DSTU2 FHIR Release 3 (STU)

This page is part of the FHIR Specification (v1.0.2: DSTU (v3.0.2: STU 2). 3). 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 R3 R2

Communicationrequest.profile.xml

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

Raw XML ( canonical form )

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StructureDefinition for communicationrequest


  
  
    
  
  
    
    
      
        
          
            
          
          
            
          
          
            
          
          
            
          
          
            
            
              
                
              
            
          
        
        
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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="CommunicationRequest"/> 
  <meta> 
    <lastUpdated value="2019-10-24T11:53:00+11:00"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
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          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="The logical name of the element">Name</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

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

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

           padding:0px 4px 0px 4px">
            <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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            Nj6C+QmaxAek5tyAAAAAElFTkSuQmCC 
            CommunicationRequest : A request to convey information; e.g. the CDS system proposes that

            Nj6C+QmaxAek5tyAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Resource"/>  
            <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.
            
          
          
            
          
          
          
            
          
          
        

             agency be notified about a reportable condition.">CommunicationRequest</span> 
            <a name="CommunicationRequest"> </a> 
          </td> 
          <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"/> 
          <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> 
          <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/>  Elements defined in Ancestors: 
            <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 may 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.">implicitRules</a> , 
            <a href="resource.html#Resource" title="The base language in which the resource is written.">language</a> , 
            <a href="domainresource.html#DomainResource" title="A human-readable narrative that contains a summary of the resource, and may 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, and nor can they have their own independent
             transaction scope.">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. In order 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.">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.
             Usually modifier elements provide negation or qualification. In order 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.">modifierExtension</a> 
          </td> 
        </tr> 

        
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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7 
            CommunicationRequest.identifier : A unique ID of this request for reference purposes.

            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="CommunicationRequest.identifier : A unique ID of this 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 the source
             system.
            
          
          
            
          
          
          
            
          
          
        

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

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <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#Identifier">Identifier</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Unique identifier
            <br/>  
          </td> 
        </tr> 

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

             by this request.">basedOn</span> 
            <a name="CommunicationRequest.basedOn"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <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</a> (
            <a href="resourcelist.html">Any</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Fulfills plan or proposal
            <br/>  
          </td> 
        </tr> 


        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="CommunicationRequest.replaces : Completed or terminated request(s) whose function is taken

             by this new request.">replaces</span> 
            <a name="CommunicationRequest.replaces"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <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</a> (
            <a href="communicationrequest.html">CommunicationRequest</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Request(s) replaced by this request
            <br/>  
          </td> 
        </tr> 


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

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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB

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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB

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            <img alt="." class="hierarchy" src="data: image/png;base64,R0lGODlhEAAQAOZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcSjY/DQk
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            kNAV0IVT5GkJKLCwtQaSsSdx9aR26Gcwt2IkQaNRI6dBERIzCFDSgWSW8WCDkbBnoOQ3uFARc/JQJfCAZlT0x4ZFyFBxdNQT9ZCBN
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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7 
            CommunicationRequest.category : The type of message to be sent such as alert, notification,
             reminder, instruction, etc.
            
          
          
            
          
          
          
            
          
          
        

            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="CommunicationRequest.groupIdentifier : 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.">groupIdentifier</span> 
            <a name="CommunicationRequest.groupIdentifier"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <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> 
          <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#Identifier">Identifier</a> 
          </td> 
          <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</td> 
        </tr> 

        
          vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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          CYII=)
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        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIW

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            <span title="CommunicationRequest.status : The status of the proposal or order.">status</span> 
            <a name="CommunicationRequest.status"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is a modifier element">?!</span> 
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

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

           padding:0px 4px 0px 4px">draft | active | suspended | cancelled | completed | entered-in-error | unknown
            <br/>  
            <a href="valueset-request-status.html" title="The status of the communication request.">RequestStatus</a>  (
            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set">Required</a> )
          </td> 
        </tr> 


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

           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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          sPVYVAgIJrA/sAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB

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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB

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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <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> 
          <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#CodeableConcept">CodeableConcept</a> 
          </td> 
          <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" title="Codes for general categories of communications such as alerts, instruction, etc.">CommunicationCategory</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/>  
          </td> 
        </tr> 


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

           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB

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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB

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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIW

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

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <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> 
          <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#code">code</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Message urgency
            <br/>  
            <a href="valueset-request-priority.html" title="Codes indicating the relative importance of a communication request.">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> )
          </td> 
        </tr> 


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

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

           padding:0px 4px 0px 4px">A channel of communication
            <br/>  
            <a href="v3/ParticipationMode/vs.html" title="Codes for communication mediums such as phone, fax, email, in person, etc.">v3 Code System ParticipationMode</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/>  
          </td> 
        </tr> 


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

           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB

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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB

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            CommunicationRequest.sender : The entity (e.g. person, organization, clinical information
             system, or device) which is to be the source of the communication.
            
