https://fhir.nwgenomics.nhs.uk/Bundle/312fb428-0f63-4814-b6e3-ed6aa6e6bbe0
type: Bundle
node role: treeRoot
type:
  v: searchset
total:
  v: 4
entry:
  resource: Bundle
    id:
      v: 3
    identifier:
      value:
        v: ORIE-251014-9
    type:
      v: message
    timestamp:
      v: 2025-10-14T15:59:42+00:00
entry:
  resource: Bundle
    id:
      v: 4
    identifier:
      value:
        v: ORIE-251014-9
    type:
      v: message
    timestamp:
      v: 2025-10-14T15:59:42+00:00
entry:
  resource: Bundle
    id:
      v: 5
    identifier:
      value:
        v: ORIE-251014-9
    type:
      v: message
    timestamp:
      v: 2025-10-14T15:59:42+00:00
entry:
  resource: Bundle
    id:
      v: 6
    identifier:
      value:
        v: ORIE-251014-9
    type:
      v: message
    timestamp:
      v: 2025-10-14T15:59:42+00:00

urn:…
type: MessageHeader
event: Coding
  system:
    v: http://terminology.hl7.org/CodeSystem/v2-0003
    l: v2-0003
  code:
    v: R01
destination:
  endpoint:
    v: https//fhir.mft.nhs.uk/Endpoint/EPIC
    l: EPIC
  receiver:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: 699N0
sender:
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/ods-organization-code
      l: ods-organization-code
    value:
      v: 699X0
source:
  software:
    v: NW GLH
  endpoint:
    v: https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE
    l: IGENE

urn:…
type: Patient
identifier:
  extension:
    url:
      v: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus
      l: Extension-UKCore-NHSNumberVerificationStatus
    value: CodeableConcept
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: NH
  system:
    v: https://fhir.nhs.uk/Id/nhs-number
    l: nhs-number
  value:
    v: 9737383222
  assigner:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: X24
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: MR
  value:
    v: L765432
  assigner:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: RR8
name:
  id:
    v: xsAID
  use:
    v: usual
  family:
    v: LEEDS
  given:
    v: Rob
  given:
    v: null
  prefix:
    v: Mr
  period:
    start:
      v: 2022-07-26
gender:
  v: unknown
birth date:
  v: 1978-01-17
address:
  id:
    v: WaIHi
  use:
    v: home
  line:
    v: Maison Lane
  line:
    v: LEEDS
  line:
    v: null
  postal code:
    v: LS8 2HH
  period:
    start:
      v: 2020-02-06
general practitioner:
  id:
    v: SnaoK
  type:
    v: Organization
    l: Organization
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/ods-organization-code
      l: ods-organization-code
    value:
      v: B86016
    period:
      start:
        v: 2024-03-25

urn:…
type: Observation
meta:
  profile:
    v: https://fhir.nwgenomics.nhs.uk/StructureDefinition/GenomicStudyPanel
    l: GenomicStudyPanel
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: FILL
  system:
    v: https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier
    l: ReportIdentifier
  value:
    v: T25-0209
  assigner:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: 699X0
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0074
      l: v2-0074
    code:
      v: GE
code:
  coding: https://loinc.org/rdf/81306-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 81306-3
    display:
      v: Variables that apply to the overall study
subject:
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/nhs-number
      l: nhs-number
    value:
      v: 9737383222
effective: DateTime
  v: 2025-10-14T15:59:16+00:00
component:
  code:
    coding: https://loinc.org/rdf/51967-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 51967-8
  value: CodeableConcept
    coding:
      system:
        v: https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication
        l: GenomicClinicalIndication
      code:
        v: R125

urn:…
type: DocumentReference
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: FILL
  system:
    v: https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier
    l: ReportIdentifier
  value:
    v: T25-0209
  assigner:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: 699X0
status:
  v: current
type:
  coding: http://snomed.info/id/1054161000000101
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 1054161000000101
    display:
      v: Genetic report
subject:
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/nhs-number
      l: nhs-number
    value:
      v: 9737383222
date:
  v: 2025-10-14T15:59:16+00:00
custodian:
  type:
    v: Organization
    l: Organization
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/ods-organization-code
      l: ods-organization-code
    value:
      v: 699X0
content:
  attachment:
    content type:
      v: application/pdf
context:
  period:
    start:
      v: 2025-10-14T15:59:16+00:00
    end:
      v: 2025-10-14T15:59:16+00:00
  source patient info:
    identifier:
      value:
        v: L765432
  related:
    type:
      v: ServiceRequest
      l: ServiceRequest
    identifier:
      value:
        v: 1000152872
  related:
    type:
      v: DiagnosticReport
      l: DiagnosticReport
    identifier:
      system:
        v: https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier
        l: ReportIdentifier
      value:
        v: T25-0209

