{
  "resourceType": "ServiceRequest",
  "id": "appropriateness-example",
  "text": {
    "status": "extensions",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"appropriateness-example\" </p></div><p><b>RAND Appropriateness Score Extension</b>: appropriate</p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>code</b>: CT, head, wo iv contrast <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT&reg;)</a>#70450)</span></p><p><b>subject</b>: <a href=\"Patient-example.html\">Patient/example</a> \" CHALMERS\"</p><p><b>authoredOn</b>: 2015-03-30</p><p><b>requester</b>: <span>: Dr. Beverly Crusher</span></p><p><b>reasonCode</b>: Occipital headache <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#330007)</span></p></div>"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest-appropriatenessScore",
      "valueCode": "appropriate"
    }
  ],
  "status": "completed",
  "intent": "order",
  "code": {
    "coding": [
      {
        "system": "http://www.ama-assn.org/go/cpt",
        "code": "70450",
        "display": "CT, head, wo iv contrast"
      }
    ]
  },
  "subject": {
    "reference": "Patient/example"
  },
  "authoredOn": "2015-03-30",
  "requester": {
    "display": "Dr. Beverly Crusher"
  },
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "330007",
          "display": "Occipital headache"
        }
      ]
    }
  ]
}