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 
XML Format: StructureDefinition-rr-communication
Raw xml
<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="rr-communication"/> <text> <status value="generated"/> <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> </text> <url value="http://fhir.hl7.org/us/ecr/StructureDefinition/rr-communication"/> <version value="0.0.0"/> <name value="Reportability Response Communication Profile"/> <status value="draft"/> <date value="2017-06-11T00:00:00+10:00"/> <publisher value="PHER"/> <description value="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 value="urn:iso:std:iso:3166"/> <code value="US"/> <display value="United States Minor Outlying Islands (the)"/> </coding> </jurisdiction> <fhirVersion value="3.0.1"/> <mapping> <identity value="rr-lm"/> <uri value="http://unknown.org/RR LM"/> <name value="RR LM"/> </mapping> <mapping> <identity value="workflow"/> <uri value="http://hl7.org/fhir/workflow"/> <name value="Workflow Mapping"/> </mapping> <mapping> <identity value="w5"/> <uri value="http://hl7.org/fhir/w5"/> <name value="W5 Mapping"/> </mapping> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <kind value="resource"/> <abstract value="false"/> <type value="Communication"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Communication"/> <derivation value="constraint"/> <snapshot> <element id="Communication"> <path value="Communication"/> <short value="Reportabllity Response Profile"/> <definition value="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 value="0"/> <max value="*"/> <base> <path value="Communication"/> <min value="0"/> <max value="*"/> </base> <constraint> <key value="dom-2"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> <expression value="contained.contained.empty()"/> <xpath value="not(parent::f:contained and f:contained)"/> <source value="DomainResource"/> </constraint> <constraint> <key value="dom-1"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/> <expression value="contained.text.empty()"/> <xpath value="not(parent::f:contained and f:text)"/> <source value="DomainResource"/> </constraint> <constraint> <key value="dom-4"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> <source value="DomainResource"/> </constraint> <constraint> <key value="dom-3"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource"/> <expression value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()"/> <xpath value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))"/> <source value="DomainResource"/> </constraint> <constraint> <key value="com-1"/> <severity value="error"/> <human value="Not Done Reason can only be specified if NotDone is "true""/> <expression value="notDone or notDoneReason.exists().not()"/> <xpath value="f:notDone/@value=true() or not(exists(f:notDoneReason))"/> <source value="Communication"/> </constraint> <mustSupport value="true"/> <mapping> <identity value="rim"/> <map value="Entity. Role, or Act"/> </mapping> <mapping> <identity value="workflow"/> <map value="Event"/> </mapping> <mapping> <identity value="w5"/> <map value="workflow.encounter"/> </mapping> </element> <element id="Communication.id"> <path value="Communication.id"/> <short value="Logical id of this artifact"/> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="Resource.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="id"/> </type> <isSummary value="true"/> </element> <element id="Communication.meta"> <path value="Communication.meta"/> <short value="Metadata about the resource"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="Resource.meta"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Meta"/> </type> <isSummary value="true"/> </element> <element id="Communication.implicitRules"> <path value="Communication.implicitRules"/> <short value="A set of rules under which this content was created"/> <definition value="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 value="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 value="0"/> <max value="1"/> <base> <path value="Resource.implicitRules"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <isModifier value="true"/> <isSummary value="true"/> </element> <element id="Communication.language"> <path value="Communication.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="Resource.language"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueReference> <reference value="http://hl7.org/fhir/ValueSet/all-languages"/> </valueReference> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true"/> </extension> <strength value="extensible"/> <description value="A human language."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/languages"/> </valueSetReference> </binding> </element> <element id="Communication.text"> <path value="Communication.text"/> <short value="Text summary of the resource, for human interpretation"/> <definition value="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 value="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 value="narrative"/> <alias value="html"/> <alias value="xhtml"/> <alias value="display"/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <condition value="dom-1"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="Communication.contained"> <path value="Communication.contained"/> <short value="Contained, inline Resources"/> <definition value="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 value="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 value="inline resources"/> <alias value="anonymous resources"/> <alias value="contained resources"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.contained"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Resource"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.extension"> <path value="Communication.extension"/> <slicing id="2"> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="Communication.extension:statusreason"> <path value="Communication.extension"/> <sliceName value="statusReason"/> <short value="eICR processing status reason"/> <definition value="Details about eICR processing Warnings or Errors."/> <requirements value="If the PHA system (or its intermediary) identifies an issue with the eICR, this will contain those issues as a warning."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://fhir.hl7.org/us/ecr/StructureDefinition/extension-status-reason"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="RR.eICRProcessing.errorReason, RR.eICRProcessing.warningReason"/> </mapping> </element> <element id="Communication.modifierExtension"> <path value="Communication.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="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 value="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 value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.identifier"> <path value="Communication.identifier"/> <short value="Unique identifier"/> <definition value="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 value="0"/> <max value="*"/> <base> <path value="Communication.