FHIR © HL7.org  |  FHIRsmith 4.0.1  |  Server Home  |  XIG Home  |  XIG Stats  | 

FHIR IG analytics

Packagefhir.nwgenomics.nhs.uk
Resource TypeBundle
IdBundle-312fb428-0f63-4814-b6e3-ed6aa6e6bbe0.json
FHIR VersionR4

Resources that use this resource

No resources found


Resources that this resource uses

No resources found


Narrative

No narrative content found in resource


Source1

{
  "resourceType": "Bundle",
  "id": "312fb428-0f63-4814-b6e3-ed6aa6e6bbe0",
  "type": "searchset",
  "total": 4,
  "entry": [
    {
      "fullUrl": "https://acme.org/fhir/r4/Bundle/3",
      "resource": {
        "resourceType": "Bundle",
        "id": "3",
        "identifier": {
          "value": "ORIE-251014-9"
        },
        "type": "message",
        "timestamp": "2025-10-14T15:59:42+00:00",
        "entry": [
          {
            "fullUrl": "urn:uuid:1f61a763-fd60-4cbd-b74f-47b81d05873c",
            "resource": {
              "resourceType": "MessageHeader",
              "eventCoding": {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0003",
                "code": "R01"
              },
              "destination": [
                {
                  "endpoint": "https//fhir.nwgenomics.nhs.uk/Endpoint/EPIC",
                  "receiver": {
                    "identifier": {
                      "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value": "699N0"
                    }
                  }
                }
              ],
              "sender": {
                "identifier": {
                  "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                  "value": "699X0"
                }
              },
              "source": {
                "software": "NW GLH",
                "endpoint": "https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE"
              },
              "focus": [
                {
                  "reference": "urn:uuid:f695baec-9a23-47c3-8fb1-a5496a6da2df"
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875",
            "resource": {
              "resourceType": "Patient",
              "identifier": [
                {
                  "extension": [
                    {
                      "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus",
                      "valueCodeableConcept": {
                        "coding": [
                          {
                            "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland",
                            "code": "01",
                            "display": "Number present and verified"
                          }
                        ]
                      }
                    }
                  ],
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "NH"
                      }
                    ]
                  },
                  "system": "https://fhir.nhs.uk/Id/nhs-number",
                  "value": "9737383222",
                  "assigner": {
                    "identifier": {
                      "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value": "X24"
                    }
                  }
                },
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "MR"
                      }
                    ]
                  },
                  "value": "L765432",
                  "assigner": {
                    "identifier": {
                      "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value": "RR8"
                    }
                  }
                }
              ],
              "name": [
                {
                  "id": "xsAID",
                  "use": "usual",
                  "family": "LEEDS",
                  "given": [
                    "Rob",
                    "null"
                  ],
                  "prefix": [
                    "Mr"
                  ],
                  "period": {
                    "start": "2022-07-26"
                  }
                }
              ],
              "gender": "unknown",
              "birthDate": "1978-01-17",
              "address": [
                {
                  "id": "WaIHi",
                  "use": "home",
                  "line": [
                    "Maison Lane",
                    "LEEDS",
                    "null"
                  ],
                  "postalCode": "LS8 2HH",
                  "period": {
                    "start": "2020-02-06"
                  }
                }
              ],
              "generalPractitioner": [
                {
                  "id": "SnaoK",
                  "type": "Organization",
                  "identifier": {
                    "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                    "value": "B86016",
                    "period": {
                      "start": "2024-03-25"
                    }
                  }
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:cd836a79-fea2-4836-801b-56ab8588defc",
            "resource": {
              "resourceType": "Observation",
              "meta": {
                "profile": [
                  "https://fhir.nwgenomics.nhs.uk/StructureDefinition/GenomicStudyPanel"
                ]
              },
              "identifier": [
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "FILL"
                      }
                    ]
                  },
                  "system": "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
                  "value": "T25-0209",
                  "assigner": {
                    "identifier": {
                      "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value": "699X0"
                    }
                  }
                }
              ],
              "status": "final",
              "category": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                      "code": "laboratory"
                    }
                  ]
                },
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                      "code": "GE"
                    }
                  ]
                }
              ],
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "81306-3",
                    "display": "Variables that apply to the overall study"
                  }
                ]
              },
              "subject": {
                "reference": "urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875",
                "identifier": {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "NH"
                      }
                    ]
                  },
                  "system": "https://fhir.nhs.uk/Id/nhs-number",
                  "value": "9737383222"
                }
              },
              "effectiveDateTime": "2025-10-14T15:59:16+00:00",
              "component": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://loinc.org",
                        "code": "51967-8"
                      }
                    ]
                  },
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication",
                        "code": "R125"
                      }
                    ]
                  }
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:852dd227-a58f-4777-beb3-c365186b98be",
            "resource": {
              "resourceType": "DocumentReference",
              "identifier": [
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "FILL"
                      }
                    ]
                  },
                  "system": "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
                  "value": "T25-0209",
                  "assigner": {
                    "identifier": {
                      "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value": "699X0"
                    }
                  }
                }
              ],
              "status": "current",
              "type": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "1054161000000101",
                    "display": "Genetic report"
                  }
                ]
              },
              "subject": {
                "reference": "urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875",
                "identifier": {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "NH"
                      }
                    ]
                  },
                  "system": "https://fhir.nhs.uk/Id/nhs-number",
                  "value": "9737383222"
                }
              },
              "date": "2025-10-14T15:59:16+00:00",
              "custodian": {
                "type": "Organization",
                "identifier": {
                  "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                  "value": "699X0"
                }
              },
              "content": [
                {
                  "attachment": {
                    "contentType": "application/pdf",
                    "url": "urn:uuid:58a12458-3df1-4feb-9bb6-80dec328cf43"
                  }
                }
              ],
              "context": {
                "period": {
                  "start": "2025-10-14T15:59:16+00:00",
                  "end": "2025-10-14T15:59:16+00:00"
                },
                "sourcePatientInfo": {
                  "identifier": {
