<?xml version=“1.0” encoding=“UTF-8”?> <DeviceRequest xmlns=“hl7.org/fhir”>
<id value="right-lens"/> <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://www.happysight.com/prescription"/> <value value="15013R"/> </identifier> <!-- insert contents here --> <groupIdentifier> <system value="http://acme.org"/> <value value="15013"/> </groupIdentifier> <status value="completed"/> <intent value="original-order"/> <codeCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/ex-visionprescriptionproduct"/> <code value="lens"/> </coding> </codeCodeableConcept> <parameter> <code> <coding> <system value="http://loinc.org"/> <code value="28826-6"/> <display value="Sphere distance Glasses prescription.lens - right"/> </coding> <text value="sphere, right lens"/> </code> <valueQuantity> <value value="-2.00"/> <unit value="Diopter"/> <system value="http://unitsofmeasure.org"/> <code value="[diop]"> </code> </valueQuantity> </parameter> <parameter> <code> <coding> <system value="http://loinc.org"/> <code value="28829-0"/> <display value="Prism base distance Glasses prescription.lens - right"/> </coding> <text value="prisms, right lens"/> </code> <valueQuantity> <value value="-2.00"/> <unit value="Diopter"/> <system value="http://unitsofmeasure.org"/> <code value="[diop]"> </code> </valueQuantity> </parameter> <parameter> <code> <coding> <system value="http://loinc.org"/> <code value="28810-0"/> <display value="Add 1 LM glasses lens - right"/> </coding> <text value="add, right lens"/> </code> <valueQuantity> <value value="2.00"/> <unit value="Diopter"/> <system value="http://unitsofmeasure.org"/> <code value="[diop]"> </code> </valueQuantity> </parameter> <subject> <reference value="Patient/example"/> </subject> <occurrenceDateTime value="2014-06-15"/> <requester> <reference value="Practitioner/example"/> </requester>
</DeviceRequest>