{
  "resourceType": "ServiceRequest",
  "id": "myringotomy",
  "identifier": [
    {
      "system": "http://orionhealth.com/fhir/apps/referralids",
      "value": "ret4421"
    }
  ],
  "basedOn": [
    {
      "display": "ServiceRequest for Myringotomy and insertion of short-term grommet"
    }
  ],
  "replaces": [
    {
      "display": "prior ServiceRequest"
    }
  ],
  "requisition": {
    "value": "1234"
  },
  "status": "active",
  "intent": "order",
  "category": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "103696004",
          "display": "Patient referral to specialist"
        }
      ]
    }
  ],
  "priority": "routine",
  "code": {
    "concept": {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "172676009",
          "display": "Myringotomy and insertion of short-term grommet"
        }
      ],
      "text": "Insertion of grommets"
    }
  },
  "subject": {
    "reference": "https://fhir.example.org/blaze/fhir/Patient/77662",
    "display": "Beverly Weaver"
  },
  "encounter": {
    "display": "Beverly Waver\u0027s encounter on 2014-02-14"
  },
  "occurrencePeriod": {
    "end": "2014-03-14"
  },
  "authoredOn": "2014-02-14",
  "requester": {
    "reference": "https://fhir.example.org/blaze/fhir/Practitioner/77272",
    "display": "Serena Shrink"
  },
  "performerType": {
    "coding": [
      {
        "system": "http://orionhealth.com/fhir/apps/specialties",
        "code": "ent",
        "display": "ENT"
      }
    ]
  },
  "performer": [
    {
      "reference": "https://fhir.example.org/blaze/fhir/Practitioner/76597",
      "display": "Dr Dave"
    }
  ],
  "reason": [
    {
      "concept": {
        "text": "For consideration of Grommets"
      }
    }
  ],
  "note": [
    {
      "authorString": "Serena Shrink",
      "time": "2014-02-14",
      "text": "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."
    }
  ],
  "meta": {
    "tag": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code": "HTEST",
        "display": "test health data"
      }
    ]
  }
}