<?xml version=“1.0” encoding=“UTF-8”?> <ServiceRequest xmlns=“hl7.org/fhir”>

      <id value="myringotomy"/>
      <meta>
  <security>
    <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
    <code value="HTEST"/>
    <display value="test health data"/>
  </security>
</meta>
<identifier>
              <system value="http://orionhealth.com/fhir/apps/referralids"/>
              <value value="ret4421"/>
      </identifier>
      <basedOn>
              <display value="ServiceRequest for Myringotomy and insertion of tympanic ventilation tube"/>
      </basedOn>
      <replaces>
              <display value="prior ServiceRequest"/>
      </replaces>
      <requisition>
              <value value="1234"/>
      </requisition>
      <status value="active"/>
      <intent value="order"/>
<category>
  <coding>
    <system value="http://snomed.info/sct"/>
    <code value="103696004"/>
    <display value="Patient referral to specialist"/>
  </coding>
</category>
      <priority value="routine"/>
      <code>
              <coding>
                      <system value="http://snomed.info/sct"/>
                      <code value="172676009"/>
                      <display value="Myringotomy and insertion of tympanic ventilation tube"/>
              </coding>
              <text value="Insertion of grommets"/>
      </code>
      <subject>
              <reference value="https://fhir.orionhealth.com/blaze/fhir/Patient/77662"/>
              <display value="Beverly Weaver"/>
      </subject>
      <encounter>
              <display value="Beverly Waver's encounter on 2014-02-14"/>
      </encounter>
      <occurrencePeriod>
              <end value="2014-03-14"/>
      </occurrencePeriod>
      <authoredOn value="2014-02-14"/>
      <requester>
                      <reference value="https://fhir.orionhealth.com/blaze/fhir/Practitioner/77272"/>
                      <display value="Serena Shrink"/>
      </requester>
      <performerType>
              <coding>
                      <system value="http://orionhealth.com/fhir/apps/specialties"/>
                      <code value="ent"/>
                      <display value="ENT"/>
              </coding>
      </performerType>
      <performer>
              <reference value="https://fhir.orionhealth.com/blaze/fhir/Practitioner/76597"/>
              <display value="Dr Dave"/>
      </performer>
      <reasonCode>
              <text value="For consideration of Grommets"/>
      </reasonCode>
      <note>
              <authorString value="Serena Shrink"/>
              <time value="2014-02-14"/>
              <text value="In the past 2 years Beverly has had 6 instances of rt-sided Otitis media. She is     falling behind her peers at school, and displaying some learning difficulties."/>
      </note>

</ServiceRequest>