<?xml version=“1.0” encoding=“UTF-8”?><CommunicationRequest xmlns=“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"/> <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="#provider"/> </recipient> <context> <reference value="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="#payor"/> </sender> <requester> <agent> <reference value="#requester"/> </agent> </requester>
</CommunicationRequest>