Release 4B 5 Ballot

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0-ballot: R5 Ballot - STU see ballot notes ). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Communicationrequest.profile.xml

Example StructureDefinition/CommunicationRequest (XML)

Patient Care Work Group Maturity Level : N/A Standards Status : Informative Compartments : Device , Encounter , Patient , Practitioner , RelatedPerson

Raw XML ( canonical form + also see XML Format Specification )

Jump past Narrative

StructureDefinition for communicationrequest

<?xml version="1.0" encoding="UTF-8"?>

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="CommunicationRequest"/> 
  <meta> 
    

    <lastUpdated value="2022-09-10T04:52:37.223+10:00"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      
        
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            <a href="formats.html#table" title="The logical name of the element">Name</a> 
          </th> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="formats.html#table" title="Information about the use of the element">Flags</a> 
          </th> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a> 
          </th> 
          <th class="hierarchy" style="width: 100px">
            <a href="formats.html#table" title="Reference to the type of the element">Type</a> 
          </th> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="formats.html#table" title="Additional information about the element">Description &amp; Constraints</a> 
            <span style="float: right">
              <a href="formats.html#table" title="Legend for this format">
                <img alt="doco" src="help16.png" style="background-color: inherit"/> 
              </a> 
            </span> 
          </th> 
        </tr> 
        
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            ABJRU5ErkJggg== 
            CommunicationRequest : 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.

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            <span title="CommunicationRequest : A request to convey information; e.g. the CDS system proposes

             that an alert be sent to a responsible provider, the CDS system proposes that the
             public health agency be notified about a reportable condition.">CommunicationRequest</span> 

            <a name="CommunicationRequest"> </a> 
          </td> 
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           padding:0px 4px 0px 4px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold;

             color: black; background-color: #fff5e6" title="Standards Status = Trial Use">TU</a> 

          </td> 
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           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">

            <a href="domainresource.html">DomainResource</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxA request for information to be sent to a receiver

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">A request for information to be sent to a receiver
            <br/>  
            <br/>  Elements defined in Ancestors: 
            The logical id of the resource, as used in the URL for the resource. Once assigned, this
             value never changes., 

            <a href="resource.html#Resource" title="The logical id of the resource, as used in the URL for the resource. Once assigned,
             this value never changes.">id</a> , 

            <a href="resource.html#Resource" title="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., 
            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., 

             Changes to the content might not always be associated with version changes to the
             resource.">meta</a> , 
            <a href="resource.html#Resource" title="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.">implicitRules</a> , 

            <a href="resource.html#Resource" title="The base language in which the resource is written.">language</a> , 
            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 &quot;clinically
             safe&quot; for a human to just read the narrative. Resource definitions may define what
             content should be represented in the narrative to ensure clinical safety., 
            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., 

            <a href="domainresource.html#DomainResource" title="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
             &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions
             may define what content should be represented in the narrative to ensure clinical
             safety.">text</a> , 
            <a href="domainresource.html#DomainResource" title="These resources do not have an independent existence apart from the resource that

             contains them - they cannot be identified independently, nor can they have their
             own independent transaction scope. This is allowed to be a Parameters resource
             if and only if it is referenced by a resource that provides context/meaning.">contained</a> , 

            <a href="domainresource.html#DomainResource" title="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., 

             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.">extension</a> , 

            <a href="domainresource.html#DomainResource" title="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.

             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.


Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
             (including cannot change the meaning of modifierExtension itself).

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
             DomainResource (including cannot change the meaning of modifierExtension itself).">modifierExtension</a> 

          </td> 
        </tr> 

        
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            <span title="CommunicationRequest.identifier : 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.

             request by the performer or other systems which remain constant as the resource
             is updated and propagates from server to server.">identifier</span> 

            <a name="CommunicationRequest.identifier"> </a> 
          </td> 
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           solid; padding:0px 4px 0px 4px

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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
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           #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <a href="datatypes.html#Identifier">Identifier</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxUnique identifier

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Unique identifier
            <br/>  
            <br/>  
          </td> 
        </tr> 

        
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            CommunicationRequest.basedOn : A plan or proposal that is fulfilled in whole or in part
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            <span title="CommunicationRequest.basedOn : A plan or proposal that is fulfilled in whole or

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           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="references.html#Reference">Reference</a> (
            <a href="resourcelist.html">Any</a> )
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <br/>  
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            CommunicationRequest.replaces : Completed or terminated request(s) whose function is taken
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            <span title="CommunicationRequest.replaces : Completed or terminated request(s) whose function

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            <a name="CommunicationRequest.replaces"> </a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <a href="references.html#Reference">Reference</a> (
            <a href="communicationrequest.html">CommunicationRequest</a> )
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <br/>  
            <br/>  
          </td> 
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            CommunicationRequest.groupIdentifier : A shared identifier common to all requests that
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            <a name="CommunicationRequest.groupIdentifier"> </a> 
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           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

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            <a href="datatypes.html#Identifier">Identifier</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Composite request this is part of
            <br/>  
          </td> 
        </tr> 

        
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            <span title="CommunicationRequest.status : The status of the proposal or order.">status</span> 
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            <a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is a modifier element">?!</a> 
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <a href="datatypes.html#code">code</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxdraft | active | on-hold | revoked | completed | entered-in-error | unknown

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <br/>  
            <a href="valueset-request-status.html">RequestStatus</a>  (
            )

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             set.">Required</a> )
            <br/>  
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            CommunicationRequest.statusReason : Captures the reason for the current state of the CommunicationRe
            quest.

