{
  "resourceType": "ServiceRequest",
  "id": "prophylaxis-example",
  "meta": {
    "versionId": "2",
    "lastUpdated": "2021-08-25T15:09:04.425+00:00",
    "source": "#3GuJaGTJjbgyJVdj",
    "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>status</b>: active</p><p><b>intent</b>: plan</p><p><b>code</b>: <span title=\"Codes: {http://ada.org/cdt D1352}\">Preventive resin restoration in a moderate to high caries risk patient-permanent tooth</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-D.html\">Generated Summary: id: 1234560000; John D ; Phone: 720-555-6443; gender: male; birthDate: 1990-06-09</a></p><p><b>bodySite</b>: <span title=\"Codes: {http://www.ada.org/snodent 161941D}, {http://snomed.info/sct 245574002}\">Entire maxillary right lateral incisor tooth</span></p></div>"
  },
  "status": "active",
  "intent": "plan",
  "code": {
    "coding": [
      {
        "system": "http://ada.org/cdt",
        "code": "D1352",
        "display": "Preventive resin restoration in a moderate to high caries risk patient-permanent tooth"
      }
    ],
    "text": "Preventive resin restoration in a moderate to high caries risk patient-permanent tooth"
  },
  "subject": {
    "reference": "Patient/example-dental"
  },
  "requester": {
    "reference": "Practitioner/practitioner-D"
  },
  "bodySite": [
    {
      "coding": [
        {
          "system": "http://www.ada.org/snodent",
          "code": "161941D",
          "display": "Permanent upper right lateral incisor tooth"
        },
        {
          "system": "http://snomed.info/sct",
          "code": "245574002",
          "display": "Entire maxillary right lateral incisor tooth"
        }
      ],
      "text": "Entire maxillary right lateral incisor tooth"
    }
  ]
}