<?xml version="1.0" encoding="UTF-8"?>

<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="glucose"/>
  <status value="active"/>
  <intent value="original-order"/>
  <subject>
    <reference value="Patient/dicom"/>
  </subject>
  <occurrenceDateTime value="2013-05-08T09:33:27+07:00"/>
  <asNeeded value="true"/>
  <asNeededFor/>
  <requester>
    <reference value="Practitioner/example"/>
    <display value="Dr. Adam Careful"/>
  </requester>
  <reason>
    <concept>
      <text value="Glucose monitoring"/>
    </concept>
  </reason>
</ServiceRequest>