<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="DialysisOrder" />
  <meta>
    <lastUpdated value="2019-11-14T05:19:12+00:00" />
    <source value="DialysisMachine" />
    <tag>
      <system value="IHE" />
      <code value="1.3.6.1.4.12559.11.1.1.129" />
    </tag>
  </meta>
  <identifier>
    <type>
      <coding>
        <system value="http://hl7.org/fhir/ValueSet/identifier-type" />
        <code value="FILL" />
        <display value="FillerID" />
      </coding>
    </type>
    <system value="DialysisUnits" />
    <value value="4VEA0373" />
  </identifier>
  <status value="active" />
  <intent value="order" />
  <category>
    <coding>
      <system value="http://hl7.org/fhir/v2/0074" />
      <code value="HM" />
      <display value="Hematology" />
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org" />
      <code value="LP6226-7" />
      <display value="Dialysis" />
    </coding>
    <text value="LP6226-7" />
  </code>
  <subject>
    <identifier>
      <system value="EMR" />
      <value value="MRN" />
    </identifier>
  </subject>
  <occurrenceDateTime value="2019-11-14T05:19:12-00:00" />
  <locationCode>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode" />
      <code value="HD" />
      <display value="Hemodialysis Unit" />
    </coding>
  </locationCode>
  <locationReference>
    <reference value="4VEA0373" />
  </locationReference>
</ServiceRequest>