@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<https://fhir.nwgenomics.nhs.uk/Bundle/312fb428-0f63-4814-b6e3-ed6aa6e6bbe0> a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "312fb428-0f63-4814-b6e3-ed6aa6e6bbe0"] ; # 
  fhir:type [ fhir:v "searchset"] ; # 
  fhir:total [ fhir:v "4"^^xsd:nonNegativeInteger] ; # 
  fhir:entry ( [
     fhir:resource ( [
       a fhir:Bundle ;
       fhir:id [ fhir:v "3" ] ;
       fhir:identifier [
         fhir:value [ fhir:v "ORIE-251014-9" ]
       ] ;
       fhir:type [ fhir:v "message" ] ;
       fhir:timestamp [ fhir:v "2025-10-14T15:59:42+00:00"^^xsd:dateTime ] ;
       fhir:entry ( [
         fhir:fullUrl [
           fhir:v "urn:uuid:1f61a763-fd60-4cbd-b74f-47b81d05873c"^^xsd:anyURI ;
           fhir:l <urn:uuid:1f61a763-fd60-4cbd-b74f-47b81d05873c>
         ] ;
         fhir:resource ( <urn:uuid:1f61a763-fd60-4cbd-b74f-47b81d05873c> )
       ] [
         fhir:fullUrl [
           fhir:v "urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875"^^xsd:anyURI ;
           fhir:l <urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875>
         ] ;
         fhir:resource ( <urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875> )
       ] [
         fhir:fullUrl [
           fhir:v "urn:uuid:cd836a79-fea2-4836-801b-56ab8588defc"^^xsd:anyURI ;
           fhir:l <urn:uuid:cd836a79-fea2-4836-801b-56ab8588defc>
         ] ;
         fhir:resource ( <urn:uuid:cd836a79-fea2-4836-801b-56ab8588defc> )
       ] [
         fhir:fullUrl [
           fhir:v "urn:uuid:852dd227-a58f-4777-beb3-c365186b98be"^^xsd:anyURI ;
           fhir:l <urn:uuid:852dd227-a58f-4777-beb3-c365186b98be>
         ] ;
         fhir:resource ( <urn:uuid:852dd227-a58f-4777-beb3-c365186b98be> )
       ] [
         fhir:fullUrl [
           fhir:v "urn:uuid:4af75ffe-adaf-4a05-91f3-11d4ad22e960"^^xsd:anyURI ;
           fhir:l <urn:uuid:4af75ffe-adaf-4a05-91f3-11d4ad22e960>
         ] ;
         fhir:resource ( <urn:uuid:4af75ffe-adaf-4a05-91f3-11d4ad22e960> )
       ] [
         fhir:fullUrl [
           fhir:v "urn:uuid:3ec14724-9e7c-422f-9fdd-815b723e565c"^^xsd:anyURI ;
           fhir:l <urn:uuid:3ec14724-9e7c-422f-9fdd-815b723e565c>
         ] ;
         fhir:resource ( <urn:uuid:3ec14724-9e7c-422f-9fdd-815b723e565c> )
       ] [
         fhir:fullUrl [
           fhir:v "urn:uuid:f695baec-9a23-47c3-8fb1-a5496a6da2df"^^xsd:anyURI ;
           fhir:l <urn:uuid:f695baec-9a23-47c3-8fb1-a5496a6da2df>
         ] ;
         fhir:resource ( <urn:uuid:f695baec-9a23-47c3-8fb1-a5496a6da2df> )
       ] )
     ] )
  ] [
     fhir:resource ( [
       a fhir:Bundle ;
       fhir:id [ fhir:v "4" ] ;
       fhir:identifier [
         fhir:value [ fhir:v "ORIE-251014-9" ]
       ] ;
       fhir:type [ fhir:v "message" ] ;
       fhir:timestamp [ fhir:v "2025-10-14T15:59:42+00:00"^^xsd:dateTime ] ;
       fhir:entry ( [
         fhir:fullUrl [
           fhir:v "urn:uuid:36c3ba17-2e21-4b9a-9e55-e391bfc8ccbb"^^xsd:anyURI ;
           fhir:l <urn:uuid:36c3ba17-2e21-4b9a-9e55-e391bfc8ccbb>
         ] ;
         fhir:resource ( <urn:uuid:36c3ba17-2e21-4b9a-9e55-e391bfc8ccbb> )
       ] [
         fhir:fullUrl [
           fhir:v "urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71"^^xsd:anyURI ;
           fhir:l <urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71>
         ] ;
         fhir:resource ( <urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71> )
       ] [
         fhir:fullUrl [
           fhir:v "urn:uuid:66c938b5-cd92-481d-95ed-36d5fb8270bd"^^xsd:anyURI ;
           fhir:l <urn:uuid:66c938b5-cd92-481d-95ed-36d5fb8270bd>
         ] ;
         fhir:resource ( <urn:uuid:66c938b5-cd92-481d-95ed-36d5fb8270bd> )
       ] [
         fhir:fullUrl [
           fhir:v "urn:uuid:e4b9d5c9-d143-4720-8ba4-8da7b4de7083"^^xsd:anyURI ;
           fhir:l <urn:uuid:e4b9d5c9-d143-4720-8ba4-8da7b4de7083>
         ] ;
         fhir:resource ( <urn:uuid:e4b9d5c9-d143-4720-8ba4-8da7b4de7083> )
       ] [
         fhir:fullUrl [
           fhir:v "urn:uuid:a92fe3b1-396d-4455-bdde-7af0439da62c"^^xsd:anyURI ;
           fhir:l <urn:uuid:a92fe3b1-396d-4455-bdde-7af0439da62c>
         ] ;
         fhir:resource ( <urn:uuid:a92fe3b1-396d-4455-bdde-7af0439da62c> )
       ] [
         fhir:fullUrl [
           fhir:v "urn:uuid:c2f9fc13-77c8-449c-ac8d-dcdf545d5f8f"^^xsd:anyURI ;
           fhir:l <urn:uuid:c2f9fc13-77c8-449c-ac8d-dcdf545d5f8f>
         ] ;
         fhir:resource ( <urn:uuid:c2f9fc13-77c8-449c-ac8d-dcdf545d5f8f> )
       ] [
         fhir:fullUrl [
           fhir:v "urn:uuid:6cef3146-336a-4061-945a-6cad51832bad"^^xsd:anyURI ;
           fhir:l <urn:uuid:6cef3146-336a-4061-945a-6cad51832bad>
         ] ;
         fhir:resource ( <urn:uuid:6cef3146-336a-4061-945a-6cad51832bad> )
       ] )
     ] )
  ] [
     fhir:resource ( [
       a fhir:Bundle ;
       fhir:id [ fhir:v "5" ] ;
       fhir:identifier [
         fhir:value [ fhir:v "ORIE-251014-9" ]
       ] ;
       fhir:type [ fhir:v "message" ] ;
       fhir:timestamp [ fhir:v "2025-10-14T15:59:42+00:00"^^xsd:dateTime ] ;
       fhir:entry ( [
         fhir:fullUrl [
           fhir:v "urn:uuid:73ed21ec-6d7c-4345-8435-27edb774982e"^^xsd:anyURI ;
           fhir:l <urn:uuid:73ed21ec-6d7c-4345-8435-27edb774982e>
         ] ;
         fhir:resource ( <urn:uuid:73ed21ec-6d7c-4345-8435-27edb774982e> )
       ] [
         fhir:fullUrl [
           fhir:v "urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4"^^xsd:anyURI ;
           fhir:l <urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4>
         ] ;
         fhir:resource ( <urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4> )
       ] [
         fhir:fullUrl [
           fhir:v "urn:uuid:4c5c6037-4210-4857-bda7-0a745bdd3434"^^xsd:anyURI ;
           fhir:l <urn:uuid:4c5c6037-4210-4857-bda7-0a745bdd3434>
         ] ;
         fhir:resource ( <urn:uuid:4c5c6037-4210-4857-bda7-0a745bdd3434> )
       ] [
         fhir:fullUrl [
           fhir:v "urn:uuid:170cecad-2183-486f-8240-73e0340d9c44"^^xsd:anyURI ;
           fhir:l <urn:uuid:170cecad-2183-486f-8240-73e0340d9c44>
         ] ;
         fhir:resource ( <urn:uuid:170cecad-2183-486f-8240-73e0340d9c44> )
       ] [
         fhir:fullUrl [
           fhir:v "urn:uuid:da13e50a-a109-4af3-96a7-ae6cdfb2aaac"^^xsd:anyURI ;
           fhir:l <urn:uuid:da13e50a-a109-4af3-96a7-ae6cdfb2aaac>
         ] ;
         fhir:resource ( <urn:uuid:da13e50a-a109-4af3-96a7-ae6cdfb2aaac> )
       ] [
         fhir:fullUrl [
           fhir:v "urn:uuid:375c2e0e-b2a2-483a-b284-519a9ca94c72"^^xsd:anyURI ;
           fhir:l <urn:uuid:375c2e0e-b2a2-483a-b284-519a9ca94c72>
         ] ;
         fhir:resource ( <urn:uuid:375c2e0e-b2a2-483a-b284-519a9ca94c72> )
       ] [
         fhir:fullUrl [
           fhir:v "urn:uuid:0a19f99a-c393-4b7f-9246-281710896d21"^^xsd:anyURI ;
           fhir:l <urn:uuid:0a19f99a-c393-4b7f-9246-281710896d21>
         ] ;
         fhir:resource ( <urn:uuid:0a19f99a-c393-4b7f-9246-281710896d21> )
       ] )
     ] )
  ] [
     fhir:resource ( [
       a fhir:Bundle ;
       fhir:id [ fhir:v "6" ] ;
       fhir:identifier [
         fhir:value [ fhir:v "ORIE-251014-9" ]
       ] ;
       fhir:type [ fhir:v "message" ] ;
       fhir:timestamp [ fhir:v "2025-10-14T15:59:42+00:00"^^xsd:dateTime ] ;
       fhir:entry ( [
         fhir:fullUrl [
           fhir:v "urn:uuid:dcd8896b-d243-4f1e-ad10-b5b7d9c6e6cd"^^xsd:anyURI ;
           fhir:l <urn:uuid:dcd8896b-d243-4f1e-ad10-b5b7d9c6e6cd>
         ] ;
         fhir:resource ( <urn:uuid:dcd8896b-d243-4f1e-ad10-b5b7d9c6e6cd> )
       ] [
         fhir:fullUrl [
           fhir:v "urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558"^^xsd:anyURI ;
           fhir:l <urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558>
         ] ;
         fhir:resource ( <urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558> )
       ] [
         fhir:fullUrl [
           fhir:v "urn:uuid:c9dc399a-348e-49ce-9392-acd2cbfd8e9e"^^xsd:anyURI ;
           fhir:l <urn:uuid:c9dc399a-348e-49ce-9392-acd2cbfd8e9e>
         ] ;
         fhir:resource ( <urn:uuid:c9dc399a-348e-49ce-9392-acd2cbfd8e9e> )
       ] [
         fhir:fullUrl [
           fhir:v "urn:uuid:3b117e08-ab0a-481c-832e-b6d1d7ef4a22"^^xsd:anyURI ;
           fhir:l <urn:uuid:3b117e08-ab0a-481c-832e-b6d1d7ef4a22>
         ] ;
         fhir:resource ( <urn:uuid:3b117e08-ab0a-481c-832e-b6d1d7ef4a22> )
       ] [
         fhir:fullUrl [
           fhir:v "urn:uuid:1cbdb4dc-1961-4f76-8d12-c25e26ad6b8b"^^xsd:anyURI ;
           fhir:l <urn:uuid:1cbdb4dc-1961-4f76-8d12-c25e26ad6b8b>
         ] ;
         fhir:resource ( <urn:uuid:1cbdb4dc-1961-4f76-8d12-c25e26ad6b8b> )
       ] [
         fhir:fullUrl [
           fhir:v "urn:uuid:f306edf2-1abe-4c2a-9c58-deea54cbdcb6"^^xsd:anyURI ;
           fhir:l <urn:uuid:f306edf2-1abe-4c2a-9c58-deea54cbdcb6>
         ] ;
         fhir:resource ( <urn:uuid:f306edf2-1abe-4c2a-9c58-deea54cbdcb6> )
       ] [
         fhir:fullUrl [
           fhir:v "urn:uuid:02d79983-d8e1-4060-a1ce-8d008ce513c5"^^xsd:anyURI ;
           fhir:l <urn:uuid:02d79983-d8e1-4060-a1ce-8d008ce513c5>
         ] ;
         fhir:resource ( <urn:uuid:02d79983-d8e1-4060-a1ce-8d008ce513c5> )
       ] )
     ] )
  ] ) . # 

