QI-Core Implementation Guide
6.0.0 - STU6 United States of America flag

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. For a full list of available versions, see the Directory of published versions

Resource Profile: QICore CommunicationRequest

Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-communicationrequest Version: 6.0.0
Active as of 2018-08-22 Computable Name: QICoreCommunicationRequest

Profile of CommunicationRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

Usage

See the patterns page for implementation and usage patterns.

Examples

CommunicationRequest Example

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from CommunicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. CommunicationRequest 0..*CommunicationRequestA request for information to be sent to a receiver
... status 1..1code(QI-Core) draft | active | on-hold | revoked | completed | entered-in-error | unknown
... category 0..*CodeableConcept(QI-Core) Message category
Binding: CommunicationCategory (preferred)
... doNotPerform 0..1boolean(QI-Core) True if request is prohibiting action
... encounter 0..1Reference(QICore Encounter)(QI-Core) Encounter created as part of
... recipient 0..*Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson | Group | CareTeam)(QI-Core) Message recipient
... sender 0..1Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson)(QI-Core) Message sender

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
CommunicationRequest.categorypreferredCommunicationCategory
http://hl7.org/fhir/ValueSet/communication-category
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. CommunicationRequest 0..*CommunicationRequestA request for information to be sent to a receiver
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1code(QI-Core) draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of the communication request.

... doNotPerform ?!Σ0..1boolean(QI-Core) True if request is prohibiting action
... subject 0..1Reference(QICore Patient)(QI-Core) Focus of message
... encounter Σ0..1Reference(QICore Encounter)(QI-Core) Encounter created as part of
... recipient 0..*Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson | Group | CareTeam)(QI-Core) Message recipient
... sender Σ0..1Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson)(QI-Core) Message sender

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
CommunicationRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
CommunicationRequest.categorypreferredCommunicationCategory
http://hl7.org/fhir/ValueSet/communication-category
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorCommunicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCommunicationRequestIf 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-4errorCommunicationRequestIf 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-5errorCommunicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCommunicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. CommunicationRequest 0..*CommunicationRequestA request for information to be sent to a receiver
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierUnique identifier
... basedOn Σ0..*Reference(Resource)Fulfills plan or proposal
... replaces Σ0..*Reference(CommunicationRequest)Request(s) replaced by this request
... groupIdentifier Σ0..1IdentifierComposite request this is part of
... status ?!Σ1..1code(QI-Core) draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of the communication request.

... statusReason 0..1CodeableConceptReason for current status
Binding: (unbound) (example): Codes identifying the reason for the current state of a request.

... category 0..*CodeableConcept(QI-Core) Message category
Binding: CommunicationCategory (preferred)
... priority Σ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Codes indicating the relative importance of a communication request.

... doNotPerform ?!Σ0..1boolean(QI-Core) True if request is prohibiting action
... medium 0..*CodeableConceptA channel of communication
Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.


... subject 0..1Reference(QICore Patient)(QI-Core) Focus of message
... about 0..*Reference(Resource)Resources that pertain to this communication request
... encounter Σ0..1Reference(QICore Encounter)(QI-Core) Encounter created as part of
... payload 0..*BackboneElementMessage payload
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... content[x] 1..1Message part content
..... contentStringstring
..... contentAttachmentAttachment
..... contentReferenceReference(Resource)
... occurrence[x] Σ0..1When scheduled
.... occurrenceDateTimedateTime
.... occurrencePeriodPeriod
... authoredOn Σ0..1dateTimeWhen request transitioned to being actionable
... requester Σ0..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)Who/what is requesting service
... recipient 0..*Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson | Group | CareTeam)(QI-Core) Message recipient
... sender Σ0..1Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson)(QI-Core) Message sender
... reasonCode Σ0..*CodeableConceptWhy is communication needed?
Binding: v3 Code System ActReason (example): Codes for describing reasons for the occurrence of a communication.


