{
"description": "PAS constraints on CommunicationRequest resource mandating support for elements relevant to the prior authorization response",
"_filename": "StructureDefinition-profile-communicationrequest.json",
"package_name": "hl7.fhir.us.davinci-pas",
"date": "2024-09-26T18:54:51-04:00",
"derivation": "constraint",
"publisher": "HL7 International / Financial Management",
"fhirVersion": "4.0.1",
"jurisdiction": [ {
"coding": [ {
"code": "US",
"system": "urn:iso:std:iso:3166",
"display": "United States of America"
} ]
} ],
"name": "PASCommunicationRequest",
"mapping": [ {
"uri": "http://hl7.org/fhir/workflow",
"name": "Workflow Pattern",
"identity": "workflow"
}, {
"uri": "http://hl7.org/fhir/fivews",
"name": "FiveWs Pattern Mapping",
"identity": "w5"
}, {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
} ],
"abstract": false,
"type": "CommunicationRequest",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "PAS CommunicationRequest",
"package_version": "2.1.0-preview",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fm"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 3,
"_valueInteger": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical": "http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"
} ]
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use",
"_valueCode": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical": "http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"
} ]
}
} ],
"snapshot": {
"element": [ {
"constraint": [ {
"key": "dom-2",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"xpath": "not(parent::f:contained and f:contained)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.contained.empty()"
}, {
"key": "dom-3",
"human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
"xpath": "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"
}, {
"key": "dom-4",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"
}, {
"key": "dom-5",
"human": "If a resource is contained in another resource, it SHALL NOT have a security label",
"xpath": "not(exists(f:contained/*/f:meta/f:security))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.meta.security.empty()"
}, {
"key": "dom-6",
"human": "A resource should have narrative for robust management",
"xpath": "exists(f:text/h:div)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "warning",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean": true
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
} ],
"expression": "text.`div`.exists()"
} ],
"path": "CommunicationRequest",
"min": 0,
"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.",
"isModifier": false,
"short": "A request for information to be sent to a receiver",
"mapping": [ {
"map": "Entity. Role, or Act",
"identity": "rim"
}, {
"map": "Request",
"identity": "workflow"
} ],
"max": "*",
"id": "CommunicationRequest",
"base": {
"max": "*",
"min": 0,
"path": "CommunicationRequest"
},
"isSummary": false
}, {
"path": "CommunicationRequest.id",
"min": 0,
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"isModifier": false,
"short": "Logical id of this artifact",
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
} ]
} ],
"max": "1",
"id": "CommunicationRequest.id",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"base": {
"max": "1",
"min": 0,
"path": "Resource.id"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "CommunicationRequest.meta",
"min": 0,
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"isModifier": false,
"short": "Metadata about the resource",
"type": [ {
"code": "Meta"
} ],
"max": "1",
"id": "CommunicationRequest.meta",
"base": {
"max": "1",
"min": 0,
"path": "Resource.meta"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "CommunicationRequest.implicitRules",
"min": 0,
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"isModifier": true,
"short": "A set of rules under which this content was created",
"type": [ {
"code": "uri"
} ],
"max": "1",
"id": "CommunicationRequest.implicitRules",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
"base": {
"max": "1",
"min": 0,
"path": "Resource.implicitRules"
},
"isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "CommunicationRequest.language",
"min": 0,
"definition": "The base language in which the resource is written.",
"isModifier": false,
"short": "Language of the resource content",
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/ValueSet/languages",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
} ],
"description": "A human language."
