{

"resourceType": "Basic",
"id": "referral",
"extension": [
  {
    "url": "http://example.org/do-not-use/fhir-extensions/referral#requestingPractitioner",
    "valueReference": {
      "reference": "Practitioner/f201",
      "display": "Dokter Bronsig"
    }
  },
  {
    "url": "http://example.org/do-not-use/fhir-extensions/referral#notes",
    "valueString": "The patient had fever peaks over the last couple of days. He is worried about these peaks."
  },
  {
    "url": "http://example.org/do-not-use/fhir-extensions/referral#fulfillingEncounter",
    "valueReference": {
      "reference": "Encounter/f201"
    }
  }
],
"modifierExtension": [
  {
    "url": "http://example.org/do-not-use/fhir-extensions/referral#referredForService",
    "valueCodeableConcept": {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "11429006",
          "display": "Consultation"
        }
      ]
    }
  },
  {
    "url": "http://example.org/do-not-use/fhir-extensions/referral#targetDate",
    "valuePeriod": {
      "start": "2013-04-01",
      "end": "2013-04-15"
    }
  },
  {
    "url": "http://example.org/do-not-use/fhir-extensions/referral#status",
    "valueCode": "complete"
  }
],
"identifier": [
  {
    "system": "http://goodhealth.org/basic/identifiers",
    "value": "19283746"
  }
],
"code": {
  "coding": [
    {
      "system": "http://terminology.hl7.org/CodeSystem/basic-resource-type",
      "code": "referral"
    }
  ]
},
"subject": {
  "reference": "Patient/f201",
  "display": "Roel"
},
"created": "2013-05-14",
"author": {
  "reference": "Practitioner/example"
},
"meta": {
  "tag": [
    {
      "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
      "code": "HTEST",
      "display": "test health data"
    }
  ]
}

}