<status value="draft" /> <experimental value="false" /> <date value="2026-05-14" /> <publisher value="Longitudinal Record Access (LRA)" /> <description value="CommunicationRequest used by Health Gateway to request a patient notification by SMS and/or email for a referenced document." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="CommunicationRequest" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/CommunicationRequest" /> <derivation value="constraint" /> <differential> <element id="CommunicationRequest"> <path value="CommunicationRequest" /> </element> <element id="CommunicationRequest.identifier"> <path value="CommunicationRequest.identifier" /> <short value="Health Gateway order identifier" /> <min value="1" /> <max value="*" /> <mustSupport value="true" /> </element> <element id="CommunicationRequest.identifier.system"> <path value="CommunicationRequest.identifier.system" /> <min value="1" /> <max value="1" /> <fixedUri value="https://healthgateway.gov.bc.ca/identifiers/order" /> <mustSupport value="true" /> </element> <element id="CommunicationRequest.identifier.value"> <path value="CommunicationRequest.identifier.value" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="CommunicationRequest.status"> <path value="CommunicationRequest.status" /> <min value="1" /> <max value="1" /> <fixedCode value="active" /> <mustSupport value="true" /> </element> <element id="CommunicationRequest.category"> <path value="CommunicationRequest.category" /> <short value="Notification type" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> <binding> <strength value="required" /> <description value="Allowed notification type codes." /> <valueSet value="http://phsa.ca/fhir/ValueSet/lra-notification-type" /> </binding> </element> <element id="CommunicationRequest.category.coding"> <path value="CommunicationRequest.category.coding" /> <min value="1" /> <max value="*" /> <mustSupport value="true" /> </element> <element id="CommunicationRequest.category.coding.system"> <path value="CommunicationRequest.category.coding.system" /> <min value="1" /> <max value="1" /> <fixedUri value="http://phsa.ca/fhir/CodeSystem/notification-type" /> <mustSupport value="true" /> </element> <element id="CommunicationRequest.category.coding.code"> <path value="CommunicationRequest.category.coding.code" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="CommunicationRequest.priority"> <path value="CommunicationRequest.priority" /> <min value="1" /> <max value="1" /> <fixedCode value="routine" /> <mustSupport value="true" /> </element> <element id="CommunicationRequest.medium"> <path value="CommunicationRequest.medium" /> <short value="Notification channel: SMS and/or email" /> <min value="1" /> <max value="*" /> <mustSupport value="true" /> <binding> <strength value="required" /> <description value="Allowed notification media for LRA notification requests." /> <valueSet value="http://phsa.ca/fhir/ValueSet/lra-notification-medium" /> </binding> </element> <element id="CommunicationRequest.medium.coding"> <path value="CommunicationRequest.medium.coding" /> <min value="1" /> <max value="*" /> <mustSupport value="true" /> </element> <element id="CommunicationRequest.medium.coding.system"> <path value="CommunicationRequest.medium.coding.system" /> <min value="1" /> <max value="1" /> <fixedUri value="http://terminology.hl7.org/CodeSystem/v3-ParticipationMode" /> <mustSupport value="true" /> </element> <element id="CommunicationRequest.medium.coding.code"> <path value="CommunicationRequest.medium.coding.code" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="CommunicationRequest.subject"> <path value="CommunicationRequest.subject" /> <short value="Patient who is the subject of the notification request" /> <min value="1" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://phsa.ca/fhir/StructureDefinition/lra-notification-patient" /> </type> <mustSupport value="true" /> </element> <element id="CommunicationRequest.about"> <path value="CommunicationRequest.about" /> <short value="Document the notification is about" /> <min value="1" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://phsa.ca/fhir/StructureDefinition/lra-notification-documentreference" /> </type> <mustSupport value="true" /> </element> <element id="CommunicationRequest.authoredOn"> <path value="CommunicationRequest.authoredOn" /> <short value="Request creation timestamp" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="CommunicationRequest.recipient"> <path value="CommunicationRequest.recipient" /> <short value="Patient notification recipient" /> <min value="1" /> <max value="*" /> <type> <code value="Reference" /> <targetProfile value="http://phsa.ca/fhir/StructureDefinition/lra-notification-patient" /> </type> <mustSupport value="true" /> </element> <element id="CommunicationRequest.sender"> <path value="CommunicationRequest.sender" /> <short value="System or organization sending the notification request" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="CommunicationRequest.sender.display"> <path value="CommunicationRequest.sender.display" /> <min value="1" /> <max value="1" /> <fixedString value="Health Gateway" /> <mustSupport value="true" /> </element> </differential> </StructureDefinition>