Magentus Practice Management FHIR Implementation Guide
1.2.16 - ci-build

Magentus Practice Management FHIR Implementation Guide - Local Development build (v1.2.16) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## : ReferralRequestExample - XML Representation

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    <ServiceRequest xmlns="http://hl7.org/fhir">
      <id value="1a5598e5-65c1-46d0-b85b-df23859e9932"/>
      <meta>
        <profile
                 value="http://fhir.geniesolutions.io/StructureDefinition/gs-referral-request"/>
      </meta>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ServiceRequest 1a5598e5-65c1-46d0-b85b-df23859e9932</b></p><a name="1a5598e5-65c1-46d0-b85b-df23859e9932"> </a><a name="hc1a5598e5-65c1-46d0-b85b-df23859e9932"> </a><a name="1a5598e5-65c1-46d0-b85b-df23859e9932-en-US"> </a><p><b>identifier</b>: Placer Identifier/BP7872872</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title="Codes:">Lower limb fracture</span></p><p><b>priority</b>: Routine</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 3457005}">Fractured leg evaluation</span></p><p><b>subject</b>: <a href="Patient-ReferralPatient.html">John Smith (official) Male, DoB: 1967-01-20 ( IHI: Austalian Healthcare Identifier - Individual#8003608833357361)</a></p><p><b>authoredOn</b>: 2022-01-21</p><p><b>requester</b>: <a href="PractitionerRole-ReferralRequester.html">PractitionerRole: identifier = Medicare Provider Number: 2426621B</a></p><p><b>performer</b>: <a href="PractitionerRole-ReferralPerformerIndividual.html">PractitionerRole: identifier = Medicare Provider Number: 267178LA</a></p><p><b>reasonCode</b>: <span title="Codes:">Left lower leg apparent fracture</span></p><p><b>insurance</b>: <a href="#hc1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralCoverage">Coverage: identifier = Insurance Member Number: 976764820; status = active; type = health insurance plan policy</a></p><p><b>supportingInfo</b>: </p><ul><li><a href="#hc1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralPDF">Binary: 43672 chars (base64)</a></li><li><a href="#hc1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralAllergy">AllergyIntolerance Intolerance to lactose</a></li><li><a href="#hc1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralCondition">Condition Osteoporosis</a></li><li><a href="#hc1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralProcedure">Procedure Surgical procedure</a></li><li><a href="#hc1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralHeight">Observation Body height</a></li><li><a href="#hc1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralWeight">Observation Body weight</a></li><li><a href="#hc1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralMedStatement">MedicationStatement: status = active; medication[x] = Simvastatin 40 mg oral tablet; effective[x] = 2014 --&gt; (ongoing)</a></li></ul><p><b>bodySite</b>: <span title="Codes:{http://snomed.info/sct 48979004}">Structure of left lower leg</span></p><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Coverage  #ReferralCoverage</b></p><a name="1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralCoverage"> </a><a name="hc1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralCoverage"> </a><a name="1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralCoverage-en-US"> </a><p><b>identifier</b>: Insurance Member Number/976764820</p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode HIP}">Private Insurance Plan</span></p><p><b>beneficiary</b>: <a href="Patient-ReferralPatient.html">John Smith (official) Male, DoB: 1967-01-20 ( IHI: Austalian Healthcare Identifier - Individual#8003608833357361)</a></p><p><b>payor</b>: Bupa HI Pty Ltd (Identifier: National Insurance Organization Identifier/BUP)</p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Binary  #ReferralPDF</b></p><a name="1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralPDF"> </a><a name="hc1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralPDF"> </a><a name="1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralPDF-en-US"> </a><p><b>contentType</b>: application/pdf</p><p><b>data</b>: (base64 data - 43,672 base64 chars)</p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: AllergyIntolerance  #ReferralAllergy</b></p><a name="1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralAllergy"> </a><a name="hc1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralAllergy"> </a><a name="1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralAllergy-en-US"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}">Active</span></p><p><b>verificationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-verification confirmed}">Confirmed</span></p><p><b>type</b>: Intolerance</p><p><b>category</b>: Food</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 782415009}">Intolerance to lactose</span></p><p><b>patient</b>: <a href="Patient-ReferralPatient.html">John Smith (official) Male, DoB: 1967-01-20 ( IHI: Austalian Healthcare Identifier - Individual#8003608833357361)</a></p><p><b>onset</b>: 1 year<span style="background: LightGoldenRodYellow"> (Details: UCUM  codea = 'a')</span></p><p><b>recordedDate</b>: 2001-01-01</p><p><b>recorder</b>: <a href="PractitionerRole-ReferralRequester.html">PractitionerRole: identifier = Medicare Provider Number: 2426621B</a></p><p><b>asserter</b>: <a href="PractitionerRole-ReferralRequester.html">PractitionerRole: identifier = Medicare Provider Number: 2426621B</a></p><blockquote><p><b>reaction</b></p><p><b>substance</b>: <span title="Codes:{http://snomed.info/sct 47703008}">Lactose</span></p><p><b>manifestation</b>: <span title="Codes:{http://snomed.info/sct 21522001}">Abdominal pain</span>, <span title="Codes:{http://snomed.info/sct 116289008}">Abdominal bloating</span>, <span title="Codes:{http://snomed.info/sct 62315008}">Diarrhoea</span></p></blockquote></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Condition  #ReferralCondition</b></p><a name="1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralCondition"> </a><a name="hc1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralCondition"> </a><a name="1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralCondition-en-US"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>verificationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}">Confirmed</span></p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}">Encounter Diagnosis</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 64859006}">Osteoporosis</span></p><p><b>subject</b>: <a href="Patient-ReferralPatient.html">John Smith (official) Male, DoB: 1967-01-20 ( IHI: Austalian Healthcare Identifier - Individual#8003608833357361)</a></p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Procedure  #ReferralProcedure</b></p><a name="1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralProcedure"> </a><a name="hc1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralProcedure"> </a><a name="1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralProcedure-en-US"> </a><p><b>status</b>: Completed</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 36969009}">Placement of stent in coronary artery</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 387713003}">Surgical procedure</span></p><p><b>subject</b>: <a href="Patient-ReferralPatient.html">John Smith (official) Male, DoB: 1967-01-20 ( IHI: Austalian Healthcare Identifier - Individual#8003608833357361)</a></p><p><b>performed</b>: 2021-09-25</p><h3>Performers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Actor</b></td></tr><tr><td style="display: none">*</td><td><a href="PractitionerRole-ReferralPerformerIndividual.html">PractitionerRole: identifier = Medicare Provider Number: 267178LA</a></td></tr></table><p><b>reasonCode</b>: <span title="Codes:{http://snomed.info/sct 876856005}">Occlusion of right coronary artery</span></p><h3>FocalDevices</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Action</b></td><td><b>Manipulated</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 425362007}">Surgical insertion - action</span></td><td>coronary stent</td></tr></table></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Observation  #ReferralHeight</b></p><a name="1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralHeight"> </a><a name="hc1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralHeight"> </a><a name="1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralHeight-en-US"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital Signs</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 8302-2}, {http://snomed.info/sct 50373000}">Body height</span></p><p><b>subject</b>: <a href="Patient-ReferralPatient.html">John Smith (official) Male, DoB: 1967-01-20 ( IHI: Austalian Healthcare Identifier - Individual#8003608833357361)</a></p><p><b>effective</b>: 2016-07-02</p><p><b>performer</b>: <a href="PractitionerRole-ReferralRequester.html">PractitionerRole: identifier = Medicare Provider Number: 2426621B</a></p><p><b>value</b>: 175 cm<span style="background: LightGoldenRodYellow"> (Details: UCUM  codecm = 'cm')</span></p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Observation  #ReferralWeight</b></p><a name="1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralWeight"> </a><a name="hc1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralWeight"> </a><a name="1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralWeight-en-US"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital Signs</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 29463-7}, {http://snomed.info/sct 27113001}">Body weight</span></p><p><b>subject</b>: <a href="Patient-ReferralPatient.html">John Smith (official) Male, DoB: 1967-01-20 ( IHI: Austalian Healthcare Identifier - Individual#8003608833357361)</a></p><p><b>effective</b>: 2016-07-02</p><p><b>performer</b>: <a href="PractitionerRole-ReferralRequester.html">PractitionerRole: identifier = Medicare Provider Number: 2426621B</a></p><p><b>value</b>: 70 kg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codekg = 'kg')</span></p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: MedicationStatement  #ReferralMedStatement</b></p><a name="1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralMedStatement"> </a><a name="hc1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralMedStatement"> </a><a name="1a5598e5-65c1-46d0-b85b-df23859e9932/ReferralMedStatement-en-US"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <span title="Codes:{http://snomed.info/sct 320000009}">Simvastatin 40 MG Disintegrating Oral Tablet</span></p><p><b>subject</b>: <a href="Patient-ReferralPatient.html">John Smith (official) Male, DoB: 1967-01-20 ( IHI: Austalian Healthcare Identifier - Individual#8003608833357361)</a></p><p><b>effective</b>: 2014 --&gt; (ongoing)</p><blockquote><p><b>dosage</b></p></blockquote></blockquote></div>
      </text>
      <contained>
        <Coverage>
          <id value="ReferralCoverage"/>
          <meta>
            <profile
                     value="http://fhir.geniesolutions.io/StructureDefinition/gs-coverage"/>
          </meta>
          <identifier>
            <type>
              <coding>
                <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                <code value="MB"/>
              </coding>
              <text value="Insurance Member Number"/>
            </type>
            <system
                    value="https://privatehealth.gov.au/insurer/BUP/member/memberid"/>
            <value value="976764820"/>
            <assigner>
              <display value="Bupa HI Pty Ltd"/>
            </assigner>
          </identifier>
          <status value="active"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
              <code value="HIP"/>
