<?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>