          
          
            
          
          
          
            (
             | 
             | 
             | 
             | 
            )
          
          
        

            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="CommunicationRequest.subject : The patient or group that is the focus of this communication

             request.">subject</span> 
            <a name="CommunicationRequest.subject"> </a> 
          </td> 
          <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..1</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</a> (
            <a href="patient.html">Patient</a>  | 
            <a href="group.html">Group</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Focus of message</td> 
        </tr> 

        
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           white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCA
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        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxj
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            CommunicationRequest.recipient : The entity (e.g. person, organization, clinical information
             system, or device) which is the intended target of the communication.
            
          
          
            
          
          
          
            (
             | 
             | 
             | 
             | 
            )
          
          
        

            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <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> 
          <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="references.html">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="relatedperson.html">RelatedPerson</a>  | 
            <a href="group.html">Group</a>  | 
            <a href="careteam.html">CareTeam</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Message recipient
            <br/>  
          </td> 
        </tr> 

        
          vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
           white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCA
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          CYII=)
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxj

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            <span title="CommunicationRequest.topic : The resources which were related to producing this communication

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

           padding:0px 4px 0px 4px">Focal resources
            <br/>  
          </td> 
        </tr> 


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

           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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          sPVYVAgIJrA/sAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB

            3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAw
            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB

            3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav
            7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxj

            wv8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAAFxJREFUOE/NjE
            EOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG6TFi6cHULyz8KOjC7OIQ
            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="CommunicationRequest.context : The encounter or episode of care within which the communication

             request was created.">context</span> 
            <a name="CommunicationRequest.context"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <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> 
          <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</a> (
            <a href="encounter.html">Encounter</a>  | 
            <a href="episodeofcare.html">EpisodeOfCare</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Encounter or episode leading to message</td> 
        </tr> 


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

           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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          sPVYVAgIJrA/sAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB

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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB

            3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav
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            <img alt="." class="hierarchy" src="data: image/png;base64,R0lGODlhEAAQAMQfAOvGUf7ztuvPMf/78/fkl/Pbg+u8Rvjqteu2Pf3zxPz36Pz0z+vTmPzurPvuw
            /npofbjquvNefHVduuyN+uuMu3Oafbgjfnqvf/3zv/3xevPi+vRjP/20/bmsP///////yH5BAEAAB8ALAAAAAAQABAAAAV24CeOZG
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            FEhIdcAYJdYASFRUQhQkLCwkOFwcdEBAXhVabE52ecDahKy0oIQA7 
            CommunicationRequest.payload : Text, attachment(s), or resource(s) to be communicated
             to the recipient.
            
          
          
            
          
          
          
            
          
          
        

            FEhIdcAYJdYASFRUQhQkLCwkOFwcdEBAXhVabE52ecDahKy0oIQA7" style="background-color: white; background-color: inherit" title="Element"/>  
            <span title="CommunicationRequest.payload : Text, attachment(s), or resource(s) to be communicated

             to the recipient.">payload</span> 
            <a name="CommunicationRequest.payload"> </a> 
          </td> 
          <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="backboneelement.html">BackboneElement</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Message payload
            <br/>  
          </td> 
        </tr> 

        
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            CommunicationRequest.payload.content[x] : The communicated content (or for multi-part
             communications, one portion of the communication).
            
          
          
            
          
          
          
          
        

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            <span title="CommunicationRequest.payload.content[x] : The communicated content (or for multi-part

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          <td class="hierarchy" style="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: white; border: 0px #F0F0F0 solid;

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            <span title="A sequence of Unicode characters">contentString</span> 
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            <a href="datatypes.html#string">string</a> 
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            <span title="For referring to data content defined in other formats.">contentAttachment</span> 
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            (
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            <a href="references.html">Reference</a> (
            <a href="resourcelist.html">Any</a> )
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            <span title="CommunicationRequest.occurrence[x] : The time when this communication is to occur.">occurrence[x]</span> 
            <a name="CommunicationRequest.occurrence_x_"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

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            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
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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">0..1</td> 
          <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">When scheduled</td> 
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            <span title="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
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             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: white; border: 0px #F0F0F0 solid;

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

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

           padding:0px 4px 0px 4px"/> 
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            CommunicationRequest.medium : A channel that was used for this communication (e.g. email,
             fax).
            