<urn:uuid:1f61a763-fd60-4cbd-b74f-47b81d05873c> a fhir:MessageHeader ;
  fhir:event [
     a fhir:Coding ;
     fhir:system [
       fhir:v "http://terminology.hl7.org/CodeSystem/v2-0003"^^xsd:anyURI ;
       fhir:l <http://terminology.hl7.org/CodeSystem/v2-0003>
     ] ;
     fhir:code [ fhir:v "R01" ]
  ] ; # 
  fhir:destination ( [
     fhir:endpoint [
       fhir:v "https//fhir.mft.nhs.uk/Endpoint/EPIC"^^xsd:anyURI ;
       fhir:l <https://fhir.nwgenomics.nhs.uk/https//fhir.mft.nhs.uk/Endpoint/EPIC>
     ] ;
     fhir:receiver [
       fhir:identifier [
         fhir:system [
           fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
           fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
         ] ;
         fhir:value [ fhir:v "699N0" ]
       ]
     ]
  ] ) ; # 
  fhir:sender [
     fhir:identifier [
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
       ] ;
       fhir:value [ fhir:v "699X0" ]
     ]
  ] ; # 
  fhir:source [
     fhir:software [ fhir:v "NW GLH" ] ;
     fhir:endpoint [
       fhir:v "https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE"^^xsd:anyURI ;
       fhir:l <https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE>
     ]
  ] ; # 
  fhir:focus ( [
     fhir:l <urn:uuid:f695baec-9a23-47c3-8fb1-a5496a6da2df> ;
     fhir:reference [ fhir:v "urn:uuid:f695baec-9a23-47c3-8fb1-a5496a6da2df" ]
  ] ) . # 

<urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875> a fhir:Patient ;
  fhir:identifier ( [
     fhir:extension ( [
       fhir:url [
         fhir:v "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus"^^xsd:anyURI ;
         fhir:l <https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus>
       ] ;
       fhir:value [
         a fhir:CodeableConcept ;
         fhir:coding ( [
           fhir:system [
             fhir:v "https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland"^^xsd:anyURI ;
             fhir:l <https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland>
           ] ;
           fhir:code [ fhir:v "01" ] ;
           fhir:display [ fhir:v "Number present and verified" ]
         ] )
       ]
     ] ) ;
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
         ] ;
         fhir:code [ fhir:v "NH" ]
       ] )
     ] ;
     fhir:system [
       fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ;
       fhir:l <https://fhir.nhs.uk/Id/nhs-number>
     ] ;
     fhir:value [ fhir:v "9737383222" ] ;
     fhir:assigner [
       fhir:identifier [
         fhir:system [
           fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
           fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
         ] ;
         fhir:value [ fhir:v "X24" ]
       ]
     ]
  ] [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
         ] ;
         fhir:code [ fhir:v "MR" ]
       ] )
     ] ;
     fhir:value [ fhir:v "L765432" ] ;
     fhir:assigner [
       fhir:identifier [
         fhir:system [
           fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
           fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
         ] ;
         fhir:value [ fhir:v "RR8" ]
       ]
     ]
  ] ) ; # 
  fhir:name ( [
     fhir:id [ fhir:v "xsAID" ] ;
     fhir:use [ fhir:v "usual" ] ;
     fhir:family [ fhir:v "LEEDS" ] ;
     fhir:given ( [ fhir:v "Rob" ] [ fhir:v "null" ] ) ;
     fhir:prefix ( [ fhir:v "Mr" ] ) ;
     fhir:period [
       fhir:start [ fhir:v "2022-07-26"^^xsd:date ]
     ]
  ] ) ; # 
  fhir:gender [ fhir:v "unknown"] ; # 
  fhir:birthDate [ fhir:v "1978-01-17"^^xsd:date] ; # 
  fhir:address ( [
     fhir:id [ fhir:v "WaIHi" ] ;
     fhir:use [ fhir:v "home" ] ;
     fhir:line ( [ fhir:v "Maison Lane" ] [ fhir:v "LEEDS" ] [ fhir:v "null" ] ) ;
     fhir:postalCode [ fhir:v "LS8 2HH" ] ;
     fhir:period [
       fhir:start [ fhir:v "2020-02-06"^^xsd:date ]
     ]
  ] ) ; # 
  fhir:generalPractitioner ( [
     fhir:id [ fhir:v "SnaoK" ] ;
     fhir:type [
       fhir:v "Organization"^^xsd:anyURI ;
       fhir:l fhir:Organization
     ] ;
     fhir:identifier [
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
       ] ;
       fhir:value [ fhir:v "B86016" ] ;
       fhir:period [
         fhir:start [ fhir:v "2024-03-25"^^xsd:date ]
       ]
     ]
  ] ) . # 

<urn:uuid:cd836a79-fea2-4836-801b-56ab8588defc> a fhir:Observation ;
  fhir:meta [
     fhir:profile ( [
       fhir:v "https://fhir.nwgenomics.nhs.uk/StructureDefinition/GenomicStudyPanel"^^xsd:anyURI ;
       fhir:l <https://fhir.nwgenomics.nhs.uk/StructureDefinition/GenomicStudyPanel>
     ] )
  ] ; # 
  fhir:identifier ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
         ] ;
         fhir:code [ fhir:v "FILL" ]
       ] )
     ] ;
     fhir:system [
       fhir:v "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"^^xsd:anyURI ;
       fhir:l <https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier>
     ] ;
     fhir:value [ fhir:v "T25-0209" ] ;
     fhir:assigner [
       fhir:identifier [
         fhir:system [
           fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
           fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
         ] ;
         fhir:value [ fhir:v "699X0" ]
       ]
     ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:category ( [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>
       ] ;
       fhir:code [ fhir:v "laboratory" ]
     ] )
  ] [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/v2-0074"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/v2-0074>
       ] ;
       fhir:code [ fhir:v "GE" ]
     ] )
  ] ) ; # 
  fhir:code [
     fhir:coding ( [
       a loinc:81306-3 ;
       fhir:system [
         fhir:v "http://loinc.org"^^xsd:anyURI ;
         fhir:l <http://loinc.org>
       ] ;
       fhir:code [ fhir:v "81306-3" ] ;
       fhir:display [ fhir:v "Variables that apply to the overall study" ]
     ] )
  ] ; # 
  fhir:subject [
     fhir:l <urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875> ;
     fhir:reference [ fhir:v "urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875" ] ;
     fhir:identifier [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
           ] ;
           fhir:code [ fhir:v "NH" ]
         ] )
       ] ;
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/nhs-number>
       ] ;
       fhir:value [ fhir:v "9737383222" ]
     ]
  ] ; # 
  fhir:effective [
     a fhir:DateTime ;
     fhir:v "2025-10-14T15:59:16+00:00"^^xsd:dateTime
  ] ; # 
  fhir:component ( [
     fhir:code [
       fhir:coding ( [
         a loinc:51967-8 ;
         fhir:system [
           fhir:v "http://loinc.org"^^xsd:anyURI ;
           fhir:l <http://loinc.org>
         ] ;
         fhir:code [ fhir:v "51967-8" ]
       ] )
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         fhir:system [
           fhir:v "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication"^^xsd:anyURI ;
           fhir:l <https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication>
         ] ;
         fhir:code [ fhir:v "R125" ]
       ] )
     ]
  ] ) . # 

<urn:uuid:852dd227-a58f-4777-beb3-c365186b98be> a fhir:DocumentReference ;
  fhir:identifier ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
         ] ;
         fhir:code [ fhir:v "FILL" ]
       ] )
     ] ;
     fhir:system [
       fhir:v "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"^^xsd:anyURI ;
       fhir:l <https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier>
     ] ;
     fhir:value [ fhir:v "T25-0209" ] ;
     fhir:assigner [
       fhir:identifier [
         fhir:system [
           fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
           fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
         ] ;
         fhir:value [ fhir:v "699X0" ]
       ]
     ]
  ] ) ; # 
  fhir:status [ fhir:v "current"] ; # 
  fhir:type [
     fhir:coding ( [
       a sct:1054161000000101 ;
       fhir:system [
         fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
         fhir:l <http://snomed.info/sct>
       ] ;
       fhir:code [ fhir:v "1054161000000101" ] ;
       fhir:display [ fhir:v "Genetic report" ]
     ] )
  ] ; # 
  fhir:subject [
     fhir:l <urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875> ;
     fhir:reference [ fhir:v "urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875" ] ;
     fhir:identifier [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
           ] ;
           fhir:code [ fhir:v "NH" ]
         ] )
       ] ;
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/nhs-number>
       ] ;
       fhir:value [ fhir:v "9737383222" ]
     ]
  ] ; # 
  fhir:date [ fhir:v "2025-10-14T15:59:16+00:00"^^xsd:dateTime] ; # 
  fhir:custodian [
     fhir:type [
       fhir:v "Organization"^^xsd:anyURI ;
       fhir:l fhir:Organization
     ] ;
     fhir:identifier [
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
       ] ;
       fhir:value [ fhir:v "699X0" ]
     ]
  ] ; # 
  fhir:content ( [
     fhir:attachment [
       fhir:contentType [ fhir:v "application/pdf" ] ;
       fhir:url [
         fhir:v "urn:uuid:58a12458-3df1-4feb-9bb6-80dec328cf43"^^xsd:anyURI ;
         fhir:l <urn:uuid:58a12458-3df1-4feb-9bb6-80dec328cf43>
       ]
     ]
  ] ) ; # 
  fhir:context [
     fhir:period [
       fhir:start [ fhir:v "2025-10-14T15:59:16+00:00"^^xsd:dateTime ] ;
       fhir:end [ fhir:v "2025-10-14T15:59:16+00:00"^^xsd:dateTime ]
     ] ;
     fhir:sourcePatientInfo [
       fhir:identifier [
         fhir:type [
           fhir:coding ( [
             fhir:system [
               fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
               fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
             ] ;
             fhir:code [ fhir:v "MR" ]
           ] )
         ] ;
         fhir:value [ fhir:v "L765432" ] ;
         fhir:assigner [
           fhir:identifier [
             fhir:system [
               fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
               fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
             ] ;
             fhir:value [ fhir:v "RR8" ]
           ]
         ]
       ]
     ] ;
     fhir:related ( [
       fhir:l <urn:uuid:3ec14724-9e7c-422f-9fdd-815b723e565c> ;
       fhir:reference [ fhir:v "urn:uuid:3ec14724-9e7c-422f-9fdd-815b723e565c" ] ;
       fhir:type [
         fhir:v "ServiceRequest"^^xsd:anyURI ;
         fhir:l fhir:ServiceRequest
       ] ;
       fhir:identifier [
         fhir:type [
           fhir:coding ( [
             fhir:system [
               fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
               fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
             ] ;
             fhir:code [ fhir:v "PLAC" ]
           ] )
         ] ;
         fhir:value [ fhir:v "1000152872" ] ;
         fhir:assigner [
           fhir:identifier [
             fhir:system [
               fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
               fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
             ] ;
             fhir:value [ fhir:v "RR8" ]
           ]
         ]
       ]
     ] [
       fhir:l <urn:uuid:f695baec-9a23-47c3-8fb1-a5496a6da2df> ;
       fhir:reference [ fhir:v "urn:uuid:f695baec-9a23-47c3-8fb1-a5496a6da2df" ] ;
       fhir:type [
         fhir:v "DiagnosticReport"^^xsd:anyURI ;
         fhir:l fhir:DiagnosticReport
       ] ;
       fhir:identifier [
         fhir:type [
           fhir:coding ( [
             fhir:system [
               fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
               fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
             ] ;
             fhir:code [ fhir:v "FILL" ]
           ] )
         ] ;
         fhir:system [
           fhir:v "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"^^xsd:anyURI ;
           fhir:l <https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier>
         ] ;
         fhir:value [ fhir:v "T25-0209" ] ;
         fhir:assigner [
           fhir:identifier [
             fhir:system [
               fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
               fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
             ] ;
             fhir:value [ fhir:v "699X0" ]
           ]
         ]
       ]
     ] )
  ] . # 

