QI-Core Implementation Guide: STU 3.2 (v3.2.0 for FHIR 3.0.1)
This page is part of the Quality Improvement Core Framework (v3.2.0: STU 3) based on FHIR R3. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions 
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{
"resourceType" : "StructureDefinition",
"id" : "qicore-communication",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"Additional information about the element\">Description & Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/STU3/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-communication-definitions.html#Communication\" title=\"An occurrence of information being transmitted; e.g. an alert that was sent to a responsible provider, a public health agency was notified about a reportable condition.\">Communication</a><a name=\"Communication\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-communication-definitions.html#Communication.id\" title=\"Local id of this artifact.\">id</a><a name=\"Communication.id\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/datatypes.html#id\">id</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-communication-definitions.html#Communication.notDoneReason\" title=\"Describes why the communication event did not occur in coded and/or textual form.\">notDoneReason</a><a name=\"Communication.notDoneReason\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Why communication did not occur<br/><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/STU3/valueset-communication-not-done-reason.html\">CommunicationNotDoneReason</a> (<a href=\"http://hl7.org/fhir/STU3/terminologies.html#example\" title=\"Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included.\">example</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-communication-definitions.html#Communication.category\" title=\"The type of message conveyed such as alert, notification, reminder, instruction, etc.\">category</a><a name=\"Communication.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Message category<br/><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/STU3/valueset-communication-category.html\">CommunicationCategory</a> (<a href=\"http://hl7.org/fhir/STU3/terminologies.html#example\" title=\"Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included.\">example</a>)<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-communication-definitions.html#Communication.sender\" title=\"The entity (e.g. person, organization, clinical information system, or device) which was the source of the communication.\">sender</a><a name=\"Communication.sender\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/references.html\">Reference</a>(http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Message sender</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-communication-definitions.html#Communication.recipient\" title=\"The entity (e.g. person, organization, clinical information system, or device) which was the target of the communication. If receipts need to be tracked by individual, a separate resource instance will need to be created for each recipient. Multiple recipient communications are intended where either a receipt(s) is not tracked (e.g. a mass mail-out) or is captured in aggregate (all emails confirmed received by a particular time).\">recipient</a><a name=\"Communication.recipient\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/references.html\">Reference</a>(http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson | <a href=\"http://hl7.org/fhir/STU3/group.html\">Group</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Message recipient<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-communication-definitions.html#Communication.medium\" title=\"A channel that was used for this communication (e.g. email, fax).\">medium</a><a name=\"Communication.medium\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">A channel of communication<br/><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/STU3/v3/ParticipationMode/vs.html\">ParticipationMode</a> (<a href=\"http://hl7.org/fhir/STU3/terminologies.html#example\" title=\"Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included.\">example</a>)<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-communication-definitions.html#Communication.status\" title=\"The status of the transmission.\">status</a><a name=\"Communication.status\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">preparation | in-progress | suspended | aborted | completed | entered-in-error<br/><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/STU3/valueset-event-status.html\">EventStatus</a> (<a href=\"http://hl7.org/fhir/STU3/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-communication-definitions.html#Communication.context\" title=\"The encounter within which the communication was sent.\">context</a><a name=\"Communication.context\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/references.html\">Reference</a>(http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter | <a href=\"http://hl7.org/fhir/STU3/episodeofcare.html\">EpisodeOfCare</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Encounter or episode leading to message</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-communication-definitions.html#Communication.sent\" title=\"The time when this communication was sent.\">sent</a><a name=\"Communication.sent\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">When sent</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-communication-definitions.html#Communication.received\" title=\"The time when this communication arrived at the destination.\">received</a><a name=\"Communication.received\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">When received</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-communication-definitions.html#Communication.subject\" title=\"The patient or group that was the focus of this communication.