          
          
            
          
          
          
            
          
          A channel of communication
            
             (
            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.)
          
        

        
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            CommunicationRequest.requester : The responsible person who authorizes this order, e.g.
             physician. This may be different than the author of the order statement, e.g. clerk, who
             may have entered the statement into the order entry application.
            
          
          
            
          
          
          
            (
             | 
             | 
            )
          
          
        

            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="A time period defined by a start and end date and optionally time.">occurrencePeriod</span> 
          </td> 
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          <td class="hierarchy" style="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: white; border: 0px #F0F0F0 solid;

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

           padding:0px 4px 0px 4px"/> 
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          proposed | planned | requested | received | accepted | in-progress | completed | suspended
             | rejected | failed
            
             (
            To be conformant, instances of this element SHALL include a code from the specified value
             set.)
          
        

            8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <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> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <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> 
          <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#dateTime">dateTime</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">When request transitioned to being actionable</td> 
        </tr> 

        
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC 
            CommunicationRequest.encounter : The encounter within which the communication request
             was created.
            
          
          
            
          
          
          
            (
            )
          
          
        

            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="CommunicationRequest.sender : The entity (e.g. person, organization, clinical information

             system, or device) which is to be the source of the communication.">sender</span> 
            <a name="CommunicationRequest.sender"> </a> 
          </td> 
          <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..1</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</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="relatedperson.html">RelatedPerson</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Message sender</td> 
        </tr> 

        
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            <span title="CommunicationRequest.requester : The individual who initiated the request and has responsibility

             for its activation.">requester</span> 
            <a name="CommunicationRequest.requester"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
            <span style="padding: 3px" title="This element has or is affected by some invariants">I</span> 
          </td> 
          <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> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

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

           padding:0px 4px 0px 4px">Who/what is requesting service
            <br/>  
            <span style="font-style: italic" title="cmr-1">+ onBehalfOf can only be specified if agent is practitioner or device</span> 
          </td> 
        </tr> 

        
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            8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC 
            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.
          
          
          
          
            
          
          
        

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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="CommunicationRequest.requester.agent : The device, practitioner, etc. who initiated the

             request.">agent</span> 
            <a name="CommunicationRequest.requester.agent"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

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

           padding:0px 4px 0px 4px">Individual making the request</td> 
        </tr> 

        
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            <span title="CommunicationRequest.requester.onBehalfOf : The organization the device or practitioner

             was acting on behalf of.">onBehalfOf</span> 
            <a name="CommunicationRequest.requester.onBehalfOf"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
            <span style="padding: 3px" title="This element has or is affected by some invariants">I</span> 
          </td> 
          <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> 
          <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</a> (
            <a href="organization.html">Organization</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Organization agent is acting for</td> 
        </tr> 

        
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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="CommunicationRequest.reasonCode : Describes why the request is being made in coded or

             textual form.">reasonCode</span> 
            <a name="CommunicationRequest.reasonCode"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <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#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Why is communication needed?
            <br/>  
            <a href="v3/ActReason/vs.html" title="Codes for describing reasons for the occurrence of a communication.">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/>  
          </td> 
        </tr> 

        
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            (
            )
          
          
        

            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="CommunicationRequest.reasonReference : Indicates another resource whose existence justifies

             this request.">reasonReference</span> 
            <a name="CommunicationRequest.reasonReference"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <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</a> (
            <a href="condition.html">Condition</a>  | 
            <a href="observation.html">Observation</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Why is communication needed?
            <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.
            
          
          
            
          
          
          
            
          
          Message urgency
            
             (
            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.)
          