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

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            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            CommunicationRequestStatusReason (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <br/>  
            <a href="valueset-communication-request-status-reason.html">CommunicationRequest Status Reason</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>  
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            <a name="CommunicationRequest.intent"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is a modifier element">?!</a> 
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <a href="datatypes.html#code">code</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">proposal | plan | directive | order | original-order | reflex-order | filler-order
             | instance-order | option
            <br/>  
            <a href="valueset-request-intent.html">RequestIntent</a>  (
            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value

             set.">Required</a> )
            <br/>  
          </td> 
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            <span title="CommunicationRequest.category : The type of message to be sent such as alert, notification,
             reminder, instruction, etc.">category</span> 
            <a name="CommunicationRequest.category"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..*</td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Message category
            <br/>  
            <a href="valueset-communication-category.html">CommunicationCategory</a>  (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)

            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>  
            <br/>  
          </td> 
        </tr> 

        
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            CommunicationRequest.priority : Characterizes how quickly the proposed act must be initiated.
             Includes concepts such as stat, urgent, routine.

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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw

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            <span title="CommunicationRequest.priority : Characterizes how quickly the proposed act must

             be initiated. Includes concepts such as stat, urgent, routine.">priority</span> 

            <a name="CommunicationRequest.priority"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#code">code</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxroutine | urgent | asap | stat

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">routine | urgent | asap | stat

            <br/>  
            <a href="valueset-request-priority.html">RequestPriority</a>  (
            )

            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value
             set.">Required</a> )
            <br/>  
          </td> 
        </tr> 

        
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            CommunicationRequest.doNotPerform : If true indicates that the CommunicationRequest is
             asking for the specified action to *not* occur.

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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            <span title="CommunicationRequest.doNotPerform : If true indicates that the CommunicationRequest

             is asking for the specified action to *not* occur.">doNotPerform</span> 

            <a name="CommunicationRequest.doNotPerform"> </a> 
          </td> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is a modifier element">?!</a> 
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="datatypes.html#boolean">boolean</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">True if request is prohibiting action
            <br/>  
          </td> 
        </tr> 

        
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            CommunicationRequest.medium : A channel that was used for this communication (e.g. email,
             fax).

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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            <span title="CommunicationRequest.medium : A channel that was used for this communication (e.g.

             email, fax).">medium</span> 

            <a name="CommunicationRequest.medium"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxA channel of communication

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">A channel of communication

            <br/>  
            <a href="http://terminology.hl7.org/3.1.0/ValueSet-v3-ParticipationMode.html">ParticipationMode</a>  (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)

            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>  
            <br/>  
          </td> 
        </tr> 

        
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            <a name="CommunicationRequest.subject"> </a> 
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="patient.html">Patient</a>  | 
            <a href="group.html">Group</a> )
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <br/>  
          </td> 
        </tr> 

        
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            CommunicationRequest.about : Other resources that pertain to this communication request
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            <span title="CommunicationRequest.about : Other resources that pertain to this communication

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            <a name="CommunicationRequest.about"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <a href="references.html#Reference">Reference</a> (
            <a href="resourcelist.html">Any</a> )
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <br/>  
            <br/>  
          </td> 
        </tr> 

        
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            <span title="CommunicationRequest.encounter : The Encounter during which this CommunicationRequest
             was created or to which the creation of this record is tightly associated.">encounter</span> 
            <a name="CommunicationRequest.encounter"> </a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="references.html#Reference">Reference</a> (
            <a href="encounter.html">Encounter</a> )
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">The Encounter during which this CommunicationRequest was created
            <br/>  
          </td> 
        </tr> 

        
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            <a name="CommunicationRequest.payload"> </a> 
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           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <a href="types.html#BackBoneElement">BackboneElement</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxMessage payload

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <br/>  
            <br/>  
          </td> 
        </tr> 

        
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <br/>  
          </td> 
        </tr> 

        
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="datatypes.html#Attachment">Attachment</a> 
          </td> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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        </tr> 

        
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            (
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            <br/>  
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            A date, date-time or partial date (e.g. just year or year + month).  If hours and minutes
             are specified, a time zone SHALL be populated. The format is a union of the schema types
             gYear, gYearMonth, date and dateTime. Seconds must be provided due to schema type constraints
             but may be zero-filled and may be ignored.                 Dates SHALL be valid dates.

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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            <span title="A date, date-time or partial date (e.g. just year or year + month).  If hours and

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             due to schema type constraints but may be zero-filled and may be ignored.     
                        Dates SHALL be valid dates.">occurrenceDateTime</span> 

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <a href="datatypes.html#dateTime">dateTime</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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        </tr> 

        
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            <span title="A time period defined by a start and end date and optionally time.">occurrencePeriod</span> 
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           solid; padding:0px 4px 0px 4px"/> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Period">Period</a> 
          </td> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
        </tr> 

        
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            CommunicationRequest.authoredOn : For draft requests, indicates the date of initial creation.
              For requests with other statuses, indicates the date of activation.

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <span title="CommunicationRequest.authoredOn : For draft requests, indicates the date of initial

             creation.  For requests with other statuses, indicates the date of activation.">authoredOn</span> 

            <a name="CommunicationRequest.authoredOn"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#dateTime">dateTime</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">When request transitioned to being actionable
            <br/>  
          </td> 
        </tr> 

        
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           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVB
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            CommunicationRequest.requester : The device, individual, or organization who initiated
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            <span title="CommunicationRequest.requester : The device, individual, or organization who asks

             for the information to be shared.">requester</span> 

            <a name="CommunicationRequest.requester"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="practitioner.html">Practitioner</a>  | 
            <a href="practitionerrole.html">PractitionerRole</a>  | 
            <a href="organization.html">Organization</a>  | 
            <a href="patient.html">Patient</a>  | 
            <a href="relatedperson.html">RelatedPerson</a>  | 
            <a href="device.html">Device</a> )
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Who asks for the information to be shared
            <br/>  
          </td> 
        </tr> 

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            CommunicationRequest.recipient : The entity (e.g. person, organization, clinical information
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1

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            <span title="CommunicationRequest.recipient : The entity (e.g. person, organization, clinical

             information system, device, group, or care team) which is the intended target of
             the communication.">recipient</span> 