},
"max": "1",
"id": "CommunicationRequest.language",
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"base": {
"max": "1",
"min": 0,
"path": "Resource.language"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "CommunicationRequest.text",
"min": 0,
"definition": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"isModifier": false,
"short": "Text summary of the resource, for human interpretation",
"mapping": [ {
"map": "Act.text?",
"identity": "rim"
} ],
"type": [ {
"code": "Narrative"
} ],
"alias": [ "narrative", "html", "xhtml", "display" ],
"max": "1",
"id": "CommunicationRequest.text",
"comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
"base": {
"max": "1",
"min": 0,
"path": "DomainResource.text"
},
"isSummary": false
}, {
"path": "CommunicationRequest.contained",
"min": 0,
"definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"isModifier": false,
"short": "Contained, inline Resources",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Resource"
} ],
"alias": [ "inline resources", "anonymous resources", "contained resources" ],
"max": "*",
"id": "CommunicationRequest.contained",
"comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.contained"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "CommunicationRequest.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "CommunicationRequest.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "CommunicationRequest.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "CommunicationRequest.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "CommunicationRequest.identifier",
"requirements": "Allows identification of the communication request as it is known by various participating systems and in a way that remains consistent across servers.",
"min": 0,
"definition": "Business identifiers assigned to this communication request by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
"isModifier": false,
"short": "Unique Identifier used in linking the Communication Request to the response (X12's Attachment Control Number).",
"mapping": [ {
"map": "Request.identifier",
"identity": "workflow"
}, {
"map": "FiveWs.identifier",
"identity": "w5"
} ],
"type": [ {
"code": "Identifier"
} ],
"mustSupport": true,
"max": "*",
"id": "CommunicationRequest.identifier",
"comment": "This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.",
"base": {
"max": "*",
"min": 0,
"path": "CommunicationRequest.identifier"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "CommunicationRequest.basedOn",
"requirements": "Allows tracing of authorization for the request and tracking whether proposals/recommendations were acted upon.",
"min": 0,
"definition": "A plan or proposal that is fulfilled in whole or in part by this request.",
"isModifier": false,
"short": "Fulfills plan or proposal",
"mapping": [ {
"map": "Request.basedOn",
"identity": "workflow"
}, {
"map": ".outboundRelationship[typeCode=FLFS].target",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource" ]
} ],
"alias": [ "fulfills" ],
"max": "*",
"id": "CommunicationRequest.basedOn",
"base": {
"max": "*",
"min": 0,
"path": "CommunicationRequest.basedOn"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "CommunicationRequest.replaces",
"requirements": "Allows tracing the continuation of a therapy or administrative process instantiated through multiple requests.",
"min": 0,
"definition": "Completed or terminated request(s) whose function is taken by this new request.",
"isModifier": false,
"short": "Request(s) replaced by this request",
"mapping": [ {
"map": "Request.replaces",
"identity": "workflow"
}, {
"map": ".outboundRelationship[typeCode=RPLC].target",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/CommunicationRequest" ]
} ],
"alias": [ "supersedes", "prior" ],
"max": "*",
"id": "CommunicationRequest.replaces",
"comment": "The replacement could be because the initial request was immediately rejected (due to an issue) or because the previous request was completed, but the need for the action described by the request remains ongoing.",
"base": {
"max": "*",
"min": 0,
"path": "CommunicationRequest.replaces"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "CommunicationRequest.groupIdentifier",
"min": 0,
"definition": "A shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition, prescription or similar form.",
"isModifier": false,
"short": "Composite request this is part of",
"mapping": [ {
"map": "Request.groupIdentifier",
"identity": "workflow"
}, {
"map": ".inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier",
"identity": "rim"
} ],
"type": [ {
"code": "Identifier"
} ],
"alias": [ "grouperId" ],
"max": "1",
"id": "CommunicationRequest.groupIdentifier",
"comment": "Requests are linked either by a \"basedOn\" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.",
"base": {
"max": "1",
"min": 0,
"path": "CommunicationRequest.groupIdentifier"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "CommunicationRequest.status",
"fixedCode": "active",
"min": 1,
"definition": "The status of the proposal or order.",
"isModifier": true,
"short": "draft | active | on-hold | revoked | completed | entered-in-error | unknown",
"mapping": [ {
"map": "Request.status",
"identity": "workflow"
}, {
"map": "FiveWs.status",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/request-status|4.0.1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CommunicationRequestStatus"
} ],
"description": "The status of the communication request."
