<?xml version="1.0" encoding="UTF-8"?>

<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="01a21c9c-2cd1-44e5-a999-f84d9ef70605"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2023-05-03T11:15:00+01:00"/>
    <profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_LAB_ServiceRequest|1.0.0-update"/>
  </meta>
  <identifier>
    <type>
      <coding>
        <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_MIO_LAB_Laboratory_Identificator"/>
        <version value="1.0.0-update"/>
        <code value="AE"/>
        <display value="Auftragsnummer des Einsenders"/>
      </coding>
    </type>
    <system value="http://testsystem.de"/>
    <value value="20211115-127"/>
  </identifier>
  <identifier>
    <type>
      <coding>
        <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_MIO_LAB_Laboratory_Identificator"/>
        <version value="1.0.0-update"/>
        <code value="NI"/>
        <display value="Nachforderungsidentifikation"/>
      </coding>
    </type>
    <system value="http://testsystem.de"/>
    <value value="20211115-127"/>
  </identifier>
  <status value="completed"/>
  <intent value="order"/>
  <priority value="routine"/>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <version value="http://snomed.info/sct/11000274103/version/20251115"/>
      <code value="721965002"/>
      <display value="Laboratory order (record artifact)"/>
    </coding>
  </code>
  <orderDetail>
    <text value="Beispieltext"/>
  </orderDetail>
  <subject>
    <reference value="Patient/b65dfcca-c6ce-4dac-8742-8da00c192c7d"/>
    <identifier>
      <type>
        <coding>
          <system value="http://fhir.de/CodeSystem/identifier-type-de-basis"/>
          <code value="KVZ10"/>
          <display value="Krankenversichertennummer"/>
        </coding>
      </type>
      <system value="http://fhir.de/sid/gkv/kvid-10"/>
      <value value="K123456789"/>
    </identifier>
  </subject>
  <authoredOn value="2023-05-03T11:08:15+01:00"/>
  <requester>
    <reference value="Practitioner/2b946366-cf18-4d89-a29c-00bf69ac90f6"/>
  </requester>
  <reasonCode>
    <extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Reason_Type">
      <valueString value="Anlass"/>
    </extension>
    <text value="Grund"/>
  </reasonCode>
  <reasonCode>
    <extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Reason_Type">
      <valueString value="Veranlassungsgrund"/>
    </extension>
    <text value="Grund2"/>
  </reasonCode>
  <reasonReference>
    <reference value="Condition/1d344181-abf0-428d-9f3f-1bbd84b7684e"/>
  </reasonReference>
  <supportingInfo>
    <display value="testressource"/>
  </supportingInfo>
  <note>
    <text value="test"/>
  </note>
</ServiceRequest>