            <a name="CommunicationRequest.recipient"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="references.html#Reference">Reference</a> (
            <a href="device.html">Device</a>  | 
            <a href="organization.html">Organization</a>  | 
            <a href="patient.html">Patient</a>  | 
            <a href="practitioner.html">Practitioner</a>  | 
            <a href="practitionerrole.html">PractitionerRole</a>  | 
            <a href="relatedperson.html">RelatedPerson</a>  | 
            <a href="group.html">Group</a>  | 
            <a href="careteam.html">CareTeam</a>  | 
            )

            <a href="healthcareservice.html">HealthcareService</a>  | 
            <a href="endpoint.html">Endpoint</a> )
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxMessage recipient

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Who to share the information with
            <br/>  
            <br/>  
          </td> 
        </tr> 

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVB
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            CommunicationRequest.sender : The entity (e.g. person, organization, clinical information
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        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1

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            <span title="CommunicationRequest.informationProvider : The entity (e.g. person, organization,

             clinical information system, or device) which is to be the source of the communication.">informationProvider</span> 
            <a name="CommunicationRequest.informationProvider"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="device.html">Device</a>  | 
            <a href="organization.html">Organization</a>  | 
            <a href="patient.html">Patient</a>  | 
            <a href="practitioner.html">Practitioner</a>  | 
            <a href="practitionerrole.html">PractitionerRole</a>  | 
            <a href="relatedperson.html">RelatedPerson</a>  | 
            )
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            CommunicationRequest.reasonCode : Describes why the request is being made in coded or
             textual form.
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            

            <a href="healthcareservice.html">HealthcareService</a>  | 
            <a href="endpoint.html">Endpoint</a> )
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxWhy is communication needed?

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Who should share the information

            <br/>  
             (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)

            <br/>  
          </td> 
        </tr> 

        
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            CommunicationRequest.reasonReference : Indicates another resource whose existence justifies
             this request.
            

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <span title="CommunicationRequest.reason : Describes why the request is being made in coded

             or textual form.">reason</span> 
            <a name="CommunicationRequest.reason"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            (
             | 
             | 
             | 
            )

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#CodeableReference">CodeableReference</a> (
            <a href="resourcelist.html">Any</a> )
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxWhy is communication needed?

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Why is communication needed?
            <br/>  
            <a href="http://terminology.hl7.org/3.1.0/ValueSet-v3-ActReason.html">v3 Code System ActReason</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>  
            <br/>  
          </td> 
        </tr> 

        
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            <span title="CommunicationRequest.note : Comments made about the request by the requester, sender,
             recipient, subject or other participants.">note</span> 
            <a name="CommunicationRequest.note"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#Annotation">Annotation</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxComments made about communication request

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Comments made about communication request
            <br/>  
            <br/>  
          </td> 
        </tr> 

        <tr> 
          <td class="hierarchy" colspan="5">
            <br/>  
            <a href="formats.html#table" title="Legend for this format">
              <img alt="doco" src="help16.png" style="background-color: inherit"/>  Documentation for this format
            </a> 
          </td> 
        </tr> 
      </table> 
    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-category">
    <valueString value="Clinical.Request &amp;amp; Response"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category">
    <valueCode value="patient"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="pc"/> 
  </extension> 
  <url value="http://hl7.org/fhir/StructureDefinition/CommunicationRequest"/> 
  

  <version value="5.0.0-ballot"/> 
  <name value="CommunicationRequest"/> 
  <status value="draft"/> 
  <experimental value="false"/> 
  

  <date value="2022-09-10T04:52:37+10:00"/> 
  <publisher value="Health Level Seven International (Patient Care)"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
  </contact> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://www.hl7.org/Special/committees/patientcare/index.cfm"/> 
    </telecom> 
  </contact> 
  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.
  

  <description value="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."/> 
  <fhirVersion value="5.0.0-ballot"/> 
  <mapping> 
    <identity value="workflow"/> 
    <uri value="http://hl7.org/fhir/workflow"/> 
    <name value="Workflow Pattern"/> 
  </mapping> 
  <mapping> 
    <identity value="w5"/> 
    <uri value="http://hl7.org/fhir/fivews"/> 
    <name value="FiveWs Pattern Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="rim"/> 
    <uri value="http://hl7.org/v3"/> 
    <name value="RIM Mapping"/> 
  </mapping> 
  <kind value="resource"/> 
  <abstract value="false"/> 
  <type value="CommunicationRequest"/> 
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
  <derivation value="specialization"/> 
  <snapshot> 
    <element id="CommunicationRequest">
      <path value="CommunicationRequest"/> 
      <short value="A request for information to be sent to a receiver"/> 
      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.

      <definition value="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."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="CommunicationRequest"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <constraint> 
        <key value="dom-2"/> 
        <severity value="error"/> 
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> 
        <expression value="contained.contained.empty()"/> 
        <xpath value="not(parent::f:contained and f:contained)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-3"/> 
        <severity value="error"/> 
        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.exists() and ('#'+id in (%resource.descendants().reference | %resource.descenda
        nts().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))))

        <human value="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"/> 
        <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofTy

        pe(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url)))

         or descendants().where(reference = '#').exists() or descendants().where(as(canonical)
         = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched',
         id).empty()
        not(exists(for $contained in f:contained return $contained[not(exists(parent::*/descendant::f:refere
        nce/@value=concat('#', $contained/*/f:id/@value)) or exists(descendant::f:reference[@value='#']))]))

         = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched
        ', id).empty()"/> 
        <xpath value="not(exists(for $contained in f:contained return $contained[not(exists(parent::*/descendant::f

        :reference/@value=concat('#', $contained/*/f:id/@value)) or exists(descendant::f:reference[@va
        lue='#']))]))"/> 

        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-4"/> 
        <severity value="error"/> 
        If a resource is contained in another resource, it SHALL NOT have a meta.versionId or
         a meta.lastUpdated

        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId
         or a meta.lastUpdated"/> 

        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> 
        

        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdat
        ed))"/> 

        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-5"/> 
        <severity value="error"/> 
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/> 
        <expression value="contained.meta.security.empty()"/> 
        <xpath value="not(exists(f:contained/*/f:meta/f:security))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <constraint> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          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.