                    "type": {
                      "coding": [
                        {
                          "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                          "code": "MR"
                        }
                      ]
                    },
                    "value": "L765432",
                    "assigner": {
                      "identifier": {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "RR8"
                      }
                    }
                  }
                },
                "related": [
                  {
                    "reference": "urn:uuid:3ec14724-9e7c-422f-9fdd-815b723e565c",
                    "type": "ServiceRequest",
                    "identifier": {
                      "type": {
                        "coding": [
                          {
                            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                            "code": "PLAC"
                          }
                        ]
                      },
                      "value": "1000152872",
                      "assigner": {
                        "identifier": {
                          "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                          "value": "RR8"
                        }
                      }
                    }
                  },
                  {
                    "reference": "urn:uuid:f695baec-9a23-47c3-8fb1-a5496a6da2df",
                    "type": "DiagnosticReport",
                    "identifier": {
                      "type": {
                        "coding": [
                          {
                            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                            "code": "FILL"
                          }
                        ]
                      },
                      "system": "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
                      "value": "T25-0209",
                      "assigner": {
                        "identifier": {
                          "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                          "value": "699X0"
                        }
                      }
                    }
                  }
                ]
              }
            }
          },
          {
            "fullUrl": "urn:uuid:4af75ffe-adaf-4a05-91f3-11d4ad22e960",
            "resource": {
              "resourceType": "Specimen",
              "identifier": [
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "PLAC"
                      }
                    ]
                  },
                  "value": "T25-0209"
                }
              ],
              "status": "unavailable",
              "subject": {
                "reference": "urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875",
                "identifier": {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "NH"
                      }
                    ]
                  },
                  "system": "https://fhir.nhs.uk/Id/nhs-number",
                  "value": "9737383222"
                }
              },
              "receivedTime": "2025-10-06T00:00:00+00:00"
            }
          },
          {
            "fullUrl": "urn:uuid:3ec14724-9e7c-422f-9fdd-815b723e565c",
            "resource": {
              "resourceType": "ServiceRequest",
              "identifier": [
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "PLAC"
                      }
                    ]
                  },
                  "value": "1000152872",
                  "assigner": {
                    "identifier": {
                      "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value": "RR8"
                    }
                  }
                }
              ],
              "status": "completed",
              "intent": "order",
              "category": [
                {
                  "coding": [
                    {
                      "system": "http://snomed.info/sct",
                      "code": "116148004"
                    }
                  ]
                }
              ],
              "code": {
                "coding": [
                  {
                    "system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
                    "code": "R125.1",
                    "display": "Thoracic aortic aneurysm or dissection (WES or Medium Panel)"
                  }
                ]
              },
              "subject": {
                "reference": "urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875",
                "identifier": {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "NH"
                      }
                    ]
                  },
                  "system": "https://fhir.nhs.uk/Id/nhs-number",
                  "value": "9737383222"
                }
              },
              "requester": {
                "type": "Organization",
                "identifier": {
                  "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                  "value": "RR8"
                },
                "display": "Leeds Teaching Trust"
              },
              "reasonCode": [
                {
                  "coding": [
                    {
                      "system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication",
                      "code": "R125"
                    }
                  ]
                }
              ],
              "specimen": [
                {
                  "reference": "urn:uuid:4af75ffe-adaf-4a05-91f3-11d4ad22e960",
                  "type": "Specimen"
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:f695baec-9a23-47c3-8fb1-a5496a6da2df",
            "resource": {
              "resourceType": "DiagnosticReport",
              "identifier": [
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "FILL"
                      }
                    ]
                  },
                  "system": "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
                  "value": "T25-0209",
                  "assigner": {
                    "identifier": {
                      "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value": "699X0"
                    }
                  }
                }
              ],
              "basedOn": [
                {
                  "reference": "urn:uuid:3ec14724-9e7c-422f-9fdd-815b723e565c",
                  "type": "ServiceRequest",
                  "identifier": {
                    "type": {
                      "coding": [
                        {
                          "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                          "code": "PLAC"
                        }
                      ]
                    },
                    "value": "1000152872",
                    "assigner": {
                      "identifier": {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "RR8"
                      }
                    }
                  }
                }
              ],
              "status": "final",
              "category": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                      "code": "GE"
                    }
                  ]
                }
              ],
              "code": {
                "coding": [
                  {
                    "system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/IGEAP",
                    "code": "R125_Cardiology",
                    "display": "PANEL : R125.1, R125.2 - Thoracic aortic aneurysm and dissection v1.2"
                  },
                  {
                    "system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
                    "code": "R125.1",
                    "display": "Thoracic aortic aneurysm or dissection (WES or Medium Panel)"
                  }
                ]
              },
              "subject": {
                "reference": "urn:uuid:9c824395-c298-4c1f-9dd0-eaafd2cec875",
                "identifier": {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "NH"
                      }
                    ]
                  },
                  "system": "https://fhir.nhs.uk/Id/nhs-number",
                  "value": "9737383222"
                }
              },
              "effectiveDateTime": "2025-10-14T15:59:16+00:00",
              "issued": "2025-10-14T15:59:16+00:00",
              "performer": [
                {
                  "type": "Organization",
                  "identifier": {
                    "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                    "value": "699X0"
                  },
                  "display": "NHS North West Genomics"
                }
              ],
              "resultsInterpreter": [
                {
                  "display": "Jonathan Edgerley"
                }
              ],
              "specimen": [
                {
                  "reference": "urn:uuid:4af75ffe-adaf-4a05-91f3-11d4ad22e960",
                  "type": "Specimen"
                }
              ],
              "result": [
                {
                  "reference": "urn:uuid:cd836a79-fea2-4836-801b-56ab8588defc",
