<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="esempio-ServiceRequest-Rivalutazione" />
  <meta>
    <versionId value="1" />
    <lastUpdated value="2023-01-01T10:36:03+00:00" />
    <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>