        

            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <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> 
          <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> 
          <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/>  
          </td> 
        </tr> 

        
          
            
            
               Documentation for this format
            
          
        
      
    
  
  
    
  
  
  
  
  
  
    
      
      
    
  
  
    
      
      
    
  
  
  
  
  
    
    
    
  
  
    
    
    
  
  
  
  
  
    
      
      
      A request to convey information; e.g. the CDS system proposes that an alert be sent to

        <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-fmm">
    <valueInteger value="2"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="pc"/> 
  </extension> 
  <url value="http://hl7.org/fhir/StructureDefinition/CommunicationRequest"/> 
  <name value="CommunicationRequest"/> 
  <status value="draft"/> 
  <date value="2019-10-24T11:53:00+11:00"/> 
  <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> 
  <description value="Base StructureDefinition for CommunicationRequest Resource"/> 
  <fhirVersion value="3.0.2"/> 
  <mapping> 
    <identity value="workflow"/> 
    <uri value="http://hl7.org/fhir/workflow"/> 
    <name value="Workflow Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="w5"/> 
    <uri value="http://hl7.org/fhir/w5"/> 
    <name value="W5 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"/> 
      <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.
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      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. Bundles always have an id, though it is usually a generated
       UUID.
      
      
      
        
      
      
    
    
      
      
      The metadata about the resource. This is content that is maintained by the infrastructure.
       Changes to the content may 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.
      Asserting this rule set restricts the content to be only understood by a limited set of

       about a reportable condition."/> 
      <min value="0"/> 
      <max value="*"/> 
      <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="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-1"/> 
        <severity value="error"/> 
        <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/> 
        <expression value="contained.text.empty()"/> 
        <xpath value="not(parent::f:contained and f:text)"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-4"/> 
        <severity value="error"/> 
        <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:lastUpdated))"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-3"/> 
        <severity value="error"/> 
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere

         in the resource"/> 
        <expression value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()"/> 
        <xpath value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f

        :reference/@value=concat('#', $id))]))"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <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"/> 
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this

       value never changes."/> 
      <comment value="The only time that a resource does not have an id is when it is being submitted to the

       server using a create operation."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="id"/> 
      </type> 
      <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 may 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> 
      <isSummary value="true"/> 
    </element> 
    <element id="CommunicationRequest.implicitRules">
      <path value="CommunicationRequest.implicitRules"/> 
      <short value="A set of rules under which this content was created"/> 
      <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."/> 
      <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 as much as possible.
      
      
      
        
      
      
      
    
    
      
      
      
      Language is provided to support indexing and accessibility (typically, services such as

       and/or specification writers should avoid using this element. 

This element is labelled as a modifier because the implicit rules may provide additional
       knowledge about the resource that modifies it's meaning or interpretation."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.implicitRules"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <isModifier value="true"/> 
      <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."/> 
      <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).
      
      
      
        
      
      
        
        
        
      
    
    
      
      
      A human-readable narrative that contains a summary of the resource, and may be used to

       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> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference> 
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/> 
          </valueReference> 
        </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="extensible"/> 
        <description value="A human language."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/languages"/> 
        </valueSetReference> 
      </binding> 
    </element> 
    <element id="CommunicationRequest.text">
      <path value="CommunicationRequest.text"/> 
      <short value="Text summary of the resource, for human interpretation"/> 
      <definition value="A human-readable narrative that contains a summary of the resource, and may 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.
      
      
      
      
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      These resources do not have an independent existence apart from the resource that contains

       content should be represented in the narrative to ensure clinical safety."/> 
      <comment value="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 in formation 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> 
      <condition value="dom-1"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Act.text?"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.contained">
      <path value="CommunicationRequest.contained"/> 
      <short value="Contained, inline Resources"/> 
      <definition value="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.
      
      
      
      
      
      
        
      
      
        
        
      
    
    
      
      
      May be used to represent additional information that is not part of the basic definition

       transaction scope."/> 
      <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."/> 
      <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> 
      <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. In order 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.
      There can be no stigma associated with the use of extensions by any application, project,

       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.
      
      
      
      
      
        
      
      
        
        
      
    
    
      
      
      May be used to represent additional information that is not part of the basic definition

       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> 
      <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.
       Usually modifier elements provide negation or qualification. In order 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.
      There can be no stigma associated with the use of extensions by any application, project,

       Applications processing a resource are required to check for modifier extensions."/> 
      <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.
      
      
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      A unique ID of this request for reference purposes. It must be provided if user wants

       simplicity for everyone."/> 
      <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> 
      <isModifier value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.identifier">
      <path value="CommunicationRequest.identifier"/> 
      <short value="Unique identifier"/> 
      <definition value="A unique ID of this 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 the source system.
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      The entity (e.g. person, organization, clinical information system, or device) which is
       to be the source of the communication.
      
