{
   "resourceType": "ServiceRequest",
   "identifier": [
      {
         "system": "http://sys-ids.kemkes.go.id/servicerequest/{{Org_id}}",
         "value": "101017"
      }
   ],
   "status": "active",
   "intent": "original-order",
   "priority": "routine",
   "category": [
      {
         "coding": [
            {
               "system": "http://snomed.info/sct",
               "code": "277132007",
               "display": "Therapeutic procedure"
            }
         ]
      }
   ],
   "code": {
      "coding": [
         {
            "system": "http://hl7.org/fhir/sid/icd-9-cm",
            "code": "39.95",
            "display": "Hemodialysis"
         },
         {
            "system": "http://terminology.kemkes.go.id/CodeSystem/kptl",
            "code": "11586.HD002.PC002.LT016.x",
            "display": "Hemodialisis, Slow Efficiency Dialysis (SLED), Dewasa, di ruang intensif, x"
         }
      ]
   },
   "subject": {
      "reference": "Patient/{{Patient_id}}"
   },
   "encounter": {
      "reference": "Encounter/{{Encounter_id}}"
   },
   "occurrenceDateTime":  "2022-12-22T19:00:00+00:00",
   "authoredOn":  "2022-12-22T17:00:00+00:00",
   "requester": {
      "reference": "Practitioner/{{Practitioner_id}}",
      "display": "{{Practitioner_Name}}"
   },
   "performer": [
      {
         "reference": "Practitioner/{{Practitioner_id}}",
         "display": "{{Practitioner_Name}}"
      }
   ],
   "reasonCode": [
      {
         "coding": [
            {
               "system": "http://hl7.org/fhir/sid/icd-10",
               "code": "N18.5",
               "display": "Chronic kidney disease, stage 5"
            }
         ]
      }
   ],
   "note": [
      {
         "text": "Pasien melakukan hemodialisis"
      }
   ]
}