<ServiceRequest xmlns="http://hl7.org/fhir"><id value="physical-therapy"/><status value="completed"/><intent value="order"/><category><coding><system value="http://snomed.info/sct"/><code value="386053000"/><display value="Evaluation procedure (procedure)"/></coding><text value="Evaluation"/></category><code><concept><coding><system value="http://snomed.info/sct"/><code value="710830005"/><display value="Assessment of passive range of motion (procedure)"/></coding><text value="Assessment of passive range of motion"/></concept></code><subject><reference value="Patient/example"/></subject><occurrenceDateTime value="2016-09-27"/><authoredOn value="2016-09-20"/><requester><display value="Ollie Ortho, MD"/></requester><performer><display value="Paul Therapist, PT"/></performer><reason><concept><text value="assessment of mobility limitations due to osteoarthritis"/></concept></reason></ServiceRequest>