\">subject</a><a name=\"Communication.subject\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/references.html\">Reference</a>(http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Focus of message</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-communication-definitions.html#Communication.reasonCode\" title=\"The reason or justification for the communication.\">reasonCode</a><a name=\"Communication.reasonCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Indication for message<br/><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/STU3/valueset-clinical-findings.html\">SNOMED CT Clinical Findings</a> (<a href=\"http://hl7.org/fhir/STU3/terminologies.html#example\" title=\"Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included.\">example</a>)<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-communication-definitions.html#Communication.basedOn\">basedOn</a><a name=\"Communication.basedOn\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/STU3/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
},
"url" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-communication",
"version" : "3.2.0",
"name" : "QICore-Communication",
"status" : "draft",
"experimental" : false,
"date" : "2018-08-22T00:00:00+10:00",
"publisher" : "Health Level Seven, Inc. - CQI WG",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://hl7.org/special/committees/CQI"
}
]
}
],
"description" : "Profile of Communication for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "us"
}
]
}
],
"fhirVersion" : "3.0.1",
"mapping" : [
{
"identity" : "qdm",
"uri" : "http://www.healthit.gov/quality-data-model",
"name" : "Quality Data Model"
},
{
"identity" : "workflow",
"uri" : "http://hl7.org/fhir/workflow",
"name" : "Workflow Mapping"
},
{
"identity" : "w5",
"uri" : "http://hl7.org/fhir/w5",
"name" : "W5 Mapping"
},
{
"identity" : "rim",
"uri" : "http://hl7.org/v3",
"name" : "RIM Mapping"
}
],
"kind" : "resource",
"abstract" : false,
"type" : "Communication",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Communication",
"derivation" : "constraint",
"snapshot" : {
"element" : [
{
"id" : "Communication",
"path" : "Communication",
"short" : "A record of information transmitted from a sender to a receiver",
"definition" : "An occurrence of information being transmitted; e.g. an alert that was sent to a responsible provider, a public health agency was notified about a reportable condition.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Communication",
"min" : 0,
"max" : "*"
},
"constraint" : [
{
"key" : "dom-2",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression" : "contained.contained.empty()",
"xpath" : "not(parent::f:contained and f:contained)",
"source" : "DomainResource"
},
{
"key" : "dom-1",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL NOT contain any narrative",
"expression" : "contained.text.empty()",
"xpath" : "not(parent::f:contained and f:text)",
"source" : "DomainResource"
},
{
"key" : "dom-4",
"severity" : "error",
"human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source" : "DomainResource"
},
{
"key" : "dom-3",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
"expression" : "contained.where(('#'+id in %resource.descendants().reference).not()).empty()",
"xpath" : "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))",
"source" : "DomainResource"
},
{
"key" : "com-1",
"severity" : "error",
"human" : "Not Done Reason can only be specified if NotDone is \"true\"",
"expression" : "notDone or notDoneReason.exists().not()",
"xpath" : "f:notDone/@value=true() or not(exists(f:notDoneReason))",
"source" : "Communication"
}
],
"mustSupport" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "Entity. Role, or Act"
},
{
"identity" : "workflow",
"map" : "Event"
},
{
"identity" : "w5",
"map" : "workflow.encounter"
},
{
"identity" : "qdm",
"map" : "Communication, Performed (Note that Communication in the context of FHIR standards expects that communication occurs between 2 ends of a conversation."
}
]
},
{
"id" : "Communication.id",
"path" : "Communication.id",
"short" : "Logical id of this artifact",
"definition" : "Local id of this artifact.",
"comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "id"
}
],
"mustSupport" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "qdm",
"map" : "id"
}
]
},
{
"id" : "Communication.meta",
"path" : "Communication.meta",
"short" : "Metadata about the resource",
"definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.meta",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Meta"
}
],
"isSummary" : true
},
{
"id" : "Communication.implicitRules",
"path" : "Communication.implicitRules",
"short" : "A set of rules under which this content was created",
"definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.",
"comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.implicitRules",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"isModifier" : true,
"isSummary" : true
},
{
"id" : "Communication.language",
"path" : "Communication.language",
"short" : "Language of the resource content",
"definition" : "The base language in which the resource is written.",
"comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.language",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/all-languages"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "Language"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean" : true
}
],
"strength" : "extensible",
"description" : "A human language.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/languages"
}
}
},
{
"id" : "Communication.text",
"path" : "Communication.text",
"short" : "Text summary of the resource, for human interpretation",
"definition" : "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later.",
"alias" : [
"narrative",
"html",
"xhtml",
"display"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "DomainResource.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
],
"condition" : [
"dom-1"
],
"mapping" : [
{
"identity" : "rim",
"map" : "Act.text?"