urn:…
type: Specimen
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: PLAC
  value:
    v: T25-0209
status:
  v: unavailable
subject:
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/nhs-number
      l: nhs-number
    value:
      v: 9737383222
received time:
  v: 2025-10-06T00:00:00+00:00

urn:…
type: ServiceRequest
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: PLAC
  value:
    v: 1000152872
  assigner:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: RR8
status:
  v: completed
intent:
  v: order
category:
  coding: http://snomed.info/id/116148004
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 116148004
code:
  coding:
    system:
      v: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
      l: England-GenomicTestDirectory
    code:
      v: R125.1
    display:
      v: Thoracic aortic aneurysm or dissection (WES or Medium Panel)
subject:
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/nhs-number
      l: nhs-number
    value:
      v: 9737383222
requester:
  type:
    v: Organization
    l: Organization
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/ods-organization-code
      l: ods-organization-code
    value:
      v: RR8
  display:
    v: Leeds Teaching Trust
reason code:
  coding:
    system:
      v: https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication
      l: GenomicClinicalIndication
    code:
      v: R125
specimen:
  type:
    v: Specimen
    l: Specimen

urn:…
type: DiagnosticReport
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: FILL
  system:
    v: https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier
    l: ReportIdentifier
  value:
    v: T25-0209
  assigner:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: 699X0
based on:
  type:
    v: ServiceRequest
    l: ServiceRequest
  identifier:
    value:
      v: 1000152872
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0074
      l: v2-0074
    code:
      v: GE
code:
  coding:
    system:
      v: https://fhir.nwgenomics.nhs.uk/CodeSystem/IGEAP
      l: IGEAP
    code:
      v: R125_Cardiology
    display:
      v: PANEL: R125.1, R125.2 - Thoracic aortic aneurysm and dissection v1.2
  coding:
    system:
      v: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
      l: England-GenomicTestDirectory
    code:
      v: R125.1
    display:
      v: Thoracic aortic aneurysm or dissection (WES or Medium Panel)
subject:
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/nhs-number
      l: nhs-number
    value:
      v: 9737383222
effective: DateTime
  v: 2025-10-14T15:59:16+00:00
issued:
  v: 2025-10-14T15:59:16+00:00
performer:
  type:
    v: Organization
    l: Organization
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/ods-organization-code
      l: ods-organization-code
    value:
      v: 699X0
  display:
    v: NHS North West Genomics
results interpreter:
  display:
    v: Jonathan Edgerley
specimen:
  type:
    v: Specimen
    l: Specimen
result:
  type:
    v: Observation
    l: Observation
  display:
    v: Variables that apply to the overall study
presented form:
  content type:
    v: application/pdf

urn:…
type: MessageHeader
event: Coding
  system:
    v: http://terminology.hl7.org/CodeSystem/v2-0003
    l: v2-0003
  code:
    v: R01
destination:
  endpoint:
    v: https//fhir.mft.nhs.uk/Endpoint/EPIC
    l: EPIC
  receiver:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: 699N0
sender:
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/ods-organization-code
      l: ods-organization-code
    value:
      v: 699X0
source:
  software:
    v: NW GLH
  endpoint:
    v: https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE
    l: IGENE

urn:…
type: Patient
identifier:
  extension:
    url:
      v: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus
      l: Extension-UKCore-NHSNumberVerificationStatus
    value: CodeableConcept
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: NH
  system:
    v: https://fhir.nhs.uk/Id/nhs-number
    l: nhs-number
  value:
    v: 9737383222
  assigner:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: X24
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: MR
  value:
    v: L765432
  assigner:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: RR8
name:
  id:
    v: xsAID
  use:
    v: usual
  family:
    v: LEEDS
  given:
    v: Rob
  given:
    v: null
  prefix:
    v: Mr
  period:
    start:
      v: 2022-07-26
gender:
  v: unknown
birth date:
  v: 1978-01-17
address:
  id:
    v: WaIHi
  use:
    v: home
  line:
    v: Maison Lane
  line:
    v: LEEDS
  line:
    v: null
  postal code:
    v: LS8 2HH
  period:
    start:
      v: 2020-02-06
general practitioner:
  id:
    v: SnaoK
  type:
    v: Organization
    l: Organization
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/ods-organization-code
      l: ods-organization-code
    value:
      v: B86016
    period:
      start:
        v: 2024-03-25

