{
    "resourceType": "ServiceRequest",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/servicerequest/{{Org_id}}",
            "value": "101010"
        }
    ],
    "status": "active",
    "intent": "original-order",
    "priority": "routine",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.kemkes.go.id",
                    "code": "TK000028",
                    "display": "Diagnostic procedure"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://hl7.org/fhir/sid/icd-9-cm",
                "code": "89.52",
                "display": "Electrocardiogram"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/kptl",
                "code": "10925.PC002",
                "display": "EKG (Elektrokardiografi), Dewasa"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{Patient_id}}"
    },
    "encounter": {
        "reference": "Encounter/{{Encounter_id}}"
    },
    "occurrenceDateTime": "2023-06-04T09:30:00+00:00",
    "authoredOn": "2023-06-04T09:30:00+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": "A91",
                    "display": "Dengue haemorrhagic fever"
                }
            ]
        }
    ]
}