<?xml version=“1.0” encoding=“UTF-8”?><Communication xmlns=“hl7.org/fhir”>

<id value="fm-solicited"/>
<text>
  <status value="generated"/>
  <div xmlns="http://www.w3.org/1999/xhtml">Attachment in response to a Request</div>
</text>
 <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>
  <CommunicationRequest>
    <id value="request"/>
    <identifier>
      <system value="http://www.jurisdiction.com/insurer/123456"/>
      <value value="ABC123"/>
    </identifier>
        <status value="completed"/>
    <subject>
      <reference value="Patient/1"/>
    </subject>
  </CommunicationRequest>
</contained>

<!--  body of the resource  -->

<identifier>
              <system value="http://www.providerco.com/communication"/>
              <value value="12345"/>
</identifier>
<basedOn>
  <reference value="#request"/>
</basedOn>
<status value="completed"/>
<category>
  <coding>
    <system value="http://acme.org/messagetypes"/>
    <code value="SolicitedAttachment"/>
  </coding>
</category>
<subject>
  <reference value="Patient/1"/>
</subject>
<recipient>
  <reference value="#payor"/>
</recipient>
<sent value="2016-06-12T18:01:10-08:00"/>
<sender>
  <reference value="#provider"/>
</sender>

<payload>
  <contentAttachment>
        <contentType value="application/pdf"/>
        <data value="SGVsbG8="/>
        <title value="accident notes 20100201.pdf"/>
        <creation value="2010-02-01T11:50:23-05:00"/>
  </contentAttachment>
</payload> 
<payload>
  <contentAttachment>
        <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"/>
  </contentAttachment>
</payload>

</Communication>