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Packagesynapxe.sgcdi
Resource TypeBundle
IdGenomicsReportDocumentResponse.Example.json
FHIR VersionR5

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Source1

{
  "resourceType": "Bundle",
  "id": "adcb21fb-c525-50aa-8367-8ac2c8f9d62c",
  "meta": {
    "lastUpdated": "2026-07-29T14:30:01+08:00"
  },
  "type": "searchset",
  "total": 1,
  "link": [
    {
      "relation": "self",
      "url": "DiagnosticReport/$retrieve?patient.identifier=https://fhir.synapxe.sg/NamingSystem/nric|S9876543D"
    }
  ],
  "entry": [
    {
      "fullUrl": "urn:uuid:0b00f1fd-a7ad-59b1-b745-d08ece6bcb58",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "0b00f1fd-a7ad-59b1-b745-d08ece6bcb58",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2026-07-29T14:30:01+08:00",
          "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:b48fd4a7-e190-5080-a6a7-2de6c8ec8cf1"
        },
        "issued": "2026-07-29T06:30:00+00:00",
        "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:80531db3-d7d3-5257-a535-bfcaff511a6a"
          }
        ],
        "result": [
          {
            "type": "Observation",
            "reference": "urn:uuid:8f2cf380-65c4-5951-b611-117d697251af"
          },
          {
            "type": "Observation",
            "reference": "urn:uuid:50f6cdae-57de-5f95-82eb-0901d6ac8bff"
          }
        ],
        "extension": [
          {
            "url": "https://fhir.synapxe.sg/StructureDefinition/ext-recommended-action",
            "valueReference": {
              "type": "Task",
              "reference": "urn:uuid:4d19a414-1647-55c3-88cf-7b6ddd2b6cce"
            }
          }
        ],
        "basedOn": [
          {
            "type": "ServiceRequest",
            "reference": "urn:uuid:6df31340-9425-50ce-8f38-e220dfe6126b"
          }
        ]
      },
      "search": {
        "mode": "match"
      }
    },
    {
      "fullUrl": "urn:uuid:8f2cf380-65c4-5951-b611-117d697251af",
      "resource": {
        "resourceType": "Observation",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2026-07-29T14:30:01+08:00",
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-variant"
          ]
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          },
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                "code": "GE",
                "display": "Genetics"
              }
            ]
          }
        ],
        "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"
          }
        ]
      },
      "search": {
        "mode": "include"
      }
    },
    {
      "fullUrl": "urn:uuid:50f6cdae-57de-5f95-82eb-0901d6ac8bff",
      "resource": {
        "resourceType": "Observation",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2026-07-29T14:30:01+08:00",
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-molecularbiomarker"
          ]
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          },
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs",
                "code": "biomarker-category",
                "display": "A characterization of a given biomarker observation."
              }
            ]
          }
        ],
        "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://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs",
                  "code": "specimen-condition",
                  "display": "Specimen Condition"
                }
              ]
            },
            "valueString": "2.5 fold change"
          }
        ]
      },
      "search": {
        "mode": "include"
      }
    },
    {
      "fullUrl": "urn:uuid:80531db3-d7d3-5257-a535-bfcaff511a6a",
      "resource": {
        "resourceType": "Specimen",
        "id": "80531db3-d7d3-5257-a535-bfcaff511a6a",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2026-07-29T14:30:01+08:00",
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-genomics-specimen"
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/specimen-id",
            "value": "SP-2026-07-27-001"
          }
        ],
        "collection": {
          "collectedDateTime": "2026-07-27T06:00:00+00:00"
        }
      },
      "search": {
        "mode": "include"
      }
    },
    {
      "fullUrl": "urn:uuid:6df31340-9425-50ce-8f38-e220dfe6126b",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "6df31340-9425-50ce-8f38-e220dfe6126b",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2026-07-29T14:30:01+08:00",
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-genomics-servicerequest"
          ]
        },
        "extension": [
          {
            "url": "https://fhir.synapxe.sg/StructureDefinition/ext-order-received-date",
            "valueDateTime": "2026-07-20T02:00:00+00:00"
          }
        ],
        "status": "active",
        "intent": "order",
        "code": {
          "concept": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "47528-5",
                "display": "Genetic testing"
              }
            ],
            "text": "Genetic testing"
          }
        },
        "subject": {
          "type": "Patient",
          "reference": "urn:uuid:b48fd4a7-e190-5080-a6a7-2de6c8ec8cf1"
        },
        "authoredOn": "2026-07-20T02:00:00+00:00",
        "requester": {
          "type": "Practitioner",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
            "value": "M34567"
          }
        }
      },
      "search": {
        "mode": "include"
      }
    },
    {
      "fullUrl": "urn:uuid:b48fd4a7-e190-5080-a6a7-2de6c8ec8cf1",
      "resource": {
        "resourceType": "Patient",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2026-07-29T14:30:01+08:00",
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-genomics-patient"
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.synapxe.sg/NamingSystem/nric",
            "value": "S9876543D"
          }
        ],
        "name": [
          {
            "text": "Jane Doe"
          }
        ],
        "birthDate": "1980-05-15",
        "gender": "female"
      },
      "search": {
        "mode": "include"
      }
    },
    {
      "fullUrl": "urn:uuid:4d19a414-1647-55c3-88cf-7b6ddd2b6cce",
      "resource": {
        "resourceType": "Task",
        "id": "4d19a414-1647-55c3-88cf-7b6ddd2b6cce",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2026-07-29T14:30:01+08:00",
          "profile": [
            "https://fhir.synapxe.sg/StructureDefinition/profile-medicationrecommendation"
          ]
        },
        "status": "requested",
        "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."
      },
      "search": {
        "mode": "include"
      }
    }
  ]
}