| Element | mmlRe:ReferralModule | 
| <xs:element name="referFrom"> <xs:complexType> <xs:sequence> <xs:element ref="mmlPsi:PersonalizedInfo"/> </xs:sequence> </xs:complexType> </xs:element> | 
| < mmlSm:admission xmlns:mmlSm = "http://www.medxml.net/MML/v4/ContentModule/Summary/1.0" xmlns:mmlPsi = "http://www.medxml.net/MML/v4/SharedComponent/PersonalizedInfo/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:mmlFc = "http://www.medxml.net/MML/v4/SharedComponent/Facility/1.0" xmlns:mmlDp = "http://www.medxml.net/MML/v4/SharedComponent/Department/1.0" > | 
| < mmlSm:date> | 
| 2015-08-27 | 
| </ mmlSm:date> | 
| Emergency admission by ambulance | 
| < mmlCm:Id mmlCm:type = "facility" mmlCm:tableId = "MML0024" > | 
| 23234567 | 
| </ mmlCm:Id> | 
| < mmlNm:Name mmlNm:repCode = "A" mmlNm:tableId = "MML0025" > | 
| < mmlNm:family> | 
| Ono | 
| </ mmlNm:family> | 
| < mmlNm:given> | 
| Yoko | 
| </ mmlNm:given> | 
| < mmlNm:degree> | 
| M.D. | 
| </ mmlNm:degree> | 
| </ mmlNm:Name> | 
| < mmlFc:name mmlFc:repCode = "A" mmlFc:tableId = "MML0025" > | 
| New Millenium Medical College Hospital |