Extensions for Using Data Elements from FHIR R5 in FHIR R4B - Downloaded Version null See the Directory of published versions

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Resource Profile: Profile_R5_CommunicationRequest_R4B

This cross-version profile allows R5 CommunicationRequest content to be represented via FHIR R4B CommunicationRequest resources.

Usages:

• This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
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Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CommunicationRequest		0..*	CommunicationRequest(4.3.0)	A request for information to be sent to a receiver
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for modifierExtension	?!	0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
modifierExtension:intent	?!	1..1	code	R5: proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.intent Binding: RequestIntent (required): Codes indicating the degree of authority/intentionality associated with a request. Constraints: ext-1
status	?!Σ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of the communication request.
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
CommunicationRequest.​status	Base	required	RequestStatus	📍4.3.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	CommunicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	CommunicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where(((id.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	CommunicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	CommunicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	CommunicationRequest	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	CommunicationRequest.implicitRules, CommunicationRequest.modifierExtension, CommunicationRequest.modifierExtension:intent, CommunicationRequest.status, CommunicationRequest.doNotPerform	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	CommunicationRequest.modifierExtension, CommunicationRequest.modifierExtension:intent	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from CommunicationRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CommunicationRequest		0..*	CommunicationRequest(4.3.0)	A request for information to be sent to a receiver
Slices for modifierExtension		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:intent		1..1	code	R5: proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.intent Binding: RequestIntent (required): Codes indicating the degree of authority/intentionality associated with a request.
payload
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:content		0..1	CodeableConcept	R5: content additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.payload.content
recipient
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:recipient		0..*	Reference(Resource)	R5: Who to share the information with URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
sender
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:informationProvider		0..*	Reference(Resource)	R5: Who should share the information URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CommunicationRequest		0..*	CommunicationRequest(4.3.0)	A request for information to be sent to a receiver
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): IETF language tag Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources Constraints: dom-r4b
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
Slices for modifierExtension	?!	0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
modifierExtension:intent	?!	1..1	code	R5: proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.intent Binding: RequestIntent (required): Codes indicating the degree of authority/intentionality associated with a request. Constraints: ext-1
identifier	Σ	0..*	Identifier	Unique identifier
basedOn	Σ	0..*	Reference(Resource)	Fulfills plan or proposal
replaces	Σ	0..*	Reference(CommunicationRequest)	Request(s) replaced by this request
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of
status	?!Σ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of the communication request.
statusReason		0..1	CodeableConcept	Reason for current status Binding Description: (example): Codes identifying the reason for the current state of a request.
category		0..*	CodeableConcept	Message category Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instruction, etc.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication request.
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
medium		0..*	CodeableConcept	A channel of communication Binding: ParticipationMode (3.0.0) (example): Codes for communication mediums such as phone, fax, email, in person, etc.
subject		0..1	Reference(Patient | Group)	Focus of message
about		0..*	Reference(Resource)	Resources that pertain to this communication request
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
payload		0..*	BackboneElement	Message payload
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:content		0..1	CodeableConcept	R5: content additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.payload.content Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
content[x]		1..1		Message part content
contentString			string
contentAttachment			Attachment
contentReference			Reference(Resource)
occurrence[x]	Σ	0..1		When scheduled
occurrenceDateTime			dateTime
occurrencePeriod			Period
authoredOn	Σ	0..1	dateTime	When request transitioned to being actionable
requester	Σ	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/what is requesting service
recipient		0..*	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService)	Message recipient
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:recipient		0..1	Reference(Resource)	R5: Who to share the information with URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
sender	Σ	0..1	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService)	Message sender
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:informationProvider		0..1	Reference(Resource)	R5: Who should share the information URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
reasonCode	Σ	0..*	CodeableConcept	Why is communication needed? Binding: ActReason (3.0.0) (example): Codes for describing reasons for the occurrence of a communication.
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Why is communication needed?
note		0..*	Annotation	Comments made about communication request
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
CommunicationRequest.​language	Base	preferred	Common Languages	📍4.3.0	FHIR Std.
CommunicationRequest.​status	Base	required	RequestStatus	📍4.3.0	FHIR Std.
CommunicationRequest.​statusReason	Base	example		Not State	Unknown
CommunicationRequest.​category	Base	example	CommunicationCategory	📍4.3.0	FHIR Std.
CommunicationRequest.​priority	Base	required	RequestPriority	📍4.3.0	FHIR Std.
CommunicationRequest.​medium	Base	example	ParticipationMode	📍3.0.0	THO v7.1
CommunicationRequest.​recipient.type	Base	extensible	ResourceType	📍4.3.0	FHIR Std.
CommunicationRequest.​sender.type	Base	extensible	ResourceType	📍4.3.0	FHIR Std.
CommunicationRequest.​reasonCode	Base	example	v3 Code System ActReason	📍3.0.0	THO v7.1

