Release 5

This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Example CommunicationRequest/fm-solicit (JSON)

Patient Care Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner, RelatedPerson

Raw JSON (canonical form + also see JSON Format Specification)

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"
    }]
  },
  {
    "resourceType" : "Practitioner",
    "id" : "requester",
    "identifier" : [{
      "value" : "6789"
    }]
  }],
  "identifier" : [{
    "system" : "http://www.jurisdiction.com/insurer/123456",
    "value" : "ABC123"
  }],
  "basedOn" : [{
    "display" : "EligibilityRequest"
  }],
  "replaces" : [{
    "display" : "prior CommunicationRequest"
  }],
  "groupIdentifier" : {
    "value" : "12345"
  },
  "status" : "active",
  "intent" : "proposal",
  "category" : [{
    "coding" : [{
      "system" : "http://acme.org/messagetypes",
      "code" : "SolicitedAttachmentRequest"
    }]
  }],
  "priority" : "routine",
  "medium" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationMode",
      "code" : "WRITTEN",
      "display" : "written"
    }],
    "text" : "written"
  }],
  "encounter" : {
    "reference" : "Encounter/example"
  },
  "payload" : [{
    "contentCodeableConcept" : {
      "text" : "Please provide the accident report and any associated pictures to support your Claim# DEF5647."
    }
  }],
  "occurrenceDateTime" : "2016-06-10T11:01:10-08:00",
  "authoredOn" : "2016-06-10T11:01:10-08:00",
  "requester" : {
    "reference" : "#requester"
  },
  "recipient" : [{
    "reference" : "#provider"
  }],
  "informationProvider" : [{
    "reference" : "#payor"
  }]
}

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.