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
• JSON

Resource Profile: EOrders Communication Request Provider

EOrders communication request to clinical provider. This is used when the requesting clinician requires urgent contact relating to the results of a request. The request should be marked as 'urgent' to match the 'urgent' communication request.

Usage:

• Examples for this Resource Profile: CommunicationRequest/66ad4c83-f611-11ed-a1fc-d2cbed391bcf
• 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	EOrders communication request to clinical provider 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
Slices for contained		1..*	Resource	Contained, inline Resources Slice: Unordered, Open by type:$this
contained:recipient	S	1..1	EOrdersPractitionerRoleContact	Individual provider with communication contact details
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..1	CodeableConcept	alert Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instruction, etc. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/communication-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: alert
priority	SΣ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication request. ele-1: All FHIR elements must have a @value or children
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action ele-1: All FHIR elements must have a @value or children
medium	S	1..1	CodeableConcept	PHONE Binding: EOrders Communication Urgent Medium codes (required) ele-1: All FHIR elements must have a @value or children
subject	S	1..1	Reference(Genie Patient)	Patient that is the subject of the Diagnostic Service ele-1: All FHIR elements must have a @value or children
about	S	1..*	Reference(EOrders Diagnostic Request | EOrders Pathology Request | EOrders Radiology Request)	Diagnostic request the urgent communication is about 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 PractitionerRole)	Individual provider requesting the communication ele-1: All FHIR elements must have a @value or children
recipient	S	1..1	Reference(EOrders PractitionerRole Contact)	Individual provider receiving the communication represented as a contained PractitionerRole with communication contact details ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Reference to contained PractitionerRole resource ele-1: All FHIR elements must have a @value or children
sender	SΣ	1..1	Reference(Genie Organization)	Diagnostic organization sending the communication 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	example	Pattern: alert http://hl7.org/fhir/ValueSet/communication-category from the FHIR Standard
CommunicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
CommunicationRequest.medium	required	EOrdersCommunicationUrgentMedium http://fhir.geniesolutions.io/ValueSet/eorders-communication-urgent-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	EOrders communication request to clinical provider
Slices for contained		1..*	Resource	Contained, inline Resources Slice: Unordered, Open by type:$this
contained:recipient	S	1..1	EOrdersPractitionerRoleContact	Individual provider with communication contact details
groupIdentifier	S	1..1	EOrdersPlacerGroupNumber	Composite request this is part of
status	S	1..1	code	active Fixed Value: active
category	S	1..1	CodeableConcept	alert Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/communication-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: alert
priority	S	0..1	code	routine | urgent | asap | stat
medium	S	1..1	CodeableConcept	PHONE Binding: EOrders Communication Urgent Medium codes (required)
subject	S	1..1	Reference(Genie Patient)	Patient that is the subject of the Diagnostic Service
about	S	1..*	Reference(EOrders Diagnostic Request | EOrders Pathology Request | EOrders Radiology Request)	Diagnostic request the urgent communication is about
authoredOn	S	1..1	dateTime	Date/time when communication request direction obtained
requester	S	1..1	Reference(Genie PractitionerRole)	Individual provider requesting the communication
recipient	S	1..1	Reference(EOrders PractitionerRole Contact)	Individual provider receiving the communication represented as a contained PractitionerRole with communication contact details
reference		1..1	string	Reference to contained PractitionerRole resource
sender	S	1..1	Reference(Genie Organization)	Diagnostic organization sending the communication
Documentation for this format

Terminology Bindings (Differential)

