<?xml version="1.0" encoding="UTF-8"?><Communication xmlns="http://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"/>
	  <intent value="proposal"/>
      <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>
  
  <sent value="2016-06-12T18:01:10-08:00"/>
  <recipient>
    <reference value="#payor"/>
  </recipient>
  <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>