<urn:uuid:4af75ffe-adaf-4a05-91f3-11d4ad22e960> a fhir:Specimen ;
  fhir:identifier ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
         ] ;
         fhir:code [ fhir:v "PLAC" ]
       ] )
     ] ;
     fhir:value [ fhir:v "T25-0209" ]
  ] ) ; # 
  fhir:status [ fhir:v "unavailable"] ; # 
  fhir:subject [
     fhir:l <urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875> ;
     fhir:reference [ fhir:v "urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875" ] ;
     fhir:identifier [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
           ] ;
           fhir:code [ fhir:v "NH" ]
         ] )
       ] ;
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/nhs-number>
       ] ;
       fhir:value [ fhir:v "9737383222" ]
     ]
  ] ; # 
  fhir:receivedTime [ fhir:v "2025-10-06T00:00:00+00:00"^^xsd:dateTime] . # 

<urn:uuid:3ec14724-9e7c-422f-9fdd-815b723e565c> a fhir:ServiceRequest ;
  fhir:identifier ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
         ] ;
         fhir:code [ fhir:v "PLAC" ]
       ] )
     ] ;
     fhir:value [ fhir:v "1000152872" ] ;
     fhir:assigner [
       fhir:identifier [
         fhir:system [
           fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
           fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
         ] ;
         fhir:value [ fhir:v "RR8" ]
       ]
     ]
  ] ) ; # 
  fhir:status [ fhir:v "completed"] ; # 
  fhir:intent [ fhir:v "order"] ; # 
  fhir:category ( [
     fhir:coding ( [
       a sct:116148004 ;
       fhir:system [
         fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
         fhir:l <http://snomed.info/sct>
       ] ;
       fhir:code [ fhir:v "116148004" ]
     ] )
  ] ) ; # 
  fhir:code [
     fhir:coding ( [
       fhir:system [
         fhir:v "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory>
       ] ;
       fhir:code [ fhir:v "R125.1" ] ;
       fhir:display [ fhir:v "Thoracic aortic aneurysm or dissection (WES or Medium Panel)" ]
     ] )
  ] ; # 
  fhir:subject [
     fhir:l <urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875> ;
     fhir:reference [ fhir:v "urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875" ] ;
     fhir:identifier [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
           ] ;
           fhir:code [ fhir:v "NH" ]
         ] )
       ] ;
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/nhs-number>
       ] ;
       fhir:value [ fhir:v "9737383222" ]
     ]
  ] ; # 
  fhir:requester [
     fhir:type [
       fhir:v "Organization"^^xsd:anyURI ;
       fhir:l fhir:Organization
     ] ;
     fhir:identifier [
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
       ] ;
       fhir:value [ fhir:v "RR8" ]
     ] ;
     fhir:display [ fhir:v "Leeds Teaching Trust" ]
  ] ; # 
  fhir:reasonCode ( [
     fhir:coding ( [
       fhir:system [
         fhir:v "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication"^^xsd:anyURI ;
         fhir:l <https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication>
       ] ;
       fhir:code [ fhir:v "R125" ]
     ] )
  ] ) ; # 
  fhir:specimen ( [
     fhir:l <urn:uuid:4af75ffe-adaf-4a05-91f3-11d4ad22e960> ;
     fhir:reference [ fhir:v "urn:uuid:4af75ffe-adaf-4a05-91f3-11d4ad22e960" ] ;
     fhir:type [
       fhir:v "Specimen"^^xsd:anyURI ;
       fhir:l fhir:Specimen
     ]
  ] ) . # 

<urn:uuid:f695baec-9a23-47c3-8fb1-a5496a6da2df> a fhir:DiagnosticReport ;
  fhir:identifier ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
         ] ;
         fhir:code [ fhir:v "FILL" ]
       ] )
     ] ;
     fhir:system [
       fhir:v "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"^^xsd:anyURI ;
       fhir:l <https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier>
     ] ;
     fhir:value [ fhir:v "T25-0209" ] ;
     fhir:assigner [
       fhir:identifier [
         fhir:system [
           fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
           fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
         ] ;
         fhir:value [ fhir:v "699X0" ]
       ]
     ]
  ] ) ; # 
  fhir:basedOn ( [
     fhir:l <urn:uuid:3ec14724-9e7c-422f-9fdd-815b723e565c> ;
     fhir:reference [ fhir:v "urn:uuid:3ec14724-9e7c-422f-9fdd-815b723e565c" ] ;
     fhir:type [
       fhir:v "ServiceRequest"^^xsd:anyURI ;
       fhir:l fhir:ServiceRequest
     ] ;
     fhir:identifier [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
           ] ;
           fhir:code [ fhir:v "PLAC" ]
         ] )
       ] ;
       fhir:value [ fhir:v "1000152872" ] ;
       fhir:assigner [
         fhir:identifier [
           fhir:system [
             fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
             fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
           ] ;
           fhir:value [ fhir:v "RR8" ]
         ]
       ]
     ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:category ( [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/v2-0074"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/v2-0074>
       ] ;
       fhir:code [ fhir:v "GE" ]
     ] )
  ] ) ; # 
  fhir:code [
     fhir:coding ( [
       fhir:system [
         fhir:v "https://fhir.nwgenomics.nhs.uk/CodeSystem/IGEAP"^^xsd:anyURI ;
         fhir:l <https://fhir.nwgenomics.nhs.uk/CodeSystem/IGEAP>
       ] ;
       fhir:code [ fhir:v "R125_Cardiology" ] ;
       fhir:display [ fhir:v "PANEL: R125.1, R125.2 - Thoracic aortic aneurysm and dissection v1.2" ]
     ] [
       fhir:system [
         fhir:v "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory>
       ] ;
       fhir:code [ fhir:v "R125.1" ] ;
       fhir:display [ fhir:v "Thoracic aortic aneurysm or dissection (WES or Medium Panel)" ]
     ] )
  ] ; # 
  fhir:subject [
     fhir:l <urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875> ;
     fhir:reference [ fhir:v "urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875" ] ;
     fhir:identifier [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
           ] ;
           fhir:code [ fhir:v "NH" ]
         ] )
       ] ;
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/nhs-number>
       ] ;
       fhir:value [ fhir:v "9737383222" ]
     ]
  ] ; # 
  fhir:effective [
     a fhir:DateTime ;
     fhir:v "2025-10-14T15:59:16+00:00"^^xsd:dateTime
  ] ; # 
  fhir:issued [ fhir:v "2025-10-14T15:59:16+00:00"^^xsd:dateTime] ; # 
  fhir:performer ( [
     fhir:type [
       fhir:v "Organization"^^xsd:anyURI ;
       fhir:l fhir:Organization
     ] ;
     fhir:identifier [
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
       ] ;
       fhir:value [ fhir:v "699X0" ]
     ] ;
     fhir:display [ fhir:v "NHS North West Genomics" ]
  ] ) ; # 
  fhir:resultsInterpreter ( [
     fhir:display [ fhir:v "Jonathan Edgerley" ]
  ] ) ; # 
  fhir:specimen ( [
     fhir:l <urn:uuid:4af75ffe-adaf-4a05-91f3-11d4ad22e960> ;
     fhir:reference [ fhir:v "urn:uuid:4af75ffe-adaf-4a05-91f3-11d4ad22e960" ] ;
     fhir:type [
       fhir:v "Specimen"^^xsd:anyURI ;
       fhir:l fhir:Specimen
     ]
  ] ) ; # 
  fhir:result ( [
     fhir:l <urn:uuid:cd836a79-fea2-4836-801b-56ab8588defc> ;
     fhir:reference [ fhir:v "urn:uuid:cd836a79-fea2-4836-801b-56ab8588defc" ] ;
     fhir:type [
       fhir:v "Observation"^^xsd:anyURI ;
       fhir:l fhir:Observation
     ] ;
     fhir:display [ fhir:v "Variables that apply to the overall study" ]
  ] ) ; # 
  fhir:presentedForm ( [
     fhir:contentType [ fhir:v "application/pdf" ] ;
     fhir:url [
       fhir:v "urn:uuid:58a12458-3df1-4feb-9bb6-80dec328cf43"^^xsd:anyURI ;
       fhir:l <urn:uuid:58a12458-3df1-4feb-9bb6-80dec328cf43>
     ]
  ] ) . # 

<urn:uuid:36c3ba17-2e21-4b9a-9e55-e391bfc8ccbb> a fhir:MessageHeader ;
  fhir:event [
     a fhir:Coding ;
     fhir:system [
       fhir:v "http://terminology.hl7.org/CodeSystem/v2-0003"^^xsd:anyURI ;
       fhir:l <http://terminology.hl7.org/CodeSystem/v2-0003>
     ] ;
     fhir:code [ fhir:v "R01" ]
  ] ; # 
  fhir:destination ( [
     fhir:endpoint [
       fhir:v "https//fhir.mft.nhs.uk/Endpoint/EPIC"^^xsd:anyURI ;
       fhir:l <https://fhir.nwgenomics.nhs.uk/https//fhir.mft.nhs.uk/Endpoint/EPIC>
     ] ;
     fhir:receiver [
       fhir:identifier [
         fhir:system [
           fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
           fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
         ] ;
         fhir:value [ fhir:v "699N0" ]
       ]
     ]
  ] ) ; # 
  fhir:sender [
     fhir:identifier [
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
       ] ;
       fhir:value [ fhir:v "699X0" ]
     ]
  ] ; # 
  fhir:source [
     fhir:software [ fhir:v "NW GLH" ] ;
     fhir:endpoint [
       fhir:v "https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE"^^xsd:anyURI ;
       fhir:l <https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE>
     ]
  ] ; # 
  fhir:focus ( [
     fhir:l <urn:uuid:6cef3146-336a-4061-945a-6cad51832bad> ;
     fhir:reference [ fhir:v "urn:uuid:6cef3146-336a-4061-945a-6cad51832bad" ]
  ] ) . # 

<urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71> a fhir:Patient ;
  fhir:identifier ( [
     fhir:extension ( [
       fhir:url [
         fhir:v "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus"^^xsd:anyURI ;
         fhir:l <https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus>
       ] ;
       fhir:value [
         a fhir:CodeableConcept ;
         fhir:coding ( [
           fhir:system [
             fhir:v "https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland"^^xsd:anyURI ;
             fhir:l <https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland>
           ] ;
           fhir:code [ fhir:v "01" ] ;
           fhir:display [ fhir:v "Number present and verified" ]
         ] )
       ]
     ] ) ;
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
         ] ;
         fhir:code [ fhir:v "NH" ]
       ] )
     ] ;
     fhir:system [
       fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ;
       fhir:l <https://fhir.nhs.uk/Id/nhs-number>
     ] ;
     fhir:value [ fhir:v "9737383222" ] ;
     fhir:assigner [
       fhir:identifier [
         fhir:system [
           fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
           fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
         ] ;
         fhir:value [ fhir:v "X24" ]
       ]
     ]
  ] [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
         ] ;
         fhir:code [ fhir:v "MR" ]
       ] )
     ] ;
     fhir:value [ fhir:v "L765432" ] ;
     fhir:assigner [
       fhir:identifier [
         fhir:system [
           fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
           fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
         ] ;
         fhir:value [ fhir:v "RR8" ]
       ]
     ]
  ] ) ; # 
  fhir:name ( [
     fhir:id [ fhir:v "xsAID" ] ;
     fhir:use [ fhir:v "usual" ] ;
     fhir:family [ fhir:v "LEEDS" ] ;
     fhir:given ( [ fhir:v "Rob" ] [ fhir:v "null" ] ) ;
     fhir:prefix ( [ fhir:v "Mr" ] ) ;
     fhir:period [
       fhir:start [ fhir:v "2022-07-26"^^xsd:date ]
     ]
  ] ) ; # 
  fhir:gender [ fhir:v "unknown"] ; # 
  fhir:birthDate [ fhir:v "1978-01-17"^^xsd:date] ; # 
  fhir:address ( [
     fhir:id [ fhir:v "WaIHi" ] ;
     fhir:use [ fhir:v "home" ] ;
     fhir:line ( [ fhir:v "Maison Lane" ] [ fhir:v "LEEDS" ] [ fhir:v "null" ] ) ;
     fhir:postalCode [ fhir:v "LS8 2HH" ] ;
     fhir:period [
       fhir:start [ fhir:v "2020-02-06"^^xsd:date ]
     ]
  ] ) ; # 
  fhir:generalPractitioner ( [
     fhir:id [ fhir:v "SnaoK" ] ;
     fhir:type [
       fhir:v "Organization"^^xsd:anyURI ;
       fhir:l fhir:Organization
     ] ;
     fhir:identifier [
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
       ] ;
       fhir:value [ fhir:v "B86016" ] ;
       fhir:period [
         fhir:start [ fhir:v "2024-03-25"^^xsd:date ]
       ]
     ]
  ] ) . # 

<urn:uuid:66c938b5-cd92-481d-95ed-36d5fb8270bd> a fhir:Observation ;
  fhir:meta [
     fhir:profile ( [
       fhir:v "https://fhir.nwgenomics.nhs.uk/StructureDefinition/GenomicStudyPanel"^^xsd:anyURI ;
       fhir:l <https://fhir.nwgenomics.nhs.uk/StructureDefinition/GenomicStudyPanel>
     ] )
  ] ; # 
  fhir:identifier ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
         ] ;
         fhir:code [ fhir:v "FILL" ]
       ] )
     ] ;
     fhir:system [
       fhir:v "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"^^xsd:anyURI ;
       fhir:l <https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier>
     ] ;
     fhir:value [ fhir:v "T25-0209" ] ;
     fhir:assigner [
       fhir:identifier [
         fhir:system [
           fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
           fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
         ] ;
         fhir:value [ fhir:v "699X0" ]
       ]
     ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:category ( [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>
       ] ;
       fhir:code [ fhir:v "laboratory" ]
     ] )
  ] [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/v2-0074"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/v2-0074>
       ] ;
       fhir:code [ fhir:v "GE" ]
     ] )
  ] ) ; # 
  fhir:code [
     fhir:coding ( [
       a loinc:81306-3 ;
       fhir:system [
         fhir:v "http://loinc.org"^^xsd:anyURI ;
         fhir:l <http://loinc.org>
       ] ;
       fhir:code [ fhir:v "81306-3" ] ;
       fhir:display [ fhir:v "Variables that apply to the overall study" ]
     ] )
  ] ; # 
  fhir:subject [
     fhir:l <urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71> ;
     fhir:reference [ fhir:v "urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71" ] ;
     fhir:identifier [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
           ] ;
           fhir:code [ fhir:v "NH" ]
         ] )
       ] ;
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/nhs-number>
       ] ;
       fhir:value [ fhir:v "9737383222" ]
     ]
  ] ; # 
  fhir:effective [
     a fhir:DateTime ;
     fhir:v "2025-10-14T15:59:16+00:00"^^xsd:dateTime
  ] ; # 
  fhir:component ( [
     fhir:code [
       fhir:coding ( [
         a loinc:51967-8 ;
         fhir:system [
           fhir:v "http://loinc.org"^^xsd:anyURI ;
           fhir:l <http://loinc.org>
         ] ;
         fhir:code [ fhir:v "51967-8" ]
       ] )
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         fhir:system [
           fhir:v "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication"^^xsd:anyURI ;
           fhir:l <https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication>
         ] ;
         fhir:code [ fhir:v "R125" ]
       ] )
     ]
  ] ) . # 

<urn:uuid:e4b9d5c9-d143-4720-8ba4-8da7b4de7083> a fhir:DocumentReference ;
  fhir:identifier ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
         ] ;
         fhir:code [ fhir:v "FILL" ]
       ] )
     ] ;
     fhir:system [
       fhir:v "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"^^xsd:anyURI ;
       fhir:l <https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier>
     ] ;
     fhir:value [ fhir:v "T25-0209" ] ;
     fhir:assigner [
       fhir:identifier [
         fhir:system [
           fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
           fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
         ] ;
         fhir:value [ fhir:v "699X0" ]
       ]
     ]
  ] ) ; # 
  fhir:status [ fhir:v "current"] ; # 
  fhir:type [
     fhir:coding ( [
       a sct:1054161000000101 ;
       fhir:system [
         fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
         fhir:l <http://snomed.info/sct>
       ] ;
       fhir:code [ fhir:v "1054161000000101" ] ;
       fhir:display [ fhir:v "Genetic report" ]
     ] )
  ] ; # 
  fhir:subject [
     fhir:l <urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71> ;
     fhir:reference [ fhir:v "urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71" ] ;
     fhir:identifier [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
           ] ;
           fhir:code [ fhir:v "NH" ]
         ] )
       ] ;
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/nhs-number>
       ] ;
       fhir:value [ fhir:v "9737383222" ]
     ]
  ] ; # 
  fhir:date [ fhir:v "2025-10-14T15:59:16+00:00"^^xsd:dateTime] ; # 
  fhir:custodian [
     fhir:type [
       fhir:v "Organization"^^xsd:anyURI ;
       fhir:l fhir:Organization
     ] ;
     fhir:identifier [
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
       ] ;
       fhir:value [ fhir:v "699X0" ]
     ]
  ] ; # 
  fhir:content ( [
     fhir:attachment [
       fhir:contentType [ fhir:v "application/pdf" ] ;
       fhir:url [
         fhir:v "urn:uuid:c7400612-45bb-4ecb-8e58-0e57423007e2"^^xsd:anyURI ;
         fhir:l <urn:uuid:c7400612-45bb-4ecb-8e58-0e57423007e2>
       ]
     ]
  ] ) ; # 
  fhir:context [
     fhir:period [
       fhir:start [ fhir:v "2025-10-14T15:59:16+00:00"^^xsd:dateTime ] ;
       fhir:end [ fhir:v "2025-10-14T15:59:16+00:00"^^xsd:dateTime ]
     ] ;
     fhir:sourcePatientInfo [
       fhir:identifier [
         fhir:type [
           fhir:coding ( [
             fhir:system [
               fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
               fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
             ] ;
             fhir:code [ fhir:v "MR" ]
           ] )
         ] ;
         fhir:value [ fhir:v "L765432" ] ;
         fhir:assigner [
           fhir:identifier [
             fhir:system [
               fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
               fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
             ] ;
             fhir:value [ fhir:v "RR8" ]
           ]
         ]
       ]
     ] ;
     fhir:related ( [
       fhir:l <urn:uuid:c2f9fc13-77c8-449c-ac8d-dcdf545d5f8f> ;
       fhir:reference [ fhir:v "urn:uuid:c2f9fc13-77c8-449c-ac8d-dcdf545d5f8f" ] ;
       fhir:type [
         fhir:v "ServiceRequest"^^xsd:anyURI ;
         fhir:l fhir:ServiceRequest
       ] ;
       fhir:identifier [
         fhir:type [
           fhir:coding ( [
             fhir:system [
               fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
               fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
             ] ;
             fhir:code [ fhir:v "PLAC" ]
           ] )
         ] ;
         fhir:value [ fhir:v "1000152872" ] ;
         fhir:assigner [
           fhir:identifier [
             fhir:system [
               fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
               fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
             ] ;
             fhir:value [ fhir:v "RR8" ]
           ]
         ]
       ]
     ] [
       fhir:l <urn:uuid:6cef3146-336a-4061-945a-6cad51832bad> ;
       fhir:reference [ fhir:v "urn:uuid:6cef3146-336a-4061-945a-6cad51832bad" ] ;
       fhir:type [
         fhir:v "DiagnosticReport"^^xsd:anyURI ;
         fhir:l fhir:DiagnosticReport
       ] ;
       fhir:identifier [
         fhir:type [
           fhir:coding ( [
             fhir:system [
               fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
               fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
             ] ;
             fhir:code [ fhir:v "FILL" ]
           ] )
         ] ;
         fhir:system [
           fhir:v "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"^^xsd:anyURI ;
           fhir:l <https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier>
         ] ;
         fhir:value [ fhir:v "T25-0209" ] ;
         fhir:assigner [
           fhir:identifier [
             fhir:system [
               fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
               fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
             ] ;
             fhir:value [ fhir:v "699X0" ]
           ]
         ]
       ]
     ] )
  ] . # 

<urn:uuid:a92fe3b1-396d-4455-bdde-7af0439da62c> a fhir:Specimen ;
  fhir:identifier ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
         ] ;
         fhir:code [ fhir:v "PLAC" ]
       ] )
     ] ;
     fhir:value [ fhir:v "T25-0209" ]
  ] ) ; # 
  fhir:status [ fhir:v "unavailable"] ; # 
  fhir:subject [
     fhir:l <urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71> ;
     fhir:reference [ fhir:v "urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71" ] ;
     fhir:identifier [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
           ] ;
           fhir:code [ fhir:v "NH" ]
         ] )
       ] ;
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/nhs-number>
       ] ;
       fhir:value [ fhir:v "9737383222" ]
     ]
  ] ; # 
  fhir:receivedTime [ fhir:v "2025-10-06T00:00:00+00:00"^^xsd:dateTime] . # 