}
]
},
{
"id" : "Communication.contained",
"path" : "Communication.contained",
"short" : "Contained, inline Resources",
"definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
"alias" : [
"inline resources",
"anonymous resources",
"contained resources"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.contained",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Resource"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Communication.extension",
"path" : "Communication.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Communication.modifierExtension",
"path" : "Communication.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"isModifier" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Communication.identifier",
"path" : "Communication.identifier",
"short" : "Unique identifier",
"definition" : "Identifiers associated with this Communication that are defined by business processes and/ or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Communication.identifier",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Identifier"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.identifier"
},
{
"identity" : "w5",
"map" : "id"
}
]
},
{
"id" : "Communication.definition",
"path" : "Communication.definition",
"short" : "Instantiates protocol or definition",
"definition" : "A protocol, guideline, or other definition that was adhered to in whole or in part by this communication event.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Communication.definition",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/PlanDefinition"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/ActivityDefinition"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.definition"
}
]
},
{
"id" : "Communication.basedOn",
"path" : "Communication.basedOn",
"short" : "Request fulfilled by this communication",
"definition" : "An order, proposal or plan fulfilled in whole or in part by this Communication.",
"comment" : "This must point to some sort of a 'Request' resource, such as CarePlan, CommunicationRequest, ReferralRequest, MedicationRequest, etc.",
"alias" : [
"fulfills"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Communication.basedOn",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Resource"
}
],
"mustSupport" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.basedOn"
},
{
"identity" : "qdm",
"map" : "relatedTo"
}
]
},
{
"id" : "Communication.partOf",
"path" : "Communication.partOf",
"short" : "Part of this action",
"definition" : "Part of this action.",
"alias" : [
"container"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Communication.partOf",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Resource"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.partOf"
}
]
},
{
"id" : "Communication.status",
"path" : "Communication.status",
"short" : "preparation | in-progress | suspended | aborted | completed | entered-in-error",
"definition" : "The status of the transmission.",
"comment" : "This element is labeled as a modifier because the status contains the codes aborted and entered-in-error that mark the communication as not currently valid.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Communication.status",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"mustSupport" : true,
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "Codes identifying the stage lifecycle stage of a event",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/event-status"
}
},
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.status"
},
{
"identity" : "w5",
"map" : "status"
}
]
},
{
"id" : "Communication.notDone",
"path" : "Communication.notDone",
"short" : "Communication did not occur",
"definition" : "If true, indicates that the described communication event did not actually occur.",
"comment" : "This element is labeled as a modifier because it marks the communication as a communication that did not occur. The more attributes are populated, the more constrained the negated statement is.",
"requirements" : "Creating a Communication where notDone is true is intended for situations where there's a need for a specific statement in the record about something not being done. If the need is merely to indicate that a request wasn't fulfilled, that should be handled using Task.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Communication.notDone",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
],
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.notDone"
}
]
},
{
"id" : "Communication.notDoneReason",
"path" : "Communication.notDoneReason",
"short" : "Why communication did not occur",
"definition" : "Describes why the communication event did not occur in coded and/or textual form.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Communication.notDoneReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"condition" : [
"com-1"
],
"mustSupport" : false,
"isSummary" : true,
