<Bundle xmlns="http://hl7.org/fhir">
  <id value="BundleTransactionSubmitMiReportDC" />
  <identifier>
    <system value="http://ontariohealth.ca/fhir/NamingSystem/id-org1-mi-transaction-bundle" />
    <value value="64e604f1-436d-4f7e-8bfb-1b49157cd83d" />
  </identifier>
  <type value="transaction" />
  <timestamp value="2026-03-11T02:15:49.21+00:00" />
  <entry>
    <fullUrl value="urn:uuid:b2fdf4cd-77fb-4ac3-ab0e-44dca89574f1" />
    <resource>
      <Organization>
        <identifier>
          <system value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-provider-upi" />
          <value value="101426379257" />
        </identifier>
        <name value="The Ottawa Hospital" />
        <telecom>
          <system value="phone" />
          <value value="613-123-4567" />
        </telecom>
      </Organization>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Organization?identifier=https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-provider-upi|101426379257" />
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:acff79e2-8071-487f-b85c-c084d7f1f12e" />
    <resource>
      <Organization>
        <meta>
          <profile value="http://ontariohealth.ca/fhir/mi/StructureDefinition/ca-on-mi-profile-organization" />
        </meta>
        <identifier>
          <system value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-provider-upi" />
          <value value="101426379999" />
        </identifier>
        <name value="True North Imaging" />
        <telecom>
          <system value="phone" />
          <value value="613-222-9999" />
        </telecom>
      </Organization>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Organization?identifier=https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-provider-upi|101426379999" />
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:cd8d4a81-ea13-495a-8d40-81c35ca78c34" />
    <resource>
      <Location>
        <meta>
          <profile value="http://ontariohealth.ca/fhir/mi/StructureDefinition/ca-on-mi-profile-location" />
        </meta>
        <identifier>
          <system value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-provider-upi" />
          <value value="101426379257" />
        </identifier>
        <name value="The Ottawa Hospital" />
      </Location>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Location?identifier=https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-provider-upi|101426379257" />
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:b2baaec3-7729-4195-b2f1-2c9b9b854834" />
    <resource>
      <Practitioner>
        <meta>
          <profile value="http://ontariohealth.ca/fhir/mi/StructureDefinition/ca-on-mi-profile-practitioner" />
        </meta>
        <identifier>
          <system value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-physician" />
          <value value="12345" />
        </identifier>
        <name>
          <family value="Adams" />
          <given value="Ben" />
          <given value="William" />
          <prefix value="Dr." />
        </name>
      </Practitioner>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Practitioner?identifier=https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-physician|12345" />
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:ea6b1e81-ea13-495a-8d40-81c35ca78c45" />
    <resource>
      <Practitioner>
        <meta>
          <profile value="http://ontariohealth.ca/fhir/mi/StructureDefinition/ca-on-mi-profile-practitioner" />
        </meta>
        <identifier>
          <system value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-physician" />
          <value value="23456" />
        </identifier>
        <name>
          <family value="Careful" />
          <given value="Beth" />
          <prefix value="Dr" />
        </name>
      </Practitioner>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Practitioner?identifier=https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-physician|23456" />
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:dc9c5e81-ea13-495a-8d40-81c35ca78c34" />
    <resource>
      <PractitionerRole>
        <meta>
          <profile value="http://ontariohealth.ca/fhir/mi/StructureDefinition/ca-on-mi-profile-practitionerRole" />
        </meta>
        <practitioner>
          <reference value="urn:uuid:b2baaec3-7729-4195-b2f1-2c9b9b854834" />
        </practitioner>
        <organization>
          <reference value="urn:uuid:b2fdf4cd-77fb-4ac3-ab0e-44dca89574f1" />
        </organization>
        <code>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/practitioner-role" />
            <code value="doctor" />
            <display value="Doctor" />
          </coding>
        </code>
      </PractitionerRole>
    </resource>
    <request>
      <method value="PUT" />
      <url value="PractitionerRole?practitioner.identifier=https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-physician|12345" />
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:cd8d4a81-ea13-495a-8d40-81c35ca78c35" />
    <resource>
      <Patient>
        <meta>
          <profile value="http://ontariohealth.ca/fhir/mi/StructureDefinition/ca-on-mi-profile-patient" />
