<Task xmlns="http://hl7.org/fhir">
  <id value="06570d9e-1dd7-49b6-8276-c903eef74b73" />
  <contained>
    <PractitionerRole>
      <id value="requester" />
      <practitioner>
        <identifier>
          <system value="https://fhir.nhs.uk/Id/sds-user-id" />
          <value value="0987654321" />
        </identifier>
      </practitioner>
      <organization>
        <identifier>
          <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
          <value value="RR8" />
        </identifier>
        <display value="LEEDS TEACHING HOSPITALS NHS TRUST" />
      </organization>
    </PractitionerRole>
  </contained>
  <identifier>
    <system value="https://tools.ietf.org/html/rfc4122" />
    <value value="06570d9e-1dd7-49b6-8276-c903eef74b73" />
  </identifier>
  <basedOn>
    <reference value="https://fhir.lth.nhs.uk/ServiceRequest/06570d9e-1dd7-49b6-8276-c903eef74b73" />
    <type value="ServiceRequest" />
    <identifier>
      <system value="https://fhir.nhs.uk/Id/UBRN" />
      <value value="06570d9e-1dd7-49b6-8276-c903eef74b73" />
    </identifier>
  </basedOn>
  <status value="requested" />
  <intent value="order" />
  <code>
    <coding>
      <system value="http://hl7.org/fhir/CodeSystem/task-code" />
      <code value="fulfill" />
      <display value="Fulfill the focal request" />
    </coding>
  </code>
  <focus>
    <identifier>
      <system value="https://fhir.lth.nhs.uk/Questionnaire" />
      <value value="LTHPreAdmission" />
    </identifier>
  </focus>
  <for>
    <identifier>
      <system value="https://fhir.nhs.uk/Id/nhs-number" />
      <value value="9446368138" />
    </identifier>
  </for>
  <authoredOn value="2021-10-09T12:00:00+00:00" />
  <requester>
    <reference value="#requester" />
  </requester>
  <owner>
    <identifier>
      <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
      <value value="M12345" />
    </identifier>
  </owner>
  <reasonCode>
    <coding>
      <system value="http://snomed.info/sct" />
      <code value="273510007" />
      <display value="Health assessment questionnaire" />
    </coding>
    <text value="Code is for demomonstration purposes and is probably not correct" />
  </reasonCode>
  <note>
    <text value="Please complete this referral form / pre admission form. This is needed before your referral can be processed." />
  </note>
</Task>