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.

A unique ID of Business identifiers assigned to this communication request for reference purposes. It must be provided if user wants it returned as part of any output, otherwise it will be autogenerated, if needed, by CDS system. Does not need to be the actual ID of performer or other systems which remain constant as the source system. resource is updated and propagates from server to server.

Allows identification of the communication request as it is known by various participating systems and in a way that remains consistent across servers.

This is a business identifier, not a resource identifier (see discussion ). 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.

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.

Completed or terminated request(s) whose function is taken by this new request.

Allows tracing the continuation of a therapy or administrative process instantiated through multiple requests.

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.

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 "basedOn" "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.

The status of the proposal or order.

Captures the reason for the current state of the CommunicationRequest.

This element is labeled generally only used for "exception" statuses such as a modifier because the status contains the codes cancelled and entered-in-error that mark "suspended" or "cancelled". The reason why the request as CommunicationRequest was created at all is captured in reasonCode, not currently valid. here. [distinct reason codes for different statuses can be enforced using invariants if they are universal bindings].

The type of message to be sent such as alert, notification, reminder, instruction, etc.

There may be multiple axes of categorization and one communication request may serve multiple purposes.

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

A channel If true indicates that was used the CommunicationRequest is asking for this communication (e.g. email, fax). the specified action to not occur.

The attributes provided with the request qualify what is not to be done.

The patient or group A channel that is the focus of was used for this communication request. (e.g. email, fax).

The entity (e.g. person, organization, clinical information system, device, group, patient or care team) which group that is the intended target focus of the communication. this communication request.

The Other resources which were related that pertain to producing this communication request. 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.

The encounter Encounter during which this CommunicationRequest was created or episode of care within to which the communication request was created. 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.

Text, attachment(s), or resource(s) to be communicated to the recipient.

The communicated content (or for multi-part communications, one portion of the communication).

The time when this communication is to occur.

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

The entity (e.g. person, organization, clinical information system, device, individual, or device) which is to be the source of organization who initiated the communication. request and has responsibility for its activation.

The entity (e.g. person, organization, clinical information system, device, practitioner, etc. who initiated group, or care team) which is the request. intended target of the communication.

The organization the device entity (e.g. person, organization, clinical information system, or practitioner was acting on behalf of. device) which is to be the source of the communication.

Describes why the request is being made in coded or textual form.

Textual reasons can be caprued captured using reasonCode.text.

Indicates another resource whose existence justifies this request.

Comments made about the request by the requester, sender, recipient, subject or other participants.