{
  "resourceType": "DeviceRequest",
  "id": "insulinpump",
  "identifier": [
    {
      "value": "ip_request1.1"
    }
  ],
  "basedOn": [
    {
      "display": "Homecare - DM follow-up"
    }
  ],
  "replaces": [
    {
      "display": "CGM ambulatory"
    }
  ],
  "groupIdentifier": {
    "value": "ip_request1"
  },
  "status": "active",
  "intent": "instance-order",
  "priority": "routine",
  "productCodeableConcept": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "43148-6"
      }
    ],
    "text": "Insulin delivery device panel"
  },
  "subject": {
    "reference": "Patient/dicom"
  },
  "encounter": {
    "display": "Encounter 1"
  },
  "occurrenceDateTime": "2013-05-08T09:33:27+07:00",
  "authoredOn": "2013-05-08T09:33:27+07:00",
  "requester": {
    "reference": "Practitioner/example",
    "display": "Dr. Adam Careful"
  },
  "performer": {
    "reference": {
      "display": "Nurse Rossignol"
    }
  },
  "reason": [
    {
      "concept": {
        "text": "gastroparesis"
      }
    },
    {
      "reference": {
        "display": "Gastroparesis"
      }
    }
  ],
  "supportingInfo": [
    {
      "display": "Previous results"
    }
  ],
  "note": [
    {
      "text": "this is the right device brand and model"
    }
  ],
  "relevantHistory": [
    {
      "display": "Request for unspecified device"
    }
  ],
  "meta": {
    "tag": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code": "HTEST",
        "display": "test health data"
      }
    ]
  }
}