QI-Core Implementation Guide, Clinical Quality Improvement WG - CI build for vesion 4.0.0). This version is based on the current content of https://github.com/cqframework/qi-core/ and changes regularly. See the Directory of published versions
QDM defines Communication as the transmission, receipt, or acknowledgement of information sent from a source to a recipient, such as from one clinician to another regarding findings, assessments, plans of care, consultative advice, instructions, educational resources, etc. The following text from the FHIR Communication and Procedure Resources may help to differentiate when to use Communication.
This resource is a record of a communication. A communication is a conveyance of information from one entity, a sender, to another entity, a receiver. The sender and receivers may be patients, practitioners, related persons, organizations, or devices. Communication use cases include:
Non-patient specific communication use cases may include:
Boundaries and Relationships (Section 8.20.2) - Communication and Encounter
The boundary between determining whether an action is a Procedure (training or counseling) as opposed to a Communication is based on whether there's a specific intent to change the mind-set of the patient. Mere disclosure of information would be considered a Communication. A process that involves verification of the patient's comprehension or to change the patient's mental state would be a Procedure.
|QDM Context||QI-Core R4||Comments|
|Communication.status||consider constraining to in-progress, completed, on-hold|
|category||Communication.category||alert, notification, reminder, instruction|
|author dateTime||N/A||No timing exists in FHIR to address timing of negation (i.e., Communication.status = not-done|
|relatedTo||Communication.basedOn||An order, proposal or plan fulfilled in whole or in part by this Communication.|
|Communication.inResponseTo||Response to a communication|
|negation rationale||Communication.status||Constrain status to "not-done"|