Example-GenomicsReport
This shows an example genomics report.
| Bundle |
| id : genomics-report-request-example |
| meta |
| extension |
| extension |
| url : msgId |
| value |
| system : https://fhir.synapxe.sg/NamingSystem/msg-id |
| value : GEN-20260729-0001 |
| extension |
| url : msgSequenceId |
| value |
| system : https://fhir.synapxe.sg/NamingSystem/msg-sequence-id |
| value : 1 |
| extension |
| url : date |
| value : 2026-07-29T14:30:00+08:00 |
| url : https://fhir.synapxe.sg/StructureDefinition/ext-artifact |
| source : Test_Source |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-bundle-genomicsreport |
| tag |
| code : Test_Inst |
| type : transaction |
| timestamp : 2026-07-29T06:30:00+00:00 |
| entry |
| fullUrl : urn:uuid:2a5e8c1d-9b3f-4e2a-7c8d-1f0a2b3c4d5e |
| resource |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-genomicsreport |
| extension |
| url : https://fhir.synapxe.sg/StructureDefinition/ext-recommended-action |
| value |
| reference : urn:uuid:8f7d6c5e-3a1b-2c9d-0e4f-3a4b5c6d7e8f |
| type : Task |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/record-id |
| value : GR-2026-07-29-001 |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/accession-no |
| value : ACC-2026-07-29-001 |
| basedOn |
| reference : urn:uuid:3c2b7e9f-1a4d-8c5e-2f3a-9d0e1f2a3b4c |
| type : ServiceRequest |
| status : final |
| code |
| coding |
| system : http://loinc.org |
| code : 51969-4 |
| display : Genetic analysis report |
| subject |
| reference : urn:uuid:5b4c7a1e-2f8d-4c9e-6b3a-8f1d2e3c4d5f |
| type : Patient |
| 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 |
| reference : urn:uuid:4e7a2c1f-8b3d-5f9e-1c4a-9d2e3f4a5b6c |
| type : Specimen |
| result |
| reference : urn:uuid:6d5e3c7f-1a8b-9c2d-4e5f-1a2b3c4d5e6f |
| type : Observation |
| result |
| reference : urn:uuid:7e6f4d8a-2b9c-0d3e-5f6a-2b3c4d5e6f7a |
| type : Observation |
| request |
| method : POST |
| url : DiagnosticReport |
| entry |
| fullUrl : urn:uuid:6d5e3c7f-1a8b-9c2d-4e5f-1a2b3c4d5e6f |
| resource |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-variant |
| status : final |
| category |
| coding |
| system : http://terminology.hl7.org/CodeSystem/observation-category |
| code : laboratory |
| display : Laboratory |
| category |
| 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 |
| value |
| coding |
| system : http://www.genenames.org |
| code : HGNC:1100 |
| display : BRCA1 |
| component |
| code |
| coding |
| system : http://loinc.org |
| code : 48004-6 |
| display : DNA change (c.HGVS) |
| value |
| coding |
| system : http://varnomen.hgvs.org |
| code : c.68_69delAG |
| display : c.68_69delAG (p.E23Vfs*17) |
| component |
| code |
| coding |
| system : http://loinc.org |
| code : 53034-5 |
| display : Allelic state |
| value : Heterozygous |
| component |
| code |
| coding |
| system : http://loinc.org |
| code : 53037-8 |
| display : Clinical significance |
| value : Pathogenic |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:7e6f4d8a-2b9c-0d3e-5f6a-2b3c4d5e6f7a |
| resource |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-molecularbiomarker |
| status : final |
| category |
| coding |
| system : http://terminology.hl7.org/CodeSystem/observation-category |
| code : laboratory |
| display : Laboratory |
| category |
| 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 |
| value |
| coding |
