QI-Core Implementation Guide
7.0.0 - STU7 United States of America flag

QI-Core Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 7.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-qi-core/ and changes regularly. See the Directory of published versions

Resource Profile: QICore CommunicationRequest

Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-communicationrequest Version: 7.0.0
Active as of 2018-08-22 Computable Name: QICoreCommunicationRequest

Profile of CommunicationRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

QI Elements:
  • status: draft | active | on-hold | revoked | completed | entered-in-error | unknown
  • category: Message category
  • doNotPerform: True if request is prohibiting action
  • subject: Focus of message
  • encounter: Encounter created as part of
  • recipient: Message recipient
  • sender: Message sender
Primary code path: category
(PCPath) This element is the primary code path for this resource CQL Retrieve


NOTE TO BALLOT REVIEWERS:
  • US Core 7.0, and thus QI-Core 7.0, has a new approach to USCDI requirements.
    • As noted in the US Core 7.0 Must Support section, US Core 7.0 no longer highlights mandatory (cardinality 1..* or 1..1) and Must Support elements with a (USCDI) indicator as such items must be supported for interoperability.
    • Those USCDI elements that are not mandatory or Must Support now include an indicator (ADDITIONAL USCDI) in US Core. QI-Core 7.0 does not reference USCDI elements; rather, users should access US Core 7.0 to understand its implementation of USCDI version 4.
  • We invite comments about the approach and suggestions for other options that would also avoid unnecessary noise or reading load to the QI-Core profile representation.
  • Further, QI-Core 7.0 does not discuss USCDI+Quality because at the time of ballot preparation, no published version of USCDI+Quality is available. We seek reviewer advice regarding how QI-Core might address future USCDI+Quality.

Usage

See the patterns page for implementation and usage patterns.

Examples

CommunicationRequest Example

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from CommunicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. CommunicationRequest 0..* CommunicationRequest A request for information to be sent to a receiver
... status 1..1 code (QI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
... category 0..* CodeableConcept (QI) Message category
Binding: CommunicationCategory (preferred)
... doNotPerform 0..1 boolean (QI) True if request is prohibiting action
... encounter 0..1 Reference(QICore Encounter) (QI) Encounter created as part of
... recipient 0..* Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson | Group | QICore CareTeam) (QI) Message recipient
... sender 0..1 Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson) (QI) Message sender

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
CommunicationRequest.categorypreferredCommunicationCategory
http://hl7.org/fhir/ValueSet/communication-category
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. CommunicationRequest 0..* CommunicationRequest A request for information to be sent to a receiver
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code (QI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of the communication request.

... doNotPerform ?!Σ 0..1 boolean (QI) True if request is prohibiting action
... subject 0..1 Reference(QICore Patient) (QI) Focus of message
... encounter Σ 0..1 Reference(QICore Encounter) (QI) Encounter created as part of
... recipient 0..* Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson | Group | QICore CareTeam) (QI) Message recipient
... sender Σ 0..1 Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson) (QI) Message sender

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
CommunicationRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
CommunicationRequest.categorypreferredCommunicationCategory
http://hl7.org/fhir/ValueSet/communication-category
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorCommunicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCommunicationRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCommunicationRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCommunicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCommunicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. CommunicationRequest 0..* CommunicationRequest A request for information to be sent to a receiver
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Unique identifier
... basedOn Σ 0..* Reference(Resource) Fulfills plan or proposal
... replaces Σ 0..* Reference(CommunicationRequest) Request(s) replaced by this request
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... status ?!Σ 1..1 code (QI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of the communication request.

... statusReason 0..1 CodeableConcept Reason for current status
Binding Description (No ValueSet): (example): Codes identifying the reason for the current state of a request.

... category 0..* CodeableConcept (QI) Message category
Binding: CommunicationCategory (preferred)
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Codes indicating the relative importance of a communication request.

... doNotPerform ?!Σ 0..1 boolean (QI) True if request is prohibiting action
... medium 0..* CodeableConcept A channel of communication
Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.


... subject 0..1 Reference(QICore Patient) (QI) Focus of message
... about 0..* Reference(Resource) Resources that pertain to this communication request
... encounter Σ 0..1 Reference(QICore Encounter) (QI) Encounter created as part of
... payload 0..* BackboneElement Message payload
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... content[x] 1..1 Message part content
..... contentString string
..... contentAttachment Attachment
..... contentReference Reference(Resource)
... occurrence[x] Σ 0..1 When scheduled
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
... authoredOn Σ 0..1 dateTime When request transitioned to being actionable
... requester Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/what is requesting service
... recipient 0..* Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson | Group | QICore CareTeam) (QI) Message recipient
... sender Σ 0..1 Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson) (QI) Message sender
... reasonCode Σ 0..* CodeableConcept Why is communication needed?
Binding: v3 Code System ActReason (example): Codes for describing reasons for the occurrence of a communication.


... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Why is communication needed?
... note 0..* Annotation Comments made about communication request

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
CommunicationRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
CommunicationRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
CommunicationRequest.statusReasonexample
CommunicationRequest.categorypreferredCommunicationCategory
http://hl7.org/fhir/ValueSet/communication-category
from the FHIR Standard
CommunicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
CommunicationRequest.mediumexampleParticipationMode
http://terminology.hl7.org/ValueSet/v3-ParticipationMode
CommunicationRequest.reasonCodeexampleActReason
http://terminology.hl7.org/ValueSet/v3-ActReason

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorCommunicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCommunicationRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCommunicationRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCommunicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCommunicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from CommunicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. CommunicationRequest 0..* CommunicationRequest A request for information to be sent to a receiver
... status 1..1 code (QI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
... category 0..* CodeableConcept (QI) Message category
Binding: CommunicationCategory (preferred)
... doNotPerform 0..1 boolean (QI) True if request is prohibiting action
... encounter 0..1 Reference(QICore Encounter) (QI) Encounter created as part of
... recipient 0..* Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson | Group | QICore CareTeam) (QI) Message recipient
... sender 0..1 Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson) (QI) Message sender

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
CommunicationRequest.categorypreferredCommunicationCategory
http://hl7.org/fhir/ValueSet/communication-category
from the FHIR Standard

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. CommunicationRequest 0..* CommunicationRequest A request for information to be sent to a receiver
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code (QI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of the communication request.

... doNotPerform ?!Σ 0..1 boolean (QI) True if request is prohibiting action
... subject 0..1 Reference(QICore Patient) (QI) Focus of message
... encounter Σ 0..1 Reference(QICore Encounter) (QI) Encounter created as part of
... recipient 0..* Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson | Group | QICore CareTeam) (QI) Message recipient
... sender Σ 0..1 Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson) (QI) Message sender

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
CommunicationRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
CommunicationRequest.categorypreferredCommunicationCategory
http://hl7.org/fhir/ValueSet/communication-category
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorCommunicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCommunicationRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCommunicationRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCommunicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCommunicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. CommunicationRequest 0..* CommunicationRequest A request for information to be sent to a receiver
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Unique identifier
... basedOn Σ 0..* Reference(Resource) Fulfills plan or proposal
... replaces Σ 0..* Reference(CommunicationRequest) Request(s) replaced by this request
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... status ?!Σ 1..1 code (QI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of the communication request.

... statusReason 0..1 CodeableConcept Reason for current status
Binding Description (No ValueSet): (example): Codes identifying the reason for the current state of a request.

... category 0..* CodeableConcept (QI) Message category
Binding: CommunicationCategory (preferred)
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Codes indicating the relative importance of a communication request.

... doNotPerform ?!Σ 0..1 boolean (QI) True if request is prohibiting action
... medium 0..* CodeableConcept A channel of communication
Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.


... subject 0..1 Reference(QICore Patient) (QI) Focus of message
... about 0..* Reference(Resource) Resources that pertain to this communication request
... encounter Σ 0..1 Reference(QICore Encounter) (QI) Encounter created as part of
... payload 0..* BackboneElement Message payload
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... content[x] 1..1 Message part content
..... contentString string
..... contentAttachment Attachment
..... contentReference Reference(Resource)
... occurrence[x] Σ 0..1 When scheduled
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
... authoredOn Σ 0..1 dateTime When request transitioned to being actionable
... requester Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/what is requesting service
... recipient 0..* Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson | Group | QICore CareTeam) (QI) Message recipient
... sender Σ 0..1 Reference(QICore Device | US Core Implantable Device Profile | QICore Organization | QICore Patient | QICore Practitioner | QICore RelatedPerson) (QI) Message sender
... reasonCode Σ 0..* CodeableConcept Why is communication needed?
Binding: v3 Code System ActReason (example): Codes for describing reasons for the occurrence of a communication.


... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Why is communication needed?
... note 0..* Annotation Comments made about communication request

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
CommunicationRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
CommunicationRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
CommunicationRequest.statusReasonexample
CommunicationRequest.categorypreferredCommunicationCategory
http://hl7.org/fhir/ValueSet/communication-category
from the FHIR Standard
CommunicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
CommunicationRequest.mediumexampleParticipationMode
http://terminology.hl7.org/ValueSet/v3-ParticipationMode
CommunicationRequest.reasonCodeexampleActReason
http://terminology.hl7.org/ValueSet/v3-ActReason

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorCommunicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCommunicationRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCommunicationRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCommunicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCommunicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron