This page is part of the electronic Case Reporting (eCR) (v0.1.0: STU 1 Ballot 1) based on FHIR R3. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions 
JSON Format: StructureDefinition-rr-communication
Raw json
{
"resourceType" : "StructureDefinition",
"id" : "rr-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-rr-communication-definitions.html#Communication" title="The Reportability Response Communication profile establishes then core elements, extensions, vocabularies and value sets for recording the receipt and processing of an electronic Initial Case Report (eICR) CDA document or FHIR resource. This information includes information about the reportable condition along with resources and details on where to get more information about the condition, its treatment, and reporting requirements.
The Reportability Response allows for:
- Notification, alerting, routing and queueing in work or message management systems for healthcare personnel
- Dynamic and static URIs for supplemental data collection and the provision of information resources
- If the eICR was successfully processed, then there SHOULD be:
- A Topic Subject Line
- A Topic Summary
- A way to identify the eICR either as a direct reference or through a business identifier
- References to related artifacts to assist the providers in understanding the investigating conditions.
- If the eICR CDA document was not processed and has errors, then there SHOULD be:
- A way to identify the eICR either as a direct reference or through a business identifier
- An eICR processing error reasons.">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"><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"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></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">Reportabllity Response Profile</td></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_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-rr-communication-definitions.html#Communication.identifier">identifier</a><a name="Communication.identifier"> </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"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#Identifier">Identifier</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>
<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-rr-communication-definitions.html#Communication.definition">definition</a><a name="Communication.definition"> </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"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></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>(<a href="StructureDefinition-rr-plandefinition.html">Reportability Response PlanDefinition Profile</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>
<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-rr-communication-definitions.html#Communication.status" title="The status of eICR processing, including an acknowledgemen of successful processing or any known errors encountered during eICR processing.">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"><span style="opacity: 0.4">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" 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">eICR Processing Status<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>
<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_slice.png" alt="." style="background-color: white; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="StructureDefinition-rr-communication-definitions.html#Communication.category">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; font-style: italic" 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"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4; font-style: italic" 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"><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by value:coding.code</span><br style="font-style: italic"/></td></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_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-rr-communication-definitions.html#Communication.category:priority" title="Slice priority: A value indicating the overall priority of the Reportability Response, derived from the highest priority level of the links contained in the coded section.">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">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 style="opacity: 0.4" 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">Priority Code<br/><span style="font-weight:bold">Binding: </span><a href="ValueSet-rr-priority.html">Reportability Priority</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>
<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-rr-communication-definitions.html#Communication.subject">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"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></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>(<a href="http://build.fhir.org/ig/HL7/US-Core//StructureDefinition-us-core-patient.html">US Core Patient Profile</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>
<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_bck11.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-rr-communication-definitions.html#Communication.recipient">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"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></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>(<a href="StructureDefinition-ecr-organization.html">eCR Organization Profile</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">EICR recipients and Intermediaries<br/></td></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_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.recipient.extension:locationrelevance" title="Extension URL = http://fhir.hl7.org/us/ecr/StructureDefinition/extension-location-relevance">extension-location-relevance</a><a name="Communication.recipient.extension"> </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"><span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></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">Location Relevance<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/STU3/StructureDefinition-extension-location-relevance.html">http://fhir.hl7.org/us/ecr/StructureDefinition/extension-location-relevance</a><br/><span style="font-weight:bold">Binding: </span><a href="ValueSet-lr-codes.html">LocationRelevance</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>
<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_bck11.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-rr-communication-definitions.html#Communication.topic" title="What this RR Communcation is about.">topic</a><a name="Communication.topic"> </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"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></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>(<a href="Any.html">Any</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Reportability Response summary<br/></td></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_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.topic.extension:topicsubject" title="Extension URL = http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-subject">extension-topic-subject</a><a name="Communication.topic.extension"> </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"><span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></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">Subject line<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/STU3/StructureDefinition-extension-topic-subject.html">http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-subject</a></td></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_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.topic.extension:topicsummary" title="Extension URL = http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-summary">extension-topic-summary</a><a name="Communication.topic.extension"> </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"><span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></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#markdown">markdown</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Summary<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/STU3/StructureDefinition-extension-topic-summary.html">http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-summary</a></td></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_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.topic.extension:topicreportable" title="Extension URL = http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-dor">extension-topic-dor</a><a name="Communication.topic.extension"> </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"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></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">Determination of Reportability<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/STU3/StructureDefinition-extension-topic-dor.html">http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-dor</a><br/><span style="font-weight:bold">Binding: </span><a href="ValueSet-dor.html">Determination of Reportability</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>)<br/></td></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_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.topic.extension:topicreportablereason" title="Extension URL = http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-dor-reason">extension-topic-dor-reason</a><a name="Communication.topic.extension"> </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"><span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></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">Determination of Reportability Reason<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/STU3/StructureDefinition-extension-topic-dor-reason.html">http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-dor-reason</a><br/><span style="font-weight:bold">Binding: </span><a href="ValueSet-dor-reason.html">Determination of Reportability Reason Codes</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>