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

Name	Flags	Card.	Type	Description & Constraints
CommunicationRequest		0..*	CommunicationRequest	EOrders communication request to clinical provider
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
Slices for contained		1..*	Resource	Contained, inline Resources Slice: Unordered, Open by type:$this
contained:recipient	S	1..1	EOrdersPractitionerRoleContact	Individual provider with communication contact details
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..1	CodeableConcept	alert Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instruction, etc. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/communication-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: alert
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
priority	SΣ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication request.
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
medium	S	1..1	CodeableConcept	PHONE Binding: EOrders Communication Urgent Medium codes (required)
subject	S	1..1	Reference(Genie Patient)	Patient that is the subject of the Diagnostic Service
about	S	1..*	Reference(EOrders Diagnostic Request | EOrders Pathology Request | EOrders Radiology Request)	Diagnostic request the urgent communication is about
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 PractitionerRole)	Individual provider requesting the communication
recipient	S	1..1	Reference(EOrders PractitionerRole Contact)	Individual provider receiving the communication represented as a contained PractitionerRole with communication contact details
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	Reference to contained PractitionerRole resource
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 communication
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	example	Pattern: alert http://hl7.org/fhir/ValueSet/communication-category from the FHIR Standard
CommunicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
CommunicationRequest.medium	required	EOrdersCommunicationUrgentMedium http://fhir.geniesolutions.io/ValueSet/eorders-communication-urgent-medium from this IG
CommunicationRequest.recipient.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: 12 elements
Must-Support: 12 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

• EOrders PractitionerRole Contact (http://fhir.geniesolutions.io/StructureDefinition/eorders-practitionerrole-contact)
• EOrders Placer Group Number (http://fhir.geniesolutions.io/StructureDefinition/eorders-placergroupnumber)
• Genie Patient (http://fhir.geniesolutions.io/StructureDefinition/gs-patient)
• EOrders Diagnostic Request (http://fhir.geniesolutions.io/StructureDefinition/eorders-diagnosticrequest)
• EOrders Pathology Request (http://fhir.geniesolutions.io/StructureDefinition/eorders-pathologyrequest)
• EOrders Radiology Request (http://fhir.geniesolutions.io/StructureDefinition/eorders-radiologyrequest)
• Genie PractitionerRole (http://fhir.geniesolutions.io/StructureDefinition/gs-practitionerrole)
• Genie Organization (http://fhir.geniesolutions.io/StructureDefinition/gs-organization)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of CommunicationRequest.contained

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
CommunicationRequest		0..*	CommunicationRequest	EOrders communication request to clinical provider 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
Slices for contained		1..*	Resource	Contained, inline Resources Slice: Unordered, Open by type:$this
contained:recipient	S	1..1	EOrdersPractitionerRoleContact	Individual provider with communication contact details
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..1	CodeableConcept	alert Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instruction, etc. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/communication-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: alert
priority	SΣ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication request. ele-1: All FHIR elements must have a @value or children
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action ele-1: All FHIR elements must have a @value or children
medium	S	1..1	CodeableConcept	PHONE Binding: EOrders Communication Urgent Medium codes (required) ele-1: All FHIR elements must have a @value or children
subject	S	1..1	Reference(Genie Patient)	Patient that is the subject of the Diagnostic Service ele-1: All FHIR elements must have a @value or children
about	S	1..*	Reference(EOrders Diagnostic Request | EOrders Pathology Request | EOrders Radiology Request)	Diagnostic request the urgent communication is about 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 PractitionerRole)	Individual provider requesting the communication ele-1: All FHIR elements must have a @value or children
recipient	S	1..1	Reference(EOrders PractitionerRole Contact)	Individual provider receiving the communication represented as a contained PractitionerRole with communication contact details ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Reference to contained PractitionerRole resource ele-1: All FHIR elements must have a @value or children
sender	SΣ	1..1	Reference(Genie Organization)	Diagnostic organization sending the communication 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	example	Pattern: alert http://hl7.org/fhir/ValueSet/communication-category from the FHIR Standard
CommunicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
CommunicationRequest.medium	required	EOrdersCommunicationUrgentMedium http://fhir.geniesolutions.io/ValueSet/eorders-communication-urgent-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	EOrders communication request to clinical provider
Slices for contained		1..*	Resource	Contained, inline Resources Slice: Unordered, Open by type:$this
contained:recipient	S	1..1	EOrdersPractitionerRoleContact	Individual provider with communication contact details
groupIdentifier	S	1..1	EOrdersPlacerGroupNumber	Composite request this is part of
status	S	1..1	code	active Fixed Value: active
category	S	1..1	CodeableConcept	alert Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/communication-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: alert
priority	S	0..1	code	routine | urgent | asap | stat
medium	S	1..1	CodeableConcept	PHONE Binding: EOrders Communication Urgent Medium codes (required)
subject	S	1..1	Reference(Genie Patient)	Patient that is the subject of the Diagnostic Service
about	S	1..*	Reference(EOrders Diagnostic Request | EOrders Pathology Request | EOrders Radiology Request)	Diagnostic request the urgent communication is about
authoredOn	S	1..1	dateTime	Date/time when communication request direction obtained
requester	S	1..1	Reference(Genie PractitionerRole)	Individual provider requesting the communication
recipient	S	1..1	Reference(EOrders PractitionerRole Contact)	Individual provider receiving the communication represented as a contained PractitionerRole with communication contact details
reference		1..1	string	Reference to contained PractitionerRole resource
sender	S	1..1	Reference(Genie Organization)	Diagnostic organization sending the communication
Documentation for this format

