Example of an order for a physical therapy evaluation procedure (id = "physical-therapy")

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

<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="physical-therapy"/> 
  <!--   insert contents here   -->
  <status value="completed"/> 
  <intent value="order"/> 
  <category> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="386053000"/> 
      <display value="Evaluation procedure (procedure)"/> 
    </coding> 
    <text value="Evaluation"/> 
  </category> 
  <code> 
    <concept> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="710830005"/> 
        <display value="Assessment of passive range of motion (procedure)"/> 
      </coding> 
      <text value="Assessment of passive range of motion"/> 
    </concept> 
  </code> 
  <subject> 
    <reference value="Patient/example"/> 
  </subject> 
  <occurrenceDateTime value="2016-09-27"/> 
  <authoredOn value="2016-09-20"/> 
  <requester> 
    <display value="Ollie Ortho, MD"/> 
  </requester> 
  <performer> 
    <display value="Paul Therapist, PT"/> 
  </performer> 
  <reason> 
    <concept> 
      <text value="assessment of mobility limitations due to osteoarthritis"/> 
    </concept> 
  </reason> 
  <bodySite> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="36701003"/> 
      <display value="Both knees (body structure)"/> 
    </coding> 
    <text value="Both knees"/> 
  </bodySite> 
</ServiceRequest>