<?xml version=“1.0” encoding=“UTF-8”?> <ServiceRequest xmlns=“hl7.org/fhir”>
<id value="subrequest"/><!-- <extension url="http://hl7.org/fhir/StructureDefinition/bodysitecode"> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="51185008"/> <display value="Thoracic structure"/> </coding> </valueCodeableConcept>
</extension>
--> <meta> <security> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="HTEST"/> <display value="test health data"/> </security> </meta> <basedOn> <display value="Original Request"/> </basedOn> <replaces> <display value="Previous allergy test"/> </replaces> <requisition> <!-- from Element: extension --> <value value="A13848392"/> <!-- 0..1 The value that is unique --> </requisition> <status value="active"/> <intent value="instance-order"/> <priority value="routine"/> <code> <coding> <system value="http://loinc.org"/> <code value="35542-0"/> </coding> <text value="Peanut IgG"/> </code> <subject> <reference value="Patient/dicom"/> </subject> <occurrenceDateTime value="2013-05-08T09:33:27+07:00"/> <requester> <reference value="Practitioner/example"/> <display value="Dr. Adam Careful"/> </requester> <performerType> <coding> <display value="Qualified nurse"/> </coding> <text value="Nurse"/> </performerType> <reasonCode> <text value="Check for Peanut Allergy"/> </reasonCode> <bodySite> <coding> <display value="Right arm"/> </coding> <text value="Right arm"/> </bodySite> <!-- insert contents here -->
</ServiceRequest>