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

  <!-- Insulin pump request -->
<DeviceRequest xmlns="http://hl7.org/fhir">
  <id value="insulinpump"/>
  <!-- 	<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>	 -->
  <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>