<ServiceRequest xmlns="http://hl7.org/fhir"><id value="di"/><status value="active"/><intent value="original-order"/><code><concept><coding><system value="http://loinc.org"/><code value="24627-2"/></coding><text value="Chest CT"/></concept></code><subject><reference value="Patient/dicom"/></subject><occurrenceDateTime value="2013-05-08T09:33:27+07:00"/><requester><reference value="Practitioner/example"/><display value="Dr. Adam Careful"/></requester><reason><concept><text value="Check for metastatic disease"/></concept></reason></ServiceRequest>