{
  "resourceType" : "Bundle",
  "id" : "312fb428-0f63-4814-b6e3-ed6aa6e6bbe0",
  "type" : "searchset",
  "total" : 4,
  "entry" : [{
    "resource" : {
      "resourceType" : "Bundle",
      "id" : "3",
      "identifier" : {
        "value" : "ORIE-251014-9"
      },
      "type" : "message",
      "timestamp" : "2025-10-14T15:59:42+00:00",
      "entry" : [{
        "fullUrl" : "urn:uuid:1f61a763-fd60-4cbd-b74f-47b81d05873c",
        "resource" : {
          "resourceType" : "MessageHeader",
          "eventCoding" : {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0003",
            "code" : "R01"
          },
          "destination" : [{
            "endpoint" : "https//fhir.mft.nhs.uk/Endpoint/EPIC",
            "receiver" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "699N0"
              }
            }
          }],
          "sender" : {
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "699X0"
            }
          },
          "source" : {
            "software" : "NW GLH",
            "endpoint" : "https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE"
          },
          "focus" : [{
            "reference" : "urn:uuid:f695baec-9a23-47c3-8fb1-a5496a6da2df"
          }]
        }
      },
      {
        "fullUrl" : "urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875",
        "resource" : {
          "resourceType" : "Patient",
          "identifier" : [{
            "extension" : [{
              "url" : "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus",
              "valueCodeableConcept" : {
                "coding" : [{
                  "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland",
                  "code" : "01",
                  "display" : "Number present and verified"
                }]
              }
            }],
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "NH"
              }]
            },
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9737383222",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "X24"
              }
            }
          },
          {
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "MR"
              }]
            },
            "value" : "L765432",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "RR8"
              }
            }
          }],
          "name" : [{
            "id" : "xsAID",
            "use" : "usual",
            "family" : "LEEDS",
            "given" : ["Rob",
            "null"],
            "prefix" : ["Mr"],
            "period" : {
              "start" : "2022-07-26"
            }
          }],
          "gender" : "unknown",
          "birthDate" : "1978-01-17",
          "address" : [{
            "id" : "WaIHi",
            "use" : "home",
            "line" : ["Maison Lane",
            "LEEDS",
            "null"],
            "postalCode" : "LS8 2HH",
            "period" : {
              "start" : "2020-02-06"
            }
          }],
          "generalPractitioner" : [{
            "id" : "SnaoK",
            "type" : "Organization",
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "B86016",
              "period" : {
                "start" : "2024-03-25"
              }
            }
          }]
        }
      },
      {
        "fullUrl" : "urn:uuid:cd836a79-fea2-4836-801b-56ab8588defc",
        "resource" : {
          "resourceType" : "Observation",
          "meta" : {
            "profile" : ["https://fhir.nwgenomics.nhs.uk/StructureDefinition/GenomicStudyPanel"]
          },
          "identifier" : [{
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "FILL"
              }]
            },
            "system" : "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
            "value" : "T25-0209",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "699X0"
              }
            }
          }],
          "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" : "81306-3",
              "display" : "Variables that apply to the overall study"
            }]
          },
          "subject" : {
            "reference" : "urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875",
            "identifier" : {
              "type" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NH"
                }]
              },
              "system" : "https://fhir.nhs.uk/Id/nhs-number",
              "value" : "9737383222"
            }
          },
          "effectiveDateTime" : "2025-10-14T15:59:16+00:00",
          "component" : [{
            "code" : {
              "coding" : [{
                "system" : "http://loinc.org",
                "code" : "51967-8"
              }]
            },
            "valueCodeableConcept" : {
              "coding" : [{
                "system" : "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication",
                "code" : "R125"
              }]
            }
          }]
        }
      },
      {
        "fullUrl" : "urn:uuid:852dd227-a58f-4777-beb3-c365186b98be",
        "resource" : {
          "resourceType" : "DocumentReference",
          "identifier" : [{
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "FILL"
              }]
            },
            "system" : "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
            "value" : "T25-0209",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "699X0"
              }
            }
          }],
          "status" : "current",
          "type" : {
            "coding" : [{
              "system" : "http://snomed.info/sct",
              "code" : "1054161000000101",
              "display" : "Genetic report"
            }]
          },
          "subject" : {
            "reference" : "urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875",
            "identifier" : {
              "type" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NH"
                }]
              },
              "system" : "https://fhir.nhs.uk/Id/nhs-number",
              "value" : "9737383222"
            }
          },
          "date" : "2025-10-14T15:59:16+00:00",
          "custodian" : {
            "type" : "Organization",
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "699X0"
            }
          },
          "content" : [{
            "attachment" : {
              "contentType" : "application/pdf",
              "url" : "urn:uuid:58a12458-3df1-4feb-9bb6-80dec328cf43"
            }
          }],
          "context" : {
            "period" : {
              "start" : "2025-10-14T15:59:16+00:00",
              "end" : "2025-10-14T15:59:16+00:00"
            },
            "sourcePatientInfo" : {
              "identifier" : {
                "type" : {
                  "coding" : [{
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                    "code" : "MR"
                  }]
                },
                "value" : "L765432",
                "assigner" : {
                  "identifier" : {
                    "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                    "value" : "RR8"
