<ServiceRequest xmlns="http://hl7.org/fhir"><id value="physiotherapy"/><contained><Provenance><id value="signature"/><target><reference value="ServiceRequest/physiotherapy/_history/1"/></target><recorded value="2017-02-01T17:23:07Z"/><agent><role><coding><system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/><code value="AUT"/></coding></role><who><reference value="Practitioner/example"/><display value="Dr Adam Careful"/></who></agent><signature><type><system value="urn:iso-astm:E1762-95:2013"/><code value="1.2.840.10065.1.12.1.1"/><display value="Author's Signature"/></type><when value="2017-02-01T17:23:07Z"/><who><reference value="Practitioner/example"/><display value="Dr Adam Careful"/></who><targetFormat value="application/fhir+xml"/><sigFormat value="application/signature+xml"/><data value="dGhpcyBibG9iIGlzIHNuaXBwZWQ="/></signature></Provenance></contained><contained><Condition><id value="cystic-fibrosis"/><clinicalStatus><coding><system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/><code value="active"/></coding></clinicalStatus><verificationStatus><coding><system value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/><code value="confirmed"/></coding></verificationStatus><category><coding><system value="http://terminology.hl7.org/CodeSystem/condition-category"/><code value="problem-list-item"/><display value="Problem List Item"/></coding></category><severity><coding><system value="http://snomed.info/sct"/><code value="255604002"/><display value="Mild"/></coding></severity><code><coding><system value="http://hl7.org/fhir/sid/icd-10-cm"/><code value="E84.0"/><display value="Cystic fibrosis with pulmonary manifestations"/></coding><text value="Cystic Fibrosis"/></code><subject><reference value="Patient/example"/></subject><onsetDateTime value="2012-11-12"/></Condition></contained><identifier><type><coding><system value="http://terminology.hl7.org/CodeSystem/v2-0203"/><code value="PLAC"/><display value="Placer Identifier"/></coding><text value="Placer"/></type><system value="http://goodhealth.org/placer-ids"/><value value="20170201-0001"/></identifier><basedOn><reference value="CarePlan/gpvisit"/></basedOn><status value="completed"/><intent value="order"/><code><concept><coding><system value="http://snomed.info/sct"/><code value="34431008"/><display value="Physiotherapy of chest (regime/therapy)"/></coding></concept></code><subject><reference value="Patient/example"/></subject><occurrenceTiming><repeat><duration value="15"/><durationMax value="25"/><durationUnit value="min"/><frequency value="1"/><frequencyMax value="4"/><period value="1"/><periodUnit value="d"/></repeat></occurrenceTiming><authoredOn value="2017-02-01T17:23:07Z"/><requester><reference value="Practitioner/example"/><display value="Dr Adam Careful"/></requester><reason><reference><reference value="#cystic-fibrosis"/></reference></reason><relevantHistory><reference value="#signature"/><display value="Author's Signature"/></relevantHistory></ServiceRequest>