Documentmanifest-fm-attachment.xml

Financial Supporting Documentation (id = "654789")

<DocumentManifest xmlns="http://hl7.org/fhir">
  <id value="654789"/>
 
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">A Financial Management Attachment example</div>
  </text>

  <contained>
    <Organization>
     <id value="org-1"/>
     <identifier>
       <system value="http://nationalidentifiers.org/insurers"/>
       <value value="52345"/>
     </identifier>
    </Organization>
  </contained>

  <identifier>
     <system value="http://happyvalley.com/supportingdocumentation"/>
     <value value="52345"/>
  </identifier>
 
  <recipient>
    <reference value="#org-1"/>
  </recipient>

  <created value="2014-09-21T11:50:23-05:00"/>
  <status value="current"/>
   
  <content>
   <pAttachment>
    <contentType value="application/pdf"/>
    <data value="SGVsbG8="/>
    <title value="accident notes 20100201.pdf"/>
    <creation value="2010-02-01T11:50:23-05:00"/>
   </pAttachment>
  </content>
 
  <content>
   <pAttachment>
    <contentType value="application/pdf"/>
    <url value="http://happyvalley.com/docs/AB12345"/>
    <size value="104274"/>
    <hash value="SGVsbG8gdGhlcmU="/>
    <creation value="2010-02-01T10:57:34+01:00"/>
   </pAttachment>
  </content>
 
  <related>  <!--   Claim these docs are supporting   -->
    <identifier>
     <system value="http://happyvalley.com/claim"/>
     <value value="12345"/>
    </identifier>
  </related>
  
  <related>  <!--   Insurers response to the Claim these docs are supporting   -->
    <identifier>
      <system value="http://www.BenefitsInc.com/fhir/remittance"/>
      <value value="R3500"/>
    </identifier>
  </related>
  


</

DocumentManifest

>