<?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>