<ServiceRequest xmlns="http://hl7.org/fhir">
    <id value="esempio-ServiceRequest-ServiziSocioAssistenziali" />
    <meta>
        <versionId value="1" />
        <lastUpdated value="2023-01-11T08:32:56+01:00" />
        <profile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestServiziSocioAssistenziali" />
    </meta>
    <extension url="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestSoggettoProponentePIC">
        <valueCodeableConcept>
            <coding>
                <system value="https://fhir.siss.regione.lombardia.it/ValueSet/SIAD-ProponentePIC" />
                <code value="2" />
                <display value="MMG / PLS" />
            </coding>
        </valueCodeableConcept>
    </extension>
    <extension url="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestMedicoPrescrittore">
        <valueString value="11111" />
    </extension>
    <extension url="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestCausaleDimissione">
        <valueCodeableConcept>
            <coding>
                <system value="https://fhir.siss.regione.lombardia.it/ValueSet/SIAD-CausaleDimissione" />
                <code value="01" />
                <display value="Completamento del programma assistenziale" />
            </coding>
        </valueCodeableConcept>
    </extension>
    <extension url="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLServiceRequestDataDimissione">
        <valueDateTime value="2023-03-30T08:32:56+01:00" />
    </extension>
    <identifier>
        <system value="https://fhir.siss.regione.lombardia.it/sid/codiceIdentificativoServizioSocioAssistenziale" />
        <value value="2023000021" />
    </identifier>
    <basedOn>
        <reference value="CarePlan/365db2ec-973c-11ed-a8fc-0242ac120002" />
        <display value="PI-2023000000001" />
    </basedOn>
    <requisition>
        <value value="A1B1C1A1B1C1D1E" />
        <period>
            <start value="2023-02-01" />
        </period>
    </requisition>
    <status value="active" />
    <intent value="order" />
    <code>
        <coding>
            <system value="https://fhir.siss.regione.lombardia.it/ValueSet/DDC-DescL2" />
            <code value="C-DOM" />
            <display value="CURE DOMICILIARI" />
        </coding>
    </code>
    <quantityQuantity>
        <value value="18" />
    </quantityQuantity>
    <subject>
        <reference value="Patient/b7807e00-9745-11ed-a8fc-0242ac120002" />
        <display value="Mario Rossi" />
    </subject>
    <occurrencePeriod>
        <start value="2023-02-01T08:32:56+01:00" />
        <end value="2023-04-01T08:32:56+01:00" />
    </occurrencePeriod>
    <performer>
        <reference value="Organization/56a3e16e-97e3-11ed-a8fc-0242ac120002" />
        <display value="FONDAZIONE MADDALENA GRASSI" />
    </performer>
    <reasonCode>
        <coding>
            <system value="https://fhir.siss.regione.lombardia.it/ValueSet/SGDT-PercorsiCDom" />
            <code value="PERCDOM02" />
            <display value="Cure Domiciliari Base - Prestazionale Generico" />
        </coding>
    </reasonCode>
    <note>
        <text value="Presa in carico confermata dall&#39;ente" />
    </note>
</ServiceRequest>