---
type: "example"
title: "CommunicationRequest Example: communicationrequest-example-fm-solicit-attachment"
resource: "CommunicationRequest"
example: "communicationrequest-example-fm-solicit-attachment"
---
# CommunicationRequest Example: communicationrequest-example-fm-solicit-attachment

## Narrative

Request for Accident Report

## Example XML



```xml
<?xml version="1.0" encoding="UTF-8"?>
<CommunicationRequest   xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir ../../schema/communicationrequest.xsd">
  <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>
```