{
  "resourceType": "StructureDefinition",
  "id": "qicore-communicationrequest",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"Additional information about the element\">Description &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-communicationrequest-definitions.html#CommunicationRequest\" title=\"A request to convey information; e.g. the CDS system proposes that an alert be sent to a responsible provider, the CDS system proposes that the public health agency be notified about a reportable condition.\">CommunicationRequest</a><a name=\"CommunicationRequest\"> </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>\r\n<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_bck14.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_extension_simple.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-communicationrequest-definitions.html#CommunicationRequest.extension:orderedBy\" title=\"Extension URL = http://hl7.org/fhir/StructureDefinition/communicationrequest-orderedBy\">communicationrequest-orderedBy</a><a name=\"CommunicationRequest.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\"/><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://hl7.org/fhir/STU3/practitioner.html\">Practitioner</a> | <a href=\"http://hl7.org/fhir/STU3/organization.html\">Organization</a> | <a href=\"http://hl7.org/fhir/STU3/device.html\">Device</a> | <a href=\"http://hl7.org/fhir/STU3/patient.html\">Patient</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Agent that ordered the communication<br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/STU3/extension-communicationrequest-orderedby.html\">http://hl7.org/fhir/StructureDefinition/communicationrequest-orderedBy</a></td></tr>\r\n<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_bck14.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_extension_simple.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-communicationrequest-definitions.html#CommunicationRequest.extension:authorizedBy\" title=\"Extension URL = http://hl7.org/fhir/StructureDefinition/procedurerequest-authorizedBy\">procedurerequest-authorizedBy</a><a name=\"CommunicationRequest.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\"/><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://hl7.org/fhir/STU3/practitioner.html\">Practitioner</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Practitioner who authorized request<br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/STU3/extension-procedurerequest-authorizedby.html\">http://hl7.org/fhir/StructureDefinition/procedurerequest-authorizedBy</a></td></tr>\r\n<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_bck14.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_extension_simple.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a href=\"StructureDefinition-qicore-communicationrequest-definitions.html#CommunicationRequest.extension:reasonRejected\" title=\"Extension URL = http://hl7.org/fhir/StructureDefinition/communicationrequest-reasonRejected\">communicationrequest-reasonRejected</a><a name=\"CommunicationRequest.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\"/><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\">Reason why request was rejected<br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/STU3/extension-communicationrequest-reasonrejected.html\">http://hl7.org/fhir/StructureDefinition/communicationrequest-reasonRejected</a><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-qicore-communication-reason-not-performed.html\">Communication reason not performed codes</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>\r\n<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-communicationrequest-definitions.html#CommunicationRequest.status\" title=\"The status of the proposal or order.\">status</a><a name=\"CommunicationRequest.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\">draft | active | suspended | cancelled | completed | entered-in-error | unknown</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/STU3/valueset-request-status.html\">RequestStatus</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>\r\n<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-communicationrequest-definitions.html#CommunicationRequest.category\" title=\"The type of message to be sent such as alert, notification, reminder, instruction, etc.\">category</a><a name=\"CommunicationRequest.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>\r\n<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-communicationrequest-definitions.html#CommunicationRequest.medium\" title=\"A channel that was used for this communication (e.g. email, fax).\">medium</a><a name=\"CommunicationRequest.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\"/><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>\r\n<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-communicationrequest-definitions.html#CommunicationRequest.subject\" title=\"The encounter or episode of care within which the communication request was created.\">subject</a><a name=\"CommunicationRequest.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\">Encounter or episode leading to message</td></tr>\r\n<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-communicationrequest-definitions.html#CommunicationRequest.recipient\" title=\"The entity (e.g. person, organization, clinical information system, device, group, or care team) which is the intended target of the communication.\">recipient</a><a name=\"CommunicationRequest.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> | <a href=\"http://hl7.org/fhir/STU3/careteam.html\">CareTeam</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Message receipient<br/></td></tr>\r\n<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-communicationrequest-definitions.html#CommunicationRequest.context\" title=\"The encounter or episode of care within which the communication request was created.\">context</a><a name=\"CommunicationRequest.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>\r\n<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-communicationrequest-definitions.html#CommunicationRequest.occurrence[x]\" title=\"The time when this communication is to occur.\">occurrence[x]</a><a name=\"CommunicationRequest.occurrence_x_\"> </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><span style=\"opacity: 0.4\">, </span><a style=\"opacity: 0.4\" href=\"http://hl7.org/fhir/STU3/datatypes.html#Period\">Period</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 scheduled</span></td></tr>\r\n<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-communicationrequest-definitions.html#CommunicationRequest.sender\" title=\"The entity (e.g. person, organization, clinical information system, or device) which is to be the source of the communication.\">sender</a><a name=\"CommunicationRequest.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>\r\n<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-communicationrequest-definitions.html#CommunicationRequest.requester\" title=\"The individual who initiated the request and has responsibility for its activation.\">requester</a><a name=\"CommunicationRequest.requester\"> </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#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\">Who/what us requesting service</td></tr>\r\n<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-communicationrequest-definitions.html#CommunicationRequest.reasonCode\" title=\"Describes why the request is being made in coded or textual form.\">reasonCode</a><a name=\"CommunicationRequest.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\">Why is communication needed?</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/STU3/v3/ActReason/vs.html\">ActReason</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>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/STU3/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/STU3/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
  },
  "url": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-communicationrequest",
  "version": "3.1.0",
  "name": "QICore-CommunicationRequest",
  "status": "draft",
  "date": "2018-08-21T14:00:00+00:00",
  "publisher": "Health Level Seven, Inc. - CQI WG",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org/special/committees/CQI"
        }
      ]
    }
  ],
  "description": "Profile of CommunicationRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.",
  "fhirVersion": "3.0.1",
  "mapping": [
    {
      "identity": "qdm",
      "uri": "http://www.healthit.gov/quality-data-model",
      "name": "Quality Data Model"
    },
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/w5",
      "name": "W5 Mapping"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "CommunicationRequest",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/CommunicationRequest",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "CommunicationRequest",
        "path": "CommunicationRequest",
        "definition": "A request to convey information; e.g. the CDS system proposes that an alert be sent to a responsible provider, the CDS system proposes that the public health agency be notified about a reportable condition.",
        "mustSupport": false,
        "isModifier": false,
        "mapping": [
          {
            "identity": "qdm",
            "map": "“Note, there is no corresponding QDM concept to CommunicationRequest.”"
