NHS North West Genomics
2.0.0 - ci-build
GB
NHS North West Genomics - Local Development build (v2.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="312fb428-0f63-4814-b6e3-ed6aa6e6bbe0"/>
<type value="searchset"/>
<total value="4"/>
<entry>
<resource>
<Bundle>
<id value="3"/>
<identifier>
<value value="ORIE-251014-9"/>
</identifier>
<type value="message"/>
<timestamp value="2025-10-14T15:59:42+00:00"/>
<entry>
<fullUrl value="urn:uuid:1f61a763-fd60-4cbd-b74f-47b81d05873c"/>
<resource>
<MessageHeader>
<eventCoding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0003"/>
<code value="R01"/>
</eventCoding>
<destination>
<endpoint value="https//fhir.mft.nhs.uk/Endpoint/EPIC"/>
<receiver>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699N0"/>
</identifier>
</receiver>
</destination>
<sender>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</sender>
<source>
<software value="NW GLH"/>
<endpoint
value="https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE"/>
</source>
<focus>
<reference
value="urn:uuid:f695baec-9a23-47c3-8fb1-a5496a6da2df"/>
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875"/>
<resource>
<Patient>
<identifier>
<extension
url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland"/>
<code value="01"/>
<display value="Number present and verified"/>
</coding>
</valueCodeableConcept>
</extension>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737383222"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="X24"/>
</identifier>
</assigner>
</identifier>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
</coding>
</type>
<value value="L765432"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RR8"/>
</identifier>
</assigner>
</identifier>
<name id="xsAID">
<use value="usual"/>
<family value="LEEDS"/>
<given value="Rob"/>
<given value="null"/>
<prefix value="Mr"/>
<period>
<start value="2022-07-26"/>
</period>
</name>
<gender value="unknown"/>
<birthDate value="1978-01-17"/>
<address id="WaIHi">
<use value="home"/>
<line value="Maison Lane"/>
<line value="LEEDS"/>
<line value="null"/>
<postalCode value="LS8 2HH"/>
<period>
<start value="2020-02-06"/>
</period>
</address>
<generalPractitioner id="SnaoK">
<type value="Organization"/>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="B86016"/>
<period>
<start value="2024-03-25"/>
</period>
</identifier>
</generalPractitioner>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:cd836a79-fea2-4836-801b-56ab8588defc"/>
<resource>
<Observation>
<meta>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/GenomicStudyPanel"/>
</meta>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
</coding>
</type>
<system
value="https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"/>
<value value="T25-0209"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</identifier>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
<code value="GE"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="81306-3"/>
<display value="Variables that apply to the overall study"/>
</coding>
</code>
<subject>
<reference
value="urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737383222"/>
</identifier>
</subject>
<effectiveDateTime value="2025-10-14T15:59:16+00:00"/>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="51967-8"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication"/>
<code value="R125"/>
</coding>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:852dd227-a58f-4777-beb3-c365186b98be"/>
<resource>
<DocumentReference>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
</coding>
</type>
<system
value="https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"/>
<value value="T25-0209"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</identifier>
<status value="current"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1054161000000101"/>
<display value="Genetic report"/>
</coding>
</type>
<subject>
<reference
value="urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737383222"/>
</identifier>
</subject>
<date value="2025-10-14T15:59:16+00:00"/>
<custodian>
<type value="Organization"/>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</custodian>
<content>
<attachment>
<contentType value="application/pdf"/>
<url value="urn:uuid:58a12458-3df1-4feb-9bb6-80dec328cf43"/>
</attachment>
</content>
<context>
<period>
<start value="2025-10-14T15:59:16+00:00"/>
<end value="2025-10-14T15:59:16+00:00"/>
</period>
<sourcePatientInfo>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
</coding>
</type>
<value value="L765432"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RR8"/>
</identifier>
</assigner>
</identifier>
</sourcePatientInfo>
<related>
<reference
value="urn:uuid:3ec14724-9e7c-422f-9fdd-815b723e565c"/>
<type value="ServiceRequest"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
</type>
<value value="1000152872"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RR8"/>
</identifier>
</assigner>
</identifier>
</related>
<related>
<reference
value="urn:uuid:f695baec-9a23-47c3-8fb1-a5496a6da2df"/>
<type value="DiagnosticReport"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
