
| Element | mml:content | 
| <xs:element name="ReferralModule"> <xs:complexType> <xs:sequence> <xs:element ref="mmlPi:PatientModule"/> <xs:element ref="mmlRe:occupation" minOccurs="0" maxOccurs="1"/> <xs:element ref="mmlRe:referFrom" minOccurs="1" maxOccurs="1"/> <xs:element ref="mmlRe:title" minOccurs="1" maxOccurs="1"/> <xs:element ref="mmlRe:greeting" minOccurs="0" maxOccurs="1"/> <xs:element ref="mmlRe:chiefComplaints" minOccurs="1" maxOccurs="1"/> <xs:element ref="mmlRe:clinicalDiagnosis" minOccurs="0" maxOccurs="1"/> <xs:element ref="mmlRe:pastHistory" minOccurs="0" maxOccurs="1"/> <xs:element ref="mmlRe:familyHistory" minOccurs="0" maxOccurs="1"/> <xs:element ref="mmlRe:presentIllness" minOccurs="1" maxOccurs="1"/> <xs:element ref="mmlRe:testResults" minOccurs="0" maxOccurs="1"/> <xs:element ref="mmlSm:clinicalCourse" minOccurs="0" maxOccurs="1"/> <xs:element ref="mmlRe:medication" minOccurs="0" maxOccurs="1"/> <xs:element ref="mmlRe:referPurpose" minOccurs="1" maxOccurs="1"/> <xs:element ref="mmlRe:remarks" minOccurs="0" maxOccurs="1"/> <xs:element ref="mmlRe:referToFacility" minOccurs="1" maxOccurs="1"/> <xs:element ref="mmlRe:referToPerson" minOccurs="0" maxOccurs="1"/> <xs:element ref="mmlRe:referToUnknownName" minOccurs="0" maxOccurs="1"/> </xs:sequence> </xs:complexType> </xs:element> | 
| < mmlRe:ReferralModule xmlns:mmlRe = "http://www.medxml.net/MML/v4/ContentModule/Referral/1.0" xmlns:mmlPi = "http://www.medxml.net/MML/v4/ContentModule/PatientInfo/1.0" xmlns:mmlCm = "http://www.medxml.net/MML/v4/SharedComponent/Common/1.0" xmlns:mmlNm = "http://www.medxml.net/MML/v4/SharedComponent/Name/1.0" xmlns:mmlPsi = "http://www.medxml.net/MML/v4/SharedComponent/PersonalizedInfo/1.0" xmlns:mmlFc = "http://www.medxml.net/MML/v4/SharedComponent/Facility/1.0" xmlns:mmlDp = "http://www.medxml.net/MML/v4/SharedComponent/Department/1.0" xmlns:mmlAd = "http://www.medxml.net/MML/v4/SharedComponent/Address/1.0" xmlns:mmlPh = "http://www.medxml.net/MML/v4/SharedComponent/Phone/1.0" > | 
| < mmlCm:Id mmlCm:type = "facility" mmlCm:checkDigitSchema = "M10" mmlCm:checkDigit = "5" mmlCm:tableId = "MML0024" > | 
| 12345 | 
| </ mmlCm:Id> | 
| </ mmlPi:masterId> | 
| </ mmlPi:uniqueInfo> | 
| < mmlNm:Name mmlNm:repCode = "A" mmlNm:tableId = "MML0025" > | 
| < mmlNm:family> | 
| Araki | 
| </ mmlNm:family> | 
| < mmlNm:given> | 
| Kenji | 
| </ mmlNm:given> | 
| < mmlNm:degree> | 
| M.D. | 
| </ mmlNm:degree> |