}
],
"conclusion": "Pathogenic BRCA1 mutation detected. c.68_69delAG (p.E23Vfs*17) identified in heterozygous state. Recommend genetic counseling and preventive measures.",
"extension": [
{
"url": "https://fhir.synapxe.sg/StructureDefinition/ext-recommended-action",
"valueReference": {
"type": "Task",
"reference": "urn:uuid:8f7d6c5e-3a1b-2c9d-0e4f-3a4b5c6d7e8f"
}
}
],
"basedOn": [
{
"type": "ServiceRequest",
"reference": "urn:uuid:3c2b7e9f-1a4d-8c5e-2f3a-9d0e1f2a3b4c"
}
]
}
},
{
"fullUrl": "urn:uuid:6d5e3c7f-1a8b-9c2d-4e5f-1a2b3c4d5e6f",
"resource": {
"resourceType": "Observation",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-variant"
]
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory"
}
]
},
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "GE"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "69548-6",
"display": "Genetic variation - BRCA1"
}
]
},
"component": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "48018-6",
"display": "Gene symbol"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://www.genenames.org",
"code": "HGNC:1100",
"display": "BRCA1"
}
]
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "48004-6",
"display": "DNA change (c.HGVS)"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://varnomen.hgvs.org",
"code": "c.68_69delAG",
"display": "c.68_69delAG (p.E23Vfs*17)"
}
]
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "53034-5",
"display": "Allelic state"
}
]
},
"valueString": "Heterozygous"
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "53037-8",
"display": "Clinical significance"
}
]
},
"valueString": "Pathogenic"
}
]
}
},
{
"fullUrl": "urn:uuid:7e6f4d8a-2b9c-0d3e-5f6a-2b3c4d5e6f7a",
"resource": {
"resourceType": "Observation",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-molecularbiomarker"
]
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory"
}
]
},
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "GE"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "48676-1",
"display": "Molecular biomarker"
}
]
},
"component": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "48018-6",
"display": "Gene symbol"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://www.genenames.org",
"code": "HGNC:1100",
"display": "BRCA1"
}
]
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "31881-7",
"display": "mRNA expression"
}
]
},
"valueQuantity": {
"value": 2.5,
"unit": "fold change",
"system": "http://unitsofmeasure.org",
"code": "{fold}"
}
}
]
}
},
{
"fullUrl": "urn:uuid:4e7a2c1f-8b3d-5f9e-1c4a-9d2e3f4a5b6c",
"resource": {
"resourceType": "Specimen",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-genomics-specimen"
]
},
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "122555007",
"display": "Venous blood specimen"
}
]
},
"subject": {
"type": "Patient",
"reference": "urn:uuid:5b4c7a1e-2f8d-4c9e-6b3a-8f1d2e3c4d5f"
},
"receivedTime": "2026-07-28T09:15:00+08:00",
"collection": {
"collectedDateTime": "2026-07-27T14:00:00+08:00"
}
}
},
{
"fullUrl": "urn:uuid:3c2b7e9f-1a4d-8c5e-2f3a-9d0e1f2a3b4c",
"resource": {
"resourceType": "ServiceRequest",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-genomics-servicerequest"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/order-id",
"value": "SR-2026-07-20-001"
}
],
"status": "completed",
"intent": "order",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "47528-5",
"display": "Genetic testing"
}
]
},
"subject": {
"type": "Patient",
"reference": "urn:uuid:5b4c7a1e-2f8d-4c9e-6b3a-8f1d2e3c4d5f"
},
"authoredOn": "2026-07-20T10:00:00+08:00",
"requester": {
"type": "Practitioner",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/mcr",
"value": "M34567"
}
}
}
},
{
"fullUrl": "urn:uuid:5b4c7a1e-2f8d-4c9e-6b3a-8f1d2e3c4d5f",
"resource": {
"resourceType": "Patient",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-genomics-patient"
]
},
"identifier": [
{
"system": "https://fhir.synapxe.sg/NamingSystem/nric",
"value": "S9876543D"
}
],
"name": [
{
"use": "official",
"text": "Jane Doe"
}
],
"birthDate": "1980-05-15",
"gender": "female"
}
},
{
"fullUrl": "urn:uuid:8f7d6c5e-3a1b-2c9d-0e4f-3a4b5c6d7e8f",
"resource": {
"resourceType": "Task",
"meta": {
"profile": [
"https://fhir.synapxe.sg/StructureDefinition/profile-medicationrecommendation"
]
},
"status": "proposed",
"intent": "proposal",
"code": {
"coding": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/medicationrecommendation-code",
"code": "clinical-protocol",
"display": "Clinical Protocol"
}
]
},
"focus": {
"type": "MedicationStatement",
"identifier": {
"system": "https://fhir.synapxe.sg/NamingSystem/medication-statement-id",
"value": "MS-BRCA1-PREVENTIVE-001"
}
},
"description": "Consider prophylactic hormone therapy or preventive mastectomy. Genetic counseling recommended for family members."
}
}
]
}