<urn:uuid:c2f9fc13-77c8-449c-ac8d-dcdf545d5f8f> a fhir:ServiceRequest ;
  fhir:identifier ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
         ] ;
         fhir:code [ fhir:v "PLAC" ]
       ] )
     ] ;
     fhir:value [ fhir:v "1000152872" ] ;
     fhir:assigner [
       fhir:identifier [
         fhir:system [
           fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
           fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
         ] ;
         fhir:value [ fhir:v "RR8" ]
       ]
     ]
  ] ) ; # 
  fhir:status [ fhir:v "completed"] ; # 
  fhir:intent [ fhir:v "order"] ; # 
  fhir:category ( [
     fhir:coding ( [
       a sct:116148004 ;
       fhir:system [
         fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
         fhir:l <http://snomed.info/sct>
       ] ;
       fhir:code [ fhir:v "116148004" ]
     ] )
  ] ) ; # 
  fhir:code [
     fhir:coding ( [
       fhir:system [
         fhir:v "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory>
       ] ;
       fhir:code [ fhir:v "R125.1" ] ;
       fhir:display [ fhir:v "Thoracic aortic aneurysm or dissection (WES or Medium Panel)" ]
     ] )
  ] ; # 
  fhir:subject [
     fhir:l <urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71> ;
     fhir:reference [ fhir:v "urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71" ] ;
     fhir:identifier [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
           ] ;
           fhir:code [ fhir:v "NH" ]
         ] )
       ] ;
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/nhs-number>
       ] ;
       fhir:value [ fhir:v "9737383222" ]
     ]
  ] ; # 
  fhir:requester [
     fhir:type [
       fhir:v "Organization"^^xsd:anyURI ;
       fhir:l fhir:Organization
     ] ;
     fhir:identifier [
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
       ] ;
       fhir:value [ fhir:v "RR8" ]
     ] ;
     fhir:display [ fhir:v "Leeds Teaching Trust" ]
  ] ; # 
  fhir:reasonCode ( [
     fhir:coding ( [
       fhir:system [
         fhir:v "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication"^^xsd:anyURI ;
         fhir:l <https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication>
       ] ;
       fhir:code [ fhir:v "R125" ]
     ] )
  ] ) ; # 
  fhir:specimen ( [
     fhir:l <urn:uuid:a92fe3b1-396d-4455-bdde-7af0439da62c> ;
     fhir:reference [ fhir:v "urn:uuid:a92fe3b1-396d-4455-bdde-7af0439da62c" ] ;
     fhir:type [
       fhir:v "Specimen"^^xsd:anyURI ;
       fhir:l fhir:Specimen
     ]
  ] ) . # 

<urn:uuid:6cef3146-336a-4061-945a-6cad51832bad> a fhir:DiagnosticReport ;
  fhir:identifier ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
         ] ;
         fhir:code [ fhir:v "FILL" ]
       ] )
     ] ;
     fhir:system [
       fhir:v "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"^^xsd:anyURI ;
       fhir:l <https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier>
     ] ;
     fhir:value [ fhir:v "T25-0209" ] ;
     fhir:assigner [
       fhir:identifier [
         fhir:system [
           fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
           fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
         ] ;
         fhir:value [ fhir:v "699X0" ]
       ]
     ]
  ] ) ; # 
  fhir:basedOn ( [
     fhir:l <urn:uuid:c2f9fc13-77c8-449c-ac8d-dcdf545d5f8f> ;
     fhir:reference [ fhir:v "urn:uuid:c2f9fc13-77c8-449c-ac8d-dcdf545d5f8f" ] ;
     fhir:type [
       fhir:v "ServiceRequest"^^xsd:anyURI ;
       fhir:l fhir:ServiceRequest
     ] ;
     fhir:identifier [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
           ] ;
           fhir:code [ fhir:v "PLAC" ]
         ] )
       ] ;
       fhir:value [ fhir:v "1000152872" ] ;
       fhir:assigner [
         fhir:identifier [
           fhir:system [
             fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
             fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
           ] ;
           fhir:value [ fhir:v "RR8" ]
         ]
       ]
     ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:category ( [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/v2-0074"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/v2-0074>
       ] ;
       fhir:code [ fhir:v "GE" ]
     ] )
  ] ) ; # 
  fhir:code [
     fhir:coding ( [
       fhir:system [
         fhir:v "https://fhir.nwgenomics.nhs.uk/CodeSystem/IGEAP"^^xsd:anyURI ;
         fhir:l <https://fhir.nwgenomics.nhs.uk/CodeSystem/IGEAP>
       ] ;
       fhir:code [ fhir:v "R125_Cardiology" ] ;
       fhir:display [ fhir:v "PANEL: R125.1, R125.2 - Thoracic aortic aneurysm and dissection v1.2" ]
     ] [
       fhir:system [
         fhir:v "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory>
       ] ;
       fhir:code [ fhir:v "R125.1" ] ;
       fhir:display [ fhir:v "Thoracic aortic aneurysm or dissection (WES or Medium Panel)" ]
     ] )
  ] ; # 
  fhir:subject [
     fhir:l <urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71> ;
     fhir:reference [ fhir:v "urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71" ] ;
     fhir:identifier [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
           ] ;
           fhir:code [ fhir:v "NH" ]
         ] )
       ] ;
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/nhs-number>
       ] ;
       fhir:value [ fhir:v "9737383222" ]
     ]
  ] ; # 
  fhir:effective [
     a fhir:DateTime ;
     fhir:v "2025-10-14T15:59:16+00:00"^^xsd:dateTime
  ] ; # 
  fhir:issued [ fhir:v "2025-10-14T15:59:16+00:00"^^xsd:dateTime] ; # 
  fhir:performer ( [
     fhir:type [
       fhir:v "Organization"^^xsd:anyURI ;
       fhir:l fhir:Organization
     ] ;
     fhir:identifier [
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
       ] ;
       fhir:value [ fhir:v "699X0" ]
     ] ;
     fhir:display [ fhir:v "NHS North West Genomics" ]
  ] ) ; # 
  fhir:resultsInterpreter ( [
     fhir:display [ fhir:v "Jonathan Edgerley" ]
  ] ) ; # 
  fhir:specimen ( [
     fhir:l <urn:uuid:a92fe3b1-396d-4455-bdde-7af0439da62c> ;
     fhir:reference [ fhir:v "urn:uuid:a92fe3b1-396d-4455-bdde-7af0439da62c" ] ;
     fhir:type [
       fhir:v "Specimen"^^xsd:anyURI ;
       fhir:l fhir:Specimen
     ]
  ] ) ; # 
  fhir:result ( [
     fhir:l <urn:uuid:66c938b5-cd92-481d-95ed-36d5fb8270bd> ;
     fhir:reference [ fhir:v "urn:uuid:66c938b5-cd92-481d-95ed-36d5fb8270bd" ] ;
     fhir:type [
       fhir:v "Observation"^^xsd:anyURI ;
       fhir:l fhir:Observation
     ] ;
     fhir:display [ fhir:v "Variables that apply to the overall study" ]
  ] ) ; # 
  fhir:presentedForm ( [
     fhir:contentType [ fhir:v "application/pdf" ] ;
     fhir:url [
       fhir:v "urn:uuid:c7400612-45bb-4ecb-8e58-0e57423007e2"^^xsd:anyURI ;
       fhir:l <urn:uuid:c7400612-45bb-4ecb-8e58-0e57423007e2>
     ]
  ] ) . # 

<urn:uuid:73ed21ec-6d7c-4345-8435-27edb774982e> a fhir:MessageHeader ;
  fhir:event [
     a fhir:Coding ;
     fhir:system [
       fhir:v "http://terminology.hl7.org/CodeSystem/v2-0003"^^xsd:anyURI ;
       fhir:l <http://terminology.hl7.org/CodeSystem/v2-0003>
     ] ;
     fhir:code [ fhir:v "R01" ]
  ] ; # 
  fhir:destination ( [
     fhir:endpoint [
       fhir:v "https//fhir.mft.nhs.uk/Endpoint/EPIC"^^xsd:anyURI ;
       fhir:l <https://fhir.nwgenomics.nhs.uk/https//fhir.mft.nhs.uk/Endpoint/EPIC>
     ] ;
     fhir:receiver [
       fhir:identifier [
         fhir:system [
           fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
           fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
         ] ;
         fhir:value [ fhir:v "699N0" ]
       ]
     ]
  ] ) ; # 
  fhir:sender [
     fhir:identifier [
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
       ] ;
       fhir:value [ fhir:v "699X0" ]
     ]
  ] ; # 
  fhir:source [
     fhir:software [ fhir:v "NW GLH" ] ;
     fhir:endpoint [
       fhir:v "https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE"^^xsd:anyURI ;
       fhir:l <https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE>
     ]
  ] ; # 
  fhir:focus ( [
     fhir:l <urn:uuid:0a19f99a-c393-4b7f-9246-281710896d21> ;
     fhir:reference [ fhir:v "urn:uuid:0a19f99a-c393-4b7f-9246-281710896d21" ]
  ] ) . # 

<urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4> a fhir:Patient ;
  fhir:identifier ( [
     fhir:extension ( [
       fhir:url [
         fhir:v "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus"^^xsd:anyURI ;
         fhir:l <https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus>
       ] ;
       fhir:value [
         a fhir:CodeableConcept ;
         fhir:coding ( [
           fhir:system [
             fhir:v "https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland"^^xsd:anyURI ;
             fhir:l <https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland>
           ] ;
           fhir:code [ fhir:v "01" ] ;
           fhir:display [ fhir:v "Number present and verified" ]
         ] )
       ]
     ] ) ;
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
         ] ;
         fhir:code [ fhir:v "NH" ]
       ] )
     ] ;
     fhir:system [
       fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ;
       fhir:l <https://fhir.nhs.uk/Id/nhs-number>
     ] ;
     fhir:value [ fhir:v "9737383222" ] ;
     fhir:assigner [
       fhir:identifier [
         fhir:system [
           fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
           fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
         ] ;
         fhir:value [ fhir:v "X24" ]
       ]
     ]
  ] [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
         ] ;
         fhir:code [ fhir:v "MR" ]
       ] )
     ] ;
     fhir:value [ fhir:v "L765432" ] ;
     fhir:assigner [
       fhir:identifier [
         fhir:system [
           fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
           fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
         ] ;
         fhir:value [ fhir:v "RR8" ]
       ]
     ]
  ] ) ; # 
  fhir:name ( [
     fhir:id [ fhir:v "xsAID" ] ;
     fhir:use [ fhir:v "usual" ] ;
     fhir:family [ fhir:v "LEEDS" ] ;
     fhir:given ( [ fhir:v "Rob" ] [ fhir:v "null" ] ) ;
     fhir:prefix ( [ fhir:v "Mr" ] ) ;
     fhir:period [
       fhir:start [ fhir:v "2022-07-26"^^xsd:date ]
     ]
  ] ) ; # 
  fhir:gender [ fhir:v "unknown"] ; # 
  fhir:birthDate [ fhir:v "1978-01-17"^^xsd:date] ; # 
  fhir:address ( [
     fhir:id [ fhir:v "WaIHi" ] ;
     fhir:use [ fhir:v "home" ] ;
     fhir:line ( [ fhir:v "Maison Lane" ] [ fhir:v "LEEDS" ] [ fhir:v "null" ] ) ;
     fhir:postalCode [ fhir:v "LS8 2HH" ] ;
     fhir:period [
       fhir:start [ fhir:v "2020-02-06"^^xsd:date ]
     ]
  ] ) ; # 
  fhir:generalPractitioner ( [
     fhir:id [ fhir:v "SnaoK" ] ;
     fhir:type [
       fhir:v "Organization"^^xsd:anyURI ;
       fhir:l fhir:Organization
     ] ;
     fhir:identifier [
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
       ] ;
       fhir:value [ fhir:v "B86016" ] ;
       fhir:period [
         fhir:start [ fhir:v "2024-03-25"^^xsd:date ]
       ]
     ]
  ] ) . # 