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.identifier"/> </mapping> <mapping> <identity value="w5"/> <map value="id"/> </mapping> <mapping> <identity value="rr-lm"/> <map value="RR.uniqueIdentifier"/> </mapping> </element> <element id="Communication.definition"> <path value="Communication.definition"/> <short value="Instantiates protocol or definition"/> <definition value="A protocol, guideline, or other definition that was adhered to in whole or in part by this communication event."/> <min value="0"/> <max value="*"/> <base> <path value="Communication.definition"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://fhir.hl7.org/us/ecr/StructureDefinition/rr-plandefinition"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.definition"/> </mapping> <mapping> <identity value="rr-lm"/> <map value="RR.authoringAgency"/> </mapping> </element> <element id="Communication.basedOn"> <path value="Communication.basedOn"/> <short value="Request fulfilled by this communication"/> <definition value="An order, proposal or plan fulfilled in whole or in part by this Communication."/> <comment value="This must point to some sort of a 'Request' resource, such as CarePlan, CommunicationRequest, ReferralRequest, MedicationRequest, etc."/> <alias value="fulfills"/> <min value="0"/> <max value="*"/> <base> <path value="Communication.basedOn"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.basedOn"/> </mapping> </element> <element id="Communication.partOf"> <path value="Communication.partOf"/> <short value="Part of this action"/> <definition value="Part of this action."/> <alias value="container"/> <min value="0"/> <max value="*"/> <base> <path value="Communication.partOf"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.partOf"/> </mapping> </element> <element id="Communication.status"> <path value="Communication.status"/> <short value="eICR Processing Status"/> <definition value="The status of eICR processing, including an acknowledgemen of successful processing or any known errors encountered during eICR processing."/> <comment value="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 value="1"/> <max value="1"/> <base> <path value="Communication.status"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mustSupport value="true"/> <isModifier value="true"/> <isSummary value="true"/> <binding> <strength value="required"/> <description value="The status of the communication."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/event-status"/> </valueSetReference> </binding> <mapping> <identity value="workflow"/> <map value="Event.status"/> </mapping> <mapping> <identity value="w5"/> <map value="status"/> </mapping> <mapping> <identity value="rr-lm"/> <map value="RR.eICRProcessing.status"/> </mapping> </element> <element id="Communication.notDone"> <path value="Communication.notDone"/> <short value="Communication did not occur"/> <definition value="If true, indicates that the described communication event did not actually occur."/> <comment value="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 value="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 value="0"/> <max value="1"/> <base> <path value="Communication.notDone"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.notDone"/> </mapping> </element> <element id="Communication.notDoneReason"> <path value="Communication.notDoneReason"/> <short value="Why communication did not occur"/> <definition value="Describes why the communication event did not occur in coded and/or textual form."/> <min value="0"/> <max value="1"/> <base> <path value="Communication.notDoneReason"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="com-1"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="CommunicationNotDoneReason"/> </extension> <strength value="example"/> <description value="Codes for the reason why a communication was not done."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/communication-not-done-reason"/> </valueSetReference> </binding> <mapping> <identity value="workflow"/> <map value="Event.notDoneReason"/> </mapping> </element> <element id="Communication.category"> <path value="Communication.category"/> <slicing> <discriminator> <type value="value"/> <path value="coding.code"/> </discriminator> <rules value="open"/> </slicing> <short value="Message category"/> <definition value="The type of message conveyed such as alert, notification, reminder, instruction, etc."/> <comment value="There may be multiple axes of categorization and one communication may serve multiple purposes."/> <min value="0"/> <max value="*"/> <base> <path value="Communication.category"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <mustSupport value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="CommunicationCategory"/> </extension> <strength value="example"/> <description value="Codes for general categories of communications such as alerts, instruction, etc."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/communication-category"/> </valueSetReference> </binding> <mapping> <identity value="workflow"/> <map value="Event.code"/> </mapping> <mapping> <identity value="w5"/> <map value="class"/> </mapping> </element> <element id="Communication.category:priority"> <path value="Communication.category"/> <sliceName value="priority"/> <short value="Priority Code"/> <definition value="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 value="There may be multiple axes of categorization and one communication may serve multiple purposes."/> <alias value="Priority Code"/> <min value="1"/> <max value="1"/> <base> <path value="Communication.category"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <mustSupport value="true"/> <binding> <strength value="required"/> <description value="Category codes indicating the relative importance of a communication."/> <valueSetReference> <reference value="http://fhir.hl7.org/us/ecr/ValueSet/rr-priority"/> </valueSetReference> </binding> <mapping> <identity value="workflow"/> <map value="Event.code"/> </mapping> <mapping> <identity value="w5"/> <map value="class"/> </mapping> <mapping> <identity value="rr-lm"/> <map value="RR.priority"/> </mapping> </element> <element id="Communication.medium"> <path value="Communication.medium"/> <short value="A channel of communication"/> <definition value="A channel that was used for this communication (e.g. email, fax)."/> <min value="0"/> <max value="*"/> <base> <path value="Communication.medium"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="CommunicationMedium"/> </extension> <strength value="example"/> <description value="Codes for communication mediums such as phone, fax, email, in person, etc."