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Communicationrequest.profile.json

Patient Care Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Device, Encounter, Patient, Practitioner, RelatedPerson

Raw JSON (каноническая форма + also see JSON Format Specification)

StructureDefinition for communicationrequest

{
  "resourceType" : "StructureDefinition",
  "id" : "CommunicationRequest",
  "meta" : {
    "lastUpdated" : "2019-05-17T12:34:53.932+00:00"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div>!-- Snipped for Brevity --></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 2
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
    "valueCode" : "patient"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "pc"
  }],
  "url" : "http://hl7.org/fhir/StructureDefinition/CommunicationRequest",
  "version" : "3.6.0",
  "name" : "CommunicationRequest",
  "status" : "draft",
  "date" : "2019-05-17T12:34:53+00:00",
  "publisher" : "Health Level Seven International (Patient Care)",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]
  },
  {
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/patientcare/index.cfm"
    }]
  }],
  "description" : "Запрос на передачу информации; например система поддержки принятия решений предлагает отправить оповещение ответственному врачу; система поддержки принятия решений предлагает оповестить организацию общественного здравоохранения о подлежащем регистрации состоянии.",
  "fhirVersion" : "3.6.0",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "CommunicationRequest",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
  "derivation" : "specialization",
  "snapshot" : {
    "element" : [{
      "id" : "CommunicationRequest",
      "path" : "CommunicationRequest",
      "short" : "Запрос на отправку информации получателю",
      "definition" : "Запрос на передачу информации; например система поддержки принятия решений предлагает отправить оповещение ответственному врачу; система поддержки принятия решений предлагает оповестить организацию общественного здравоохранения о подлежащем регистрации состоянии.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "CommunicationRequest",
        "min" : 0,
        "max" : "*"
      },
      "constraint" : [{
        "key" : "dom-2",
        "severity" : "error",
        "human" : "Если ресурс встроен в другой ресурс, он НЕ ДОЛЖЕН содержать описательной части",
        "expression" : "contained.contained.empty()",
        "xpath" : "not(parent::f:contained and f:contained)",
        "source" : "DomainResource"
      },
      {
        "key" : "dom-4",
        "severity" : "error",
        "human" : "Если ресурс встроен в другой ресурс, он НЕ ДОЛЖЕН иметь meta.versionId или meta.lastUpdated",
        "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
        "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
        "source" : "DomainResource"
      },
      {
        "key" : "dom-3",
        "severity" : "error",
        "human" : "Если ресурс встроен в другой ресурс, где-то в родительском ресурсе на него ДОЛЖНА БЫТЬ дана ссылка or SHALL refer to the containing resource",
        "expression" : "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()",
        "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
        "source" : "DomainResource"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
          "valueBoolean" : true
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
          "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
        }],
        "key" : "dom-6",
        "severity" : "warning",
        "human" : "A resource should have narrative for robust management",
        "expression" : "text.div.exists()",
        "xpath" : "exists(f:text/h:div)",
        "source" : "DomainResource"
      },
      {
        "key" : "dom-5",
        "severity" : "error",
        "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
        "expression" : "contained.meta.security.empty()",
        "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
        "source" : "DomainResource"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "Entity. Role, or Act"
      },
      {
        "identity" : "workflow",
        "map" : "Request"
      }]
    },
    {
      "id" : "CommunicationRequest.id",
      "path" : "CommunicationRequest.id",
      "short" : "Logical id of this artifact",
      "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
      "comment" : "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" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "id"
      }],
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "CommunicationRequest.meta",
      "path" : "CommunicationRequest.meta",
      "short" : "Метаданные ресурса",
      "definition" : "Метаданные ресурса. Это такая информация, которая поддерживается инфраструктурой. Изменения этой информации не всегда можно ассоциировать с версионными изменениями ресурса.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.meta",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Meta"
      }],
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "CommunicationRequest.implicitRules",
      "path" : "CommunicationRequest.implicitRules",
      "short" : "Свод правил, в соответствии с которыми создавалось это содержимое",
      "definition" : "Ссылка на свод правил, которым следовали при создании этого ресурса и которые необходимо понимать при обработке этого содержимого. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
      "comment" : "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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.implicitRules",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "uri"
      }],
      "isModifier" : true,
      "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
      "isSummary" : true
    },
    {
      "id" : "CommunicationRequest.language",
      "path" : "CommunicationRequest.language",
      "short" : "Язык содержимого ресурса",
      "definition" : "Основной язык, на котором написан ресурс.",
      "comment" : "Язык указывается для поддержки предварительной обработки текстов и доступности для понимания (например при преобразовании текста в речь используется языковой тег). HTML-тег language в описательной части применяется к этой описательной части. Языковой тег ресурса может использоваться для указания языков других представлений, генерируемых из данных ресурса\n\nНе все содержание ресурса должно быть на указанном основном языке. Resource.language нельзя автоматически принимать за язык описательной части. Если язык указан, его также следует указать в элементе div в HTML (информацию о связи между xml:lang и HTML-атрибутом lang см. в правилах HTML5).",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.language",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "code"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
