## Profile Comparison between http://hl7.org.au/fhir/ereq/StructureDefinition/au-erequesting-communicationrequest-patient vs http://hl7.org.au/fhir/ereq/StructureDefinition/au-erequesting-communicationrequest-patient

Left: | AU eRequesting CommunicationRequest Patient (http://hl7.org.au/fhir/ereq/StructureDefinition/au-erequesting-communicationrequest-patient)
Right: | AU eRequesting CommunicationRequest Patient (http://hl7.org.au/fhir/ereq/StructureDefinition/au-erequesting-communicationrequest-patient)

### Messages

Information | CommunicationRequest.language | Example/preferred bindings differ at CommunicationRequest.language using binding from AUeRequestingCommunicationRequestPatient
Information | StructureDefinition.short | Values for short differ: 'Date/time communication request direction obtained' vs 'When request transitioned to being actionable'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org.au/fhir/ereq/StructureDefinition/au-erequesting-communicationrequest |
copyright | Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2024+; Licensed Under Creative Commons No Rights Reserved. |
description | This profile sets the minimum expectations for a CommunicationRequest resource used to represent a request for direct communication from a diagnostic provider (Filler) to a patient. It supports use cases where the diagnostic provider may communicate with the patient, for example, to suggest booking an appointment or to provide instructions for a diagnostic test. It also supports requests for communication not to be performed, for example, when a patient has requested that they not be contacted by SMS. Supported communication mediums include SMS and email. It is based on the [AU eRequesting CommunicationRequest](StructureDefinition-au-erequesting-communicationrequest.html) and identifies the additional constraints, extensions, vocabularies and value sets that **SHALL** be present in the CommunicationRequest when conforming to this profile. | This profile sets the minimum expectations for a CommunicationRequest resource used to represent a request for direct communication from a diagnostic provider (filler) to a patient. It is based on the [AU eRequesting CommunicationRequest](StructureDefinition-au-erequesting-communicationrequest.html) profile and identifies the additional constraints, extensions, vocabularies and value sets that **SHALL** be present in the CommunicationRequest when conforming to this profile. | Values Differ
experimental |  |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#AU |
kind | resource |
name | AUeRequestingCommunicationRequestPatient |
publisher | HL7 Australia |
purpose |  |
status | active |
title | AU eRequesting CommunicationRequest Patient |
type | CommunicationRequest |
url | http://hl7.org.au/fhir/ereq/StructureDefinition/au-erequesting-communicationrequest-patient |

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
CommunicationRequest |  | 0..* | AUeRequestingCommunicationRequest | A request for information to be sent to a receiver |  | 0..* | AUeRequestingCommunicationRequest | A request for information to be sent to a receiver |
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
| Example/preferred bindings differ at CommunicationRequest.language using binding from AUeRequestingCommunicationRequestPatient
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
contained |  | 0..* | Resource | Contained, inline Resources |  | 0..* | Resource | Contained, inline Resources |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | Unique identifier | Σ | 0..* | Identifier | Unique identifier |
basedOn | Σ | 0..* | Reference(Resource) | Fulfills plan or proposal | Σ | 0..* | Reference(Resource) | Fulfills plan or proposal |
replaces | Σ | 0..* | Reference(CommunicationRequest) | Request(s) replaced by this request | Σ | 0..* | Reference(CommunicationRequest) | Request(s) replaced by this request |
groupIdentifier | SO Σ | 1..1 | ?? | Composite request this is part of
Obligations | Actor | Source
SHALL:populate | AU eRequesting Placer | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Filler | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:able-to-populate | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:no-error | AU eRequesting Patient | from AU eRequesting CommunicationRequest
| SO Σ | 1..1 | ?? | Composite request this is part of
Obligations | Actor | Source
SHALL:populate | AU eRequesting Placer | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Filler | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:able-to-populate | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:no-error | AU eRequesting Patient | from AU eRequesting CommunicationRequest
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: ?? (required): Identifies the purpose for this identifier, if known . | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: ?? (required): Identifies the purpose for this identifier, if known . |
type | Σ | 1..1 | CodeableConcept | Coded identifier type for local order identifier Binding: ?? (required) | Σ | 1..1 | CodeableConcept | Coded identifier type for local order identifier Binding: ?? (required) |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
coding | Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: {"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"PGN"} | Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: {"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"PGN"} |
text | Σ | 0..1 | string | Plain text representation of the concept | Σ | 0..1 | string | Plain text representation of the concept |
system | Σ | 1..1 | uri | System identifier namespace for the organisation that assigned the order identifier Example General: http://www.acme.com/identifiers/patient | Σ | 1..1 | uri | System identifier namespace for the organisation that assigned the order identifier Example General: http://www.acme.com/identifiers/patient |
value | Σ | 1..1 | string | Order identifier Example General: 123456 | Σ | 1..1 | string | Order identifier Example General: 123456 |
period | Σ | 0..1 | Period | Time period when id is/was valid for use | Σ | 0..1 | Period | Time period when id is/was valid for use |