</coding>
</type>
<system
value="https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"/>
<value value="T25-0209"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</identifier>
</related>
</context>
</DocumentReference>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:4af75ffe-adaf-4a05-91f3-11d4ad22e960"/>
<resource>
<Specimen>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
</type>
<value value="T25-0209"/>
</identifier>
<status value="unavailable"/>
<subject>
<reference
value="urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737383222"/>
</identifier>
</subject>
<receivedTime value="2025-10-06T00:00:00+00:00"/>
</Specimen>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:3ec14724-9e7c-422f-9fdd-815b723e565c"/>
<resource>
<ServiceRequest>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
</type>
<value value="1000152872"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RR8"/>
</identifier>
</assigner>
</identifier>
<status value="completed"/>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="116148004"/>
</coding>
</category>
<code>
<coding>
<system
value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/>
<code value="R125.1"/>
<display
value="Thoracic aortic aneurysm or dissection (WES or Medium Panel)"/>
</coding>
</code>
<subject>
<reference
value="urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737383222"/>
</identifier>
</subject>
<requester>
<type value="Organization"/>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RR8"/>
</identifier>
<display value="Leeds Teaching Trust"/>
</requester>
<reasonCode>
<coding>
<system
value="https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication"/>
<code value="R125"/>
</coding>
</reasonCode>
<specimen>
<reference
value="urn:uuid:4af75ffe-adaf-4a05-91f3-11d4ad22e960"/>
<type value="Specimen"/>
</specimen>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:f695baec-9a23-47c3-8fb1-a5496a6da2df"/>
<resource>
<DiagnosticReport>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
</coding>
</type>
<system
value="https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"/>
<value value="T25-0209"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</identifier>
<basedOn>
<reference
value="urn:uuid:3ec14724-9e7c-422f-9fdd-815b723e565c"/>
<type value="ServiceRequest"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
</type>
<value value="1000152872"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RR8"/>
</identifier>
</assigner>
</identifier>
</basedOn>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
<code value="GE"/>
</coding>
</category>
<code>
<coding>
<system
value="https://fhir.nwgenomics.nhs.uk/CodeSystem/IGEAP"/>
<code value="R125_Cardiology"/>
<display
value="PANEL: R125.1, R125.2 - Thoracic aortic aneurysm and dissection v1.2"/>
</coding>
<coding>
<system
value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/>
<code value="R125.1"/>
<display
value="Thoracic aortic aneurysm or dissection (WES or Medium Panel)"/>
</coding>
</code>
<subject>
<reference
value="urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737383222"/>
</identifier>
</subject>
<effectiveDateTime value="2025-10-14T15:59:16+00:00"/>
<issued value="2025-10-14T15:59:16+00:00"/>
<performer>
<type value="Organization"/>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
<display value="NHS North West Genomics"/>
</performer>
<resultsInterpreter>
<display value="Jonathan Edgerley"/>
</resultsInterpreter>
<specimen>
<reference
value="urn:uuid:4af75ffe-adaf-4a05-91f3-11d4ad22e960"/>
<type value="Specimen"/>
</specimen>
<result>
<reference
value="urn:uuid:cd836a79-fea2-4836-801b-56ab8588defc"/>
<type value="Observation"/>
<display value="Variables that apply to the overall study"/>
</result>
<presentedForm>
<contentType value="application/pdf"/>
<url value="urn:uuid:58a12458-3df1-4feb-9bb6-80dec328cf43"/>
</presentedForm>
</DiagnosticReport>
</resource>
</entry>
</Bundle>
</resource>
</entry>
<entry>
<resource>
<Bundle>
<id value="4"/>
<identifier>
<value value="ORIE-251014-9"/>
</identifier>
<type value="message"/>
<timestamp value="2025-10-14T15:59:42+00:00"/>
<entry>
<fullUrl value="urn:uuid:36c3ba17-2e21-4b9a-9e55-e391bfc8ccbb"/>
<resource>
<MessageHeader>
<eventCoding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0003"/>
<code value="R01"/>
</eventCoding>
<destination>
<endpoint value="https//fhir.mft.nhs.uk/Endpoint/EPIC"/>
<receiver>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699N0"/>
</identifier>
</receiver>
</destination>
<sender>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</sender>
<source>
<software value="NW GLH"/>
<endpoint
value="https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE"/>
</source>
<focus>
<reference
value="urn:uuid:6cef3146-336a-4061-945a-6cad51832bad"/>
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71"/>
<resource>
<Patient>
<identifier>
<extension
url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland"/>
<code value="01"/>
<display value="Number present and verified"/>
</coding>
</valueCodeableConcept>
</extension>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737383222"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="X24"/>
</identifier>
</assigner>
</identifier>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
</coding>
</type>
<value value="L765432"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RR8"/>
</identifier>
</assigner>
</identifier>
<name id="xsAID">
<use value="usual"/>
<family value="LEEDS"/>
<given value="Rob"/>
<given value="null"/>
<prefix value="Mr"/>
<period>
<start value="2022-07-26"/>
</period>
</name>
<gender value="unknown"/>
<birthDate value="1978-01-17"/>
<address id="WaIHi">
<use value="home"/>
<line value="Maison Lane"/>
<line value="LEEDS"/>
<line value="null"/>
<postalCode value="LS8 2HH"/>
<period>
<start value="2020-02-06"/>
</period>
</address>
<generalPractitioner id="SnaoK">
<type value="Organization"/>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="B86016"/>
<period>
<start value="2024-03-25"/>
</period>
</identifier>
</generalPractitioner>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:66c938b5-cd92-481d-95ed-36d5fb8270bd"/>
<resource>
<Observation>
<meta>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/GenomicStudyPanel"/>
</meta>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
</coding>
</type>
<system
value="https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"/>
<value value="T25-0209"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</identifier>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
<code value="GE"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="81306-3"/>
<display value="Variables that apply to the overall study"/>
</coding>
</code>
<subject>
<reference
value="urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737383222"/>
</identifier>
</subject>
<effectiveDateTime value="2025-10-14T15:59:16+00:00"/>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="51967-8"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication"/>
<code value="R125"/>
</coding>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:e4b9d5c9-d143-4720-8ba4-8da7b4de7083"/>
<resource>
<DocumentReference>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
</coding>
</type>
<system
value="https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"/>
<value value="T25-0209"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</identifier>
<status value="current"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1054161000000101"/>
<display value="Genetic report"/>
</coding>
</type>
<subject>
<reference
value="urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737383222"/>
</identifier>
</subject>
<date value="2025-10-14T15:59:16+00:00"/>
<custodian>
<type value="Organization"/>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</custodian>
<content>
<attachment>
<contentType value="application/pdf"/>
<url value="urn:uuid:c7400612-45bb-4ecb-8e58-0e57423007e2"/>
</attachment>
</content>
<context>
<period>
<start value="2025-10-14T15:59:16+00:00"/>
<end value="2025-10-14T15:59:16+00:00"/>
</period>
<sourcePatientInfo>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
</coding>
</type>
<value value="L765432"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RR8"/>
</identifier>
</assigner>
</identifier>
</sourcePatientInfo>
<related>
<reference
value="urn:uuid:c2f9fc13-77c8-449c-ac8d-dcdf545d5f8f"/>
<type value="ServiceRequest"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
</type>
<value value="1000152872"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RR8"/>
</identifier>
</assigner>
</identifier>
</related>
<related>
<reference
value="urn:uuid:6cef3146-336a-4061-945a-6cad51832bad"/>
<type value="DiagnosticReport"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
</coding>
</type>
<system
value="https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"/>
<value value="T25-0209"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</identifier>
</related>
</context>
</DocumentReference>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a92fe3b1-396d-4455-bdde-7af0439da62c"/>
<resource>
<Specimen>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
</type>
<value value="T25-0209"/>
</identifier>
<status value="unavailable"/>
<subject>
<reference
value="urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737383222"/>
</identifier>
</subject>
<receivedTime value="2025-10-06T00:00:00+00:00"/>
</Specimen>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:c2f9fc13-77c8-449c-ac8d-dcdf545d5f8f"/>
<resource>
<ServiceRequest>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
</type>
<value value="1000152872"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RR8"/>
</identifier>
</assigner>
</identifier>
<status value="completed"/>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="116148004"/>
</coding>
</category>
<code>
<coding>
<system
value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/>
<code value="R125.1"/>
<display
value="Thoracic aortic aneurysm or dissection (WES or Medium Panel)"/>
</coding>
</code>
<subject>
<reference
