# ServiceRequestExample - Da Vinci - Documentation Templates and Rules v2.2.0

## Example ServiceRequest: ServiceRequestExample

Language: en

Profile: [CRD Service Request](http://hl7.org/fhir/us/davinci-crd/2.2.1/StructureDefinition-profile-servicerequest.html)

**status**: Active

**intent**: Original Order

**code**: Gas panel - Blood

**subject**: [Anonymous Patient Male, DoB: 1996-12-23](Patient-examplepatient.md)

**occurrence**: 2019-05-08 09:33:27+0700

**authoredOn**: 2019-09-18 07:53:21+0700

**requester**: [Practitioner Jane Doe ](Practitioner-PractitionerExample.md)

**reasonCode**: Decreased oxygen affinity



## Resource Content

```json
{
  "resourceType" : "ServiceRequest",
  "id" : "ServiceRequestExample",
  "meta" : {
    "profile" : ["http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-servicerequest"]
  },
  "language" : "en",
  "status" : "active",
  "intent" : "original-order",
  "code" : {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "24338-6"
    }],
    "text" : "Gas panel - Blood"
  },
  "subject" : {
    "reference" : "Patient/examplepatient"
  },
  "occurrenceDateTime" : "2019-05-08T09:33:27+07:00",
  "authoredOn" : "2019-09-18T07:53:21+07:00",
  "requester" : {
    "reference" : "Practitioner/PractitionerExample"
  },
  "reasonCode" : [{
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "4565000"
    }],
    "text" : "Decreased oxygen affinity"
  }]
}

```