assigner | Σ | 0..1 | Reference(Organization) | Organisation that assigned the order identifier | Σ | 0..1 | Reference(Organization) | Organisation that assigned the order identifier |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL |
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). |
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
display | Σ | 1..1 | string | Name of the assigning organisation | Σ | 1..1 | string | Name of the assigning organisation |
status | ?!SO Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: ?? (required): The status of the communication request. Fixed Value: active
Obligations | Actor | Source
SHALL:populate | AU eRequesting Placer | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Filler | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:able-to-populate | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:no-error | AU eRequesting Patient | from AU eRequesting CommunicationRequest
| ?!SO Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: ?? (required): The status of the communication request. Fixed Value: active
Obligations | Actor | Source
SHALL:populate | AU eRequesting Placer | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Filler | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:able-to-populate | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:no-error | AU eRequesting Patient | from AU eRequesting CommunicationRequest
statusReason |  | 0..1 | CodeableConcept | Reason for current status Binding Description: (example): Codes identifying the reason for the current state of a request. |  | 0..1 | CodeableConcept | Reason for current status Binding Description: (example): Codes identifying the reason for the current state of a request. |
category | SO | 1..* | CodeableConcept | Message category Binding: ?? (required)
Obligations | Actor | Source
SHALL:populate | AU eRequesting Placer | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Filler | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:able-to-populate | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:no-error | AU eRequesting Patient | from AU eRequesting CommunicationRequest
| SO | 1..* | CodeableConcept | Message category Binding: ?? (required)
Obligations | Actor | Source
SHALL:populate | AU eRequesting Placer | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Filler | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:able-to-populate | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:no-error | AU eRequesting Patient | from AU eRequesting CommunicationRequest
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
coding | Σ | 1..1 | Coding | Code defined by a terminology system | Σ | 1..1 | Coding | Code defined by a terminology system |
text | Σ | 0..1 | string | Plain text representation of the concept | Σ | 0..1 | string | Plain text representation of the concept |
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Codes indicating the relative importance of a communication request. | Σ | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Codes indicating the relative importance of a communication request. |
doNotPerform | ?!SO Σ | 0..1 | boolean | Set to true when SMS or email communication with the patient is not to be performed
Obligations | Actor
SHALL:populate-if-known | AU eRequesting Placer
SHALL:handle | AU eRequesting Filler
SHALL:handle | AU eRequesting Server
SHALL:able-to-populate | AU eRequesting Server
SHALL:no-error | AU eRequesting Patient
| ?!SO Σ | 0..1 | boolean | Set to true when SMS or email communication with the patient is not to be performed
Obligations | Actor
SHALL:populate-if-known | AU eRequesting Placer
SHALL:handle | AU eRequesting Filler
SHALL:handle | AU eRequesting Server
SHALL:able-to-populate | AU eRequesting Server
SHALL:no-error | AU eRequesting Patient
medium | SO | 1..* | CodeableConcept | A channel of communication Binding: ?? (required)
Obligations | Actor
SHALL:populate | AU eRequesting Placer
SHALL:handle | AU eRequesting Filler
SHALL:handle | AU eRequesting Server
SHALL:able-to-populate | AU eRequesting Server
SHALL:no-error | AU eRequesting Patient
| SO | 1..* | CodeableConcept | A channel of communication Binding: ?? (required)
Obligations | Actor
SHALL:populate | AU eRequesting Placer
SHALL:handle | AU eRequesting Filler
SHALL:handle | AU eRequesting Server
SHALL:able-to-populate | AU eRequesting Server
SHALL:no-error | AU eRequesting Patient
subject | SO | 1..1 | Reference(AU Core Patient) | Patient that is the subject of the communication request
Obligations | Actor | Source
SHALL:populate | AU eRequesting Placer | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Filler | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:able-to-populate | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:no-error | AU eRequesting Patient | from AU eRequesting CommunicationRequest
| SO | 1..1 | Reference(AU Core Patient) | Patient that is the subject of the communication request
Obligations | Actor | Source
SHALL:populate | AU eRequesting Placer | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Filler | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:able-to-populate | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:no-error | AU eRequesting Patient | from AU eRequesting CommunicationRequest
about | SO | 1..* | Reference(AU eRequesting Pathology Request | AU eRequesting Imaging Request | AU eRequesting Task Group) | Fulfilment task group or diagnostic request the communication is about
Obligations | Actor | Source
SHALL:populate | AU eRequesting Placer | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Filler | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:able-to-populate | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:no-error | AU eRequesting Patient | from AU eRequesting CommunicationRequest
| SO | 1..* | Reference(AU eRequesting Pathology Request | AU eRequesting Imaging Request | AU eRequesting Task Group) | Fulfilment task group or diagnostic request the communication is about
Obligations | Actor | Source