value="urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737383222"/>
</identifier>
</subject>
<requester>
<type value="Organization"/>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RR8"/>
</identifier>
<display value="Leeds Teaching Trust"/>
</requester>
<reasonCode>
<coding>
<system
value="https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication"/>
<code value="R125"/>
</coding>
</reasonCode>
<specimen>
<reference
value="urn:uuid:a92fe3b1-396d-4455-bdde-7af0439da62c"/>
<type value="Specimen"/>
</specimen>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:6cef3146-336a-4061-945a-6cad51832bad"/>
<resource>
<DiagnosticReport>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
</coding>
</type>
<system
value="https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"/>
<value value="T25-0209"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</identifier>
<basedOn>
<reference
value="urn:uuid:c2f9fc13-77c8-449c-ac8d-dcdf545d5f8f"/>
<type value="ServiceRequest"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
</type>
<value value="1000152872"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RR8"/>
</identifier>
</assigner>
</identifier>
</basedOn>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
<code value="GE"/>
</coding>
</category>
<code>
<coding>
<system
value="https://fhir.nwgenomics.nhs.uk/CodeSystem/IGEAP"/>
<code value="R125_Cardiology"/>
<display
value="PANEL: R125.1, R125.2 - Thoracic aortic aneurysm and dissection v1.2"/>
</coding>
<coding>
<system
value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/>
<code value="R125.1"/>
<display
value="Thoracic aortic aneurysm or dissection (WES or Medium Panel)"/>
</coding>
</code>
<subject>
<reference
value="urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737383222"/>
</identifier>
</subject>
<effectiveDateTime value="2025-10-14T15:59:16+00:00"/>
<issued value="2025-10-14T15:59:16+00:00"/>
<performer>
<type value="Organization"/>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
<display value="NHS North West Genomics"/>
</performer>
<resultsInterpreter>
<display value="Jonathan Edgerley"/>
</resultsInterpreter>
<specimen>
<reference
value="urn:uuid:a92fe3b1-396d-4455-bdde-7af0439da62c"/>
<type value="Specimen"/>
</specimen>
<result>
<reference
value="urn:uuid:66c938b5-cd92-481d-95ed-36d5fb8270bd"/>
<type value="Observation"/>
<display value="Variables that apply to the overall study"/>
</result>
<presentedForm>
<contentType value="application/pdf"/>
<url value="urn:uuid:c7400612-45bb-4ecb-8e58-0e57423007e2"/>
</presentedForm>
</DiagnosticReport>
</resource>
</entry>
</Bundle>
</resource>
</entry>
<entry>
<resource>
<Bundle>
<id value="5"/>
<identifier>
<value value="ORIE-251014-9"/>
</identifier>
<type value="message"/>
<timestamp value="2025-10-14T15:59:42+00:00"/>
<entry>
<fullUrl value="urn:uuid:73ed21ec-6d7c-4345-8435-27edb774982e"/>
<resource>
<MessageHeader>
<eventCoding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0003"/>
<code value="R01"/>
</eventCoding>
<destination>
<endpoint value="https//fhir.mft.nhs.uk/Endpoint/EPIC"/>
<receiver>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699N0"/>
</identifier>
</receiver>
</destination>
<sender>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</sender>
<source>
<software value="NW GLH"/>
<endpoint
value="https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE"/>
</source>
<focus>
<reference
value="urn:uuid:0a19f99a-c393-4b7f-9246-281710896d21"/>
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4"/>
<resource>
<Patient>
<identifier>
<extension
url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland"/>
<code value="01"/>
<display value="Number present and verified"/>
</coding>
</valueCodeableConcept>
</extension>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737383222"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="X24"/>
</identifier>
</assigner>
</identifier>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
</coding>
</type>
<value value="L765432"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RR8"/>
</identifier>
</assigner>
</identifier>
<name id="xsAID">
<use value="usual"/>
<family value="LEEDS"/>
<given value="Rob"/>
<given value="null"/>
<prefix value="Mr"/>
<period>
<start value="2022-07-26"/>
</period>
</name>
<gender value="unknown"/>
<birthDate value="1978-01-17"/>
<address id="WaIHi">
<use value="home"/>
<line value="Maison Lane"/>
<line value="LEEDS"/>
<line value="null"/>
<postalCode value="LS8 2HH"/>
<period>
<start value="2020-02-06"/>
</period>
</address>
<generalPractitioner id="SnaoK">
<type value="Organization"/>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="B86016"/>
<period>
<start value="2024-03-25"/>
</period>
</identifier>
</generalPractitioner>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:4c5c6037-4210-4857-bda7-0a745bdd3434"/>
<resource>
<Observation>
<meta>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/GenomicStudyPanel"/>
</meta>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
</coding>
</type>
<system
value="https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"/>
