<ServiceRequest xmlns="http://hl7.org/fhir"><id value="myringotomy"/><identifier><system value="http://orionhealth.com/fhir/apps/referralids"/><value value="ret4421"/></identifier><basedOn><display value="ServiceRequest for Myringotomy and insertion of short-term grommet"/></basedOn><replaces><display value="prior ServiceRequest"/></replaces><requisition><value value="1234"/></requisition><status value="active"/><intent value="order"/><category><coding><system value="http://snomed.info/sct"/><code value="103696004"/><display value="Patient referral to specialist"/></coding></category><priority value="routine"/><code><concept><coding><system value="http://snomed.info/sct"/><code value="172676009"/><display value="Myringotomy and insertion of short-term grommet"/></coding><text value="Insertion of grommets"/></concept></code><subject><reference value="https://fhir.example.org/blaze/fhir/Patient/77662"/><display value="Beverly Weaver"/></subject><encounter><display value="Beverly Waver's encounter on 2014-02-14"/></encounter><occurrencePeriod><end value="2014-03-14"/></occurrencePeriod><authoredOn value="2014-02-14"/><requester><reference value="https://fhir.example.org/blaze/fhir/Practitioner/77272"/><display value="Serena Shrink"/></requester><performerType><coding><system value="http://orionhealth.com/fhir/apps/specialties"/><code value="ent"/><display value="ENT"/></coding></performerType><performer><reference value="https://fhir.example.org/blaze/fhir/Practitioner/76597"/><display value="Dr Dave"/></performer><reason><concept><text value="For consideration of Grommets"/></concept></reason><note><authorString value="Serena Shrink"/><time value="2014-02-14"/><text value="In the past 2 years Beverly has had 6 instances of rt-sided Otitis media. She is     falling behind her peers at school, and displaying some learning difficulties."/></note></ServiceRequest>