                  }
                }
              }
            },
            "related" : [{
              "reference" : "urn:uuid:3ec14724-9e7c-422f-9fdd-815b723e565c",
              "type" : "ServiceRequest",
              "identifier" : {
                "type" : {
                  "coding" : [{
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                    "code" : "PLAC"
                  }]
                },
                "value" : "1000152872",
                "assigner" : {
                  "identifier" : {
                    "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                    "value" : "RR8"
                  }
                }
              }
            },
            {
              "reference" : "urn:uuid:f695baec-9a23-47c3-8fb1-a5496a6da2df",
              "type" : "DiagnosticReport",
              "identifier" : {
                "type" : {
                  "coding" : [{
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                    "code" : "FILL"
                  }]
                },
                "system" : "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
                "value" : "T25-0209",
                "assigner" : {
                  "identifier" : {
                    "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                    "value" : "699X0"
                  }
                }
              }
            }]
          }
        }
      },
      {
        "fullUrl" : "urn:uuid:4af75ffe-adaf-4a05-91f3-11d4ad22e960",
        "resource" : {
          "resourceType" : "Specimen",
          "identifier" : [{
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "PLAC"
              }]
            },
            "value" : "T25-0209"
          }],
          "status" : "unavailable",
          "subject" : {
            "reference" : "urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875",
            "identifier" : {
              "type" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NH"
                }]
              },
              "system" : "https://fhir.nhs.uk/Id/nhs-number",
              "value" : "9737383222"
            }
          },
          "receivedTime" : "2025-10-06T00:00:00+00:00"
        }
      },
      {
        "fullUrl" : "urn:uuid:3ec14724-9e7c-422f-9fdd-815b723e565c",
        "resource" : {
          "resourceType" : "ServiceRequest",
          "identifier" : [{
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "PLAC"
              }]
            },
            "value" : "1000152872",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "RR8"
              }
            }
          }],
          "status" : "completed",
          "intent" : "order",
          "category" : [{
            "coding" : [{
              "system" : "http://snomed.info/sct",
              "code" : "116148004"
            }]
          }],
          "code" : {
            "coding" : [{
              "system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
              "code" : "R125.1",
              "display" : "Thoracic aortic aneurysm or dissection (WES or Medium Panel)"
            }]
          },
          "subject" : {
            "reference" : "urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875",
            "identifier" : {
              "type" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NH"
                }]
              },
              "system" : "https://fhir.nhs.uk/Id/nhs-number",
              "value" : "9737383222"
            }
          },
          "requester" : {
            "type" : "Organization",
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "RR8"
            },
            "display" : "Leeds Teaching Trust"
          },
          "reasonCode" : [{
            "coding" : [{
              "system" : "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication",
              "code" : "R125"
            }]
          }],
          "specimen" : [{
            "reference" : "urn:uuid:4af75ffe-adaf-4a05-91f3-11d4ad22e960",
            "type" : "Specimen"
          }]
        }
      },
      {
        "fullUrl" : "urn:uuid:f695baec-9a23-47c3-8fb1-a5496a6da2df",
        "resource" : {
          "resourceType" : "DiagnosticReport",
          "identifier" : [{
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "FILL"
              }]
            },
            "system" : "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
            "value" : "T25-0209",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "699X0"
              }
            }
          }],
          "basedOn" : [{
            "reference" : "urn:uuid:3ec14724-9e7c-422f-9fdd-815b723e565c",
            "type" : "ServiceRequest",
            "identifier" : {
              "type" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PLAC"
                }]
              },
              "value" : "1000152872",
              "assigner" : {
                "identifier" : {
                  "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                  "value" : "RR8"
                }
              }
            }
          }],
          "status" : "final",
          "category" : [{
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
              "code" : "GE"
            }]
          }],
          "code" : {
            "coding" : [{
              "system" : "https://fhir.nwgenomics.nhs.uk/CodeSystem/IGEAP",
              "code" : "R125_Cardiology",
              "display" : "PANEL: R125.1, R125.2 - Thoracic aortic aneurysm and dissection v1.2"
            },
            {
              "system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
              "code" : "R125.1",
              "display" : "Thoracic aortic aneurysm or dissection (WES or Medium Panel)"
            }]
          },
          "subject" : {
            "reference" : "urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875",
            "identifier" : {
              "type" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NH"
                }]
              },
              "system" : "https://fhir.nhs.uk/Id/nhs-number",
              "value" : "9737383222"
            }
          },
          "effectiveDateTime" : "2025-10-14T15:59:16+00:00",
          "issued" : "2025-10-14T15:59:16+00:00",
          "performer" : [{
            "type" : "Organization",
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "699X0"
            },
            "display" : "NHS North West Genomics"
          }],
          "resultsInterpreter" : [{
            "display" : "Jonathan Edgerley"
          }],
          "specimen" : [{
            "reference" : "urn:uuid:4af75ffe-adaf-4a05-91f3-11d4ad22e960",
            "type" : "Specimen"
          }],
          "result" : [{
            "reference" : "urn:uuid:cd836a79-fea2-4836-801b-56ab8588defc",
            "type" : "Observation",
            "display" : "Variables that apply to the overall study"
          }],
          "presentedForm" : [{
            "contentType" : "application/pdf",