<value value="T25-0209"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</identifier>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
<code value="GE"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="81306-3"/>
<display value="Variables that apply to the overall study"/>
</coding>
</code>
<subject>
<reference
value="urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737383222"/>
</identifier>
</subject>
<effectiveDateTime value="2025-10-14T15:59:16+00:00"/>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="51967-8"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication"/>
<code value="R125"/>
</coding>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:170cecad-2183-486f-8240-73e0340d9c44"/>
<resource>
<DocumentReference>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
</coding>
</type>
<system
value="https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"/>
<value value="T25-0209"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</identifier>
<status value="current"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1054161000000101"/>
<display value="Genetic report"/>
</coding>
</type>
<subject>
<reference
value="urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737383222"/>
</identifier>
</subject>
<date value="2025-10-14T15:59:16+00:00"/>
<custodian>
<type value="Organization"/>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</custodian>
<content>
<attachment>
<contentType value="application/pdf"/>
<url value="urn:uuid:b124252c-5006-4573-9e63-e1e1ffd58597"/>
</attachment>
</content>
<context>
<period>
<start value="2025-10-14T15:59:16+00:00"/>
<end value="2025-10-14T15:59:16+00:00"/>
</period>
<sourcePatientInfo>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
</coding>
</type>
<value value="L765432"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RR8"/>
</identifier>
</assigner>
</identifier>
</sourcePatientInfo>
<related>
<reference
value="urn:uuid:375c2e0e-b2a2-483a-b284-519a9ca94c72"/>
<type value="ServiceRequest"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
</type>
<value value="1000152872"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RR8"/>
</identifier>
</assigner>
</identifier>
</related>
<related>
<reference
value="urn:uuid:0a19f99a-c393-4b7f-9246-281710896d21"/>
<type value="DiagnosticReport"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
</coding>
</type>
<system
value="https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"/>
<value value="T25-0209"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</identifier>
</related>
</context>
</DocumentReference>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:da13e50a-a109-4af3-96a7-ae6cdfb2aaac"/>
<resource>
<Specimen>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
</type>
<value value="T25-0209"/>
</identifier>
<status value="unavailable"/>
<subject>
<reference
value="urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737383222"/>
</identifier>
</subject>
<receivedTime value="2025-10-06T00:00:00+00:00"/>
</Specimen>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:375c2e0e-b2a2-483a-b284-519a9ca94c72"/>
<resource>
<ServiceRequest>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
</type>
<value value="1000152872"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RR8"/>
</identifier>
</assigner>
</identifier>
<status value="completed"/>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="116148004"/>
</coding>
</category>
<code>
<coding>
<system
value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/>
<code value="R125.1"/>
<display
value="Thoracic aortic aneurysm or dissection (WES or Medium Panel)"/>
</coding>
</code>
<subject>
<reference
value="urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737383222"/>
</identifier>
</subject>
<requester>
<type value="Organization"/>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RR8"/>
</identifier>
<display value="Leeds Teaching Trust"/>
</requester>
<reasonCode>
<coding>
<system
value="https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication"/>
<code value="R125"/>
</coding>
</reasonCode>
<specimen>
<reference
value="urn:uuid:da13e50a-a109-4af3-96a7-ae6cdfb2aaac"/>
<type value="Specimen"/>
</specimen>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:0a19f99a-c393-4b7f-9246-281710896d21"/>
<resource>
<DiagnosticReport>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
</coding>
</type>
<system
value="https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"/>
<value value="T25-0209"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</identifier>
<basedOn>
<reference
value="urn:uuid:375c2e0e-b2a2-483a-b284-519a9ca94c72"/>
<type value="ServiceRequest"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
</type>
<value value="1000152872"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RR8"/>
</identifier>
</assigner>
</identifier>
</basedOn>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
<code value="GE"/>
</coding>
</category>
<code>
<coding>
<system
value="https://fhir.nwgenomics.nhs.uk/CodeSystem/IGEAP"/>
<code value="R125_Cardiology"/>
