Introduction

The FHIR resource Communication is a record of a communication. A communication is a conveyance of information from one entity, a sender, to another entity, a receiver.

This profile, the ehealth-material-communication, is intended for assigning Material for Citizens referenced by a DocumentReference to a Patient and EpisodeOfCare. See the Material for Citizens section in the eHealth DocumentReference profile.

Scope and Usage

In the eHealth infrastructure, the assignment is done by creating a Communication resource with the following characteristics:

• Communication.subject → The patient to whom the material is assigned.
  • If the material being assigned is Patient-specific material (the material has patient-specific content), the patient must be the same as the one referenced in the DocumentReference.subject.
• Communication.episodeOfCare → The episode of care to which the material is assigned.
  • If the material being assigned is Patient-specific material (the material has patient-specific content), the episode of care must be the same as the one referenced in the DocumentReference.context.encounter.
• Communication.recipient → The patient to whom the material is assigned.
  • If present, must be the same as the subject.
• Communication.payload → The DocumentReference for the material being assigned.
  • Must be a reference to an ehealth-documentreference resource from either the Plan or CarePlan service.
• Communication.participant → The assigner of the material.
  • Must be a Practitioner or CareTeam.
• Communication.sent → Time of assignment.
• Communication.period → Time period during which the material is available to the patient.
• Communication.category → The category of the communication.
  • Must be populated with a code from the material-communication-category ValueSet. Currently only contains the code material-assignment.
• Communication.status → The status of the assignment. The value in-progress reflects an active assignment while completed reflects an assignment that has been active but is done.

After creation in the infrastructure several fields in the ehealth-material-communication are immutable as updating them could significantly impact the validity of the assignment.

• Communication.subject
• Communication.recipient
• Communication.episodeOfCare
• Communication.category

Boundaries and Relationships

In scope of the eHealth infrastructure, FHIR Communication is also used in the profiles ehealth-message, used for capturing written communication in the form of messages, notifications, advises and personal notes, and ehealth-communication, used for annotating a specific submitted measurement.

The ehealth-material-communication differs in that it is solely used for representing the assignment of Material for Citizens to a Patient and EpisodeOfCare. Indicating that the patient has access to a given piece of material. It is not intended for relaying any advice, message, notes or annotations.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication		0..*	Communication	A record of information transmitted from a sender to a receiver
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:participant		0..*	(Complex)	Who or what is participating URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant
Slices for extension				Content/Rules for all slices
extension:function		0..1	Extension	Extension
extension		0..0
url		1..1	uri	"function"
value[x]		0..1	Coding	Value of extension Binding: Material Assignment Participant Function (required)
extension:actor		0..1	Extension	The participant
extension		0..0
url		1..1	uri	"actor"
extension:actorref		0..1	Extension	The participant ref (string)
extension		0..0
url		1..1	uri	"actorref"
url		1..1	uri	"http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant"
extension:episodeOfCare		1..1	(Complex)	Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare"
value[x]		1..1	Reference(ehealth-episodeofcare) {r}	Value of extension
extension:period		1..1	Period	Specifies the temporal validity of an material communication instance URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-period
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication.
category		1..*	CodeableConcept	Message category Binding: MaterialCommunicationCategory (required)
subject	Σ	1..1	Reference(Patient | Group)	Focus of message
recipient		0..1	Reference(Patient) {r}	Message recipient
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Communication.extension:participant.extension:function.value[x]	required	MaterialAssignmentParticipantFunction http://ehealth.sundhed.dk/vs/material-assignment-participant-function From this IG
Communication.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 From the FHIR Standard
Communication.category	required	MaterialCommunicationCategory(a valid code from Material Communication Category) http://ehealth.sundhed.dk/vs/material-communication-category From this IG

