<?xml version=“1.0” encoding=“UTF-8”?> <ServiceRequest xmlns=“hl7.org/fhir”>
<id value="lipid"/> <meta> <security> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="HTEST"/> <display value="test health data"/> </security> </meta> <contained> <Observation> <id value="fasting"/> <!-- the mandatory quality flag: --> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="49541-6"/> <display value="Fasting status - Reported"/> </coding> </code> <subject> <reference value="Patient/example"/> </subject> <valueCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/> <code value="Y"/> <display value="Yes"/> </coding> </valueCodeableConcept> </Observation> </contained> <contained> <Specimen> <id value="serum"/> <identifier> <system value="http://acme.org/specimens"/> <value value="20150107-0012"/> </identifier> <type> <coding> <system value="http://snomed.info/sct"/> <code value="119364003"/> <display value="Serum sample"/> </coding> </type> <subject> <reference value="Patient/example"/> </subject> <collection> <collectedDateTime value="2015-08-16T06:40:17Z"/> </collection> </Specimen> </contained> <identifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <code value="PLAC"/> </coding> <text value="Placer"/> </type> <system value="urn:oid:1.3.4.5.6.7"/> <value value="2345234234234"/> </identifier> <status value="active"/> <intent value="original-order"/> <code> <coding> <system value="http://acme.org/tests"/> <code value="LIPID"/> </coding> <text value="Lipid Panel"/> </code> <subject> <reference value="Patient/example"/> </subject> <encounter> <reference value="Encounter/example"/> </encounter> <occurrenceDateTime value="2013-05-02T16:16:00-07:00"/> <requester> <reference value="Practitioner/example"/> </requester> <performer> <reference value="Practitioner/f202"/> </performer> <reasonCode> <coding> <system value="http://hl7.org/fhir/sid/icd-9"/> <code value="V173"/> <display value="Fam hx-ischem heart dis"/> </coding> </reasonCode> <supportingInfo> <reference value="#fasting"/> <display value="Fasting status"/> </supportingInfo> <specimen> <reference value="#serum"/> <display value="Serum specimen"/> </specimen> <note> <text value="patient is afraid of needles"/> </note>
</ServiceRequest>