                  "type": "Observation",
                  "display": "Variables that apply to the overall study"
                }
              ],
              "presentedForm": [
                {
                  "contentType": "application/pdf",
                  "url": "urn:uuid:58a12458-3df1-4feb-9bb6-80dec328cf43"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://acme.org/fhir/r4/Bundle/4",
      "resource": {
        "resourceType": "Bundle",
        "id": "4",
        "identifier": {
          "value": "ORIE-251014-9"
        },
        "type": "message",
        "timestamp": "2025-10-14T15:59:42+00:00",
        "entry": [
          {
            "fullUrl": "urn:uuid:36c3ba17-2e21-4b9a-9e55-e391bfc8ccbb",
            "resource": {
              "resourceType": "MessageHeader",
              "eventCoding": {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0003",
                "code": "R01"
              },
              "destination": [
                {
                  "endpoint": "https//fhir.nwgenomics.nhs.uk/Endpoint/EPIC",
                  "receiver": {
                    "identifier": {
                      "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value": "699N0"
                    }
                  }
                }
              ],
              "sender": {
                "identifier": {
                  "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                  "value": "699X0"
                }
              },
              "source": {
                "software": "NW GLH",
                "endpoint": "https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE"
              },
              "focus": [
                {
                  "reference": "urn:uuid:6cef3146-336a-4061-945a-6cad51832bad"
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71",
            "resource": {
              "resourceType": "Patient",
              "identifier": [
                {
                  "extension": [
                    {
                      "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus",
                      "valueCodeableConcept": {
                        "coding": [
                          {
                            "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland",
                            "code": "01",
                            "display": "Number present and verified"
                          }
                        ]
                      }
                    }
                  ],
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "NH"
                      }
                    ]
                  },
                  "system": "https://fhir.nhs.uk/Id/nhs-number",
                  "value": "9737383222",
                  "assigner": {
                    "identifier": {
                      "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value": "X24"
                    }
                  }
                },
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "MR"
                      }
                    ]
                  },
                  "value": "L765432",
                  "assigner": {
                    "identifier": {
                      "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value": "RR8"
                    }
                  }
                }
              ],
              "name": [
                {
                  "id": "xsAID",
                  "use": "usual",
                  "family": "LEEDS",
                  "given": [
                    "Rob",
                    "null"
                  ],
                  "prefix": [
                    "Mr"
                  ],
                  "period": {
                    "start": "2022-07-26"
                  }
                }
              ],
              "gender": "unknown",
              "birthDate": "1978-01-17",
              "address": [
                {
                  "id": "WaIHi",
                  "use": "home",
                  "line": [
                    "Maison Lane",
                    "LEEDS",
                    "null"
                  ],
                  "postalCode": "LS8 2HH",
                  "period": {
                    "start": "2020-02-06"
                  }
                }
              ],
              "generalPractitioner": [
                {
                  "id": "SnaoK",
                  "type": "Organization",
                  "identifier": {
                    "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                    "value": "B86016",
                    "period": {
                      "start": "2024-03-25"
                    }
                  }
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:66c938b5-cd92-481d-95ed-36d5fb8270bd",
            "resource": {
              "resourceType": "Observation",
              "meta": {
                "profile": [
                  "https://fhir.nwgenomics.nhs.uk/StructureDefinition/GenomicStudyPanel"
                ]
              },
              "identifier": [
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "FILL"
                      }
                    ]
                  },
                  "system": "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
                  "value": "T25-0209",
                  "assigner": {
                    "identifier": {
                      "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value": "699X0"
                    }
                  }
                }
              ],
              "status": "final",
              "category": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                      "code": "laboratory"
                    }
                  ]
                },
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                      "code": "GE"
                    }
                  ]
                }
              ],
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "81306-3",
                    "display": "Variables that apply to the overall study"
                  }
                ]
              },
              "subject": {
                "reference": "urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71",
                "identifier": {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "NH"
                      }
                    ]
                  },
                  "system": "https://fhir.nhs.uk/Id/nhs-number",
                  "value": "9737383222"
                }
              },
              "effectiveDateTime": "2025-10-14T15:59:16+00:00",
              "component": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://loinc.org",
                        "code": "51967-8"
                      }
                    ]
                  },
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication",
                        "code": "R125"
                      }
                    ]
                  }
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:e4b9d5c9-d143-4720-8ba4-8da7b4de7083",
            "resource": {
              "resourceType": "DocumentReference",
              "identifier": [
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "FILL"
                      }
                    ]
                  },
                  "system": "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
                  "value": "T25-0209",
                  "assigner": {
                    "identifier": {
                      "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value": "699X0"
                    }
                  }
                }
              ],
              "status": "current",
              "type": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "1054161000000101",
                    "display": "Genetic report"
                  }
                ]
              },
              "subject": {
                "reference": "urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71",
                "identifier": {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "NH"
                      }
                    ]
                  },
                  "system": "https://fhir.nhs.uk/Id/nhs-number",
                  "value": "9737383222"
                }
              },
              "date": "2025-10-14T15:59:16+00:00",
              "custodian": {
                "type": "Organization",
                "identifier": {
                  "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                  "value": "699X0"
                }
              },
              "content": [
                {
                  "attachment": {
                    "contentType": "application/pdf",
                    "url": "urn:uuid:c7400612-45bb-4ecb-8e58-0e57423007e2"
                  }
                }
              ],
              "context": {
                "period": {
                  "start": "2025-10-14T15:59:16+00:00",
                  "end": "2025-10-14T15:59:16+00:00"
                },
                "sourcePatientInfo": {
                  "identifier": {
                    "type": {
                      "coding": [
                        {
                          "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                          "code": "MR"
