<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="qicore-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 &amp; 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-qicore-communication-definitions.html#Communication" title="An occurrence of information being transmitted; e.g. an alert that was sent to a responsible provider, a public health agency was notified about a reportable condition.">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" />
          <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" />
        </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-qicore-communication-definitions.html#Communication.id" title="Local id of this artifact.">id</a>
            <a name="Communication.id"></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#id">id</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_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy" />
            <a href="StructureDefinition-qicore-communication-definitions.html#Communication.basedOn">basedOn</a>
            <a name="Communication.basedOn"></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">*</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 style="opacity: 0.4" href="http://hl7.org/fhir/STU3/resource.html">Resource</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-qicore-communication-definitions.html#Communication.status" title="The status of the transmission.">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">
            <span style="opacity: 0.4">preparation | in-progress | suspended | aborted | completed | entered-in-error</span>
            <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_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy" />
            <a href="StructureDefinition-qicore-communication-definitions.html#Communication.notDoneReason" title="Describes why the communication event did not occur in coded and/or textual form.">notDoneReason</a>
            <a name="Communication.notDoneReason"></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#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="opacity: 0.4">Why communication did not occur</span>
            <br />
            <span style="font-weight:bold">Binding: </span>
            <a href="http://hl7.org/fhir/STU3/valueset-communication-not-done-reason.html">CommunicationNotDoneReason</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>)</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-qicore-communication-definitions.html#Communication.category" title="The type of message conveyed such as alert, notification, reminder, instruction, etc.">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">
            <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">
            <span style="opacity: 0.4">Message category</span>
            <br />
            <span style="font-weight:bold">Binding: </span>
            <a href="http://hl7.org/fhir/STU3/valueset-communication-category.html">CommunicationCategory</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_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-qicore-communication-definitions.html#Communication.medium" title="A channel that was used for this communication (e.g. email, fax).">medium</a>
            <a name="Communication.medium"></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">
            <span style="opacity: 0.4">A channel of communication</span>
            <br />
            <span style="font-weight:bold">Binding: </span>
            <a href="http://hl7.org/fhir/STU3/v3/ParticipationMode/vs.html">ParticipationMode</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_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-qicore-communication-definitions.html#Communication.subject" title="The patient or group that was the focus of this communication.">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="StructureDefinition-qicore-patient.html">QICore-Patient</a> | <a href="http://hl7.org/fhir/STU3/group.html">Group</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="opacity: 0.4">Focus of message</span>
          </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-qicore-communication-definitions.html#Communication.recipient" title="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.  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).">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-qicore-device.html">QICore-Device</a> | <a href="StructureDefinition-qicore-organization.html">QICore-Organization</a> | <a href="StructureDefinition-qicore-patient.html">QICore-Patient</a> | <a href="StructureDefinition-qicore-practitioner.html">QICore-Practitioner</a> | <a href="StructureDefinition-qicore-relatedperson.html">QICore-RelatedPerson</a> | <a href="http://hl7.org/fhir/STU3/group.html">Group</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="opacity: 0.4">Message recipient</span>
            <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_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-qicore-communication-definitions.html#Communication.context" title="The encounter within which the communication was sent.">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-qicore-encounter.html">QICore-Encounter</a> | <a href="http://hl7.org/fhir/STU3/episodeofcare.html">EpisodeOfCare</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="opacity: 0.4">Encounter or episode leading to message</span>
          </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_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy" />
            <a href="StructureDefinition-qicore-communication-definitions.html#Communication.sent" title="The time when this communication was sent.">sent</a>
            <a name="Communication.sent"></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#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">
            <span style="opacity: 0.4">When sent</span>
          </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_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy" />
            <a href="StructureDefinition-qicore-communication-definitions.html#Communication.received" title="The time when this communication arrived at the destination.">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">
            <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#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">
            <span style="opacity: 0.4">When received</span>
          </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-qicore-communication-definitions.html#Communication.sender" title="The entity (e.g. person, organization, clinical information system, or device) which was the source of the communication.">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="StructureDefinition-qicore-device.html">QICore-Device</a> | <a href="StructureDefinition-qicore-organization.html">QICore-Organization</a> | <a href="StructureDefinition-qicore-patient.html">QICore-Patient</a> | <a href="StructureDefinition-qicore-practitioner.html">QICore-Practitioner</a> | <a href="StructureDefinition-qicore-relatedperson.html">QICore-RelatedPerson</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="opacity: 0.4">Message sender</span>