            "url" : "urn:uuid:58a12458-3df1-4feb-9bb6-80dec328cf43"
          }]
        }
      }]
    }
  },
  {
    "resource" : {
      "resourceType" : "Bundle",
      "id" : "4",
      "identifier" : {
        "value" : "ORIE-251014-9"
      },
      "type" : "message",
      "timestamp" : "2025-10-14T15:59:42+00:00",
      "entry" : [{
        "fullUrl" : "urn:uuid:36c3ba17-2e21-4b9a-9e55-e391bfc8ccbb",
        "resource" : {
          "resourceType" : "MessageHeader",
          "eventCoding" : {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0003",
            "code" : "R01"
          },
          "destination" : [{
            "endpoint" : "https//fhir.mft.nhs.uk/Endpoint/EPIC",
            "receiver" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "699N0"
              }
            }
          }],
          "sender" : {
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "699X0"
            }
          },
          "source" : {
            "software" : "NW GLH",
            "endpoint" : "https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE"
          },
          "focus" : [{
            "reference" : "urn:uuid:6cef3146-336a-4061-945a-6cad51832bad"
          }]
        }
      },
      {
        "fullUrl" : "urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71",
        "resource" : {
          "resourceType" : "Patient",
          "identifier" : [{
            "extension" : [{
              "url" : "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus",
              "valueCodeableConcept" : {
                "coding" : [{
                  "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland",
                  "code" : "01",
                  "display" : "Number present and verified"
                }]
              }
            }],
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "NH"
              }]
            },
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9737383222",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "X24"
              }
            }
          },
          {
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "MR"
              }]
            },
            "value" : "L765432",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "RR8"
              }
            }
          }],
          "name" : [{
            "id" : "xsAID",
            "use" : "usual",
            "family" : "LEEDS",
            "given" : ["Rob",
            "null"],
            "prefix" : ["Mr"],
            "period" : {
              "start" : "2022-07-26"
            }
          }],
          "gender" : "unknown",
          "birthDate" : "1978-01-17",
          "address" : [{
            "id" : "WaIHi",
            "use" : "home",
            "line" : ["Maison Lane",
            "LEEDS",
            "null"],
            "postalCode" : "LS8 2HH",
            "period" : {
              "start" : "2020-02-06"
            }
          }],
          "generalPractitioner" : [{
            "id" : "SnaoK",
            "type" : "Organization",
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "B86016",
              "period" : {
                "start" : "2024-03-25"
              }
            }
          }]
        }
      },
      {
        "fullUrl" : "urn:uuid:66c938b5-cd92-481d-95ed-36d5fb8270bd",
        "resource" : {
          "resourceType" : "Observation",
          "meta" : {
            "profile" : ["https://fhir.nwgenomics.nhs.uk/StructureDefinition/GenomicStudyPanel"]
          },
          "identifier" : [{
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "FILL"
              }]
            },
            "system" : "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
            "value" : "T25-0209",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "699X0"
              }
            }
          }],
          "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" : "81306-3",
              "display" : "Variables that apply to the overall study"
            }]
          },
          "subject" : {
            "reference" : "urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71",
            "identifier" : {
              "type" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NH"
                }]
              },
              "system" : "https://fhir.nhs.uk/Id/nhs-number",
              "value" : "9737383222"
            }
          },
          "effectiveDateTime" : "2025-10-14T15:59:16+00:00",
          "component" : [{
            "code" : {
              "coding" : [{
                "system" : "http://loinc.org",
                "code" : "51967-8"
              }]
            },
            "valueCodeableConcept" : {
              "coding" : [{
                "system" : "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication",
                "code" : "R125"
              }]
            }
          }]
        }
      },
      {
        "fullUrl" : "urn:uuid:e4b9d5c9-d143-4720-8ba4-8da7b4de7083",
        "resource" : {
          "resourceType" : "DocumentReference",
          "identifier" : [{
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "FILL"
              }]
            },
            "system" : "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
            "value" : "T25-0209",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "699X0"
              }
            }
          }],
          "status" : "current",
          "type" : {
            "coding" : [{
              "system" : "http://snomed.info/sct",
              "code" : "1054161000000101",
              "display" : "Genetic report"
            }]
          },
          "subject" : {
            "reference" : "urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71",
            "identifier" : {
              "type" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NH"
                }]
              },
              "system" : "https://fhir.nhs.uk/Id/nhs-number",
              "value" : "9737383222"
            }
          },
          "date" : "2025-10-14T15:59:16+00:00",
          "custodian" : {
            "type" : "Organization",
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "699X0"
            }
          },
          "content" : [{
            "attachment" : {
              "contentType" : "application/pdf",
              "url" : "urn:uuid:c7400612-45bb-4ecb-8e58-0e57423007e2"
            }
          }],
          "context" : {
            "period" : {
              "start" : "2025-10-14T15:59:16+00:00",
              "end" : "2025-10-14T15:59:16+00:00"
            },
            "sourcePatientInfo" : {
              "identifier" : {
                "type" : {
                  "coding" : [{
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                    "code" : "MR"
                  }]
                },
                "value" : "L765432",
                "assigner" : {
                  "identifier" : {
                    "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                    "value" : "RR8"
                  }
                }
