<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'ente" />
  </note>
</ServiceRequest>