Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CommunicationRequest		0..*	CommunicationRequest	A request for information to be sent to a receiver
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Coverage-Information	SC	0..*	(Complex)	CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7, crd-ci-q8
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Unique identifier
basedOn	SΣ	1..1	Reference(Resource)	Fulfills plan or proposal
replaces	Σ	0..*	Reference(CRD Communication Request)	Request(s) replaced by this request
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of the communication request. Example General: draft
subject	S	1..1	Reference(CRD Patient)	Focus of message
encounter	Σ	0..1	Reference(CRD Encounter)	Encounter created as part of
payload	S	1..*	BackboneElement	Message payload
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:codeableConcept	S	1..1	?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.payload.content%5Bx%5D]]	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.payload.content%5Bx%5D
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.payload.content[x]"
value[x]		1..1	CodeableConcept	Value of extension
Slices for extension				Content/Rules for all slices
extension:BillingOptions	S	0..*	CodeableConcept	Expected Billing Code(s) URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Binding: CRD Billing Codes Value Set (extensible)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
content[x]		1..1		Message part content
contentString			string
contentAttachment			Attachment
contentReference			Reference(Resource)
occurrence[x]	SΣ	0..1		When scheduled
occurrenceDateTime			dateTime
occurrencePeriod			Period
authoredOn	SΣ	1..1	dateTime	When request transitioned to being actionable
requester	SΣ	1..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S)	Who/what is requesting service
recipient	S	0..*	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S | CRD Organization S)	Message recipient
sender	SΣ	0..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S | CRD Organization S)	Message sender
reasonCode	SΣ	0..*	CodeableConcept	Why is communication needed? Binding: ActReason (3.0.0) (example): Codes for describing reasons for the occurrence of a communication.
reasonReference	SΣ	0..*	Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) | US Core Condition Encounter Diagnosis Profile(7.0.0) | US Core DiagnosticReport Profile for Laboratory Results Reporting(7.0.0) | US Core DiagnosticReport Profile for Report and Note Exchange(7.0.0) | US Core DocumentReference Profile(7.0.0) | Observation)	Why is communication needed?
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CommunicationRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 From the FHIR Standard
CommunicationRequest.reasonCode	example	ActReason http://terminology.hl7.org/ValueSet/v3-ActReason|3.0.0