          "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Language"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "preferred",
        "description" : "Естественный язык.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
      }
    },
    {
      "id" : "CommunicationRequest.text",
      "path" : "CommunicationRequest.text",
      "short" : "Краткое текстовое изложение ресурса для интерпретации человеком",
      "definition" : "Человекочитаемая описательная часть, содержащая краткое изложение ресурса, которая может использоваться для представления содержимого ресурса человеку. От описательной части не требуется кодировать все структурированные данные, но она должна содержать достаточно сведений, чтобы простое её прочтение человеком было \"клинически безопасным\". Определения ресурсов могут описывать, какое содержимое должно быть представлено в описательной части для обеспечения клинической безопасной.",
      "comment" : "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 \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
      "alias" : ["narrative",
      "html",
      "xhtml",
      "display"],
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DomainResource.text",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Narrative"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "Act.text?"
      }]
    },
    {
      "id" : "CommunicationRequest.contained",
      "path" : "CommunicationRequest.contained",
      "short" : "Вложенные, встроенные инлайн ресурсы",
      "definition" : "Эти ресурсы не обладают независимым существованием вне ресурса, который их содержит - их нельзя идентифицировать независимо, и они не могут иметь своей собственной независимой транзакционной области действия.",
      "comment" : "Этого не следует делать, когда содержимое может быть идентифицировано должным образом, поскольку, потеряв идентификацию, будет чрезвычайно сложно (и контекстно-зависимо) снова восстановить её. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
      "alias" : ["inline resources",
      "anonymous resources",
      "contained resources"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.contained",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Resource"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "CommunicationRequest.extension",
      "path" : "CommunicationRequest.extension",
      "short" : "Дополнительное содержимое, определенное реализаторами",
      "definition" : "Может использоваться для представления дополнительной информации, не являющейся частью базового определения ресурса. Чтобы сделать использование расширений надежным и управляемым, существует строгий набор управления применительно к определению и использованию расширений. Хотя каждому реализатору разрешается определять расширения, имеется набор требований, которые должны выполняться в рамках определения расширения.",
      "comment" : "Не должно быть никаких предрассудков по использованию расширений любыми приложениями, проектами или стандартами - вне зависимости от учреждения или юрисдикции, которые используют или задают расширение. Именно использование расширений позволяет спецификации FHIR сохранять простоту для всех.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "CommunicationRequest.modifierExtension",
      "path" : "CommunicationRequest.modifierExtension",
      "short" : "Расширения, которые нельзя игнорировать",
      "definition" : "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. 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "Не должно быть никаких предрассудков по использованию расширений любыми приложениями, проектами или стандартами - вне зависимости от учреждения или юрисдикции, которые используют или задают расширение. Именно использование расширений позволяет спецификации FHIR сохранять простоту для всех.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "CommunicationRequest.identifier",
      "path" : "CommunicationRequest.identifier",
      "short" : "Уникальный идентификатор",
      "definition" : "Business identifiers assigned to this communication request by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
      "comment" : "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
      "requirements" : "Allows identification of the communication request as it is known by various participating systems and in a way that remains consistent across servers.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "CommunicationRequest.identifier",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Identifier"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.identifier"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.identifier"
      }]
    },
    {
      "id" : "CommunicationRequest.basedOn",
      "path" : "CommunicationRequest.basedOn",
      "short" : "Fulfills plan or proposal",
      "definition" : "A plan or proposal that is fulfilled in whole or in part by this request.",
      "requirements" : "Allows tracing of authorization for the request and tracking whether proposals/recommendations were acted upon.",
      "alias" : ["fulfills"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "CommunicationRequest.basedOn",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.basedOn"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=FLFS].target"
      }]
    },
    {
      "id" : "CommunicationRequest.replaces",
      "path" : "CommunicationRequest.replaces",
      "short" : "Request(s) replaced by this request",
      "definition" : "Completed or terminated request(s) whose function is taken by this new request.",
      "comment" : "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" : "Allows tracing the continuation of a therapy or administrative process instantiated through multiple requests.",
      "alias" : ["supersedes",
      "prior"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "CommunicationRequest.replaces",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CommunicationRequest"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.replaces"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=RPLC].target"
      }]
    },
    {
      "id" : "CommunicationRequest.groupIdentifier",
      "path" : "CommunicationRequest.groupIdentifier",
      "short" : "Composite request this is part of",
      "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.",
      "comment" : "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.",
      "alias" : ["grouperId"],