| system : http://www.genenames.org |
| code : HGNC:1100 |
| display : BRCA1 |
| component |
| code |
| coding |
| system : http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs |
| code : specimen-condition |
| display : Specimen Condition |
| value : 2.5 fold change |
| request |
| method : POST |
| url : Observation |
| entry |
| fullUrl : urn:uuid:4e7a2c1f-8b3d-5f9e-1c4a-9d2e3f4a5b6c |
| resource |
| meta |
| 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 |
| collected : 2026-07-27T06:00:00+00:00 |
| request |
| method : POST |
| url : Specimen |
| entry |
| fullUrl : urn:uuid:3c2b7e9f-1a4d-8c5e-2f3a-9d0e1f2a3b4c |
| resource |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-genomics-servicerequest |
| extension |
| url : https://fhir.synapxe.sg/StructureDefinition/ext-order-received-date |
| value : 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 |
| reference : urn:uuid:5b4c7a1e-2f8d-4c9e-6b3a-8f1d2e3c4d5f |
| type : Patient |
| authoredOn : 2026-07-20T02:00:00+00:00 |
| requester |
| type : Practitioner |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/mcr |
| value : M34567 |
| request |
| method : POST |
| url : ServiceRequest |
| entry |
| fullUrl : urn:uuid:5b4c7a1e-2f8d-4c9e-6b3a-8f1d2e3c4d5f |
| resource |
| meta |
| profile : https://fhir.synapxe.sg/StructureDefinition/profile-genomics-patient |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/nric |
| value : S9876543D |
| name |
| text : Jane Doe |
| gender : female |
| birthDate : 1980-05-15 |
| request |
| method : POST |
| url : Patient |
| entry |
| fullUrl : urn:uuid:8f7d6c5e-3a1b-2c9d-0e4f-3a4b5c6d7e8f |
| resource |
| meta |
| 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 |
| description : Consider prophylactic hormone therapy or preventive mastectomy. Genetic counseling recommended for family members. |
| focus |
| type : MedicationStatement |
| identifier |
| system : https://fhir.synapxe.sg/NamingSystem/medication-statement-id |
| value : MS-BRCA1-PREVENTIVE-001 |
| request |
| method : POST |
| url : Task |
| Bundle.id[0] | genomics-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] | GEN-20260729-0001 |
| 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] | 1 |
| Bundle.meta[0].extension[0].extension[2].url[0] | date |
| Bundle.meta[0].extension[0].extension[2].value[0] | 2026-07-29T14:30:00+08:00 |
| Bundle.meta[0].extension[0].url[0] | https://fhir.synapxe.sg/StructureDefinition/ext-artifact |
| Bundle.meta[0].source[0] | Test_Source |
| Bundle.meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-bundle-genomicsreport |
| Bundle.meta[0].tag[0].code[0] | Test_Inst |
| Bundle.type[0] | transaction |
| Bundle.timestamp[0] | 2026-07-29T06:30:00+00:00 |
| Bundle.entry[0].fullUrl[0] | urn:uuid:2a5e8c1d-9b3f-4e2a-7c8d-1f0a2b3c4d5e |
| Bundle.entry[0].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-genomicsreport |
| Bundle.entry[0].resource[0].extension[0].url[0] | https://fhir.synapxe.sg/StructureDefinition/ext-recommended-action |
| Bundle.entry[0].resource[0].extension[0].value[0].reference[0] | urn:uuid:8f7d6c5e-3a1b-2c9d-0e4f-3a4b5c6d7e8f |
| Bundle.entry[0].resource[0].extension[0].value[0].type[0] | Task |
| 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] | GR-2026-07-29-001 |
| Bundle.entry[0].resource[0].identifier[1].system[0] | https://fhir.synapxe.sg/NamingSystem/accession-no |
