Referral Prescription
1.0.0 - STU

Referral Prescription, published by . This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/referral/ and changes regularly. See the Directory of published versions

## : laboratory-order-example1 - XML Representation

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    <ServiceRequest xmlns="http://hl7.org/fhir">
      <id value="laboratory-order-example1"/>
      <meta>
        <profile
                 value="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-lab-prescription"/>
      </meta>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ServiceRequest laboratory-order-example1</b></p><a name="laboratory-order-example1"> </a><a name="hclaboratory-order-example1"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-be-lab-prescription.html">BeLabPrescription</a></p></div><p><b>BeFeedbackToPrescriber</b>: true</p><p><b>BeValidityPeriod</b>: 2021-10-10 --&gt; (ongoing)</p><p><b>Request status reason</b>: <span title="Codes:{https://www.ehealth.fgov.be/standards/fhir/referral/CodeSystem/be-prescription-status-reason inProgress}">In progress</span></p><blockquote><p><b>BeUrgentCommunication</b></p><blockquote><p><b>url</b></p>party</blockquote><p><b>value</b>: <a href="#hclaboratory-order-example1/Requester1">Practitioner Henry Seven (official)</a></p><blockquote><p><b>url</b></p>instructions</blockquote><p><b>value</b>: Send the requester an email, when the test is done.</p><p><b>contactSystem</b>: <span title="Codes:{http://hl7.org/fhir/contact-point-system email}">email</span></p><p><b>contactSystemValue</b>: doctor@mycabinet.be</p><blockquote><p><b>url</b></p>contactway</blockquote></blockquote><p><b>identifier</b>: <a href="NamingSystem-be-ns-uhmep.html" title="UHMEP naming system">BeUnadressedHealthMessageExchangePlatform</a>/XXXXXX</p><p><b>status</b>: Active</p><p><b>intent</b>: Original Order</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 15220000}">Laboratory test</span></p><p><b>priority</b>: STAT</p><p><b>code</b>: <span title="Codes:{http://loinc.org 18723-7}">Hematology studies (set)</span></p><p><b>orderDetail</b>: <span title="Codes:{http://loinc.org 30341-2}">Erythrocyte sedimentation rate</span>, <span title="Codes:{http://loinc.org 789-8}">Erythrocytes [#/volume] in Blood by Automated count</span>, <span title="Codes:{http://loinc.org 20563-3}">Carboxyhemoglobin/Hemoglobin.total in Blood</span>, <span title="Codes:">Test described in text only</span></p><p><b>subject</b>: <a href="#hclaboratory-order-example1/patient1">Jane Doe  Female, DoB: 1956-05-27 ( https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin#BeSSINNamingSystem#99999999991 (use: official, ))</a></p><p><b>authoredOn</b>: 2015-11-01 00:00:00+0100</p><p><b>requester</b>: <a href="#hclaboratory-order-example1/requesterrole1">PractitionerRole physician</a></p><p><b>performer</b>: <a href="#hclaboratory-order-example1/practitionerrole1">PractitionerRole physician</a></p><p><b>reasonCode</b>: <span title="Codes:{https://www.SOME_NOMENCLATURE_SYSTEM.be/ 123}">TheJustification</span></p><p><b>supportingInfo</b>: </p><ul><li><a href="#hclaboratory-order-example1/observation1">Observation Heart rate</a></li><li><a href="#hclaboratory-order-example1/condition1">Condition </a></li><li><a href="#hclaboratory-order-example1/media1">DocumentReference: status = current</a></li></ul><p><b>specimen</b>: <a href="#hclaboratory-order-example1/specimen1">Specimen: identifier = https://www.GTL-LABO.be/#1; type = Blood specimen; note = Some extra relevant information concerning the specimen</a></p><p><b>note</b>: </p><blockquote><div><p>Some free text explaining about these tests that are ordered.</p>
    </div></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Patient #patient1</b></p><a name="laboratory-order-example1/patient1"> </a><a name="hclaboratory-order-example1/patient1"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="https://build.fhir.org/ig/hl7-be/core/StructureDefinition-be-patient.html">BePatient</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Jane Doe  Female, DoB: 1956-05-27 ( https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin#BeSSINNamingSystem#99999999991 (use: official, ))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: 322672299(Home)</li><li>Labradorstraat 26, 1000 Brussel(home)</li></ul></td></tr></table></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Observation #observation1</b></p><a name="laboratory-order-example1/observation1"> </a><a name="hclaboratory-order-example1/observation1"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital Signs</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 8867-4}, {http://snomed.info/sct 