QI-Core Implementation Guide
6.0.0 - STU6
QI-Core Implementation Guide
6.0.0 - STU6
This page is part of the Quality Improvement Core Framework (v6.0.0: STU6 (v6.0.0)) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-communication | Version: 6.0.0 | |||
| Active as of 2023-08-01 | Computable Name: QICoreCommunication | |||
Profile of Communication for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
See the patterns page for implementation and usage patterns.
To create an expression specifically requesting information that a communication intentionally did not occur for a medical, patient or system reason, use the profile QICore-communicationnotdone.
The Communication and CommunicationNotDone profiles represent the positive and negative statements for a communication event. To ensure instances retrieved meet positive intent, applications should check the status as illustrated in this example:
define Communication:
[Communication] C
where C.status in { 'preparation', 'in-progress', 'on-hold', 'completed' }
| Written Alert Example |
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Communication
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Communication | 0..* | Communication | A record of information transmitted from a sender to a receiver | |
  status | 1..1 | code | (QI-Core) preparation | in-progress | on-hold | stopped | completed | entered-in-error | unknown Binding: Non-Negative Event Status (required) | |
 subject | 0..1 | Reference(QICore Patient | Group) | (QI-Core) Focus of message | |
| topic | 0..1 | CodeableConcept | (QI-Core) Description of the purpose/content Binding: CommunicationTopic (preferred) | |
| sent | 0..1 | dateTime | (QI-Core) When sent | |
| received | 0..1 | dateTime | (QI-Core) When received | |
| recipient | 0..* | Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson | Group) | (QI-Core) Message recipient | |
 sender | 0..1 | Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson) | (QI-Core) Message sender | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Communication.status | required | NonNegativeEventStatushttp://hl7.org/fhir/us/qicore/ValueSet/qicore-non-negative-event-statusfrom this IG | |
| Communication.topic | preferred | CommunicationTopichttp://terminology.hl7.org/ValueSet/communication-topic |
| Path | Conformance | ValueSet | URI |
| Communication.status | required | NonNegativeEventStatushttp://hl7.org/fhir/us/qicore/ValueSet/qicore-non-negative-event-statusfrom this IG | |
| Communication.topic | preferred | CommunicationTopichttp://terminology.hl7.org/ValueSet/communication-topic |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Communication | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Communication | 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 | Communication | 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 | Communication | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Communication | 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 | ||||
|---|---|---|---|---|---|---|---|---|
| Communication | 0..* | Communication | A record of information transmitted from a sender 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.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
 extension | 0..* | Extension | Additional content defined by implementations | |||||
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Unique identifier | ||||
| instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn | Σ | 0..* | Reference(Resource) | Request fulfilled by this communication | ||||
| partOf | Σ | 0..* | Reference(Resource) | Part of this action | ||||
| inResponseTo | 0..* | Reference(Communication) | Reply to | |||||
| status | ?!Σ | 1..1 | code | (QI-Core) preparation | in-progress | on-hold | stopped | completed | entered-in-error | unknown Binding: Non-Negative Event Status (required) | ||||
| statusReason | Σ | 0..1 | CodeableConcept | Reason for current status Binding: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen. | ||||
| category | 0..* | CodeableConcept | Message category Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc. | |||||
| priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication. | ||||
| medium | 0..* | CodeableConcept | A channel of communication Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc. | |||||
| subject | Σ | 0..1 | Reference(QICore Patient | Group) | (QI-Core) Focus of message | ||||
| topic | 0..1 | CodeableConcept | (QI-Core) Description of the purpose/content Binding: CommunicationTopic (preferred) | |||||
| about | 0..* | Reference(Resource) | Resources that pertain to this communication | |||||
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
| sent | 0..1 | dateTime | (QI-Core) When sent | |||||
| received | 0..1 | dateTime | (QI-Core) When received | |||||
| recipient | 0..* | Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson | Group) | (QI-Core) Message recipient | |||||
| sender | 0..1 | Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson) | (QI-Core) Message sender | |||||
| reasonCode | Σ | 0..* | CodeableConcept | Indication for message Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication. | ||||
| reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Why was communication done? | ||||
 payload | 0..* | BackboneElement | Message payload | |||||
 id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| 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) | |||||||
| note | 0..* | Annotation | Comments made about the communication | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Communication.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Communication.status | required | NonNegativeEventStatushttp://hl7.org/fhir/us/qicore/ValueSet/qicore-non-negative-event-statusfrom this IG | ||||
| Communication.statusReason | example | CommunicationNotDoneReasonhttp://hl7.org/fhir/ValueSet/communication-not-done-reasonfrom the FHIR Standard | ||||
| Communication.category | example | CommunicationCategoryhttp://hl7.org/fhir/ValueSet/communication-categoryfrom the FHIR Standard | ||||
| Communication.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1from the FHIR Standard | ||||
| Communication.medium | example | ParticipationModehttp://terminology.hl7.org/ValueSet/v3-ParticipationMode | ||||
| Communication.topic | preferred | CommunicationTopichttp://terminology.hl7.org/ValueSet/communication-topic | ||||
