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Scope 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 (&gt;6&nbsp;months) and functional limitation despite physiotherapy and NSAIDs. X-ray shows osteoarthritis. Non-smoker, BMI&nbsp;32, HbA1c&nbsp;6.5%. Patient seeks surgical opinion for pain relief. Planned, non-urgent referral (Category&nbsp;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 &gt;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"
            }
          }
        ]
      }
    }
  ]
}

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NotSupported : Terminology service failed while validating code 'application/pdf': Operation validate code failed: creating the required expansion failed mith message "The ValueSet expander cannot find codesystem 'urn:ietf:bcp:13', so the expansion cannot be completed.".

Bundle.entry[8].resource[0].content[0].attachment[0].contentType[0]

6004

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