<urn:uuid:4c5c6037-4210-4857-bda7-0a745bdd3434> a fhir:Observation ;
  fhir:meta [
     fhir:profile ( [
       fhir:v "https://fhir.nwgenomics.nhs.uk/StructureDefinition/GenomicStudyPanel"^^xsd:anyURI ;
       fhir:l <https://fhir.nwgenomics.nhs.uk/StructureDefinition/GenomicStudyPanel>
     ] )
  ] ; # 
  fhir:identifier ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
         ] ;
         fhir:code [ fhir:v "FILL" ]
       ] )
     ] ;
     fhir:system [
       fhir:v "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"^^xsd:anyURI ;
       fhir:l <https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier>
     ] ;
     fhir:value [ fhir:v "T25-0209" ] ;
     fhir:assigner [
       fhir:identifier [
         fhir:system [
           fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
           fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
         ] ;
         fhir:value [ fhir:v "699X0" ]
       ]
     ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:category ( [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>
       ] ;
       fhir:code [ fhir:v "laboratory" ]
     ] )
  ] [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/v2-0074"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/v2-0074>
       ] ;
       fhir:code [ fhir:v "GE" ]
     ] )
  ] ) ; # 
  fhir:code [
     fhir:coding ( [
       a loinc:81306-3 ;
       fhir:system [
         fhir:v "http://loinc.org"^^xsd:anyURI ;
         fhir:l <http://loinc.org>
       ] ;
       fhir:code [ fhir:v "81306-3" ] ;
       fhir:display [ fhir:v "Variables that apply to the overall study" ]
     ] )
  ] ; # 
  fhir:subject [
     fhir:l <urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4> ;
     fhir:reference [ fhir:v "urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4" ] ;
     fhir:identifier [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
           ] ;
           fhir:code [ fhir:v "NH" ]
         ] )
       ] ;
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/nhs-number>
       ] ;
       fhir:value [ fhir:v "9737383222" ]
     ]
  ] ; # 
  fhir:effective [
     a fhir:DateTime ;
     fhir:v "2025-10-14T15:59:16+00:00"^^xsd:dateTime
  ] ; # 
  fhir:component ( [
     fhir:code [
       fhir:coding ( [
         a loinc:51967-8 ;
         fhir:system [
           fhir:v "http://loinc.org"^^xsd:anyURI ;
           fhir:l <http://loinc.org>
         ] ;
         fhir:code [ fhir:v "51967-8" ]
       ] )
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         fhir:system [
           fhir:v "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication"^^xsd:anyURI ;
           fhir:l <https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication>
         ] ;
         fhir:code [ fhir:v "R125" ]
       ] )
     ]
  ] ) . # 

<urn:uuid:170cecad-2183-486f-8240-73e0340d9c44> a fhir:DocumentReference ;
  fhir:identifier ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
         ] ;
         fhir:code [ fhir:v "FILL" ]
       ] )
     ] ;
     fhir:system [
       fhir:v "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"^^xsd:anyURI ;
       fhir:l <https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier>
     ] ;
     fhir:value [ fhir:v "T25-0209" ] ;
     fhir:assigner [
       fhir:identifier [
         fhir:system [
           fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
           fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
         ] ;
         fhir:value [ fhir:v "699X0" ]
       ]
     ]
  ] ) ; # 
  fhir:status [ fhir:v "current"] ; # 
  fhir:type [
     fhir:coding ( [
       a sct:1054161000000101 ;
       fhir:system [
         fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
         fhir:l <http://snomed.info/sct>
       ] ;
       fhir:code [ fhir:v "1054161000000101" ] ;
       fhir:display [ fhir:v "Genetic report" ]
     ] )
  ] ; # 
  fhir:subject [
     fhir:l <urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4> ;
     fhir:reference [ fhir:v "urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4" ] ;
     fhir:identifier [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
           ] ;
           fhir:code [ fhir:v "NH" ]
         ] )
       ] ;
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/nhs-number>
       ] ;
       fhir:value [ fhir:v "9737383222" ]
     ]
  ] ; # 
  fhir:date [ fhir:v "2025-10-14T15:59:16+00:00"^^xsd:dateTime] ; # 
  fhir:custodian [
     fhir:type [
       fhir:v "Organization"^^xsd:anyURI ;
       fhir:l fhir:Organization
     ] ;
     fhir:identifier [
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
       ] ;
       fhir:value [ fhir:v "699X0" ]
     ]
  ] ; # 
  fhir:content ( [
     fhir:attachment [
       fhir:contentType [ fhir:v "application/pdf" ] ;
       fhir:url [
         fhir:v "urn:uuid:b124252c-5006-4573-9e63-e1e1ffd58597"^^xsd:anyURI ;
         fhir:l <urn:uuid:b124252c-5006-4573-9e63-e1e1ffd58597>
       ]
     ]
  ] ) ; # 
  fhir:context [
     fhir:period [
       fhir:start [ fhir:v "2025-10-14T15:59:16+00:00"^^xsd:dateTime ] ;
       fhir:end [ fhir:v "2025-10-14T15:59:16+00:00"^^xsd:dateTime ]
     ] ;
     fhir:sourcePatientInfo [
       fhir:identifier [
         fhir:type [
           fhir:coding ( [
             fhir:system [
               fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
               fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
             ] ;
             fhir:code [ fhir:v "MR" ]
           ] )
         ] ;
         fhir:value [ fhir:v "L765432" ] ;
         fhir:assigner [
           fhir:identifier [
             fhir:system [
               fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
               fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
             ] ;
             fhir:value [ fhir:v "RR8" ]
           ]
         ]
       ]
     ] ;
     fhir:related ( [
       fhir:l <urn:uuid:375c2e0e-b2a2-483a-b284-519a9ca94c72> ;
       fhir:reference [ fhir:v "urn:uuid:375c2e0e-b2a2-483a-b284-519a9ca94c72" ] ;
       fhir:type [
         fhir:v "ServiceRequest"^^xsd:anyURI ;
         fhir:l fhir:ServiceRequest
       ] ;
       fhir:identifier [
         fhir:type [
           fhir:coding ( [
             fhir:system [
               fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
               fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
             ] ;
             fhir:code [ fhir:v "PLAC" ]
           ] )
         ] ;
         fhir:value [ fhir:v "1000152872" ] ;
         fhir:assigner [
           fhir:identifier [
             fhir:system [
               fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
               fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
             ] ;
             fhir:value [ fhir:v "RR8" ]
           ]
         ]
       ]
     ] [
       fhir:l <urn:uuid:0a19f99a-c393-4b7f-9246-281710896d21> ;
       fhir:reference [ fhir:v "urn:uuid:0a19f99a-c393-4b7f-9246-281710896d21" ] ;
       fhir:type [
         fhir:v "DiagnosticReport"^^xsd:anyURI ;
         fhir:l fhir:DiagnosticReport
       ] ;
       fhir:identifier [
         fhir:type [
           fhir:coding ( [
             fhir:system [
               fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
               fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
             ] ;
             fhir:code [ fhir:v "FILL" ]
           ] )
         ] ;
         fhir:system [
           fhir:v "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"^^xsd:anyURI ;
           fhir:l <https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier>
         ] ;
         fhir:value [ fhir:v "T25-0209" ] ;
         fhir:assigner [
           fhir:identifier [
             fhir:system [
               fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
               fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
             ] ;
             fhir:value [ fhir:v "699X0" ]
           ]
         ]
       ]
     ] )
  ] . # 

<urn:uuid:da13e50a-a109-4af3-96a7-ae6cdfb2aaac> a fhir:Specimen ;
  fhir:identifier ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
         ] ;
         fhir:code [ fhir:v "PLAC" ]
       ] )
     ] ;
     fhir:value [ fhir:v "T25-0209" ]
  ] ) ; # 
  fhir:status [ fhir:v "unavailable"] ; # 
  fhir:subject [
     fhir:l <urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4> ;
     fhir:reference [ fhir:v "urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4" ] ;
     fhir:identifier [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
           ] ;
           fhir:code [ fhir:v "NH" ]
         ] )
       ] ;
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/nhs-number>
       ] ;
       fhir:value [ fhir:v "9737383222" ]
     ]
  ] ; # 
  fhir:receivedTime [ fhir:v "2025-10-06T00:00:00+00:00"^^xsd:dateTime] . # 

<urn:uuid:375c2e0e-b2a2-483a-b284-519a9ca94c72> a fhir:ServiceRequest ;
  fhir:identifier ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
         ] ;
         fhir:code [ fhir:v "PLAC" ]
       ] )
     ] ;
     fhir:value [ fhir:v "1000152872" ] ;
     fhir:assigner [
       fhir:identifier [
         fhir:system [
           fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
           fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
         ] ;
         fhir:value [ fhir:v "RR8" ]
       ]
     ]
  ] ) ; # 
  fhir:status [ fhir:v "completed"] ; # 
  fhir:intent [ fhir:v "order"] ; # 
  fhir:category ( [
     fhir:coding ( [
       a sct:116148004 ;
       fhir:system [
         fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
         fhir:l <http://snomed.info/sct>
       ] ;
       fhir:code [ fhir:v "116148004" ]
     ] )
  ] ) ; # 
  fhir:code [
     fhir:coding ( [
       fhir:system [
         fhir:v "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory>
       ] ;
       fhir:code [ fhir:v "R125.1" ] ;
       fhir:display [ fhir:v "Thoracic aortic aneurysm or dissection (WES or Medium Panel)" ]
     ] )
  ] ; # 
  fhir:subject [
     fhir:l <urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4> ;
     fhir:reference [ fhir:v "urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4" ] ;
     fhir:identifier [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
           ] ;
           fhir:code [ fhir:v "NH" ]
         ] )
       ] ;
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/nhs-number>
       ] ;
       fhir:value [ fhir:v "9737383222" ]
     ]
  ] ; # 
  fhir:requester [
     fhir:type [
       fhir:v "Organization"^^xsd:anyURI ;
       fhir:l fhir:Organization
     ] ;
     fhir:identifier [
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
       ] ;
       fhir:value [ fhir:v "RR8" ]
     ] ;
     fhir:display [ fhir:v "Leeds Teaching Trust" ]
  ] ; # 
  fhir:reasonCode ( [
     fhir:coding ( [
       fhir:system [
         fhir:v "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication"^^xsd:anyURI ;
         fhir:l <https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication>
       ] ;
       fhir:code [ fhir:v "R125" ]
     ] )
  ] ) ; # 
  fhir:specimen ( [
     fhir:l <urn:uuid:da13e50a-a109-4af3-96a7-ae6cdfb2aaac> ;
     fhir:reference [ fhir:v "urn:uuid:da13e50a-a109-4af3-96a7-ae6cdfb2aaac" ] ;
     fhir:type [
       fhir:v "Specimen"^^xsd:anyURI ;
       fhir:l fhir:Specimen
     ]
  ] ) . # 