},
"max": "1",
"id": "CommunicationRequest.status",
"base": {
"max": "1",
"min": 1,
"path": "CommunicationRequest.status"
},
"isModifierReason": "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid.",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "CommunicationRequest.statusReason",
"min": 0,
"definition": "Captures the reason for the current state of the CommunicationRequest.",
"isModifier": false,
"short": "Reason for current status",
"mapping": [ {
"map": "Request.statusReason",
"identity": "workflow"
}, {
"map": ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde",
"identity": "rim"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CommunicationRequestStatusReason"
} ],
"description": "Codes identifying the reason for the current state of a request."
},
"alias": [ "Suspended Reason", "Cancelled Reason" ],
"max": "1",
"id": "CommunicationRequest.statusReason",
"comment": "This is generally only used for \"exception\" statuses such as \"suspended\" or \"cancelled\". The reason why the CommunicationRequest was created at all is captured in reasonCode, not here. [distinct reason codes for different statuses can be enforced using invariants if they are universal bindings].",
"base": {
"max": "1",
"min": 0,
"path": "CommunicationRequest.statusReason"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "CommunicationRequest.category",
"min": 0,
"definition": "The type of message to be sent such as alert, notification, reminder, instruction, etc.",
"isModifier": false,
"short": "Message category",
"mapping": [ {
"map": "FiveWs.class",
"identity": "w5"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "https://valueset.x12.org/x217/005010/response/2000D/PWK/1/01/00/755",
"description": "Codes indicating the title or contents of a document, report or supporting item. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions."
},
"max": "*",
"id": "CommunicationRequest.category",
"comment": "There may be multiple axes of categorization and one communication request may serve multiple purposes.",
"base": {
"max": "*",
"min": 0,
"path": "CommunicationRequest.category"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "CommunicationRequest.priority",
"min": 0,
"definition": "Characterizes how quickly the proposed act must be initiated. Includes concepts such as stat, urgent, routine.",
"isModifier": false,
"short": "routine | urgent | asap | stat",
"mapping": [ {
"map": "Request.priority",
"identity": "workflow"
}, {
"map": "FiveWs.grade",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"meaningWhenMissing": "If missing, this task should be performed with normal priority",
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/request-priority|4.0.1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CommunicationPriority"
} ],
"description": "Codes indicating the relative importance of a communication request."
},
"max": "1",
"id": "CommunicationRequest.priority",
"base": {
"max": "1",
"min": 0,
"path": "CommunicationRequest.priority"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "CommunicationRequest.doNotPerform",
"min": 0,
"definition": "If true indicates that the CommunicationRequest is asking for the specified action to *not* occur.",
"isModifier": true,
"short": "True if request is prohibiting action",
"mapping": [ {
"map": "Request.doNotPerform",
"identity": "workflow"
} ],
"type": [ {
"code": "boolean"
} ],
"meaningWhenMissing": "If do not perform is not specified, the request is a positive request e.g. \"do perform\"",
"alias": [ "prohibited" ],
"max": "1",
"id": "CommunicationRequest.doNotPerform",
"comment": "The attributes provided with the request qualify what is not to be done.",
"base": {
"max": "1",
"min": 0,
"path": "CommunicationRequest.doNotPerform"
},
"isModifierReason": "If true this element negates the specified action. For Example, instead of a request for a communication, it is a request for the communication to not occur.",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "CommunicationRequest.medium",
"min": 0,
"definition": "A channel that was used for this communication (e.g. email, fax).",
"isModifier": false,
"short": "A channel of communication",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"binding": {
"strength": "extensible",
"valueSet": "http://hl7.org/fhir/us/davinci-pas/ValueSet/PASCommunicationRequestMedium"
},
"max": "*",