Constraints

Id	Grade	Path(s)	Details	Requirements
crd-ci-q1	error	CommunicationRequest.extension:Coverage-Information	Questionnaire is only allowed when doc-needed exists : extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()
crd-ci-q2	error	CommunicationRequest.extension:Coverage-Information	If covered is set to 'not-covered', then 'pa-needed' must not exist. : extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()
crd-ci-q3	error	CommunicationRequest.extension:Coverage-Information	'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. : extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()
crd-ci-q4	error	CommunicationRequest.extension:Coverage-Information	If 'pa-needed' is 'satisfied', 'noauth', or 'not-covered', then 'Doc-purpose' can't be 'withpa'. : extension.where(url = 'pa-needed' and (value = 'satisfied' or value = 'noauth' or value = 'not-covered')) and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa')
crd-ci-q5	error	CommunicationRequest.extension:Coverage-Information	'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
crd-ci-q6	error	CommunicationRequest.extension:Coverage-Information	If 'info-needed' is OTH, then reason must be specified : extension.where(url = 'info-needed' and value = 'OTH').exists() implies extension.where(url = 'reason').exists()
crd-ci-q7	error	CommunicationRequest.extension:Coverage-Information	If reason.coding is present and is not from the extensible value set, then reason.text must be present : extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')
crd-ci-q8	error	CommunicationRequest.extension:Coverage-Information	If doc-purpose is present with a value other than 'conditional', then reason must be present : extension.where(url = 'doc-purpose' and value != 'conditional').exists() implies extension.where(url = 'reason').exists()
dom-2	error	CommunicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	CommunicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	CommunicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	CommunicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	CommunicationRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CommunicationRequest			CommunicationRequest
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Coverage-Information	S	0..*	(Complex)	CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
identifier	S	0..*	Identifier	Unique identifier
basedOn	S	1..1	Reference(Resource)	Fulfills plan or proposal
replaces		0..*	Reference(CRD Communication Request)	Request(s) replaced by this request
status	S	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Example General: draft
doNotPerform		0..0
subject	S	1..1	Reference(CRD Patient)	Focus of message
encounter		0..1	Reference(CRD Encounter)	Encounter created as part of
payload	S	1..*	BackboneElement	Message payload
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:codeableConcept	S	1..1	?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.payload.content%5Bx%5D]]	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.payload.content%5Bx%5D
value[x]		1..1	CodeableConcept	Value of extension
Slices for extension				Content/Rules for all slices
extension:BillingOptions	S	0..*	CodeableConcept	Expected Billing Code(s) URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Binding: CRD Billing Codes Value Set (extensible)
occurrence[x]	S	0..1	dateTime, Period	When scheduled
authoredOn	S	1..1	dateTime	When request transitioned to being actionable
requester	S	1..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S)	Who/what is requesting service
recipient	S	0..*	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S | CRD Organization S)	Message recipient
sender	S	0..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S | CRD Organization S)	Message sender
reasonCode	S	0..*	CodeableConcept	Why is communication needed?
reasonReference	S	0..*	Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) | US Core Condition Encounter Diagnosis Profile(7.0.0) | US Core DiagnosticReport Profile for Laboratory Results Reporting(7.0.0) | US Core DiagnosticReport Profile for Report and Note Exchange(7.0.0) | US Core DocumentReference Profile(7.0.0) | Observation)	Why is communication needed?
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CommunicationRequest		0..*	CommunicationRequest	A request for information to be sent to a receiver
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Coverage-Information	SC	0..*	(Complex)	CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7, crd-ci-q8
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Unique identifier
basedOn	SΣ	1..1	Reference(Resource)	Fulfills plan or proposal
replaces	Σ	0..*	Reference(CRD Communication Request)	Request(s) replaced by this request
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of the communication request. Example General: draft
statusReason		0..1	CodeableConcept	Reason for current status Binding Description: (example): Codes identifying the reason for the current state of a request.
category		0..*	CodeableConcept	Message category Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instruction, etc.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication request.
medium		0..*	CodeableConcept	A channel of communication Binding: ParticipationMode (3.0.0) (example): Codes for communication mediums such as phone, fax, email, in person, etc.
subject	S	1..1	Reference(CRD Patient)	Focus of message
about		0..*	Reference(Resource)	Resources that pertain to this communication request
encounter	Σ	0..1	Reference(CRD Encounter)	Encounter created as part of
payload	S	1..*	BackboneElement	Message payload
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:codeableConcept	S	1..1	?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.payload.content%5Bx%5D]]	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.payload.content%5Bx%5D
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.payload.content[x]"
value[x]		1..1	CodeableConcept	Value of extension
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:BillingOptions	S	0..*	CodeableConcept	Expected Billing Code(s) URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Binding: CRD Billing Codes Value Set (extensible)
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
content[x]		1..1		Message part content
contentString			string
contentAttachment			Attachment
contentReference			Reference(Resource)
occurrence[x]	SΣ	0..1		When scheduled
occurrenceDateTime			dateTime
occurrencePeriod			Period
authoredOn	SΣ	1..1	dateTime	When request transitioned to being actionable
requester	SΣ	1..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S)	Who/what is requesting service
recipient	S	0..*	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S | CRD Organization S)	Message recipient
sender	SΣ	0..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S | CRD Organization S)	Message sender
reasonCode	SΣ	0..*	CodeableConcept	Why is communication needed? Binding: ActReason (3.0.0) (example): Codes for describing reasons for the occurrence of a communication.
reasonReference	SΣ	0..*	Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) | US Core Condition Encounter Diagnosis Profile(7.0.0) | US Core DiagnosticReport Profile for Laboratory Results Reporting(7.0.0) | US Core DiagnosticReport Profile for Report and Note Exchange(7.0.0) | US Core DocumentReference Profile(7.0.0) | Observation)	Why is communication needed?
note		0..*	Annotation	Comments made about communication request
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CommunicationRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
CommunicationRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 From the FHIR Standard
CommunicationRequest.statusReason	example
CommunicationRequest.category	example	CommunicationCategory http://hl7.org/fhir/ValueSet/communication-category From the FHIR Standard
CommunicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 From the FHIR Standard
CommunicationRequest.medium	example	ParticipationMode http://terminology.hl7.org/ValueSet/v3-ParticipationMode|3.0.0
CommunicationRequest.reasonCode	example	ActReason http://terminology.hl7.org/ValueSet/v3-ActReason|3.0.0