              }
            },
            "related" : [{
              "reference" : "urn:uuid:c2f9fc13-77c8-449c-ac8d-dcdf545d5f8f",
              "type" : "ServiceRequest",
              "identifier" : {
                "type" : {
                  "coding" : [{
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                    "code" : "PLAC"
                  }]
                },
                "value" : "1000152872",
                "assigner" : {
                  "identifier" : {
                    "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                    "value" : "RR8"
                  }
                }
              }
            },
            {
              "reference" : "urn:uuid:6cef3146-336a-4061-945a-6cad51832bad",
              "type" : "DiagnosticReport",
              "identifier" : {
                "type" : {
                  "coding" : [{
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                    "code" : "FILL"
                  }]
                },
                "system" : "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
                "value" : "T25-0209",
                "assigner" : {
                  "identifier" : {
                    "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                    "value" : "699X0"
                  }
                }
              }
            }]
          }
        }
      },
      {
        "fullUrl" : "urn:uuid:a92fe3b1-396d-4455-bdde-7af0439da62c",
        "resource" : {
          "resourceType" : "Specimen",
          "identifier" : [{
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "PLAC"
              }]
            },
            "value" : "T25-0209"
          }],
          "status" : "unavailable",
          "subject" : {
            "reference" : "urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71",
            "identifier" : {
              "type" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NH"
                }]
              },
              "system" : "https://fhir.nhs.uk/Id/nhs-number",
              "value" : "9737383222"
            }
          },
          "receivedTime" : "2025-10-06T00:00:00+00:00"
        }
      },
      {
        "fullUrl" : "urn:uuid:c2f9fc13-77c8-449c-ac8d-dcdf545d5f8f",
        "resource" : {
          "resourceType" : "ServiceRequest",
          "identifier" : [{
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "PLAC"
              }]
            },
            "value" : "1000152872",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "RR8"
              }
            }
          }],
          "status" : "completed",
          "intent" : "order",
          "category" : [{
            "coding" : [{
              "system" : "http://snomed.info/sct",
              "code" : "116148004"
            }]
          }],
          "code" : {
            "coding" : [{
              "system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
              "code" : "R125.1",
              "display" : "Thoracic aortic aneurysm or dissection (WES or Medium Panel)"
            }]
          },
          "subject" : {
            "reference" : "urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71",
            "identifier" : {
              "type" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NH"
                }]
              },
              "system" : "https://fhir.nhs.uk/Id/nhs-number",
              "value" : "9737383222"
            }
          },
          "requester" : {
            "type" : "Organization",
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "RR8"
            },
            "display" : "Leeds Teaching Trust"
          },
          "reasonCode" : [{
            "coding" : [{
              "system" : "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication",
              "code" : "R125"
            }]
          }],
          "specimen" : [{
            "reference" : "urn:uuid:a92fe3b1-396d-4455-bdde-7af0439da62c",
            "type" : "Specimen"
          }]
        }
      },
      {
        "fullUrl" : "urn:uuid:6cef3146-336a-4061-945a-6cad51832bad",
        "resource" : {
          "resourceType" : "DiagnosticReport",
          "identifier" : [{
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "FILL"
              }]
            },
            "system" : "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
            "value" : "T25-0209",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "699X0"
              }
            }
          }],
          "basedOn" : [{
            "reference" : "urn:uuid:c2f9fc13-77c8-449c-ac8d-dcdf545d5f8f",
            "type" : "ServiceRequest",
            "identifier" : {
              "type" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PLAC"
                }]
              },
              "value" : "1000152872",
              "assigner" : {
                "identifier" : {
                  "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                  "value" : "RR8"
                }
              }
            }
          }],
          "status" : "final",
          "category" : [{
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
              "code" : "GE"
            }]
          }],
          "code" : {
            "coding" : [{
              "system" : "https://fhir.nwgenomics.nhs.uk/CodeSystem/IGEAP",
              "code" : "R125_Cardiology",
              "display" : "PANEL: R125.1, R125.2 - Thoracic aortic aneurysm and dissection v1.2"
            },
            {
              "system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
              "code" : "R125.1",
              "display" : "Thoracic aortic aneurysm or dissection (WES or Medium Panel)"
            }]
          },
          "subject" : {
            "reference" : "urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71",
            "identifier" : {
              "type" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NH"
                }]
              },
              "system" : "https://fhir.nhs.uk/Id/nhs-number",
              "value" : "9737383222"
            }
          },
          "effectiveDateTime" : "2025-10-14T15:59:16+00:00",
          "issued" : "2025-10-14T15:59:16+00:00",
          "performer" : [{
            "type" : "Organization",
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "699X0"
            },
            "display" : "NHS North West Genomics"
          }],
          "resultsInterpreter" : [{
            "display" : "Jonathan Edgerley"
          }],
          "specimen" : [{
            "reference" : "urn:uuid:a92fe3b1-396d-4455-bdde-7af0439da62c",
            "type" : "Specimen"
          }],
          "result" : [{
            "reference" : "urn:uuid:66c938b5-cd92-481d-95ed-36d5fb8270bd",
            "type" : "Observation",
            "display" : "Variables that apply to the overall study"
          }],
          "presentedForm" : [{
            "contentType" : "application/pdf",
            "url" : "urn:uuid:c7400612-45bb-4ecb-8e58-0e57423007e2"