      
      
        
        
      
      
        
        
      
      
        
        
      
      
        
        
      
      
        
        
      
      
      
        
        
      
    
    
      
      
      The entity (e.g. person, organization, clinical information system, or device) which is
       the intended target of the communication.
      
      
      
        
        
      
      
        
        
      
      
        
        
      
      
        
        
      
      
        
        
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
    
    
      
      
      
      
      
      
      
        
      
      
        
        
      
    
    
      
      
      May be used to represent additional information that is not part of the basic definition

       system. Does not need to be the actual ID of the source system."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="id"/> 
      </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."/> 
      <requirements value="Allows tracing of authorization for the request and tracking whether proposals/recommendations

       were acted upon."/> 
      <alias value="fulfills"/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </type> 
      <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."/> 
      <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> 
      <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."/> 
      <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> 
      <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 | suspended | cancelled | completed | entered-in-error | unknown"/> 
      <definition value="The status of the proposal or order."/> 
      <comment value="This element is labeled as a modifier because the status contains the codes cancelled

       and entered-in-error that mark the request as not currently valid."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="true"/> 
      <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."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/request-status"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.status"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="status"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.category">
      <path value="CommunicationRequest.category"/> 
      <short value="Message category"/> 
      <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> 
      <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."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/communication-category"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.code"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="class"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.priority">
      <path value="CommunicationRequest.priority"/> 
      <short value="Message urgency"/> 
      <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"/> 
      <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."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/request-priority"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.priority"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="grade"/> 
      </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> 
      <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."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/v3-ParticipationMode"/> 
        </valueSetReference> 
      </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"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> 
      </type> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.subject"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="who.focus"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.recipient">
      <path value="CommunicationRequest.recipient"/> 
      <short value="Message recipient"/> 
      <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"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam"/> 
      </type> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.performer"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="who.focus"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.topic">
      <path value="CommunicationRequest.topic"/> 
      <short value="Focal resources"/> 
      <definition value="The resources which were related to producing this communication request."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </type> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.supportingInfo"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="context"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.context">
      <path value="CommunicationRequest.context"/> 
      <short value="Encounter or episode leading to message"/> 
      <definition value="The encounter or episode of care within which the communication request was created."/> 
      <alias value="encounter"/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.context"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="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> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() | (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
    </element> 
    <element id="CommunicationRequest.payload.id">
      <path value="CommunicationRequest.payload.id"/> 
      <representation value="xmlAttr"/> 
      <short value="xml:id (or equivalent in JSON)"/> 
      <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> 
      <type> 
        <code value="string"/> 
      </type> 
      <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. In order 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.
      There can be no stigma associated with the use of extensions by any application, project,

       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.
      
      
      
      
      
        
      
      
        
        
      
    
    
      
      
      May be used to represent additional information that is not part of the basic definition

       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> 
      <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"/> 
      <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 that contains it. Usually
       modifier elements provide negation or qualification. In order 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.
      There can be no stigma associated with the use of extensions by any application, project,

       processing a resource are required to check for modifier extensions."/> 
      <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.
      
      
      
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
      
      
        
        
      
      
    
    
      
      
      
      
      
      
        
      
      
      
        
        
        
          
        
      
    
    
      
      
      The responsible person who authorizes this order, e.g. physician. This may be different
       than the author of the order statement, e.g. clerk, who may have entered the statement
       into the order entry application.
      
      
      
        
        
      
      
        
        
      
      
        
        
      
      
      
        
        
      
    
    
      
      proposed | planned | requested | received | accepted | in-progress | completed | suspended
       | rejected | failed
      
      
      
      
        
      
      
      
      
        
        
        
          
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
      
      
      
        
        
      
    
    
      
      
      Characterizes how quickly the proposed act must be initiated. Includes concepts such as
       stat, urgent, routine.
      
