{
  "resourceType": "ProcedureRequest",
  "meta": {
    "lastUpdated": "2017-08-22T16:10:38+00:00"
  },
  "text": {
    "status": "additional",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>%Some xhtml content%</p></div>"
  },
  "extension": [
    {
      "extension": [
        {
          "url": "source",
          "valueCoding": {
            "system": "http://hl7.org/fhir/v2/0105",
            "code": "P",
            "display": "Order"
          }
        },
        {
          "url": "annotation",
          "valueAnnotation": {
            "authorString": "[id-system-global-base]/ca-on-lab-license:4008",
            "text": "Example of procedure request note"
          }
        }
      ],
      "url": "[base-structure]/ca-on-lab-ext-note"
    },
    {
      "url": "[base-structure]/ca-on-lab-ext-ordering-facility",
      "valueReference": {
        "reference": "Organization#1"
      }
    },
    {
      "url": "[base-structure]/ca-on-lab-ext-cc-list",
      "valueReference": {
        "reference": "Practitioner#1"
      }
    },
    {
      "url": "[base-structure]/ca-on-lab-ext-trq-placer",
      "valueReference": {
        "reference": "Organization#1"
      }
    },
    {
      "url": "[base-structure]/ca-on-lab-ext-dest-lab",
      "valueReference": {
        "reference": "Organization#2"
      }
    },
    {
      "url": "[base-structure]/ca-on-lab-ext-record-block",
      "valueBoolean": true
    },
    {
      "url": "[base-structure]/ca-on-lab-ext-poc-test-id",
      "valueString": "PORT"
    },
    {
      "url": "[base-structure]/ca-on-lab-ext-record-replace",
      "valueBoolean": true
    },
    {
      "url": "[base-structure]/ca-on-lab-ext-trq-sort-key",
      "valueString": "AC2345"
    }
  ],
  "identifier": [
    {
      "system": "[id-system-local-base]/lab/test-request-id-lab-license-4004",
      "value": "1231-R1",
      "assigner": {
        "reference": "#Org1"
      }
    }
  ],
  "requisition": {
    "system": "[id-system-local-base]/lab/report-id-lab-license-4008",
    "value": "11111121",
    "assigner": {
      "reference": "#Org1"
    }
  },
  "status": "completed",
  "intent": "order",
  "priority": "routine",
  "code": {
    "coding": [
      {
        "system": "[code-system-local-base]/lab/test-request-codes",
        "code": "TR11663-2",
        "display": "Electrolytes"
      }
    ]
  },
  "subject": {
    "reference": "Patient#1"
  },
  "context": {
    "reference": "Encounter#1"
  },
  "occurrenceDateTime": "2017-08-22T16:10:41+00:00",
  "authoredOn": "2017-08-22T16:10:41+00:00",
  "requester": {
    "agent": {
      "reference": "Practitioner#1"
    }
  }
}