Introduction

An ehealth-message defines written communication and comes in four flavours depending on the "category" of the message:

• Message: For sending user-generated messages from Patients and CareTeams (Practitioners) to Patients or CareTeams. Messages may not be sent between Patients or between Practitioners. When sending a message to a CareTeam, it is possible to narrow the recipient to be of a certain role. This is done by setting the "restriction-category" extension to a specific role value.
• Notification: Must regard an incident or event that has already occurred, where the sender must be of type Device, and the recipient must be a Patient or CareTeam. These are usually text-based, and may have a temporal validity attached (see "period" extension) to indicate at which point a notification is no longer valid. When sent, a notification may no longer be updated by the sender.
• Advise: Advise is much like notifications. They may also have a validity period, but they may only concern a future planned event, eg. a measurement or online meeting which is to take place. The sender must be of type Device, and the recipient must be a Patient or CareTeam
• Note: For personal notes (written by a Patient or Practitioner), which may be shared with a CareTeam. A personal note must be created with sender=recipient. In case a personal note wants to be shared with a CareTeam, the CareTeam must be referred by the recipientCareTeam extension, and the receiver deleted (both can take place in the same PATCH operation). A personal note may be updated by the sender, but not by the recipient.

An ehealth-message may refer related resources (eg. Device, CarePlan, Appointment etc) using the "about" field, no matter which category it is. Different instances of ehealth-message may be logically organized into "threads" by assigning the same thread-id in the provided extension. Similarly, they may be organized in a group (eg. group messages) by assigning the same group-id in that extension. The message subject may be provided in the title extension, and an optional priority may be provided in the ehealth-priority extension.

Remarks about status and administrative-status

The ehealth-message profile contains two status fields:

• status:
  • For notes (category='note') the status field has no restrictions or implications
  • For messages (category='message') the following status transitions rules are in effect:
    • A message is considered "not yet sent" when it has one of the following status and can freely transition from one to another: 'preparation', 'on-hold', 'not-done', 'entered-in-error'
    • A message is considered "being sent" when created or patched into status 'in-progress' and cannot be patched further or deleted by the sender
      • The server will automatically transition a message from 'in-progress' to 'completed' when it has been sent successfully (happens immediately for non-NemSMS mediums and is reflected in the returned resource)
      • The server will automatically transition a message from 'in-progress' to 'stopped' if it could not be sent (currently only happens if a NemSMS could not be sent)
    • The client can never create or patch a message into status 'completed' or 'stopped'
    • The sender cannot patch, only delete messages with status 'stopped'
    • The sender cannot patch or delete messages with status 'completed'
    • The recipient can patch /received and administrative-status on messages with status 'completed'
• administrative-status (extension): Makes it possible for the message recipient to indicate the state of a message. A message may hold an administrative status that defines the last action the recipient took on the message in question. At first, the message has administrative-status "activate". The recipient may mark the message as read by setting administrative-status "read". If the recipient considers the message a sort of "task", the message may also be updated with administrative-status "complete" when the task is done, or "reactivate" if the task was not complete anyway.

Fields with auto-assigned values

Some fields are filled in automatically on message creation, eg. if a sound default value makes sense. These fields are:

• Field "sent": If message state is set to "in-progress" on creation, then the "sent" field will be assigned current date/time.
• Extension "restriction-category": If not set by the caller, it will be set to value "None"
• Extension "thread-id": In case a thread-id is not set by the client, it will be generated server-side (random UUID) at message creation.

Search parameters

The following custom search parameters may be used when searching for ehealth-message instances:

• administrativeStatus: Specify the desired administrative status using system and code (eg. "http://ehealth.sundhed.dk/cs/administrative-status" and "read")
• careTeamRecipient: Specify an absolute reference to the CareTeam which must be message recipient
• careTeamSender: Specify an absolute reference to the CareTeam which must be message sender
• communicationCategory: Specify the desired category using system and code (eg. "http://ehealth.sundhed.dk/message-category/" and "message")
• period: Use a date-type search to filter messages that must conform to temporal constraints (eg. notifications that are only valid until a specific point in time)
• threadId: Specify the logical "thread id" used to correlate messages
• topic: Specify the desired topic using system and code (eg. "http://terminology.hl7.org/CodeSystem/definition-topic" and "Treatment")
• restrictionCategory: Specify the desired restriction category using system and code (eg. "http://ehealth.sundhed.dk/cs/restriction-category" and "measurement-monitoring")
• episodeOfCare: Specify the desired episodeOfCare reference (provided in extension http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare)