<display
value="PANEL: R125.1, R125.2 - Thoracic aortic aneurysm and dissection v1.2"/>
</coding>
<coding>
<system
value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/>
<code value="R125.1"/>
<display
value="Thoracic aortic aneurysm or dissection (WES or Medium Panel)"/>
</coding>
</code>
<subject>
<reference
value="urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737383222"/>
</identifier>
</subject>
<effectiveDateTime value="2025-10-14T15:59:16+00:00"/>
<issued value="2025-10-14T15:59:16+00:00"/>
<performer>
<type value="Organization"/>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
<display value="NHS North West Genomics"/>
</performer>
<resultsInterpreter>
<display value="Jonathan Edgerley"/>
</resultsInterpreter>
<specimen>
<reference
value="urn:uuid:da13e50a-a109-4af3-96a7-ae6cdfb2aaac"/>
<type value="Specimen"/>
</specimen>
<result>
<reference
value="urn:uuid:4c5c6037-4210-4857-bda7-0a745bdd3434"/>
<type value="Observation"/>
<display value="Variables that apply to the overall study"/>
</result>
<presentedForm>
<contentType value="application/pdf"/>
<url value="urn:uuid:b124252c-5006-4573-9e63-e1e1ffd58597"/>
</presentedForm>
</DiagnosticReport>
</resource>
</entry>
</Bundle>
</resource>
</entry>
<entry>
<resource>
<Bundle>
<id value="6"/>
<identifier>
<value value="ORIE-251014-9"/>
</identifier>
<type value="message"/>
<timestamp value="2025-10-14T15:59:42+00:00"/>
<entry>
<fullUrl value="urn:uuid:dcd8896b-d243-4f1e-ad10-b5b7d9c6e6cd"/>
<resource>
<MessageHeader>
<eventCoding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0003"/>
<code value="R01"/>
</eventCoding>
<destination>
<endpoint value="https//fhir.mft.nhs.uk/Endpoint/EPIC"/>
<receiver>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699N0"/>
</identifier>
</receiver>
</destination>
<sender>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</sender>
<source>
<software value="NW GLH"/>
<endpoint
value="https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE"/>
</source>
<focus>
<reference
value="urn:uuid:02d79983-d8e1-4060-a1ce-8d008ce513c5"/>
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558"/>
<resource>
<Patient>
<identifier>
<extension
url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland"/>
<code value="01"/>
<display value="Number present and verified"/>
</coding>
</valueCodeableConcept>
</extension>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737383222"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="X24"/>
</identifier>
</assigner>
</identifier>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
</coding>
</type>
<value value="L765432"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RR8"/>
</identifier>
</assigner>
</identifier>
<name id="xsAID">
<use value="usual"/>
<family value="LEEDS"/>
<given value="Rob"/>
<given value="null"/>
<prefix value="Mr"/>
<period>
<start value="2022-07-26"/>
</period>
</name>
<gender value="unknown"/>
<birthDate value="1978-01-17"/>
<address id="WaIHi">
<use value="home"/>
<line value="Maison Lane"/>
<line value="LEEDS"/>
<line value="null"/>
<postalCode value="LS8 2HH"/>
<period>
<start value="2020-02-06"/>
</period>
</address>
<generalPractitioner id="SnaoK">
<type value="Organization"/>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="B86016"/>
<period>
<start value="2024-03-25"/>
</period>
</identifier>
</generalPractitioner>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:c9dc399a-348e-49ce-9392-acd2cbfd8e9e"/>
<resource>
<Observation>
<meta>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/GenomicStudyPanel"/>
</meta>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
</coding>
</type>
<system
value="https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"/>
<value value="T25-0209"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</identifier>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
<code value="GE"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="81306-3"/>
<display value="Variables that apply to the overall study"/>
</coding>
</code>
<subject>
<reference
value="urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737383222"/>
</identifier>
</subject>
<effectiveDateTime value="2025-10-14T15:59:16+00:00"/>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="51967-8"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication"/>
<code value="R125"/>
</coding>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:3b117e08-ab0a-481c-832e-b6d1d7ef4a22"/>
<resource>
<DocumentReference>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
</coding>
</type>
<system
value="https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"/>
<value value="T25-0209"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</identifier>
<status value="current"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1054161000000101"/>
<display value="Genetic report"/>
</coding>
</type>
<subject>
<reference
value="urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737383222"/>
</identifier>
</subject>
<date value="2025-10-14T15:59:16+00:00"/>
<custodian>