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/v3-ParticipationMode"/> </valueSetReference> </binding> </element> <element id="Communication.subject"> <path value="Communication.subject"/> <short value="Focus of message"/> <definition value="The patient or group that was the focus of this communication."/> <alias value="patient"/> <min value="0"/> <max value="1"/> <base> <path value="Communication.subject"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.subject"/> </mapping> <mapping> <identity value="w5"/> <map value="who.focus"/> </mapping> <mapping> <identity value="rr-lm"/> <map value="RR.patient"/> </mapping> </element> <element id="Communication.recipient"> <path value="Communication.recipient"/> <short value="EICR recipients and Intermediaries"/> <definition value="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 value="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 value="0"/> <max value="*"/> <base> <path value="Communication.recipient"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://fhir.hl7.org/us/ecr/StructureDefinition/ecr-organization"/> </type> <mustSupport value="true"/> <mapping> <identity value="w5"/> <map value="who.focus"/> </mapping> <mapping> <identity value="rr-lm"/> <map value="RR.Responsible Agent, RR.routingEntity"/> </mapping> </element> <element id="Communication.recipient.id"> <path value="Communication.recipient.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.recipient.extension"> <path value="Communication.recipient.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="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 value="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 value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.recipient.extension:locationrelevance"> <path value="Communication.recipient.extension"/> <sliceName value="locationRelevance"/> <short value="Location Relevance"/> <definition value="A code indicating whether the responsible PHA is relevant because of the patient's home address, the provider facility address, or both."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://fhir.hl7.org/us/ecr/StructureDefinition/extension-location-relevance"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="RR.locationRelevance"/> </mapping> </element> <element id="Communication.recipient.extension:locationrelevance.id"> <path value="Communication.recipient.extension.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.recipient.extension:locationrelevance.extension"> <path value="Communication.recipient.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="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 value="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 value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.recipient.extension:locationrelevance.url"> <path value="Communication.recipient.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="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 value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="http://fhir.hl7.org/us/ecr/StructureDefinition/extension-location-relevance"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.recipient.extension:locationrelevance.valueCode"> <path value="Communication.recipient.extension.valueCode"/> <short value="Value of extension"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="Indicates whether the responsible PHA is relevant because of the patient's home address, the provider facility address, or both"/> <valueSetReference> <reference value="ValueSet/lr-codes"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.recipient.reference"> <path value="Communication.recipient.reference"/> <short value="Literal reference, Relative, internal or absolute URL"/> <definition value="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 value="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 value="0"/> <max value="1"/> <base> <path value="Reference.reference"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ref-1"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.recipient.identifier"> <path value="Communication.recipient.identifier"/> <short value="Logical reference, when literal reference is not known"/> <definition value="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 value="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 value="0"/> <max value="1"/> <base> <path value="Reference.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".identifier"/> </mapping> </element> <element id="Communication.recipient.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Communication.recipient.display"/> <short value="Text alternative for the resource"/> <definition value="Plain text narrative that identifies the resource in addition to the resource reference."/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="Reference.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.topic"> <path value="Communication.topic"/> <short value="Reportability Response summary"/> <definition value="What this RR Communcation is about."/> <comment value="Use the [`.display`] (http://build.fhir.org/references-definitions.html#Reference.display) element to represent the text."/> <min value="0"/> <max value="*"/> <base> <path value="Communication.topic"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Any"/> </type> <mustSupport value="true"/> <mapping> <identity value="w5"/> <map value="context"/> </mapping> <mapping> <identity value="rr-lm"/> <map value="RR.eICR"/> </mapping> </element> <element id="Communication.topic.id"> <path value="Communication.topic.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.topic.extension"> <path value="Communication.topic.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="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 value="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 value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.topic.extension:topicsubject"> <path value="Communication.topic.extension"/> <sliceName value="topicSubject"/> <short value="Subject line"/> <definition value="A succinct, human-readable narrative text that can be used as a subject header in a message queue, much like an email subject."/> <comment value="The `text` elelement can be used without any codings."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-subject"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="RR.subject"/> </mapping> </element> <element id="Communication.topic.extension:topicsubject.id"> <path value="Communication.topic.extension.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.topic.extension:topicsubject.extension"> <path value="Communication.topic.