<DeviceRequest xmlns="http://hl7.org/fhir"><id value="insulinpump"/><identifier><value value="ip_request1.1"/></identifier><basedOn><display value="Homecare - DM follow-up"/></basedOn><replaces><display value="CGM ambulatory"/></replaces><groupIdentifier><value value="ip_request1"/></groupIdentifier><status value="active"/><intent value="instance-order"/><priority value="routine"/><productCodeableConcept><coding><system value="http://loinc.org"/><code value="43148-6"/></coding><text value="Insulin delivery device panel"/></productCodeableConcept><subject><reference value="Patient/dicom"/></subject><encounter><display value="Encounter 1"/></encounter><occurrenceDateTime value="2013-05-08T09:33:27+07:00"/><authoredOn value="2013-05-08T09:33:27+07:00"/><requester><reference value="Practitioner/example"/><display value="Dr. Adam Careful"/></requester><performer><reference><display value="Nurse Rossignol"/></reference></performer><reason><concept><text value="gastroparesis"/></concept></reason><reason><reference><display value="Gastroparesis"/></reference></reason><supportingInfo><display value="Previous results"/></supportingInfo><note><text value="this is the right device brand and model"/></note><relevantHistory><display value="Request for unspecified device"/></relevantHistory></DeviceRequest>