<?xml version=“1.0” encoding=“UTF-8”?> <CommunicationRequest xmlns=“hl7.org/fhir”>
<id value="fm-solicit"/> <meta> <security> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="HTEST"/> <display value="test health data"/> </security> </meta> <!-- insert contents here --> <contained> <Organization> <id value="provider"/> <identifier> <system value="http://www.jurisdiction.com/provideroffices"/> <value value="3456"/> </identifier> </Organization> </contained> <contained> <Organization> <id value="payor"/> <identifier> <system value="http://www.jurisdiction.com/insurer"/> <value value="123456"/> </identifier> </Organization> </contained> <contained> <Practitioner> <id value="requester"/> <identifier> <value value="6789"/> </identifier> </Practitioner> </contained> <!-- body of the resource --> <identifier> <system value="http://www.jurisdiction.com/insurer/123456"/> <value value="ABC123"/> <!-- this is the value to which the response will refer --> </identifier> <basedOn> <display value="EligibilityRequest"/> </basedOn> <replaces> <display value="prior CommunicationRequest"/> </replaces> <groupIdentifier> <value value="12345"/> </groupIdentifier> <status value="active"/> <category> <coding> <system value="http://acme.org/messagetypes"/> <code value="SolicitedAttachmentRequest"/> </coding> </category> <priority value="routine"/> <medium> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationMode"/> <code value="WRITTEN"/> <display value="written"/> </coding> <text value="written"/> </medium> <encounter> <reference value="Encounter/example"/> </encounter> <payload> <contentString value="Please provide the accident report and any associated pictures to support your Claim# DEF5647."/> </payload> <occurrenceDateTime value="2016-06-10T11:01:10-08:00"/> <authoredOn value="2016-06-10T11:01:10-08:00"/> <requester> <reference value="#requester"/> </requester> <recipient> <reference value="#provider"/> </recipient> <sender> <reference value="#payor"/> </sender>
</CommunicationRequest>