          <valueMarkdown value="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."/> 

        </extension> 
        <key value="dom-6"/> 
        <severity value="warning"/> 
        <human value="A resource should have narrative for robust management"/> 
        <expression value="text.`div`.exists()"/> 
        <xpath value="exists(f:text/h:div)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Entity. Role, or Act"/> 
      </mapping> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="workflow.order"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.id">
      <path value="CommunicationRequest.id"/> 
      <short value="Logical id of this artifact"/> 
      The logical id of the resource, as used in the URL for the resource. Once assigned, this
       value never changes.
      The only time that a resource does not have an id is when it is being submitted to the
       server using a create operation.

      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned,
       this value never changes."/> 
      <comment value="Within the context of the FHIR RESTful interactions, the resource has an id except

       for cases like the create and conditional update. Otherwise, the use of the resouce
       id depends on the given use case."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->

      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="id"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="CommunicationRequest.meta">
      <path value="CommunicationRequest.meta"/> 
      <short value="Metadata about the resource"/> 
      <definition value="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.

       Changes to the content might not always be associated with version changes to the
       resource."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.meta"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Meta"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="CommunicationRequest.implicitRules">
      <path value="CommunicationRequest.implicitRules"/> 
      <short value="A set of rules under which this content was created"/> 
      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.
      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.

      <definition value="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."/> 
      <comment value="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."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.implicitRules"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="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 value="true"/> 
    </element> 
    <element id="CommunicationRequest.language">
      <path value="CommunicationRequest.language"/> 
      <short value="Language of the resource content"/> 
      <definition value="The base language in which the resource is written."/> 
      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).

      <comment value="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)."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.language"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="IETF language tag"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/languages"/> 
      </binding> 
    </element> 
    <element id="CommunicationRequest.text">
      <path value="CommunicationRequest.text"/> 
      <short value="Text summary of the resource, for human interpretation"/> 
      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 &quot;clinically
       safe&quot; for a human to just read the narrative. Resource definitions may define what
       content should be represented in the narrative to ensure clinical safety.
      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 &quot;text blob&quot;
       or where text is additionally entered raw or narrated and encoded information is added
       later.

      <definition value="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
       &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions
       may define what content should be represented in the narrative to ensure clinical
       safety."/> 
      <comment value="Contained resources do not have a 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 &quot;text blob&quot; or where text is additionally entered raw or narrated
       and encoded information is added later."/> 

      <alias value="narrative"/> 
      <alias value="html"/> 
      <alias value="xhtml"/> 
      <alias value="display"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DomainResource.text"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Narrative"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Act.text?"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.contained">
      <path value="CommunicationRequest.contained"/> 
      <short value="Contained, inline Resources"/> 
      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.
      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.

      <definition value="These resources do not have an independent existence apart from the resource that
       contains them - they cannot be identified independently, nor can they have their
       own independent transaction scope. This is allowed to be a Parameters resource
       if and only if it is referenced by a resource that provides context/meaning."/> 
      <comment value="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."/> 

      <alias value="inline resources"/> 
      <alias value="anonymous resources"/> 
      <alias value="contained resources"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.contained"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Resource"/> 
      </type> 
      
        
        
        Containing new R4B resources within R4 resources may cause interoperability issues if
         instances are shared with R4 systems
        ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable
         or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this
         is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition
         or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus
         or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence
         or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefi
        nition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition
         or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorizat
        ion or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource
         is SubscriptionTopic)
        not(f:Citation|f:Evidence|f:EvidenceReport|f:EvidenceVariable|f:MedicinalProductDefinition|f:Package
        dProductDefinition|f:AdministrableProductDefinition|f:Ingredient|f:ClinicalUseDefinition|f:RegulatedA
        uthorization|f:SubstanceDefinition|f:SubscriptionStatus|f:SubscriptionTopic) or not(parent::f:Citatio
        n|parent::f:Evidence|parent::f:EvidenceReport|parent::f:EvidenceVariable|parent::f:MedicinalProductDe
        finition|parent::f:PackagedProductDefinition|parent::f:AdministrableProductDefinition|parent::f:Ingre
        dient|parent::f:ClinicalUseDefinition|parent::f:RegulatedAuthorization|parent::f:SubstanceDefinition|
        f:SubscriptionStatus|f:SubscriptionTopic)
        
      

      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.extension">
      <path value="CommunicationRequest.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="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.
      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.

       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."/> 
      <comment value="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."/> 

      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.modifierExtension">
      <path value="CommunicationRequest.modifierExtension"/> 
      <short value="Extensions that cannot be ignored"/> 
      <definition value="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.

       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.


Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      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.
      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](extensibility.ht
      ml#modifierExtension).

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="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."/> 
      <requirements value="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](extensibility.html#modifierExtension)."/> 

      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      Modifier extensions are expected to modify the meaning or interpretation of the resource
       that contains them
      

      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       resource that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.identifier">
      <path value="CommunicationRequest.identifier"/> 
      <short value="Unique identifier"/> 
      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.
      This is a business identifier, not a resource identifier (see [discussion](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.

      <definition value="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."/> 
      <comment value="This is a business identifier, not a resource identifier (see [discussion](resource.html#iden

      tifiers)).  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."/> 

      <requirements value="Allows identification of the communication request as it is known by various participating
       systems and in a way that remains consistent across servers."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="CommunicationRequest.identifier"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.basedOn">
      <path value="CommunicationRequest.basedOn"/> 
      <short value="Fulfills plan or proposal"/> 
      <definition value="A plan or proposal that is fulfilled in whole or in part by this request."/> 
      Allows tracing of authorization for the request and tracking whether proposals/recommendations
       were acted upon.

      <requirements value="Allows tracing of authorization for the request and tracking whether proposals/recommendation
      s were acted upon."/> 

      <alias value="fulfills"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="CommunicationRequest.basedOn"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.basedOn"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=FLFS].target"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.replaces">
      <path value="CommunicationRequest.replaces"/> 
      <short value="Request(s) replaced by this request"/> 
      <definition value="Completed or terminated request(s) whose function is taken by this new request."/> 
      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.
      Allows tracing the continuation of a therapy or administrative process instantiated through
       multiple requests.