"binding" : {
"strength" : "example",
"description" : "Codes for the reason why a communication was not done.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/communication-not-done-reason"
}
},
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.notDoneReason"
},
{
"identity" : "qdm",
"map" : "negationRationale"
}
]
},
{
"id" : "Communication.category",
"path" : "Communication.category",
"short" : "Message category",
"definition" : "The type of message conveyed such as alert, notification, reminder, instruction, etc.",
"comment" : "There may be multiple axes of categorization and one communication may serve multiple purposes.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Communication.category",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"mustSupport" : true,
"binding" : {
"strength" : "example",
"description" : "Codes for general categories of communications such as alerts, instruction, etc.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/communication-category"
}
},
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.code"
},
{
"identity" : "w5",
"map" : "class"
},
{
"identity" : "qdm",
"map" : "category"
}
]
},
{
"id" : "Communication.medium",
"path" : "Communication.medium",
"short" : "A channel of communication",
"definition" : "A channel that was used for this communication (e.g. email, fax).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Communication.medium",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"mustSupport" : true,
"binding" : {
"strength" : "example",
"description" : "A set of codes specifying the modality by which the Entity playing the Role is participating in the Act. Examples: Physically present, over the telephone, written communication. Rationale: Particularly for author (originator) participants this is used to specify whether the information represented by the act was initially provided verbally, (hand-)written, or electronically. Open Issue: There needs to be a reexamination of the hierarchies as there seems to be some muddling between ELECTRONIC and other concepts that involve electronic communication that are in other hierarchies.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/v3-ParticipationMode"
}
},
"mapping" : [
{
"identity" : "qdm",
"map" : "medium"
}
]
},
{
"id" : "Communication.subject",
"path" : "Communication.subject",
"short" : "Focus of message",
"definition" : "The patient or group that was the focus of this communication.",
"alias" : [
"patient"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Communication.subject",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
}
],
"mustSupport" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.subject"
},
{
"identity" : "w5",
"map" : "who.focus"
}
]
},
{
"id" : "Communication.recipient",
"path" : "Communication.recipient",
"short" : "Message recipient",
"definition" : "The entity (e.g. person, organization, clinical information system, or device) which was the target of the communication. If receipts need to be tracked by individual, a separate resource instance will need to be created for each recipient. Multiple recipient communications are intended where either a receipt(s) is not tracked (e.g. a mass mail-out) or is captured in aggregate (all emails confirmed received by a particular time).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Communication.recipient",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Group"
}
],
"mustSupport" : true,
"mapping" : [
{
"identity" : "w5",
"map" : "who.focus"
},
{
"identity" : "qdm",
"map" : "recipient"
}
]
},
{
"id" : "Communication.topic",
"path" : "Communication.topic",
"short" : "Focal resources",
"definition" : "The resources which were responsible for or related to producing this communication.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Communication.topic",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Resource"
}
],
"mapping" : [
{
"identity" : "w5",
"map" : "context"
}
]
},
{
"id" : "Communication.context",
"path" : "Communication.context",
"short" : "Encounter or episode leading to message",
"definition" : "The encounter within which the communication was sent.",
"alias" : [
"encounter"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Communication.context",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"
}
],
"mustSupport" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.context"
},
{
"identity" : "w5",
"map" : "context"
}
]
},
{
"id" : "Communication.sent",
"path" : "Communication.sent",
"short" : "When sent",
"definition" : "The time when this communication was sent.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Communication.sent",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
}
],
"mustSupport" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.occurrenceDateTime (Invariant: maps to either sent OR received)"
},
{
"identity" : "w5",