<urn:uuid:0a19f99a-c393-4b7f-9246-281710896d21> a fhir:DiagnosticReport ;
  fhir:identifier ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
         ] ;
         fhir:code [ fhir:v "FILL" ]
       ] )
     ] ;
     fhir:system [
       fhir:v "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"^^xsd:anyURI ;
       fhir:l <https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier>
     ] ;
     fhir:value [ fhir:v "T25-0209" ] ;
     fhir:assigner [
       fhir:identifier [
         fhir:system [
           fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
           fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
         ] ;
         fhir:value [ fhir:v "699X0" ]
       ]
     ]
  ] ) ; # 
  fhir:basedOn ( [
     fhir:l <urn:uuid:375c2e0e-b2a2-483a-b284-519a9ca94c72> ;
     fhir:reference [ fhir:v "urn:uuid:375c2e0e-b2a2-483a-b284-519a9ca94c72" ] ;
     fhir:type [
       fhir:v "ServiceRequest"^^xsd:anyURI ;
       fhir:l fhir:ServiceRequest
     ] ;
     fhir:identifier [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
           ] ;
           fhir:code [ fhir:v "PLAC" ]
         ] )
       ] ;
       fhir:value [ fhir:v "1000152872" ] ;
       fhir:assigner [
         fhir:identifier [
           fhir:system [
             fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
             fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
           ] ;
           fhir:value [ fhir:v "RR8" ]
         ]
       ]
     ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:category ( [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/v2-0074"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/v2-0074>
       ] ;
       fhir:code [ fhir:v "GE" ]
     ] )
  ] ) ; # 
  fhir:code [
     fhir:coding ( [
       fhir:system [
         fhir:v "https://fhir.nwgenomics.nhs.uk/CodeSystem/IGEAP"^^xsd:anyURI ;
         fhir:l <https://fhir.nwgenomics.nhs.uk/CodeSystem/IGEAP>
       ] ;
       fhir:code [ fhir:v "R125_Cardiology" ] ;
       fhir:display [ fhir:v "PANEL: R125.1, R125.2 - Thoracic aortic aneurysm and dissection v1.2" ]
     ] [
       fhir:system [
         fhir:v "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory>
       ] ;
       fhir:code [ fhir:v "R125.1" ] ;
       fhir:display [ fhir:v "Thoracic aortic aneurysm or dissection (WES or Medium Panel)" ]
     ] )
  ] ; # 
  fhir:subject [
     fhir:l <urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4> ;
     fhir:reference [ fhir:v "urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4" ] ;
     fhir:identifier [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
           ] ;
           fhir:code [ fhir:v "NH" ]
         ] )
       ] ;
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/nhs-number>
       ] ;
       fhir:value [ fhir:v "9737383222" ]
     ]
  ] ; # 
  fhir:effective [
     a fhir:DateTime ;
     fhir:v "2025-10-14T15:59:16+00:00"^^xsd:dateTime
  ] ; # 
  fhir:issued [ fhir:v "2025-10-14T15:59:16+00:00"^^xsd:dateTime] ; # 
  fhir:performer ( [
     fhir:type [
       fhir:v "Organization"^^xsd:anyURI ;
       fhir:l fhir:Organization
     ] ;
     fhir:identifier [
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
       ] ;
       fhir:value [ fhir:v "699X0" ]
     ] ;
     fhir:display [ fhir:v "NHS North West Genomics" ]
  ] ) ; # 
  fhir:resultsInterpreter ( [
     fhir:display [ fhir:v "Jonathan Edgerley" ]
  ] ) ; # 
  fhir:specimen ( [
     fhir:l <urn:uuid:da13e50a-a109-4af3-96a7-ae6cdfb2aaac> ;
     fhir:reference [ fhir:v "urn:uuid:da13e50a-a109-4af3-96a7-ae6cdfb2aaac" ] ;
     fhir:type [
       fhir:v "Specimen"^^xsd:anyURI ;
       fhir:l fhir:Specimen
     ]
  ] ) ; # 
  fhir:result ( [
     fhir:l <urn:uuid:4c5c6037-4210-4857-bda7-0a745bdd3434> ;
     fhir:reference [ fhir:v "urn:uuid:4c5c6037-4210-4857-bda7-0a745bdd3434" ] ;
     fhir:type [
       fhir:v "Observation"^^xsd:anyURI ;
       fhir:l fhir:Observation
     ] ;
     fhir:display [ fhir:v "Variables that apply to the overall study" ]
  ] ) ; # 
  fhir:presentedForm ( [
     fhir:contentType [ fhir:v "application/pdf" ] ;
     fhir:url [
       fhir:v "urn:uuid:b124252c-5006-4573-9e63-e1e1ffd58597"^^xsd:anyURI ;
       fhir:l <urn:uuid:b124252c-5006-4573-9e63-e1e1ffd58597>
     ]
  ] ) . # 

<urn:uuid:dcd8896b-d243-4f1e-ad10-b5b7d9c6e6cd> a fhir:MessageHeader ;
  fhir:event [
     a fhir:Coding ;
     fhir:system [
       fhir:v "http://terminology.hl7.org/CodeSystem/v2-0003"^^xsd:anyURI ;
       fhir:l <http://terminology.hl7.org/CodeSystem/v2-0003>
     ] ;
     fhir:code [ fhir:v "R01" ]
  ] ; # 
  fhir:destination ( [
     fhir:endpoint [
       fhir:v "https//fhir.mft.nhs.uk/Endpoint/EPIC"^^xsd:anyURI ;
       fhir:l <https://fhir.nwgenomics.nhs.uk/https//fhir.mft.nhs.uk/Endpoint/EPIC>
     ] ;
     fhir:receiver [
       fhir:identifier [
         fhir:system [
           fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
           fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
         ] ;
         fhir:value [ fhir:v "699N0" ]
       ]
     ]
  ] ) ; # 
  fhir:sender [
     fhir:identifier [
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
       ] ;
       fhir:value [ fhir:v "699X0" ]
     ]
  ] ; # 
  fhir:source [
     fhir:software [ fhir:v "NW GLH" ] ;
     fhir:endpoint [
       fhir:v "https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE"^^xsd:anyURI ;
       fhir:l <https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE>
     ]
  ] ; # 
  fhir:focus ( [
     fhir:l <urn:uuid:02d79983-d8e1-4060-a1ce-8d008ce513c5> ;
     fhir:reference [ fhir:v "urn:uuid:02d79983-d8e1-4060-a1ce-8d008ce513c5" ]
  ] ) . # 

<urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558> a fhir:Patient ;
  fhir:identifier ( [
     fhir:extension ( [
       fhir:url [
         fhir:v "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus"^^xsd:anyURI ;
         fhir:l <https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus>
       ] ;
       fhir:value [
         a fhir:CodeableConcept ;
         fhir:coding ( [
           fhir:system [
             fhir:v "https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland"^^xsd:anyURI ;
             fhir:l <https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland>
           ] ;
           fhir:code [ fhir:v "01" ] ;
           fhir:display [ fhir:v "Number present and verified" ]
         ] )
       ]
     ] ) ;
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
         ] ;
         fhir:code [ fhir:v "NH" ]
       ] )
     ] ;
     fhir:system [
       fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ;
       fhir:l <https://fhir.nhs.uk/Id/nhs-number>
     ] ;
     fhir:value [ fhir:v "9737383222" ] ;
     fhir:assigner [
       fhir:identifier [
         fhir:system [
           fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
           fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
         ] ;
         fhir:value [ fhir:v "X24" ]
       ]
     ]
  ] [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
         ] ;
         fhir:code [ fhir:v "MR" ]
       ] )
     ] ;
     fhir:value [ fhir:v "L765432" ] ;
     fhir:assigner [
       fhir:identifier [
         fhir:system [
           fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
           fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
         ] ;
         fhir:value [ fhir:v "RR8" ]
       ]
     ]
  ] ) ; # 
  fhir:name ( [
     fhir:id [ fhir:v "xsAID" ] ;
     fhir:use [ fhir:v "usual" ] ;
     fhir:family [ fhir:v "LEEDS" ] ;
     fhir:given ( [ fhir:v "Rob" ] [ fhir:v "null" ] ) ;
     fhir:prefix ( [ fhir:v "Mr" ] ) ;
     fhir:period [
       fhir:start [ fhir:v "2022-07-26"^^xsd:date ]
     ]
  ] ) ; # 
  fhir:gender [ fhir:v "unknown"] ; # 
  fhir:birthDate [ fhir:v "1978-01-17"^^xsd:date] ; # 
  fhir:address ( [
     fhir:id [ fhir:v "WaIHi" ] ;
     fhir:use [ fhir:v "home" ] ;
     fhir:line ( [ fhir:v "Maison Lane" ] [ fhir:v "LEEDS" ] [ fhir:v "null" ] ) ;
     fhir:postalCode [ fhir:v "LS8 2HH" ] ;
     fhir:period [
       fhir:start [ fhir:v "2020-02-06"^^xsd:date ]
     ]
  ] ) ; # 
  fhir:generalPractitioner ( [
     fhir:id [ fhir:v "SnaoK" ] ;
     fhir:type [
       fhir:v "Organization"^^xsd:anyURI ;
       fhir:l fhir:Organization
     ] ;
     fhir:identifier [
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
       ] ;
       fhir:value [ fhir:v "B86016" ] ;
       fhir:period [
         fhir:start [ fhir:v "2024-03-25"^^xsd:date ]
       ]
     ]
  ] ) . # 

<urn:uuid:c9dc399a-348e-49ce-9392-acd2cbfd8e9e> a fhir:Observation ;
  fhir:meta [
     fhir:profile ( [
       fhir:v "https://fhir.nwgenomics.nhs.uk/StructureDefinition/GenomicStudyPanel"^^xsd:anyURI ;
       fhir:l <https://fhir.nwgenomics.nhs.uk/StructureDefinition/GenomicStudyPanel>
     ] )
  ] ; # 
  fhir:identifier ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
         ] ;
         fhir:code [ fhir:v "FILL" ]
       ] )
     ] ;
     fhir:system [
       fhir:v "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"^^xsd:anyURI ;
       fhir:l <https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier>
     ] ;
     fhir:value [ fhir:v "T25-0209" ] ;
     fhir:assigner [
       fhir:identifier [
         fhir:system [
           fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
           fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
         ] ;
         fhir:value [ fhir:v "699X0" ]
       ]
     ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:category ( [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>
       ] ;
       fhir:code [ fhir:v "laboratory" ]
     ] )
  ] [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/v2-0074"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/v2-0074>
       ] ;
       fhir:code [ fhir:v "GE" ]
     ] )
  ] ) ; # 
  fhir:code [
     fhir:coding ( [
       a loinc:81306-3 ;
       fhir:system [
         fhir:v "http://loinc.org"^^xsd:anyURI ;
         fhir:l <http://loinc.org>
       ] ;
       fhir:code [ fhir:v "81306-3" ] ;
       fhir:display [ fhir:v "Variables that apply to the overall study" ]
     ] )
  ] ; # 
  fhir:subject [
     fhir:l <urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558> ;
     fhir:reference [ fhir:v "urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558" ] ;
     fhir:identifier [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
           ] ;
           fhir:code [ fhir:v "NH" ]
         ] )
       ] ;
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/nhs-number>
       ] ;
       fhir:value [ fhir:v "9737383222" ]
     ]
  ] ; # 
  fhir:effective [
     a fhir:DateTime ;
     fhir:v "2025-10-14T15:59:16+00:00"^^xsd:dateTime
  ] ; # 
  fhir:component ( [
     fhir:code [
       fhir:coding ( [
         a loinc:51967-8 ;
         fhir:system [
           fhir:v "http://loinc.org"^^xsd:anyURI ;
           fhir:l <http://loinc.org>
         ] ;
         fhir:code [ fhir:v "51967-8" ]
       ] )
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         fhir:system [
           fhir:v "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication"^^xsd:anyURI ;
           fhir:l <https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication>
         ] ;
         fhir:code [ fhir:v "R125" ]
       ] )
     ]
  ] ) . # 