SHALL:populate | AU eRequesting Placer | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Filler | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:able-to-populate | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:no-error | AU eRequesting Patient | from AU eRequesting CommunicationRequest
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | Σ | 0..1 | Reference(Encounter) | Encounter created as part of |
payload |  | 0..* | BackboneElement | Message payload |  | 0..* | BackboneElement | Message payload |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
content[x] |  | 1..1 | string, Attachment, Reference(Resource) | Message part content |  | 1..1 | string, Attachment, Reference(Resource) | Message part content |
occurrence[x] | Σ | 0..1 | dateTime, Period | When scheduled | Σ | 0..1 | dateTime, Period | When scheduled |
authoredOn | SO Σ | 1..1 | dateTime | Date/time communication request direction obtained
Obligations | Actor | Source
SHALL:populate | AU eRequesting Placer | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Filler | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:able-to-populate | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:no-error | AU eRequesting Patient | from AU eRequesting CommunicationRequest
| SO Σ | 1..1 | dateTime | When request transitioned to being actionable
Obligations | Actor | Source
SHALL:populate | AU eRequesting Placer | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Filler | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:able-to-populate | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:no-error | AU eRequesting Patient | from AU eRequesting CommunicationRequest
requester | SO Σ | 1..1 | Reference(AU Core PractitionerRole | AU Core Patient | AU Core Organization) | Patient, provider or practice requesting the communication (or requesting it not be performed)
Obligations | Actor | Source
SHALL:populate | AU eRequesting Placer | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Filler | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:able-to-populate | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:no-error | AU eRequesting Patient | from AU eRequesting CommunicationRequest
| SO Σ | 1..1 | Reference(AU Core PractitionerRole | AU Core Patient | AU Core Organization) | Patient, provider or practice requesting the communication (or requesting it not be performed)
Obligations | Actor | Source
SHALL:populate | AU eRequesting Placer | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Filler | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:able-to-populate | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:no-error | AU eRequesting Patient | from AU eRequesting CommunicationRequest
recipient | SO | 1..1 | Reference(AU Core Patient) | Patient receiving the communication
Obligations | Actor | Source
SHALL:populate | AU eRequesting Placer | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Filler | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:able-to-populate | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:no-error | AU eRequesting Patient | from AU eRequesting CommunicationRequest
| SO | 1..1 | Reference(AU Core Patient) | Patient receiving the communication
Obligations | Actor | Source
SHALL:populate | AU eRequesting Placer | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Filler | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:able-to-populate | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:no-error | AU eRequesting Patient | from AU eRequesting CommunicationRequest
sender | SO Σ | 0..1 | Reference(AU Core Organization) | Organisation sending the communication
Obligations | Actor | Source
SHALL:populate | AU eRequesting Placer | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Filler | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:able-to-populate | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:no-error | AU eRequesting Patient | from AU eRequesting CommunicationRequest
| SO Σ | 0..1 | Reference(AU Core Organization) | Organisation sending the communication
Obligations | Actor | Source
SHALL:populate-if-known | AU eRequesting Placer | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Filler | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:able-to-populate | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:no-error | AU eRequesting Patient | from AU eRequesting CommunicationRequest
reasonCode | SO Σ | 1..1 | CodeableConcept | Why is communication needed? Binding: ?? (required)
Obligations | Actor | Source
SHALL:populate | AU eRequesting Placer | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Filler | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:able-to-populate | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:no-error | AU eRequesting Patient | from AU eRequesting CommunicationRequest
| SO Σ | 1..1 | CodeableConcept | Why is communication needed? Binding: ?? (required)
Obligations | Actor | Source
SHALL:populate | AU eRequesting Placer | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Filler | from AU eRequesting CommunicationRequest
SHALL:handle | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:able-to-populate | AU eRequesting Server | from AU eRequesting CommunicationRequest
SHALL:no-error | AU eRequesting Patient | from AU eRequesting CommunicationRequest
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
coding | Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: {"system":"http://terminology.hl7.org.au/CodeSystem/communicationrequest-reason","code":"patient"} | Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: {"system":"http://terminology.hl7.org.au/CodeSystem/communicationrequest-reason","code":"patient"} |
text | Σ | 0..1 | string | Plain text representation of the concept | Σ | 0..1 | string | Plain text representation of the concept |
reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Why is communication needed? | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Why is communication needed? |
note |  | 0..* | Annotation | Comments made about communication request |  | 0..* | Annotation | Comments made about communication request |
Documentation for this format