364075005}">Heart rate</span></p><p><b>subject</b>: <a href="#hclaboratory-order-example1/patient1">Jane Doe  Female, DoB: 1956-05-27 ( https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin#BeSSINNamingSystem#99999999991 (use: official, ))</a></p><p><b>effective</b>: 1999-07-02</p><p><b>performer</b>: <a href="#hclaboratory-order-example1/Requester1">Practitioner Henry Seven (official)</a></p><p><b>value</b>: 51 beats/minute<span style="background: LightGoldenRodYellow"> (Details: UCUM  code/min = '/min')</span></p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Condition #condition1</b></p><a name="laboratory-order-example1/condition1"> </a><a name="hclaboratory-order-example1/condition1"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>verificationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status provisional}">Provisional</span></p><p><b>code</b>: <span title="Codes:">bradycardie</span></p><p><b>subject</b>: <a href="#hclaboratory-order-example1/patient1">Jane Doe  Female, DoB: 1956-05-27 ( https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin#BeSSINNamingSystem#99999999991 (use: official, ))</a></p><p><b>note</b>: </p><blockquote><div><p>This is a suspicion</p>
    </div></blockquote></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: DocumentReference #media1</b></p><a name="laboratory-order-example1/media1"> </a><a name="hclaboratory-order-example1/media1"> </a><p><b>status</b>: Current</p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ContentType</b></td><td><b>Data</b></td></tr><tr><td style="display: none">*</td><td>image/gif</td><td><code>iVBORw0KGgoAAAANSUhEUgAAA+MAAACnCAYAAAB6pY03AAAAAXNSR0IArs4c6QAAAARnQU1BAACx jwv8YQUAAAAJcEhZcwAAEnMAABJzAYwiuQcAADBZSURBVHhe7d09rty218fxrOFfZj/ZQHZgwEiZ gg==</code></td></tr></table></blockquote></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Practitioner #Requester1</b></p><a name="laboratory-order-example1/Requester1"> </a><a name="hclaboratory-order-example1/Requester1"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="https://build.fhir.org/ig/hl7-be/core/StructureDefinition-be-practitioner.html">BePractitioner</a></p></div><p><b>identifier</b>: BeNIHDINamingSystem/88888888881 (use: official, )</p><p><b>name</b>: Henry Seven (Official)</p><p><b>telecom</b>: ph: 322882299(Home)</p><p><b>address</b>: Werkstraat 26, 1000 Brussel(work)</p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Specimen #specimen1</b></p><a name="laboratory-order-example1/specimen1"> </a><a name="hclaboratory-order-example1/specimen1"> </a><p><b>identifier</b>: <code>https://www.GTL-LABO.be/</code>/1</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 119297000}">A string can be added to nuance or explain.</span></p><h3>Collections</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Collected[x]</b></td><td><b>Method</b></td><td><b>BodySite</b></td></tr><tr><td style="display: none">*</td><td>2015-11-03</td><td><span title="Codes:{http://snomed.info/sct 28520004}">Venipuncture for blood test (procedure)</span></td><td><span title="Codes:{http://snomed.info/sct 368208006}">Left upper arm structure (body structure)</span></td></tr></table><p><b>note</b>: </p><blockquote><div><p>Some extra relevant information concerning the specimen</p>
    </div></blockquote></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: PractitionerRole #practitionerrole1</b></p><a name="laboratory-order-example1/practitionerrole1"> </a><a name="hclaboratory-order-example1/practitionerrole1"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="https://build.fhir.org/ig/hl7-be/core/StructureDefinition-be-practitionerrole.html">BePractitionerRole</a></p></div><p><b>identifier</b>: <code>http://www.acme.org/practitioners</code>/23</p><p><b>active</b>: true</p><p><b>period</b>: 2019-08-01 00:00:00+0000 --&gt; 2019-12-01 00:00:00+0000</p><p><b>practitioner</b>: <a href="Practitioner-Performer1.html">Dr Katherine Pulaski</a></p><p><b>code</b>: <span title="Codes:{https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty persphysician}">physician</span></p><p><b>specialty</b>: <span title="Codes:{http://snomed.info/sct 419772000}">Family practice</span></p><blockquote><p><b>availableTime</b></p><p><b>daysOfWeek</b>: Monday, Tuesday, Wednesday</p><p><b>availableStartTime</b>: 09:00:00</p><p><b>availableEndTime</b>: 16:30:00</p></blockquote><blockquote><p><b>availableTime</b></p><p><b>daysOfWeek</b>: Thursday, Friday</p><p><b>availableStartTime</b>: 09:00:00</p><p><b>availableEndTime</b>: 12:00:00</p></blockquote><h3>NotAvailables</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Description</b></td><td><b>During</b></td></tr><tr><td style="display: none">*</td><td>Katherine