urn:…
type: Observation
meta:
  profile:
    v: https://fhir.nwgenomics.nhs.uk/StructureDefinition/GenomicStudyPanel
    l: GenomicStudyPanel
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: FILL
  system:
    v: https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier
    l: ReportIdentifier
  value:
    v: T25-0209
  assigner:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: 699X0
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0074
      l: v2-0074
    code:
      v: GE
code:
  coding: https://loinc.org/rdf/81306-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 81306-3
    display:
      v: Variables that apply to the overall study
subject:
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/nhs-number
      l: nhs-number
    value:
      v: 9737383222
effective: DateTime
  v: 2025-10-14T15:59:16+00:00
component:
  code:
    coding: https://loinc.org/rdf/51967-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 51967-8
  value: CodeableConcept
    coding:
      system:
        v: https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication
        l: GenomicClinicalIndication
      code:
        v: R125

urn:…
type: DocumentReference
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: FILL
  system:
    v: https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier
    l: ReportIdentifier
  value:
    v: T25-0209
  assigner:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: 699X0
status:
  v: current
type:
  coding: http://snomed.info/id/1054161000000101
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 1054161000000101
    display:
      v: Genetic report
subject:
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/nhs-number
      l: nhs-number
    value:
      v: 9737383222
date:
  v: 2025-10-14T15:59:16+00:00
custodian:
  type:
    v: Organization
    l: Organization
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/ods-organization-code
      l: ods-organization-code
    value:
      v: 699X0
content:
  attachment:
    content type:
      v: application/pdf
context:
  period:
    start:
      v: 2025-10-14T15:59:16+00:00
    end:
      v: 2025-10-14T15:59:16+00:00
  source patient info:
    identifier:
      value:
        v: L765432
  related:
    type:
      v: ServiceRequest
      l: ServiceRequest
    identifier:
      value:
        v: 1000152872
  related:
    type:
      v: DiagnosticReport
      l: DiagnosticReport
    identifier:
      system:
        v: https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier
        l: ReportIdentifier
      value:
        v: T25-0209

urn:…
type: Specimen
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: PLAC
  value:
    v: T25-0209
status:
  v: unavailable
subject:
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/nhs-number
      l: nhs-number
    value:
      v: 9737383222
received time:
  v: 2025-10-06T00:00:00+00:00

urn:…
type: ServiceRequest
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: PLAC
  value:
    v: 1000152872
  assigner:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: RR8
status:
  v: completed
intent:
  v: order
category:
  coding: http://snomed.info/id/116148004
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 116148004
code:
  coding:
    system:
      v: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
      l: England-GenomicTestDirectory
    code:
      v: R125.1
    display:
      v: Thoracic aortic aneurysm or dissection (WES or Medium Panel)
subject:
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/nhs-number
      l: nhs-number
    value:
      v: 9737383222
requester:
  type:
    v: Organization
    l: Organization
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/ods-organization-code
      l: ods-organization-code
    value:
      v: RR8
  display:
    v: Leeds Teaching Trust
reason code:
  coding:
    system:
      v: https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication
      l: GenomicClinicalIndication
    code:
      v: R125
specimen:
  type:
    v: Specimen
    l: Specimen