Constraints

Id	Grade	Path(s)	Details	Requirements
crd-ci-q1	error	CommunicationRequest.extension:Coverage-Information	Questionnaire is only allowed when doc-needed exists : extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()
crd-ci-q2	error	CommunicationRequest.extension:Coverage-Information	If covered is set to 'not-covered', then 'pa-needed' must not exist. : extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()
crd-ci-q3	error	CommunicationRequest.extension:Coverage-Information	'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. : extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()
crd-ci-q4	error	CommunicationRequest.extension:Coverage-Information	If 'pa-needed' is 'satisfied', 'noauth', or 'not-covered', then 'Doc-purpose' can't be 'withpa'. : extension.where(url = 'pa-needed' and (value = 'satisfied' or value = 'noauth' or value = 'not-covered')) and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa')
crd-ci-q5	error	CommunicationRequest.extension:Coverage-Information	'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
crd-ci-q6	error	CommunicationRequest.extension:Coverage-Information	If 'info-needed' is OTH, then reason must be specified : extension.where(url = 'info-needed' and value = 'OTH').exists() implies extension.where(url = 'reason').exists()
crd-ci-q7	error	CommunicationRequest.extension:Coverage-Information	If reason.coding is present and is not from the extensible value set, then reason.text must be present : extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')
crd-ci-q8	error	CommunicationRequest.extension:Coverage-Information	If doc-purpose is present with a value other than 'conditional', then reason must be present : extension.where(url = 'doc-purpose' and value != 'conditional').exists() implies extension.where(url = 'reason').exists()
dom-2	error	CommunicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	CommunicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	CommunicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	CommunicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	CommunicationRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Summary

Mandatory: 7 elements
Must-Support: 15 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• CRD Communication Request (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-communicationrequest)
• CRD Patient (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-patient)
• CRD Encounter (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-encounter)
• US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|7.0.0)
• HRex PractitionerRole Profile (http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-practitionerrole)
• CRD Organization (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-organization)
• US Core Condition Problems and Health Concerns Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns|7.0.0)
• US Core Condition Encounter Diagnosis Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|7.0.0)
• US Core DiagnosticReport Profile for Laboratory Results Reporting (http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab|7.0.0)
• US Core DiagnosticReport Profile for Report and Note Exchange (http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note|7.0.0)
• US Core DocumentReference Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference|7.0.0)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
• Unable to summarise extension http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.payload.content%5Bx%5D (no extension found)
• http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options

Maturity: 1

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CommunicationRequest		0..*	CommunicationRequest	A request for information to be sent to a receiver
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Coverage-Information	SC	0..*	(Complex)	CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7, crd-ci-q8
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Unique identifier
basedOn	SΣ	1..1	Reference(Resource)	Fulfills plan or proposal
replaces	Σ	0..*	Reference(CRD Communication Request)	Request(s) replaced by this request
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of the communication request. Example General: draft
subject	S	1..1	Reference(CRD Patient)	Focus of message
encounter	Σ	0..1	Reference(CRD Encounter)	Encounter created as part of
payload	S	1..*	BackboneElement	Message payload
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:codeableConcept	S	1..1	?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.payload.content%5Bx%5D]]	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.payload.content%5Bx%5D
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.payload.content[x]"
value[x]		1..1	CodeableConcept	Value of extension
Slices for extension				Content/Rules for all slices
extension:BillingOptions	S	0..*	CodeableConcept	Expected Billing Code(s) URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Binding: CRD Billing Codes Value Set (extensible)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
content[x]		1..1		Message part content
contentString			string
contentAttachment			Attachment
contentReference			Reference(Resource)
occurrence[x]	SΣ	0..1		When scheduled
occurrenceDateTime			dateTime
occurrencePeriod			Period
authoredOn	SΣ	1..1	dateTime	When request transitioned to being actionable
requester	SΣ	1..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S)	Who/what is requesting service
recipient	S	0..*	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S | CRD Organization S)	Message recipient
sender	SΣ	0..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S | CRD Organization S)	Message sender
reasonCode	SΣ	0..*	CodeableConcept	Why is communication needed? Binding: ActReason (3.0.0) (example): Codes for describing reasons for the occurrence of a communication.
reasonReference	SΣ	0..*	Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) | US Core Condition Encounter Diagnosis Profile(7.0.0) | US Core DiagnosticReport Profile for Laboratory Results Reporting(7.0.0) | US Core DiagnosticReport Profile for Report and Note Exchange(7.0.0) | US Core DocumentReference Profile(7.0.0) | Observation)	Why is communication needed?
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CommunicationRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 From the FHIR Standard
CommunicationRequest.reasonCode	example	ActReason http://terminology.hl7.org/ValueSet/v3-ActReason|3.0.0