"map" : "when.init"
},
{
"identity" : "qdm",
"map" : "authorDatetime; relevantPeriod (start)"
}
]
},
{
"id" : "Communication.received",
"path" : "Communication.received",
"short" : "When received",
"definition" : "The time when this communication arrived at the destination.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Communication.received",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
}
],
"mustSupport" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.occurrenceDateTime (Invariant: maps to either sent OR received)"
},
{
"identity" : "w5",
"map" : "when.done"
},
{
"identity" : "qdm",
"map" : "relevantPeriod(end)"
}
]
},
{
"id" : "Communication.sender",
"path" : "Communication.sender",
"short" : "Message sender",
"definition" : "The entity (e.g. person, organization, clinical information system, or device) which was the source of the communication.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Communication.sender",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson"
}
],
"mustSupport" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.performer.actor"
},
{
"identity" : "w5",
"map" : "who.actor"
},
{
"identity" : "qdm",
"map" : "sender"
}
]
},
{
"id" : "Communication.reasonCode",
"path" : "Communication.reasonCode",
"short" : "Indication for message",
"definition" : "The reason or justification for the communication.",
"comment" : "Textual reasons can be caprued using reasonCode.text.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Communication.reasonCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"mustSupport" : false,
"isSummary" : true,
"binding" : {
"strength" : "example",
"description" : "This value set includes all the \"Clinical finding\" SNOMED CT codes - concepts where concept is-a 404684003 (Clinical finding (finding)).",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/clinical-findings"
}
},
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.reasonCodableConcept"
},
{
"identity" : "rim",
"map" : ".reasonCode"
},
{
"identity" : "w5",
"map" : "why"
},
{
"identity" : "qdm",
"map" : "code"
}
]
},
{
"id" : "Communication.reasonReference",
"path" : "Communication.reasonReference",
"short" : "Why was communication done?",
"definition" : "Indicates another resource whose existence justifies this communication.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Communication.reasonReference",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Condition"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Observation"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.reasonReference"
},
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=RSON].target"
},
{
"identity" : "w5",
"map" : "why"
}
]
},
{
"id" : "Communication.payload",
"path" : "Communication.payload",
"short" : "Message payload",
"definition" : "Text, attachment(s), or resource(s) that was communicated to the recipient.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Communication.payload",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() | (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "Element"
}
]
},
{
"id" : "Communication.payload.id",
"path" : "Communication.payload.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Communication.payload.extension",
"path" : "Communication.payload.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Communication.payload.modifierExtension",
"path" : "Communication.payload.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Communication.payload.content[x]",
"path" : "Communication.payload.content[x]",
"short" : "Message part content",
"definition" : "A communicated content (or for multi-part communications, one portion of the communication).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Communication.payload.content[x]",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "string"
},
{
"code" : "Attachment"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Resource"
}
]
},
{
"id" : "Communication.note",
"path" : "Communication.note",
"short" : "Comments made about the communication",
"definition" : "Additional notes or commentary about the communication by the sender, receiver or other interested parties.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Communication.note",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Annotation"
}
],
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.note"
}
]
}
]
},
"differential" : {
"element" : [
{
"id" : "Communication",
"path" : "Communication",
"definition" : "An occurrence of information being transmitted; e.g. an alert that was sent to a responsible provider, a public health agency was notified about a reportable condition.",
"mustSupport" : false,
"isModifier" : false,
"mapping" : [
{
"identity" : "qdm",
"map" : "Communication, Performed (Note that Communication in the context of FHIR standards expects that communication occurs between 2 ends of a conversation."