              <display value="health insurance plan policy"/>
            </coding>
            <text value="Private Insurance Plan"/>
          </type>
          <beneficiary>🔗
            <reference value="Patient/ReferralPatient"/>
          </beneficiary>
          <payor>
            <identifier>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="NII"/>
                </coding>
              </type>
              <system value="https://privatehealth.gov.au/dynamic/insurer"/>
              <value value="BUP"/>
            </identifier>
            <display value="Bupa HI Pty Ltd"/>
          </payor>
        </Coverage>
      </contained>
      <contained>
        <Binary>
          <id value="ReferralPDF"/>
          <contentType value="application/pdf"/>
          <data
                value=" "/>
        </Binary>
      </contained>
      <contained>
        <AllergyIntolerance>
          <id value="ReferralAllergy"/>
          <meta>
            <profile
                     value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-allergyintolerance"/>
          </meta>
          <clinicalStatus>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
              <code value="active"/>
              <display value="Active"/>
            </coding>
          </clinicalStatus>
          <verificationStatus>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
              <code value="confirmed"/>
              <display value="Confirmed"/>
            </coding>
          </verificationStatus>
          <type value="intolerance"/>
          <category value="food"/>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="782415009"/>
              <display value="Intolerance to lactose"/>
            </coding>
          </code>
          <patient>🔗
            <reference value="Patient/ReferralPatient"/>
          </patient>
          <onsetAge>
            <value value="1"/>
            <unit value="year"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="a"/>
          </onsetAge>
          <recordedDate value="2001-01-01"/>
          <recorder>🔗
            <reference value="PractitionerRole/ReferralRequester"/>
          </recorder>
          <asserter>🔗
            <reference value="PractitionerRole/ReferralRequester"/>
          </asserter>
          <reaction>
            <substance>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="47703008"/>
                <display value="Lactose"/>
              </coding>
            </substance>
            <manifestation>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="21522001"/>
                <display value="Abdominal pain"/>
              </coding>
            </manifestation>
            <manifestation>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="116289008"/>
                <display value="Abdominal bloating"/>
              </coding>
            </manifestation>
            <manifestation>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="62315008"/>
                <display value="Diarrhoea"/>
              </coding>
            </manifestation>
          </reaction>
        </AllergyIntolerance>
      </contained>
      <contained>
        <Condition>
          <id value="ReferralCondition"/>
          <meta>
            <profile
                     value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-condition"/>
          </meta>
          <clinicalStatus>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
              <code value="active"/>
            </coding>
          </clinicalStatus>
          <verificationStatus>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
              <code value="confirmed"/>
            </coding>
          </verificationStatus>
          <category>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/condition-category"/>
              <code value="encounter-diagnosis"/>
              <display value="Encounter Diagnosis"/>
            </coding>
          </category>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="64859006"/>
              <display value="Osteoporosis"/>
            </coding>
          </code>
          <subject>🔗
            <reference value="Patient/ReferralPatient"/>
          </subject>
        </Condition>
      </contained>
      <contained>
        <Procedure>
          <id value="ReferralProcedure"/>
          <meta>
            <profile
                     value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-procedure"/>
          </meta>
          <status value="completed"/>
          <category>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="36969009"/>
              <display value="Placement of stent in coronary artery"/>
            </coding>
          </category>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="387713003"/>
              <display value="Surgical procedure"/>
            </coding>
          </code>
          <subject>🔗
            <reference value="Patient/ReferralPatient"/>
          </subject>
          <performedDateTime value="2021-09-25"/>
          <performer>
            <actor>🔗
              <reference value="PractitionerRole/ReferralPerformerIndividual"/>
            </actor>
          </performer>
          <reasonCode>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="876856005"/>
              <display value="Stenosis of right coronary artery"/>
            </coding>
            <text value="Occlusion of right coronary artery"/>
          </reasonCode>
          <focalDevice>
            <action>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="425362007"/>
                <display value="Surgical insertion - action"/>
              </coding>
            </action>
            <manipulated>
              <display value="coronary stent"/>
            </manipulated>
          </focalDevice>
        </Procedure>
      </contained>
      <contained>
        <Observation>
          <id value="ReferralHeight"/>
