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

## 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="physicaltherapy"/>
	<!-- Example of ambulation service request-->
	<identifier>
		<value value="12345"/>
	</identifier>
	<status value="completed"/>
	<intent value="order"/>
	<code>
	  <concept>
		<coding>
			<system value="http://snomed.info/sct"/>
			<code value="722138006"/>
			<display value="Physical therapy"/>
		</coding>
		<text value="Physical therapy"/>
	  </concept>
	</code>
	<quantityRatio>
        <numerator>
			<value value="20"/>
			<unit value="treatment"/>
		</numerator>
		<denominator>
		    <value value="1"/>
			<unit value="month"/>
		</denominator>
	</quantityRatio>
	<subject>
		<reference value="Patient/example"/>
	</subject>
	<authoredOn value="2017-03-05"/>
	<requester>
			<reference value="Practitioner/3ad0687e-f477-468c-afd5-fcc2bf897809"/>
			<display value="Dr. Beverly Crusher"/>
	</requester>
</ServiceRequest>
```