| Bundle.entry[0].resource[0].identifier[1].value[0] | ACC-2026-07-29-001 |
| Bundle.entry[0].resource[0].basedOn[0].reference[0] | urn:uuid:3c2b7e9f-1a4d-8c5e-2f3a-9d0e1f2a3b4c |
| Bundle.entry[0].resource[0].basedOn[0].type[0] | ServiceRequest |
| Bundle.entry[0].resource[0].status[0] | final |
| Bundle.entry[0].resource[0].code[0].coding[0].system[0] | http://loinc.org |
| Bundle.entry[0].resource[0].code[0].coding[0].code[0] | 51969-4 |
| Bundle.entry[0].resource[0].code[0].coding[0].display[0] | Genetic analysis report |
| Bundle.entry[0].resource[0].subject[0].reference[0] | urn:uuid:5b4c7a1e-2f8d-4c9e-6b3a-8f1d2e3c4d5f |
| Bundle.entry[0].resource[0].subject[0].type[0] | Patient |
| Bundle.entry[0].resource[0].issued[0] | 2026-07-29T06:30:00+00:00 |
| 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] | HCI-98765 |
| 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] | M45678 |
| Bundle.entry[0].resource[0].specimen[0].reference[0] | urn:uuid:4e7a2c1f-8b3d-5f9e-1c4a-9d2e3f4a5b6c |
| Bundle.entry[0].resource[0].specimen[0].type[0] | Specimen |
| Bundle.entry[0].resource[0].result[0].reference[0] | urn:uuid:6d5e3c7f-1a8b-9c2d-4e5f-1a2b3c4d5e6f |
| Bundle.entry[0].resource[0].result[0].type[0] | Observation |
| Bundle.entry[0].resource[0].result[1].reference[0] | urn:uuid:7e6f4d8a-2b9c-0d3e-5f6a-2b3c4d5e6f7a |
| Bundle.entry[0].resource[0].result[1].type[0] | Observation |
| Bundle.entry[0].request[0].method[0] | POST |
| Bundle.entry[0].request[0].url[0] | DiagnosticReport |
| Bundle.entry[1].fullUrl[0] | urn:uuid:6d5e3c7f-1a8b-9c2d-4e5f-1a2b3c4d5e6f |
| Bundle.entry[1].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-variant |
| Bundle.entry[1].resource[0].status[0] | final |
| Bundle.entry[1].resource[0].category[0].coding[0].system[0] | http://terminology.hl7.org/CodeSystem/observation-category |
| Bundle.entry[1].resource[0].category[0].coding[0].code[0] | laboratory |
| Bundle.entry[1].resource[0].category[0].coding[0].display[0] | Laboratory |
| Bundle.entry[1].resource[0].category[1].coding[0].system[0] | http://terminology.hl7.org/CodeSystem/v2-0074 |
| Bundle.entry[1].resource[0].category[1].coding[0].code[0] | GE |
| Bundle.entry[1].resource[0].category[1].coding[0].display[0] | Genetics |
| Bundle.entry[1].resource[0].code[0].coding[0].system[0] | http://loinc.org |
| Bundle.entry[1].resource[0].code[0].coding[0].code[0] | 69548-6 |
| Bundle.entry[1].resource[0].code[0].coding[0].display[0] | Genetic variation - BRCA1 |
| Bundle.entry[1].resource[0].component[0].code[0].coding[0].system[0] | http://loinc.org |
| Bundle.entry[1].resource[0].component[0].code[0].coding[0].code[0] | 48018-6 |
| Bundle.entry[1].resource[0].component[0].code[0].coding[0].display[0] | Gene symbol |
| Bundle.entry[1].resource[0].component[0].value[0].coding[0].system[0] | http://www.genenames.org |
| Bundle.entry[1].resource[0].component[0].value[0].coding[0].code[0] | HGNC:1100 |
| Bundle.entry[1].resource[0].component[0].value[0].coding[0].display[0] | BRCA1 |
| Bundle.entry[1].resource[0].component[1].code[0].coding[0].system[0] | http://loinc.org |
| Bundle.entry[1].resource[0].component[1].code[0].coding[0].code[0] | 48004-6 |
| Bundle.entry[1].resource[0].component[1].code[0].coding[0].display[0] | DNA change (c.HGVS) |
| Bundle.entry[1].resource[0].component[1].value[0].coding[0].system[0] | http://varnomen.hgvs.org |