<type value="Organization"/>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</custodian>
<content>
<attachment>
<contentType value="application/pdf"/>
<url value="urn:uuid:d17a6d33-235c-4e22-a456-c0bd30e53332"/>
</attachment>
</content>
<context>
<period>
<start value="2025-10-14T15:59:16+00:00"/>
<end value="2025-10-14T15:59:16+00:00"/>
</period>
<sourcePatientInfo>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
</coding>
</type>
<value value="L765432"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RR8"/>
</identifier>
</assigner>
</identifier>
</sourcePatientInfo>
<related>
<reference
value="urn:uuid:f306edf2-1abe-4c2a-9c58-deea54cbdcb6"/>
<type value="ServiceRequest"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
</type>
<value value="1000152872"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RR8"/>
</identifier>
</assigner>
</identifier>
</related>
<related>
<reference
value="urn:uuid:02d79983-d8e1-4060-a1ce-8d008ce513c5"/>
<type value="DiagnosticReport"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
</coding>
</type>
<system
value="https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"/>
<value value="T25-0209"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</identifier>
</related>
</context>
</DocumentReference>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:1cbdb4dc-1961-4f76-8d12-c25e26ad6b8b"/>
<resource>
<Specimen>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
</type>
<value value="T25-0209"/>
</identifier>
<status value="unavailable"/>
<subject>
<reference
value="urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737383222"/>
</identifier>
</subject>
<receivedTime value="2025-10-06T00:00:00+00:00"/>
</Specimen>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:f306edf2-1abe-4c2a-9c58-deea54cbdcb6"/>
<resource>
<ServiceRequest>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
</type>
<value value="1000152872"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RR8"/>
</identifier>
</assigner>
</identifier>
<status value="completed"/>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="116148004"/>
</coding>
</category>
<code>
<coding>
<system
value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/>
<code value="R125.1"/>
<display
value="Thoracic aortic aneurysm or dissection (WES or Medium Panel)"/>
</coding>
</code>
<subject>
<reference
value="urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737383222"/>
</identifier>
</subject>
<requester>
<type value="Organization"/>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RR8"/>
</identifier>
<display value="Leeds Teaching Trust"/>
</requester>
<reasonCode>
<coding>
<system
value="https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication"/>
<code value="R125"/>
</coding>
</reasonCode>
<specimen>
<reference
value="urn:uuid:1cbdb4dc-1961-4f76-8d12-c25e26ad6b8b"/>
<type value="Specimen"/>
</specimen>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:02d79983-d8e1-4060-a1ce-8d008ce513c5"/>
<resource>
<DiagnosticReport>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
</coding>
</type>
<system
value="https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier"/>
<value value="T25-0209"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
</assigner>
</identifier>
<basedOn>
<reference
value="urn:uuid:f306edf2-1abe-4c2a-9c58-deea54cbdcb6"/>
<type value="ServiceRequest"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
</type>
<value value="1000152872"/>
<assigner>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RR8"/>
</identifier>
</assigner>
</identifier>
</basedOn>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
<code value="GE"/>
</coding>
</category>
<code>
<coding>
<system
value="https://fhir.nwgenomics.nhs.uk/CodeSystem/IGEAP"/>
<code value="R125_Cardiology"/>
<display
value="PANEL: R125.1, R125.2 - Thoracic aortic aneurysm and dissection v1.2"/>
</coding>
<coding>
<system
value="https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory"/>
<code value="R125.1"/>
<display
value="Thoracic aortic aneurysm or dissection (WES or Medium Panel)"/>
</coding>
</code>
<subject>
<reference
value="urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737383222"/>
</identifier>
</subject>
<effectiveDateTime value="2025-10-14T15:59:16+00:00"/>
<issued value="2025-10-14T15:59:16+00:00"/>
<performer>
<type value="Organization"/>
<identifier>
<system
value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="699X0"/>
</identifier>
<display value="NHS North West Genomics"/>
</performer>
<resultsInterpreter>
<display value="Jonathan Edgerley"/>
</resultsInterpreter>
<specimen>
<reference
value="urn:uuid:1cbdb4dc-1961-4f76-8d12-c25e26ad6b8b"/>
<type value="Specimen"/>
</specimen>
<result>
<reference
value="urn:uuid:c9dc399a-348e-49ce-9392-acd2cbfd8e9e"/>
<type value="Observation"/>
<display value="Variables that apply to the overall study"/>
</result>
<presentedForm>
<contentType value="application/pdf"/>
<url value="urn:uuid:d17a6d33-235c-4e22-a456-c0bd30e53332"/>
</presentedForm>
</DiagnosticReport>
</resource>
</entry>
</Bundle>
</resource>
</entry>
</Bundle>