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

<?xml version="1.0" encoding="UTF-8"?>


  
  
    
    
  
  
  
  
    
    
      
      
        
        
      
    
  

  
    
      
      
        
        
      
    
  

  
    
      
      
         
      
    
  
  

  
    
    
  
   
    
  
   
    
  
  
       
  
  
  
  
     
       
       
     
  
  
  
    
      
      
      
    
    
  
  
  
    
  
  
    Please provide the accident report and any associated pictures to support your Claim#
     DEF5647.
  
  
  
  
    
   
   
      
  
   
     
   
   


<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>   <contained>     <Practitioner>       <id value="requester"/>       <identifier>          <value value="6789"/>       </identifier>     </Practitioner>   </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>    <basedOn>     <display value="EligibilityRequest"/>   </basedOn>    <replaces>     <display value="prior CommunicationRequest"/>   </replaces>   <groupIdentifier>        <value value="12345"/>   </groupIdentifier>   <status value="active"/>   <intent value="proposal"/>   <category>      <coding>        <system value="http://acme.org/messagetypes"/>        <code value="SolicitedAttachmentRequest"/>      </coding>   </category>   <priority value="routine"/>   <medium>     <coding>       <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationMode"/>       <code value="WRITTEN"/>       <display value="written"/>     </coding>     <text value="written"/>   </medium> 
  
  <encounter>     <reference value="Encounter/example"/>   </encounter>   <payload>     <contentCodeableConcept>     <text value="Please provide the accident report and any associated pictures to support your

       Claim# DEF5647."/> 
  </contentCodeableConcept>   </payload>   <occurrenceDateTime value="2016-06-10T11:01:10-08:00"/>   <authoredOn value="2016-06-10T11:01:10-08:00"/>   <requester>     <reference value="#requester"/>    </requester>    <recipient>       <reference value="#provider"/>   </recipient>    <informationProvider>      <reference value="#payor"/>    </informationProvider> 
   



</

CommunicationRequest

>