<?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>