<OrderResponse xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.w3.org/2005/Atom http://www.hl7.org/implement/standards/fhir/orderresponse.xsd">

	<request>
		<reference value="Order/123/_history/1"/>
	</request>

	<date value="2012-12-28T13:10:56+11:00"/>
	
	<who>
		<reference value="Practitioner/987654321/_history/1"/>
	</who>
	
	<!-- Classificator: order-outcome-status -->
	<code value="complete"/>

	<fulfillment>
		<reference value="DocumentReference/123/_history/1"/>
	</fulfillment>
	
</OrderResponse>