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "CommunicationRequest.groupIdentifier",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Identifier"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.groupIdentifier"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier"
      }]
    },
    {
      "id" : "CommunicationRequest.status",
      "path" : "CommunicationRequest.status",
      "short" : "draft | active | suspended | cancelled | completed | entered-in-error | unknown",
      "definition" : "Статус предложения или заказа.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "CommunicationRequest.status",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "code"
      }],
      "isModifier" : true,
      "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid.",
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "CommunicationRequestStatus"
        }],
        "strength" : "required",
        "description" : "The status of the communication request.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/request-status"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.status"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.status"
      }]
    },
    {
      "id" : "CommunicationRequest.statusReason",
      "path" : "CommunicationRequest.statusReason",
      "short" : "Reason for current status",
      "definition" : "Captures the reason for the current state of the CommunicationRequest.",
      "comment" : "This is generally only used for \"exception\" statuses such as \"suspended\" or \"cancelled\".  The reason why the CommunicationRequest was created at all is captured in reasonCode, not here.  [distinct reason codes for different statuses can be enforced using invariants if they are universal bindings].",
      "alias" : ["Suspended Reason",
      "Cancelled Reason"],
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "CommunicationRequest.statusReason",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "CommunicationRequestStatusReason"
        }],
        "strength" : "example",
        "description" : "Codes identifying the reason for the current state of a request."
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.statusReason"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"
      }]
    },
    {
      "id" : "CommunicationRequest.category",
      "path" : "CommunicationRequest.category",
      "short" : "Категория сообщения",
      "definition" : "Тип передаваемого сообщения, например предупреждение, уведомление, напоминание, инструкция и т. д.",
      "comment" : "There may be multiple axes of categorization and one communication request may serve multiple purposes.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "CommunicationRequest.category",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "CommunicationCategory"
        }],
        "strength" : "example",
        "description" : "Коды основных категорий сообщений, например оповещение, инструкция и т. п.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/communication-category"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.class"
      }]
    },
    {
      "id" : "CommunicationRequest.priority",
      "path" : "CommunicationRequest.priority",
      "short" : "Срочность сообщения",
      "definition" : "Характеризует, насколько быстро предложенное действие должно быть инициировано. Включает в себя такие понятия, как немедленно, срочно, обычная срочность.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "CommunicationRequest.priority",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "code"
      }],
      "meaningWhenMissing" : "If missing, this task should be performed with normal priority",
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "CommunicationPriority"
        }],
        "strength" : "required",
        "description" : "Коды относительной важности запроса на коммуникацию.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/request-priority"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.priority"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.grade"
      }]
    },
    {
      "id" : "CommunicationRequest.doNotPerform",
      "path" : "CommunicationRequest.doNotPerform",
      "short" : "True if request is prohibiting action",
      "definition" : "If true indicates that the CommunicationRequest is asking for the specified action to *not* occur.",
      "comment" : "The attributes provided with the request qualify what is not to be done.",
      "alias" : ["prohibited"],
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "CommunicationRequest.doNotPerform",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "boolean"
      }],
      "meaningWhenMissing" : "If do not perform is not specified, the request is a positive request e.g. \"do perform\"",
      "isModifier" : true,
      "isModifierReason" : "If true this element negates the specified action. For Example,  instead of a request for a communication, it is a request for the communication to not occur.",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.doNotPerform"
      }]
    },
    {
      "id" : "CommunicationRequest.medium",
      "path" : "CommunicationRequest.medium",
      "short" : "Канал коммуникации",
      "definition" : "Канал, который использовался для данной коммуникации (например электронная почта, факс).",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "CommunicationRequest.medium",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "CommunicationMedium"
        }],
        "strength" : "example",
        "description" : "Коды средств коммуникации, например телефон, факс, электронная почта, лично и т. п.",
        "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationMode"
      }
    },
    {
      "id" : "CommunicationRequest.subject",
      "path" : "CommunicationRequest.subject",
      "short" : "Пациент, к которому относится это сообщение",
      "definition" : "The patient or group that is the focus of this communication request.",
      "alias" : ["patient"],
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "CommunicationRequest.subject",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/Group"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.subject"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject[x]"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject"
      }]
    },
    {
      "id" : "CommunicationRequest.about",
      "path" : "CommunicationRequest.about",
      "short" : "Resources that pertain to this communication request",
      "definition" : "Other resources that pertain to this communication request and to which this communication request should be associated.",