        </meta>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
              <code value="MR" />
            </coding>
          </type>
          <system value="http://ehealthontario.ca/fhir/NamingSystem/id-cambridge-memorial-mrn" />
          <value value="23456789" />
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
              <code value="JHN" />
            </coding>
          </type>
          <system value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-patient-hcn" />
          <value value="1234567890" />
        </identifier>
        <name>
          <use value="official" />
          <family value="Onsmith1" />
          <given value="Onjohn1" />
          <given value="William" />
          <suffix value="III" />
        </name>
        <telecom>
          <system value="phone" />
          <value value="555-555-5555" />
          <use value="work" />
        </telecom>
        <gender value="male" />
        <birthDate value="1926-02-24" />
        <address>
          <use value="home" />
          <type value="physical" />
          <line value="13 Boring St" />
          <city value="Toronto" />
          <state value="ON" />
          <postalCode value="M1M M2M" />
          <country value="CAN" />
        </address>
        <maritalStatus>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus" />
            <code value="M" />
            <display value="Married" />
          </coding>
        </maritalStatus>
        <multipleBirthBoolean value="false" />
        <communication>
          <language>
            <coding>
              <system value="urn:ietf:bcp:47" />
              <code value="en" />
              <display value="English" />
            </coding>
          </language>
        </communication>
        <generalPractitioner>
          <reference value="urn:uuid:b2baaec3-7729-4195-b2f1-2c9b9b854834" />
          <type value="Practitioner" />
        </generalPractitioner>
      </Patient>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Patient?identifier=http://ehealthontario.ca/fhir/NamingSystem/id-cambridge-memorial-mrn|23456789" />
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:ea6b1e81-ea13-495a-8d40-81c35ca78c44" />
    <resource>
      <ServiceRequest>
        <meta>
          <profile value="http://ontariohealth.ca/fhir/mi/StructureDefinition/ca-on-mi-profile-serviceRequest" />
        </meta>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
              <code value="ACSN" />
              <display value="Accession ID" />
            </coding>
          </type>
          <system value="urn:oid:2.16.840.1.113883.3.239.23.18.10" />
          <value value="123456789" />
        </identifier>
        <requisition>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
              <code value="PGN" />
              <display value="Placer Group Number" />
            </coding>
          </type>
          <system value="urn:oid:2.16.840.1.113883.3.239.23.18.10.11" />
          <value value="ABC-Placer-Group-Number-123456" />
        </requisition>
        <status value="active" />
        <intent value="filler-order" />
        <category>
          <coding>
            <system value="http://snomed.info" />
            <code value="394914008" />
            <display value="Radiology" />
          </coding>
        </category>
        <priority value="routine" />
        <code>
          <coding>
            <extension url="http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-code-type">
              <valueCode value="local" />
            </extension>
            <system value="urn:oid:2.16.840.1.113883.3.239.23.18.10" />
            <code value="IMG011008" />
            <display value="CT ABDOMEN W WO IV CONTRAST PELVIS W" />
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:cd8d4a81-ea13-495a-8d40-81c35ca78c35" />
        </subject>
        <occurrenceDateTime value="2023-05-13" />
        <authoredOn value="2023-05-12T15:00:00+00:00" />
        <requester>
          <reference value="urn:uuid:b2baaec3-7729-4195-b2f1-2c9b9b854834" />
          <type value="Practitioner" />
        </requester>
        <performer>
          <reference value="urn:uuid:ea6b1e81-ea13-495a-8d40-81c35ca78c45" />
          <type value="Practitioner" />
        </performer>
        <locationReference>
          <reference value="urn:uuid:cd8d4a81-ea13-495a-8d40-81c35ca78c34" />
        </locationReference>
        <reasonCode>
          <text value="Clinical reason" />
        </reasonCode>
        <note>
          <text value="some note" />
        </note>
      </ServiceRequest>
    </resource>
    <request>
      <method value="PUT" />
      <url value="ServiceRequest?identifier=urn:oid:2.16.840.1.113883.3.239.23.18.10|123456789" />
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:a414da25-a7a7-4cf0-abdf-9aac8bdd615a" />
    <resource>
      <DiagnosticReport>
        <meta>
          <profile value="http://ontariohealth.ca/fhir/mi/StructureDefinition/ca-on-mi-profile-diagnosticReport" />
        </meta>
        <language value="en" />
