Magentus Practice Management FHIR Implementation Guide - Local Development build (v1.2.35) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Content
• Detailed Descriptions
• Examples
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Resource Profile: EOrders Communication Request Patient

EOrders diagnostic provider to patient communication. This is only used when stopping communication by the lab/service to the patient.

Usage:

• Examples for this Resource Profile: CommunicationRequest/66ad4d84-f611-11ed-a1fc-d2cbed391bcd
• CapabilityStatements using this Resource Profile: Genie Solutions eOrders Capability Statement

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints
CommunicationRequest		0..*	CommunicationRequest	Diagnostic request communication request dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
groupIdentifier	SΣ	1..1	EOrdersPlacerGroupNumber	Composite request this is part of ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	active Binding: RequestStatus (required): The status of the communication request. ele-1: All FHIR elements must have a @value or children Fixed Value: active
category	S	1..*	CodeableConcept	reminder | instruction Binding: EOrders Communication Request Category (required) ele-1: All FHIR elements must have a @value or children
doNotPerform	?!SΣ	1..1	boolean	True when SMS communication with patient is requested to not be performed ele-1: All FHIR elements must have a @value or children
medium	S	1..1	CodeableConcept	Currently WRITTEN covering all forms of communication with patient Binding: EOrders communication medium values (required) ele-1: All FHIR elements must have a @value or children
text	Σ	1..1	string	SMS ele-1: All FHIR elements must have a @value or children Fixed Value: SMS
about	S	1..*	Reference(EOrders Task Fulfillment Request Group | EOrders Task Fulfillment Request)	Fulillment task the communication is about ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Relative reference ele-1: All FHIR elements must have a @value or children
authoredOn	SΣ	1..1	dateTime	Date/time when communication request direction obtained ele-1: All FHIR elements must have a @value or children
requester	SΣ	1..1	Reference(Genie Patient | Genie PractitionerRole | Genie Organization)	Patient, provider or practice requesting the communication (or for it to not be performed) ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Relative reference ele-1: All FHIR elements must have a @value or children
recipient	S	1..1	Reference(Genie Patient)	Patient receiving the communication ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Relative reference ele-1: All FHIR elements must have a @value or children
sender	SΣ	1..1	Reference(Genie Organization)	Diagnostic organization sending the SMS ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Relative reference ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
CommunicationRequest.status	required	Fixed Value: active http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
CommunicationRequest.category	required	EOrdersCommunicationCategory http://fhir.geniesolutions.io/ValueSet/eorders-communication-category from this IG
CommunicationRequest.medium	required	EOrdersCommunicationMedium http://fhir.geniesolutions.io/ValueSet/eorders-communication-medium from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	CommunicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	CommunicationRequest	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 : 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()
dom-4	error	CommunicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	CommunicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	CommunicationRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from CommunicationRequest

Name	Flags	Card.	Type	Description & Constraints
CommunicationRequest		0..*	CommunicationRequest	Diagnostic request communication request
groupIdentifier	S	1..1	EOrdersPlacerGroupNumber	Composite request this is part of
status	S	1..1	code	active Fixed Value: active
category	S	1..*	CodeableConcept	reminder | instruction Binding: EOrders Communication Request Category (required)
doNotPerform	S	1..1	boolean	True when SMS communication with patient is requested to not be performed
medium	S	1..1	CodeableConcept	Currently WRITTEN covering all forms of communication with patient Binding: EOrders communication medium values (required)
text		1..1	string	SMS Fixed Value: SMS
about	S	1..*	Reference(EOrders Task Fulfillment Request Group | EOrders Task Fulfillment Request)	Fulillment task the communication is about
reference		1..1	string	Relative reference
authoredOn	S	1..1	dateTime	Date/time when communication request direction obtained
requester	S	1..1	Reference(Genie Patient | Genie PractitionerRole | Genie Organization)	Patient, provider or practice requesting the communication (or for it to not be performed)
reference		1..1	string	Relative reference
recipient	S	1..1	Reference(Genie Patient)	Patient receiving the communication
reference		1..1	string	Relative reference
sender	S	1..1	Reference(Genie Organization)	Diagnostic organization sending the SMS
reference		1..1	string	Relative reference
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
CommunicationRequest.category	required	EOrdersCommunicationCategory http://fhir.geniesolutions.io/ValueSet/eorders-communication-category from this IG
CommunicationRequest.medium	required	EOrdersCommunicationMedium http://fhir.geniesolutions.io/ValueSet/eorders-communication-medium from this IG

