<?xml version=“1.0” encoding=“UTF-8”?> <ServiceRequest xmlns=“hl7.org/fhir”>
<id value="physical-therapy"/> <!-- insert contents here --> <meta> <security> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="HTEST"/> <display value="test health data"/> </security> </meta> <status value="completed"/> <intent value="order"/> <category> <coding> <system value="http://snomed.info/sct"/> <code value="386053000"/> <display value="Evaluation procedure (procedure)"/> </coding> <text value="Evaluation"/> </category> <code> <coding> <system value="http://snomed.info/sct"/> <code value="710830005"/> <display value="Assessment of passive range of motion (procedure)"/> </coding> <text value="Assessment of passive range of motion"/> </code> <subject> <reference value="Patient/example"/> </subject> <occurrenceDateTime value="2016-09-27"/> <authoredOn value="2016-09-20"/> <requester> <display value="Ollie Ortho, MD"/> </requester> <performer> <display value="Paul Therapist, PT"/> </performer> <reasonCode> <text value="assessment of mobility limitations due to osteoarthritis"/> </reasonCode> <bodySite> <coding> <system value="http://snomed.info/sct"/> <code value="36701003"/> <display value="Both knees (body structure)"/> </coding> <text value="Both knees"/> </bodySite>
</ServiceRequest>