# Referral — ServiceRequest - Netherlands - Generic Functions for data exchange Implementation Guide v0.3.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Referral — ServiceRequest**

## Example ServiceRequest: Referral — ServiceRequest

**instantiatesCanonical**: [http://nictiz.nl/fhir/PlanDefinition/bgz|1.2.0](https://simplifier.net/resolve?scope=nictiz.fhir.nl.r4.nl-core@0.12.0-beta.4&canonical=http://nictiz.nl/fhir/PlanDefinition/bgz|1.2.0)

**status**: Active

**intent**: Order

**code**: Patient referral

**subject**: [Patient at the Placer](https://simplifier.net/resolve?scope=nictiz.fhir.nl.r4.nl-core@0.12.0-beta.4&canonical=http://fhir.org/packages/nictiz.fhir.nl.r4.nl-core/Patient/7b2e5c1a-4d9f-4a83-b6e2-0c5f8d3a9e17)

**authoredOn**: 2026-04-17 10:25:00+0200

**requester**: Placer Hospital (Identifier: Ura/11111111)

**performer**: Fulfiller Hospital (Identifier: Ura/22222222)



## Resource Content

```json
{
  "resourceType" : "ServiceRequest",
  "id" : "np-referral-servicerequest",
  "instantiatesCanonical" : ["http://nictiz.nl/fhir/PlanDefinition/bgz|1.2.0"],
  "status" : "active",
  "intent" : "order",
  "code" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "3457005",
      "display" : "Patient referral"
    }]
  },
  "subject" : {
    "reference" : "Patient/7b2e5c1a-4d9f-4a83-b6e2-0c5f8d3a9e17",
    "display" : "Patient at the Placer"
  },
  "authoredOn" : "2026-04-17T10:25:00+02:00",
  "requester" : {
    "identifier" : {
      "system" : "http://fhir.nl/fhir/NamingSystem/ura",
      "value" : "11111111"
    },
    "display" : "Placer Hospital"
  },
  "performer" : [{
    "identifier" : {
      "system" : "http://fhir.nl/fhir/NamingSystem/ura",
      "value" : "22222222"
    },
    "display" : "Fulfiller Hospital"
  }]
}

```