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	CommunicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	CommunicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where(((id.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	CommunicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	CommunicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	CommunicationRequest	A resource should have narrative for robust management	text.`div`.exists()
dom-r4b	warning	CommunicationRequest.contained	Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems	($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
ele-1	error	CommunicationRequest.meta, CommunicationRequest.implicitRules, CommunicationRequest.language, CommunicationRequest.text, CommunicationRequest.extension, CommunicationRequest.modifierExtension, CommunicationRequest.modifierExtension:intent, CommunicationRequest.identifier, CommunicationRequest.basedOn, CommunicationRequest.replaces, CommunicationRequest.groupIdentifier, CommunicationRequest.status, CommunicationRequest.statusReason, CommunicationRequest.category, CommunicationRequest.priority, CommunicationRequest.doNotPerform, CommunicationRequest.medium, CommunicationRequest.subject, CommunicationRequest.about, CommunicationRequest.encounter, CommunicationRequest.payload, CommunicationRequest.payload.extension, CommunicationRequest.payload.extension:content, CommunicationRequest.payload.modifierExtension, CommunicationRequest.payload.content[x], CommunicationRequest.occurrence[x], CommunicationRequest.authoredOn, CommunicationRequest.requester, CommunicationRequest.recipient, CommunicationRequest.recipient.extension, CommunicationRequest.recipient.extension:recipient, CommunicationRequest.recipient.reference, CommunicationRequest.recipient.type, CommunicationRequest.recipient.identifier, CommunicationRequest.recipient.display, CommunicationRequest.sender, CommunicationRequest.sender.extension, CommunicationRequest.sender.extension:informationProvider, CommunicationRequest.sender.reference, CommunicationRequest.sender.type, CommunicationRequest.sender.identifier, CommunicationRequest.sender.display, CommunicationRequest.reasonCode, CommunicationRequest.reasonReference, CommunicationRequest.note	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	CommunicationRequest.extension, CommunicationRequest.modifierExtension, CommunicationRequest.modifierExtension:intent, CommunicationRequest.payload.extension, CommunicationRequest.payload.extension:content, CommunicationRequest.payload.modifierExtension, CommunicationRequest.recipient.extension, CommunicationRequest.recipient.extension:recipient, CommunicationRequest.sender.extension, CommunicationRequest.sender.extension:informationProvider	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from CommunicationRequest

Summary

Mandatory: 1 element

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.intent|0.1.0 (Modifier)
• http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.payload.content|0.1.0
• http://hl7.org/fhir/StructureDefinition/alternate-reference|5.2.0

Maturity: 0

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CommunicationRequest		0..*	CommunicationRequest(4.3.0)	A request for information to be sent to a receiver
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for modifierExtension	?!	0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
modifierExtension:intent	?!	1..1	code	R5: proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.intent Binding: RequestIntent (required): Codes indicating the degree of authority/intentionality associated with a request. Constraints: ext-1
status	?!Σ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of the communication request.
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
CommunicationRequest.​status	Base	required	RequestStatus	📍4.3.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	CommunicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	CommunicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where(((id.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	CommunicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	CommunicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	CommunicationRequest	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	CommunicationRequest.implicitRules, CommunicationRequest.modifierExtension, CommunicationRequest.modifierExtension:intent, CommunicationRequest.status, CommunicationRequest.doNotPerform	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	CommunicationRequest.modifierExtension, CommunicationRequest.modifierExtension:intent	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from CommunicationRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CommunicationRequest		0..*	CommunicationRequest(4.3.0)	A request for information to be sent to a receiver
Slices for modifierExtension		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:intent		1..1	code	R5: proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.intent Binding: RequestIntent (required): Codes indicating the degree of authority/intentionality associated with a request.
payload
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:content		0..1	CodeableConcept	R5: content additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.payload.content
recipient
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:recipient		0..*	Reference(Resource)	R5: Who to share the information with URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
sender
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:informationProvider		0..*	Reference(Resource)	R5: Who should share the information URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CommunicationRequest		0..*	CommunicationRequest(4.3.0)	A request for information to be sent to a receiver
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): IETF language tag Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources Constraints: dom-r4b
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
Slices for modifierExtension	?!	0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
modifierExtension:intent	?!	1..1	code	R5: proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.intent Binding: RequestIntent (required): Codes indicating the degree of authority/intentionality associated with a request. Constraints: ext-1
identifier	Σ	0..*	Identifier	Unique identifier
basedOn	Σ	0..*	Reference(Resource)	Fulfills plan or proposal
replaces	Σ	0..*	Reference(CommunicationRequest)	Request(s) replaced by this request
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of
status	?!Σ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of the communication request.
statusReason		0..1	CodeableConcept	Reason for current status Binding Description: (example): Codes identifying the reason for the current state of a request.
category		0..*	CodeableConcept	Message category Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instruction, etc.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication request.
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
medium		0..*	CodeableConcept	A channel of communication Binding: ParticipationMode (3.0.0) (example): Codes for communication mediums such as phone, fax, email, in person, etc.
subject		0..1	Reference(Patient | Group)	Focus of message
about		0..*	Reference(Resource)	Resources that pertain to this communication request
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
payload		0..*	BackboneElement	Message payload
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:content		0..1	CodeableConcept	R5: content additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.payload.content Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
content[x]		1..1		Message part content
contentString			string
contentAttachment			Attachment
contentReference			Reference(Resource)
occurrence[x]	Σ	0..1		When scheduled
occurrenceDateTime			dateTime
occurrencePeriod			Period
authoredOn	Σ	0..1	dateTime	When request transitioned to being actionable
requester	Σ	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/what is requesting service
recipient		0..*	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService)	Message recipient
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:recipient		0..1	Reference(Resource)	R5: Who to share the information with URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
sender	Σ	0..1	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService)	Message sender
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:informationProvider		0..1	Reference(Resource)	R5: Who should share the information URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
reasonCode	Σ	0..*	CodeableConcept	Why is communication needed? Binding: ActReason (3.0.0) (example): Codes for describing reasons for the occurrence of a communication.
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Why is communication needed?
note		0..*	Annotation	Comments made about communication request
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
CommunicationRequest.​language	Base	preferred	Common Languages	📍4.3.0	FHIR Std.
CommunicationRequest.​status	Base	required	RequestStatus	📍4.3.0	FHIR Std.
CommunicationRequest.​statusReason	Base	example		Not State	Unknown
CommunicationRequest.​category	Base	example	CommunicationCategory	📍4.3.0	FHIR Std.
CommunicationRequest.​priority	Base	required	RequestPriority	📍4.3.0	FHIR Std.
CommunicationRequest.​medium	Base	example	ParticipationMode	📍3.0.0	THO v7.1
CommunicationRequest.​recipient.type	Base	extensible	ResourceType	📍4.3.0	FHIR Std.
CommunicationRequest.​sender.type	Base	extensible	ResourceType	📍4.3.0	FHIR Std.
CommunicationRequest.​reasonCode	Base	example	v3 Code System ActReason	📍3.0.0	THO v7.1