"id": "CommunicationRequest.medium",
"base": {
"max": "*",
"min": 0,
"path": "CommunicationRequest.medium"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "CommunicationRequest.subject",
"min": 0,
"definition": "The patient or group that is the focus of this communication request.",
"isModifier": false,
"short": "Focus of message",
"mapping": [ {
"map": "Request.subject",
"identity": "workflow"
}, {
"map": "FiveWs.subject[x]",
"identity": "w5"
}, {
"map": "FiveWs.subject",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Group" ]
} ],
"alias": [ "patient" ],
"max": "1",
"id": "CommunicationRequest.subject",
"base": {
"max": "1",
"min": 0,
"path": "CommunicationRequest.subject"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "CommunicationRequest.about",
"min": 0,
"definition": "Other resources that pertain to this communication request and to which this communication request should be associated.",
"isModifier": false,
"short": "Resources that pertain to this communication request",
"mapping": [ {
"map": "Request.supportingInfo",
"identity": "workflow"
}, {
"map": "FiveWs.context",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource" ]
} ],
"max": "*",
"id": "CommunicationRequest.about",
"comment": "Don't use CommunicationRequest.about element when a more specific element exists, such as basedOn, reasonReference, or replaces.",
"base": {
"max": "*",
"min": 0,
"path": "CommunicationRequest.about"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "CommunicationRequest.encounter",
"min": 0,
"definition": "The Encounter during which this CommunicationRequest was created or to which the creation of this record is tightly associated.",
"isModifier": false,
"short": "Encounter created as part of",
"mapping": [ {
"map": "Request.context",
"identity": "workflow"
}, {
"map": "FiveWs.context",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ]
} ],
"max": "1",
"id": "CommunicationRequest.encounter",
"comment": "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.",
"base": {
"max": "1",
"min": 0,
"path": "CommunicationRequest.encounter"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "CommunicationRequest.payload",
"min": 0,
"definition": "Text, attachment(s), or resource(s) to be communicated to the recipient.",
"isModifier": false,
"short": "Message payload",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "*",
"id": "CommunicationRequest.payload",
"base": {
"max": "*",
"min": 0,
"path": "CommunicationRequest.payload"
},
"isSummary": false
}, {
"path": "CommunicationRequest.payload.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "CommunicationRequest.payload.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "CommunicationRequest.payload.extension",
"min": 0,
"definition": "An Extension",
"isModifier": false,
"short": "Extension",
"slicing": {
"rules": "open",
"ordered": false,
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"max": "*",
"id": "CommunicationRequest.payload.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "CommunicationRequest.payload.extension",
"min": 0,
"definition": "A number that links the content being requested with the claim item number.",
"isModifier": false,
"short": "Extension",
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceLineNumber" ]
} ],
"mustSupport": true,
"sliceName": "serviceLineNumber",
"max": "1",
"id": "CommunicationRequest.payload.extension:serviceLineNumber",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "CommunicationRequest.payload.extension",
"min": 0,
"definition": "A code representing the diagnosis that is the subject of the communication",
"isModifier": false,
"short": "Extension",
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-communicatedDiagnosis" ]
} ],
"mustSupport": true,
"sliceName": "communicatedDiagnosis",
"max": "*",
"id": "CommunicationRequest.payload.extension:communicatedDiagnosis",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "CommunicationRequest.payload.extension",
"min": 0,
"definition": "A code representing a modifier of the content being requested",
"isModifier": false,
"short": "Extension",
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-contentModifier" ]
} ],
"mustSupport": true,
"sliceName": "contentModifier",
"max": "*",