Name	Flags	Card.	Type	Description & Constraints
CommunicationRequest		0..*	CommunicationRequest	Diagnostic request communication request
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Unique identifier
basedOn	Σ	0..*	Reference(Resource)	Fulfills plan or proposal
replaces	Σ	0..*	Reference(CommunicationRequest)	Request(s) replaced by this request
groupIdentifier	SΣ	1..1	EOrdersPlacerGroupNumber	Composite request this is part of
status	?!SΣ	1..1	code	active Binding: RequestStatus (required): The status of the communication request. Fixed Value: active
statusReason		0..1	CodeableConcept	Reason for current status Binding Description (No ValueSet): (example): Codes identifying the reason for the current state of a request.
category	S	1..*	CodeableConcept	reminder | instruction Binding: EOrders Communication Request Category (required)
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication request.
doNotPerform	?!SΣ	1..1	boolean	True when SMS communication with patient is requested to not be performed
medium	S	1..1	CodeableConcept	Currently WRITTEN covering all forms of communication with patient Binding: EOrders communication medium values (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	1..1	string	SMS Fixed Value: SMS
subject		0..1	Reference(Patient | Group)	Focus of message
about	S	1..*	Reference(EOrders Task Fulfillment Request Group | EOrders Task Fulfillment Request)	Fulillment task the communication is about
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Relative reference
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
payload		0..*	BackboneElement	Message payload
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
content[x]		1..1		Message part content
contentString			string
contentAttachment			Attachment
contentReference			Reference(Resource)
occurrence[x]	Σ	0..1		When scheduled
occurrenceDateTime			dateTime
occurrencePeriod			Period
authoredOn	SΣ	1..1	dateTime	Date/time when communication request direction obtained
requester	SΣ	1..1	Reference(Genie Patient | Genie PractitionerRole | Genie Organization)	Patient, provider or practice requesting the communication (or for it to not be performed)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Relative reference
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
recipient	S	1..1	Reference(Genie Patient)	Patient receiving the communication
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Relative reference
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
sender	SΣ	1..1	Reference(Genie Organization)	Diagnostic organization sending the SMS
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Relative reference
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
reasonCode	Σ	0..*	CodeableConcept	Why is communication needed? Binding: v3 Code System ActReason (example): Codes for describing reasons for the occurrence of a communication.
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Why is communication needed?
note		0..*	Annotation	Comments made about communication request
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
CommunicationRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
CommunicationRequest.status	required	Fixed Value: active http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
CommunicationRequest.statusReason	example
CommunicationRequest.category	required	EOrdersCommunicationCategory http://fhir.geniesolutions.io/ValueSet/eorders-communication-category from this IG
CommunicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
CommunicationRequest.medium	required	EOrdersCommunicationMedium http://fhir.geniesolutions.io/ValueSet/eorders-communication-medium from this IG
CommunicationRequest.about.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
CommunicationRequest.requester.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
CommunicationRequest.recipient.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
CommunicationRequest.sender.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
CommunicationRequest.reasonCode	example	ActReason http://terminology.hl7.org/ValueSet/v3-ActReason

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	CommunicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	CommunicationRequest	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 : 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()
dom-4	error	CommunicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	CommunicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	CommunicationRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from CommunicationRequest

Summary

Mandatory: 14 elements
Must-Support: 10 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

