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

<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="PAS-Example1"/>
  <meta>
    <lastUpdated value="2025-03-31T00:00:00+00:00"/>
    <profile value="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-pas-servicerequest-profile"/>
  </meta>
  <text>
    <status value="extensions"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ServiceRequest PAS-Example1</b></p><a name="PAS-Example1"> </a><a name="hcPAS-Example1"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Last updated: 2025-03-31 00:00:00+0000</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-athena-pas-servicerequest-profile.html">A reference to a PAS ServiceRequest</a></p></div><p><b>Product or Service Code End</b>: <span title="Codes:{https://codesystem.x12.org/005010/1365 01}">Medical Care</span></p><p><b>Coverage Information Extension</b>: <a href="Coverage/151">Coverage/151</a></p><p><b>intent</b>: Order</p><p><b>code</b>: <span title="Codes:{https://codesystem.x12.org/005010/1365 01}">Medical Care</span></p><p><b>quantity</b>: 1 visits</p><p><b>subject</b>: <a href="Patient/1225794125051060">Patient/1225794125051060</a></p><p><b>occurrence</b>: 2020-02-24 00:00:00+0530 --&gt; 2020-03-01 00:00:00+0530</p></div>
  </text>
  <extension url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-productOrServiceCodeEnd">
    <valueCodeableConcept>
      <coding>
        <system value="https://codesystem.x12.org/005010/1365"/>
        <code value="01"/>
        <display value="Medical Care"/>
      </coding>
      <text value="Medical Care"/>
    </valueCodeableConcept>
  </extension>
  <extension url="http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information">
    <valueReference>
      <reference value="Coverage/151"/>
    </valueReference>
  </extension>
  <intent value="order"/>
  <code>
    <coding>
      <system value="https://codesystem.x12.org/005010/1365"/>
      <code value="01"/>
      <display value="Medical Care"/>
    </coding>
    <text value="Medical Care"/>
  </code>
  <quantityQuantity>
    <value value="1"/>
    <unit value="visits"/>
  </quantityQuantity>
  <subject>
    <reference value="Patient/1225794125051060"/>
  </subject>
  <occurrencePeriod>
    <start value="2020-02-24T00:00:00+05:30"/>
    <end value="2020-03-01T00:00:00+05:30"/>
  </occurrencePeriod>
</ServiceRequest>