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.xml

Raw XML (canonical form)

An example of a request for additional information (id = "fm-solicit")

<CommunicationRequest xmlns="http://hl7.org/fhir">
  <id value="fm-solicit"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">Request for Accident Report</div>
  </text>
  
  <!--   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>

  <!--   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>
  
  <category>
     <coding>
       <system value="http://acme.org/messagetypes"/>
       <code value="SolicitedAttachmentRequest"/>
     </coding>
  </category>

   <sender>
     <reference value="#payor"/>
   </sender>
   <recipient>
      <reference value="#provider"/>
  </recipient>
  
  <payload>
    <contentString value="Please provide the accident report and any associated pictures to support your Claim#
     DEF5647."/>
  </payload>
  
  <status value="requested"/>
  
  <requestedOn value="2016-06-10T11:01:10-08:00"/>
  
</CommunicationRequest>

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.