      <comment value="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."/> 
      <requirements value="Allows tracing the continuation of a therapy or administrative process instantiated

       through multiple requests."/> 

      <alias value="supersedes"/> 
      <alias value="prior"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="CommunicationRequest.replaces"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CommunicationRequest"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.replaces"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=RPLC].target"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.groupIdentifier">
      <path value="CommunicationRequest.groupIdentifier"/> 
      <short value="Composite request this is part of"/> 
      <definition value="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.
      Requests are linked either by a &quot;basedOn&quot; 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.

       by a single author, representing the identifier of the requisition, prescription
       or similar form."/> 
      <comment value="Requests are linked either by a &quot;basedOn&quot; 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."/> 

      <alias value="grouperId"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="CommunicationRequest.groupIdentifier"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.groupIdentifier"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.status">
      <path value="CommunicationRequest.status"/> 
      <short value="draft | active | on-hold | revoked | completed | entered-in-error | unknown"/> 
      <definition value="The status of the proposal or order."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="CommunicationRequest.status"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      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.

      <isModifierReason value="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 value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="CommunicationRequestStatus"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The status of the communication request."/> 
        

        <valueSet value="http://hl7.org/fhir/ValueSet/request-status|5.0.0-ballot"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.status"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.statusReason">
      <path value="CommunicationRequest.statusReason"/> 
      <short value="Reason for current status"/> 
      <definition value="Captures the reason for the current state of the CommunicationRequest."/> 
      This is generally only used for &quot;exception&quot; statuses such as &quot;suspended&quot;
       or &quot;cancelled&quot;.  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].

      <comment value="This is generally only used for &quot;exception&quot; statuses such as &quot;on-hold&quot;
       or &quot;revoked&quot;.  The reason why the CommunicationRequest was created at
       all is captured in reasonCode, not here."/> 

      <alias value="Suspended Reason"/> 
      <alias value="Cancelled Reason"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="CommunicationRequest.statusReason"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="CommunicationRequestStatusReason"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Codes identifying the reason for the current state of a request."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/communication-request-status-reason"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.statusReason"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.intent">
      <path value="CommunicationRequest.intent"/> 
      <short value="proposal | plan | directive | order | original-order | reflex-order | filler-order
       | instance-order | option"/> 
      <definition value="Indicates the level of authority/intentionality associated with the CommunicationRequest

       and where the request fits into the workflow chain."/> 
      <comment value="This element is expected to be immutable.  E.g. A &quot;proposal&quot; instance

       should never change to be a &quot;plan&quot; instance or &quot;order&quot; instance.
        Instead, a new instance 'basedOn' the prior instance should be created with the
       new 'intent' value.

One exception to this is that the granularity of CommunicationRequest.intent is
       allowed to change.  For example, a Request identified as an &quot;order&quot; might
       later be clarified to be a &quot;filler-order&quot;.  Or, in rarer cases (to meet
       recipient constraints), the reverse might also occur."/> 
      <requirements value="Proposals/recommendations, plans and orders all use the same structure and can

       exist in the same fulfillment chain."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="CommunicationRequest.intent"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="This element changes the interpretation of all descriptive attributes. For example

       &quot;the time the request is recommended to occur&quot; vs. &quot;the time the
       request is authorized to occur&quot; or &quot;who is recommended to perform the
       request&quot; vs. &quot;who is authorized to perform the request"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="CommunicationRequestIntent"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Codes indicating the degree of authority/intentionality associated with a request."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|5.0.0-ballot"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.intent"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.category">
      <path value="CommunicationRequest.category"/> 
      <short value="Message category"/> 
      
      There may be multiple axes of categorization and one communication request may serve multiple
       purposes.

      <definition value="The type of message to be sent such as alert, notification, reminder, instruction,
       etc."/> 
      <comment value="There may be multiple axes of categorization and one communication request may

       serve multiple purposes."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="CommunicationRequest.category"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="CommunicationCategory"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Codes for general categories of communications such as alerts, instruction, etc."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/communication-category"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.priority">
      <path value="CommunicationRequest.priority"/> 
      <short value="routine | urgent | asap | stat"/> 
      Characterizes how quickly the proposed act must be initiated. Includes concepts such as
       stat, urgent, routine.

      <definition value="Characterizes how quickly the proposed act must be initiated. Includes concepts
       such as stat, urgent, routine."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="CommunicationRequest.priority"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <meaningWhenMissing value="If missing, this task should be performed with normal priority"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="CommunicationPriority"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Codes indicating the relative importance of a communication request."/> 
        

        <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|5.0.0-ballot"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.priority"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.grade"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.doNotPerform">
      <path value="CommunicationRequest.doNotPerform"/> 
      <short value="True if request is prohibiting action"/> 
      If true indicates that the CommunicationRequest is asking for the specified action to
       *not* occur.

      <definition value="If true indicates that the CommunicationRequest is asking for the specified action
       to *not* occur."/> 

      <comment value="The attributes provided with the request qualify what is not to be done."/> 
      <alias value="prohibited"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="CommunicationRequest.doNotPerform"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="boolean"/> 
      </type> 
      

      <meaningWhenMissing value="If do not perform is not specified, the request is a positive request e.g. &quot;do
       perform&quot;"/> 

      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="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 value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.doNotPerform"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.medium">
      <path value="CommunicationRequest.medium"/> 
      <short value="A channel of communication"/> 
      <definition value="A channel that was used for this communication (e.g. email, fax)."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="CommunicationRequest.medium"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="CommunicationMedium"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Codes for communication mediums such as phone, fax, email, in person, etc."/> 
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ParticipationMode"/> 
      </binding> 
    </element> 
    <element id="CommunicationRequest.subject">
      <path value="CommunicationRequest.subject"/> 
      <short value="Focus of message"/> 
      <definition value="The patient or group that is the focus of this communication request."/> 
      <alias value="patient"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="CommunicationRequest.subject"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.subject"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.about">
      <path value="CommunicationRequest.about"/> 
      <short value="Resources that pertain to this communication request"/> 
      <definition value="Other resources that pertain to this communication request and to which this communication
       request should be associated."/> 
      Don't use CommunicationRequest.about element when a more specific element exists, such
       as basedOn, reasonReference, or replaces.

