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package:hl7.fhir.r4.core@4.0.1
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{ "resourceType": "Bundle", "id": "hip-referral-cat3", "identifier": { "system": "http://example.org/fhir/document-bundles", "value": "hip-referral-cat3-2025" }, "type": "document", "timestamp": "2025-10-24T10:30:00+10:00", "entry": [ { "fullUrl": "urn:uuid:8df6c02e-2a4d-4f91-9c25-52a44185b1af", "resource": { "resourceType": "Composition", "status": "final", "type": { "coding": [ { "system": "http://loinc.org", "code": "57133-1", "display": "Referral note" } ] }, "title": "Orthopaedic Referral – Chronic Hip Pain (Planned)", "date": "2025-10-24T10:30:00+10:00", "subject": { "reference": "urn:uuid:7b20df6e-3c72-4a3a-8f35-9a004ba2e000" }, "author": [{ "reference": "urn:uuid:bdb26b3f-6f39-4a83-a2de-09b6f019e5c4" }], "section": [ { "title": "Service Request", "entry": [{ "reference": "urn:uuid:5d41402a-bc4b-4f2c-ae3c-f984a04cb002" }] }, { "title": "Condition", "entry": [{ "reference": "urn:uuid:53f1a8b4-6b2f-4385-bc61-8fb83c4d9d70" }] }, { "title": "Observations", "entry": [ { "reference": "urn:uuid:497d9b60-6b7f-42b4-a331-028c79973c1e" }, { "reference": "urn:uuid:8f2b9e71-4cb7-4a9d-818b-d4d0cf80425c" }, { "reference": "urn:uuid:ccab6df2-b6ff-41b1-8024-0f8a9a879911" } ] }, { "title": "Attachments", "entry": [{ "reference": "urn:uuid:d11b938a-c0e3-45a2-8f93-6b8ad91bbf89" }] } ], "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Referral for patient with chronic right hip pain (>6 months) and functional limitation despite physiotherapy and NSAIDs. X-ray shows osteoarthritis. Non-smoker, BMI 32, HbA1c 6.5%. Patient seeks surgical opinion for pain relief. Planned, non-urgent referral (Category 3).</p></div>" } } }, { "fullUrl": "urn:uuid:7b20df6e-3c72-4a3a-8f35-9a004ba2e000", "resource": { "resourceType": "Patient", "identifier": [{ "system": "http://ns.ehelse.no/fnr", "value": "12345678910" }], "name": [{ "text": "John Smith" }], "gender": "male", "birthDate": "1965-03-12", "address": [{ "text": "45 Greenway Street, Brisbane QLD 4000" }], "telecom": [{ "system": "phone", "value": "0400 123 456" }] } }, { "fullUrl": "urn:uuid:bdb26b3f-6f39-4a83-a2de-09b6f019e5c4", "resource": { "resourceType": "Practitioner", "identifier": [{ "system": "http://ns.ehelse.no/hpr", "value": "7654321" }], "name": [{ "text": "Dr Sarah Wilson" }], "telecom": [ { "system": "phone", "value": "07 3111 2222" }, { "system": "email", "value": "sarah.wilson@clinic.au" } ] } }, { "fullUrl": "urn:uuid:5d41402a-bc4b-4f2c-ae3c-f984a04cb002", "resource": { "resourceType": "ServiceRequest", "status": "active", "intent": "order", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/servicerequest-category", "code": "referral", "display": "Referral" } ] } ], "priority": "routine", "code": { "text": "Orthopaedic consultation – Hip osteoarthritis assessment" }, "subject": { "reference": "urn:uuid:7b20df6e-3c72-4a3a-8f35-9a004ba2e000" }, "authoredOn": "2025-10-24", "reasonCode": [ { "text": "Persistent right hip pain >6 months despite conservative therapy" } ], "note": [ { "text": "Category 3 – routine (planned). All minimum referral information provided per CPC guidelines." } ], "requester": { "reference": "urn:uuid:bdb26b3f-6f39-4a83-a2de-09b6f019e5c4" }, "supportingInfo": [ { "reference": "urn:uuid:53f1a8b4-6b2f-4385-bc61-8fb83c4d9d70" }, { "reference": "urn:uuid:d11b938a-c0e3-45a2-8f93-6b8ad91bbf89" } ] } }, { "fullUrl": "urn:uuid:53f1a8b4-6b2f-4385-bc61-8fb83c4d9d70", "resource": { "resourceType": "Condition", "clinicalStatus": { "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "active" }] }, "verificationStatus": { "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code": "confirmed" }] }, "code": { "coding": [{ "system": "http://hl7.org/fhir/sid/icd-10", "code": "M16.9", "display": "Hip osteoarthritis, unspecified" }] }, "subject": { "reference": "urn:uuid:7b20df6e-3c72-4a3a-8f35-9a004ba2e000" }, "onsetString": "Symptoms for 8 months" } }, { "fullUrl": "urn:uuid:497d9b60-6b7f-42b4-a331-028c79973c1e", "resource": { "resourceType": "Observation", "status": "final", "code": { "coding": [{ "system": "http://loinc.org", "code": "39156-5", "display": "Body mass index (BMI)" }] }, "valueQuantity": { "value": 32.1, "unit": "kg/m2" }, "subject": { "reference": "urn:uuid:7b20df6e-3c72-4a3a-8f35-9a004ba2e000" } } }, { "fullUrl": "urn:uuid:8f2b9e71-4cb7-4a9d-818b-d4d0cf80425c", "resource": { "resourceType": "Observation", "status": "final", "code": { "coding": [{ "system": "http://loinc.org", "code": "72166-2", "display": "Tobacco smoking status" }] }, "valueCodeableConcept": { "text": "Never smoker" }, "subject": { "reference": "urn:uuid:7b20df6e-3c72-4a3a-8f35-9a004ba2e000" } } }, { "fullUrl": "urn:uuid:ccab6df2-b6ff-41b1-8024-0f8a9a879911", "resource": { "resourceType": "Observation", "status": "final", "code": { "coding": [{ "system": "http://loinc.org", "code": "4548-4", "display": "Hemoglobin A1c/Hemoglobin.total in Blood" }] }, "valueQuantity": { "value": 6.5, "unit": "%" }, "subject": { "reference": "urn:uuid:7b20df6e-3c72-4a3a-8f35-9a004ba2e000" } } }, { "fullUrl": "urn:uuid:d11b938a-c0e3-45a2-8f93-6b8ad91bbf89", "resource": { "resourceType": "DocumentReference", "status": "current", "type": { "coding": [{ "system": "http://loinc.org", "code": "18748-4", "display": "Radiology report" }] }, "subject": { "reference": "urn:uuid:7b20df6e-3c72-4a3a-8f35-9a004ba2e000" }, "description": "Plain AP pelvis X-ray (weight-bearing): osteoarthritic changes in right hip joint.", "content": [ { "attachment": { "contentType": "application/pdf", "url": "https://example.org/xray-hip-2025.pdf", "title": "Hip X-ray report – 24 Oct 2025" } } ] } } ] }