<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_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.topic.extension:topicreportablerule" title="Extension URL = http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-dor-rule">extension-topic-dor-rule</a><a name="Communication.topic.extension"> </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"><span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></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#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Determination of Reportability Rule<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/STU3/StructureDefinition-extension-topic-dor-rule.html">http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-dor-rule</a></td></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_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-rr-communication-definitions.html#Communication.context" title="The encompassing encounter ID from the eICR that generatedthe Reportability Response.">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"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></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>(<a href="StructureDefinition-eicr-encounter.html">eICR Encounter Profile</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">eICR encompassing encounter ID</td></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_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_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.received">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"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" 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"/></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_bck11.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-rr-communication-definitions.html#Communication.sender">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"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></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>(<a href="http://hl7.org/fhir/STU3/device.html">Device</a>), <a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="StructureDefinition-ecr-organization.html">eCR Organization Profile</a>), <a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="http://build.fhir.org/ig/HL7/US-Core//StructureDefinition-us-core-practitioner.html">US Core Practitioner Profile</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>
<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_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.sender.extension:senderrole" title="Extension URL = http://fhir.hl7.org/us/ecr/StructureDefinition/extension-practitioner-role">extension-practitioner-role</a><a name="Communication.sender.extension"> </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"><span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></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>(<a href="http://build.fhir.org/ig/HL7/US-Core//StructureDefinition-us-core-practitionerrole.html">US Core PractitionerRole Profile</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">PractitionerRole reference<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/STU3/StructureDefinition-extension-practitioner-role.html">http://fhir.hl7.org/us/ecr/StructureDefinition/extension-practitioner-role</a></td></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_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-rr-communication-definitions.html#Communication.reasonCode" title="A code indicating a condition associated with an RCTC trigger code in the eICR.">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"><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"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" 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">Reportable Condition<br/><span style="font-weight:bold">Binding: </span><a href="ValueSet-rctc.html">Reportable Condition Trigger Codes (RCTC)</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>
<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_bck11.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_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.payload">payload</a><a name="Communication.payload"> </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"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#BackboneElement">BackboneElement</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>
<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_bck111.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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-rr-communication-definitions.html#Communication.payload.contentReference">contentReference</a><a name="Communication.payload.contentReference"> </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"><span style="opacity: 0.4">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></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>(<a href="http://hl7.org/fhir/STU3/documentreference.html">DocumentReference</a>), <a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="http://hl7.org/fhir/STU3/binary.html">Binary</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>
<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_bck1110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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-rr-communication-definitions.html#Communication.payload.contentReference.reference" title="At a minimum, each Reportability Response should contain the unique document ID associated with the eICR that initiated its generation.">reference</a><a name="Communication.payload.contentReference.reference"> </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"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Reference to eICR CDA Document</td></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_bck1110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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-rr-communication-definitions.html#Communication.payload.contentReference.identifier" title="At a minimum, each Reportability Response should contain the unique document ID associated with the eICR that initiated its generation.">identifier</a><a name="Communication.payload.contentReference.identifier"> </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"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">eICR CDA Document ID*</td></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_bck1100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.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-rr-communication-definitions.html#Communication.payload.contentReference.display" title="The filename of the eICR (to assist with troubleshooting in the event that the eICR cannot be parsed).">display</a><a name="Communication.payload.contentReference.display"> </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"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Filename of eICR</td></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_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.payload.extension:manuallyinitiated" title="Extension URL = http://fhir.hl7.org/us/ecr/StructureDefinition/extension-manual-init">extension-manual-init</a><a name="Communication.payload.extension"> </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"><span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></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#boolean">boolean</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Manually Initiated eICR<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/STU3/StructureDefinition-extension-manual-init.html">http://fhir.hl7.org/us/ecr/StructureDefinition/extension-manual-init</a></td></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_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.payload.extension:manuallyinitiatedreason" title="Extension URL = http://fhir.hl7.org/us/ecr/StructureDefinition/extension-manual-init-reason">extension-manual-init-reason</a><a name="Communication.payload.extension"> </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"><span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></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#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Initial Case Report Manual Initiation Reason*<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/STU3/StructureDefinition-extension-manual-init-reason.html">http://fhir.hl7.org/us/ecr/StructureDefinition/extension-manual-init-reason</a></td></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_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-rr-communication-definitions.html#Communication.note">note</a><a name="Communication.note"> </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"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#Annotation">Annotation</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>
<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_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-rr-communication-definitions.html#Communication.extension:statusreason" title="Extension URL = http://fhir.hl7.org/us/ecr/StructureDefinition/extension-status-reason">extension-status-reason</a><a name="Communication.extension"> </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"><span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></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>(<a href="StructureDefinition-eicr-operationoutcome.html">eICR Operation Outcome</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">eICR processing status reason<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/STU3/StructureDefinition-extension-status-reason.html">http://fhir.hl7.org/us/ecr/StructureDefinition/extension-status-reason</a></td></tr>
<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://fhir.hl7.org/us/ecr/StructureDefinition/rr-communication",
"version" : "0.0.0",
"name" : "Reportability Response Communication Profile",
"status" : "draft",
"date" : "2017-06-11T00:00:00+10:00",
"publisher" : "PHER",
"description" : "The Reportability Response Communication profile establishes then core elements, extensions, vocabularies and value sets for recording the receipt and processing of an electronic Initial Case Report (eICR) CDA document or FHIR resource. This information includes information about the reportable condition along with resources and details on where to get more information about the condition, its treatment, and reporting requirements. In the most common scenario, the Reportability Response will communicate, for one or more PHAs, which condition(s) is/are reportable, provide information about what clinical next step activities may need to occur, and other relevant resources.