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="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 value="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 value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.topic.extension:topicsubject.url"> <path value="Communication.topic.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="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 value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-subject"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.topic.extension:topicsubject.valueCodeableConcept"> <path value="Communication.topic.extension.valueCodeableConcept"/> <short value="Value of extension"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.topic.extension:topicsummary"> <path value="Communication.topic.extension"/> <sliceName value="topicSummary"/> <short value="Summary"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-summary"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="RR.summary"/> </mapping> </element> <element id="Communication.topic.extension:topicsummary.id"> <path value="Communication.topic.extension.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.topic.extension:topicsummary.extension"> <path value="Communication.topic.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="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 value="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 value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.topic.extension:topicsummary.url"> <path value="Communication.topic.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="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 value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-summary"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.topic.extension:topicsummary.valueMarkdown"> <path value="Communication.topic.extension.valueMarkdown"/> <short value="Value of extension"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.topic.extension:topicreportable"> <path value="Communication.topic.extension"/> <sliceName value="topicReportable"/> <short value="Determination of Reportability"/> <definition value="The determination of reportability generated by the PHA system (or its intermediary). Generally, this is expected to be Yes, No, or Maybe."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-dor"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="RR.determinationofReportability.code"/> </mapping> </element> <element id="Communication.topic.extension:topicreportable.id"> <path value="Communication.topic.extension.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.topic.extension:topicreportable.extension"> <path value="Communication.topic.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="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 value="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 value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.topic.extension:topicreportable.url"> <path value="Communication.topic.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="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 value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-dor"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.topic.extension:topicreportable.valueCode"> <path value="Communication.topic.extension.valueCode"/> <short value="Value of extension"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="The determination of reportability generated by the PHA system (or its intermediary)."/> <valueSetReference> <reference value="http://fhir.hl7.org/us/ecr/ValueSet/dor"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.topic.extension:topicreportablereason"> <path value="Communication.topic.extension"/> <sliceName value="topicReportableReason"/> <short value="Determination of Reportability Reason"/> <definition value="A reason code indicating the reason for the reportability status."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-dor-reason"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="RR.determinationofReportability.reason"/> </mapping> </element> <element id="Communication.topic.extension:topicreportablereason.id"> <path value="Communication.topic.extension.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.topic.extension:topicreportablereason.extension"> <path value="Communication.topic.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="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 value="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 value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.topic.extension:topicreportablereason.url"> <path value="Communication.topic.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="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 value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-dor-reason"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.topic.extension:topicreportablereason.valueCodeableConcept"> <path value="Communication.topic.extension.valueCodeableConcept"/> <short value="Value of extension"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <binding> <strength value="required"/> <description value="A reason code indicating the reason for the reportability status"/> <valueSetReference> <reference value="http://fhir.hl7.org/us/ecr/ValueSet/dor-reason"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.topic.extension:topicreportablerule"> <path value="Communication.topic.extension"/> <sliceName value="topicReportableRule"/> <short value="Determination of Reportability Rule"/> <definition value="A rule that was involved in the determination of the reportability status."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-dor-rule"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="RR.determination of Reportability.rule"/> </mapping> </element> <element id="Communication.topic.extension:topicreportablerule.id"> <path value="Communication.topic.extension.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.topic.extension:topicreportablerule.extension"> <path value="Communication.topic.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="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 value="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 value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.topic.extension:topicreportablerule.url"> <path value="Communication.topic.