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

<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="KCHIPReferralExample"/>
  <meta>
    <profile value="http://fhir.kisumuhealth.co.ke/StructureDefinition/kchip-referral"/>
  </meta>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ServiceRequest KCHIPReferralExample</b></p><a name="KCHIPReferralExample"> </a><a name="hcKCHIPReferralExample"> </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-kchip-referral.html">KCHIP Referral Request</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>subject</b>: <a href="Patient-KisumuPatientExample.html">Achieng Grace Odhiambo  Female, DoB: 1990-04-23 ( http://moh.kenya/identifier/nationalID-no#12345678)</a></p><p><b>occurrence</b>: 2026-05-10</p><p><b>requester</b>: <a href="Practitioner/example-practitioner-01">Practitioner/example-practitioner-01</a></p><p><b>performer</b>: <a href="Organization/kisumu-county-hospital">Organization/kisumu-county-hospital</a></p><p><b>reasonCode</b>: <span title="Codes:">Pre-eclampsia at 36 weeks – BP 145/95, urine protein 2+. Referred for consultant-level management.</span></p><p><b>note</b>: </p><blockquote><div><p>Patient is G3P2. On methyldopa 250mg BD. Fetal heart sounds present. FHR 148/min.</p>
</div></blockquote></div>
  </text>
  <status value="active"/>
  <intent value="order"/>
  <subject>
    <reference value="Patient/KisumuPatientExample"/>
  </subject>
  <occurrenceDateTime value="2026-05-10"/>
  <requester>
    <reference value="Practitioner/example-practitioner-01"/>
  </requester>
  <performer>
    <reference value="Organization/kisumu-county-hospital"/>
  </performer>
  <reasonCode>
    <text value="Pre-eclampsia at 36 weeks – BP 145/95, urine protein 2+. Referred for consultant-level management."/>
  </reasonCode>
  <note>
    <text value="Patient is G3P2. On methyldopa 250mg BD. Fetal heart sounds present. FHR 148/min."/>
  </note>
</ServiceRequest>