The Reportability Response allows for:
- Notification, alerting, routing and queueing in work or message management systems for healthcare personnel
- Dynamic and static URIs for supplemental data collection and the provision of information resources
- If the eICR was successfully processed, then there SHOULD be:
- A Topic Subject Line
- A Topic Summary
- A way to identify the eICR either as a direct reference or through a business identifier
- References to related artifacts to assist the providers in understanding the investigating conditions.
- If the eICR CDA document was not processed and has errors, then there SHOULD be:
- A way to identify the eICR either as a direct reference or through a business identifier
- An eICR processing error reasons",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US",
"display" : "United States Minor Outlying Islands (the)"
}
]
}
],
"fhirVersion" : "3.0.1",
"mapping" : [
{
"identity" : "rr-lm",
"uri" : "http://unknown.org/RR LM",
"name" : "RR LM"
},
{
"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" : "Reportabllity Response Profile",
"definition" : "The Reportability Response Communication profile establishes then core elements, extensions, vocabularies and value sets for recording the receipt and processing of an electronic Initial Case Report (eICR) CDA document or FHIR resource. This information includes information about the reportable condition along with resources and details on where to get more information about the condition, its treatment, and reporting requirements.
The Reportability Response allows for:
- Notification, alerting, routing and queueing in work or message management systems for healthcare personnel
- Dynamic and static URIs for supplemental data collection and the provision of information resources
- If the eICR was successfully processed, then there SHOULD be:
- A Topic Subject Line
- A Topic Summary
- A way to identify the eICR either as a direct reference or through a business identifier
- References to related artifacts to assist the providers in understanding the investigating conditions.
- If the eICR CDA document was not processed and has errors, then there SHOULD be:
- A way to identify the eICR either as a direct reference or through a business identifier
- An eICR processing error reasons.",
"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" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "Entity. Role, or Act"
},
{
"identity" : "workflow",
"map" : "Event"
},
{
"identity" : "w5",
"map" : "workflow.encounter"
}
]
},
{
"id" : "Communication.id",
"path" : "Communication.id",
"short" : "Logical id of this artifact",
"definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"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"
}
],
"isSummary" : true
},
{
"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.
This 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",
"slicing" : {
"id" : "2",
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"ordered" : false,
"rules" : "open"
},
"short" : "Extension",
"definition" : "An Extension",
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
]
},
{
"id" : "Communication.extension:statusreason",
"path" : "Communication.extension",
"sliceName" : "statusReason",
"short" : "eICR processing status reason",
"definition" : "Details about eICR processing Warnings or Errors.",
"requirements" : "If the PHA system (or its intermediary) identifies an issue with the eICR, this will contain those issues as a warning.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-status-reason"
}
],
"condition" : [
"ele-1"
],
"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"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source" : "Extension"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.eICRProcessing.errorReason, RR.eICRProcessing.warningReason"
}
]
},
{
"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"
}
],
"mustSupport" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.identifier"
},
{
"identity" : "w5",
"map" : "id"
},
{
"identity" : "rr-lm",
"map" : "RR.uniqueIdentifier"
}
]
},
{
"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://fhir.hl7.org/us/ecr/StructureDefinition/rr-plandefinition"
}
],
"mustSupport" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.definition"
},
{
"identity" : "rr-lm",
"map" : "RR.authoringAgency"
}
]
},
{
"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"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.basedOn"
}
]
},
{
"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" : "eICR Processing Status",
"definition" : "The status of eICR processing, including an acknowledgemen of successful processing or any known errors encountered during eICR processing.",
"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" : "The status of the communication.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/event-status"
}
},
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.status"
},
{
"identity" : "w5",
"map" : "status"
},
{
"identity" : "rr-lm",
"map" : "RR.eICRProcessing.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"
],
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "CommunicationNotDoneReason"
}
],
"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"
}
]
},
{
"id" : "Communication.category",
"path" : "Communication.category",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "coding.code"
}
],
"rules" : "open"
},
"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" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "CommunicationCategory"
}
],
"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"
}
]
},
{
"id" : "Communication.category:priority",
"path" : "Communication.category",
"sliceName" : "priority",
"short" : "Priority Code",
"definition" : "A value indicating the overall priority of the Reportability Response, derived from the highest priority level of the links contained in the coded section.",
"comment" : "There may be multiple axes of categorization and one communication may serve multiple purposes.",
"alias" : [
"Priority Code"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Communication.category",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"mustSupport" : true,
"binding" : {
"strength" : "required",
"description" : "Category codes indicating the relative importance of a communication.",
"valueSetReference" : {
"reference" : "http://fhir.hl7.org/us/ecr/ValueSet/rr-priority"
}
},
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.code"
},
{
"identity" : "w5",
"map" : "class"
},
{
"identity" : "rr-lm",
"map" : "RR.priority"
}
]
},
{
"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"
}
],
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "CommunicationMedium"
}
],
"strength" : "example",
"description" : "Codes for communication mediums such as phone, fax, email, in person, etc.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/v3-ParticipationMode"
}
}
},
{
"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/core/StructureDefinition/us-core-patient"
}
],
"mustSupport" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.subject"
},
{
"identity" : "w5",
"map" : "who.focus"
},
{
"identity" : "rr-lm",
"map" : "RR.patient"
}
]
},
{
"id" : "Communication.recipient",
"path" : "Communication.recipient",
"short" : "EICR recipients and Intermediaries",
"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. Â 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).",
"comment" : "Reporting may be identified for multiple PHAs by the PHA system (or its intermediary) (because the patient's residence and the provider location are in separate jurisdictions) including other identified organization (such as an HIE) to which the eICR (if deemed reportable) and/or the Reportability Response will be routed.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Communication.recipient",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/ecr-organization"
}
],
"mustSupport" : true,
"mapping" : [
{
"identity" : "w5",
"map" : "who.focus"
},
{
"identity" : "rr-lm",
"map" : "RR.Responsible Agent, RR.routingEntity"
}
]
},
{
"id" : "Communication.recipient.id",
"path" : "Communication.recipient.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.recipient.extension",
"path" : "Communication.recipient.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"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.recipient.extension:locationrelevance",
"path" : "Communication.recipient.extension",
"sliceName" : "locationRelevance",
"short" : "Location Relevance",
"definition" : "A code indicating whether the responsible PHA is relevant because of the patient's home address, the provider facility address, or both.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-location-relevance"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.locationRelevance"
}
]
},
{
"id" : "Communication.recipient.extension:locationrelevance.id",
"path" : "Communication.recipient.extension.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.recipient.extension:locationrelevance.extension",
"path" : "Communication.recipient.extension.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"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.recipient.extension:locationrelevance.url",
"path" : "Communication.recipient.extension.url",
"representation" : [
"xmlAttr"
],
"short" : "identifies the meaning of the extension",
"definition" : "Source of the definition for the extension code - a logical name or a URL.",
"comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Extension.url",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"fixedUri" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-location-relevance",
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Communication.recipient.extension:locationrelevance.valueCode",
"path" : "Communication.recipient.extension.valueCode",
"short" : "Value of extension",
"definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Extension.value[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"binding" : {
"strength" : "required",
"description" : "Indicates whether the responsible PHA is relevant because of the patient's home address, the provider facility address, or both",
"valueSetReference" : {
"reference" : "ValueSet/lr-codes"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Communication.recipient.reference",
"path" : "Communication.recipient.reference",
"short" : "Literal reference, Relative, internal or absolute URL",
"definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Reference.reference",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"condition" : [
"ref-1"
],
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Communication.recipient.identifier",
"path" : "Communication.recipient.identifier",
"short" : "Logical reference, when literal reference is not known",
"definition" : "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.
When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference
Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Reference.identifier",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Identifier"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : ".identifier"
}
]
},
{
"id" : "Communication.recipient.display",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean" : true
}
],
"path" : "Communication.recipient.display",
"short" : "Text alternative for the resource",
"definition" : "Plain text narrative that identifies the resource in addition to the resource reference.",
"comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Reference.display",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Communication.topic",
"path" : "Communication.topic",
"short" : "Reportability Response summary",
"definition" : "What this RR Communcation is about.",
"comment" : "Use the [`.display`] (http://build.fhir.org/references-definitions.html#Reference.display) element to represent the text.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Communication.topic",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Any"
}
],
"mustSupport" : true,
"mapping" : [
{
"identity" : "w5",
"map" : "context"
},
{
"identity" : "rr-lm",
"map" : "RR.eICR"
}
]
},
{
"id" : "Communication.topic.id",
"path" : "Communication.topic.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.topic.extension",
"path" : "Communication.topic.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"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.topic.extension:topicsubject",
"path" : "Communication.topic.extension",
"sliceName" : "topicSubject",
"short" : "Subject line",
"definition" : "A succinct, human-readable narrative text that can be used as a subject header in a message queue, much like an email subject.",
"comment" : "The `text` elelement can be used without any codings.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-subject"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.subject"
}
]
},
{
"id" : "Communication.topic.extension:topicsubject.id",
"path" : "Communication.topic.extension.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.topic.extension:topicsubject.extension",
"path" : "Communication.topic.extension.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"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.topic.extension:topicsubject.url",
"path" : "Communication.topic.extension.url",
"representation" : [
"xmlAttr"
],
"short" : "identifies the meaning of the extension",
"definition" : "Source of the definition for the extension code - a logical name or a URL.",
"comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Extension.url",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"fixedUri" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-subject",
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Communication.topic.extension:topicsubject.valueCodeableConcept",
"path" : "Communication.topic.extension.valueCodeableConcept",
"short" : "Value of extension",
"definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Extension.value[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Communication.topic.extension:topicsummary",
"path" : "Communication.topic.extension",
"sliceName" : "topicSummary",
"short" : "Summary",
"definition" : "A human-readable narrative summary that contains a reportability determination, the responsible PHA(s), and the PHA(s) that will be sent the eICR (when deemed reportable).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-summary"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.summary"
}
]
},
{
"id" : "Communication.topic.extension:topicsummary.id",
"path" : "Communication.topic.extension.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.topic.extension:topicsummary.extension",
"path" : "Communication.topic.extension.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"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.topic.extension:topicsummary.url",
"path" : "Communication.topic.extension.url",
"representation" : [
"xmlAttr"
],
"short" : "identifies the meaning of the extension",
"definition" : "Source of the definition for the extension code - a logical name or a URL.",
"comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Extension.url",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"fixedUri" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-summary",
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Communication.topic.extension:topicsummary.valueMarkdown",
"path" : "Communication.topic.extension.valueMarkdown",
"short" : "Value of extension",
"definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Extension.value[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "markdown"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Communication.topic.extension:topicreportable",