"id": "CommunicationRequest.payload.extension:contentModifier",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "CommunicationRequest.payload.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "CommunicationRequest.payload.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "CommunicationRequest.payload.content[x]",
"min": 1,
"definition": "The communicated content (or for multi-part communications, one portion of the communication).",
"isModifier": false,
"short": "Message part content",
"mapping": [ {
"map": "Request.note",
"identity": "workflow"
} ],
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "CommunicationRequest.payload.content[x]",
"base": {
"max": "1",
"min": 1,
"path": "CommunicationRequest.payload.content[x]"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "CommunicationRequest.occurrence[x]",
"min": 0,
"definition": "The time when this communication is to occur.",
"isModifier": false,
"short": "When scheduled",
"mapping": [ {
"map": "Request.occurrence[x]",
"identity": "workflow"
}, {
"map": "FiveWs.planned",
"identity": "w5"
} ],
"type": [ {
"code": "dateTime"
}, {
"code": "Period"
} ],
"alias": [ "timing" ],
"max": "1",
"id": "CommunicationRequest.occurrence[x]",
"base": {
"max": "1",
"min": 0,
"path": "CommunicationRequest.occurrence[x]"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "CommunicationRequest.authoredOn",
"min": 0,
"definition": "For draft requests, indicates the date of initial creation. For requests with other statuses, indicates the date of activation.",
"isModifier": false,
"short": "When request transitioned to being actionable",
"mapping": [ {
"map": "Request.authoredOn",
"identity": "workflow"
}, {
"map": "FiveWs.recorded",
"identity": "w5"
} ],
"type": [ {
"code": "dateTime"
} ],
"alias": [ "createdOn" ],
"max": "1",
"id": "CommunicationRequest.authoredOn",
"base": {
"max": "1",
"min": 0,
"path": "CommunicationRequest.authoredOn"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "CommunicationRequest.requester",
"min": 0,
"definition": "The device, individual, or organization who initiated the request and has responsibility for its activation.",
"isModifier": false,
"short": "Who/what is requesting service",
"mapping": [ {
"map": "Request.requester",
"identity": "workflow"
}, {
"map": "FiveWs.author",
"identity": "w5"
}, {
"map": ".participation[typeCode=AUT].role",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-insurer" ]
} ],
"mustSupport": true,
"alias": [ "author" ],
"max": "1",
"id": "CommunicationRequest.requester",
"base": {
"max": "1",
"min": 0,
"path": "CommunicationRequest.requester"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "CommunicationRequest.recipient",
"min": 0,
"definition": "The entity (e.g. person, organization, clinical information system, device, group, or care team) which is the intended target of the communication.",
"isModifier": false,
"short": "Message recipient",
"mapping": [ {
"map": "Request.performer",
"identity": "workflow"
}, {
"map": "FiveWs.actor",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-practitioner", "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-organization" ]
} ],
"mustSupport": true,
"max": "*",
"id": "CommunicationRequest.recipient",
"base": {
"max": "*",
"min": 0,
"path": "CommunicationRequest.recipient"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "CommunicationRequest.sender",
"min": 0,
"definition": "The entity (e.g. person, organization, clinical information system, or device) which is to be the source of the communication.",
"isModifier": false,
"short": "Message sender",
"mapping": [ {
"map": "Request.performer",
"identity": "workflow"
}, {
"map": "FiveWs.actor",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-requestor" ]
} ],
"mustSupport": true,
"max": "1",
"id": "CommunicationRequest.sender",
"base": {
"max": "1",
"min": 0,
"path": "CommunicationRequest.sender"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "CommunicationRequest.reasonCode",
"min": 0,
"definition": "Describes why the request is being made in coded or textual form.",
"isModifier": false,
"short": "Why is communication needed?",
"mapping": [ {
"map": "Request.reasonCode",
"identity": "workflow"
}, {
"map": "FiveWs.why[x]",
"identity": "w5"
}, {
"map": ".reasonCode",
"identity": "rim"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ActReason",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CommunicationReason"
} ],
"description": "Codes for describing reasons for the occurrence of a communication."