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="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 value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-dor-rule"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.topic.extension:topicreportablerule.valueString"> <path value="Communication.topic.extension.valueString"/> <short value="Value of extension"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.topic.reference"> <path value="Communication.topic.reference"/> <short value="Literal reference, Relative, internal or absolute URL"/> <definition value="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 value="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 value="0"/> <max value="1"/> <base> <path value="Reference.reference"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ref-1"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.topic.identifier"> <path value="Communication.topic.identifier"/> <short value="Logical reference, when literal reference is not known"/> <definition value="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 value="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 value="0"/> <max value="1"/> <base> <path value="Reference.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".identifier"/> </mapping> </element> <element id="Communication.topic.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Communication.topic.display"/> <short value="Text alternative for the resource"/> <definition value="Plain text narrative that identifies the resource in addition to the resource reference."/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="Reference.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.context"> <path value="Communication.context"/> <short value="eICR encompassing encounter ID"/> <definition value="The encompassing encounter ID from the eICR that generatedthe Reportability Response."/> <alias value="encounter"/> <min value="0"/> <max value="1"/> <base> <path value="Communication.context"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://fhir.hl7.org/us/ecr/StructureDefinition/eicr-encounter"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.context"/> </mapping> <mapping> <identity value="w5"/> <map value="context"/> </mapping> <mapping> <identity value="rr-lm"/> <map value="eICR Encompassing Encounter ID"/> </mapping> </element> <element id="Communication.sent"> <path value="Communication.sent"/> <short value="When sent"/> <definition value="The time when this communication was sent."/> <min value="0"/> <max value="1"/> <base> <path value="Communication.sent"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <mapping> <identity value="workflow"/> <map value="Event.occurrenceDateTime (Invariant: maps to either sent OR received)"/> </mapping> <mapping> <identity value="w5"/> <map value="when.init"/> </mapping> </element> <element id="Communication.received"> <path value="Communication.received"/> <short value="When received"/> <definition value="The time when this communication arrived at the destination."/> <min value="0"/> <max value="1"/> <base> <path value="Communication.received"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <mustSupport value="false"/> <mapping> <identity value="workflow"/> <map value="Event.occurrenceDateTime (Invariant: maps to either sent OR received)"/> </mapping> <mapping> <identity value="w5"/> <map value="when.done"/> </mapping> <mapping> <identity value="rr-lm"/> <map value="RR.eICR.receiptDateTime"/> </mapping> </element> <element id="Communication.sender"> <path value="Communication.sender"/> <short value="Message sender"/> <definition value="The entity (e.g. person, organization, clinical information system, or device) which was the source of the communication."/> <comment value="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 value="Provider or Facility"/> <min value="0"/> <max value="1"/> <base> <path value="Communication.sender"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> </type> <type> <code value="Reference"/> <targetProfile value="http://fhir.hl7.org/us/ecr/StructureDefinition/ecr-organization"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/> </type> <mustSupport value="true"/> <mapping> <identity value="workflow"/> <map value="Event.performer.actor"/> </mapping> <mapping> <identity value="w5"/> <map value="who.actor"/> </mapping> <mapping> <identity value="rr-lm"/> <map value="RR.provider|RR.facility"/> </mapping> </element> <element id="Communication.sender.id"> <path value="Communication.sender.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.sender.extension"> <path value="Communication.sender.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="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 value="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 value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.sender.extension:senderrole"> <path value="Communication.sender.extension"/> <sliceName value="SenderRole"/> <short value="Extension"/> <definition value="An Extension"/> <comment value="If representing both a sending Provider and a sending Facility use this Extension to reference PractitiionerRole."/> <alias value="PractitionerRole"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://fhir.hl7.org/us/ecr/StructureDefinition/extension-practitioner-role"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="RR.provider|RR.facility"/> </mapping> </element> <element id="Communication.sender.extension:senderrole.id"> <path value="Communication.sender.extension.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.sender.extension:senderrole.extension"> <path value="Communication.sender.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="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 value="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 value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.sender.extension:senderrole.url"> <path value="Communication.sender.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="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 value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="http://fhir.hl7.org/us/ecr/StructureDefinition/extension-practitioner-role"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.sender.extension:senderrole.valueReference"> <path value="Communication.sender.extension.valueReference"/> <short value="Value of extension"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.sender.reference"> <path value="Communication.sender.reference"/> <short value="Literal reference, Relative, internal or absolute URL"/> <definition value="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 value="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 value="0"/> <max value="1"/> <base> <path value="Reference.reference"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ref-1"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.sender.identifier"> <path value="Communication.sender.identifier"/> <short value="Logical reference, when literal reference is not known"/> <definition value="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 value="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 value="0"/> <max value="1"/> <base> <path value="Reference.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".identifier"/> </mapping> </element> <element id="Communication.sender.