<urn:uuid:3b117e08-ab0a-481c-832e-b6d1d7ef4a22> a fhir:DocumentReference ;
  fhir:identifier ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
         ] ;
         fhir:code [ fhir:v "FILL" ]
       ] )
     ] ;
     fhir:system [
       fhir:v "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"^^xsd:anyURI ;
       fhir:l <https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier>
     ] ;
     fhir:value [ fhir:v "T25-0209" ] ;
     fhir:assigner [
       fhir:identifier [
         fhir:system [
           fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
           fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
         ] ;
         fhir:value [ fhir:v "699X0" ]
       ]
     ]
  ] ) ; # 
  fhir:status [ fhir:v "current"] ; # 
  fhir:type [
     fhir:coding ( [
       a sct:1054161000000101 ;
       fhir:system [
         fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
         fhir:l <http://snomed.info/sct>
       ] ;
       fhir:code [ fhir:v "1054161000000101" ] ;
       fhir:display [ fhir:v "Genetic report" ]
     ] )
  ] ; # 
  fhir:subject [
     fhir:l <urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558> ;
     fhir:reference [ fhir:v "urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558" ] ;
     fhir:identifier [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
           ] ;
           fhir:code [ fhir:v "NH" ]
         ] )
       ] ;
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/nhs-number>
       ] ;
       fhir:value [ fhir:v "9737383222" ]
     ]
  ] ; # 
  fhir:date [ fhir:v "2025-10-14T15:59:16+00:00"^^xsd:dateTime] ; # 
  fhir:custodian [
     fhir:type [
       fhir:v "Organization"^^xsd:anyURI ;
       fhir:l fhir:Organization
     ] ;
     fhir:identifier [
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
       ] ;
       fhir:value [ fhir:v "699X0" ]
     ]
  ] ; # 
  fhir:content ( [
     fhir:attachment [
       fhir:contentType [ fhir:v "application/pdf" ] ;
       fhir:url [
         fhir:v "urn:uuid:d17a6d33-235c-4e22-a456-c0bd30e53332"^^xsd:anyURI ;
         fhir:l <urn:uuid:d17a6d33-235c-4e22-a456-c0bd30e53332>
       ]
     ]
  ] ) ; # 
  fhir:context [
     fhir:period [
       fhir:start [ fhir:v "2025-10-14T15:59:16+00:00"^^xsd:dateTime ] ;
       fhir:end [ fhir:v "2025-10-14T15:59:16+00:00"^^xsd:dateTime ]
     ] ;
     fhir:sourcePatientInfo [
       fhir:identifier [
         fhir:type [
           fhir:coding ( [
             fhir:system [
               fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
               fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
             ] ;
             fhir:code [ fhir:v "MR" ]
           ] )
         ] ;
         fhir:value [ fhir:v "L765432" ] ;
         fhir:assigner [
           fhir:identifier [
             fhir:system [
               fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
               fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
             ] ;
             fhir:value [ fhir:v "RR8" ]
           ]
         ]
       ]
     ] ;
     fhir:related ( [
       fhir:l <urn:uuid:f306edf2-1abe-4c2a-9c58-deea54cbdcb6> ;
       fhir:reference [ fhir:v "urn:uuid:f306edf2-1abe-4c2a-9c58-deea54cbdcb6" ] ;
       fhir:type [
         fhir:v "ServiceRequest"^^xsd:anyURI ;
         fhir:l fhir:ServiceRequest
       ] ;
       fhir:identifier [
         fhir:type [
           fhir:coding ( [
             fhir:system [
               fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
               fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
             ] ;
             fhir:code [ fhir:v "PLAC" ]
           ] )
         ] ;
         fhir:value [ fhir:v "1000152872" ] ;
         fhir:assigner [
           fhir:identifier [
             fhir:system [
               fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
               fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
             ] ;
             fhir:value [ fhir:v "RR8" ]
           ]
         ]
       ]
     ] [
       fhir:l <urn:uuid:02d79983-d8e1-4060-a1ce-8d008ce513c5> ;
       fhir:reference [ fhir:v "urn:uuid:02d79983-d8e1-4060-a1ce-8d008ce513c5" ] ;
       fhir:type [
         fhir:v "DiagnosticReport"^^xsd:anyURI ;
         fhir:l fhir:DiagnosticReport
       ] ;
       fhir:identifier [
         fhir:type [
           fhir:coding ( [
             fhir:system [
               fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
               fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
             ] ;
             fhir:code [ fhir:v "FILL" ]
           ] )
         ] ;
         fhir:system [
           fhir:v "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"^^xsd:anyURI ;
           fhir:l <https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier>
         ] ;
         fhir:value [ fhir:v "T25-0209" ] ;
         fhir:assigner [
           fhir:identifier [
             fhir:system [
               fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
               fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
             ] ;
             fhir:value [ fhir:v "699X0" ]
           ]
         ]
       ]
     ] )
  ] . # 

<urn:uuid:1cbdb4dc-1961-4f76-8d12-c25e26ad6b8b> a fhir:Specimen ;
  fhir:identifier ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
         ] ;
         fhir:code [ fhir:v "PLAC" ]
       ] )
     ] ;
     fhir:value [ fhir:v "T25-0209" ]
  ] ) ; # 
  fhir:status [ fhir:v "unavailable"] ; # 
  fhir:subject [
     fhir:l <urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558> ;
     fhir:reference [ fhir:v "urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558" ] ;
     fhir:identifier [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
           ] ;
           fhir:code [ fhir:v "NH" ]
         ] )
       ] ;
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/nhs-number>
       ] ;
       fhir:value [ fhir:v "9737383222" ]
     ]
  ] ; # 
  fhir:receivedTime [ fhir:v "2025-10-06T00:00:00+00:00"^^xsd:dateTime] . # 

<urn:uuid:f306edf2-1abe-4c2a-9c58-deea54cbdcb6> a fhir:ServiceRequest ;
  fhir:identifier ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
         ] ;
         fhir:code [ fhir:v "PLAC" ]
       ] )
     ] ;
     fhir:value [ fhir:v "1000152872" ] ;
     fhir:assigner [
       fhir:identifier [
         fhir:system [
           fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
           fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
         ] ;
         fhir:value [ fhir:v "RR8" ]
       ]
     ]
  ] ) ; # 
  fhir:status [ fhir:v "completed"] ; # 
  fhir:intent [ fhir:v "order"] ; # 
  fhir:category ( [
     fhir:coding ( [
       a sct:116148004 ;
       fhir:system [
         fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
         fhir:l <http://snomed.info/sct>
       ] ;
       fhir:code [ fhir:v "116148004" ]
     ] )
  ] ) ; # 
  fhir:code [
     fhir:coding ( [
       fhir:system [
         fhir:v "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory>
       ] ;
       fhir:code [ fhir:v "R125.1" ] ;
       fhir:display [ fhir:v "Thoracic aortic aneurysm or dissection (WES or Medium Panel)" ]
     ] )
  ] ; # 
  fhir:subject [
     fhir:l <urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558> ;
     fhir:reference [ fhir:v "urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558" ] ;
     fhir:identifier [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
           ] ;
           fhir:code [ fhir:v "NH" ]
         ] )
       ] ;
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/nhs-number>
       ] ;
       fhir:value [ fhir:v "9737383222" ]
     ]
  ] ; # 
  fhir:requester [
     fhir:type [
       fhir:v "Organization"^^xsd:anyURI ;
       fhir:l fhir:Organization
     ] ;
     fhir:identifier [
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
       ] ;
       fhir:value [ fhir:v "RR8" ]
     ] ;
     fhir:display [ fhir:v "Leeds Teaching Trust" ]
  ] ; # 
  fhir:reasonCode ( [
     fhir:coding ( [
       fhir:system [
         fhir:v "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication"^^xsd:anyURI ;
         fhir:l <https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication>
       ] ;
       fhir:code [ fhir:v "R125" ]
     ] )
  ] ) ; # 
  fhir:specimen ( [
     fhir:l <urn:uuid:1cbdb4dc-1961-4f76-8d12-c25e26ad6b8b> ;
     fhir:reference [ fhir:v "urn:uuid:1cbdb4dc-1961-4f76-8d12-c25e26ad6b8b" ] ;
     fhir:type [
       fhir:v "Specimen"^^xsd:anyURI ;
       fhir:l fhir:Specimen
     ]
  ] ) . # 

<urn:uuid:02d79983-d8e1-4060-a1ce-8d008ce513c5> a fhir:DiagnosticReport ;
  fhir:identifier ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
         ] ;
         fhir:code [ fhir:v "FILL" ]
       ] )
     ] ;
     fhir:system [
       fhir:v "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"^^xsd:anyURI ;
       fhir:l <https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier>
     ] ;
     fhir:value [ fhir:v "T25-0209" ] ;
     fhir:assigner [
       fhir:identifier [
         fhir:system [
           fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
           fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
         ] ;
         fhir:value [ fhir:v "699X0" ]
       ]
     ]
  ] ) ; # 
  fhir:basedOn ( [
     fhir:l <urn:uuid:f306edf2-1abe-4c2a-9c58-deea54cbdcb6> ;
     fhir:reference [ fhir:v "urn:uuid:f306edf2-1abe-4c2a-9c58-deea54cbdcb6" ] ;
     fhir:type [
       fhir:v "ServiceRequest"^^xsd:anyURI ;
       fhir:l fhir:ServiceRequest
     ] ;
     fhir:identifier [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
           ] ;
           fhir:code [ fhir:v "PLAC" ]
         ] )
       ] ;
       fhir:value [ fhir:v "1000152872" ] ;
       fhir:assigner [
         fhir:identifier [
           fhir:system [
             fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
             fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
           ] ;
           fhir:value [ fhir:v "RR8" ]
         ]
       ]
     ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:category ( [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/v2-0074"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/v2-0074>
       ] ;
       fhir:code [ fhir:v "GE" ]
     ] )
  ] ) ; # 
  fhir:code [
     fhir:coding ( [
       fhir:system [
         fhir:v "https://fhir.nwgenomics.nhs.uk/CodeSystem/IGEAP"^^xsd:anyURI ;
         fhir:l <https://fhir.nwgenomics.nhs.uk/CodeSystem/IGEAP>
       ] ;
       fhir:code [ fhir:v "R125_Cardiology" ] ;
       fhir:display [ fhir:v "PANEL: R125.1, R125.2 - Thoracic aortic aneurysm and dissection v1.2" ]
     ] [
       fhir:system [
         fhir:v "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory>
       ] ;
       fhir:code [ fhir:v "R125.1" ] ;
       fhir:display [ fhir:v "Thoracic aortic aneurysm or dissection (WES or Medium Panel)" ]
     ] )
  ] ; # 
  fhir:subject [
     fhir:l <urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558> ;
     fhir:reference [ fhir:v "urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558" ] ;
     fhir:identifier [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
           ] ;
           fhir:code [ fhir:v "NH" ]
         ] )
       ] ;
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/nhs-number"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/nhs-number>
       ] ;
       fhir:value [ fhir:v "9737383222" ]
     ]
  ] ; # 
  fhir:effective [
     a fhir:DateTime ;
     fhir:v "2025-10-14T15:59:16+00:00"^^xsd:dateTime
  ] ; # 
  fhir:issued [ fhir:v "2025-10-14T15:59:16+00:00"^^xsd:dateTime] ; # 
  fhir:performer ( [
     fhir:type [
       fhir:v "Organization"^^xsd:anyURI ;
       fhir:l fhir:Organization
     ] ;
     fhir:identifier [
       fhir:system [
         fhir:v "https://fhir.nhs.uk/Id/ods-organization-code"^^xsd:anyURI ;
         fhir:l <https://fhir.nhs.uk/Id/ods-organization-code>
       ] ;
       fhir:value [ fhir:v "699X0" ]
     ] ;
     fhir:display [ fhir:v "NHS North West Genomics" ]
  ] ) ; # 
  fhir:resultsInterpreter ( [
     fhir:display [ fhir:v "Jonathan Edgerley" ]
  ] ) ; # 
  fhir:specimen ( [
     fhir:l <urn:uuid:1cbdb4dc-1961-4f76-8d12-c25e26ad6b8b> ;
     fhir:reference [ fhir:v "urn:uuid:1cbdb4dc-1961-4f76-8d12-c25e26ad6b8b" ] ;
     fhir:type [
       fhir:v "Specimen"^^xsd:anyURI ;
       fhir:l fhir:Specimen
     ]
  ] ) ; # 
  fhir:result ( [
     fhir:l <urn:uuid:c9dc399a-348e-49ce-9392-acd2cbfd8e9e> ;
     fhir:reference [ fhir:v "urn:uuid:c9dc399a-348e-49ce-9392-acd2cbfd8e9e" ] ;
     fhir:type [
       fhir:v "Observation"^^xsd:anyURI ;
       fhir:l fhir:Observation
     ] ;
     fhir:display [ fhir:v "Variables that apply to the overall study" ]
  ] ) ; # 
  fhir:presentedForm ( [
     fhir:contentType [ fhir:v "application/pdf" ] ;
     fhir:url [
       fhir:v "urn:uuid:d17a6d33-235c-4e22-a456-c0bd30e53332"^^xsd:anyURI ;
       fhir:l <urn:uuid:d17a6d33-235c-4e22-a456-c0bd30e53332>
     ]
  ] ) . # 

# -------------------------------------------------------------------------------------