will be on extended leave during August 2020</td><td>2020-08-01 00:00:00+0000 --&gt; 2020-08-20 00:00:00+0000</td></tr></table><p><b>availabilityExceptions</b>: Katherine is generally unavailable on public holidays and during the Christmas/New Year break</p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: PractitionerRole #requesterrole1</b></p><a name="laboratory-order-example1/requesterrole1"> </a><a name="hclaboratory-order-example1/requesterrole1"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="https://build.fhir.org/ig/hl7-be/core/StructureDefinition-be-practitionerrole.html">BePractitionerRole</a></p></div><p><b>practitioner</b>: <a href="#hclaboratory-order-example1/Requester1">Practitioner Henry Seven (official)</a></p><p><b>code</b>: <span title="Codes:{https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty persphysician}">physician</span></p></blockquote></div>
      </text>
      <contained>
        <Patient>
          <id value="patient1"/>
          <meta>
            <profile
                     value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient"/>
          </meta>
          <identifier>
            <use value="official"/>
            <system
                    value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin"/>
            <value value="99999999991"/>
          </identifier>
          <name>
            <family value="Doe"/>
            <given value="Jane"/>
          </name>
          <telecom>
            <system value="phone"/>
            <value value="322672299"/>
            <use value="home"/>
          </telecom>
          <gender value="female"/>
          <birthDate value="1956-05-27"/>
          <address>
            <use value="home"/>
            <type value="both"/>
            <text value="Labradorstraat 26, 1000 Brussel"/>
            <line value="Labradorstraat 26"/>
            <city value="Brussel"/>
            <postalCode value="1000"/>
            <country value="BE"/>
          </address>
        </Patient>
      </contained>
      <contained>
        <Observation>
          <id value="observation1"/>
          <status value="final"/>
          <category>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/observation-category"/>
              <code value="vital-signs"/>
              <display value="Vital Signs"/>
            </coding>
            <text value="Vital Signs"/>
          </category>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="8867-4"/>
              <display value="Heart rate"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <version value="http://snomed.info/sct/11000172109"/>
              <code value="364075005"/>
              <display value="Heart rate (observable entity)"/>
            </coding>
            <text value="Heart rate"/>
          </code>
          <subject>
            <reference value="#patient1"/>
          </subject>
          <effectiveDateTime value="1999-07-02"/>
          <performer>
            <reference value="#Requester1"/>
          </performer>
          <valueQuantity>
            <value value="51"/>
            <unit value="beats/minute"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="/min"/>
          </valueQuantity>
        </Observation>
      </contained>
      <contained>
        <Condition>
          <id value="condition1"/>
          <clinicalStatus>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
              <code value="active"/>
            </coding>
          </clinicalStatus>
          <verificationStatus>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
              <code value="provisional"/>
            </coding>
          </verificationStatus>
          <code>
            <text value="bradycardie"/>
          </code>
          <subject>
            <reference value="#patient1"/>
          </subject>
          <note>
            <text value="This is a suspicion"/>
          </note>
        </Condition>
      </contained>
      <contained>
        <DocumentReference>
          <id value="media1"/>
          <status value="current"/>
          <content>
            <attachment>
              <contentType value="image/gif"/>
              <data
                    value="iVBORw0KGgoAAAANSUhEUgAAA+MAAACnCAYAAAB6pY03AAAAAXNSR0IArs4c6QAAAARnQU1BAACx jwv8YQUAAAAJcEhZcwAAEnMAABJzAYwiuQcAADBZSURBVHhe7d09rty218fxrOFfZj/ZQHZgwEiZ gg=="/>
            </attachment>
          </content>
        </DocumentReference>
      </contained>
      <contained>
        <Practitioner>
          <id value="Requester1"/>
          <meta>
            <profile
                     value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner"/>
          </meta>