      "comment" : "Don't use CommunicationRequest.about element when a more specific element exists, such as basedOn, reasonReference, or replaces.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "CommunicationRequest.about",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.supportingInfo"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.context"
      }]
    },
    {
      "id" : "CommunicationRequest.encounter",
      "path" : "CommunicationRequest.encounter",
      "short" : "Encounter created as part of",
      "definition" : "The Encounter during which this CommunicationRequest was created or to which the creation of this record is tightly associated.",
      "comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "CommunicationRequest.encounter",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.context"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.context"
      }]
    },
    {
      "id" : "CommunicationRequest.payload",
      "path" : "CommunicationRequest.payload",
      "short" : "Полезная нагрузка сообщения",
      "definition" : "Текст, вложения или ресурсы, которые были сообщены получателю.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "CommunicationRequest.payload",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      }],
      "isModifier" : false,
      "isSummary" : false
    },
    {
      "id" : "CommunicationRequest.payload.id",
      "path" : "CommunicationRequest.payload.id",
      "representation" : ["xmlAttr"],
      "short" : "xml:id (or equivalent in JSON)",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "CommunicationRequest.payload.extension",
      "path" : "CommunicationRequest.payload.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "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" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "CommunicationRequest.payload.modifierExtension",
      "path" : "CommunicationRequest.payload.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "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 in which it is contained. Usually modifier elements provide negation or qualification. 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 can 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "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" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "CommunicationRequest.payload.content[x]",
      "path" : "CommunicationRequest.payload.content[x]",
      "short" : "Содержательная часть сообщения",
      "definition" : "The communicated content (or for multi-part communications, one portion of the communication).",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "CommunicationRequest.payload.content[x]",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      },
      {
        "code" : "Attachment"
      },
      {
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.note"
      }]
    },
    {
      "id" : "CommunicationRequest.occurrence[x]",
      "path" : "CommunicationRequest.occurrence[x]",
      "short" : "Когда запланировано",
      "definition" : "Время, когда должна произойти эта коммуникация.",
      "alias" : ["timing"],
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "CommunicationRequest.occurrence[x]",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "dateTime"
      },
      {
        "code" : "Period"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.occurrence[x]"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.planned"
      }]
    },
    {
      "id" : "CommunicationRequest.authoredOn",
      "path" : "CommunicationRequest.authoredOn",
      "short" : "When request transitioned to being actionable",
      "definition" : "For draft requests, indicates the date of initial creation.  For requests with other statuses, indicates the date of activation.",
      "alias" : ["createdOn"],
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "CommunicationRequest.authoredOn",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "dateTime"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.authoredOn"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.recorded"
      }]
    },
    {
      "id" : "CommunicationRequest.requester",
      "path" : "CommunicationRequest.requester",
      "short" : "Who/what is requesting service",
      "definition" : "The device, individual, or organization who initiated the request and has responsibility for its activation.",
      "alias" : ["author"],
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "CommunicationRequest.requester",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
        "http://hl7.org/fhir/StructureDefinition/Organization",
        "http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
        "http://hl7.org/fhir/StructureDefinition/Device"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.requester"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.author"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=AUT].role"
      }]
    },
    {
      "id" : "CommunicationRequest.recipient",
      "path" : "CommunicationRequest.recipient",
      "short" : "Получатель сообщения",
      "definition" : "Сущность (например человек, организация, клиническая информационная система, или устройство), которая была целью коммуникации.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "CommunicationRequest.recipient",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
        "http://hl7.org/fhir/StructureDefinition/Organization",
        "http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
        "http://hl7.org/fhir/StructureDefinition/Group",
        "http://hl7.org/fhir/StructureDefinition/CareTeam",
        "http://hl7.org/fhir/StructureDefinition/HealthcareService"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.performer"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.actor"
      }]
    },
    {
      "id" : "CommunicationRequest.sender",
      "path" : "CommunicationRequest.sender",
      "short" : "Отправитель сообщения",
      "definition" : "Сущность (например человек, организация, клиническая информационная система, или устройство), которая была источником коммуникации.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "CommunicationRequest.sender",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
        "http://hl7.org/fhir/StructureDefinition/Organization",
        "http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
        "http://hl7.org/fhir/StructureDefinition/HealthcareService"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.performer"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.actor"
      }]
    },
    {
      "id" : "CommunicationRequest.reasonCode",
      "path" : "CommunicationRequest.reasonCode",
      "short" : "Why is communication needed?",
      "definition" : "Describes why the request is being made in coded or textual form.",