          }]
        }
      }]
    }
  },
  {
    "resource" : {
      "resourceType" : "Bundle",
      "id" : "5",
      "identifier" : {
        "value" : "ORIE-251014-9"
      },
      "type" : "message",
      "timestamp" : "2025-10-14T15:59:42+00:00",
      "entry" : [{
        "fullUrl" : "urn:uuid:73ed21ec-6d7c-4345-8435-27edb774982e",
        "resource" : {
          "resourceType" : "MessageHeader",
          "eventCoding" : {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0003",
            "code" : "R01"
          },
          "destination" : [{
            "endpoint" : "https//fhir.mft.nhs.uk/Endpoint/EPIC",
            "receiver" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "699N0"
              }
            }
          }],
          "sender" : {
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "699X0"
            }
          },
          "source" : {
            "software" : "NW GLH",
            "endpoint" : "https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE"
          },
          "focus" : [{
            "reference" : "urn:uuid:0a19f99a-c393-4b7f-9246-281710896d21"
          }]
        }
      },
      {
        "fullUrl" : "urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4",
        "resource" : {
          "resourceType" : "Patient",
          "identifier" : [{
            "extension" : [{
              "url" : "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus",
              "valueCodeableConcept" : {
                "coding" : [{
                  "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland",
                  "code" : "01",
                  "display" : "Number present and verified"
                }]
              }
            }],
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "NH"
              }]
            },
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9737383222",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "X24"
              }
            }
          },
          {
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "MR"
              }]
            },
            "value" : "L765432",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "RR8"
              }
            }
          }],
          "name" : [{
            "id" : "xsAID",
            "use" : "usual",
            "family" : "LEEDS",
            "given" : ["Rob",
            "null"],
            "prefix" : ["Mr"],
            "period" : {
              "start" : "2022-07-26"
            }
          }],
          "gender" : "unknown",
          "birthDate" : "1978-01-17",
          "address" : [{
            "id" : "WaIHi",
            "use" : "home",
            "line" : ["Maison Lane",
            "LEEDS",
            "null"],
            "postalCode" : "LS8 2HH",
            "period" : {
              "start" : "2020-02-06"
            }
          }],
          "generalPractitioner" : [{
            "id" : "SnaoK",
            "type" : "Organization",
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "B86016",
              "period" : {
                "start" : "2024-03-25"
              }
            }
          }]
        }
      },
      {
        "fullUrl" : "urn:uuid:4c5c6037-4210-4857-bda7-0a745bdd3434",
        "resource" : {
          "resourceType" : "Observation",
          "meta" : {
            "profile" : ["https://fhir.nwgenomics.nhs.uk/StructureDefinition/GenomicStudyPanel"]
          },
          "identifier" : [{
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "FILL"
              }]
            },
            "system" : "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
            "value" : "T25-0209",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "699X0"
              }
            }
          }],
          "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" : "81306-3",
              "display" : "Variables that apply to the overall study"
            }]
          },
          "subject" : {
            "reference" : "urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4",
            "identifier" : {
              "type" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NH"
                }]
              },
              "system" : "https://fhir.nhs.uk/Id/nhs-number",
              "value" : "9737383222"
            }
          },
          "effectiveDateTime" : "2025-10-14T15:59:16+00:00",
          "component" : [{
            "code" : {
              "coding" : [{
                "system" : "http://loinc.org",
                "code" : "51967-8"
              }]
            },
            "valueCodeableConcept" : {
              "coding" : [{
                "system" : "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication",
                "code" : "R125"
              }]
            }
          }]
        }
      },
      {
        "fullUrl" : "urn:uuid:170cecad-2183-486f-8240-73e0340d9c44",
        "resource" : {
          "resourceType" : "DocumentReference",
          "identifier" : [{
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "FILL"
              }]
            },
            "system" : "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
            "value" : "T25-0209",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "699X0"
              }
            }
          }],
          "status" : "current",
          "type" : {
            "coding" : [{
              "system" : "http://snomed.info/sct",
              "code" : "1054161000000101",
              "display" : "Genetic report"
            }]
          },
          "subject" : {
            "reference" : "urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4",
            "identifier" : {
              "type" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NH"
                }]
              },
              "system" : "https://fhir.nhs.uk/Id/nhs-number",
              "value" : "9737383222"
            }
          },
          "date" : "2025-10-14T15:59:16+00:00",
          "custodian" : {
            "type" : "Organization",
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "699X0"
            }
          },
          "content" : [{
            "attachment" : {
              "contentType" : "application/pdf",
              "url" : "urn:uuid:b124252c-5006-4573-9e63-e1e1ffd58597"
            }
          }],
          "context" : {
            "period" : {
              "start" : "2025-10-14T15:59:16+00:00",
              "end" : "2025-10-14T15:59:16+00:00"
            },
            "sourcePatientInfo" : {
              "identifier" : {
                "type" : {
                  "coding" : [{
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                    "code" : "MR"
                  }]
                },
                "value" : "L765432",
                "assigner" : {
                  "identifier" : {
                    "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                    "value" : "RR8"
                  }
                }
              }
            },
