{
  "resourceType": "ServiceRequest",
  "id": "referral-example",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"referral-example\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-qicore-servicerequest.html\">QICoreServiceRequest</a></p></div><p><b>Reason for current status</b>: Refused by parents of subject <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#609589008)</span></p><p><b>status</b>: revoked</p><p><b>intent</b>: order</p><p><b>category</b>: Referral for procedure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#700274009)</span></p><p><b>priority</b>: routine</p><p><b>code</b>: Myringotomy and insertion of short-term tympanic ventilation tube (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#172676009)</span></p><p><b>subject</b>: <a href=\"Patient-example.html\">Patient/example</a> \" CHALMERS\"</p><p><b>encounter</b>: <a href=\"Encounter-example.html\">Encounter/example</a></p><p><b>occurrence</b>: 2014-02-13</p><p><b>authoredOn</b>: 2014-02-14</p><p><b>performerType</b>: Pediatric otolaryngology <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#417887005)</span></p><p><b>reasonCode</b>: Otitis media <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#65363002)</span></p></div>"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/request-statusReason",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "609589008",
            "display": "Refused by parents of subject"
          }
        ]
      }
    }
  ],
  "status": "revoked",
  "intent": "order",
  "category": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "700274009",
          "display": "Referral for procedure"
        }
      ]
    }
  ],
  "priority": "routine",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "172676009",
        "display": "Myringotomy and insertion of short-term tympanic ventilation tube (procedure)"
      }
    ]
  },
  "subject": {
    "reference": "Patient/example"
  },
  "encounter": {
    "reference": "Encounter/example"
  },
  "occurrenceDateTime": "2014-02-13",
  "authoredOn": "2014-02-14",
  "performerType": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "417887005",
        "display": "Pediatric otolaryngology"
      }
    ]
  },
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "65363002",
          "display": "Otitis media"
        }
      ]
    }
  ]
}