• EOrders Placer Group Number (http://fhir.geniesolutions.io/StructureDefinition/eorders-placergroupnumber)
• EOrders Task Fulfillment Request Group (http://fhir.geniesolutions.io/StructureDefinition/eorders-task-fulfillment-group)
• EOrders Task Fulfillment Request (http://fhir.geniesolutions.io/StructureDefinition/eorders-diagnosticrequesttask)
• Genie Patient (http://fhir.geniesolutions.io/StructureDefinition/gs-patient)
• Genie PractitionerRole (http://fhir.geniesolutions.io/StructureDefinition/gs-practitionerrole)
• Genie Organization (http://fhir.geniesolutions.io/StructureDefinition/gs-organization)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
CommunicationRequest		0..*	CommunicationRequest	Diagnostic request communication request dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
groupIdentifier	SΣ	1..1	EOrdersPlacerGroupNumber	Composite request this is part of ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	active Binding: RequestStatus (required): The status of the communication request. ele-1: All FHIR elements must have a @value or children Fixed Value: active
category	S	1..*	CodeableConcept	reminder | instruction Binding: EOrders Communication Request Category (required) ele-1: All FHIR elements must have a @value or children
doNotPerform	?!SΣ	1..1	boolean	True when SMS communication with patient is requested to not be performed ele-1: All FHIR elements must have a @value or children
medium	S	1..1	CodeableConcept	Currently WRITTEN covering all forms of communication with patient Binding: EOrders communication medium values (required) ele-1: All FHIR elements must have a @value or children
text	Σ	1..1	string	SMS ele-1: All FHIR elements must have a @value or children Fixed Value: SMS
about	S	1..*	Reference(EOrders Task Fulfillment Request Group | EOrders Task Fulfillment Request)	Fulillment task the communication is about ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Relative reference ele-1: All FHIR elements must have a @value or children
authoredOn	SΣ	1..1	dateTime	Date/time when communication request direction obtained ele-1: All FHIR elements must have a @value or children
requester	SΣ	1..1	Reference(Genie Patient | Genie PractitionerRole | Genie Organization)	Patient, provider or practice requesting the communication (or for it to not be performed) ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Relative reference ele-1: All FHIR elements must have a @value or children
recipient	S	1..1	Reference(Genie Patient)	Patient receiving the communication ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Relative reference ele-1: All FHIR elements must have a @value or children
sender	SΣ	1..1	Reference(Genie Organization)	Diagnostic organization sending the SMS ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Relative reference ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
CommunicationRequest.status	required	Fixed Value: active http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
CommunicationRequest.category	required	EOrdersCommunicationCategory http://fhir.geniesolutions.io/ValueSet/eorders-communication-category from this IG
CommunicationRequest.medium	required	EOrdersCommunicationMedium http://fhir.geniesolutions.io/ValueSet/eorders-communication-medium from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	CommunicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	CommunicationRequest	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 : 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()
dom-4	error	CommunicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	CommunicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	CommunicationRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from CommunicationRequest

