STU 3 Ballot

This page is part of the FHIR Specification (v1.6.0: STU 3 Ballot 4). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Communicationrequest-example-fm-solicit-attachment.json

Raw JSON (canonical form)

An example of a request for additional information

{
  "resourceType": "CommunicationRequest",
  "id": "fm-solicit",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Request for Accident Report</div>"
  },
  "contained": [
    {
      "resourceType": "Organization",
      "id": "provider",
      "identifier": [
        {
          "system": "http://www.jurisdiction.com/provideroffices",
          "value": "3456"
        }
      ]
    },
    {
      "resourceType": "Organization",
      "id": "payor",
      "identifier": [
        {
          "system": "http://www.jurisdiction.com/insurer",
          "value": "123456"
        }
      ]
    }
  ],
  "identifier": [
    {
      "system": "http://www.jurisdiction.com/insurer/123456",
      "value": "ABC123"
    }
  ],
  "category": {
    "coding": [
      {
        "system": "http://acme.org/messagetypes",
        "code": "SolicitedAttachmentRequest"
      }
    ]
  },
  "sender": {
    "reference": "#payor"
  },
  "recipient": [
    {
      "reference": "#provider"
    }
  ],
  "payload": [
    {
      "contentString": "Please provide the accident report and any associated pictures to support your Claim# DEF5647."
    }
  ],
  "status": "requested",
  "requestedOn": "2016-06-10T11:01:10-08:00"
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.