      <comment value="Don't use CommunicationRequest.about element when a more specific element exists,
       such as basedOn, reasonReference, or replaces."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="CommunicationRequest.about"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.supportingInfo"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.context"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.encounter">
      <path value="CommunicationRequest.encounter"/> 
      
      The Encounter during which this CommunicationRequest was created or to which the creation
       of this record is tightly associated.
      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.

      <short value="The Encounter during which this CommunicationRequest was created"/> 
      <definition value="The Encounter during which this CommunicationRequest was created or to which the
       creation of this record is tightly associated."/> 
      <comment value="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."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="CommunicationRequest.encounter"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.context"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.context"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.payload">
      <path value="CommunicationRequest.payload"/> 
      <short value="Message payload"/> 
      <definition value="Text, attachment(s), or resource(s) to be communicated to the recipient."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="CommunicationRequest.payload"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        
        
        

        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="CommunicationRequest.payload.id">
      <path value="CommunicationRequest.payload.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.

      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->

      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.payload.extension">
      <path value="CommunicationRequest.payload.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="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.
      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.

       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."/> 
      <comment value="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."/> 

      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.payload.modifierExtension">
      <path value="CommunicationRequest.payload.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="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.

       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.


Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      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.
      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](extensibility.ht
      ml#modifierExtension).

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="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."/> 
      <requirements value="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](extensibility.html#modifierExtension)."/> 

      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="true"/> 
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them

      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       element that contains them"/> 

      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.payload.content[x]">
      <path value="CommunicationRequest.payload.content[x]"/> 
      <short value="Message part content"/> 
      

      <definition value="The communicated content (or for multi-part communications, one portion of the
       communication)."/> 
      <comment value="The content can be codified or textual.  As an example of codified content, when

       working with machine generated communications, the payload may be drawn from a
       finite, terminology defined set of communications, especially for short, status
       update kinds of communications where more of a natural language approach isn't
       appropriate.

If the content isn't codified, contentCodeableConcept.text can be used.  

When using contentCodeableConcept, the CodeableConcept is what is being communicated
       and is not a categorization of the content."/> 

      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="CommunicationRequest.payload.content[x]"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        
      
      

        <code value="Attachment"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </type> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.note"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.occurrence[x]">
      <path value="CommunicationRequest.occurrence[x]"/> 
      <short value="When scheduled"/> 
      <definition value="The time when this communication is to occur."/> 
      <alias value="timing"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="CommunicationRequest.occurrence[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <type> 
        <code value="Period"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.occurrence[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.planned"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.authoredOn">
      <path value="CommunicationRequest.authoredOn"/> 
      <short value="When request transitioned to being actionable"/> 
      For draft requests, indicates the date of initial creation.  For requests with other statuses,
       indicates the date of activation.

      <definition value="For draft requests, indicates the date of initial creation.  For requests with
       other statuses, indicates the date of activation."/> 

      <alias value="createdOn"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="CommunicationRequest.authoredOn"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.authoredOn"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.recorded"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.requester">
      <path value="CommunicationRequest.requester"/> 
      
      The device, individual, or organization who initiated the request and has responsibility
       for its activation.

      <short value="Who asks for the information to be shared"/> 
      <definition value="The device, individual, or organization who asks for the information to be shared."/> 
      <alias value="author"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="CommunicationRequest.requester"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.requester"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.author"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=AUT].role"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.recipient">
      <path value="CommunicationRequest.recipient"/> 
      
      The entity (e.g. person, organization, clinical information system, device, group, or
       care team) which is the intended target of the communication.

      <short value="Who to share the information with"/> 
      <definition value="The entity (e.g. person, organization, clinical information system, device, group,
       or care team) which is the intended target of the communication."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="CommunicationRequest.recipient"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/HealthcareService"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Endpoint"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.performer"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.actor"/> 
      </mapping> 
    </element> 
    
      
      
      The entity (e.g. person, organization, clinical information system, or device) which is
       to be the source of the communication.

    <element id="CommunicationRequest.informationProvider">
      <path value="CommunicationRequest.informationProvider"/> 
      <short value="Who should share the information"/> 
      <definition value="The entity (e.g. person, organization, clinical information system, or device)
       which is to be the source of the communication."/> 

      <min value="0"/> 
      

      <max value="*"/> 
      <base> 
        

        <path value="CommunicationRequest.informationProvider"/> 
        <min value="0"/> 
        

        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/HealthcareService"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Endpoint"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.performer"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.actor"/> 
      </mapping> 
    </element> 
    
      

    <element id="CommunicationRequest.reason">
      <path value="CommunicationRequest.reason"/> 
      <short value="Why is communication needed?"/> 
      <definition value="Describes why the request is being made in coded or textual form."/> 
      <comment value="Textual reasons can be captured using reasonCode.text."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        

        <path value="CommunicationRequest.reason"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        

        <code value="CodeableReference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="CommunicationReason"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Codes for describing reasons for the occurrence of a communication."/> 
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActReason"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.reasonCode"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.why[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".reasonCode"/> 
      </mapping> 
    </element> 
    
      
      
      
      
      
      
        
        
        
      
      
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    

    <element id="CommunicationRequest.note">
      <path value="CommunicationRequest.note"/> 
      <short value="Comments made about communication request"/> 
      Comments made about the request by the requester, sender, recipient, subject or other
       participants.

      <definition value="Comments made about the request by the requester, sender, recipient, subject or
       other participants."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="CommunicationRequest.note"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Annotation"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.note"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]"/> 
      </mapping> 
    </element> 
  </snapshot> 
  <differential> 
    <element id="CommunicationRequest">
      <path value="CommunicationRequest"/> 
      <short value="A request for information to be sent to a receiver"/> 
      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.

