<?xml version="1.0" encoding="UTF-8"?>

<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="example-hfr-referral"/>
  <meta>
    <profile value="https://icr.healthcampaigns.org/StructureDefinition/ICRReferral"/>
    <tag>
      <system value="https://icr.healthcampaigns.org/CodeSystem/icr-project-tag-cs"/>
      <code value="mr-sia"/>
      <display value="MR SIA (Sierra Leone)"/>
    </tag>
  </meta>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ServiceRequest example-hfr-referral</b></p><a name="example-hfr-referral"> </a><a name="hcexample-hfr-referral"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ICRReferral.html">ICR Referral</a></p><p style="margin-bottom: 0px">Tag: <a href="CodeSystem-icr-project-tag-cs.html">MR SIA (Sierra Leone) (Details: ICR Project Tag code mr-sia = 'MR SIA (Sierra Leone)')</a></p></div><p><b>identifier</b>: <code>https://example.org/digit/hf-referral</code>/HFR-0042</p><p><b>basedOn</b>: <a href="CarePlan-example-mr-sia-2026.html">CarePlan Measles–rubella SIA, Kambia District, June 2026 (round 1)</a></p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title="Codes:{https://icr.healthcampaigns.org/CodeSystem/icr-referral-category-cs campaign-referral}">Campaign referral</span></p><p><b>subject</b>: <a href="Patient-example-sibling.html">Fatmata Kamara  Female, DoB: 2019-08-21 ( https://icr.healthcampaigns.org/identifiers/national-id#SL-2019-08-0071554)</a></p><p><b>authoredOn</b>: 2026-06-22 14:10:00+0000</p><p><b>performer</b>: <a href="Organization-example-facility-org.html">Organization Rokupr Community Health Centre</a></p><p><b>locationReference</b>: <a href="Location-example-facility.html">Location Rokupr Community Health Centre</a></p><p><b>reasonCode</b>: <span title="Codes:{https://icr.healthcampaigns.org/CodeSystem/icr-referral-reason-cs fever}">Fever</span></p><p><b>note</b>: </p><blockquote><div><p>Created from the facility referral record; no field referral was received.</p>
</div></blockquote></div>
  </text>
  <identifier>
    <system value="https://example.org/digit/hf-referral"/>
    <value value="HFR-0042"/>
  </identifier>
  <basedOn>
    <reference value="CarePlan/example-mr-sia-2026"/>
  </basedOn>
  <status value="completed"/>
  <intent value="order"/>
  <category>
    <coding>
      <system value="https://icr.healthcampaigns.org/CodeSystem/icr-referral-category-cs"/>
      <code value="campaign-referral"/>
      <display value="Campaign referral"/>
    </coding>
  </category>
  <subject>
    <reference value="Patient/example-sibling"/>
  </subject>
  <authoredOn value="2026-06-22T14:10:00Z"/>
  <performer>
    <reference value="Organization/example-facility-org"/>
  </performer>
  <locationReference>
    <reference value="Location/example-facility"/>
  </locationReference>
  <reasonCode>
    <coding>
      <system value="https://icr.healthcampaigns.org/CodeSystem/icr-referral-reason-cs"/>
      <code value="fever"/>
      <display value="Fever"/>
    </coding>
  </reasonCode>
  <note>
    <text value="Created from the facility referral record; no field referral was received."/>
  </note>
</ServiceRequest>