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	CommunicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	CommunicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where(((id.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	CommunicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	CommunicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	CommunicationRequest	A resource should have narrative for robust management	text.`div`.exists()
dom-r4b	warning	CommunicationRequest.contained	Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems	($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
ele-1	error	CommunicationRequest.meta, CommunicationRequest.implicitRules, CommunicationRequest.language, CommunicationRequest.text, CommunicationRequest.extension, CommunicationRequest.modifierExtension, CommunicationRequest.modifierExtension:intent, CommunicationRequest.identifier, CommunicationRequest.basedOn, CommunicationRequest.replaces, CommunicationRequest.groupIdentifier, CommunicationRequest.status, CommunicationRequest.statusReason, CommunicationRequest.category, CommunicationRequest.priority, CommunicationRequest.doNotPerform, CommunicationRequest.medium, CommunicationRequest.subject, CommunicationRequest.about, CommunicationRequest.encounter, CommunicationRequest.payload, CommunicationRequest.payload.extension, CommunicationRequest.payload.extension:content, CommunicationRequest.payload.modifierExtension, CommunicationRequest.payload.content[x], CommunicationRequest.occurrence[x], CommunicationRequest.authoredOn, CommunicationRequest.requester, CommunicationRequest.recipient, CommunicationRequest.recipient.extension, CommunicationRequest.recipient.extension:recipient, CommunicationRequest.recipient.reference, CommunicationRequest.recipient.type, CommunicationRequest.recipient.identifier, CommunicationRequest.recipient.display, CommunicationRequest.sender, CommunicationRequest.sender.extension, CommunicationRequest.sender.extension:informationProvider, CommunicationRequest.sender.reference, CommunicationRequest.sender.type, CommunicationRequest.sender.identifier, CommunicationRequest.sender.display, CommunicationRequest.reasonCode, CommunicationRequest.reasonReference, CommunicationRequest.note	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	CommunicationRequest.extension, CommunicationRequest.modifierExtension, CommunicationRequest.modifierExtension:intent, CommunicationRequest.payload.extension, CommunicationRequest.payload.extension:content, CommunicationRequest.payload.modifierExtension, CommunicationRequest.recipient.extension, CommunicationRequest.recipient.extension:recipient, CommunicationRequest.sender.extension, CommunicationRequest.sender.extension:informationProvider	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from CommunicationRequest

Summary

Mandatory: 1 element

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.intent|0.1.0 (Modifier)
• http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.payload.content|0.1.0
• http://hl7.org/fhir/StructureDefinition/alternate-reference|5.2.0

Maturity: 0

Other representations of profile: CSV, Excel, Schematron