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Communication.sender.display"/> <short value="Text alternative for the resource"/> <definition value="Plain text narrative that identifies the resource in addition to the resource reference."/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="Reference.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.reasonCode"> <path value="Communication.reasonCode"/> <short value="Reportable Condition"/> <definition value="A code indicating a condition associated with an RCTC trigger code in the eICR."/> <comment value="Textual reasons can be caprued using reasonCode.text."/> <alias value="RCTC trigger code"/> <min value="0"/> <max value="*"/> <base> <path value="Communication.reasonCode"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <binding> <strength value="example"/> <description value="Indicate a condition associated with an RCTC trigger code in the eICR"/> <valueSetReference> <reference value="http://fhir.hl7.org/us/ecr/ValueSet/rctc"/> </valueSetReference> </binding> <mapping> <identity value="workflow"/> <map value="Event.reasonCodableConcept"/> </mapping> <mapping> <identity value="rim"/> <map value=".reasonCode"/> </mapping> <mapping> <identity value="w5"/> <map value="why"/> </mapping> <mapping> <identity value="rr-lm"/> <map value="RR.ReportableCondition"/> </mapping> </element> <element id="Communication.reasonReference"> <path value="Communication.reasonReference"/> <short value="Why was communication done?"/> <definition value="Indicates another resource whose existence justifies this communication."/> <min value="0"/> <max value="*"/> <base> <path value="Communication.reasonReference"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> </type> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.reasonReference"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=RSON].target"/> </mapping> <mapping> <identity value="w5"/> <map value="why"/> </mapping> </element> <element id="Communication.payload"> <path value="Communication.payload"/> <short value="Message payload"/> <definition value="Text, attachment(s), or resource(s) that was communicated to the recipient."/> <min value="0"/> <max value="*"/> <base> <path value="Communication.payload"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <mustSupport value="true"/> <mapping> <identity value="rr-lm"/> <map value="RR.eICR"/> </mapping> </element> <element id="Communication.payload.id"> <path value="Communication.payload.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.payload.extension"> <path value="Communication.payload.extension"/> <slicing id="3"> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="Communication.payload.extension:manuallyinitiated"> <path value="Communication.payload.extension"/> <sliceName value="manuallyInitiated"/> <short value="Manually Initiated eICR"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://fhir.hl7.org/us/ecr/StructureDefinition/extension-manual-init"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="RR.eICR.manuallyInitiated"/> </mapping> </element> <element id="Communication.payload.extension:manuallyinitiatedreason"> <path value="Communication.payload.extension"/> <sliceName value="manuallyInitiatedReason"/> <short value="Initial Case Report Manual Initiation Reason*"/> <definition value="Reason for manual initiation of the eICR."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://fhir.hl7.org/us/ecr/StructureDefinition/extension-manual-init-reason"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="RR.eICR.manuallyInitiatedReason"/> </mapping> </element> <element id="Communication.payload.modifierExtension"> <path value="Communication.payload.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="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 value="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 value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Communication.payload.content[x]"> <path value="Communication.payload.content[x]"/> <short value="Message part content"/> <definition value="A communicated content (or for multi-part communications, one portion of the communication)."/> <min value="1"/> <max value="1"/> <base> <path value="Communication.payload.content[x]"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Binary"/> </type> <mustSupport value="false"/> </element> <element id="Communication.payload.content[x].id"> <path value="Communication.payload.content[x].id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.payload.content[x].extension"> <path value="Communication.payload.content[x].extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="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 value="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 value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Communication.payload.content[x].reference"> <path value="Communication.payload.content[x].reference"/> <short value="Reference to eICR CDA Document"/> <definition value="At a minimum, each Reportability Response should contain the unique document ID associated with the eICR that initiated its generation."/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="Reference.reference"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ref-1"/> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> <mapping> <identity value="rr-lm"/> <map value="RR.eICR.CDADocumentReference"/> </mapping> </element> <element id="Communication.payload.content[x].identifier"> <path value="Communication.payload.content[x].identifier"/> <short value="eICR CDA Document ID*"/> <definition value="At a minimum, each Reportability Response should contain the unique document ID associated with the eICR that initiated its generation."/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="Reference.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".identifier"/> </mapping> <mapping> <identity value="rr-lm"/> <map value="RR.eICR.CDADocumentID"/> </mapping> </element> <element id="Communication.payload.content[x].display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Communication.payload.content[x].display"/> <short value="Filename of eICR"/> <definition value="The filename of the eICR (to assist with troubleshooting in the event that the eICR cannot be parsed)."/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="Reference.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> <mapping> <identity value="rr-lm"/> <map value="RR.eICR.filename"/> </mapping> </element> <element id="Communication.note"> <path value="Communication.note"/> <short value="Comments made about the communication"/> <definition value="Additional notes or commentary about the communication by the sender, receiver or other interested parties."