urn:…
type: DiagnosticReport
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: FILL
  system:
    v: https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier
    l: ReportIdentifier
  value:
    v: T25-0209
  assigner:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: 699X0
based on:
  type:
    v: ServiceRequest
    l: ServiceRequest
  identifier:
    value:
      v: 1000152872
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0074
      l: v2-0074
    code:
      v: GE
code:
  coding:
    system:
      v: https://fhir.nwgenomics.nhs.uk/CodeSystem/IGEAP
      l: IGEAP
    code:
      v: R125_Cardiology
    display:
      v: PANEL: R125.1, R125.2 - Thoracic aortic aneurysm and dissection v1.2
  coding:
    system:
      v: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
      l: England-GenomicTestDirectory
    code:
      v: R125.1
    display:
      v: Thoracic aortic aneurysm or dissection (WES or Medium Panel)
subject:
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/nhs-number
      l: nhs-number
    value:
      v: 9737383222
effective: DateTime
  v: 2025-10-14T15:59:16+00:00
issued:
  v: 2025-10-14T15:59:16+00:00
performer:
  type:
    v: Organization
    l: Organization
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/ods-organization-code
      l: ods-organization-code
    value:
      v: 699X0
  display:
    v: NHS North West Genomics
results interpreter:
  display:
    v: Jonathan Edgerley
specimen:
  type:
    v: Specimen
    l: Specimen
result:
  type:
    v: Observation
    l: Observation
  display:
    v: Variables that apply to the overall study
presented form:
  content type:
    v: application/pdf

urn:…
type: MessageHeader
event: Coding
  system:
    v: http://terminology.hl7.org/CodeSystem/v2-0003
    l: v2-0003
  code:
    v: R01
destination:
  endpoint:
    v: https//fhir.mft.nhs.uk/Endpoint/EPIC
    l: EPIC
  receiver:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: 699N0
sender:
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/ods-organization-code
      l: ods-organization-code
    value:
      v: 699X0
source:
  software:
    v: NW GLH
  endpoint:
    v: https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE
    l: IGENE

urn:…
type: Patient
identifier:
  extension:
    url:
      v: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus
      l: Extension-UKCore-NHSNumberVerificationStatus
    value: CodeableConcept
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: NH
  system:
    v: https://fhir.nhs.uk/Id/nhs-number
    l: nhs-number
  value:
    v: 9737383222
  assigner:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: X24
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: MR
  value:
    v: L765432
  assigner:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: RR8
name:
  id:
    v: xsAID
  use:
    v: usual
  family:
    v: LEEDS
  given:
    v: Rob
  given:
    v: null
  prefix:
    v: Mr
  period:
    start:
      v: 2022-07-26
gender:
  v: unknown
birth date:
  v: 1978-01-17
address:
  id:
    v: WaIHi
  use:
    v: home
  line:
    v: Maison Lane
  line:
    v: LEEDS
  line:
    v: null
  postal code:
    v: LS8 2HH
  period:
    start:
      v: 2020-02-06
general practitioner:
  id:
    v: SnaoK
  type:
    v: Organization
    l: Organization
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/ods-organization-code
      l: ods-organization-code
    value:
      v: B86016
    period:
      start:
        v: 2024-03-25

urn:…
type: Observation
meta:
  profile:
    v: https://fhir.nwgenomics.nhs.uk/StructureDefinition/GenomicStudyPanel
    l: GenomicStudyPanel
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: FILL
  system:
    v: https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier
    l: ReportIdentifier
  value:
    v: T25-0209
  assigner:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: 699X0
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0074
      l: v2-0074
    code:
      v: GE
code:
  coding: https://loinc.org/rdf/81306-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 81306-3
    display:
      v: Variables that apply to the overall study
subject:
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/nhs-number
      l: nhs-number
    value:
      v: 9737383222
effective: DateTime
  v: 2025-10-14T15:59:16+00:00
component:
  code:
    coding: https://loinc.org/rdf/51967-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 51967-8
  value: CodeableConcept
    coding:
      system:
        v: https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication
        l: GenomicClinicalIndication
      code:
        v: R125

urn:…
type: DocumentReference
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: FILL
  system:
    v: https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier
    l: ReportIdentifier
  value:
    v: T25-0209
  assigner:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: 699X0
status:
  v: current
type:
  coding: http://snomed.info/id/1054161000000101
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 1054161000000101
    display:
      v: Genetic report
subject:
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/nhs-number
      l: nhs-number
    value:
      v: 9737383222
date:
  v: 2025-10-14T15:59:16+00:00
custodian:
  type:
    v: Organization
    l: Organization
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/ods-organization-code
      l: ods-organization-code
    value:
      v: 699X0
content:
  attachment:
    content type:
      v: application/pdf
context:
  period:
    start:
      v: 2025-10-14T15:59:16+00:00
    end:
      v: 2025-10-14T15:59:16+00:00
  source patient info:
    identifier:
      value:
        v: L765432
  related:
    type:
      v: ServiceRequest
      l: ServiceRequest
    identifier:
      value:
        v: 1000152872
  related:
    type:
      v: DiagnosticReport
      l: DiagnosticReport
    identifier:
      system:
        v: https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier
        l: ReportIdentifier
      value:
        v: T25-0209