          <identifier>
            <use value="official"/>
            <system
                    value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"/>
            <value value="88888888881"/>
          </identifier>
          <name>
            <use value="official"/>
            <family value="Seven"/>
            <given value="Henry"/>
          </name>
          <telecom>
            <system value="phone"/>
            <value value="322882299"/>
            <use value="home"/>
          </telecom>
          <address>
            <use value="work"/>
            <type value="both"/>
            <text value="Werkstraat 26, 1000 Brussel"/>
            <line value="Werkstraat 26"/>
            <city value="Brussel"/>
            <postalCode value="1000"/>
            <country value="BE"/>
          </address>
        </Practitioner>
      </contained>
      <contained>
        <Specimen>
          <id value="specimen1"/>
          <identifier>
            <system value="https://www.GTL-LABO.be/"/>
            <value value="1"/>
          </identifier>
          <type>
            <coding>
              <system value="http://snomed.info/sct"/>
              <version value="http://snomed.info/sct/11000172109"/>
              <code value="119297000"/>
              <display value="Blood specimen"/>
            </coding>
            <text value="A string can be added to nuance or explain."/>
          </type>
          <collection>
            <collectedDateTime value="2015-11-03"/>
            <method>
              <coding>
                <system value="http://snomed.info/sct"/>
                <version value="http://snomed.info/sct/11000172109"/>
                <code value="28520004"/>
                <display value="Venipuncture for blood test (procedure)"/>
              </coding>
            </method>
            <bodySite>
              <coding>
                <system value="http://snomed.info/sct"/>
                <version value="http://snomed.info/sct/11000172109"/>
                <code value="368208006"/>
                <display value="Left upper arm structure (body structure)"/>
              </coding>
            </bodySite>
          </collection>
          <note>
            <text
                  value="Some extra relevant information concerning the specimen"/>
          </note>
        </Specimen>
      </contained>
      <contained>
        <PractitionerRole>
          <id value="practitionerrole1"/>
          <meta>
            <profile
                     value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole"/>
          </meta>
          <identifier>
            <system value="http://www.acme.org/practitioners"/>
            <value value="23"/>
          </identifier>
          <active value="true"/>
          <period>
            <start value="2019-08-01T00:00:00.000Z"/>
            <end value="2019-12-01T00:00:00.000Z"/>
          </period>
          <practitioner>🔗
            <reference value="Practitioner/Performer1"/>
            <display value="Dr Katherine Pulaski"/>
          </practitioner>
          <code>
            <coding>
              <system
                      value="https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty"/>
              <code value="persphysician"/>
              <display value="physician"/>
            </coding>
          </code>
          <specialty>
            <coding>
              <system value="http://snomed.info/sct"/>
              <version value="http://snomed.info/sct/11000172109"/>
              <code value="419772000"/>
              <display value="Family practice"/>
            </coding>
          </specialty>
          <availableTime>
            <daysOfWeek value="mon"/>
            <daysOfWeek value="tue"/>
            <daysOfWeek value="wed"/>
            <availableStartTime value="09:00:00"/>
            <availableEndTime value="16:30:00"/>
          </availableTime>
          <availableTime>
            <daysOfWeek value="thu"/>
            <daysOfWeek value="fri"/>
            <availableStartTime value="09:00:00"/>
            <availableEndTime value="12:00:00"/>
          </availableTime>
          <notAvailable>
            <description
                         value="Katherine will be on extended leave during August 2020"/>
            <during>
              <start value="2020-08-01T00:00:00.000Z"/>
              <end value="2020-08-20T00:00:00.000Z"/>
            </during>
          </notAvailable>
          <availabilityExceptions
                                  value="Katherine is generally unavailable on public holidays and during the Christmas/New Year break"/>
        </PractitionerRole>
      </contained>
      <contained>