Constraints

Id	Grade	Path(s)	Details	Requirements
crd-ci-q1	error	CommunicationRequest.extension:Coverage-Information	Questionnaire is only allowed when doc-needed exists : extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()
crd-ci-q2	error	CommunicationRequest.extension:Coverage-Information	If covered is set to 'not-covered', then 'pa-needed' must not exist. : extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()
crd-ci-q3	error	CommunicationRequest.extension:Coverage-Information	'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. : extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()
crd-ci-q4	error	CommunicationRequest.extension:Coverage-Information	If 'pa-needed' is 'satisfied', 'noauth', or 'not-covered', then 'Doc-purpose' can't be 'withpa'. : extension.where(url = 'pa-needed' and (value = 'satisfied' or value = 'noauth' or value = 'not-covered')) and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa')
crd-ci-q5	error	CommunicationRequest.extension:Coverage-Information	'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
crd-ci-q6	error	CommunicationRequest.extension:Coverage-Information	If 'info-needed' is OTH, then reason must be specified : extension.where(url = 'info-needed' and value = 'OTH').exists() implies extension.where(url = 'reason').exists()
crd-ci-q7	error	CommunicationRequest.extension:Coverage-Information	If reason.coding is present and is not from the extensible value set, then reason.text must be present : extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')
crd-ci-q8	error	CommunicationRequest.extension:Coverage-Information	If doc-purpose is present with a value other than 'conditional', then reason must be present : extension.where(url = 'doc-purpose' and value != 'conditional').exists() implies extension.where(url = 'reason').exists()
dom-2	error	CommunicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	CommunicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	CommunicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	CommunicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	CommunicationRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CommunicationRequest			CommunicationRequest
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Coverage-Information	S	0..*	(Complex)	CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
identifier	S	0..*	Identifier	Unique identifier
basedOn	S	1..1	Reference(Resource)	Fulfills plan or proposal
replaces		0..*	Reference(CRD Communication Request)	Request(s) replaced by this request
status	S	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Example General: draft
doNotPerform		0..0
subject	S	1..1	Reference(CRD Patient)	Focus of message
encounter		0..1	Reference(CRD Encounter)	Encounter created as part of
payload	S	1..*	BackboneElement	Message payload
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:codeableConcept	S	1..1	?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.payload.content%5Bx%5D]]	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.payload.content%5Bx%5D
value[x]		1..1	CodeableConcept	Value of extension
Slices for extension				Content/Rules for all slices
extension:BillingOptions	S	0..*	CodeableConcept	Expected Billing Code(s) URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Binding: CRD Billing Codes Value Set (extensible)
occurrence[x]	S	0..1	dateTime, Period	When scheduled
authoredOn	S	1..1	dateTime	When request transitioned to being actionable
requester	S	1..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S)	Who/what is requesting service
recipient	S	0..*	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S | CRD Organization S)	Message recipient
sender	S	0..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S | CRD Organization S)	Message sender
reasonCode	S	0..*	CodeableConcept	Why is communication needed?
reasonReference	S	0..*	Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) | US Core Condition Encounter Diagnosis Profile(7.0.0) | US Core DiagnosticReport Profile for Laboratory Results Reporting(7.0.0) | US Core DiagnosticReport Profile for Report and Note Exchange(7.0.0) | US Core DocumentReference Profile(7.0.0) | Observation)	Why is communication needed?
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CommunicationRequest		0..*	CommunicationRequest	A request for information to be sent to a receiver
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Coverage-Information	SC	0..*	(Complex)	CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7, crd-ci-q8
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Unique identifier
basedOn	SΣ	1..1	Reference(Resource)	Fulfills plan or proposal
replaces	Σ	0..*	Reference(CRD Communication Request)	Request(s) replaced by this request
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of the communication request. Example General: draft
statusReason		0..1	CodeableConcept	Reason for current status Binding Description: (example): Codes identifying the reason for the current state of a request.
category		0..*	CodeableConcept	Message category Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instruction, etc.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication request.
medium		0..*	CodeableConcept	A channel of communication Binding: ParticipationMode (3.0.0) (example): Codes for communication mediums such as phone, fax, email, in person, etc.
subject	S	1..1	Reference(CRD Patient)	Focus of message
about		0..*	Reference(Resource)	Resources that pertain to this communication request
encounter	Σ	0..1	Reference(CRD Encounter)	Encounter created as part of
payload	S	1..*	BackboneElement	Message payload
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:codeableConcept	S	1..1	?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.payload.content%5Bx%5D]]	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.payload.content%5Bx%5D
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.payload.content[x]"
value[x]		1..1	CodeableConcept	Value of extension
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:BillingOptions	S	0..*	CodeableConcept	Expected Billing Code(s) URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Binding: CRD Billing Codes Value Set (extensible)
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
content[x]		1..1		Message part content
contentString			string
contentAttachment			Attachment
contentReference			Reference(Resource)
occurrence[x]	SΣ	0..1		When scheduled
occurrenceDateTime			dateTime
occurrencePeriod			Period
authoredOn	SΣ	1..1	dateTime	When request transitioned to being actionable
requester	SΣ	1..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S)	Who/what is requesting service
recipient	S	0..*	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S | CRD Organization S)	Message recipient
sender	SΣ	0..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S | CRD Organization S)	Message sender
reasonCode	SΣ	0..*	CodeableConcept	Why is communication needed? Binding: ActReason (3.0.0) (example): Codes for describing reasons for the occurrence of a communication.
reasonReference	SΣ	0..*	Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) | US Core Condition Encounter Diagnosis Profile(7.0.0) | US Core DiagnosticReport Profile for Laboratory Results Reporting(7.0.0) | US Core DiagnosticReport Profile for Report and Note Exchange(7.0.0) | US Core DocumentReference Profile(7.0.0) | Observation)	Why is communication needed?
note		0..*	Annotation	Comments made about communication request
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CommunicationRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
CommunicationRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 From the FHIR Standard
CommunicationRequest.statusReason	example
CommunicationRequest.category	example	CommunicationCategory http://hl7.org/fhir/ValueSet/communication-category From the FHIR Standard
CommunicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 From the FHIR Standard
CommunicationRequest.medium	example	ParticipationMode http://terminology.hl7.org/ValueSet/v3-ParticipationMode|3.0.0
CommunicationRequest.reasonCode	example	ActReason http://terminology.hl7.org/ValueSet/v3-ActReason|3.0.0

