---
type: "example"
title: "Basic Example: basic-example"
resource: "Basic"
example: "basic-example"
---
# Basic Example: basic-example

## Narrative

**Patient:**Roel

**Requestor:**Dokter Bronsig

**Type:**Consultation

**Target Date:**April 1 - April 31

COMPLETED

**The patient had fever peaks over the last couple of days. He is worried about these peaks.**

## Example XML



```xml
<?xml version="1.0" encoding="UTF-8"?>
<!-- This is a bare-bones referral intended to show how the Basic resource might be used.
A real referral would likely include references to supporting information such as medication lists,
problem lists, allergy lists, etc.
Note: ServiceRequest has been incorporated in the specification; this example will be rewritten
in a future version (todo).
-->
<Basic xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir ../../schema/basic.xsd">
  <id value="referral"/>
  <text>
    <status value="generated" />
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p><b>Patient:</b>Roel</p>
      <p><b>Requestor:</b>Dokter Bronsig</p>
      <p><b>Type:</b>Consultation</p>
      <p><b>Target Date:</b>April 1 - April 31</p>
      <p>COMPLETED</p>
      <b>The patient had fever peaks over the last couple of days. He is worried about these peaks.</b>
    </div>
  </text>
  <extension url="http://example.org/do-not-use/fhir-extensions/referral#requestingPractitioner">
    <valueReference>
      <reference value="Practitioner/f201"/>
      <display value="Dokter Bronsig"/>
    </valueReference>
  </extension>
  <extension url="http://example.org/do-not-use/fhir-extensions/referral#notes">
    <valueString value="The patient had fever peaks over the last couple of days. He is worried about these peaks."/>
  </extension>
  <extension url="http://example.org/do-not-use/fhir-extensions/referral#fulfillingEncounter">
    <valueReference>
      <reference value="Encounter/f201"/>
    </valueReference>
  </extension>
  <modifierExtension url="http://example.org/do-not-use/fhir-extensions/referral#referredForService">
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="11429006"/>
        <display value="Consultation"/>
      </coding>
    </valueCodeableConcept>
  </modifierExtension>
  <modifierExtension url="http://example.org/do-not-use/fhir-extensions/referral#targetDate">
    <valuePeriod>
      <start value="2013-04-01"/>
      <end value="2013-04-15"/>
    </valuePeriod>
  </modifierExtension>
  <modifierExtension url="http://example.org/do-not-use/fhir-extensions/referral#status">
    <valueCode value="complete"/>
  </modifierExtension>
  <identifier>
    <system value="http://goodhealth.org/basic/identifiers"/>
    <value value="19283746"/>
  </identifier>
  <code>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/basic-resource-type"/>
      <code value="referral"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/f201"/>
    <display value="Roel"/>
  </subject>
  <created value="2013-05-14"/>
  <author>
    <reference value="Practitioner/example"/>
  </author>
</Basic>
```