      "comment" : "Textual reasons can be captured using reasonCode.text.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "CommunicationRequest.reasonCode",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "CommunicationReason"
        }],
        "strength" : "example",
        "description" : "Коды причин, которые привели к данной коммуникации.",
        "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActReason"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.reasonCode"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.why[x]"
      },
      {
        "identity" : "rim",
        "map" : ".reasonCode"
      }]
    },
    {
      "id" : "CommunicationRequest.reasonReference",
      "path" : "CommunicationRequest.reasonReference",
      "short" : "Why is communication needed?",
      "definition" : "Indicates another resource whose existence justifies this request.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "CommunicationRequest.reasonReference",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
        "http://hl7.org/fhir/StructureDefinition/Observation",
        "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
        "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.reasonReference"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.why[x]"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=RSON].target"
      }]
    },
    {
      "id" : "CommunicationRequest.note",
      "path" : "CommunicationRequest.note",
      "short" : "Comments made about communication request",
      "definition" : "Comments made about the request by the requester, sender, recipient, subject or other participants.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "CommunicationRequest.note",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Annotation"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.note"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]"
      }]
    }]
  },
  "differential" : {
    "element" : [{
      "id" : "CommunicationRequest",
      "path" : "CommunicationRequest",
      "short" : "Запрос на отправку информации получателю",
      "definition" : "Запрос на передачу информации; например система поддержки принятия решений предлагает отправить оповещение ответственному врачу; система поддержки принятия решений предлагает оповестить организацию общественного здравоохранения о подлежащем регистрации состоянии.",
      "min" : 0,
      "max" : "*",
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request"
      }]
    },
    {
      "id" : "CommunicationRequest.identifier",
      "path" : "CommunicationRequest.identifier",
      "short" : "Уникальный идентификатор",
      "definition" : "Business identifiers assigned to this communication request by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
      "comment" : "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
      "requirements" : "Allows identification of the communication request as it is known by various participating systems and in a way that remains consistent across servers.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Identifier"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.identifier"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.identifier"
      }]
    },
    {
      "id" : "CommunicationRequest.basedOn",
      "path" : "CommunicationRequest.basedOn",
      "short" : "Fulfills plan or proposal",
      "definition" : "A plan or proposal that is fulfilled in whole or in part by this request.",
      "requirements" : "Allows tracing of authorization for the request and tracking whether proposals/recommendations were acted upon.",
      "alias" : ["fulfills"],
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.basedOn"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=FLFS].target"
      }]
    },
    {
      "id" : "CommunicationRequest.replaces",
      "path" : "CommunicationRequest.replaces",
      "short" : "Request(s) replaced by this request",
      "definition" : "Completed or terminated request(s) whose function is taken by this new request.",
      "comment" : "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" : "Allows tracing the continuation of a therapy or administrative process instantiated through multiple requests.",
      "alias" : ["supersedes",
      "prior"],
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CommunicationRequest"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.replaces"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=RPLC].target"
      }]
    },
    {
      "id" : "CommunicationRequest.groupIdentifier",
      "path" : "CommunicationRequest.groupIdentifier",
      "short" : "Composite request this is part of",
      "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.",
      "comment" : "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.",
      "alias" : ["grouperId"],
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Identifier"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.groupIdentifier"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier"
      }]
    },
    {
      "id" : "CommunicationRequest.status",
      "path" : "CommunicationRequest.status",
      "short" : "draft | active | suspended | cancelled | completed | entered-in-error | unknown",
      "definition" : "Статус предложения или заказа.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "isModifier" : true,
      "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid.",
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "CommunicationRequestStatus"
        }],
        "strength" : "required",
        "description" : "The status of the communication request.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/request-status"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.status"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.status"
      }]
    },
    {
      "id" : "CommunicationRequest.statusReason",
      "path" : "CommunicationRequest.statusReason",
      "short" : "Reason for current status",
      "definition" : "Captures the reason for the current state of the CommunicationRequest.",
      "comment" : "This is generally only used for \"exception\" statuses such as \"suspended\" or \"cancelled\".  The reason why the CommunicationRequest was created at all is captured in reasonCode, not here.  [distinct reason codes for different statuses can be enforced using invariants if they are universal bindings].",
      "alias" : ["Suspended Reason",
      "Cancelled Reason"],
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "CommunicationRequestStatusReason"
        }],
        "strength" : "example",
        "description" : "Codes identifying the reason for the current state of a request."
