{
"description": "R5: `CommunicationRequest.intent` (new:code)",
"_filename": "StructureDefinition-ext-R5-CommunicationRequest.intent.json",
"package_name": "hl7.fhir.uv.xver-r5.r4b",
"date": "2026-03-17T21:02:03.8104715+00:00",
"derivation": "constraint",
"publisher": "FHIR Infrastructure",
"fhirVersion": "4.3.0",
"jurisdiction": [ {
"coding": [ {
"code": "001",
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"display": "World"
} ]
} ],
"purpose": "This extension is part of the cross-version definitions generated to enable use of the\r\nelement `CommunicationRequest.intent` as defined in FHIR R5\r\nin FHIR R4B.\r\n\r\nThe source element is defined as:\r\n`CommunicationRequest.intent` 1..1 `code`\r\n\r\nFollowing are the generation technical comments:\r\nElement `CommunicationRequest.intent` has a context of CommunicationRequest based on following the parent source element upwards and mapping to `CommunicationRequest`.\nElement `CommunicationRequest.intent` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).",
"name": "ExtensionCommunicationRequest_Intent",
"mapping": [ {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
} ],
"abstract": false,
"type": "Extension",
"experimental": "false",
"resourceType": "StructureDefinition",
"title": "R5: proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option (new)",
"package_version": "0.1.0",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fhir"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/package-source",
"extension": [ {
"url": "packageId",
"valueId": "hl7.fhir.uv.xver-r5.r4b"
}, {
"url": "version",
"valueString": "0.1.0"
}, {
"url": "uri",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4b"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/version-specific-use",
"extension": [ {
"url": "startFhirVersion",
"valueCode": "4.3"
}, {
"url": "endFhirVersion",
"valueCode": "4.3"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 0,
"_valueInteger": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4b"
} ]
}
}, {
"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/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4b"
} ]
}
} ],
"snapshot": {
"element": [ {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters"
}, {
"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|4.3.0",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Extension",
"min": 1,
"definition": "R5: `CommunicationRequest.intent` (new:code)",
"isModifier": true,
"short": "R5: proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option (new)",
"max": "1",
"id": "Extension",
"condition": [ "ele-1" ],
"comment": "Element `CommunicationRequest.intent` has a context of CommunicationRequest based on following the parent source element upwards and mapping to `CommunicationRequest`.\nElement `CommunicationRequest.intent` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).\nThis element is expected to be immutable. E.g. A \"proposal\" instance should never change to be a \"plan\" instance or \"order\" instance. Instead, a new instance 'basedOn' the prior instance should be created with the new 'intent' value.\n\nOne exception to this is that the granularity of CommunicationRequest.intent is allowed to change. For example, a Request identified as an \"order\" might later be clarified to be a \"filler-order\". Or, in rarer cases (to meet recipient constraints), the reverse might also occur.",
"base": {
"max": "*",
"min": 0,
"path": "Extension"
},
"isModifierReason": "This element changes the interpretation of all descriptive attributes. For example \"the time the request is recommended to occur\" vs. \"the time the request is authorized to occur\" or \"who is recommended to perform the request\" vs. \"who is authorized to perform the request"
}, {
"path": "Extension.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": "id"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.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|4.3.0",
"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|4.3.0",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. 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"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Extension.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": "Element.extension"
},
"isSummary": false
}, {
"path": "Extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"isModifier": false,
"short": "identifies the meaning of the extension",
"fixedUri": "http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.intent",
"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": "uri"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"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|4.3.0",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Extension.value[x]",
"min": 1,
"definition": "Indicates the level of authority/intentionality associated with the CommunicationRequest and where the request fits into the workflow chain.",
"isModifier": false,
"short": "proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/request-intent|4.3.0",
"description": "Codes indicating the degree of authority/intentionality associated with a request."
},
"max": "1",
"id": "Extension.value[x]",
"comment": "This element is expected to be immutable. E.g. A \"proposal\" instance should never change to be a \"plan\" instance or \"order\" instance. Instead, a new instance 'basedOn' the prior instance should be created with the new 'intent' value.\n\nOne exception to this is that the granularity of CommunicationRequest.intent is allowed to change. For example, a Request identified as an \"order\" might later be clarified to be a \"filler-order\". Or, in rarer cases (to meet recipient constraints), the reverse might also occur.",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"isSummary": false
} ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "4.3.0"
} ]
},
"status": "active",
"id": "a35477f2-7ca7-43ec-b997-25ce7c1f0c08",
"kind": "complex-type",
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.intent",
"context": [ {
"type": "element",
"expression": "CommunicationRequest"
} ],
"version": "0.1.0",
"differential": {
"element": [ {
"path": "Extension",
"min": 1,
"definition": "R5: `CommunicationRequest.intent` (new:code)",
"isModifier": true,
"short": "R5: proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option (new)",
"max": "1",
"id": "Extension",
"comment": "Element `CommunicationRequest.intent` has a context of CommunicationRequest based on following the parent source element upwards and mapping to `CommunicationRequest`.\nElement `CommunicationRequest.intent` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).\nThis element is expected to be immutable. E.g. A \"proposal\" instance should never change to be a \"plan\" instance or \"order\" instance. Instead, a new instance 'basedOn' the prior instance should be created with the new 'intent' value.\n\nOne exception to this is that the granularity of CommunicationRequest.intent is allowed to change. For example, a Request identified as an \"order\" might later be clarified to be a \"filler-order\". Or, in rarer cases (to meet recipient constraints), the reverse might also occur.",
"base": {
"max": "*",
"min": 0,
"path": "Extension"
},
"isModifierReason": "This element changes the interpretation of all descriptive attributes. For example \"the time the request is recommended to occur\" vs. \"the time the request is authorized to occur\" or \"who is recommended to perform the request\" vs. \"who is authorized to perform the request"
}, {
"id": "Extension.url",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"path": "Extension.url",
"fixedUri": "http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.intent"
}, {
"path": "Extension.value[x]",
"min": 1,
"definition": "Indicates the level of authority/intentionality associated with the CommunicationRequest and where the request fits into the workflow chain.",
"short": "proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option",
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/request-intent|4.3.0",
"description": "Codes indicating the degree of authority/intentionality associated with a request."
},
"max": "1",
"id": "Extension.value[x]",
"comment": "This element is expected to be immutable. E.g. A \"proposal\" instance should never change to be a \"plan\" instance or \"order\" instance. Instead, a new instance 'basedOn' the prior instance should be created with the new 'intent' value.\n\nOne exception to this is that the granularity of CommunicationRequest.intent is allowed to change. For example, a Request identified as an \"order\" might later be clarified to be a \"filler-order\". Or, in rarer cases (to meet recipient constraints), the reverse might also occur.",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
} ]
},
"contact": [ {
"name": "FHIR Infrastructure",
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/fiwg",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension|4.3.0"
}