Terminology Bindings (Differential)

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

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
CommunicationRequest		0..*	CommunicationRequest	EOrders communication request to clinical provider
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
Slices for contained		1..*	Resource	Contained, inline Resources Slice: Unordered, Open by type:$this
contained:recipient	S	1..1	EOrdersPractitionerRoleContact	Individual provider with communication contact details
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..1	CodeableConcept	alert Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instruction, etc. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/communication-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: alert
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
priority	SΣ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication request.
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
medium	S	1..1	CodeableConcept	PHONE Binding: EOrders Communication Urgent Medium codes (required)
subject	S	1..1	Reference(Genie Patient)	Patient that is the subject of the Diagnostic Service
about	S	1..*	Reference(EOrders Diagnostic Request | EOrders Pathology Request | EOrders Radiology Request)	Diagnostic request the urgent communication is about
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 PractitionerRole)	Individual provider requesting the communication
recipient	S	1..1	Reference(EOrders PractitionerRole Contact)	Individual provider receiving the communication represented as a contained PractitionerRole with communication contact details
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	Reference to contained PractitionerRole resource
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 communication
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	example	Pattern: alert http://hl7.org/fhir/ValueSet/communication-category from the FHIR Standard
CommunicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
CommunicationRequest.medium	required	EOrdersCommunicationUrgentMedium http://fhir.geniesolutions.io/ValueSet/eorders-communication-urgent-medium from this IG
CommunicationRequest.recipient.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: 12 elements
Must-Support: 12 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

• EOrders PractitionerRole Contact (http://fhir.geniesolutions.io/StructureDefinition/eorders-practitionerrole-contact)
• EOrders Placer Group Number (http://fhir.geniesolutions.io/StructureDefinition/eorders-placergroupnumber)
• Genie Patient (http://fhir.geniesolutions.io/StructureDefinition/gs-patient)
• EOrders Diagnostic Request (http://fhir.geniesolutions.io/StructureDefinition/eorders-diagnosticrequest)
• EOrders Pathology Request (http://fhir.geniesolutions.io/StructureDefinition/eorders-pathologyrequest)
• EOrders Radiology Request (http://fhir.geniesolutions.io/StructureDefinition/eorders-radiologyrequest)
• Genie PractitionerRole (http://fhir.geniesolutions.io/StructureDefinition/gs-practitionerrole)
• Genie Organization (http://fhir.geniesolutions.io/StructureDefinition/gs-organization)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of CommunicationRequest.contained

Other representations of profile: CSV, Excel, Schematron