Scope and Usage

In the eHealth Infrastructure the ehealth-message resource is used in conjunction with the following resources:

• Patient
  • As sender or recipient of a message
• Practitioner
  • As sender/recipient of a message (only when category is "note")
• Device
  • As sender of an ehealth-message (eg. as a result of automatic processing/triage)
• CareTeam
  • As sender or recipient using the extensions senderCareTeam/recipientCareTeam, respectively

General rules

The following rules apply for the ehealth-message profile:

• If medium.code is eboks or nemsms, the recipient must be of type Patient
• Only one of sender or extension senderCareTeam may be filled in
• Only one of recipient or extension recipientCareTeam may be filled in
• Medium 'nemsms' may only be used if the Patient allows reception of NemSMS (has telecom with value 'NemSMS'). In that case, a NemSMS message will be sent to the Patient.

NemSMS Notifications

The Patient service will forward ehealth-messages to the public Danish NemSMS service given the following conditions:

• message.medium.code is 'nemsms' (defined in http://ehealth.sundhed.dk/cs/message-medium)
• message.status is 'in-progress'

The message is forwarded asynchronously. To track the progress of the NemSMS, the status and statusReason code is used:

• Initially, a NemSMS is sent like any other message by setting the status to 'in-progress'. The status will remain 'in-progress' while the NemSMS is being dispatched.
• If the NemSMS dispatch is successful, status is updated to 'completed' by the server.
• If the NemSMS dispatch fails, status is updated to 'stopped' by the server and statusReason is set to either 'system-error' or 'recipient-unavailable' (defined in http://hl7.org/fhir/R4/valueset-communication-not-done-reason.html)
  • A message.note.text may be added to the message which can contain further information about the reason for dispatch failure in case of 'system-error'

Automatic NemSMS Notifications

Automatic NemSMS notifications is a toggleable feature at the service level. If enabled, the Patient service will generate NemSMS ehealth-messages, notifying the recipient that they have received a message, given the following conditions:

• message.medium.code is not 'nemsms'
• message.status is 'completed'
• message.category is 'message' (defined in http://ehealth.sundhed.dk/cs/message-category)
• message.recipient is a Patient reference
• patient.telecom contains ContactPoint 'NemSMS'

The Patient service will generate NemSMS ehealth-messages, notifying patients that they have an appointment or video appointment scheduled for de following day, given the following conditions:

• appointment.start is current day + 1 day
• appointment.participant contains one Patient reference
• patient.telecom contains ContactPoint 'NemSMS'

Update rules

An ehealth-message may not have its category changed, eg. from 'note' to 'message'.
An ehealth-message may be PATCH updated on paths complying with the regular expressions below (provided that security and status transition rules are obeyed)

• /implicitRules.*
• /contained.*
• /recipient.*
• /definition.*
• /basedOn.*
• /partOf.*
• /topic.*
• /about.*
• /context.*
• /received.*
• /reasonCode.*
• /reasonReference.*
• /payload.*
• /note.*
• /status.*
• /extension.*