          }
        ]
      },
      {
        "id": "CommunicationRequest.extension:orderedBy",
        "path": "CommunicationRequest.extension",
        "sliceName": "orderedBy",
        "short": "Agent that ordered the communication",
        "definition": "Agent that ordered the communication.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/communicationrequest-orderedBy"
          }
        ],
        "mustSupport": false,
        "isModifier": false
      },
      {
        "id": "CommunicationRequest.extension:authorizedBy",
        "path": "CommunicationRequest.extension",
        "sliceName": "authorizedBy",
        "short": "Practitioner who authorized request",
        "definition": "The practitioner who authorized the communication request, usually the same as the orderer when the orderer is a practitioner.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/procedurerequest-authorizedBy"
          }
        ],
        "mustSupport": false,
        "isModifier": false
      },
      {
        "id": "CommunicationRequest.extension:reasonRejected",
        "path": "CommunicationRequest.extension",
        "sliceName": "reasonRejected",
        "short": "Reason why request was rejected",
        "definition": "The reason associated with the rejection of this communication request by the receiver. Applicable only if the status is rejected.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/communicationrequest-reasonRejected"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "binding": {
          "strength": "example",
          "description": "Reason communication request was not performed",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/us/qicore/ValueSet/qicore-communication-reason-not-performed"
          }
        }
      },
      {
        "id": "CommunicationRequest.status",
        "path": "CommunicationRequest.status",
        "short": "draft | active | suspended | cancelled | completed | entered-in-error | unknown",
        "definition": "The status of the proposal or order.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "binding": {
          "strength": "required",
          "description": "Codes identifying the stage lifecycle stage of a request",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/request-status"
          }
        }
      },
      {
        "id": "CommunicationRequest.category",
        "path": "CommunicationRequest.category",
        "short": "Message category",
        "definition": "The type of message to be sent such as alert, notification, reminder, instruction, etc.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "binding": {
          "strength": "example",
          "description": "Codes for general categories of communications such as alerts, instruction, etc.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/communication-category"
          }
        }
      },
      {
        "id": "CommunicationRequest.medium",
        "path": "CommunicationRequest.medium",
        "short": "A channel of communication",
        "definition": "A channel that was used for this communication (e.g. email, fax).",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "binding": {
          "strength": "example",
          "description": "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": "http://hl7.org/fhir/ValueSet/v3-ParticipationMode"
          }
        }
      },
      {
        "id": "CommunicationRequest.subject",
        "path": "CommunicationRequest.subject",
        "short": "Encounter or episode leading to message",
        "definition": "The encounter or episode of care within which the communication request was created.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Group"
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "CommunicationRequest.recipient",
        "path": "CommunicationRequest.recipient",
        "short": "Message receipient",
        "definition": "The entity (e.g. person, organization, clinical information system, device, group, or care team) which is the intended target of the communication.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Group"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/CareTeam"
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "CommunicationRequest.context",
        "path": "CommunicationRequest.context",
        "short": "Encounter or episode leading to message",
        "definition": "The encounter or episode of care within which the communication request was created.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "CommunicationRequest.occurrence[x]",
        "path": "CommunicationRequest.occurrence[x]",
        "short": "When scheduled",
        "definition": "The time when this communication is to occur.",
        "min": 0,
        "max": "1",
        "mustSupport": false,
        "isModifier": false
      },
      {
        "id": "CommunicationRequest.sender",
        "path": "CommunicationRequest.sender",
        "short": "Message sender",
        "definition": "The entity (e.g. person, organization, clinical information system, or device) which is to be the source of the communication.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson"
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "CommunicationRequest.requester",
        "path": "CommunicationRequest.requester",
        "short": "Who/what us requesting service",
        "definition": "The individual who initiated the request and has responsibility for its activation.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false
      },
      {
        "id": "CommunicationRequest.reasonCode",
        "path": "CommunicationRequest.reasonCode",
        "short": "Why is communication needed?",
        "definition": "Describes why the request is being made in coded or textual form.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "binding": {
          "strength": "example",
          "description": "A set of codes specifying the motivation, cause, or rationale of an Act, when such rationale is not reasonably represented as an ActRelationship of type \"has reason\" linking to another Act. Examples: Example reasons that might qualify for being coded in this field might be: \"routine requirement\", \"infectious disease reporting requirement\", \"on patient request\", \"required by law\".",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/v3-ActReason"
          }
        }
      }
    ]
  }
}