"path" : "Communication.topic.extension",
"sliceName" : "topicReportable",
"short" : "Determination of Reportability",
"definition" : "The determination of reportability generated by the PHA system (or its intermediary). Generally, this is expected to be Yes, No, or Maybe.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-dor"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.determinationofReportability.code"
}
]
},
{
"id" : "Communication.topic.extension:topicreportable.id",
"path" : "Communication.topic.extension.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.topic.extension:topicreportable.extension",
"path" : "Communication.topic.extension.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"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.topic.extension:topicreportable.url",
"path" : "Communication.topic.extension.url",
"representation" : [
"xmlAttr"
],
"short" : "identifies the meaning of the extension",
"definition" : "Source of the definition for the extension code - a logical name or a URL.",
"comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Extension.url",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"fixedUri" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-dor",
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Communication.topic.extension:topicreportable.valueCode",
"path" : "Communication.topic.extension.valueCode",
"short" : "Value of extension",
"definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Extension.value[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"binding" : {
"strength" : "required",
"description" : "The determination of reportability generated by the PHA system (or its intermediary).",
"valueSetReference" : {
"reference" : "http://fhir.hl7.org/us/ecr/ValueSet/dor"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Communication.topic.extension:topicreportablereason",
"path" : "Communication.topic.extension",
"sliceName" : "topicReportableReason",
"short" : "Determination of Reportability Reason",
"definition" : "A reason code indicating the reason for the reportability status.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-dor-reason"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.determinationofReportability.reason"
}
]
},
{
"id" : "Communication.topic.extension:topicreportablereason.id",
"path" : "Communication.topic.extension.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.topic.extension:topicreportablereason.extension",
"path" : "Communication.topic.extension.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"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.topic.extension:topicreportablereason.url",
"path" : "Communication.topic.extension.url",
"representation" : [
"xmlAttr"
],
"short" : "identifies the meaning of the extension",
"definition" : "Source of the definition for the extension code - a logical name or a URL.",
"comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Extension.url",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"fixedUri" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-dor-reason",
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Communication.topic.extension:topicreportablereason.valueCodeableConcept",
"path" : "Communication.topic.extension.valueCodeableConcept",
"short" : "Value of extension",
"definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Extension.value[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"strength" : "required",
"description" : "A reason code indicating the reason for the reportability status",
"valueSetReference" : {
"reference" : "http://fhir.hl7.org/us/ecr/ValueSet/dor-reason"
}
},
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Communication.topic.extension:topicreportablerule",
"path" : "Communication.topic.extension",
"sliceName" : "topicReportableRule",
"short" : "Determination of Reportability Rule",
"definition" : "A rule that was involved in the determination of the reportability status.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-dor-rule"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.determination of Reportability.rule"
}
]
},
{
"id" : "Communication.topic.extension:topicreportablerule.id",
"path" : "Communication.topic.extension.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.topic.extension:topicreportablerule.extension",
"path" : "Communication.topic.extension.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"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.topic.extension:topicreportablerule.url",
"path" : "Communication.topic.extension.url",
"representation" : [
"xmlAttr"
],
"short" : "identifies the meaning of the extension",
"definition" : "Source of the definition for the extension code - a logical name or a URL.",
"comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Extension.url",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"fixedUri" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-dor-rule",
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Communication.topic.extension:topicreportablerule.valueString",
"path" : "Communication.topic.extension.valueString",
"short" : "Value of extension",
"definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Extension.value[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Communication.topic.reference",
"path" : "Communication.topic.reference",
"short" : "Literal reference, Relative, internal or absolute URL",
"definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Reference.reference",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"condition" : [
"ref-1"
],
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Communication.topic.identifier",
"path" : "Communication.topic.identifier",
"short" : "Logical reference, when literal reference is not known",
"definition" : "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.
When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference
Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Reference.identifier",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Identifier"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : ".identifier"
}
]
},
{
"id" : "Communication.topic.display",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean" : true
}
],
"path" : "Communication.topic.display",
"short" : "Text alternative for the resource",
"definition" : "Plain text narrative that identifies the resource in addition to the resource reference.",
"comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Reference.display",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Communication.context",
"path" : "Communication.context",
"short" : "eICR encompassing encounter ID",
"definition" : "The encompassing encounter ID from the eICR that generatedthe Reportability Response.",
"alias" : [
"encounter"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Communication.context",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/eicr-encounter"
}
],
"mustSupport" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.context"
},
{
"identity" : "w5",
"map" : "context"
},
{
"identity" : "rr-lm",
"map" : "eICR Encompassing Encounter ID"
}
]
},
{
"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"
}
],
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.occurrenceDateTime (Invariant: maps to either sent OR received)"
},
{
"identity" : "w5",
"map" : "when.init"
}
]
},
{
"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" : false,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.occurrenceDateTime (Invariant: maps to either sent OR received)"
},
{
"identity" : "w5",
"map" : "when.done"
},
{
"identity" : "rr-lm",
"map" : "RR.eICR.receiptDateTime"
}
]
},
{
"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.",
"comment" : "If only representing only a Provider or only a Facility use this element. If representing both a Provider and a Facility use this element to represent the Provider and the *onBehalfOf* Extension to represent the Facility.",