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.statusReason"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"
      }]
    },
    {
      "id" : "CommunicationRequest.category",
      "path" : "CommunicationRequest.category",
      "short" : "Категория сообщения",
      "definition" : "Тип передаваемого сообщения, например предупреждение, уведомление, напоминание, инструкция и т. д.",
      "comment" : "There may be multiple axes of categorization and one communication request may serve multiple purposes.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "CommunicationCategory"
        }],
        "strength" : "example",
        "description" : "Коды основных категорий сообщений, например оповещение, инструкция и т. п.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/communication-category"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.class"
      }]
    },
    {
      "id" : "CommunicationRequest.priority",
      "path" : "CommunicationRequest.priority",
      "short" : "Срочность сообщения",
      "definition" : "Характеризует, насколько быстро предложенное действие должно быть инициировано. Включает в себя такие понятия, как немедленно, срочно, обычная срочность.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "meaningWhenMissing" : "If missing, this task should be performed with normal priority",
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "CommunicationPriority"
        }],
        "strength" : "required",
        "description" : "Коды относительной важности запроса на коммуникацию.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/request-priority"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.priority"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.grade"
      }]
    },
    {
      "id" : "CommunicationRequest.doNotPerform",
      "path" : "CommunicationRequest.doNotPerform",
      "short" : "True if request is prohibiting action",
      "definition" : "If true indicates that the CommunicationRequest is asking for the specified action to *not* occur.",
      "comment" : "The attributes provided with the request qualify what is not to be done.",
      "alias" : ["prohibited"],
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "meaningWhenMissing" : "If do not perform is not specified, the request is a positive request e.g. \"do perform\"",
      "isModifier" : true,
      "isModifierReason" : "If true this element negates the specified action. For Example,  instead of a request for a communication, it is a request for the communication to not occur.",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.doNotPerform"
      }]
    },
    {
      "id" : "CommunicationRequest.medium",
      "path" : "CommunicationRequest.medium",
      "short" : "Канал коммуникации",
      "definition" : "Канал, который использовался для данной коммуникации (например электронная почта, факс).",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "CommunicationMedium"
        }],
        "strength" : "example",
        "description" : "Коды средств коммуникации, например телефон, факс, электронная почта, лично и т. п.",
        "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationMode"
      }
    },
    {
      "id" : "CommunicationRequest.subject",
      "path" : "CommunicationRequest.subject",
      "short" : "Пациент, к которому относится это сообщение",
      "definition" : "The patient or group that is the focus of this communication request.",
      "alias" : ["patient"],
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/Group"]
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.subject"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject[x]"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject"
      }]
    },
    {
      "id" : "CommunicationRequest.about",
      "path" : "CommunicationRequest.about",
      "short" : "Resources that pertain to this communication request",
      "definition" : "Other resources that pertain to this communication request and to which this communication request should be associated.",
      "comment" : "Don't use CommunicationRequest.about element when a more specific element exists, such as basedOn, reasonReference, or replaces.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.supportingInfo"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.context"
      }]
    },
    {
      "id" : "CommunicationRequest.encounter",
      "path" : "CommunicationRequest.encounter",
      "short" : "Encounter created as part of",
      "definition" : "The Encounter during which this CommunicationRequest was created or to which the creation of this record is tightly associated.",
      "comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.context"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.context"
      }]
    },
    {
      "id" : "CommunicationRequest.payload",
      "path" : "CommunicationRequest.payload",
      "short" : "Полезная нагрузка сообщения",
      "definition" : "Текст, вложения или ресурсы, которые были сообщены получателю.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "CommunicationRequest.payload.content[x]",
      "path" : "CommunicationRequest.payload.content[x]",
      "short" : "Содержательная часть сообщения",
      "definition" : "The communicated content (or for multi-part communications, one portion of the communication).",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "string"
      },
      {