            "related" : [{
              "reference" : "urn:uuid:375c2e0e-b2a2-483a-b284-519a9ca94c72",
              "type" : "ServiceRequest",
              "identifier" : {
                "type" : {
                  "coding" : [{
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                    "code" : "PLAC"
                  }]
                },
                "value" : "1000152872",
                "assigner" : {
                  "identifier" : {
                    "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                    "value" : "RR8"
                  }
                }
              }
            },
            {
              "reference" : "urn:uuid:0a19f99a-c393-4b7f-9246-281710896d21",
              "type" : "DiagnosticReport",
              "identifier" : {
                "type" : {
                  "coding" : [{
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                    "code" : "FILL"
                  }]
                },
                "system" : "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
                "value" : "T25-0209",
                "assigner" : {
                  "identifier" : {
                    "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                    "value" : "699X0"
                  }
                }
              }
            }]
          }
        }
      },
      {
        "fullUrl" : "urn:uuid:da13e50a-a109-4af3-96a7-ae6cdfb2aaac",
        "resource" : {
          "resourceType" : "Specimen",
          "identifier" : [{
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "PLAC"
              }]
            },
            "value" : "T25-0209"
          }],
          "status" : "unavailable",
          "subject" : {
            "reference" : "urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4",
            "identifier" : {
              "type" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NH"
                }]
              },
              "system" : "https://fhir.nhs.uk/Id/nhs-number",
              "value" : "9737383222"
            }
          },
          "receivedTime" : "2025-10-06T00:00:00+00:00"
        }
      },
      {
        "fullUrl" : "urn:uuid:375c2e0e-b2a2-483a-b284-519a9ca94c72",
        "resource" : {
          "resourceType" : "ServiceRequest",
          "identifier" : [{
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "PLAC"
              }]
            },
            "value" : "1000152872",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "RR8"
              }
            }
          }],
          "status" : "completed",
          "intent" : "order",
          "category" : [{
            "coding" : [{
              "system" : "http://snomed.info/sct",
              "code" : "116148004"
            }]
          }],
          "code" : {
            "coding" : [{
              "system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
              "code" : "R125.1",
              "display" : "Thoracic aortic aneurysm or dissection (WES or Medium Panel)"
            }]
          },
          "subject" : {
            "reference" : "urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4",
            "identifier" : {
              "type" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NH"
                }]
              },
              "system" : "https://fhir.nhs.uk/Id/nhs-number",
              "value" : "9737383222"
            }
          },
          "requester" : {
            "type" : "Organization",
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "RR8"
            },
            "display" : "Leeds Teaching Trust"
          },
          "reasonCode" : [{
            "coding" : [{
              "system" : "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication",
              "code" : "R125"
            }]
          }],
          "specimen" : [{
            "reference" : "urn:uuid:da13e50a-a109-4af3-96a7-ae6cdfb2aaac",
            "type" : "Specimen"
          }]
        }
      },
      {
        "fullUrl" : "urn:uuid:0a19f99a-c393-4b7f-9246-281710896d21",
        "resource" : {
          "resourceType" : "DiagnosticReport",
          "identifier" : [{
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "FILL"
              }]
            },
            "system" : "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
            "value" : "T25-0209",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "699X0"
              }
            }
          }],
          "basedOn" : [{
            "reference" : "urn:uuid:375c2e0e-b2a2-483a-b284-519a9ca94c72",
            "type" : "ServiceRequest",
            "identifier" : {
              "type" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PLAC"
                }]
              },
              "value" : "1000152872",
              "assigner" : {
                "identifier" : {
                  "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                  "value" : "RR8"
                }
              }
            }
          }],
          "status" : "final",
          "category" : [{
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
              "code" : "GE"
            }]
          }],
          "code" : {
            "coding" : [{
              "system" : "https://fhir.nwgenomics.nhs.uk/CodeSystem/IGEAP",
              "code" : "R125_Cardiology",
              "display" : "PANEL: R125.1, R125.2 - Thoracic aortic aneurysm and dissection v1.2"
            },
            {
              "system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
              "code" : "R125.1",
              "display" : "Thoracic aortic aneurysm or dissection (WES or Medium Panel)"
            }]
          },
          "subject" : {
            "reference" : "urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4",
            "identifier" : {
              "type" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NH"
                }]
              },
              "system" : "https://fhir.nhs.uk/Id/nhs-number",
              "value" : "9737383222"
            }
          },
          "effectiveDateTime" : "2025-10-14T15:59:16+00:00",
          "issued" : "2025-10-14T15:59:16+00:00",
          "performer" : [{
            "type" : "Organization",
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "699X0"
            },
            "display" : "NHS North West Genomics"
          }],
          "resultsInterpreter" : [{
            "display" : "Jonathan Edgerley"
          }],
          "specimen" : [{
            "reference" : "urn:uuid:da13e50a-a109-4af3-96a7-ae6cdfb2aaac",
            "type" : "Specimen"
          }],
          "result" : [{
            "reference" : "urn:uuid:4c5c6037-4210-4857-bda7-0a745bdd3434",
            "type" : "Observation",
            "display" : "Variables that apply to the overall study"
          }],
          "presentedForm" : [{
            "contentType" : "application/pdf",
            "url" : "urn:uuid:b124252c-5006-4573-9e63-e1e1ffd58597"
          }]
        }