      <definition value="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."/> 

      <min value="0"/> 
      <max value="*"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="workflow.order"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.identifier">
      <path value="CommunicationRequest.identifier"/> 
      <short value="Unique identifier"/> 
      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.
      This is a business identifier, not a resource identifier (see [discussion](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.

      <definition value="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."/> 
      <comment value="This is a business identifier, not a resource identifier (see [discussion](resource.html#iden

      tifiers)).  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."/> 

      <requirements value="Allows identification of the communication request as it is known by various participating
       systems and in a way that remains consistent across servers."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.basedOn">
      <path value="CommunicationRequest.basedOn"/> 
      <short value="Fulfills plan or proposal"/> 
      <definition value="A plan or proposal that is fulfilled in whole or in part by this request."/> 
      Allows tracing of authorization for the request and tracking whether proposals/recommendations
       were acted upon.

      <requirements value="Allows tracing of authorization for the request and tracking whether proposals/recommendation
      s were acted upon."/> 

      <alias value="fulfills"/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.basedOn"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=FLFS].target"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.replaces">
      <path value="CommunicationRequest.replaces"/> 
      <short value="Request(s) replaced by this request"/> 
      <definition value="Completed or terminated request(s) whose function is taken by this new request."/> 
      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.
      Allows tracing the continuation of a therapy or administrative process instantiated through
       multiple requests.

      <comment value="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."/> 
      <requirements value="Allows tracing the continuation of a therapy or administrative process instantiated

       through multiple requests."/> 

      <alias value="supersedes"/> 
      <alias value="prior"/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CommunicationRequest"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.replaces"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=RPLC].target"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.groupIdentifier">
      <path value="CommunicationRequest.groupIdentifier"/> 
      <short value="Composite request this is part of"/> 
      <definition value="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.
      Requests are linked either by a &quot;basedOn&quot; 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.

       by a single author, representing the identifier of the requisition, prescription
       or similar form."/> 
      <comment value="Requests are linked either by a &quot;basedOn&quot; 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."/> 

      <alias value="grouperId"/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.groupIdentifier"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.status">
      <path value="CommunicationRequest.status"/> 
      <short value="draft | active | on-hold | revoked | completed | entered-in-error | unknown"/> 
      <definition value="The status of the proposal or order."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      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.

      <isModifierReason value="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 value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="CommunicationRequestStatus"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The status of the communication request."/> 
        

        <valueSet value="http://hl7.org/fhir/ValueSet/request-status|5.0.0-ballot"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.status"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.statusReason">
      <path value="CommunicationRequest.statusReason"/> 
      <short value="Reason for current status"/> 
      <definition value="Captures the reason for the current state of the CommunicationRequest."/> 
      This is generally only used for &quot;exception&quot; statuses such as &quot;suspended&quot;
       or &quot;cancelled&quot;.  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].

      <comment value="This is generally only used for &quot;exception&quot; statuses such as &quot;on-hold&quot;
       or &quot;revoked&quot;.  The reason why the CommunicationRequest was created at
       all is captured in reasonCode, not here."/> 

      <alias value="Suspended Reason"/> 
      <alias value="Cancelled Reason"/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="CommunicationRequestStatusReason"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Codes identifying the reason for the current state of a request."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/communication-request-status-reason"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.statusReason"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.intent">
      <path value="CommunicationRequest.intent"/> 
      <short value="proposal | plan | directive | order | original-order | reflex-order | filler-order
       | instance-order | option"/> 
      <definition value="Indicates the level of authority/intentionality associated with the CommunicationRequest

       and where the request fits into the workflow chain."/> 
      <comment value="This element is expected to be immutable.  E.g. A &quot;proposal&quot; instance

       should never change to be a &quot;plan&quot; instance or &quot;order&quot; instance.
        Instead, a new instance 'basedOn' the prior instance should be created with the
       new 'intent' value.

One exception to this is that the granularity of CommunicationRequest.intent is
       allowed to change.  For example, a Request identified as an &quot;order&quot; might
       later be clarified to be a &quot;filler-order&quot;.  Or, in rarer cases (to meet
       recipient constraints), the reverse might also occur."/> 
      <requirements value="Proposals/recommendations, plans and orders all use the same structure and can

       exist in the same fulfillment chain."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="This element changes the interpretation of all descriptive attributes. For example

       &quot;the time the request is recommended to occur&quot; vs. &quot;the time the
       request is authorized to occur&quot; or &quot;who is recommended to perform the
       request&quot; vs. &quot;who is authorized to perform the request"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="CommunicationRequestIntent"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Codes indicating the degree of authority/intentionality associated with a request."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|5.0.0-ballot"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.intent"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.category">
      <path value="CommunicationRequest.category"/> 
      <short value="Message category"/> 
      
      There may be multiple axes of categorization and one communication request may serve multiple
       purposes.

      <definition value="The type of message to be sent such as alert, notification, reminder, instruction,
       etc."/> 
      <comment value="There may be multiple axes of categorization and one communication request may

       serve multiple purposes."/> 

      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="CommunicationCategory"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Codes for general categories of communications such as alerts, instruction, etc."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/communication-category"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.priority">
      <path value="CommunicationRequest.priority"/> 
      <short value="routine | urgent | asap | stat"/> 
      Characterizes how quickly the proposed act must be initiated. Includes concepts such as
       stat, urgent, routine.

      <definition value="Characterizes how quickly the proposed act must be initiated. Includes concepts
       such as stat, urgent, routine."/> 

      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <meaningWhenMissing value="If missing, this task should be performed with normal priority"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="CommunicationPriority"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Codes indicating the relative importance of a communication request."/> 
        

        <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|5.0.0-ballot"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.priority"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.grade"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.doNotPerform">
      <path value="CommunicationRequest.doNotPerform"/> 
      <short value="True if request is prohibiting action"/> 
      If true indicates that the CommunicationRequest is asking for the specified action to
       *not* occur.