| Bundle.entry[1].resource[0].component[1].value[0].coding[0].code[0] | c.68_69delAG |
| Bundle.entry[1].resource[0].component[1].value[0].coding[0].display[0] | c.68_69delAG (p.E23Vfs*17) |
| Bundle.entry[1].resource[0].component[2].code[0].coding[0].system[0] | http://loinc.org |
| Bundle.entry[1].resource[0].component[2].code[0].coding[0].code[0] | 53034-5 |
| Bundle.entry[1].resource[0].component[2].code[0].coding[0].display[0] | Allelic state |
| Bundle.entry[1].resource[0].component[2].value[0] | Heterozygous |
| Bundle.entry[1].resource[0].component[3].code[0].coding[0].system[0] | http://loinc.org |
| Bundle.entry[1].resource[0].component[3].code[0].coding[0].code[0] | 53037-8 |
| Bundle.entry[1].resource[0].component[3].code[0].coding[0].display[0] | Clinical significance |
| Bundle.entry[1].resource[0].component[3].value[0] | Pathogenic |
| Bundle.entry[1].request[0].method[0] | POST |
| Bundle.entry[1].request[0].url[0] | Observation |
| Bundle.entry[2].fullUrl[0] | urn:uuid:7e6f4d8a-2b9c-0d3e-5f6a-2b3c4d5e6f7a |
| Bundle.entry[2].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-molecularbiomarker |
| 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].category[1].coding[0].system[0] | http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs |
| Bundle.entry[2].resource[0].category[1].coding[0].code[0] | biomarker-category |
| Bundle.entry[2].resource[0].category[1].coding[0].display[0] | A characterization of a given biomarker observation. |
| 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] | 48676-1 |
| Bundle.entry[2].resource[0].code[0].coding[0].display[0] | Molecular biomarker |
| Bundle.entry[2].resource[0].component[0].code[0].coding[0].system[0] | http://loinc.org |
| Bundle.entry[2].resource[0].component[0].code[0].coding[0].code[0] | 48018-6 |
| Bundle.entry[2].resource[0].component[0].code[0].coding[0].display[0] | Gene symbol |
| Bundle.entry[2].resource[0].component[0].value[0].coding[0].system[0] | http://www.genenames.org |
| Bundle.entry[2].resource[0].component[0].value[0].coding[0].code[0] | HGNC:1100 |
| Bundle.entry[2].resource[0].component[0].value[0].coding[0].display[0] | BRCA1 |
| Bundle.entry[2].resource[0].component[1].code[0].coding[0].system[0] | http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes-cs |
| Bundle.entry[2].resource[0].component[1].code[0].coding[0].code[0] | specimen-condition |
| Bundle.entry[2].resource[0].component[1].code[0].coding[0].display[0] | Specimen Condition |
| Bundle.entry[2].resource[0].component[1].value[0] | 2.5 fold change |
| Bundle.entry[2].request[0].method[0] | POST |
| Bundle.entry[2].request[0].url[0] | Observation |
| Bundle.entry[3].fullUrl[0] | urn:uuid:4e7a2c1f-8b3d-5f9e-1c4a-9d2e3f4a5b6c |
| Bundle.entry[3].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-genomics-specimen |
| Bundle.entry[3].resource[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/specimen-id |
| Bundle.entry[3].resource[0].identifier[0].value[0] | SP-2026-07-27-001 |
| Bundle.entry[3].resource[0].collection[0].collected[0] | 2026-07-27T06:00:00+00:00 |
| Bundle.entry[3].request[0].method[0] | POST |
| Bundle.entry[3].request[0].url[0] | Specimen |
| Bundle.entry[4].fullUrl[0] | urn:uuid:3c2b7e9f-1a4d-8c5e-2f3a-9d0e1f2a3b4c |
| Bundle.entry[4].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-genomics-servicerequest |