        <PractitionerRole>
          <id value="requesterrole1"/>
          <meta>
            <profile
                     value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole"/>
          </meta>
          <practitioner>
            <reference value="#Requester1"/>
          </practitioner>
          <code>
            <coding>
              <system
                      value="https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty"/>
              <code value="persphysician"/>
              <display value="physician"/>
            </coding>
          </code>
        </PractitionerRole>
      </contained>
      <extension
                 url="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-feedback-to-prescriber">
        <valueBoolean value="true"/>
      </extension>
      <extension
                 url="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-validity-period">
        <valuePeriod>
          <start value="2021-10-10"/>
        </valuePeriod>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/request-statusReason">
        <valueCodeableConcept>
          <coding>
            <system
                    value="https://www.ehealth.fgov.be/standards/fhir/referral/CodeSystem/be-prescription-status-reason"/>
            <code value="inProgress"/>
            <display value="In progress"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension
                 url="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgent-communication">
        <extension url="party">
          <valueReference>
            <reference value="#Requester1"/>
          </valueReference>
        </extension>
        <extension url="instructions">
          <valueString
                       value="Send the requester an email, when the test is done."/>
        </extension>
        <extension url="contactway">
          <extension url="contactSystem">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/contact-point-system"/>
                <code value="email"/>
                <display value="email"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="contactSystemValue">
            <valueString value="doctor@mycabinet.be"/>
          </extension>
        </extension>
      </extension>
      <identifier>
        <system
                value="https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep"/>
        <value value="XXXXXX"/>
      </identifier>
      <status value="active"/>
      <intent value="original-order"/>
      <category>
        <coding>
          <system value="http://snomed.info/sct"/>
          <version value="http://snomed.info/sct/11000172109"/>
          <code value="15220000"/>
          <display value="Laboratory test"/>
        </coding>
      </category>
      <priority value="stat"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="18723-7"/>
          <display value="Hematology studies (set)"/>
        </coding>
      </code>
      <orderDetail>
        <coding>
          <system value="http://loinc.org"/>
          <code value="30341-2"/>
          <display value="Erythrocyte sedimentation rate"/>
        </coding>
      </orderDetail>
      <orderDetail>
        <coding>
          <system value="http://loinc.org"/>
          <code value="789-8"/>
          <display value="Erythrocytes [#/volume] in Blood by Automated count"/>
        </coding>
      </orderDetail>
      <orderDetail>
        <coding>
          <system value="http://loinc.org"/>
          <code value="20563-3"/>
          <display value="Carboxyhemoglobin/Hemoglobin.total in Blood"/>
        </coding>
      </orderDetail>
      <orderDetail>
        <text value="Test described in text only"/>
      </orderDetail>
      <subject>
        <reference value="#patient1"/>
      </subject>
      <authoredOn value="2015-11-01T00:00:00+01:00"/>
      <requester>
        <reference value="#requesterrole1"/>
      </requester>
      <performer>
        <reference value="#practitionerrole1"/>
      </performer>
      <reasonCode>
        <coding>
          <system value="https://www.SOME_NOMENCLATURE_SYSTEM.be/"/>
          <code value="123"/>
          <display value="TheJustification"/>
        </coding>
      </reasonCode>
      <supportingInfo>
        <reference value="#observation1"/>
      </supportingInfo>
      <supportingInfo>
        <reference value="#condition1"/>
      </supportingInfo>
      <supportingInfo>
        <reference value="#media1"/>
      </supportingInfo>
      <specimen>
        <reference value="#specimen1"/>
      </specimen>
      <note>
        <text
              value="Some free text explaining about these tests that are ordered."/>
      </note>
    </ServiceRequest>