<ServiceRequest xmlns="http://hl7.org/fhir"><id value="glucose"/><status value="active"/><intent value="original-order"/><code><concept><coding><system value="http://loinc.org"/><code value="2345-7"/><display value="Glucose [Mass/volume] in Serum or Plasma"/></coding><text value="Glucose test"/></concept></code><subject><reference value="Patient/dicom"/></subject><occurrenceDateTime value="2013-05-08T09:33:27+07:00"/><asNeeded value="true"/><asNeededFor/><requester><reference value="Practitioner/example"/><display value="Dr. Adam Careful"/></requester><reason><concept><text value="Glucose monitoring"/></concept></reason></ServiceRequest>