Constraints

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

This structure is derived from Communication

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication		0..*	Communication	A record of information transmitted from a sender to a receiver
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:participant		0..*	(Complex)	Who or what is participating URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant
Slices for extension				Content/Rules for all slices
extension:function		0..1	Extension	Extension
value[x]		0..1	Coding	Value of extension Binding: Material Assignment Participant Function (required)
extension:episodeOfCare		1..1	(Complex)	Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
value[x]		1..1	Reference(ehealth-episodeofcare) {r}	Value of extension
extension:period		1..1	Period	Specifies the temporal validity of an material communication instance URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-period
category		1..*	CodeableConcept	Message category Binding: MaterialCommunicationCategory (required)
subject		1..1	Reference(Patient | Group)	Focus of message
recipient		0..1	Reference(Patient) {r}	Message recipient
payload
content[x]		1..1	Reference(DocumentReference) {r}	Message part content
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Communication.extension:participant.extension:function.value[x]	required	MaterialAssignmentParticipantFunction http://ehealth.sundhed.dk/vs/material-assignment-participant-function From this IG
Communication.category	required	MaterialCommunicationCategory(a valid code from Material Communication Category) http://ehealth.sundhed.dk/vs/material-communication-category From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication		0..*	Communication	A record of information transmitted from a sender to a receiver
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:participant		0..*	(Complex)	Who or what is participating URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant
id		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
extension:function		0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"function"
value[x]		0..1	Coding	Value of extension Binding: Material Assignment Participant Function (required)
extension:actor		0..1	Extension	The participant
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"actor"
value[x]		0..1	Reference(CareTeam | Practitioner) {r}	Value of extension
extension:actorref		0..1	Extension	The participant ref (string)
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"actorref"
value[x]		0..1	string	Value of extension
url		1..1	uri	"http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant"
extension:episodeOfCare		1..1	(Complex)	Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare"
value[x]		1..1	Reference(ehealth-episodeofcare) {r}	Value of extension
extension:period		1..1	Period	Specifies the temporal validity of an material communication instance URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-period
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Unique identifier
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(Resource)	Request fulfilled by this communication
partOf	Σ	0..*	Reference(Resource)	Part of this action
inResponseTo		0..*	Reference(Communication)	Reply to
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication.
statusReason	Σ	0..1	CodeableConcept	Reason for current status Binding: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen.
category		1..*	CodeableConcept	Message category Binding: MaterialCommunicationCategory (required)
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication.
medium		0..*	CodeableConcept	A channel of communication Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.
subject	Σ	1..1	Reference(Patient | Group)	Focus of message
topic		0..1	CodeableConcept	Description of the purpose/content Binding: CommunicationTopic (example): Codes describing the purpose or content of the communication.
about		0..*	Reference(Resource)	Resources that pertain to this communication
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
sent		0..1	dateTime	When sent
received		0..1	dateTime	When received
recipient		0..1	Reference(Patient) {r}	Message recipient
sender		0..1	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService)	Message sender
reasonCode	Σ	0..*	CodeableConcept	Indication for message Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication.
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Why was communication done?
payload		0..*	BackboneElement	Message payload
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
content[x]		1..1	Reference(DocumentReference) {r}	Message part content
note		0..*	Annotation	Comments made about the communication
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Communication.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Communication.extension:participant.extension:function.value[x]	required	MaterialAssignmentParticipantFunction http://ehealth.sundhed.dk/vs/material-assignment-participant-function From this IG
Communication.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 From the FHIR Standard
Communication.statusReason	example	CommunicationNotDoneReason http://hl7.org/fhir/ValueSet/communication-not-done-reason From the FHIR Standard
Communication.category	required	MaterialCommunicationCategory(a valid code from Material Communication Category) http://ehealth.sundhed.dk/vs/material-communication-category From this IG
Communication.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 From the FHIR Standard
Communication.medium	example	ParticipationMode http://terminology.hl7.org/ValueSet/v3-ParticipationMode
Communication.topic	example	CommunicationTopic http://hl7.org/fhir/ValueSet/communication-topic From the FHIR Standard
Communication.reasonCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

Constraints

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

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication		0..*	Communication	A record of information transmitted from a sender to a receiver
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:participant		0..*	(Complex)	Who or what is participating URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant
Slices for extension				Content/Rules for all slices
extension:function		0..1	Extension	Extension
extension		0..0
url		1..1	uri	"function"
value[x]		0..1	Coding	Value of extension Binding: Material Assignment Participant Function (required)
extension:actor		0..1	Extension	The participant
extension		0..0
url		1..1	uri	"actor"
extension:actorref		0..1	Extension	The participant ref (string)
extension		0..0
url		1..1	uri	"actorref"
url		1..1	uri	"http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant"
extension:episodeOfCare		1..1	(Complex)	Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare"
value[x]		1..1	Reference(ehealth-episodeofcare) {r}	Value of extension
extension:period		1..1	Period	Specifies the temporal validity of an material communication instance URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-period
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication.
category		1..*	CodeableConcept	Message category Binding: MaterialCommunicationCategory (required)
subject	Σ	1..1	Reference(Patient | Group)	Focus of message
recipient		0..1	Reference(Patient) {r}	Message recipient
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Communication.extension:participant.extension:function.value[x]	required	MaterialAssignmentParticipantFunction http://ehealth.sundhed.dk/vs/material-assignment-participant-function From this IG
Communication.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 From the FHIR Standard
Communication.category	required	MaterialCommunicationCategory(a valid code from Material Communication Category) http://ehealth.sundhed.dk/vs/material-communication-category From this IG

