<?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>
 <status value="requested"/>
 <identifier>
   <system value="http://orionhealth.com/fhir/apps/referralids"/>
   <value value="ret4421"/>
 </identifier>
 <!--  replace with a code from a recognized coding system -->
 <type>
   <coding>
     <system value="http://orionhealth.com/fhir/apps/referraltypes"/>
     <code value="rfs"/>
     <display value="Referral for service"/>
   </coding>
 </type>
 <!--  replace with a code from a recognized coding system -->
 <specialty>
   <coding>
     <system value="http://orionhealth.com/fhir/apps/specialties"/>
     <code value="ent"/>
     <display value="ENT"/>
   </coding>
 </specialty>
 <!--  replace with a code from a recognized coding system -->
 <priority>
   <coding>
     <system value="http://orionhealth.com/fhir/apps/prioritycodes"/>
     <code value="med"/>
     <display value="Medium"/>
   </coding>
 </priority>
 <patient>
   <reference value="https://fhir.orionhealth.com/blaze/fhir/Patient/77662"/>
   <display value="Beverly Weaver"/>
 </patient>
 <requester>
   <reference value="https://fhir.orionhealth.com/blaze/fhir/Practitioner/77272"/>
   <display value="Serena Shrink"/>
 </requester>
 <recipient>
   <reference value="https://fhir.orionhealth.com/blaze/fhir/Practitioner/76597"/>
   <display value="Dr Dave"/>
 </recipient>
 <dateSent value="2014-02-14"/>
 <reason>
   <text value="For consideration of Grommets"/>
 </reason>
 <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."/>
 <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>

</ReferralRequest>