---
type: "example"
title: "ServiceRequest Example: servicerequest-example-glucose"
resource: "ServiceRequest"
example: "servicerequest-example-glucose"
---
# ServiceRequest Example: servicerequest-example-glucose

## Example XML



```xml
<?xml version="1.0" encoding="UTF-8"?>
<ServiceRequest xmlns="http://hl7.org/fhir">
	<id value="glucose"/>
	<status value="active"/>
	<intent value="original-order"/>
	<subject>
		<reference value="Patient/dicom"/>
	</subject>
	<occurrenceDateTime value="2013-05-08T09:33:27+07:00"/>
	
	<asNeeded value="true"/>
	<asNeededFor>
      <concept>
  	   	<text value="Series of elevated glucose levels"/>
      </concept>
	</asNeededFor>
	<requester>
			<reference value="Practitioner/example"/>
			<display value="Dr. Adam Careful"/>
	</requester>
	<reason>
      <concept>
  	   	<text value="Glucose monitoring"/>
      </concept>
	</reason>
</ServiceRequest>
```