FHIR Release 3 (STU)

This page is part of the FHIR Specification (v3.0.2: STU 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

8.21.6 Resource CommunicationRequest - Detailed Descriptions

Detailed Descriptions for the elements in the CommunicationRequest resource.

CommunicationRequest
Definition

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.

Control 1..1
CommunicationRequest.identifier
Definition

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.

Note This is a business identifer, not a resource identifier (see discussion)
Control 0..*
Summary true
CommunicationRequest.basedOn
Definition

A plan or proposal that is fulfilled in whole or in part by this request.

Control 0..*
Requirements

Allows tracing of authorization for the request and tracking whether proposals/recommendations were acted upon.

Alternate Names fulfills
Summary true
CommunicationRequest.replaces
Definition

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

Control 0..*
Requirements

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

Alternate Names supersedes; prior
Summary true
Comments

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.

CommunicationRequest.groupIdentifier
Definition

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.

Control 0..1
Alternate Names grouperId
Summary true
Comments

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

CommunicationRequest.status
Definition

The status of the proposal or order.

Control 1..1
Summary true
Comments

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.

CommunicationRequest.category
Definition

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

Control 0..*
Comments

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

CommunicationRequest.priority
Definition

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

Control 0..1
Meaning if Missing If missing, this task should be performed with normal priority
Summary true
CommunicationRequest.medium
Definition

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

Control 0..*
CommunicationRequest.subject
Definition

The patient or group that is the focus of this communication request.

Control 0..1
Alternate Names patient
CommunicationRequest.recipient
Definition

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

Control 0..*
CommunicationRequest.topic
Definition

The resources which were related to producing this communication request.

Control 0..*
CommunicationRequest.context
Definition

The encounter or episode of care within which the communication request was created.

Control 0..1
Alternate Names encounter
Summary true
CommunicationRequest.payload
Definition

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

Control 0..*
CommunicationRequest.payload.content[x]
Definition

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

Control 1..1
[x] Note See Choice of Data Types for further information about how to use [x]
CommunicationRequest.occurrence[x]
Definition

The time when this communication is to occur.

Control 0..1
[x] Note See Choice of Data Types for further information about how to use [x]
Alternate Names timing
Summary true
CommunicationRequest.authoredOn
Definition

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

Control 0..1
Alternate Names createdOn
Summary true
CommunicationRequest.sender
Definition

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

Control 0..1
CommunicationRequest.requester
Definition

The individual who initiated the request and has responsibility for its activation.

Control 0..1
Alternate Names author
Summary true
Invariants Defined on this element
cmr-1: onBehalfOf can only be specified if agent is practitioner or device (expression : (agent.resolve() is Practitioner) or (agent.resolve() is Device) or onBehalfOf.exists().not(), xpath: contains(f:agent/f:reference/@value, '/Practitioner/') or contains(f:agent/f:reference/@value, '/Device/') or not(exists(f:onBehalfOf)))
CommunicationRequest.requester.agent
Definition

The device, practitioner, etc. who initiated the request.

Control 1..1
Summary true
CommunicationRequest.requester.onBehalfOf
Definition

The organization the device or practitioner was acting on behalf of.

Control 0..1
Requirements

Practitioners and Devices can be associated with multiple organizations. This element indicates which organization they were acting on behalf of when authoring the request.

Summary true
Invariants Affect this element
cmr-1: onBehalfOf can only be specified if agent is practitioner or device (expression : (agent.resolve() is Practitioner) or (agent.resolve() is Device) or onBehalfOf.exists().not(), xpath: contains(f:agent/f:reference/@value, '/Practitioner/') or contains(f:agent/f:reference/@value, '/Device/') or not(exists(f:onBehalfOf)))
CommunicationRequest.reasonCode
Definition

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

Control 0..*
Summary true
Comments

Textual reasons can be caprued using reasonCode.text.

CommunicationRequest.reasonReference
Definition

Indicates another resource whose existence justifies this request.

Control 0..*
Summary true
CommunicationRequest.note
Definition

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

Control 0..*

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