"alias" : [
"Provider or Facility"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Communication.sender",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Device"
},
{
"code" : "Reference",
"targetProfile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/ecr-organization"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
}
],
"mustSupport" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.performer.actor"
},
{
"identity" : "w5",
"map" : "who.actor"
},
{
"identity" : "rr-lm",
"map" : "RR.provider|RR.facility"
}
]
},
{
"id" : "Communication.sender.id",
"path" : "Communication.sender.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.sender.extension",
"path" : "Communication.sender.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"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.sender.extension:senderrole",
"path" : "Communication.sender.extension",
"sliceName" : "SenderRole",
"short" : "Extension",
"definition" : "An Extension",
"comment" : "If representing both a sending Provider and a sending Facility use this Extension to reference PractitiionerRole.",
"alias" : [
"PractitionerRole"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-practitioner-role"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.provider|RR.facility"
}
]
},
{
"id" : "Communication.sender.extension:senderrole.id",
"path" : "Communication.sender.extension.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.sender.extension:senderrole.extension",
"path" : "Communication.sender.extension.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"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.sender.extension:senderrole.url",
"path" : "Communication.sender.extension.url",
"representation" : [
"xmlAttr"
],
"short" : "identifies the meaning of the extension",
"definition" : "Source of the definition for the extension code - a logical name or a URL.",
"comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Extension.url",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"fixedUri" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-practitioner-role",
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Communication.sender.extension:senderrole.valueReference",
"path" : "Communication.sender.extension.valueReference",
"short" : "Value of extension",
"definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Extension.value[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Communication.sender.reference",
"path" : "Communication.sender.reference",
"short" : "Literal reference, Relative, internal or absolute URL",
"definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Reference.reference",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"condition" : [
"ref-1"
],
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Communication.sender.identifier",
"path" : "Communication.sender.identifier",
"short" : "Logical reference, when literal reference is not known",
"definition" : "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.
When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference
Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Reference.identifier",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Identifier"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : ".identifier"
}
]
},
{
"id" : "Communication.sender.display",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean" : true
}
],
"path" : "Communication.sender.display",
"short" : "Text alternative for the resource",
"definition" : "Plain text narrative that identifies the resource in addition to the resource reference.",
"comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Reference.display",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Communication.reasonCode",
"path" : "Communication.reasonCode",
"short" : "Reportable Condition",
"definition" : "A code indicating a condition associated with an RCTC trigger code in the eICR.",
"comment" : "Textual reasons can be caprued using reasonCode.text.",
"alias" : [
"RCTC trigger code"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Communication.reasonCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"mustSupport" : true,
"isSummary" : true,
"binding" : {
"strength" : "example",
"description" : "Indicate a condition associated with an RCTC trigger code in the eICR",
"valueSetReference" : {
"reference" : "http://fhir.hl7.org/us/ecr/ValueSet/rctc"
}
},
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.reasonCodableConcept"
},
{
"identity" : "rim",
"map" : ".reasonCode"
},
{
"identity" : "w5",
"map" : "why"
},
{
"identity" : "rr-lm",
"map" : "RR.ReportableCondition"
}
]
},
{
"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"
}
],
"mustSupport" : true,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.eICR"
}
]
},
{
"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",
"slicing" : {
"id" : "3",
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"ordered" : false,
"rules" : "open"
},
"short" : "Extension",
"definition" : "An Extension",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
]
},
{
"id" : "Communication.payload.extension:manuallyinitiated",
"path" : "Communication.payload.extension",
"sliceName" : "manuallyInitiated",
"short" : "Manually Initiated eICR",
"definition" : "If the incoming eICR was manually generated by the provider (as opposed to automatically-generated based on the existence of a trigger code from the RCTC) then this will be present.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-manual-init"
}
],
"condition" : [
"ele-1"
],
"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"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source" : "Extension"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.eICR.manuallyInitiated"
}
]
},
{
"id" : "Communication.payload.extension:manuallyinitiatedreason",
"path" : "Communication.payload.extension",
"sliceName" : "manuallyInitiatedReason",
"short" : "Initial Case Report Manual Initiation Reason*",
"definition" : "Reason for manual initiation of the eICR.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-manual-init-reason"
}
],
"condition" : [
"ele-1"
],
"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"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source" : "Extension"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.eICR.manuallyInitiatedReason"
}
]
},
{
"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" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/DocumentReference"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Binary"
}
],
"mustSupport" : false
},
{
"id" : "Communication.payload.content[x].id",
"path" : "Communication.payload.content[x].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.content[x].extension",
"path" : "Communication.payload.content[x].extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"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.content[x].reference",
"path" : "Communication.payload.content[x].reference",
"short" : "Reference to eICR CDA Document",
"definition" : "At a minimum, each Reportability Response should contain the unique document ID associated with the eICR that initiated its generation.",
"comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Reference.reference",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"condition" : [
"ref-1"
],
"mustSupport" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
},
{
"identity" : "rr-lm",
"map" : "RR.eICR.CDADocumentReference"
}
]
},
{
"id" : "Communication.payload.content[x].identifier",
"path" : "Communication.payload.content[x].identifier",
"short" : "eICR CDA Document ID*",
"definition" : "At a minimum, each Reportability Response should contain the unique document ID associated with the eICR that initiated its generation.",
"comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.