... reasonReference Σ0..*Reference(Condition | Observation | DiagnosticReport | DocumentReference)Why is communication needed?
... note 0..*AnnotationComments made about communication request

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
CommunicationRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
CommunicationRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
CommunicationRequest.statusReasonexample
CommunicationRequest.categorypreferredCommunicationCategory
http://hl7.org/fhir/ValueSet/communication-category
from the FHIR Standard
CommunicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
CommunicationRequest.mediumexampleParticipationMode
http://terminology.hl7.org/ValueSet/v3-ParticipationMode
CommunicationRequest.reasonCodeexampleActReason
http://terminology.hl7.org/ValueSet/v3-ActReason

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorCommunicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCommunicationRequestIf 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-4errorCommunicationRequestIf 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-5errorCommunicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCommunicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from CommunicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. CommunicationRequest 0..*CommunicationRequestA request for information to be sent to a receiver
... status 1..1code(QI-Core) draft | active | on-hold | revoked | completed | entered-in-error | unknown
... category 0..*CodeableConcept(QI-Core) Message category
Binding: CommunicationCategory (preferred)
... doNotPerform 0..1boolean(QI-Core) True if request is prohibiting action
... encounter 0..1Reference(QICore Encounter)(QI-Core) Encounter created as part of
... recipient 0..*Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson | Group | CareTeam)(QI-Core) Message recipient
... sender 0..1Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson)(QI-Core) Message sender

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
CommunicationRequest.categorypreferredCommunicationCategory
http://hl7.org/fhir/ValueSet/communication-category
from the FHIR Standard

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. CommunicationRequest 0..*CommunicationRequestA request for information to be sent to a receiver
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1code(QI-Core) draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of the communication request.

... doNotPerform ?!Σ0..1boolean(QI-Core) True if request is prohibiting action
... subject 0..1Reference(QICore Patient)(QI-Core) Focus of message
... encounter Σ0..1Reference(QICore Encounter)(QI-Core) Encounter created as part of
... recipient 0..*Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson | Group | CareTeam)(QI-Core) Message recipient
... sender Σ0..1Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson)(QI-Core) Message sender

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
CommunicationRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
CommunicationRequest.categorypreferredCommunicationCategory
http://hl7.org/fhir/ValueSet/communication-category
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorCommunicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCommunicationRequestIf 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-4errorCommunicationRequestIf 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-5errorCommunicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCommunicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. CommunicationRequest 0..*CommunicationRequestA request for information to be sent to a receiver
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierUnique identifier
... basedOn Σ0..*Reference(Resource)Fulfills plan or proposal
... replaces Σ0..*Reference(CommunicationRequest)Request(s) replaced by this request
... groupIdentifier Σ0..1IdentifierComposite request this is part of
... status ?!Σ1..1code(QI-Core) draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of the communication request.

... statusReason 0..1CodeableConceptReason for current status
Binding: (unbound) (example): Codes identifying the reason for the current state of a request.

... category 0..*CodeableConcept(QI-Core) Message category
Binding: CommunicationCategory (preferred)
... priority Σ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Codes indicating the relative importance of a communication request.

... doNotPerform ?!Σ0..1boolean(QI-Core) True if request is prohibiting action
... medium 0..*CodeableConceptA channel of communication
Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.


... subject 0..1Reference(QICore Patient)(QI-Core) Focus of message
... about 0..*Reference(Resource)Resources that pertain to this communication request
... encounter Σ0..1Reference(QICore Encounter)(QI-Core) Encounter created as part of
... payload 0..*BackboneElementMessage payload
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... content[x] 1..1Message part content
..... contentStringstring
..... contentAttachmentAttachment
..... contentReferenceReference(Resource)
... occurrence[x] Σ0..1When scheduled
.... occurrenceDateTimedateTime
.... occurrencePeriodPeriod
... authoredOn Σ0..1dateTimeWhen request transitioned to being actionable
... requester Σ0..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)Who/what is requesting service
... recipient 0..*Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson | Group | CareTeam)(QI-Core) Message recipient
... sender Σ0..1Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson)(QI-Core) Message sender
... reasonCode Σ0..*CodeableConceptWhy is communication needed?
Binding: v3 Code System ActReason (example): Codes for describing reasons for the occurrence of a communication.


... reasonReference Σ0..*Reference(Condition | Observation | DiagnosticReport | DocumentReference)Why is communication needed?
... note 0..*AnnotationComments made about communication request

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
CommunicationRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
CommunicationRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
CommunicationRequest.statusReasonexample
CommunicationRequest.categorypreferredCommunicationCategory
http://hl7.org/fhir/ValueSet/communication-category
from the FHIR Standard
CommunicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
CommunicationRequest.mediumexampleParticipationMode
http://terminology.hl7.org/ValueSet/v3-ParticipationMode
CommunicationRequest.reasonCodeexampleActReason
http://terminology.hl7.org/ValueSet/v3-ActReason

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorCommunicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCommunicationRequestIf 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-4errorCommunicationRequestIf 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-5errorCommunicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCommunicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron