{
  "resourceType": "CommunicationRequest",
  "id": "fm-solicit",
  "text": {
    "status": "generated",
    "div": "\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003eRequest for Accident Report\u003c/div\u003e"
  },
  "contained": [
    {
      "resourceType": "Organization",
      "id": "provider",
      "identifier": [
        {
          "system": "http://www.jurisdiction.com/provideroffices",
          "value": "3456"
        }
      ]
    },
    {
      "resourceType": "Organization",
      "id": "payor",
      "identifier": [
        {
          "system": "http://www.jurisdiction.com/insurer",
          "value": "123456"
        }
      ]
    },
    {
      "resourceType": "Practitioner",
      "id": "requester",
      "identifier": [
        {
          "value": "6789"
        }
      ]
    }
  ],
  "identifier": [
    {
      "system": "http://www.jurisdiction.com/insurer/123456",
      "value": "ABC123"
    }
  ],
  "basedOn": [
    {
      "display": "EligibilityRequest"
    }
  ],
  "replaces": [
    {
      "display": "prior CommunicationRequest"
    }
  ],
  "groupIdentifier": {
    "value": "12345"
  },
  "status": "active",
  "intent": "proposal",
  "category": [
    {
      "coding": [
        {
          "system": "http://acme.org/messagetypes",
          "code": "SolicitedAttachmentRequest"
        }
      ]
    }
  ],
  "priority": "routine",
  "medium": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationMode",
          "code": "WRITTEN",
          "display": "written"
        }
      ],
      "text": "written"
    }
  ],
  "encounter": {
    "reference": "Encounter/example"
  },
  "payload": [
    {
      "contentCodeableConcept": {
        "text": "Please provide the accident report and any associated pictures to support your Claim# DEF5647."
      }
    }
  ],
  "occurrenceDateTime": "2016-06-10T11:01:10-08:00",
  "authoredOn": "2016-06-10T11:01:10-08:00",
  "requester": {
    "reference": "#requester"
  },
  "recipient": [
    {
      "reference": "#provider"
    }
  ],
  "informationProvider": [
    {
      "reference": "#payor"
    }
  ],
  "meta": {
    "tag": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code": "HTEST",
        "display": "test health data"
      }
    ]
  }
}