This page is part of the FUT Infrastructure (v11.0.1: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Official URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication | Version: 11.0.1 | |||
| Active as of 2026-10-23 | Computable Name: ehealth-communication | |||
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-communication, is intended for use of the FHIR Communication for capturing an annotation about a measurement. Such an annotation could for example describe circumstances about a particular Observation, QuestionnaireResponse or Media submitted by a Patient.
In the eHealth infrastructure, the annotation is defined using the following elements:
sender refers to the creator and owner of the annotationehealth-communication-senderCareTeam has same function as sender but is used where the creator and owner is one or more CareTeamsrecipient refers to the entities allowed to read the annotationehealth-communication-recipientCareTeam has same function as recipient but is used where the allowed reading entity is one or more CareTeamsehealth-restriction-category indicates, when ehealth-communication-senderCareTeam and/or ehealth-communication-recipientCareTeam refer to one
or more CareTeams, what workflow areas/responsibilities of members of those CareTeams that the annotation is relevant for.about refers to the measurement which the annotation is about. This can be zero or more Observation, zero or more QuestionnaireResponse and zero or more Media.
At least one of Observation, QuestionnaireResponse or Media should be referred for the annotation to make sense.payload contains the annotation text itselfIn scope of the eHealth infrastructure, FHIR Communication is also used in the profile ehealth-message where a FHIR Communication captures written communication in the form of messages, notifications and advises. The ehealth-message profile is also used for personal notes.
A personal note differ from an annotation in that the latter is specific for measurements where the former has broader scope.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots, and their representations.
| Path | Status | Usage | ValueSet | Version | Source |
| Communication.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
| Communication.category | Base | required | Communication Category | 📦11.0.1 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| Path | Status | Usage | ValueSet | Version | Source |
| Communication.category | Base | required | Communication Category | 📦11.0.1 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter:  | ||||
|---|---|---|---|---|---|---|---|---|
  Communication |
0..* | Communication | A record of information transmitted from a sender to a receiver | |||||
  id |
0..1 | id | Logical id of this artifact | |||||
 meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
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.
| |||||
| 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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
   extension:episodeOfCare |
1..1 | (Complex) | Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare | |||||
  id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare" | |||||
  value[x] |
1..1 | Reference(ehealth-episodeofcare) {r} | Value of extension | |||||
 extension:recipientCareTeam |
0..* | Reference(ehealth-careteam) {r} | CareTeam message recipient URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam | |||||
| extension:senderCareTeam |
0..* | Reference(ehealth-careteam) {r} | CareTeam message sender URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-senderCareTeam | |||||
 extension:restrictionCategory |
1..* | CodeableConcept | Restriction category URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-restriction-category Binding: Restriction Category (required) | |||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | Unique identifier | |||||
| instantiatesCanonical |
0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | |||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||
| basedOn |
0..* | Reference(Resource) {r} | Request fulfilled by this communication | |||||
| partOf |
0..* | Reference(Resource) {r} | Part of this action | |||||
| inResponseTo |
0..* | Reference(Communication) | Reply to | |||||
| status |
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 |
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: Communication Category (required) | |||||
| priority |
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 |
1..1 | Reference(ehealth-patient) {r} | 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 |
0..1 | Reference(Encounter) | Encounter created as part of | |||||
| sent |
0..1 | dateTime | When sent | |||||
| received |
0..1 | dateTime | When received | |||||
| recipient |
0..* | Reference(ehealth-device | ehealth-patient | ehealth-practitioner | ehealth-relatedperson) {r} | Message recipient | |||||
| sender |
0..1 | Reference(ehealth-device | ehealth-patient | ehealth-practitioner | ehealth-relatedperson) {r} | Message sender | |||||
| reasonCode |
0..* | CodeableConcept | Indication for message Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication. | |||||
| reasonReference |
0..* | Reference(ehealth-condition | ehealth-observation) {r} | 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
  Slices for content[x] |
1..1 | string | Message part content Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
 content[x]:contentString |
1..1 | string | Message part content | |||||
 note |
0..* | Annotation | Comments made about the communication | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Communication.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Communication.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
| Communication.statusReason | Base | example | CommunicationNotDoneReason | 📍4.0.1 | FHIR Std. |
| Communication.category | Base | required | Communication Category | 📦11.0.1 | This IG |
| Communication.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| Communication.medium | Base | example | ParticipationMode | 📦3.0.0 | THO v7.4 |
| Communication.topic | Base | example | CommunicationTopic | 📍4.0.1 | FHIR Std. |
| Communication.reasonCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
Summary
Mandatory: 4 elements(1 nested mandatory element)
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Key Elements View
| Path | Status | Usage | ValueSet | Version | Source |
| Communication.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
| Communication.category | Base | required | Communication Category | 📦11.0.1 | This IG |
| Id | Grade | Path(s) | Description | Expression |
Differential View
| Path | Status | Usage | ValueSet | Version | Source |
| Communication.category | Base | required | Communication Category | 📦11.0.1 | This IG |
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Communication |
0..* | Communication | A record of information transmitted from a sender to a receiver | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
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.
| |||||
| 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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:episodeOfCare |
1..1 | (Complex) | Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare" | |||||
| value[x] |
1..1 | Reference(ehealth-episodeofcare) {r} | Value of extension | |||||
| extension:recipientCareTeam |
0..* | Reference(ehealth-careteam) {r} | CareTeam message recipient URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam | |||||
| extension:senderCareTeam |
0..* | Reference(ehealth-careteam) {r} | CareTeam message sender URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-senderCareTeam | |||||
| extension:restrictionCategory |
1..* | CodeableConcept | Restriction category URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-restriction-category Binding: Restriction Category (required) | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | Unique identifier | |||||
| instantiatesCanonical |
0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | |||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||
| basedOn |
0..* | Reference(Resource) {r} | Request fulfilled by this communication | |||||
| partOf |
0..* | Reference(Resource) {r} | Part of this action | |||||
| inResponseTo |
0..* | Reference(Communication) | Reply to | |||||
| status |
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 |
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: Communication Category (required) | |||||
| priority |
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 |
1..1 | Reference(ehealth-patient) {r} | 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 |
0..1 | Reference(Encounter) | Encounter created as part of | |||||
| sent |
0..1 | dateTime | When sent | |||||
| received |
0..1 | dateTime | When received | |||||
| recipient |
0..* | Reference(ehealth-device | ehealth-patient | ehealth-practitioner | ehealth-relatedperson) {r} | Message recipient | |||||
| sender |
0..1 | Reference(ehealth-device | ehealth-patient | ehealth-practitioner | ehealth-relatedperson) {r} | Message sender | |||||
| reasonCode |
0..* | CodeableConcept | Indication for message Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication. | |||||
| reasonReference |
0..* | Reference(ehealth-condition | ehealth-observation) {r} | 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| Slices for content[x] |
1..1 | string | Message part content Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| content[x]:contentString |
1..1 | string | Message part content | |||||
| note |
0..* | Annotation | Comments made about the communication | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Communication.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Communication.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
| Communication.statusReason | Base | example | CommunicationNotDoneReason | 📍4.0.1 | FHIR Std. |
| Communication.category | Base | required | Communication Category | 📦11.0.1 | This IG |
| Communication.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| Communication.medium | Base | example | ParticipationMode | 📦3.0.0 | THO v7.4 |
| Communication.topic | Base | example | CommunicationTopic | 📍4.0.1 | FHIR Std. |
| Communication.reasonCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
Summary
Mandatory: 4 elements(1 nested mandatory element)
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
