<?xml version=“1.0” encoding=“UTF-8”?><ReferralRequest xmlns=“hl7.org/fhir”>

<id value="example"/>
<text>
  <status value="generated"/>
  <div xmlns="http://www.w3.org/1999/xhtml">Referral to Dr Dave for Beverly weaver to have grommets inserted in her r) ear</div>
</text>
<identifier>
  <system value="http://orionhealth.com/fhir/apps/referralids"/>
  <value value="ret4421"/>
</identifier>
<definition>
      <display value="Protocol for insertion of tympanic ventilation tube"/>
</definition>
<basedOn>
      <display value="ProcedureRequest for Myringotomy and insertion of tympanic ventilation tube"/>
</basedOn>
<replaces>
      <display value="prior ReferralRequest"/>
</replaces>
<groupIdentifier>
  <value value="1234"/>
</groupIdentifier>
<status value="active"/>
<intent value="order"/>
<type>
  <coding>
    <system value="http://snomed.info/sct"/>
    <code value="103696004"/>
    <display value="Patient referral to specialist"/>
  </coding>
</type>
<priority value="routine"/>
<serviceRequested>
  <coding>
    <system value="http://snomed.info/sct"/>
    <code value="172676009"/>
    <display value="Myringotomy and insertion of tympanic ventilation tube"/>
  </coding>
  <text value="Insertion of grommets"/>
</serviceRequested>
<subject>
  <reference value="https://fhir.orionhealth.com/blaze/fhir/Patient/77662"/>
  <display value="Beverly Weaver"/>
</subject>
<context>
  <display value="Beverly Waver&#39;s encounter on 2014-02-14"/>
</context>
<occurrencePeriod>
    <end value="2014-03-14"/>
</occurrencePeriod>
<authoredOn value="2014-02-14"/>
<requester>
      <agent>
              <reference value="https://fhir.orionhealth.com/blaze/fhir/Practitioner/77272"/>
              <display value="Serena Shrink"/>
      </agent>
</requester>
<specialty>
  <coding>
    <system value="http://orionhealth.com/fhir/apps/specialties"/>
    <code value="ent"/>
    <display value="ENT"/>
  </coding>
</specialty>
<recipient>
  <reference value="https://fhir.orionhealth.com/blaze/fhir/Practitioner/76597"/>
  <display value="Dr Dave"/>
</recipient>
<reasonCode>
  <text value="For consideration of Grommets"/>
</reasonCode>
<description value="In the past 2 years Beverly has had 6 instances of r) sided Otitis media. She is     falling behind her peers at school, and displaying some learning difficulties."/>

</ReferralRequest>