/> <min value="0"/> <max value="*"/> <base> <path value="Communication.note"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Annotation"/> </type> <mustSupport value="true"/> <mapping> <identity value="workflow"/> <map value="Event.note"/> </mapping> </element> </snapshot> <differential> <element id="Communication"> <path value="Communication"/> <short value="Reportabllity Response Profile"/> <definition value="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 value="true"/> <isModifier value="false"/> </element> <element id="Communication.extension:statusreason"> <path value="Communication.extension"/> <sliceName value="statusReason"/> <short value="eICR processing status reason"/> <definition value="Details about eICR processing Warnings or Errors."/> <requirements value="If the PHA system (or its intermediary) identifies an issue with the eICR, this will contain those issues as a warning."/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://fhir.hl7.org/us/ecr/StructureDefinition/extension-status-reason"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="RR.eICRProcessing.errorReason, RR.eICRProcessing.warningReason"/> </mapping> </element> <element id="Communication.identifier"> <path value="Communication.identifier"/> <min value="0"/> <max value="*"/> <type> <code value="Identifier"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="RR.uniqueIdentifier"/> </mapping> </element> <element id="Communication.definition"> <path value="Communication.definition"/> <min value="0"/> <max value="*"/> <type> <code value="Reference"/> <targetProfile value="http://fhir.hl7.org/us/ecr/StructureDefinition/rr-plandefinition"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="RR.authoringAgency"/> </mapping> </element> <element id="Communication.status"> <path value="Communication.status"/> <short value="eICR Processing Status"/> <definition value="The status of eICR processing, including an acknowledgemen of successful processing or any known errors encountered during eICR processing."/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <binding> <strength value="required"/> <description value="The status of the communication."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/event-status"/> </valueSetReference> </binding> <mapping> <identity value="rr-lm"/> <map value="RR.eICRProcessing.status"/> </mapping> </element> <element id="Communication.category"> <path value="Communication.category"/> <slicing> <discriminator> <type value="value"/> <path value="coding.code"/> </discriminator> <rules value="open"/> </slicing> <min value="0"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> <mustSupport value="true"/> <isModifier value="false"/> </element> <element id="Communication.category:priority"> <path value="Communication.category"/> <sliceName value="priority"/> <short value="Priority Code"/> <definition value="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 value="Priority Code"/> <min value="1"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <binding> <strength value="required"/> <description value="Category codes indicating the relative importance of a communication."/> <valueSetReference> <reference value="http://fhir.hl7.org/us/ecr/ValueSet/rr-priority"/> </valueSetReference> </binding> <mapping> <identity value="rr-lm"/> <map value="RR.priority"/> </mapping> </element> <element id="Communication.subject"> <path value="Communication.subject"/> <alias value="patient"/> <min value="0"/> <max value="1"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="RR.patient"/> </mapping> </element> <element id="Communication.recipient"> <path value="Communication.recipient"/> <short value="EICR recipients and Intermediaries"/> <comment value="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 value="0"/> <max value="*"/> <type> <code value="Reference"/> <targetProfile value="http://fhir.hl7.org/us/ecr/StructureDefinition/ecr-organization"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="RR.Responsible Agent, RR.routingEntity"/> </mapping> </element> <element id="Communication.recipient.extension:locationrelevance"> <path value="Communication.recipient.extension"/> <sliceName value="locationRelevance"/> <short value="Location Relevance"/> <definition value="A code indicating whether the responsible PHA is relevant because of the patient's home address, the provider facility address, or both."/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://fhir.hl7.org/us/ecr/StructureDefinition/extension-location-relevance"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="RR.locationRelevance"/> </mapping> </element> <element id="Communication.topic"> <path value="Communication.topic"/> <short value="Reportability Response summary"/> <definition value="What this RR Communcation is about."/> <comment value="Use the [`.display`] (http://build.fhir.org/references-definitions.html#Reference.display) element to represent the text."/> <min value="0"/> <max value="*"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Any"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="RR.eICR"/> </mapping> </element> <element id="Communication.topic.extension:topicsubject"> <path value="Communication.topic.extension"/> <sliceName value="topicSubject"/> <short value="Subject line"/> <definition value="A succinct, human-readable narrative text that can be used as a subject header in a message queue, much like an email subject."/> <comment value="The `text` elelement can be used without any codings."/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-subject"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="RR.subject"/> </mapping> </element> <element id="Communication.topic.extension:topicsummary"> <path value="Communication.topic.extension"/> <sliceName value="topicSummary"/> <short value="Summary"/> <definition value="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 value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-summary"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="RR.summary"/> </mapping> </element> <element id="Communication.topic.extension:topicreportable"> <path value="Communication.topic.extension"/> <sliceName value="topicReportable"/> <short value="Determination of Reportability"/> <definition value="The determination of reportability generated by the PHA system (or its intermediary). Generally, this is expected to be Yes, No, or Maybe."/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> <profile value="http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-dor"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <binding> <strength value="required"/> <description value="The determination of reportability generated by the PHA system (or its intermediary)."