},
"max": "*",
"id": "CommunicationRequest.reasonCode",
"comment": "Textual reasons can be captured using reasonCode.text.",
"base": {
"max": "*",
"min": 0,
"path": "CommunicationRequest.reasonCode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "CommunicationRequest.reasonReference",
"min": 0,
"definition": "Indicates another resource whose existence justifies this request.",
"isModifier": false,
"short": "Why is communication needed?",
"mapping": [ {
"map": "Request.reasonReference",
"identity": "workflow"
}, {
"map": "FiveWs.why[x]",
"identity": "w5"
}, {
"map": ".outboundRelationship[typeCode=RSON].target",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Condition", "http://hl7.org/fhir/StructureDefinition/Observation", "http://hl7.org/fhir/StructureDefinition/DiagnosticReport", "http://hl7.org/fhir/StructureDefinition/DocumentReference" ]
} ],
"max": "*",
"id": "CommunicationRequest.reasonReference",
"base": {
"max": "*",
"min": 0,
"path": "CommunicationRequest.reasonReference"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "CommunicationRequest.note",
"min": 0,
"definition": "Comments made about the request by the requester, sender, recipient, subject or other participants.",
"isModifier": false,
"short": "Comments made about communication request",
"mapping": [ {
"map": "Request.note",
"identity": "workflow"
}, {
"map": ".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]",
"identity": "rim"
} ],
"type": [ {
"code": "Annotation"
} ],
"max": "*",
"id": "CommunicationRequest.note",
"base": {
"max": "*",
"min": 0,
"path": "CommunicationRequest.note"
},
"isSummary": false
} ]
},
"status": "active",
"id": "22f42dea-fc57-467a-95fe-425dfd53af82",
"kind": "resource",
"url": "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-communicationrequest",
"version": "2.1.0-preview",
"differential": {
"element": [ {
"id": "CommunicationRequest.identifier",
"path": "CommunicationRequest.identifier",
"short": "Unique Identifier used in linking the Communication Request to the response (X12's Attachment Control Number).",
"mustSupport": true
}, {
"id": "CommunicationRequest.status",
"path": "CommunicationRequest.status",
"fixedCode": "active"
}, {
"id": "CommunicationRequest.category",
"path": "CommunicationRequest.category",
"binding": {
"strength": "required",
"valueSet": "https://valueset.x12.org/x217/005010/response/2000D/PWK/1/01/00/755",
"description": "Codes indicating the title or contents of a document, report or supporting item. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions."
},
"mustSupport": true
}, {
"id": "CommunicationRequest.medium",
"path": "CommunicationRequest.medium",
"binding": {
"strength": "extensible",
"valueSet": "http://hl7.org/fhir/us/davinci-pas/ValueSet/PASCommunicationRequestMedium"
},
"mustSupport": true
}, {
"id": "CommunicationRequest.payload",
"path": "CommunicationRequest.payload",
"mustSupport": true
}, {
"id": "CommunicationRequest.payload.extension",
"path": "CommunicationRequest.payload.extension",
"slicing": {
"rules": "open",
"ordered": false,
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "CommunicationRequest.payload.extension:serviceLineNumber",
"max": "1",
"min": 0,
"path": "CommunicationRequest.payload.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceLineNumber" ]
} ],
"sliceName": "serviceLineNumber",
"mustSupport": true
}, {
"id": "CommunicationRequest.payload.extension:communicatedDiagnosis",
"max": "*",
"min": 0,
"path": "CommunicationRequest.payload.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-communicatedDiagnosis" ]
} ],
"sliceName": "communicatedDiagnosis",
"mustSupport": true
}, {
"id": "CommunicationRequest.payload.extension:contentModifier",
"max": "*",
"min": 0,
"path": "CommunicationRequest.payload.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-contentModifier" ]
} ],
"sliceName": "contentModifier",
"mustSupport": true
}, {
"id": "CommunicationRequest.payload.content[x]",
"path": "CommunicationRequest.payload.content[x]",
"type": [ {
"code": "string"
} ],
"mustSupport": true
}, {
"id": "CommunicationRequest.requester",
"path": "CommunicationRequest.requester",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-insurer" ]
} ],
"mustSupport": true
}, {
"id": "CommunicationRequest.recipient",
"path": "CommunicationRequest.recipient",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-practitioner", "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-organization" ]
} ],
"mustSupport": true
}, {
"id": "CommunicationRequest.sender",
"path": "CommunicationRequest.sender",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-requestor" ]
} ],
"mustSupport": true
} ]
},
"contact": [ {
"name": "HL7 International / Financial Management",
"telecom": [ {
"value": "http://hl7.org/Special/committees/fm",
"system": "url"
}, {
"value": "fmlists@lists.hl7.org",
"system": "email"
} ]
}, {
"name": "Jean Duteau",
"telecom": [ {
"value": "mailto:jean@duteaudesign.com",
"system": "email"
} ]
}, {
"name": "HL7 International / Financial Management",
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/fm",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/CommunicationRequest"
}