This page is part of the Quality Improvement Core Framework (v2.1.0: STU 3 Ballot 1) based on FHIR R3. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions
<!-- <requester> --> <!-- <agent> --> <!-- <reference value="Practitioner/example"/> --> <!-- </agent> --> <!-- </requester> --> <CommunicationRequest xmlns="http://hl7.org/fhir"> <id value="qicore-communicationrequest-example"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <h4>From DomainResource</h4> <blockquote> <p> <strong>Organization 1 (Provider)</strong> </p> <p> <strong>id</strong>: provider </p> <p> <strong>identifier</strong>: 3456 </p> </blockquote> <blockquote> <p> <strong>Organization 2 (Insurer)</strong> </p> <p> <strong>id</strong>: payor </p> <p> <strong>identifier</strong>: 123456 </p> </blockquote> <blockquote> <p> <strong>Organization 3 (Practitioner)</strong> </p> <p> <strong>id</strong>: requester </p> <p> <strong>identifier</strong>: 6789 </p> </blockquote> <h4>CommunicationRequest</h4> <p> <strong>identifier</strong>: ABC123 </p> <p> <strong>basedOn</strong>: EligibilityRequest </p> <p> <strong>replaces</strong>: prior CommunicationRequest </p> <p> <strong>groupIdentifier</strong>: 12345 </p> <p> <strong>status</strong>: active </p> <p> <strong>category</strong>: SolicitedAttachmentRequest </p> <p> <strong>priority</strong>: routine </p> <p> <strong>medium</strong>: written </p> <p> <strong>recipient</strong>: <a href="Organization-qicore-organization-example.html">Organization/Example</a> </p> <p> <strong>context</strong>: <a href="Encounter-qicore-encounter-example.html">Encounter/example</a> </p> <p> <strong>payload</strong>: Please provide the accident report and any associated pictures to support your Claim #DEF5647. </p> <p> <strong>occurrenceDateTime</strong>: 06/10/2016 </p> <p> <strong>authoredOn</strong>: 06/10/2016 </p> <p> <strong>sender</strong>: <a href="Organization-qicore-patient-example.html">Patient/Example</a> </p> <p> <strong>requester</strong>: <a href="Organization-qicore-practitioner-example.html">Practitioner/Example</a> </p> </div> </text> <!-- body of the resource --> <!-- this is the value to which the response will refer --> <identifier> <system value="http://www.jurisdiction.com/insurer/123456"/> <value value="ABC123"/> </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://hl7.org/fhir/v3/ParticipationMode"/> <code value="WRITTEN"/> <display value="written"/> </coding> <text value="written"/> </medium> <recipient> <reference value="Organization/qicore-organization-example"/> </recipient> <context> <reference value="Encounter/qicore-encounter-example"/> </context> <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"/> <sender> <reference value="Patient/qicore-patient-example"/> </sender> </CommunicationRequest>