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Packageil.core.fhir.r4
Resource TypeCommunicationRequest
IdCommunicationRequest-fm-solicit.json
FHIR VersionR4

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Source1

{
  "resourceType": "CommunicationRequest",
  "id": "fm-solicit",
  "meta": {
    "profile": [
      "http://fhir.health.gov.il/StructureDefinition/il-core-communication-request"
    ]
  },
  "contained": [
    {
      "resourceType": "Organization",
      "id": "provider",
      "meta": {
        "profile": [
          "http://fhir.health.gov.il/StructureDefinition/il-core-organization"
        ]
      },
      "identifier": [
        {
          "system": "http://www.jurisdiction.com/provideroffices",
          "value": "3456"
        }
      ],
      "name": "מרכז רפואי מאיר"
    },
    {
      "resourceType": "Organization",
      "id": "payor",
      "meta": {
        "profile": [
          "http://fhir.health.gov.il/StructureDefinition/il-core-organization"
        ]
      },
      "identifier": [
        {
          "system": "http://www.jurisdiction.com/insurer",
          "value": "123456"
        }
      ],
      "name": "משרד הבריאות"
    },
    {
      "resourceType": "Practitioner",
      "id": "requester",
      "meta": {
        "profile": [
          "http://fhir.health.gov.il/StructureDefinition/il-core-practitioner"
        ]
      },
      "identifier": [
        {
          "value": "6789"
        }
      ],
      "name": [
        {
          "prefix": [
            "דר'"
          ],
          "family": "גרינפלד",
          "given": [
            "דיאנה"
          ],
          "text": "דר' גרינפלד דיאנה"
        }
      ]
    }
  ],
  "identifier": [
    {
      "system": "http://www.jurisdiction.com/insurer/123456",
      "value": "ABC123"
    }
  ],
  "basedOn": [
    {
      "display": "EligibilityRequest"
    }
  ],
  "replaces": [
    {
      "display": "prior CommunicationRequest"
    }
  ],
  "groupIdentifier": {
    "value": "12345"
  },
  "status": "active",
  "category": [
    {
      "coding": [
        {
          "code": "SolicitedAttachmentRequest",
          "system": "http://acme.org/messagetypes"
        }
      ]
    }
  ],
  "priority": "routine",
  "medium": [
    {
      "coding": [
        {
          "code": "WRITTEN",
          "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationMode",
          "display": "written"
        }
      ],
      "text": "written"
    }
  ],
  "encounter": {
    "reference": "Encounter/breast-screaning"
  },
  "payload": [
    {
      "contentString": "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"
    }
  ],
  "sender": {
    "reference": "#payor"
  },
  "reasonCode": [
    {
      "text": "Insurance claim missing documentation"
    }
  ],
  "note": [
    {
      "text": "Urgent request for documentation to avoid delay in claim processing."
    }
  ],
  "about": [
    {
      "display": "Claim DEF5647"
    }
  ]
}