      
      
        
      
      
      
        
        
        
          
        
      
    
  
  
    
      
      
      A request to convey information; e.g. the CDS system proposes that an alert be sent to

       simplicity for everyone."/> 
      <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> 
      <isModifier value="true"/> 
      <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)."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <type> 
        <code value="Attachment"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </type> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.supportingInfo IF Reference, Request.note if string; No mapping if Attachment"/> 
      </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> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.occurrence"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="when.planned"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.authoredOn">
      <path value="CommunicationRequest.authoredOn"/> 
      <short value="When request transitioned to being actionable"/> 
      <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> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.authoredOn"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="when.recorded"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.sender">
      <path value="CommunicationRequest.sender"/> 
      <short value="Message sender"/> 
      <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="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
      </type> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.requester.agent"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="who.actor"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.requester">
      <path value="CommunicationRequest.requester"/> 
      <short value="Who/what is requesting service"/> 
      <definition value="The individual who initiated the request and has responsibility for its activation."/> 
      <alias value="author"/> 
      <min value="0"/> 
      <max value="1"/> 
      <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() | (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
      <constraint> 
        <key value="cmr-1"/> 
        <severity value="error"/> 
        <human value="onBehalfOf can only be specified if agent is practitioner or device"/> 
        <expression value="(agent.resolve() is Practitioner) or (agent.resolve() is Device) or onBehalfOf.exists().not()"/> 
        <xpath value="contains(f:agent/f:reference/@value, '/Practitioner/') or contains(f:agent/f:reference/@value,

         '/Device/') or not(exists(f:onBehalfOf))"/> 
      </constraint> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.requester"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=AUT].role"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.requester.id">
      <path value="CommunicationRequest.requester.id"/> 
      <representation value="xmlAttr"/> 
      <short value="xml:id (or equivalent in JSON)"/> 
      <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> 
      <type> 
        <code value="string"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.requester.extension">
      <path value="CommunicationRequest.requester.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. In order 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."/> 
      <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> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.requester.modifierExtension">
      <path value="CommunicationRequest.requester.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 element, and that modifies the understanding of the element that contains it. Usually
       modifier elements provide negation or qualification. In order 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."/> 
      <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"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.requester.agent">
      <path value="CommunicationRequest.requester.agent"/> 
      <short value="Individual making the request"/> 
      <definition value="The device, practitioner, etc. who initiated the request."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.requester.agent"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".player"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="who.author"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.requester.onBehalfOf">
      <path value="CommunicationRequest.requester.onBehalfOf"/> 
      <short value="Organization agent is acting for"/> 
      <definition value="The organization the device or practitioner was acting on behalf of."/> 
      <requirements value="Practitioners and Devices can be associated with multiple organizations.  This element

       indicates which organization they were acting on behalf of when authoring the request."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <condition value="cmr-1"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.requester.onBehalfOf"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".scoper"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.reasonCode">
      <path value="CommunicationRequest.reasonCode"/> 
      <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 caprued using reasonCode.text."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <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."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/v3-ActReason"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.reasonCode"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".reasonCode"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="why"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.reasonReference">
      <path value="CommunicationRequest.reasonReference"/> 
      <short value="Why is communication needed?"/> 
      <definition value="Indicates another resource whose existence justifies this request."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.reasonReference"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=RSON].target"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="why"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.note">
      <path value="CommunicationRequest.note"/> 
      <short value="Comments made about communication request"/> 
      <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> 
      <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"/> 
      <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.
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      A unique ID of this request for reference purposes. It must be provided if user wants

       about a reportable condition."/> 
      <min value="0"/> 
      <max value="*"/> 
      <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"/> 
      <definition value="A unique ID of this 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 the source system.
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      The entity (e.g. person, organization, clinical information system, or device) which is
       to be the source of the communication.
      
      
      
        
        
      
      
        
        
      
      
        
        
      
      
        
        
      
      
        
        
      
      
      
        
        
      
    
    
      
      
      The entity (e.g. person, organization, clinical information system, or device) which is
       the intended target of the communication.
      
      
      
        
        
      
      
        
        
      
      
        
        
      
      
        
        
      
      
        
        
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
    
    
      
      
      
      
      
      
        
      
      
        
      
      
        
        
      
      
    
    
      
      
      
      
      
      
        
      
      
      
        
        
        
          
        
      
    
    
      
      
      The responsible person who authorizes this order, e.g. physician. This may be different
       than the author of the order statement, e.g. clerk, who may have entered the statement
       into the order entry application.
      
      
      
        
        
      
      
        
        
      
      
        
        
      
      
      
        
        
      
    
    
      
      proposed | planned | requested | received | accepted | in-progress | completed | suspended
       | rejected | failed
      
      
      
      
        
      
      
      
      
        
        
        
          
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
      
      
      
        
        
      
    
    
      
      
      Characterizes how quickly the proposed act must be initiated. Includes concepts such as
       stat, urgent, routine.
      