| Communication.reasonCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Communication | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Communication | 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 | Communication | 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 | Communication | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Communication | 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() |
This structure is derived from Communication
Summary
Structures
This structure refers to these other structures:
Differential View
This structure is derived from Communication
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Communication | 0..* | Communication | A record of information transmitted from a sender to a receiver | |
| status | 1..1 | code | (QI-Core) preparation | in-progress | on-hold | stopped | completed | entered-in-error | unknown Binding: Non-Negative Event Status (required) | |
| subject | 0..1 | Reference(QICore Patient | Group) | (QI-Core) Focus of message | |
| topic | 0..1 | CodeableConcept | (QI-Core) Description of the purpose/content Binding: CommunicationTopic (preferred) | |
| sent | 0..1 | dateTime | (QI-Core) When sent | |
| received | 0..1 | dateTime | (QI-Core) When received | |
| recipient | 0..* | Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson | Group) | (QI-Core) Message recipient | |
| sender | 0..1 | Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson) | (QI-Core) Message sender | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Communication.status | required | NonNegativeEventStatushttp://hl7.org/fhir/us/qicore/ValueSet/qicore-non-negative-event-statusfrom this IG | |
| Communication.topic | preferred | CommunicationTopichttp://terminology.hl7.org/ValueSet/communication-topic |
Key Elements View
| Path | Conformance | ValueSet | URI |
| Communication.status | required | NonNegativeEventStatushttp://hl7.org/fhir/us/qicore/ValueSet/qicore-non-negative-event-statusfrom this IG | |
| Communication.topic | preferred | CommunicationTopichttp://terminology.hl7.org/ValueSet/communication-topic |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Communication | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Communication | 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 | Communication | 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 | Communication | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Communication | 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() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Communication | 0..* | Communication | A record of information transmitted from a sender 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.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Unique identifier | ||||
| instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn | Σ | 0..* | Reference(Resource) | Request fulfilled by this communication | ||||
| partOf | Σ | 0..* | Reference(Resource) | Part of this action | ||||
| inResponseTo | 0..* | Reference(Communication) | Reply to | |||||
| status | ?!Σ | 1..1 | code | (QI-Core) preparation | in-progress | on-hold | stopped | completed | entered-in-error | unknown Binding: Non-Negative Event Status (required) | ||||
| statusReason | Σ | 0..1 | CodeableConcept | Reason for current status Binding: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen. | ||||
| category | 0..* | CodeableConcept | Message category Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc. | |||||
| priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication. | ||||
| medium | 0..* | CodeableConcept | A channel of communication Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc. | |||||
| subject | Σ | 0..1 | Reference(QICore Patient | Group) | (QI-Core) Focus of message | ||||
| topic | 0..1 | CodeableConcept | (QI-Core) Description of the purpose/content Binding: CommunicationTopic (preferred) | |||||
| about | 0..* | Reference(Resource) | Resources that pertain to this communication | |||||
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
| sent | 0..1 | dateTime | (QI-Core) When sent | |||||
| received | 0..1 | dateTime | (QI-Core) When received | |||||
| recipient | 0..* | Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson | Group) | (QI-Core) Message recipient | |||||
| sender | 0..1 | Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson) | (QI-Core) Message sender | |||||
| reasonCode | Σ | 0..* | CodeableConcept | Indication for message Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication. | ||||
| reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Why was communication done? | ||||
| payload | 0..* | BackboneElement | Message payload | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| 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) | |||||||
| note | 0..* | Annotation | Comments made about the communication | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Communication.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Communication.status | required | NonNegativeEventStatushttp://hl7.org/fhir/us/qicore/ValueSet/qicore-non-negative-event-statusfrom this IG | ||||
| Communication.statusReason | example | CommunicationNotDoneReasonhttp://hl7.org/fhir/ValueSet/communication-not-done-reasonfrom the FHIR Standard | ||||
| Communication.category | example | CommunicationCategoryhttp://hl7.org/fhir/ValueSet/communication-categoryfrom the FHIR Standard | ||||
| Communication.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1from the FHIR Standard | ||||
| Communication.medium | example | ParticipationModehttp://terminology.hl7.org/ValueSet/v3-ParticipationMode | ||||
| Communication.topic | preferred | CommunicationTopichttp://terminology.hl7.org/ValueSet/communication-topic | ||||
| Communication.reasonCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Communication | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Communication | 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 | Communication | 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 | Communication | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Communication | 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() |
This structure is derived from Communication
Summary
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron
IG © 2019+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.qicore#6.0.0 based on FHIR 4.0.1. Generated 2024-03-01
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