When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference
Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Reference.identifier",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Identifier"
}
],
"mustSupport" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : ".identifier"
},
{
"identity" : "rr-lm",
"map" : "RR.eICR.CDADocumentID"
}
]
},
{
"id" : "Communication.payload.content[x].display",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean" : true
}
],
"path" : "Communication.payload.content[x].display",
"short" : "Filename of eICR",
"definition" : "The filename of the eICR (to assist with troubleshooting in the event that the eICR cannot be parsed).",
"comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Reference.display",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mustSupport" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
},
{
"identity" : "rr-lm",
"map" : "RR.eICR.filename"
}
]
},
{
"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"
}
],
"mustSupport" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.note"
}
]
}
]
},
"differential" : {
"element" : [
{
"id" : "Communication",
"path" : "Communication",
"short" : "Reportabllity Response Profile",
"definition" : "The Reportability Response Communication profile establishes then core elements, extensions, vocabularies and value sets for recording the receipt and processing of an electronic Initial Case Report (eICR) CDA document or FHIR resource. This information includes information about the reportable condition along with resources and details on where to get more information about the condition, its treatment, and reporting requirements.
The Reportability Response allows for:
- Notification, alerting, routing and queueing in work or message management systems for healthcare personnel
- Dynamic and static URIs for supplemental data collection and the provision of information resources
- If the eICR was successfully processed, then there SHOULD be:
- A Topic Subject Line
- A Topic Summary
- A way to identify the eICR either as a direct reference or through a business identifier
- References to related artifacts to assist the providers in understanding the investigating conditions.
- If the eICR CDA document was not processed and has errors, then there SHOULD be:
- A way to identify the eICR either as a direct reference or through a business identifier
- An eICR processing error reasons.",
"mustSupport" : true,
"isModifier" : false
},
{
"id" : "Communication.extension:statusreason",
"path" : "Communication.extension",
"sliceName" : "statusReason",
"short" : "eICR processing status reason",
"definition" : "Details about eICR processing Warnings or Errors.",
"requirements" : "If the PHA system (or its intermediary) identifies an issue with the eICR, this will contain those issues as a warning.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-status-reason"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.eICRProcessing.errorReason, RR.eICRProcessing.warningReason"
}
]
},
{
"id" : "Communication.identifier",
"path" : "Communication.identifier",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Identifier"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.uniqueIdentifier"
}
]
},
{
"id" : "Communication.definition",
"path" : "Communication.definition",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/rr-plandefinition"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.authoringAgency"
}
]
},
{
"id" : "Communication.status",
"path" : "Communication.status",
"short" : "eICR Processing Status",
"definition" : "The status of eICR processing, including an acknowledgemen of successful processing or any known errors encountered during eICR processing.",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "code"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"strength" : "required",
"description" : "The status of the communication.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/event-status"
}
},
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.eICRProcessing.status"
}
]
},
{
"id" : "Communication.category",
"path" : "Communication.category",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "coding.code"
}
],
"rules" : "open"
},
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "CodeableConcept"
}
],
"mustSupport" : true,
"isModifier" : false
},
{
"id" : "Communication.category:priority",
"path" : "Communication.category",
"sliceName" : "priority",
"short" : "Priority Code",
"definition" : "A value indicating the overall priority of the Reportability Response, derived from the highest priority level of the links contained in the coded section.",
"alias" : [
"Priority Code"
],
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"strength" : "required",
"description" : "Category codes indicating the relative importance of a communication.",
"valueSetReference" : {
"reference" : "http://fhir.hl7.org/us/ecr/ValueSet/rr-priority"
}
},
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.priority"
}
]
},
{
"id" : "Communication.subject",
"path" : "Communication.subject",
"alias" : [
"patient"
],
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.patient"
}
]
},
{
"id" : "Communication.recipient",
"path" : "Communication.recipient",
"short" : "EICR recipients and Intermediaries",
"comment" : "Reporting may be identified for multiple PHAs by the PHA system (or its intermediary) (because the patient's residence and the provider location are in separate jurisdictions) including other identified organization (such as an HIE) to which the eICR (if deemed reportable) and/or the Reportability Response will be routed.",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/ecr-organization"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.Responsible Agent, RR.routingEntity"
}
]
},
{
"id" : "Communication.recipient.extension:locationrelevance",
"path" : "Communication.recipient.extension",
"sliceName" : "locationRelevance",
"short" : "Location Relevance",
"definition" : "A code indicating whether the responsible PHA is relevant because of the patient's home address, the provider facility address, or both.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-location-relevance"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.locationRelevance"
}
]
},
{
"id" : "Communication.topic",
"path" : "Communication.topic",
"short" : "Reportability Response summary",
"definition" : "What this RR Communcation is about.",
"comment" : "Use the [`.display`] (http://build.fhir.org/references-definitions.html#Reference.display) element to represent the text.",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Any"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.eICR"
}
]
},
{
"id" : "Communication.topic.extension:topicsubject",
"path" : "Communication.topic.extension",
"sliceName" : "topicSubject",
"short" : "Subject line",
"definition" : "A succinct, human-readable narrative text that can be used as a subject header in a message queue, much like an email subject.",
"comment" : "The `text` elelement can be used without any codings.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-subject"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.subject"
}
]
},
{
"id" : "Communication.topic.extension:topicsummary",
"path" : "Communication.topic.extension",
"sliceName" : "topicSummary",
"short" : "Summary",
