{
  "resourceType" : "ServiceRequest",
  "id" : "example",
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest example</b></p><a name=\"example\"> </a><a name=\"hcexample\"> </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\">Language: en</p></div><p><b>basedOn</b>: <a href=\"http://example.org/fhir/ServiceRequest/someReferral\">http://example.org/fhir/ServiceRequest/someReferral</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Order</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 25267002}\">Implant Pacemaker</span></p><p><b>subject</b>: <a href=\"Patient-example.html\">Amy V. Shaw  Female, DoB: 1987-02-20 ( Medical Record Number:\u00a01032702\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>authoredOn</b>: 2015-03-30</p><p><b>requester</b>: <a href=\"Practitioner-full.html\">Dr. Beverly Crusher</a></p><p><b>performer</b>: <a href=\"http://example.org/fhir/Practitioner/full2\">Dr Cecil Surgeon</a></p><p><b>locationReference</b>: <a href=\"Location-example.html\">Location South Wing, second floor</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 48867003}\">Bradycardia</span></p></div>"
  },
  "basedOn" : [{
    "reference" : "http://example.org/fhir/ServiceRequest/someReferral"
  }],
  "status" : "draft",
  "intent" : "order",
  "code" : {
    "extension" : [{
      "url" : "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://www.ama-assn.org/go/cpt",
          "code" : "0795T"
        }]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://www.ama-assn.org/go/cpt",
          "code" : "0796T"
        }]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://www.ama-assn.org/go/cpt",
          "code" : "0797T"
        }]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://www.ama-assn.org/go/cpt",
          "code" : "0804T"
        }]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://www.ama-assn.org/go/cpt",
          "code" : "0823T"
        }]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://www.ama-assn.org/go/cpt",
          "code" : "0915T"
        }]
      }
    }],
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "25267002",
      "display" : "Insertion of intracardiac pacemaker (procedure)"
    }],
    "text" : "Implant Pacemaker"
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "authoredOn" : "2015-03-30",
  "requester" : {
    "reference" : "Practitioner/full",
    "display" : "Dr. Beverly Crusher"
  },
  "performer" : [{
    "reference" : "http://example.org/fhir/Practitioner/full2",
    "display" : "Dr Cecil Surgeon"
  }],
  "locationReference" : [{
    "reference" : "Location/example"
  }],
  "reasonCode" : [{
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "48867003",
      "display" : "Bradycardia"
    }]
  }]
}