<ServiceRequest xmlns="http://hl7.org/fhir">
    <id value="esempio-ServiceRequest-Rivalutazione" />
    <meta>
        <versionId value="1" />
        <lastUpdated value="2023-01-01T10:36:03Z" />
        <profile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestRivalutazione" />
    </meta>
    <identifier>
        <system value="https://fhir.siss.regione.lombardia.it/sid/identificativoRichiestaRivalutazionePaziente" />
        <value value="0300780000001_R000001" />
    </identifier>
    <basedOn>
        <reference value="CarePlan/365db2ec-973c-11ed-a8fc-0242ac120002" />
        <display value="CarePlan Progetto Individuale" />
    </basedOn>
    <requisition>
        <value value="1234567890" />
    </requisition>
    <status value="active" />
    <intent value="proposal" />
    <subject>
        <reference value="Patient/b7807e00-9745-11ed-a8fc-0242ac120002" />
        <display value="Mario Rossi" />
    </subject>
    <occurrenceDateTime value="2022-02-02" />
    <note>
        <text value="Motivo della rivalutazione" />
    </note>
</ServiceRequest>