                        }
                      ]
                    },
                    "value": "L765432",
                    "assigner": {
                      "identifier": {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "RR8"
                      }
                    }
                  }
                },
                "related": [
                  {
                    "reference": "urn:uuid:c2f9fc13-77c8-449c-ac8d-dcdf545d5f8f",
                    "type": "ServiceRequest",
                    "identifier": {
                      "type": {
                        "coding": [
                          {
                            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                            "code": "PLAC"
                          }
                        ]
                      },
                      "value": "1000152872",
                      "assigner": {
                        "identifier": {
                          "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                          "value": "RR8"
                        }
                      }
                    }
                  },
                  {
                    "reference": "urn:uuid:6cef3146-336a-4061-945a-6cad51832bad",
                    "type": "DiagnosticReport",
                    "identifier": {
                      "type": {
                        "coding": [
                          {
                            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                            "code": "FILL"
                          }
                        ]
                      },
                      "system": "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
                      "value": "T25-0209",
                      "assigner": {
                        "identifier": {
                          "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                          "value": "699X0"
                        }
                      }
                    }
                  }
                ]
              }
            }
          },
          {
            "fullUrl": "urn:uuid:a92fe3b1-396d-4455-bdde-7af0439da62c",
            "resource": {
              "resourceType": "Specimen",
              "identifier": [
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "PLAC"
                      }
                    ]
                  },
                  "value": "T25-0209"
                }
              ],
              "status": "unavailable",
              "subject": {
                "reference": "urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71",
                "identifier": {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "NH"
                      }
                    ]
                  },
                  "system": "https://fhir.nhs.uk/Id/nhs-number",
                  "value": "9737383222"
                }
              },
              "receivedTime": "2025-10-06T00:00:00+00:00"
            }
          },
          {
            "fullUrl": "urn:uuid:c2f9fc13-77c8-449c-ac8d-dcdf545d5f8f",
            "resource": {
              "resourceType": "ServiceRequest",
              "identifier": [
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "PLAC"
                      }
                    ]
                  },
                  "value": "1000152872",
                  "assigner": {
                    "identifier": {
                      "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value": "RR8"
                    }
                  }
                }
              ],
              "status": "completed",
              "intent": "order",
              "category": [
                {
                  "coding": [
                    {
                      "system": "http://snomed.info/sct",
                      "code": "116148004"
                    }
                  ]
                }
              ],
              "code": {
                "coding": [
                  {
                    "system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
                    "code": "R125.1",
                    "display": "Thoracic aortic aneurysm or dissection (WES or Medium Panel)"
                  }
                ]
              },
              "subject": {
                "reference": "urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71",
                "identifier": {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "NH"
                      }
                    ]
                  },
                  "system": "https://fhir.nhs.uk/Id/nhs-number",
                  "value": "9737383222"
                }
              },
              "requester": {
                "type": "Organization",
                "identifier": {
                  "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                  "value": "RR8"
                },
                "display": "Leeds Teaching Trust"
              },
              "reasonCode": [
                {
                  "coding": [
                    {
                      "system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication",
                      "code": "R125"
                    }
                  ]
                }
              ],
              "specimen": [
                {
                  "reference": "urn:uuid:a92fe3b1-396d-4455-bdde-7af0439da62c",
                  "type": "Specimen"
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:6cef3146-336a-4061-945a-6cad51832bad",
            "resource": {
              "resourceType": "DiagnosticReport",
              "identifier": [
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "FILL"
                      }
                    ]
                  },
                  "system": "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
                  "value": "T25-0209",
                  "assigner": {
                    "identifier": {
                      "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value": "699X0"
                    }
                  }
                }
              ],
              "basedOn": [
                {
                  "reference": "urn:uuid:c2f9fc13-77c8-449c-ac8d-dcdf545d5f8f",
                  "type": "ServiceRequest",
                  "identifier": {
                    "type": {
                      "coding": [
                        {
                          "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                          "code": "PLAC"
                        }
                      ]
                    },
                    "value": "1000152872",
                    "assigner": {
                      "identifier": {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "RR8"
                      }
                    }
                  }
                }
              ],
              "status": "final",
              "category": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                      "code": "GE"
                    }
                  ]
                }
              ],
              "code": {
                "coding": [
                  {
                    "system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/IGEAP",
                    "code": "R125_Cardiology",
                    "display": "PANEL : R125.1, R125.2 - Thoracic aortic aneurysm and dissection v1.2"
                  },
                  {
                    "system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
                    "code": "R125.1",
                    "display": "Thoracic aortic aneurysm or dissection (WES or Medium Panel)"
                  }
                ]
              },
              "subject": {
                "reference": "urn:uuid:128bab3d-bea2-45cb-a613-08dde4529d71",
                "identifier": {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "NH"
                      }
                    ]
                  },
                  "system": "https://fhir.nhs.uk/Id/nhs-number",
                  "value": "9737383222"
                }
              },
              "effectiveDateTime": "2025-10-14T15:59:16+00:00",
              "issued": "2025-10-14T15:59:16+00:00",
              "performer": [
                {
                  "type": "Organization",
                  "identifier": {
                    "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                    "value": "699X0"
                  },
                  "display": "NHS North West Genomics"
                }
              ],
              "resultsInterpreter": [
                {
                  "display": "Jonathan Edgerley"
                }
              ],
              "specimen": [
                {
                  "reference": "urn:uuid:a92fe3b1-396d-4455-bdde-7af0439da62c",
                  "type": "Specimen"
                }
              ],
              "result": [
                {
                  "reference": "urn:uuid:66c938b5-cd92-481d-95ed-36d5fb8270bd",
                  "type": "Observation",
                  "display": "Variables that apply to the overall study"
                }
              ],
              "presentedForm": [