Constraints

Id	Grade	Path(s)	Details	Requirements
crd-ci-q1	error	CommunicationRequest.extension:Coverage-Information	Questionnaire is only allowed when doc-needed exists : extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()
crd-ci-q2	error	CommunicationRequest.extension:Coverage-Information	If covered is set to 'not-covered', then 'pa-needed' must not exist. : extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()
crd-ci-q3	error	CommunicationRequest.extension:Coverage-Information	'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. : extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()
crd-ci-q4	error	CommunicationRequest.extension:Coverage-Information	If 'pa-needed' is 'satisfied', 'noauth', or 'not-covered', then 'Doc-purpose' can't be 'withpa'. : extension.where(url = 'pa-needed' and (value = 'satisfied' or value = 'noauth' or value = 'not-covered')) and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa')
crd-ci-q5	error	CommunicationRequest.extension:Coverage-Information	'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
crd-ci-q6	error	CommunicationRequest.extension:Coverage-Information	If 'info-needed' is OTH, then reason must be specified : extension.where(url = 'info-needed' and value = 'OTH').exists() implies extension.where(url = 'reason').exists()
crd-ci-q7	error	CommunicationRequest.extension:Coverage-Information	If reason.coding is present and is not from the extensible value set, then reason.text must be present : extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')
crd-ci-q8	error	CommunicationRequest.extension:Coverage-Information	If doc-purpose is present with a value other than 'conditional', then reason must be present : extension.where(url = 'doc-purpose' and value != 'conditional').exists() implies extension.where(url = 'reason').exists()
dom-2	error	CommunicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	CommunicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	CommunicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	CommunicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	CommunicationRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Summary

Mandatory: 7 elements
Must-Support: 15 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• CRD Communication Request (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-communicationrequest)
• CRD Patient (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-patient)
• CRD Encounter (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-encounter)
• US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|7.0.0)
• HRex PractitionerRole Profile (http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-practitionerrole)
• CRD Organization (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-organization)
• US Core Condition Problems and Health Concerns Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns|7.0.0)
• US Core Condition Encounter Diagnosis Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|7.0.0)
• US Core DiagnosticReport Profile for Laboratory Results Reporting (http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab|7.0.0)
• US Core DiagnosticReport Profile for Report and Note Exchange (http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note|7.0.0)
• US Core DocumentReference Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference|7.0.0)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
• Unable to summarise extension http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.payload.content%5Bx%5D (no extension found)
• http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options

Maturity: 1