Name	Flags	Card.	Type	Description & Constraints
CommunicationRequest		0..*	CommunicationRequest	Diagnostic request communication request
groupIdentifier	S	1..1	EOrdersPlacerGroupNumber	Composite request this is part of
status	S	1..1	code	active Fixed Value: active
category	S	1..*	CodeableConcept	reminder | instruction Binding: EOrders Communication Request Category (required)
doNotPerform	S	1..1	boolean	True when SMS communication with patient is requested to not be performed
medium	S	1..1	CodeableConcept	Currently WRITTEN covering all forms of communication with patient Binding: EOrders communication medium values (required)
text		1..1	string	SMS Fixed Value: SMS
about	S	1..*	Reference(EOrders Task Fulfillment Request Group | EOrders Task Fulfillment Request)	Fulillment task the communication is about
reference		1..1	string	Relative reference
authoredOn	S	1..1	dateTime	Date/time when communication request direction obtained
requester	S	1..1	Reference(Genie Patient | Genie PractitionerRole | Genie Organization)	Patient, provider or practice requesting the communication (or for it to not be performed)
reference		1..1	string	Relative reference
recipient	S	1..1	Reference(Genie Patient)	Patient receiving the communication
reference		1..1	string	Relative reference
sender	S	1..1	Reference(Genie Organization)	Diagnostic organization sending the SMS
reference		1..1	string	Relative reference
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
CommunicationRequest.category	required	EOrdersCommunicationCategory http://fhir.geniesolutions.io/ValueSet/eorders-communication-category from this IG
CommunicationRequest.medium	required	EOrdersCommunicationMedium http://fhir.geniesolutions.io/ValueSet/eorders-communication-medium from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
CommunicationRequest		0..*	CommunicationRequest	Diagnostic request communication request
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Unique identifier
basedOn	Σ	0..*	Reference(Resource)	Fulfills plan or proposal
replaces	Σ	0..*	Reference(CommunicationRequest)	Request(s) replaced by this request
groupIdentifier	SΣ	1..1	EOrdersPlacerGroupNumber	Composite request this is part of
status	?!SΣ	1..1	code	active Binding: RequestStatus (required): The status of the communication request. Fixed Value: active
statusReason		0..1	CodeableConcept	Reason for current status Binding Description (No ValueSet): (example): Codes identifying the reason for the current state of a request.
category	S	1..*	CodeableConcept	reminder | instruction Binding: EOrders Communication Request Category (required)
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication request.
doNotPerform	?!SΣ	1..1	boolean	True when SMS communication with patient is requested to not be performed
medium	S	1..1	CodeableConcept	Currently WRITTEN covering all forms of communication with patient Binding: EOrders communication medium values (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	1..1	string	SMS Fixed Value: SMS
subject		0..1	Reference(Patient | Group)	Focus of message
about	S	1..*	Reference(EOrders Task Fulfillment Request Group | EOrders Task Fulfillment Request)	Fulillment task the communication is about
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Relative reference
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
payload		0..*	BackboneElement	Message payload
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
content[x]		1..1		Message part content
contentString			string
contentAttachment			Attachment
contentReference			Reference(Resource)
occurrence[x]	Σ	0..1		When scheduled
occurrenceDateTime			dateTime
occurrencePeriod			Period
authoredOn	SΣ	1..1	dateTime	Date/time when communication request direction obtained
requester	SΣ	1..1	Reference(Genie Patient | Genie PractitionerRole | Genie Organization)	Patient, provider or practice requesting the communication (or for it to not be performed)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Relative reference
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
recipient	S	1..1	Reference(Genie Patient)	Patient receiving the communication
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Relative reference
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
sender	SΣ	1..1	Reference(Genie Organization)	Diagnostic organization sending the SMS
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Relative reference
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
reasonCode	Σ	0..*	CodeableConcept	Why is communication needed? Binding: v3 Code System ActReason (example): Codes for describing reasons for the occurrence of a communication.
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Why is communication needed?
note		0..*	Annotation	Comments made about communication request
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
CommunicationRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
CommunicationRequest.status	required	Fixed Value: active http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
CommunicationRequest.statusReason	example
CommunicationRequest.category	required	EOrdersCommunicationCategory http://fhir.geniesolutions.io/ValueSet/eorders-communication-category from this IG
CommunicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
CommunicationRequest.medium	required	EOrdersCommunicationMedium http://fhir.geniesolutions.io/ValueSet/eorders-communication-medium from this IG
CommunicationRequest.about.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
CommunicationRequest.requester.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
CommunicationRequest.recipient.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
CommunicationRequest.sender.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
CommunicationRequest.reasonCode	example	ActReason http://terminology.hl7.org/ValueSet/v3-ActReason

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	CommunicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	CommunicationRequest	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 : 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()
dom-4	error	CommunicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	CommunicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	CommunicationRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from CommunicationRequest

Summary

Mandatory: 14 elements
Must-Support: 10 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

• EOrders Placer Group Number (http://fhir.geniesolutions.io/StructureDefinition/eorders-placergroupnumber)
• EOrders Task Fulfillment Request Group (http://fhir.geniesolutions.io/StructureDefinition/eorders-task-fulfillment-group)
• EOrders Task Fulfillment Request (http://fhir.geniesolutions.io/StructureDefinition/eorders-diagnosticrequesttask)
• Genie Patient (http://fhir.geniesolutions.io/StructureDefinition/gs-patient)
• Genie PractitionerRole (http://fhir.geniesolutions.io/StructureDefinition/gs-practitionerrole)
• Genie Organization (http://fhir.geniesolutions.io/StructureDefinition/gs-organization)

Other representations of profile: CSV, Excel, Schematron