                {
                  "contentType": "application/pdf",
                  "url": "urn:uuid:c7400612-45bb-4ecb-8e58-0e57423007e2"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://acme.org/fhir/r4/Bundle/5",
      "resource": {
        "resourceType": "Bundle",
        "id": "5",
        "identifier": {
          "value": "ORIE-251014-9"
        },
        "type": "message",
        "timestamp": "2025-10-14T15:59:42+00:00",
        "entry": [
          {
            "fullUrl": "urn:uuid:73ed21ec-6d7c-4345-8435-27edb774982e",
            "resource": {
              "resourceType": "MessageHeader",
              "eventCoding": {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0003",
                "code": "R01"
              },
              "destination": [
                {
                  "endpoint": "https//fhir.nwgenomics.nhs.uk/Endpoint/EPIC",
                  "receiver": {
                    "identifier": {
                      "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value": "699N0"
                    }
                  }
                }
              ],
              "sender": {
                "identifier": {
                  "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                  "value": "699X0"
                }
              },
              "source": {
                "software": "NW GLH",
                "endpoint": "https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE"
              },
              "focus": [
                {
                  "reference": "urn:uuid:0a19f99a-c393-4b7f-9246-281710896d21"
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4",
            "resource": {
              "resourceType": "Patient",
              "identifier": [
                {
                  "extension": [
                    {
                      "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus",
                      "valueCodeableConcept": {
                        "coding": [
                          {
                            "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland",
                            "code": "01",
                            "display": "Number present and verified"
                          }
                        ]
                      }
                    }
                  ],
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "NH"
                      }
                    ]
                  },
                  "system": "https://fhir.nhs.uk/Id/nhs-number",
                  "value": "9737383222",
                  "assigner": {
                    "identifier": {
                      "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value": "X24"
                    }
                  }
                },
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "MR"
                      }
                    ]
                  },
                  "value": "L765432",
                  "assigner": {
                    "identifier": {
                      "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value": "RR8"
                    }
                  }
                }
              ],
              "name": [
                {
                  "id": "xsAID",
                  "use": "usual",
                  "family": "LEEDS",
                  "given": [
                    "Rob",
                    "null"
                  ],
                  "prefix": [
                    "Mr"
                  ],
                  "period": {
                    "start": "2022-07-26"
                  }
                }
              ],
              "gender": "unknown",
              "birthDate": "1978-01-17",
              "address": [
                {
                  "id": "WaIHi",
                  "use": "home",
                  "line": [
                    "Maison Lane",
                    "LEEDS",
                    "null"
                  ],
                  "postalCode": "LS8 2HH",
                  "period": {
                    "start": "2020-02-06"
                  }
                }
              ],
              "generalPractitioner": [
                {
                  "id": "SnaoK",
                  "type": "Organization",
                  "identifier": {
                    "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                    "value": "B86016",
                    "period": {
                      "start": "2024-03-25"
                    }
                  }
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:4c5c6037-4210-4857-bda7-0a745bdd3434",
            "resource": {
              "resourceType": "Observation",
              "meta": {
                "profile": [
                  "https://fhir.nwgenomics.nhs.uk/StructureDefinition/GenomicStudyPanel"
                ]
              },
              "identifier": [
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "FILL"
                      }
                    ]
                  },
                  "system": "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
                  "value": "T25-0209",
                  "assigner": {
                    "identifier": {
                      "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value": "699X0"
                    }
                  }
                }
              ],
              "status": "final",
              "category": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                      "code": "laboratory"
                    }
                  ]
                },
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                      "code": "GE"
                    }
                  ]
                }
              ],
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "81306-3",
                    "display": "Variables that apply to the overall study"
                  }
                ]
              },
              "subject": {
                "reference": "urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4",
                "identifier": {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "NH"
                      }
                    ]
                  },
                  "system": "https://fhir.nhs.uk/Id/nhs-number",
                  "value": "9737383222"
                }
              },
              "effectiveDateTime": "2025-10-14T15:59:16+00:00",
              "component": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://loinc.org",
                        "code": "51967-8"
                      }
                    ]
                  },
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication",
                        "code": "R125"
                      }
                    ]
                  }
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:170cecad-2183-486f-8240-73e0340d9c44",
            "resource": {
              "resourceType": "DocumentReference",
              "identifier": [
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "FILL"
                      }
                    ]
                  },
                  "system": "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
                  "value": "T25-0209",
                  "assigner": {
                    "identifier": {
                      "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value": "699X0"
                    }
                  }
                }
              ],
              "status": "current",
              "type": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "1054161000000101",
                    "display": "Genetic report"
                  }
                ]
              },
              "subject": {
                "reference": "urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4",
                "identifier": {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "NH"
                      }
                    ]
                  },
                  "system": "https://fhir.nhs.uk/Id/nhs-number",
                  "value": "9737383222"
                }
              },
              "date": "2025-10-14T15:59:16+00:00",
              "custodian": {
                "type": "Organization",
                "identifier": {
                  "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                  "value": "699X0"
                }
              },
              "content": [
                {
                  "attachment": {
                    "contentType": "application/pdf",
                    "url": "urn:uuid:b124252c-5006-4573-9e63-e1e1ffd58597"
                  }
                }
              ],
              "context": {
                "period": {
                  "start": "2025-10-14T15:59:16+00:00",
                  "end": "2025-10-14T15:59:16+00:00"
                },
                "sourcePatientInfo": {
                  "identifier": {
                    "type": {
                      "coding": [
                        {
                          "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                          "code": "MR"
                        }
                      ]
                    },
                    "value": "L765432",
                    "assigner": {