}
]
},
{
"id" : "Communication.id",
"path" : "Communication.id",
"definition" : "Local id of this artifact.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "id"
}
],
"mustSupport" : false,
"isModifier" : false,
"mapping" : [
{
"identity" : "qdm",
"map" : "id"
}
]
},
{
"id" : "Communication.basedOn",
"path" : "Communication.basedOn",
"mustSupport" : false,
"isModifier" : false,
"mapping" : [
{
"identity" : "qdm",
"map" : "relatedTo"
}
]
},
{
"id" : "Communication.status",
"path" : "Communication.status",
"short" : "preparation | in-progress | suspended | aborted | completed | entered-in-error",
"definition" : "The status of the transmission.",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "code"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"strength" : "required",
"description" : "Codes identifying the stage lifecycle stage of a event",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/event-status"
}
}
},
{
"id" : "Communication.notDoneReason",
"path" : "Communication.notDoneReason",
"short" : "Why communication did not occur",
"definition" : "Describes why the communication event did not occur in coded and/or textual form.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
],
"mustSupport" : false,
"isModifier" : false,
"binding" : {
"strength" : "example",
"description" : "Codes for the reason why a communication was not done.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/communication-not-done-reason"
}
},
"mapping" : [
{
"identity" : "qdm",
"map" : "negationRationale"
}
]
},
{
"id" : "Communication.category",
"path" : "Communication.category",
"short" : "Message category",
"definition" : "The type of message conveyed such as alert, notification, reminder, instruction, etc.",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "CodeableConcept"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"strength" : "example",
"description" : "Codes for general categories of communications such as alerts, instruction, etc.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/communication-category"
}
},
"mapping" : [
{
"identity" : "qdm",
"map" : "category"
}
]
},
{
"id" : "Communication.medium",
"path" : "Communication.medium",
"short" : "A channel of communication",
"definition" : "A channel that was used for this communication (e.g. email, fax).",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "CodeableConcept"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"strength" : "example",
"description" : "A set of codes specifying the modality by which the Entity playing the Role is participating in the Act. Examples: Physically present, over the telephone, written communication. Rationale: Particularly for author (originator) participants this is used to specify whether the information represented by the act was initially provided verbally, (hand-)written, or electronically. Open Issue: There needs to be a reexamination of the hierarchies as there seems to be some muddling between ELECTRONIC and other concepts that involve electronic communication that are in other hierarchies.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/v3-ParticipationMode"
}
},
"mapping" : [
{
"identity" : "qdm",
"map" : "medium"
}
]
},
{
"id" : "Communication.subject",
"path" : "Communication.subject",
"short" : "Focus of message",
"definition" : "The patient or group that was the focus of this communication.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
}
],
"mustSupport" : true,
"isModifier" : false
},
{
"id" : "Communication.recipient",
"path" : "Communication.recipient",
"short" : "Message recipient",
"definition" : "The entity (e.g. person, organization, clinical information system, or device) which was the target of the communication. If receipts need to be tracked by individual, a separate resource instance will need to be created for each recipient. Multiple recipient communications are intended where either a receipt(s) is not tracked (e.g. a mass mail-out) or is captured in aggregate (all emails confirmed received by a particular time).",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Group"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "qdm",
"map" : "recipient"
}
]
},
{
"id" : "Communication.context",
"path" : "Communication.context",
"short" : "Encounter or episode leading to message",
"definition" : "The encounter within which the communication was sent.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"
}
],
"mustSupport" : true,
"isModifier" : false
},
{
"id" : "Communication.sent",
"path" : "Communication.sent",
"short" : "When sent",
"definition" : "The time when this communication was sent.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "dateTime"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "qdm",
"map" : "authorDatetime; relevantPeriod (start)"
}
]
},
{
"id" : "Communication.received",
"path" : "Communication.received",
"short" : "When received",
"definition" : "The time when this communication arrived at the destination.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "dateTime"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "qdm",
"map" : "relevantPeriod(end)"
}
]
},
{
"id" : "Communication.sender",
"path" : "Communication.sender",
"short" : "Message sender",
"definition" : "The entity (e.g. person, organization, clinical information system, or device) which was the source of the communication.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "qdm",
"map" : "sender"
}
]
},
{
"id" : "Communication.reasonCode",
"path" : "Communication.reasonCode",
"short" : "Indication for message",
"definition" : "The reason or justification for the communication.",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "CodeableConcept"
}
],
"mustSupport" : false,
"isModifier" : false,
"binding" : {
"strength" : "example",
"description" : "This value set includes all the \"Clinical finding\" SNOMED CT codes - concepts where concept is-a 404684003 (Clinical finding (finding)).",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/clinical-findings"
}
},
"mapping" : [
{
"identity" : "qdm",
"map" : "code"
}
]
}
]
}
}
© HL7.org 2011+. Package hl7.fhir.us.qicore#3.2.0 based on FHIR v3.0.1-11917. Generated on 14/04/2019
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