| Bundle.entry[4].resource[0].extension[0].url[0] | https://fhir.synapxe.sg/StructureDefinition/ext-order-received-date |
| Bundle.entry[4].resource[0].extension[0].value[0] | 2026-07-20T02:00:00+00:00 |
| Bundle.entry[4].resource[0].status[0] | active |
| Bundle.entry[4].resource[0].intent[0] | order |
| Bundle.entry[4].resource[0].code[0].concept[0].coding[0].system[0] | http://loinc.org |
| Bundle.entry[4].resource[0].code[0].concept[0].coding[0].code[0] | 47528-5 |
| Bundle.entry[4].resource[0].code[0].concept[0].coding[0].display[0] | Genetic testing |
| Bundle.entry[4].resource[0].code[0].concept[0].text[0] | Genetic testing |
| Bundle.entry[4].resource[0].subject[0].reference[0] | urn:uuid:5b4c7a1e-2f8d-4c9e-6b3a-8f1d2e3c4d5f |
| Bundle.entry[4].resource[0].subject[0].type[0] | Patient |
| Bundle.entry[4].resource[0].authoredOn[0] | 2026-07-20T02:00:00+00:00 |
| Bundle.entry[4].resource[0].requester[0].type[0] | Practitioner |
| Bundle.entry[4].resource[0].requester[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/mcr |
| Bundle.entry[4].resource[0].requester[0].identifier[0].value[0] | M34567 |
| Bundle.entry[4].request[0].method[0] | POST |
| Bundle.entry[4].request[0].url[0] | ServiceRequest |
| Bundle.entry[5].fullUrl[0] | urn:uuid:5b4c7a1e-2f8d-4c9e-6b3a-8f1d2e3c4d5f |
| Bundle.entry[5].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-genomics-patient |
| Bundle.entry[5].resource[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/nric |
| Bundle.entry[5].resource[0].identifier[0].value[0] | S9876543D |
| Bundle.entry[5].resource[0].name[0].text[0] | Jane Doe |
| Bundle.entry[5].resource[0].gender[0] | female |
| Bundle.entry[5].resource[0].birthDate[0] | 1980-05-15 |
| Bundle.entry[5].request[0].method[0] | POST |
| Bundle.entry[5].request[0].url[0] | Patient |
| Bundle.entry[6].fullUrl[0] | urn:uuid:8f7d6c5e-3a1b-2c9d-0e4f-3a4b5c6d7e8f |
| Bundle.entry[6].resource[0].meta[0].profile[0] | https://fhir.synapxe.sg/StructureDefinition/profile-medicationrecommendation |
| Bundle.entry[6].resource[0].status[0] | requested |
| Bundle.entry[6].resource[0].intent[0] | proposal |
| Bundle.entry[6].resource[0].code[0].coding[0].system[0] | https://fhir.synapxe.sg/CodeSystem/medicationrecommendation-code |
| Bundle.entry[6].resource[0].code[0].coding[0].code[0] | clinical-protocol |
| Bundle.entry[6].resource[0].code[0].coding[0].display[0] | Clinical Protocol |
| Bundle.entry[6].resource[0].description[0] | Consider prophylactic hormone therapy or preventive mastectomy. Genetic counseling recommended for family members. |
| Bundle.entry[6].resource[0].focus[0].type[0] | MedicationStatement |
| Bundle.entry[6].resource[0].focus[0].identifier[0].system[0] | https://fhir.synapxe.sg/NamingSystem/medication-statement-id |
| Bundle.entry[6].resource[0].focus[0].identifier[0].value[0] | MS-BRCA1-PREVENTIVE-001 |
| Bundle.entry[6].request[0].method[0] | POST |
| Bundle.entry[6].request[0].url[0] | Task |
{
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"https://fhir.synapxe.sg/StructureDefinition/profile-bundle-genomicsreport"
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"description": "Consider prophylactic hormone therapy or preventive mastectomy. Genetic counseling recommended for family members.",
}
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]
}
Command 'narrative' could not render: File is not a DomainResource