      }]
    }
  },
  {
    "resource" : {
      "resourceType" : "Bundle",
      "id" : "6",
      "identifier" : {
        "value" : "ORIE-251014-9"
      },
      "type" : "message",
      "timestamp" : "2025-10-14T15:59:42+00:00",
      "entry" : [{
        "fullUrl" : "urn:uuid:dcd8896b-d243-4f1e-ad10-b5b7d9c6e6cd",
        "resource" : {
          "resourceType" : "MessageHeader",
          "eventCoding" : {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0003",
            "code" : "R01"
          },
          "destination" : [{
            "endpoint" : "https//fhir.mft.nhs.uk/Endpoint/EPIC",
            "receiver" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "699N0"
              }
            }
          }],
          "sender" : {
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "699X0"
            }
          },
          "source" : {
            "software" : "NW GLH",
            "endpoint" : "https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE"
          },
          "focus" : [{
            "reference" : "urn:uuid:02d79983-d8e1-4060-a1ce-8d008ce513c5"
          }]
        }
      },
      {
        "fullUrl" : "urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558",
        "resource" : {
          "resourceType" : "Patient",
          "identifier" : [{
            "extension" : [{
              "url" : "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus",
              "valueCodeableConcept" : {
                "coding" : [{
                  "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland",
                  "code" : "01",
                  "display" : "Number present and verified"
                }]
              }
            }],
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "NH"
              }]
            },
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9737383222",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "X24"
              }
            }
          },
          {
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "MR"
              }]
            },
            "value" : "L765432",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "RR8"
              }
            }
          }],
          "name" : [{
            "id" : "xsAID",
            "use" : "usual",
            "family" : "LEEDS",
            "given" : ["Rob",
            "null"],
            "prefix" : ["Mr"],
            "period" : {
              "start" : "2022-07-26"
            }
          }],
          "gender" : "unknown",
          "birthDate" : "1978-01-17",
          "address" : [{
            "id" : "WaIHi",
            "use" : "home",
            "line" : ["Maison Lane",
            "LEEDS",
            "null"],
            "postalCode" : "LS8 2HH",
            "period" : {
              "start" : "2020-02-06"
            }
          }],
          "generalPractitioner" : [{
            "id" : "SnaoK",
            "type" : "Organization",
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "B86016",
              "period" : {
                "start" : "2024-03-25"
              }
            }
          }]
        }
      },
      {
        "fullUrl" : "urn:uuid:c9dc399a-348e-49ce-9392-acd2cbfd8e9e",
        "resource" : {
          "resourceType" : "Observation",
          "meta" : {
            "profile" : ["https://fhir.nwgenomics.nhs.uk/StructureDefinition/GenomicStudyPanel"]
          },
          "identifier" : [{
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "FILL"
              }]
            },
            "system" : "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
            "value" : "T25-0209",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "699X0"
              }
            }
          }],
          "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" : "81306-3",
              "display" : "Variables that apply to the overall study"
            }]
          },
          "subject" : {
            "reference" : "urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558",
            "identifier" : {
              "type" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NH"
                }]
              },
              "system" : "https://fhir.nhs.uk/Id/nhs-number",
              "value" : "9737383222"
            }
          },
          "effectiveDateTime" : "2025-10-14T15:59:16+00:00",
          "component" : [{
            "code" : {
              "coding" : [{
                "system" : "http://loinc.org",
                "code" : "51967-8"
              }]
            },
            "valueCodeableConcept" : {
              "coding" : [{
                "system" : "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication",
                "code" : "R125"
              }]
            }
          }]
        }
      },
      {
        "fullUrl" : "urn:uuid:3b117e08-ab0a-481c-832e-b6d1d7ef4a22",
        "resource" : {
          "resourceType" : "DocumentReference",
          "identifier" : [{
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "FILL"
              }]
            },
            "system" : "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
            "value" : "T25-0209",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "699X0"
              }
            }
          }],
          "status" : "current",
          "type" : {
            "coding" : [{
              "system" : "http://snomed.info/sct",
              "code" : "1054161000000101",
              "display" : "Genetic report"
            }]
          },
          "subject" : {
            "reference" : "urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558",
            "identifier" : {
              "type" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NH"
                }]
              },
              "system" : "https://fhir.nhs.uk/Id/nhs-number",
              "value" : "9737383222"
            }
          },
          "date" : "2025-10-14T15:59:16+00:00",
          "custodian" : {
            "type" : "Organization",
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "699X0"
            }
          },
          "content" : [{
            "attachment" : {
              "contentType" : "application/pdf",
              "url" : "urn:uuid:d17a6d33-235c-4e22-a456-c0bd30e53332"
            }
          }],
          "context" : {
            "period" : {
              "start" : "2025-10-14T15:59:16+00:00",
              "end" : "2025-10-14T15:59:16+00:00"
            },
            "sourcePatientInfo" : {
              "identifier" : {
                "type" : {
                  "coding" : [{
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                    "code" : "MR"
                  }]
                },
                "value" : "L765432",
                "assigner" : {
                  "identifier" : {
                    "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                    "value" : "RR8"
                  }
                }
              }
            },
            "related" : [{