          <meta>
            <profile
                     value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-bodyheight"/>
          </meta>
          <status value="final"/>
          <category>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/observation-category"/>
              <code value="vital-signs"/>
              <display value="Vital Signs"/>
            </coding>
            <text value="Vital Signs"/>
          </category>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="8302-2"/>
              <display value="Body height"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="50373000"/>
              <display value="Body height measure"/>
            </coding>
          </code>
          <subject>🔗
            <reference value="Patient/ReferralPatient"/>
          </subject>
          <effectiveDateTime value="2016-07-02"/>
          <performer>🔗
            <reference value="PractitionerRole/ReferralRequester"/>
          </performer>
          <valueQuantity>
            <value value="175"/>
            <unit value="cm"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="cm"/>
          </valueQuantity>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="ReferralWeight"/>
          <meta>
            <profile
                     value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-bodyweight"/>
          </meta>
          <status value="final"/>
          <category>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/observation-category"/>
              <code value="vital-signs"/>
              <display value="Vital Signs"/>
            </coding>
            <text value="Vital Signs"/>
          </category>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="29463-7"/>
              <display value="Body weight"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="27113001"/>
              <display value="Body weight"/>
            </coding>
          </code>
          <subject>🔗
            <reference value="Patient/ReferralPatient"/>
          </subject>
          <effectiveDateTime value="2016-07-02"/>
          <performer>🔗
            <reference value="PractitionerRole/ReferralRequester"/>
          </performer>
          <valueQuantity>
            <value value="70"/>
            <unit value="kg"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="kg"/>
          </valueQuantity>
        </Observation>
      </contained>
      <contained>
        <MedicationStatement>
          <id value="ReferralMedStatement"/>
          <meta>
            <profile
                     value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-medicationstatement"/>
          </meta>
          <status value="active"/>
          <medicationCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="320000009"/>
              <display value="Simvastatin 40 mg oral tablet"/>
            </coding>
            <text value="Simvastatin 40 MG Disintegrating Oral Tablet"/>
          </medicationCodeableConcept>
          <subject>🔗
            <reference value="Patient/ReferralPatient"/>
          </subject>
          <effectivePeriod>
            <start value="2014"/>
          </effectivePeriod>
          <dosage>
            <text value="40 mg/day"/>
            <timing>
              <repeat>
                <frequency value="1"/>
                <period value="1"/>
                <periodUnit value="d"/>
              </repeat>
            </timing>
            <doseAndRate>
              <doseQuantity>
                <value value="40"/>
                <unit value="mg"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="mg"/>
              </doseQuantity>
            </doseAndRate>
          </dosage>
        </MedicationStatement>
      </contained>
      <identifier>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
            <code value="PLAC"/>
          </coding>
        </type>
        <system
                value="http://ns.electronichealth.net.au/id/hpio-scoped/order/1.0/8003621566684455"/>
        <value value="BP7872872"/>
        <assigner>
          <display value="Jonathanport Medical Centre"/>
        </assigner>
      </identifier>
      <status value="active"/>
      <intent value="order"/>
      <category>
        <text value="Lower limb fracture"/>
      </category>
      <priority value="routine"/>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="3457005"/>
          <display value="Patient referral"/>
        </coding>
        <text value="Fractured leg evaluation"/>
      </code>
      <subject>🔗
        <reference value="Patient/ReferralPatient"/>
      </subject>
      <authoredOn value="2022-01-21"/>
      <requester>🔗
        <reference value="PractitionerRole/ReferralRequester"/>
      </requester>
      <performer>🔗
        <reference value="PractitionerRole/ReferralPerformerIndividual"/>
      </performer>
      <reasonCode>
        <text value="Left lower leg apparent fracture"/>
      </reasonCode>
      <insurance>
        <reference value="#ReferralCoverage"/>
      </insurance>
      <supportingInfo>
        <reference value="#ReferralPDF"/>
      </supportingInfo>
      <supportingInfo>
        <reference value="#ReferralAllergy"/>
      </supportingInfo>
      <supportingInfo>
        <reference value="#ReferralCondition"/>
      </supportingInfo>
      <supportingInfo>
        <reference value="#ReferralProcedure"/>
      </supportingInfo>
      <supportingInfo>
        <reference value="#ReferralHeight"/>
      </supportingInfo>
      <supportingInfo>
        <reference value="#ReferralWeight"/>
      </supportingInfo>
      <supportingInfo>
        <reference value="#ReferralMedStatement"/>
      </supportingInfo>
      <bodySite>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="48979004"/>
          <display value="Structure of left lower leg"/>
        </coding>
      </bodySite>
    </ServiceRequest>