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication	C	0..*	Communication	A record of information transmitted from a sender to a receiver Constraints: nemsms-invariant, note-invariant, notification-invariant, message-invariant, advice-invariant
Communication.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Communication.Slices for extension		1..*	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
Communication.Slices for extension.extension:episodeOfCare		0..1	(Complex)	Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
Communication.Slices for extension.extension:episodeOfCare.extension		0..0		Extension Slice: Unordered, Open by value:url
Communication.Slices for extension.extension:episodeOfCare.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare"
Communication.Slices for extension.extension:episodeOfCare.value[x]		1..1	Reference(EpisodeOfCare) {r}	Value of extension
Communication.Slices for extension.extension:recipientCareTeam		0..1	Reference(ehealth-careteam) {r}	CareTeam message recipient URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam
Communication.Slices for extension.extension:senderCareTeam		0..1	Reference(ehealth-careteam) {r}	CareTeam message sender URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-senderCareTeam
Communication.Slices for extension.extension:restrictionCategory		0..*	CodeableConcept	Restriction category URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-restriction-category Binding: Restriction Category (required)
Communication.Slices for extension.extension:threadId		0..1	string	Thread id URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-thread-id
Communication.Slices for extension.extension:period		0..*	Period	Specifies the temporal validity of an ehealth/message instance URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-period
Communication.Slices for extension.extension:administrativeStatus		1..1	Coding	The administrative status of how a message recipient has handled a message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-administrative-status Binding: Administrative Status (required)
Communication.Slices for extension.extension:title		0..1	string	Message title URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-title
Communication.Slices for extension.extension:priority		0..1	code	The priority of a message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-priority Binding: Priority (required)
Communication.Slices for extension.extension:groupId		0..1	string	Logical id identifying a set of messages with the same recipient URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-group-id
Communication.Slices for extension.extension:onBehalfOf	S This element must be supported.	0..1	Reference(ehealth-careteam | ehealth-patient) {r}	On behalf of URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-on-behalf-of
Communication.Slices for extension.extension:author		0..1	Reference(RelatedPerson) {r}	Attorney who authored the message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-message-author
Communication.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Communication.partOf	Σ This element is included in summaries.	0..*	Reference(CarePlan) {r}	Part of this action
Communication.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication.
Communication.Slices for category		1..*	CodeableConcept	Message category Slice: Unordered, Open by value:coding.system Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Communication.Slices for category.category:DkTmCategory		1..1	CodeableConcept	Message category Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc.
Communication.Slices for medium		0..*	CodeableConcept	A channel of communication Slice: Unordered, Open by value:coding.system Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Communication.Slices for medium.medium:DkTmMedium		0..1	CodeableConcept	A channel of communication Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.
Communication.recipient		0..1	Reference(Patient | Practitioner | ehealth-relatedperson) {r}	Message recipient
Communication.sender		0..1	Reference(Device | Patient | Practitioner | RelatedPerson) {r, c}	Message sender
Communication.reasonCode	Σ This element is included in summaries.	0..*	CodeableConcept	Indication for message Binding: eHealth Message Reason Code (required)
Communication.reasonReference	Σ This element is included in summaries.	0..*	Reference(Condition | Observation) {r}	Why was communication done?
Communication.payload		0..1	BackboneElement	Message payload
Communication.payload.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Communication.payload.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
Communication.payload.Slices for content[x].content[x]:contentString		1..1	string	Message part content
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Communication.status	Base	required	EventStatus	📍4.0.1	FHIR Std.
Communication.category	Base	example	CommunicationCategory	📍4.0.1	FHIR Std.
Communication.category:DkTmCategory	Base	example	CommunicationCategory	📍4.0.1	FHIR Std.
Communication.medium	Base	example	ParticipationMode	📦3.0.0	THO v7.4
Communication.medium:DkTmMedium	Base	example	ParticipationMode	📦3.0.0	THO v7.4
Communication.reasonCode	Base	required	eHealth Message Reason Code	📦11.0.1	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
advice-invariant	error	Communication	Category advice invariant	category.coding.code contains 'advice' implies (recipient.reference.contains('Patient/') or recipient.reference.contains('RelatedPerson/') or extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists()) and ( sender.reference.contains('Device/') or contained.ofType(Device).where('#' + id = %resource.sender.reference).empty().not())
message-invariant	error	Communication	Category message invariant	category.coding.code contains 'message' implies (recipient.reference.contains('Patient/') and ( extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-senderCareTeam').value.as(Reference).exists())) or (( extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists()) and (sender.reference.contains('Patient/')) or (extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists() and extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-senderCareTeam').value.as(Reference).exists() )) or (sender.reference.contains('RelatedPerson/') and extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-on-behalf-of').value.as(Reference).reference.contains('Patient/'))
nemsms-invariant	error	Communication	If communication resource is a NemSMS payload cannot exceed 160	medium.coding.where(code = 'nemsms').exists() implies payload.content.ofType(string).length() <= 160
note-invariant	error	Communication	Category note invariant	category.coding.code contains 'note' implies (recipient.reference contains sender.reference) or (recipient.reference.exists().not() and extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists())
notification-invariant	error	Communication	Category notification invariant	category.coding.code contains 'notification' implies (recipient.reference.contains('Patient/') or extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists()) and ( sender.reference.contains('Device/') or contained.ofType(Device).where('#' + id = %resource.sender.reference).empty().not())