        "code" : "Attachment"
      },
      {
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.note"
      }]
    },
    {
      "id" : "CommunicationRequest.occurrence[x]",
      "path" : "CommunicationRequest.occurrence[x]",
      "short" : "Когда запланировано",
      "definition" : "Время, когда должна произойти эта коммуникация.",
      "alias" : ["timing"],
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      },
      {
        "code" : "Period"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.occurrence[x]"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.planned"
      }]
    },
    {
      "id" : "CommunicationRequest.authoredOn",
      "path" : "CommunicationRequest.authoredOn",
      "short" : "When request transitioned to being actionable",
      "definition" : "For draft requests, indicates the date of initial creation.  For requests with other statuses, indicates the date of activation.",
      "alias" : ["createdOn"],
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.authoredOn"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.recorded"
      }]
    },
    {
      "id" : "CommunicationRequest.requester",
      "path" : "CommunicationRequest.requester",
      "short" : "Who/what is requesting service",
      "definition" : "The device, individual, or organization who initiated the request and has responsibility for its activation.",
      "alias" : ["author"],
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
        "http://hl7.org/fhir/StructureDefinition/Organization",
        "http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
        "http://hl7.org/fhir/StructureDefinition/Device"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.requester"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.author"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=AUT].role"
      }]
    },
    {
      "id" : "CommunicationRequest.recipient",
      "path" : "CommunicationRequest.recipient",
      "short" : "Получатель сообщения",
      "definition" : "Сущность (например человек, организация, клиническая информационная система, или устройство), которая была целью коммуникации.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
        "http://hl7.org/fhir/StructureDefinition/Organization",
        "http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
        "http://hl7.org/fhir/StructureDefinition/Group",
        "http://hl7.org/fhir/StructureDefinition/CareTeam",
        "http://hl7.org/fhir/StructureDefinition/HealthcareService"]
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.performer"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.actor"
      }]
    },
    {
      "id" : "CommunicationRequest.sender",
      "path" : "CommunicationRequest.sender",
      "short" : "Отправитель сообщения",
      "definition" : "Сущность (например человек, организация, клиническая информационная система, или устройство), которая была источником коммуникации.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
        "http://hl7.org/fhir/StructureDefinition/Organization",
        "http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
        "http://hl7.org/fhir/StructureDefinition/HealthcareService"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.performer"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.actor"
      }]
    },
    {
      "id" : "CommunicationRequest.reasonCode",
      "path" : "CommunicationRequest.reasonCode",
      "short" : "Why is communication needed?",
      "definition" : "Describes why the request is being made in coded or textual form.",
      "comment" : "Textual reasons can be captured using reasonCode.text.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "CommunicationReason"
        }],
        "strength" : "example",
        "description" : "Коды причин, которые привели к данной коммуникации.",
        "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActReason"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.reasonCode"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.why[x]"
      },
      {
        "identity" : "rim",
        "map" : ".reasonCode"
      }]
    },
    {
      "id" : "CommunicationRequest.reasonReference",
      "path" : "CommunicationRequest.reasonReference",
      "short" : "Why is communication needed?",
      "definition" : "Indicates another resource whose existence justifies this request.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
        "http://hl7.org/fhir/StructureDefinition/Observation",
        "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
        "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.reasonReference"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.why[x]"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=RSON].target"
      }]
    },
    {
      "id" : "CommunicationRequest.note",
      "path" : "CommunicationRequest.note",
      "short" : "Comments made about communication request",
      "definition" : "Comments made about the request by the requester, sender, recipient, subject or other participants.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Annotation"
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Request.note"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]"
      }]
    }]
  }
}

Примечание к использованию: мы очень стараемся приводить корректные и полезные примеры, но нормативно они не являются частью спецификации.