      
      
        
      
      
      
        
        
        
          
        
      
    
  

       system. Does not need to be the actual ID of the source system."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="id"/> 
      </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."/> 
      <requirements value="Allows tracing of authorization for the request and tracking whether proposals/recommendations

       were acted upon."/> 
      <alias value="fulfills"/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </type> 
      <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."/> 
      <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> 
      <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."/> 
      <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> 
      <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 | suspended | cancelled | completed | entered-in-error | unknown"/> 
      <definition value="The status of the proposal or order."/> 
      <comment value="This element is labeled as a modifier because the status contains the codes cancelled

       and entered-in-error that mark the request as not currently valid."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="true"/> 
      <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."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/request-status"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.status"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="status"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.category">
      <path value="CommunicationRequest.category"/> 
      <short value="Message category"/> 
      <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> 
      <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."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/communication-category"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.code"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="class"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.priority">
      <path value="CommunicationRequest.priority"/> 
      <short value="Message urgency"/> 
      <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"/> 
      <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."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/request-priority"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.priority"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="grade"/> 
      </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> 
      <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."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/v3-ParticipationMode"/> 
        </valueSetReference> 
      </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"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> 
      </type> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.subject"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="who.focus"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.recipient">
      <path value="CommunicationRequest.recipient"/> 
      <short value="Message recipient"/> 
      <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"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam"/> 
      </type> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.performer"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="who.focus"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.topic">
      <path value="CommunicationRequest.topic"/> 
      <short value="Focal resources"/> 
      <definition value="The resources which were related to producing this communication request."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </type> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.supportingInfo"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="context"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.context">
      <path value="CommunicationRequest.context"/> 
      <short value="Encounter or episode leading to message"/> 
      <definition value="The encounter or episode of care within which the communication request was created."/> 
      <alias value="encounter"/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.context"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="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> 
    </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)."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <type> 
        <code value="Attachment"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </type> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.supportingInfo IF Reference, Request.note if string; No mapping if Attachment"/> 
      </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> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.occurrence"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="when.planned"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.authoredOn">
      <path value="CommunicationRequest.authoredOn"/> 
      <short value="When request transitioned to being actionable"/> 
      <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> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.authoredOn"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="when.recorded"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.sender">
      <path value="CommunicationRequest.sender"/> 
      <short value="Message sender"/> 
      <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="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
      </type> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.requester.agent"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="who.actor"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.requester">
      <path value="CommunicationRequest.requester"/> 
      <short value="Who/what is requesting service"/> 
      <definition value="The individual who initiated the request and has responsibility for its activation."/> 
      <alias value="author"/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="cmr-1"/> 
        <severity value="error"/> 
        <human value="onBehalfOf can only be specified if agent is practitioner or device"/> 
        <expression value="(agent.resolve() is Practitioner) or (agent.resolve() is Device) or onBehalfOf.exists().not()"/> 
        <xpath value="contains(f:agent/f:reference/@value, '/Practitioner/') or contains(f:agent/f:reference/@value,

         '/Device/') or not(exists(f:onBehalfOf))"/> 
      </constraint> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.requester"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=AUT].role"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.requester.agent">
      <path value="CommunicationRequest.requester.agent"/> 
      <short value="Individual making the request"/> 
      <definition value="The device, practitioner, etc. who initiated the request."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.requester.agent"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".player"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="who.author"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.requester.onBehalfOf">
      <path value="CommunicationRequest.requester.onBehalfOf"/> 
      <short value="Organization agent is acting for"/> 
      <definition value="The organization the device or practitioner was acting on behalf of."/> 
      <requirements value="Practitioners and Devices can be associated with multiple organizations.  This element

       indicates which organization they were acting on behalf of when authoring the request."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <condition value="cmr-1"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.requester.onBehalfOf"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".scoper"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.reasonCode">
      <path value="CommunicationRequest.reasonCode"/> 
      <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 caprued using reasonCode.text."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <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."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/v3-ActReason"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.reasonCode"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".reasonCode"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="why"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.reasonReference">
      <path value="CommunicationRequest.reasonReference"/> 
      <short value="Why is communication needed?"/> 
      <definition value="Indicates another resource whose existence justifies this request."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.reasonReference"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=RSON].target"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="why"/> 
      </mapping> 
    </element> 
    <element id="CommunicationRequest.note">
      <path value="CommunicationRequest.note"/> 
      <short value="Comments made about communication request"/> 
      <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> 
      <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.