                      "identifier": {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "RR8"
                      }
                    }
                  }
                },
                "related": [
                  {
                    "reference": "urn:uuid:375c2e0e-b2a2-483a-b284-519a9ca94c72",
                    "type": "ServiceRequest",
                    "identifier": {
                      "type": {
                        "coding": [
                          {
                            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                            "code": "PLAC"
                          }
                        ]
                      },
                      "value": "1000152872",
                      "assigner": {
                        "identifier": {
                          "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                          "value": "RR8"
                        }
                      }
                    }
                  },
                  {
                    "reference": "urn:uuid:0a19f99a-c393-4b7f-9246-281710896d21",
                    "type": "DiagnosticReport",
                    "identifier": {
                      "type": {
                        "coding": [
                          {
                            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                            "code": "FILL"
                          }
                        ]
                      },
                      "system": "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
                      "value": "T25-0209",
                      "assigner": {
                        "identifier": {
                          "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                          "value": "699X0"
                        }
                      }
                    }
                  }
                ]
              }
            }
          },
          {
            "fullUrl": "urn:uuid:da13e50a-a109-4af3-96a7-ae6cdfb2aaac",
            "resource": {
              "resourceType": "Specimen",
              "identifier": [
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "PLAC"
                      }
                    ]
                  },
                  "value": "T25-0209"
                }
              ],
              "status": "unavailable",
              "subject": {
                "reference": "urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4",
                "identifier": {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "NH"
                      }
                    ]
                  },
                  "system": "https://fhir.nhs.uk/Id/nhs-number",
                  "value": "9737383222"
                }
              },
              "receivedTime": "2025-10-06T00:00:00+00:00"
            }
          },
          {
            "fullUrl": "urn:uuid:375c2e0e-b2a2-483a-b284-519a9ca94c72",
            "resource": {
              "resourceType": "ServiceRequest",
              "identifier": [
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "PLAC"
                      }
                    ]
                  },
                  "value": "1000152872",
                  "assigner": {
                    "identifier": {
                      "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value": "RR8"
                    }
                  }
                }
              ],
              "status": "completed",
              "intent": "order",
              "category": [
                {
                  "coding": [
                    {
                      "system": "http://snomed.info/sct",
                      "code": "116148004"
                    }
                  ]
                }
              ],
              "code": {
                "coding": [
                  {
                    "system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
                    "code": "R125.1",
                    "display": "Thoracic aortic aneurysm or dissection (WES or Medium Panel)"
                  }
                ]
              },
              "subject": {
                "reference": "urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4",
                "identifier": {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "NH"
                      }
                    ]
                  },
                  "system": "https://fhir.nhs.uk/Id/nhs-number",
                  "value": "9737383222"
                }
              },
              "requester": {
                "type": "Organization",
                "identifier": {
                  "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                  "value": "RR8"
                },
                "display": "Leeds Teaching Trust"
              },
              "reasonCode": [
                {
                  "coding": [
                    {
                      "system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication",
                      "code": "R125"
                    }
                  ]
                }
              ],
              "specimen": [
                {
                  "reference": "urn:uuid:da13e50a-a109-4af3-96a7-ae6cdfb2aaac",
                  "type": "Specimen"
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:0a19f99a-c393-4b7f-9246-281710896d21",
            "resource": {
              "resourceType": "DiagnosticReport",
              "identifier": [
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "FILL"
                      }
                    ]
                  },
                  "system": "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
                  "value": "T25-0209",
                  "assigner": {
                    "identifier": {
                      "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value": "699X0"
                    }
                  }
                }
              ],
              "basedOn": [
                {
                  "reference": "urn:uuid:375c2e0e-b2a2-483a-b284-519a9ca94c72",
                  "type": "ServiceRequest",
                  "identifier": {
                    "type": {
                      "coding": [
                        {
                          "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                          "code": "PLAC"
                        }
                      ]
                    },
                    "value": "1000152872",
                    "assigner": {
                      "identifier": {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "RR8"
                      }
                    }
                  }
                }
              ],
              "status": "final",
              "category": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                      "code": "GE"
                    }
                  ]
                }
              ],
              "code": {
                "coding": [
                  {
                    "system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/IGEAP",
                    "code": "R125_Cardiology",
                    "display": "PANEL : R125.1, R125.2 - Thoracic aortic aneurysm and dissection v1.2"
                  },
                  {
                    "system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
                    "code": "R125.1",
                    "display": "Thoracic aortic aneurysm or dissection (WES or Medium Panel)"
                  }
                ]
              },
              "subject": {
                "reference": "urn:uuid:b419c81a-c036-4207-8fd8-547f898803e4",
                "identifier": {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "NH"
                      }
                    ]
                  },
                  "system": "https://fhir.nhs.uk/Id/nhs-number",
                  "value": "9737383222"
                }
              },
              "effectiveDateTime": "2025-10-14T15:59:16+00:00",
              "issued": "2025-10-14T15:59:16+00:00",
              "performer": [
                {
                  "type": "Organization",
                  "identifier": {
                    "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                    "value": "699X0"
                  },
                  "display": "NHS North West Genomics"
                }
              ],
              "resultsInterpreter": [
                {
                  "display": "Jonathan Edgerley"
                }
              ],
              "specimen": [
                {
                  "reference": "urn:uuid:da13e50a-a109-4af3-96a7-ae6cdfb2aaac",
                  "type": "Specimen"
                }
              ],
              "result": [
                {
                  "reference": "urn:uuid:4c5c6037-4210-4857-bda7-0a745bdd3434",
                  "type": "Observation",
                  "display": "Variables that apply to the overall study"
                }
              ],
              "presentedForm": [
                {
                  "contentType": "application/pdf",
                  "url": "urn:uuid:b124252c-5006-4573-9e63-e1e1ffd58597"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://acme.org/fhir/r4/Bundle/6",
