<?xml version="1.0" encoding="UTF-8"?>

<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="DTR-ServiceRequest-Eylea"/>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ServiceRequest DTR-ServiceRequest-Eylea</b></p><a name="DTR-ServiceRequest-Eylea"> </a><a name="hcDTR-ServiceRequest-Eylea"> </a><a name="DTR-ServiceRequest-Eylea-en-US"> </a><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>code</b>: <span title="Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 733420}">Eylea 40 MG/ML Injection</span></p><p><b>subject</b>: <a href="Patient/example">Patient/example</a></p><p><b>occurrence</b>: 2025-06-05</p><p><b>requester</b>: <a href="Practitioner/example">Practitioner/example</a></p><p><b>performer</b>: <a href="Organization/provider">Organization/provider</a></p></div>
  </text>
  <status value="active"/>
  <intent value="order"/>
  <code>
    <coding>
      <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
      <code value="733420"/>
      <display value="Eylea 40 MG/ML Injection"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/example"/>
  </subject>
  <occurrenceDateTime value="2025-06-05"/>
  <requester>
    <reference value="Practitioner/example"/>
  </requester>
  <performer>
    <reference value="Organization/provider"/>
  </performer>
</ServiceRequest>