urn:…
type: Specimen
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: PLAC
  value:
    v: T25-0209
status:
  v: unavailable
subject:
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/nhs-number
      l: nhs-number
    value:
      v: 9737383222
received time:
  v: 2025-10-06T00:00:00+00:00

urn:…
type: ServiceRequest
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: PLAC
  value:
    v: 1000152872
  assigner:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: RR8
status:
  v: completed
intent:
  v: order
category:
  coding: http://snomed.info/id/116148004
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 116148004
code:
  coding:
    system:
      v: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
      l: England-GenomicTestDirectory
    code:
      v: R125.1
    display:
      v: Thoracic aortic aneurysm or dissection (WES or Medium Panel)
subject:
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/nhs-number
      l: nhs-number
    value:
      v: 9737383222
requester:
  type:
    v: Organization
    l: Organization
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/ods-organization-code
      l: ods-organization-code
    value:
      v: RR8
  display:
    v: Leeds Teaching Trust
reason code:
  coding:
    system:
      v: https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication
      l: GenomicClinicalIndication
    code:
      v: R125
specimen:
  type:
    v: Specimen
    l: Specimen

urn:…
type: DiagnosticReport
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: FILL
  system:
    v: https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier
    l: ReportIdentifier
  value:
    v: T25-0209
  assigner:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: 699X0
based on:
  type:
    v: ServiceRequest
    l: ServiceRequest
  identifier:
    value:
      v: 1000152872
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0074
      l: v2-0074
    code:
      v: GE
code:
  coding:
    system:
      v: https://fhir.nwgenomics.nhs.uk/CodeSystem/IGEAP
      l: IGEAP
    code:
      v: R125_Cardiology
    display:
      v: PANEL: R125.1, R125.2 - Thoracic aortic aneurysm and dissection v1.2
  coding:
    system:
      v: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
      l: England-GenomicTestDirectory
    code:
      v: R125.1
    display:
      v: Thoracic aortic aneurysm or dissection (WES or Medium Panel)
subject:
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/nhs-number
      l: nhs-number
    value:
      v: 9737383222
effective: DateTime
  v: 2025-10-14T15:59:16+00:00
issued:
  v: 2025-10-14T15:59:16+00:00
performer:
  type:
    v: Organization
    l: Organization
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/ods-organization-code
      l: ods-organization-code
    value:
      v: 699X0
  display:
    v: NHS North West Genomics
results interpreter:
  display:
    v: Jonathan Edgerley
specimen:
  type:
    v: Specimen
    l: Specimen
result:
  type:
    v: Observation
    l: Observation
  display:
    v: Variables that apply to the overall study
presented form:
  content type:
    v: application/pdf

urn:…
type: MessageHeader
event: Coding
  system:
    v: http://terminology.hl7.org/CodeSystem/v2-0003
    l: v2-0003
  code:
    v: R01
destination:
  endpoint:
    v: https//fhir.mft.nhs.uk/Endpoint/EPIC
    l: EPIC
  receiver:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: 699N0
sender:
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/ods-organization-code
      l: ods-organization-code
    value:
      v: 699X0
source:
  software:
    v: NW GLH
  endpoint:
    v: https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE
    l: IGENE

urn:…
type: Patient
identifier:
  extension:
    url:
      v: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus
      l: Extension-UKCore-NHSNumberVerificationStatus
    value: CodeableConcept
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: NH
  system:
    v: https://fhir.nhs.uk/Id/nhs-number
    l: nhs-number
  value:
    v: 9737383222
  assigner:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: X24
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: MR
  value:
    v: L765432
  assigner:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: RR8
name:
  id:
    v: xsAID
  use:
    v: usual
  family:
    v: LEEDS
  given:
    v: Rob
  given:
    v: null
  prefix:
    v: Mr
  period:
    start:
      v: 2022-07-26
gender:
  v: unknown
birth date:
  v: 1978-01-17
address:
  id:
    v: WaIHi
  use:
    v: home
  line:
    v: Maison Lane
  line:
    v: LEEDS
  line:
    v: null
  postal code:
    v: LS8 2HH
  period:
    start:
      v: 2020-02-06
general practitioner:
  id:
    v: SnaoK
  type:
    v: Organization
    l: Organization
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/ods-organization-code
      l: ods-organization-code
    value:
      v: B86016
    period:
      start:
        v: 2024-03-25