      "resource": {
        "resourceType": "Bundle",
        "id": "6",
        "identifier": {
          "value": "ORIE-251014-9"
        },
        "type": "message",
        "timestamp": "2025-10-14T15:59:42+00:00",
        "entry": [
          {
            "fullUrl": "urn:uuid:dcd8896b-d243-4f1e-ad10-b5b7d9c6e6cd",
            "resource": {
              "resourceType": "MessageHeader",
              "eventCoding": {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0003",
                "code": "R01"
              },
              "destination": [
                {
                  "endpoint": "https//fhir.nwgenomics.nhs.uk/Endpoint/EPIC",
                  "receiver": {
                    "identifier": {
                      "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value": "699N0"
                    }
                  }
                }
              ],
              "sender": {
                "identifier": {
                  "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                  "value": "699X0"
                }
              },
              "source": {
                "software": "NW GLH",
                "endpoint": "https://fhir.nwgenomics.nhs.uk/Endpoint/IGENE"
              },
              "focus": [
                {
                  "reference": "urn:uuid:02d79983-d8e1-4060-a1ce-8d008ce513c5"
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558",
            "resource": {
              "resourceType": "Patient",
              "identifier": [
                {
                  "extension": [
                    {
                      "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus",
                      "valueCodeableConcept": {
                        "coding": [
                          {
                            "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland",
                            "code": "01",
                            "display": "Number present and verified"
                          }
                        ]
                      }
                    }
                  ],
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "NH"
                      }
                    ]
                  },
                  "system": "https://fhir.nhs.uk/Id/nhs-number",
                  "value": "9737383222",
                  "assigner": {
                    "identifier": {
                      "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value": "X24"
                    }
                  }
                },
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "MR"
                      }
                    ]
                  },
                  "value": "L765432",
                  "assigner": {
                    "identifier": {
                      "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value": "RR8"
                    }
                  }
                }
              ],
              "name": [
                {
                  "id": "xsAID",
                  "use": "usual",
                  "family": "LEEDS",
                  "given": [
                    "Rob",
                    "null"
                  ],
                  "prefix": [
                    "Mr"
                  ],
                  "period": {
                    "start": "2022-07-26"
                  }
                }
              ],
              "gender": "unknown",
              "birthDate": "1978-01-17",
              "address": [
                {
                  "id": "WaIHi",
                  "use": "home",
                  "line": [
                    "Maison Lane",
                    "LEEDS",
                    "null"
                  ],
                  "postalCode": "LS8 2HH",
                  "period": {
                    "start": "2020-02-06"
                  }
                }
              ],
              "generalPractitioner": [
                {
                  "id": "SnaoK",
                  "type": "Organization",
                  "identifier": {
                    "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                    "value": "B86016",
                    "period": {
                      "start": "2024-03-25"
                    }
                  }
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:c9dc399a-348e-49ce-9392-acd2cbfd8e9e",
            "resource": {
              "resourceType": "Observation",
              "meta": {
                "profile": [
                  "https://fhir.nwgenomics.nhs.uk/StructureDefinition/GenomicStudyPanel"
                ]
              },
              "identifier": [
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "FILL"
                      }
                    ]
                  },
                  "system": "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
                  "value": "T25-0209",
                  "assigner": {
                    "identifier": {
                      "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value": "699X0"
                    }
                  }
                }
              ],
              "status": "final",
              "category": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                      "code": "laboratory"
                    }
                  ]
                },
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                      "code": "GE"
                    }
                  ]
                }
              ],
              "code": {
                "coding": [
                  {
                    "system": "http://loinc.org",
                    "code": "81306-3",
                    "display": "Variables that apply to the overall study"
                  }
                ]
              },
              "subject": {
                "reference": "urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558",
                "identifier": {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "NH"
                      }
                    ]
                  },
                  "system": "https://fhir.nhs.uk/Id/nhs-number",
                  "value": "9737383222"
                }
              },
              "effectiveDateTime": "2025-10-14T15:59:16+00:00",
              "component": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://loinc.org",
                        "code": "51967-8"
                      }
                    ]
                  },
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication",
                        "code": "R125"
                      }
                    ]
                  }
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:3b117e08-ab0a-481c-832e-b6d1d7ef4a22",
            "resource": {
              "resourceType": "DocumentReference",
              "identifier": [
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "FILL"
                      }
                    ]
                  },
                  "system": "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
                  "value": "T25-0209",
                  "assigner": {
                    "identifier": {
                      "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value": "699X0"
                    }
                  }
                }
              ],
              "status": "current",
              "type": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "1054161000000101",
                    "display": "Genetic report"
                  }
                ]
              },
              "subject": {
                "reference": "urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558",
                "identifier": {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "NH"
                      }
                    ]
                  },
                  "system": "https://fhir.nhs.uk/Id/nhs-number",
                  "value": "9737383222"
                }
              },
              "date": "2025-10-14T15:59:16+00:00",
              "custodian": {
                "type": "Organization",
                "identifier": {
                  "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                  "value": "699X0"
                }
              },
              "content": [
                {
                  "attachment": {
                    "contentType": "application/pdf",
                    "url": "urn:uuid:d17a6d33-235c-4e22-a456-c0bd30e53332"
                  }
                }
              ],
              "context": {
                "period": {
                  "start": "2025-10-14T15:59:16+00:00",
                  "end": "2025-10-14T15:59:16+00:00"
                },
                "sourcePatientInfo": {
                  "identifier": {
                    "type": {
                      "coding": [
                        {
                          "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                          "code": "MR"
                        }
                      ]
                    },
                    "value": "L765432",
                    "assigner": {
                      "identifier": {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "RR8"
                      }