              "reference" : "urn:uuid:f306edf2-1abe-4c2a-9c58-deea54cbdcb6",
              "type" : "ServiceRequest",
              "identifier" : {
                "type" : {
                  "coding" : [{
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                    "code" : "PLAC"
                  }]
                },
                "value" : "1000152872",
                "assigner" : {
                  "identifier" : {
                    "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                    "value" : "RR8"
                  }
                }
              }
            },
            {
              "reference" : "urn:uuid:02d79983-d8e1-4060-a1ce-8d008ce513c5",
              "type" : "DiagnosticReport",
              "identifier" : {
                "type" : {
                  "coding" : [{
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                    "code" : "FILL"
                  }]
                },
                "system" : "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
                "value" : "T25-0209",
                "assigner" : {
                  "identifier" : {
                    "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                    "value" : "699X0"
                  }
                }
              }
            }]
          }
        }
      },
      {
        "fullUrl" : "urn:uuid:1cbdb4dc-1961-4f76-8d12-c25e26ad6b8b",
        "resource" : {
          "resourceType" : "Specimen",
          "identifier" : [{
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "PLAC"
              }]
            },
            "value" : "T25-0209"
          }],
          "status" : "unavailable",
          "subject" : {
            "reference" : "urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558",
            "identifier" : {
              "type" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NH"
                }]
              },
              "system" : "https://fhir.nhs.uk/Id/nhs-number",
              "value" : "9737383222"
            }
          },
          "receivedTime" : "2025-10-06T00:00:00+00:00"
        }
      },
      {
        "fullUrl" : "urn:uuid:f306edf2-1abe-4c2a-9c58-deea54cbdcb6",
        "resource" : {
          "resourceType" : "ServiceRequest",
          "identifier" : [{
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "PLAC"
              }]
            },
            "value" : "1000152872",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "RR8"
              }
            }
          }],
          "status" : "completed",
          "intent" : "order",
          "category" : [{
            "coding" : [{
              "system" : "http://snomed.info/sct",
              "code" : "116148004"
            }]
          }],
          "code" : {
            "coding" : [{
              "system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
              "code" : "R125.1",
              "display" : "Thoracic aortic aneurysm or dissection (WES or Medium Panel)"
            }]
          },
          "subject" : {
            "reference" : "urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558",
            "identifier" : {
              "type" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NH"
                }]
              },
              "system" : "https://fhir.nhs.uk/Id/nhs-number",
              "value" : "9737383222"
            }
          },
          "requester" : {
            "type" : "Organization",
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "RR8"
            },
            "display" : "Leeds Teaching Trust"
          },
          "reasonCode" : [{
            "coding" : [{
              "system" : "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication",
              "code" : "R125"
            }]
          }],
          "specimen" : [{
            "reference" : "urn:uuid:1cbdb4dc-1961-4f76-8d12-c25e26ad6b8b",
            "type" : "Specimen"
          }]
        }
      },
      {
        "fullUrl" : "urn:uuid:02d79983-d8e1-4060-a1ce-8d008ce513c5",
        "resource" : {
          "resourceType" : "DiagnosticReport",
          "identifier" : [{
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "FILL"
              }]
            },
            "system" : "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
            "value" : "T25-0209",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "699X0"
              }
            }
          }],
          "basedOn" : [{
            "reference" : "urn:uuid:f306edf2-1abe-4c2a-9c58-deea54cbdcb6",
            "type" : "ServiceRequest",
            "identifier" : {
              "type" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PLAC"
                }]
              },
              "value" : "1000152872",
              "assigner" : {
                "identifier" : {
                  "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                  "value" : "RR8"
                }
              }
            }
          }],
          "status" : "final",
          "category" : [{
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
              "code" : "GE"
            }]
          }],
          "code" : {
            "coding" : [{
              "system" : "https://fhir.nwgenomics.nhs.uk/CodeSystem/IGEAP",
              "code" : "R125_Cardiology",
              "display" : "PANEL: R125.1, R125.2 - Thoracic aortic aneurysm and dissection v1.2"
            },
            {
              "system" : "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
              "code" : "R125.1",
              "display" : "Thoracic aortic aneurysm or dissection (WES or Medium Panel)"
            }]
          },
          "subject" : {
            "reference" : "urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558",
            "identifier" : {
              "type" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NH"
                }]
              },
              "system" : "https://fhir.nhs.uk/Id/nhs-number",
              "value" : "9737383222"
            }
          },
          "effectiveDateTime" : "2025-10-14T15:59:16+00:00",
          "issued" : "2025-10-14T15:59:16+00:00",
          "performer" : [{
            "type" : "Organization",
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "699X0"
            },
            "display" : "NHS North West Genomics"
          }],
          "resultsInterpreter" : [{
            "display" : "Jonathan Edgerley"
          }],
          "specimen" : [{
            "reference" : "urn:uuid:1cbdb4dc-1961-4f76-8d12-c25e26ad6b8b",
            "type" : "Specimen"
          }],
          "result" : [{
            "reference" : "urn:uuid:c9dc399a-348e-49ce-9392-acd2cbfd8e9e",
            "type" : "Observation",
            "display" : "Variables that apply to the overall study"
          }],
          "presentedForm" : [{
            "contentType" : "application/pdf",
            "url" : "urn:uuid:d17a6d33-235c-4e22-a456-c0bd30e53332"
          }]
        }
      }]
    }
  }]
}