urn:…
type: Observation
meta:
  profile:
    v: https://fhir.nwgenomics.nhs.uk/StructureDefinition/GenomicStudyPanel
    l: GenomicStudyPanel
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: FILL
  system:
    v: https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier
    l: ReportIdentifier
  value:
    v: T25-0209
  assigner:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: 699X0
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0074
      l: v2-0074
    code:
      v: GE
code:
  coding: https://loinc.org/rdf/81306-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 81306-3
    display:
      v: Variables that apply to the overall study
subject:
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/nhs-number
      l: nhs-number
    value:
      v: 9737383222
effective: DateTime
  v: 2025-10-14T15:59:16+00:00
component:
  code:
    coding: https://loinc.org/rdf/51967-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 51967-8
  value: CodeableConcept
    coding:
      system:
        v: https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication
        l: GenomicClinicalIndication
      code:
        v: R125

urn:…
type: DocumentReference
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: FILL
  system:
    v: https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier
    l: ReportIdentifier
  value:
    v: T25-0209
  assigner:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: 699X0
status:
  v: current
type:
  coding: http://snomed.info/id/1054161000000101
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 1054161000000101
    display:
      v: Genetic report
subject:
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/nhs-number
      l: nhs-number
    value:
      v: 9737383222
date:
  v: 2025-10-14T15:59:16+00:00
custodian:
  type:
    v: Organization
    l: Organization
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/ods-organization-code
      l: ods-organization-code
    value:
      v: 699X0
content:
  attachment:
    content type:
      v: application/pdf
context:
  period:
    start:
      v: 2025-10-14T15:59:16+00:00
    end:
      v: 2025-10-14T15:59:16+00:00
  source patient info:
    identifier:
      value:
        v: L765432
  related:
    type:
      v: ServiceRequest
      l: ServiceRequest
    identifier:
      value:
        v: 1000152872
  related:
    type:
      v: DiagnosticReport
      l: DiagnosticReport
    identifier:
      system:
        v: https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier
        l: ReportIdentifier
      value:
        v: T25-0209

urn:…
type: Specimen
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: PLAC
  value:
    v: T25-0209
status:
  v: unavailable
subject:
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/nhs-number
      l: nhs-number
    value:
      v: 9737383222
received time:
  v: 2025-10-06T00:00:00+00:00

urn:…
type: ServiceRequest
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: PLAC
  value:
    v: 1000152872
  assigner:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: RR8
status:
  v: completed
intent:
  v: order
category:
  coding: http://snomed.info/id/116148004
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 116148004
code:
  coding:
    system:
      v: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
      l: England-GenomicTestDirectory
    code:
      v: R125.1
    display:
      v: Thoracic aortic aneurysm or dissection (WES or Medium Panel)
subject:
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/nhs-number
      l: nhs-number
    value:
      v: 9737383222
requester:
  type:
    v: Organization
    l: Organization
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/ods-organization-code
      l: ods-organization-code
    value:
      v: RR8
  display:
    v: Leeds Teaching Trust
reason code:
  coding:
    system:
      v: https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication
      l: GenomicClinicalIndication
    code:
      v: R125
specimen:
  type:
    v: Specimen
    l: Specimen

urn:…
type: DiagnosticReport
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: FILL
  system:
    v: https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier
    l: ReportIdentifier
  value:
    v: T25-0209
  assigner:
    identifier:
      system:
        v: https://fhir.nhs.uk/Id/ods-organization-code
        l: ods-organization-code
      value:
        v: 699X0
based on:
  type:
    v: ServiceRequest
    l: ServiceRequest
  identifier:
    value:
      v: 1000152872
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0074
      l: v2-0074
    code:
      v: GE
code:
  coding:
    system:
      v: https://fhir.nwgenomics.nhs.uk/CodeSystem/IGEAP
      l: IGEAP
    code:
      v: R125_Cardiology
    display:
      v: PANEL: R125.1, R125.2 - Thoracic aortic aneurysm and dissection v1.2
  coding:
    system:
      v: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
      l: England-GenomicTestDirectory
    code:
      v: R125.1
    display:
      v: Thoracic aortic aneurysm or dissection (WES or Medium Panel)
subject:
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/nhs-number
      l: nhs-number
    value:
      v: 9737383222
effective: DateTime
  v: 2025-10-14T15:59:16+00:00
issued:
  v: 2025-10-14T15:59:16+00:00
performer:
  type:
    v: Organization
    l: Organization
  identifier:
    system:
      v: https://fhir.nhs.uk/Id/ods-organization-code
      l: ods-organization-code
    value:
      v: 699X0
  display:
    v: NHS North West Genomics
results interpreter:
  display:
    v: Jonathan Edgerley
specimen:
  type:
    v: Specimen
    l: Specimen
result:
  type:
    v: Observation
    l: Observation
  display:
    v: Variables that apply to the overall study
presented form:
  content type:
    v: application/pdf