                    }
                  }
                },
                "related": [
                  {
                    "reference": "urn:uuid:f306edf2-1abe-4c2a-9c58-deea54cbdcb6",
                    "type": "ServiceRequest",
                    "identifier": {
                      "type": {
                        "coding": [
                          {
                            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                            "code": "PLAC"
                          }
                        ]
                      },
                      "value": "1000152872",
                      "assigner": {
                        "identifier": {
                          "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                          "value": "RR8"
                        }
                      }
                    }
                  },
                  {
                    "reference": "urn:uuid:02d79983-d8e1-4060-a1ce-8d008ce513c5",
                    "type": "DiagnosticReport",
                    "identifier": {
                      "type": {
                        "coding": [
                          {
                            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                            "code": "FILL"
                          }
                        ]
                      },
                      "system": "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
                      "value": "T25-0209",
                      "assigner": {
                        "identifier": {
                          "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                          "value": "699X0"
                        }
                      }
                    }
                  }
                ]
              }
            }
          },
          {
            "fullUrl": "urn:uuid:1cbdb4dc-1961-4f76-8d12-c25e26ad6b8b",
            "resource": {
              "resourceType": "Specimen",
              "identifier": [
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "PLAC"
                      }
                    ]
                  },
                  "value": "T25-0209"
                }
              ],
              "status": "unavailable",
              "subject": {
                "reference": "urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558",
                "identifier": {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "NH"
                      }
                    ]
                  },
                  "system": "https://fhir.nhs.uk/Id/nhs-number",
                  "value": "9737383222"
                }
              },
              "receivedTime": "2025-10-06T00:00:00+00:00"
            }
          },
          {
            "fullUrl": "urn:uuid:f306edf2-1abe-4c2a-9c58-deea54cbdcb6",
            "resource": {
              "resourceType": "ServiceRequest",
              "identifier": [
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "PLAC"
                      }
                    ]
                  },
                  "value": "1000152872",
                  "assigner": {
                    "identifier": {
                      "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value": "RR8"
                    }
                  }
                }
              ],
              "status": "completed",
              "intent": "order",
              "category": [
                {
                  "coding": [
                    {
                      "system": "http://snomed.info/sct",
                      "code": "116148004"
                    }
                  ]
                }
              ],
              "code": {
                "coding": [
                  {
                    "system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
                    "code": "R125.1",
                    "display": "Thoracic aortic aneurysm or dissection (WES or Medium Panel)"
                  }
                ]
              },
              "subject": {
                "reference": "urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558",
                "identifier": {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "NH"
                      }
                    ]
                  },
                  "system": "https://fhir.nhs.uk/Id/nhs-number",
                  "value": "9737383222"
                }
              },
              "requester": {
                "type": "Organization",
                "identifier": {
                  "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                  "value": "RR8"
                },
                "display": "Leeds Teaching Trust"
              },
              "reasonCode": [
                {
                  "coding": [
                    {
                      "system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/GenomicClinicalIndication",
                      "code": "R125"
                    }
                  ]
                }
              ],
              "specimen": [
                {
                  "reference": "urn:uuid:1cbdb4dc-1961-4f76-8d12-c25e26ad6b8b",
                  "type": "Specimen"
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:02d79983-d8e1-4060-a1ce-8d008ce513c5",
            "resource": {
              "resourceType": "DiagnosticReport",
              "identifier": [
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "FILL"
                      }
                    ]
                  },
                  "system": "https://fhir.nwgenomics.nhs.uk/iGene/ReportIdentifier",
                  "value": "T25-0209",
                  "assigner": {
                    "identifier": {
                      "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                      "value": "699X0"
                    }
                  }
                }
              ],
              "basedOn": [
                {
                  "reference": "urn:uuid:f306edf2-1abe-4c2a-9c58-deea54cbdcb6",
                  "type": "ServiceRequest",
                  "identifier": {
                    "type": {
                      "coding": [
                        {
                          "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                          "code": "PLAC"
                        }
                      ]
                    },
                    "value": "1000152872",
                    "assigner": {
                      "identifier": {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "RR8"
                      }
                    }
                  }
                }
              ],
              "status": "final",
              "category": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                      "code": "GE"
                    }
                  ]
                }
              ],
              "code": {
                "coding": [
                  {
                    "system": "https://fhir.nwgenomics.nhs.uk/CodeSystem/IGEAP",
                    "code": "R125_Cardiology",
                    "display": "PANEL : R125.1, R125.2 - Thoracic aortic aneurysm and dissection v1.2"
                  },
                  {
                    "system": "https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory",
                    "code": "R125.1",
                    "display": "Thoracic aortic aneurysm or dissection (WES or Medium Panel)"
                  }
                ]
              },
              "subject": {
                "reference": "urn:uuid:c7fee322-790f-403f-80b7-3c9b0883b558",
                "identifier": {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "NH"
                      }
                    ]
                  },
                  "system": "https://fhir.nhs.uk/Id/nhs-number",
                  "value": "9737383222"
                }
              },
              "effectiveDateTime": "2025-10-14T15:59:16+00:00",
              "issued": "2025-10-14T15:59:16+00:00",
              "performer": [
                {
                  "type": "Organization",
                  "identifier": {
                    "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                    "value": "699X0"
                  },
                  "display": "NHS North West Genomics"
                }
              ],
              "resultsInterpreter": [
                {
                  "display": "Jonathan Edgerley"
                }
              ],
              "specimen": [
                {
                  "reference": "urn:uuid:1cbdb4dc-1961-4f76-8d12-c25e26ad6b8b",
                  "type": "Specimen"
                }
              ],
              "result": [
                {
                  "reference": "urn:uuid:c9dc399a-348e-49ce-9392-acd2cbfd8e9e",
                  "type": "Observation",
                  "display": "Variables that apply to the overall study"
                }
              ],
              "presentedForm": [
                {
                  "contentType": "application/pdf",
                  "url": "urn:uuid:d17a6d33-235c-4e22-a456-c0bd30e53332"
                }
              ]
            }
          }
        ]
      }
    }
  ]
}