{
  "resourceType": "ServiceRequest",
  "id": "example-dental-referral-1",
  "meta": {
    "versionId": "9",
    "lastUpdated": "2021-08-17T18:21:18.760+00:00",
    "source": "#SNBbxDLfpSgMOlLL",
    "profile": [
      "http://hl7.org/fhir/us/dental-data-exchange/dental-servicerequest"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: urn:uid:0c2aacfc-ce7d-4652-b9ea-7280ea21dec4</p><p><b>status</b>: active</p><p><b>intent</b>: plan</p><p><b>category</b>: <span title=\"Codes: {http://snomed.info/sct 14736009}\">Evaluation and management of patient (procedure)</span></p><p><b>priority</b>: asap</p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 103697008}\">Patient referral for dental care (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-example-dental.html\">Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>requester</b>: <a href=\"Practitioner-practitioner-M.html\">Generated Summary: id: 1234569999; John M ; Phone: 303-303-6443; gender: male; birthDate: 1975-06-09</a></p><p><b>reasonReference</b>: </p><ul><li><a href=\"Condition-toothache-example.html\">Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span>; <span title=\"Codes: {http://hl7.org/fhir/us/core/CodeSystem/condition-category health-concern}\">Health Concern</span>, <span title=\"Codes: {http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category dental}\">Dental</span>; <span title=\"Codes: {http://snomed.info/sct 27355003}, {http://www.ada.org/snodent 131687D}\">Toothache (finding)</span>; onset: 2020-02-14</a></li><li><a href=\"Condition-LLQP-example.html\">Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span>; <span title=\"Codes: {http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category dental}\">Dental</span>, <span title=\"Codes: {http://hl7.org/fhir/us/core/CodeSystem/condition-category health-concern}\">Health Concern problem</span>; <span title=\"Codes: {http://snomed.info/sct 301716002}\">Left lower quadrant pain</span></a></li><li><a href=\"Condition-Bleeding-gums-example.html\">Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span>; <span title=\"Codes: {http://hl7.org/fhir/us/core/CodeSystem/condition-category health-concern}\">Health Concern</span>, <span title=\"Codes: {http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category dental}\">Dental</span>; <span title=\"Codes: {http://www.ada.org/snodent 148393D}, {http://snomed.info/sct 86276007}\">Bleeding gums</span>; onset: 2020-02-14</a></li></ul></div>"
  },
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:uid:0c2aacfc-ce7d-4652-b9ea-7280ea21dec4"
    }
  ],
  "status": "active",
  "intent": "plan",
  "category": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "14736009",
          "display": "History and physical examination with evaluation and management of patient (procedure)"
        }
      ],
      "text": "Evaluation and management of patient (procedure)"
    }
  ],
  "priority": "asap",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "103697008",
        "display": "Patient referral for dental care (procedure)"
      }
    ],
    "text": "Patient referral for dental care (procedure)"
  },
  "subject": {
    "reference": "Patient/example-dental"
  },
  "requester": {
    "reference": "Practitioner/practitioner-M"
  },
  "reasonReference": [
    {
      "reference": "Condition/toothache-example"
    },
    {
      "reference": "Condition/LLQP-example"
    },
    {
      "reference": "Condition/Bleeding-gums-example"
    }
  ]
}