/> <valueSetReference> <reference value="http://fhir.hl7.org/us/ecr/ValueSet/dor"/> </valueSetReference> </binding> <mapping> <identity value="rr-lm"/> <map value="RR.determinationofReportability.code"/> </mapping> </element> <element id="Communication.topic.extension:topicreportablereason"> <path value="Communication.topic.extension"/> <sliceName value="topicReportableReason"/> <short value="Determination of Reportability Reason"/> <definition value="A reason code indicating the reason for the reportability status."/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-dor-reason"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <binding> <strength value="required"/> <description value="A reason code indicating the reason for the reportability status"/> <valueSetReference> <reference value="http://fhir.hl7.org/us/ecr/ValueSet/dor-reason"/> </valueSetReference> </binding> <mapping> <identity value="rr-lm"/> <map value="RR.determinationofReportability.reason"/> </mapping> </element> <element id="Communication.topic.extension:topicreportablerule"> <path value="Communication.topic.extension"/> <sliceName value="topicReportableRule"/> <short value="Determination of Reportability Rule"/> <definition value="A rule that was involved in the determination of the reportability status."/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://fhir.hl7.org/us/ecr/StructureDefinition/extension-topic-dor-rule"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="RR.determination of Reportability.rule"/> </mapping> </element> <element id="Communication.context"> <path value="Communication.context"/> <short value="eICR encompassing encounter ID"/> <definition value="The encompassing encounter ID from the eICR that generatedthe Reportability Response."/> <type> <code value="Reference"/> <targetProfile value="http://fhir.hl7.org/us/ecr/StructureDefinition/eicr-encounter"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="eICR Encompassing Encounter ID"/> </mapping> </element> <element id="Communication.received"> <path value="Communication.received"/> <mustSupport value="false"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="RR.eICR.receiptDateTime"/> </mapping> </element> <element id="Communication.sender"> <path value="Communication.sender"/> <comment value="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 value="Provider or Facility"/> <min value="0"/> <max value="1"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> </type> <type> <code value="Reference"/> <targetProfile value="http://fhir.hl7.org/us/ecr/StructureDefinition/ecr-organization"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="RR.provider|RR.facility"/> </mapping> </element> <element id="Communication.sender.extension:senderrole"> <path value="Communication.sender.extension"/> <sliceName value="SenderRole"/> <comment value="If representing both a sending Provider and a sending Facility use this Extension to reference PractitiionerRole."/> <alias value="PractitionerRole"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://fhir.hl7.org/us/ecr/StructureDefinition/extension-practitioner-role"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="RR.provider|RR.facility"/> </mapping> </element> <element id="Communication.reasonCode"> <path value="Communication.reasonCode"/> <short value="Reportable Condition"/> <definition value="A code indicating a condition associated with an RCTC trigger code in the eICR."/> <alias value="RCTC trigger code"/> <min value="0"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <binding> <strength value="example"/> <description value="Indicate a condition associated with an RCTC trigger code in the eICR"/> <valueSetReference> <reference value="http://fhir.hl7.org/us/ecr/ValueSet/rctc"/> </valueSetReference> </binding> <mapping> <identity value="rr-lm"/> <map value="RR.ReportableCondition"/> </mapping> </element> <element id="Communication.payload"> <path value="Communication.payload"/> <min value="0"/> <max value="*"/> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="RR.eICR"/> </mapping> </element> <element id="Communication.payload.extension:manuallyinitiated"> <path value="Communication.payload.extension"/> <sliceName value="manuallyInitiated"/> <short value="Manually Initiated eICR"/> <definition value="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 value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://fhir.hl7.org/us/ecr/StructureDefinition/extension-manual-init"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="RR.eICR.manuallyInitiated"/> </mapping> </element> <element id="Communication.payload.extension:manuallyinitiatedreason"> <path value="Communication.payload.extension"/> <sliceName value="manuallyInitiatedReason"/> <short value="Initial Case Report Manual Initiation Reason*"/> <definition value="Reason for manual initiation of the eICR."/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://fhir.hl7.org/us/ecr/StructureDefinition/extension-manual-init-reason"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="RR.eICR.manuallyInitiatedReason"/> </mapping> </element> <element id="Communication.payload.contentReference"> <path value="Communication.payload.contentReference"/> <min value="1"/> <max value="1"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Binary"/> </type> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="Communication.payload.contentReference.reference"> <path value="Communication.payload.contentReference.reference"/> <short value="Reference to eICR CDA Document"/> <definition value="At a minimum, each Reportability Response should contain the unique document ID associated with the eICR that initiated its generation."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="RR.eICR.CDADocumentReference"/> </mapping> </element> <element id="Communication.payload.contentReference.identifier"> <path value="Communication.payload.contentReference.identifier"/> <short value="eICR CDA Document ID*"/> <definition value="At a minimum, each Reportability Response should contain the unique document ID associated with the eICR that initiated its generation."/> <min value="0"/> <max value="1"/> <type> <code value="Identifier"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="RR.eICR.CDADocumentID"/> </mapping> </element> <element id="Communication.payload.contentReference.display"> <path value="Communication.payload.contentReference.display"/> <short value="Filename of eICR"/> <definition value="The filename of the eICR (to assist with troubleshooting in the event that the eICR cannot be parsed)."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rr-lm"/> <map value="RR.eICR.filename"/> </mapping> </element> <element id="Communication.note"> <path value="Communication.note"/> <min value="0"/> <max value="*"/> <type> <code value="Annotation"/> </type> <mustSupport value="true"/> <isModifier value="false"/> </element> </differential> </StructureDefinition>
