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

## Example XML



```xml
<?xml version="1.0" encoding="UTF-8"?>
<ServiceRequest xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir ../../schema/servicerequest.xsd">
	<id value="example-implant"/>
	<!-- Example of a device manipulation service request-->
	<status value="completed"/>
	<intent value="order"/>
	<code>
	  <concept>
		<coding>
			<system value="http://snomed.info/sct"/>
			<code value="25267002"/>
			<display value="Insertion of intracardiac pacemaker (procedure)"/>
		</coding>
		<text value="Implant Pacemaker"/>
	  </concept>
	</code>
	<subject>
		<reference value="Patient/example"/>
	</subject>
	<authoredOn value="2015-03-30"/>
	<requester>
			<reference value="Practitioner/3ad0687e-f477-468c-afd5-fcc2bf897809"/>
			<display value="Dr. Beverly Crusher"/>
	</requester>
	<performer>
		<reference value="Practitioner/example"/>
		<display value="Dr Cecil Surgeon"/>
	</performer>
	<reason>
    <concept>
  		<text value="Bradycardia"/>
    </concept>
	</reason>
</ServiceRequest>
```