      <definition value="If true indicates that the CommunicationRequest is asking for the specified action
       to *not* occur."/> 

      <comment value="The attributes provided with the request qualify what is not to be done."/> 
      <alias value="prohibited"/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="boolean"/> 
      </type> 
      

      <meaningWhenMissing value="If do not perform is not specified, the request is a positive request e.g. &quot;do
       perform&quot;"/> 

      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="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 value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.doNotPerform"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.medium">
      <path value="CommunicationRequest.medium"/> 
      <short value="A channel of communication"/> 
      <definition value="A channel that was used for this communication (e.g. email, fax)."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="CommunicationMedium"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Codes for communication mediums such as phone, fax, email, in person, etc."/> 
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ParticipationMode"/> 
      </binding> 
    </element> 
    <element id="CommunicationRequest.subject">
      <path value="CommunicationRequest.subject"/> 
      <short value="Focus of message"/> 
      <definition value="The patient or group that is the focus of this communication request."/> 
      <alias value="patient"/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.subject"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.about">
      <path value="CommunicationRequest.about"/> 
      <short value="Resources that pertain to this communication request"/> 
      <definition value="Other resources that pertain to this communication request and to which this communication
       request should be associated."/> 
      Don't use CommunicationRequest.about element when a more specific element exists, such
       as basedOn, reasonReference, or replaces.

      <comment value="Don't use CommunicationRequest.about element when a more specific element exists,
       such as basedOn, reasonReference, or replaces."/> 

      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.supportingInfo"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.context"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.encounter">
      <path value="CommunicationRequest.encounter"/> 
      
      The Encounter during which this CommunicationRequest was created or to which the creation
       of this record is tightly associated.
      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.

      <short value="The Encounter during which this CommunicationRequest was created"/> 
      <definition value="The Encounter during which this CommunicationRequest was created or to which the
       creation of this record is tightly associated."/> 
      <comment value="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."/> 

      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.context"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.context"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.payload">
      <path value="CommunicationRequest.payload"/> 
      <short value="Message payload"/> 
      <definition value="Text, attachment(s), or resource(s) to be communicated to the recipient."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="CommunicationRequest.payload.content[x]">
      <path value="CommunicationRequest.payload.content[x]"/> 
      <short value="Message part content"/> 
      

      <definition value="The communicated content (or for multi-part communications, one portion of the
       communication)."/> 
      <comment value="The content can be codified or textual.  As an example of codified content, when

       working with machine generated communications, the payload may be drawn from a
       finite, terminology defined set of communications, especially for short, status
       update kinds of communications where more of a natural language approach isn't
       appropriate.

If the content isn't codified, contentCodeableConcept.text can be used.  

When using contentCodeableConcept, the CodeableConcept is what is being communicated
       and is not a categorization of the content."/> 

      <min value="1"/> 
      <max value="1"/> 
      <type> 
        
      
      

        <code value="Attachment"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </type> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.note"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.occurrence[x]">
      <path value="CommunicationRequest.occurrence[x]"/> 
      <short value="When scheduled"/> 
      <definition value="The time when this communication is to occur."/> 
      <alias value="timing"/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <type> 
        <code value="Period"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.occurrence[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.planned"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.authoredOn">
      <path value="CommunicationRequest.authoredOn"/> 
      <short value="When request transitioned to being actionable"/> 
      For draft requests, indicates the date of initial creation.  For requests with other statuses,
       indicates the date of activation.

      <definition value="For draft requests, indicates the date of initial creation.  For requests with
       other statuses, indicates the date of activation."/> 

      <alias value="createdOn"/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.authoredOn"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.recorded"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.requester">
      <path value="CommunicationRequest.requester"/> 
      
      The device, individual, or organization who initiated the request and has responsibility
       for its activation.

      <short value="Who asks for the information to be shared"/> 
      <definition value="The device, individual, or organization who asks for the information to be shared."/> 
      <alias value="author"/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.requester"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.author"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=AUT].role"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.recipient">
      <path value="CommunicationRequest.recipient"/> 
      
      The entity (e.g. person, organization, clinical information system, device, group, or
       care team) which is the intended target of the communication.

      <short value="Who to share the information with"/> 
      <definition value="The entity (e.g. person, organization, clinical information system, device, group,
       or care team) which is the intended target of the communication."/> 

      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/HealthcareService"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Endpoint"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.performer"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.actor"/> 
      </mapping> 
    </element> 
    
      
      
      The entity (e.g. person, organization, clinical information system, or device) which is
       to be the source of the communication.

    <element id="CommunicationRequest.informationProvider">
      <path value="CommunicationRequest.informationProvider"/> 
      <short value="Who should share the information"/> 
      <definition value="The entity (e.g. person, organization, clinical information system, or device)
       which is to be the source of the communication."/> 

      <min value="0"/> 
      

      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/HealthcareService"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Endpoint"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.performer"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.actor"/> 
      </mapping> 
    </element> 
    
      

    <element id="CommunicationRequest.reason">
      <path value="CommunicationRequest.reason"/> 
      <short value="Why is communication needed?"/> 
      <definition value="Describes why the request is being made in coded or textual form."/> 
      <comment value="Textual reasons can be captured using reasonCode.text."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        

        <code value="CodeableReference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="CommunicationReason"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Codes for describing reasons for the occurrence of a communication."/> 
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActReason"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.reasonCode"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.why[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".reasonCode"/> 
      </mapping> 
    </element> 
    
      
      
      
      
      
      
        
        
        
        
        
      
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    

    <element id="CommunicationRequest.note">
      <path value="CommunicationRequest.note"/> 
      <short value="Comments made about communication request"/> 
      Comments made about the request by the requester, sender, recipient, subject or other
       participants.

      <definition value="Comments made about the request by the requester, sender, recipient, subject or
       other participants."/> 

      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Annotation"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.note"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]"/> 
      </mapping> 
    </element> 
  </differential> 


</

StructureDefinition

>



Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.