Constraints

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

Differential View

This structure is derived from Communication

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication		0..*	Communication	A record of information transmitted from a sender to a receiver
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:participant		0..*	(Complex)	Who or what is participating URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant
Slices for extension				Content/Rules for all slices
extension:function		0..1	Extension	Extension
value[x]		0..1	Coding	Value of extension Binding: Material Assignment Participant Function (required)
extension:episodeOfCare		1..1	(Complex)	Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
value[x]		1..1	Reference(ehealth-episodeofcare) {r}	Value of extension
extension:period		1..1	Period	Specifies the temporal validity of an material communication instance URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-period
category		1..*	CodeableConcept	Message category Binding: MaterialCommunicationCategory (required)
subject		1..1	Reference(Patient | Group)	Focus of message
recipient		0..1	Reference(Patient) {r}	Message recipient
payload
content[x]		1..1	Reference(DocumentReference) {r}	Message part content
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Communication.extension:participant.extension:function.value[x]	required	MaterialAssignmentParticipantFunction http://ehealth.sundhed.dk/vs/material-assignment-participant-function From this IG
Communication.category	required	MaterialCommunicationCategory(a valid code from Material Communication Category) http://ehealth.sundhed.dk/vs/material-communication-category From this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication		0..*	Communication	A record of information transmitted from a sender to a receiver
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:participant		0..*	(Complex)	Who or what is participating URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant
id		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
extension:function		0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"function"
value[x]		0..1	Coding	Value of extension Binding: Material Assignment Participant Function (required)
extension:actor		0..1	Extension	The participant
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"actor"
value[x]		0..1	Reference(CareTeam | Practitioner) {r}	Value of extension
extension:actorref		0..1	Extension	The participant ref (string)
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"actorref"
value[x]		0..1	string	Value of extension
url		1..1	uri	"http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant"
extension:episodeOfCare		1..1	(Complex)	Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare"
value[x]		1..1	Reference(ehealth-episodeofcare) {r}	Value of extension
extension:period		1..1	Period	Specifies the temporal validity of an material communication instance URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-period
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Unique identifier
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(Resource)	Request fulfilled by this communication
partOf	Σ	0..*	Reference(Resource)	Part of this action
inResponseTo		0..*	Reference(Communication)	Reply to
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication.
statusReason	Σ	0..1	CodeableConcept	Reason for current status Binding: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen.
category		1..*	CodeableConcept	Message category Binding: MaterialCommunicationCategory (required)
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication.
medium		0..*	CodeableConcept	A channel of communication Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.
subject	Σ	1..1	Reference(Patient | Group)	Focus of message
topic		0..1	CodeableConcept	Description of the purpose/content Binding: CommunicationTopic (example): Codes describing the purpose or content of the communication.
about		0..*	Reference(Resource)	Resources that pertain to this communication
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
sent		0..1	dateTime	When sent
received		0..1	dateTime	When received
recipient		0..1	Reference(Patient) {r}	Message recipient
sender		0..1	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService)	Message sender
reasonCode	Σ	0..*	CodeableConcept	Indication for message Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication.
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Why was communication done?
payload		0..*	BackboneElement	Message payload
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
content[x]		1..1	Reference(DocumentReference) {r}	Message part content
note		0..*	Annotation	Comments made about the communication
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Communication.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Communication.extension:participant.extension:function.value[x]	required	MaterialAssignmentParticipantFunction http://ehealth.sundhed.dk/vs/material-assignment-participant-function From this IG
Communication.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 From the FHIR Standard
Communication.statusReason	example	CommunicationNotDoneReason http://hl7.org/fhir/ValueSet/communication-not-done-reason From the FHIR Standard
Communication.category	required	MaterialCommunicationCategory(a valid code from Material Communication Category) http://ehealth.sundhed.dk/vs/material-communication-category From this IG
Communication.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 From the FHIR Standard
Communication.medium	example	ParticipationMode http://terminology.hl7.org/ValueSet/v3-ParticipationMode
Communication.topic	example	CommunicationTopic http://hl7.org/fhir/ValueSet/communication-topic From the FHIR Standard
Communication.reasonCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

Constraints

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

This structure is derived from Communication

Summary

Mandatory: 4 elements

Structures

This structure refers to these other structures:

• ehealth-episodeofcare (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare)

Extensions

This structure refers to these extensions:

• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant
• http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-period