{
  "resourceType": "DeviceRequest",
  "id": "wheelchair-request",
  "identifier": [
    {
      "value": "wheelchair_request.1"
    }
  ],
  "status": "active",
  "intent": "order",
  "priority": "routine",
  "productCodeableConcept": {
    "coding": [
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "code": "K0001"
      }
    ],
    "text": "Standard wheelchair"
  },
  "subject": {
    "reference": "Patient/bob"
  },
  "occurrencePeriod": {
    "start": "2025-05-01",
    "end": "2025-07-06"
  },
  "authoredOn": "2025-05-01T09:33:27+07:00",
  "requester": {
    "reference": "Practitioner/example",
    "display": "Dr. Adam Careful"
  },
  "reason": [
    {
      "concept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "11865081000119107"
          }
        ],
        "text": "Injury of left leg"
      }
    }
  ],
  "insurance": [
    {
      "reference": "Coverage/primiary-insurance",
      "display": "Blue Cross Blue Shield"
    }
  ],
  "location": [
    {
      "concept": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
            "code": "PTRES"
          }
        ],
        "text": "Patient\u0027s Residence"
      }
    }
  ],
  "supportingInfo": [
    {
      "reference": "Observation/cognitive-status-observation"
    }
  ],
  "note": [
    {
      "text": "Patient has a broken left fibula and requires a wheelchair to move about their home while immobilizing the leg during recovery. Because the patient is a fall risk, as indicated after a cognitive assessment was completed, other mobility devices are not appropriate. A home assessment has been completed and the patient will be able to use the wheelchair without home modifications"
    }
  ],
  "meta": {
    "tag": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code": "HTEST",
        "display": "test health data"
      }
    ]
  }
}