---
type: "example"
title: "SupplyRequest Example: supplyrequest-example-simpleorder"
resource: "SupplyRequest"
example: "supplyrequest-example-simpleorder"
---
# SupplyRequest Example: supplyrequest-example-simpleorder

## Example XML



```xml
<?xml version="1.0" encoding="UTF-8"?>
<SupplyRequest xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir file://ERICS-AIR-2/ehaas/Documents/FHIR/build/schema/supplyrequest.xsd">
  <id value="simpleorder"/>
  <identifier>
    <value value="Order10284"/>
  </identifier>
  <status value="active"/>
  <intent value="order"/>
  <category>
    <coding>
      <code value="central"/>
      <display value="Central Stock Resupply"/>
    </coding>
  </category>
  <priority value="asap"/>
  <item>
	<concept>
      <coding>
        <code value="BlueTubes"/>
        <display value="Blood collect tubes blue cap"/>
      </coding>
	</concept>
  </item>
	<quantity>
		<value value="10"/>
	</quantity>
  <occurrenceDateTime value="2016-12-31"/>
  <authoredOn value="2016-12-31"/>
  <requester>
    <display value="Henry Seven"/>
  </requester>
  <supplier>
    <display value="Vendor1"/>
  </supplier>
  <reason>
    <concept>
        <coding>
          <code value="stock_low"/>
          <display value="Refill due to low stock"/>
        </coding>
    </concept>
  </reason>
  <deliverFrom>
    <display value="Location 1"/>
  </deliverFrom>
  <deliverTo>
    <display value="GoodHealth Clinic Receiving"/>
  </deliverTo>
</SupplyRequest>
```