<ServiceRequest xmlns="http://hl7.org/fhir">
  <meta>
    <lastUpdated value="2017-08-22T16:10:38+00:00" />
    <profile value="http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-profile-ServiceRequest|2.0.0" />
  </meta>
  <text>
    <status value="additional" />
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>%Some xhtml content%</p>
    </div>
  </text>
  <identifier>
    <system value="http://ehealthontario.ca/lab/test-request-id-lab-license-4004" />
    <value value="1231-R1" />
    <assigner>
      <reference value="Organization/Org1" />
    </assigner>
  </identifier>
  <requisition>
    <system value="http://ehealthontario.ca/lab/report-id-lab-license-4004" />
    <value value="11111121" />
    <assigner>
      <reference value="Organization/Org1" />
    </assigner>
  </requisition>
  <status value="unknown">
    <extension url="http://ehealthontario.ca/fhir/StructureDefinition/ca-on-ext-lab-request-status">
      <valueCoding>
        <system value="http://hl7.org/fhir/diagnostic-report-status" />
        <code value="final" />
        <display value="Final" />
      </valueCoding>
    </extension>
  </status>
  <intent value="order" />
  <priority value="routine" />
  <code>
    <coding>
      <system value="http://ehealthontario.ca/lab/test-request-codes" />
      <code value="TR11663-2" />
      <display value="Electrolytes" />
    </coding>
  </code>
  <subject>
    <reference value="Patient/patient-1" />
  </subject>
  <encounter>
    <reference value="Encounter/Encounter-1" />
  </encounter>
  <occurrenceDateTime value="2017-08-22T12:10:41-04:00" />
  <authoredOn value="2017-08-22T12:10:41-04:00" />
  <requester>
    <reference value="PractitionerRole/PractitionerRole-1" />
  </requester>
  <performer>
    <reference value="Organization/org-1" />
  </performer>
  <specimen>
    <reference value="Specimen/specimen-1" />
  </specimen>
  <note>
    <text value="some note" />
  </note>
</ServiceRequest>