          </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_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_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy" />
            <a href="StructureDefinition-qicore-communication-definitions.html#Communication.reasonCode" title="The reason or justification for the communication.">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" />
          <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">
            <span style="opacity: 0.4">Indication for message</span>
            <br />
            <span style="font-weight:bold">Binding: </span>
            <a href="http://hl7.org/fhir/STU3/valueset-clinical-findings.html">SNOMED CT Clinical Findings</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>
          <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://hl7.org/fhir/us/qicore/StructureDefinition/qicore-communication" />
  <version value="3.1.0" />
  <name value="QICore-Communication" />
  <status value="draft" />
  <date value="2018-08-22T00:00:00+10:00" />
  <publisher value="Health Level Seven, Inc. - CQI WG" />
  <contact>
    <telecom>
      <system value="url" />
      <value value="http://hl7.org/special/committees/CQI" />
    </telecom>
  </contact>
  <description value="Profile of Communication for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors." />
  <fhirVersion value="3.0.1" />
  <mapping>
    <identity value="qdm" />
    <uri value="http://www.healthit.gov/quality-data-model" />
    <name value="Quality Data Model" />
  </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" />
  <differential>
    <element id="Communication">
      <path value="Communication" />
      <definition value="An occurrence of information being transmitted; e.g. an alert that was sent to a responsible provider, a public health agency was notified about a reportable condition." />
      <mustSupport value="false" />
      <isModifier value="false" />
      <mapping>
        <identity value="qdm" />
        <map value="Communication, Performed (Note that Communication in the context of FHIR standards expects that communication occurs between 2 ends of a conversation." />
      </mapping>
    </element>
    <element id="Communication.id">
      <path value="Communication.id" />
      <definition value="Local id of this artifact." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="id" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <mapping>
        <identity value="qdm" />
        <map value="id" />
      </mapping>
    </element>
    <element id="Communication.basedOn">
      <path value="Communication.basedOn" />
      <mustSupport value="false" />
      <isModifier value="false" />
      <mapping>
        <identity value="qdm" />
        <map value="relatedTo" />
      </mapping>
    </element>
    <element id="Communication.status">
      <path value="Communication.status" />
      <short value="preparation | in-progress | suspended | aborted | completed | entered-in-error" />
      <definition value="The status of the transmission." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="code" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <binding>
        <strength value="required" />
        <description value="Codes identifying the stage lifecycle stage of a event" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/event-status" />
        </valueSetReference>
      </binding>
    </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" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <binding>
        <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="qdm" />
        <map value="negationRationale" />
      </mapping>
    </element>
    <element id="Communication.category">
      <path value="Communication.category" />
      <short value="Message category" />
      <definition value="The type of message conveyed such as alert, notification, reminder, instruction, etc." />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <binding>
        <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="qdm" />
        <map value="category" />
      </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="*" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <binding>
        <strength value="example" />
        <description value="A set of codes specifying the modality by which the Entity playing the Role is participating in the Act. Examples: Physically present, over the telephone, written communication. Rationale: Particularly for author (originator) participants this is used to specify whether the information represented by the act was initially provided verbally, (hand-)written, or electronically. Open Issue: There needs to be a reexamination of the hierarchies as there seems to be some muddling between ELECTRONIC and other concepts that involve electronic communication that are in other hierarchies." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v3-ParticipationMode" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="qdm" />
        <map value="medium" />
      </mapping>
    </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." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
    </element>
    <element id="Communication.recipient">
      <path value="Communication.recipient" />
      <short value="Message recipient" />
      <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.  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)." />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <mapping>
        <identity value="qdm" />
        <map value="recipient" />
      </mapping>
    </element>
    <element id="Communication.context">
      <path value="Communication.context" />
      <short value="Encounter or episode leading to message" />
      <definition value="The encounter within which the communication was sent." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
    </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" />
      <type>
        <code value="dateTime" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <mapping>
        <identity value="qdm" />
        <map value="authorDatetime; relevantPeriod (start)" />
      </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" />
      <type>
        <code value="dateTime" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <mapping>
        <identity value="qdm" />
        <map value="relevantPeriod(end)" />
      </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." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <mapping>
        <identity value="qdm" />
        <map value="sender" />
      </mapping>
    </element>
    <element id="Communication.reasonCode">
      <path value="Communication.reasonCode" />
      <short value="Indication for message" />
      <definition value="The reason or justification for the communication." />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <binding>
        <strength value="example" />
        <description value="This value set includes all the &quot;Clinical finding&quot; SNOMED CT codes - concepts where concept is-a 404684003 (Clinical finding (finding))." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/clinical-findings" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="qdm" />
        <map value="code" />
      </mapping>
    </element>
  </differential>
</StructureDefinition>