v: 01

v: Number present and verified

v: NH

v: NH

system:
  v: http://terminology.hl7.org/CodeSystem/v2-0203
  l: v2-0203
code:
  v: MR

system:
  v: https://fhir.nhs.uk/Id/ods-organization-code
  l: ods-organization-code
value:
  v: RR8

system:
  v: http://terminology.hl7.org/CodeSystem/v2-0203
  l: v2-0203
code:
  v: PLAC

system:
  v: https://fhir.nhs.uk/Id/ods-organization-code
  l: ods-organization-code
value:
  v: RR8

system:
  v: http://terminology.hl7.org/CodeSystem/v2-0203
  l: v2-0203
code:
  v: FILL

system:
  v: https://fhir.nhs.uk/Id/ods-organization-code
  l: ods-organization-code
value:
  v: 699X0

v: NH

v: NH

v: PLAC

v: RR8

v: NH

v: 01

v: Number present and verified

v: NH

v: NH

system:
  v: http://terminology.hl7.org/CodeSystem/v2-0203
  l: v2-0203
code:
  v: MR

system:
  v: https://fhir.nhs.uk/Id/ods-organization-code
  l: ods-organization-code
value:
  v: RR8

system:
  v: http://terminology.hl7.org/CodeSystem/v2-0203
  l: v2-0203
code:
  v: PLAC

system:
  v: https://fhir.nhs.uk/Id/ods-organization-code
  l: ods-organization-code
value:
  v: RR8

system:
  v: http://terminology.hl7.org/CodeSystem/v2-0203
  l: v2-0203
code:
  v: FILL

system:
  v: https://fhir.nhs.uk/Id/ods-organization-code
  l: ods-organization-code
value:
  v: 699X0

v: NH

v: NH

v: PLAC

v: RR8

v: NH

v: 01

v: Number present and verified

v: NH

v: NH

system:
  v: http://terminology.hl7.org/CodeSystem/v2-0203
  l: v2-0203
code:
  v: MR

system:
  v: https://fhir.nhs.uk/Id/ods-organization-code
  l: ods-organization-code
value:
  v: RR8

system:
  v: http://terminology.hl7.org/CodeSystem/v2-0203
  l: v2-0203
code:
  v: PLAC

system:
  v: https://fhir.nhs.uk/Id/ods-organization-code
  l: ods-organization-code
value:
  v: RR8

system:
  v: http://terminology.hl7.org/CodeSystem/v2-0203
  l: v2-0203
code:
  v: FILL

system:
  v: https://fhir.nhs.uk/Id/ods-organization-code
  l: ods-organization-code
value:
  v: 699X0

v: NH

v: NH

v: PLAC

v: RR8

v: NH

v: 01

v: Number present and verified

v: NH

v: NH

system:
  v: http://terminology.hl7.org/CodeSystem/v2-0203
  l: v2-0203
code:
  v: MR

system:
  v: https://fhir.nhs.uk/Id/ods-organization-code
  l: ods-organization-code
value:
  v: RR8

system:
  v: http://terminology.hl7.org/CodeSystem/v2-0203
  l: v2-0203
code:
  v: PLAC

system:
  v: https://fhir.nhs.uk/Id/ods-organization-code
  l: ods-organization-code
value:
  v: RR8

system:
  v: http://terminology.hl7.org/CodeSystem/v2-0203
  l: v2-0203
code:
  v: FILL

system:
  v: https://fhir.nhs.uk/Id/ods-organization-code
  l: ods-organization-code
value:
  v: 699X0

v: NH

v: NH

v: PLAC

v: RR8

v: NH