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
              <code value="ACSN" />
              <display value="Accession ID" />
            </coding>
          </type>
          <system value="urn:oid:2.16.840.1.113883.3.239.23.18.10" />
          <value value="123456789" />
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
              <code value="PLAC" />
              <display value="Placer Identifier" />
            </coding>
          </type>
          <system value="urn:oid:2.16.840.1.113883.3.239.23.18.10.10" />
          <value value="ABC-Placer-Order-Number-12345" />
        </identifier>
        <basedOn>
          <reference value="ServiceRequest/urn:uuid:ea6b1e81-ea13-495a-8d40-81c35ca78c44" />
        </basedOn>
        <status value="final" />
        <category>
          <coding>
            <system value="http://snomed.info" />
            <code value="394914008" />
            <display value="Radiology" />
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://ontariohealth.ca/fhir/ehr/CodeSystem/provincial-extension-document-type" />
            <code value="C0028-1" />
            <display value="General Radiology Report" />
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:cd8d4a81-ea13-495a-8d40-81c35ca78c35" />
        </subject>
        <effectiveDateTime value="2023-05-18T16:01:20+00:00" />
        <issued value="2023-05-21T21:24:31+00:00" />
        <performer>
          <extension url="http://hl7.org/fhir/StructureDefinition/event-performerFunction">
            <valueCodeableConcept>
              <coding>
                <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType" />
                <code value="AUT" />
                <display value="author (originator)" />
              </coding>
            </valueCodeableConcept>
          </extension>
          <reference value="urn:uuid:ea6b1e81-ea13-495a-8d40-81c35ca78c45" />
          <type value="Practitioner" />
        </performer>
        <performer>
          <extension url="http://hl7.org/fhir/StructureDefinition/event-performerFunction">
            <valueCodeableConcept>
              <coding>
                <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType" />
                <code value="LA" />
                <display value="legal authenticator" />
              </coding>
            </valueCodeableConcept>
          </extension>
          <reference value="urn:uuid:ea6b1e81-ea13-495a-8d40-81c35ca78c45" />
          <type value="Practitioner" />
        </performer>
        <resultsInterpreter>
          <reference value="urn:uuid:ea6b1e81-ea13-495a-8d40-81c35ca78c45" />
          <type value="Practitioner" />
        </resultsInterpreter>
        <result>
          <reference value="urn:uuid:ceef9e8f-5672-4656-bf0e-4836334aaa22" />
        </result>
        <presentedForm>
          <contentType value="text/plain" />
          <language value="en" />
          <data value="UmFkaW9sb2d5IHJlcG9ydCBjb250ZW50" />
          <title value="Radiology Report" />
          <creation value="2023-05-21T21:24:31+00:00" />
        </presentedForm>
      </DiagnosticReport>
    </resource>
    <request>
      <method value="PUT" />
      <url value="DiagnosticReport?identifier=urn:oid:2.16.840.1.113883.3.239.23.18.10|123456789" />
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:ceef9e8f-5672-4656-bf0e-4836334aaa22" />
    <resource>
      <Observation>
        <meta>
          <profile value="http://ontariohealth.ca/fhir/mi/StructureDefinition/ca-on-mi-profile-observation" />
        </meta>
        <identifier>
          <system value="urn:oid:2.16.840.1.113883.3.239.23.18.10.1" />
          <value value="123456789-obs-1" />
        </identifier>
        <basedOn>
          <reference value="urn:uuid:ea6b1e81-ea13-495a-8d40-81c35ca78c44" />
        </basedOn>
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="18748-4" />
            <display value="Diagnostic imaging study" />
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:cd8d4a81-ea13-495a-8d40-81c35ca78c35" />
        </subject>
        <effectiveDateTime value="2023-05-18T16:01:20+00:00" />
        <valueString value="Hands and wrists, two views of the right and left hand and wrist were obtained. There is generalized osteopenia. There are OA changes seen at the first CMC joint with subchondral sclerosis and joint space narrowing. Ulnar styloids appear intact. There is no chondrocalcinosis. There are some degenerative changes seen at the carpus but without any obvious erosive changes. There are no erosions seen at any of the MCP or PIP joints. There are scattered areas of joint space narrowing at the PIP and DIP joints.IMPRESSION:1. Osteoarthritis changes.2. Osteopenia.3. No definite erosions. &#xA; NOTE:  THIS IS A PRELIMINARY REPORT AND MAY DIFFER FROM THE FINAL VERSION &#xA; Reporting Radiologist: Dr.Pavlosky, William F &#xA; Date Transcribed 25/11/13 13:48" />
        <note>
          <text value="Example Note" />
        </note>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation?identifier=urn:oid:2.16.840.1.113883.3.239.23.18.10.1|123456789-obs-1" />
    </request>
  </entry>
</Bundle>