"definition" : "A human-readable narrative summary that contains a reportability determination, the responsible PHA(s), and the PHA(s) that will be sent the eICR (when deemed reportable).",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-summary"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.summary"
}
]
},
{
"id" : "Communication.topic.extension:topicreportable",
"path" : "Communication.topic.extension",
"sliceName" : "topicReportable",
"short" : "Determination of Reportability",
"definition" : "The determination of reportability generated by the PHA system (or its intermediary). Generally, this is expected to be Yes, No, or Maybe.",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Extension",
"profile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-dor"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"strength" : "required",
"description" : "The determination of reportability generated by the PHA system (or its intermediary).",
"valueSetReference" : {
"reference" : "http://fhir.hl7.org/us/ecr/ValueSet/dor"
}
},
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.determinationofReportability.code"
}
]
},
{
"id" : "Communication.topic.extension:topicreportablereason",
"path" : "Communication.topic.extension",
"sliceName" : "topicReportableReason",
"short" : "Determination of Reportability Reason",
"definition" : "A reason code indicating the reason for the reportability status.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-dor-reason"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"strength" : "required",
"description" : "A reason code indicating the reason for the reportability status",
"valueSetReference" : {
"reference" : "http://fhir.hl7.org/us/ecr/ValueSet/dor-reason"
}
},
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.determinationofReportability.reason"
}
]
},
{
"id" : "Communication.topic.extension:topicreportablerule",
"path" : "Communication.topic.extension",
"sliceName" : "topicReportableRule",
"short" : "Determination of Reportability Rule",
"definition" : "A rule that was involved in the determination of the reportability status.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-dor-rule"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.determination of Reportability.rule"
}
]
},
{
"id" : "Communication.context",
"path" : "Communication.context",
"short" : "eICR encompassing encounter ID",
"definition" : "The encompassing encounter ID from the eICR that generatedthe Reportability Response.",
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/eicr-encounter"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "eICR Encompassing Encounter ID"
}
]
},
{
"id" : "Communication.received",
"path" : "Communication.received",
"mustSupport" : false,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.eICR.receiptDateTime"
}
]
},
{
"id" : "Communication.sender",
"path" : "Communication.sender",
"comment" : "If only representing only a Provider or only a Facility use this element. If representing both a Provider and a Facility use this element to represent the Provider and the *onBehalfOf* Extension to represent the Facility.",
"alias" : [
"Provider or Facility"
],
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Device"
},
{
"code" : "Reference",
"targetProfile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/ecr-organization"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.provider|RR.facility"
}
]
},
{
"id" : "Communication.sender.extension:senderrole",
"path" : "Communication.sender.extension",
"sliceName" : "SenderRole",
"comment" : "If representing both a sending Provider and a sending Facility use this Extension to reference PractitiionerRole.",
"alias" : [
"PractitionerRole"
],
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-practitioner-role"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.provider|RR.facility"
}
]
},
{
"id" : "Communication.reasonCode",
"path" : "Communication.reasonCode",
"short" : "Reportable Condition",
"definition" : "A code indicating a condition associated with an RCTC trigger code in the eICR.",
"alias" : [
"RCTC trigger code"
],
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "CodeableConcept"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"strength" : "example",
"description" : "Indicate a condition associated with an RCTC trigger code in the eICR",
"valueSetReference" : {
"reference" : "http://fhir.hl7.org/us/ecr/ValueSet/rctc"
}
},
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.ReportableCondition"
}
]
},
{
"id" : "Communication.payload",
"path" : "Communication.payload",
"min" : 0,
"max" : "*",
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.eICR"
}
]
},
{
"id" : "Communication.payload.extension:manuallyinitiated",
"path" : "Communication.payload.extension",
"sliceName" : "manuallyInitiated",
"short" : "Manually Initiated eICR",
"definition" : "If the incoming eICR was manually generated by the provider (as opposed to automatically-generated based on the existence of a trigger code from the RCTC) then this will be present.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-manual-init"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.eICR.manuallyInitiated"
}
]
},
{
"id" : "Communication.payload.extension:manuallyinitiatedreason",
"path" : "Communication.payload.extension",
"sliceName" : "manuallyInitiatedReason",
"short" : "Initial Case Report Manual Initiation Reason*",
"definition" : "Reason for manual initiation of the eICR.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://fhir.hl7.org/us/ecr/StructureDefinition/extension-manual-init-reason"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.eICR.manuallyInitiatedReason"
}
]
},
{
"id" : "Communication.payload.contentReference",
"path" : "Communication.payload.contentReference",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/DocumentReference"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Binary"
}
],
"mustSupport" : false,
"isModifier" : false
},
{
"id" : "Communication.payload.contentReference.reference",
"path" : "Communication.payload.contentReference.reference",
"short" : "Reference to eICR CDA Document",
"definition" : "At a minimum, each Reportability Response should contain the unique document ID associated with the eICR that initiated its generation.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.eICR.CDADocumentReference"
}
]
},
{
"id" : "Communication.payload.contentReference.identifier",
"path" : "Communication.payload.contentReference.identifier",
"short" : "eICR CDA Document ID*",
"definition" : "At a minimum, each Reportability Response should contain the unique document ID associated with the eICR that initiated its generation.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Identifier"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.eICR.CDADocumentID"
}
]
},
{
"id" : "Communication.payload.contentReference.display",
"path" : "Communication.payload.contentReference.display",
"short" : "Filename of eICR",
"definition" : "The filename of the eICR (to assist with troubleshooting in the event that the eICR cannot be parsed).",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rr-lm",
"map" : "RR.eICR.filename"
}
]
},
{
"id" : "Communication.note",
"path" : "Communication.note",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Annotation"
}
],
"mustSupport" : true,
"isModifier" : false
}
]
}
}