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication	C	0..*	Communication	A record of information transmitted from a sender to a receiver Constraints: nemsms-invariant, note-invariant, notification-invariant, message-invariant, advice-invariant
Communication.Slices for extension		1..*	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
Communication.Slices for extension.extension:episodeOfCare		0..1	(Complex)	Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
Communication.Slices for extension.extension:episodeOfCare.value[x]		1..1	Reference(EpisodeOfCare) {r}	Value of extension
Communication.Slices for extension.extension:recipientCareTeam		0..1	Reference(ehealth-careteam) {r}	CareTeam message recipient URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam
Communication.Slices for extension.extension:senderCareTeam		0..1	Reference(ehealth-careteam) {r}	CareTeam message sender URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-senderCareTeam
Communication.Slices for extension.extension:restrictionCategory		0..*	CodeableConcept	Restriction category URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-restriction-category Binding: Restriction Category (required)
Communication.Slices for extension.extension:threadId		0..1	string	Thread id URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-thread-id
Communication.Slices for extension.extension:period		0..*	Period	Specifies the temporal validity of an ehealth/message instance URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-period
Communication.Slices for extension.extension:administrativeStatus		1..1	Coding	The administrative status of how a message recipient has handled a message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-administrative-status Binding: Administrative Status (required)
Communication.Slices for extension.extension:title		0..1	string	Message title URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-title
Communication.Slices for extension.extension:priority		0..1	code	The priority of a message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-priority Binding: Priority (required)
Communication.Slices for extension.extension:groupId		0..1	string	Logical id identifying a set of messages with the same recipient URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-group-id
Communication.Slices for extension.extension:onBehalfOf	S This element must be supported.	0..1	Reference(ehealth-careteam | ehealth-patient) {r}	On behalf of URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-on-behalf-of
Communication.Slices for extension.extension:author		0..1	Reference(RelatedPerson) {r}	Attorney who authored the message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-message-author
Communication.partOf		0..*	Reference(CarePlan) {r}	Part of this action
Communication.Slices for category		1..*	CodeableConcept	Message category Slice: Unordered, Open by value:coding.system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Communication.Slices for category.category:DkTmCategory		1..1	CodeableConcept	Message category
Communication.Slices for category.category:DkTmCategory.coding
Communication.Slices for category.category:DkTmCategory.coding.system		1..1	uri	Identity of the terminology system Required Pattern: http://ehealth.sundhed.dk/cs/message-category (extensions allowed)
Communication.Slices for category.category:DkTmCategory.coding.code		0..1	code	Symbol in syntax defined by the system Binding: MessageCategory (required)
Communication.Slices for medium		0..*	CodeableConcept	A channel of communication Slice: Unordered, Open by value:coding.system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Communication.Slices for medium.medium:DkTmMedium		0..1	CodeableConcept	A channel of communication
Communication.Slices for medium.medium:DkTmMedium.coding
Communication.Slices for medium.medium:DkTmMedium.coding.system		1..1	uri	Identity of the terminology system Required Pattern: http://ehealth.sundhed.dk/cs/message-medium (extensions allowed)
Communication.Slices for medium.medium:DkTmMedium.coding.code		0..1	code	Symbol in syntax defined by the system Binding: MessageMedium (required)
Communication.recipient		0..1	Reference(Patient | Practitioner | ehealth-relatedperson) {r}	Message recipient
Communication.sender		0..1	Reference(Device | Patient | Practitioner | RelatedPerson) {r, c}	Message sender
Communication.reasonCode		0..*	CodeableConcept	Indication for message Binding: eHealth Message Reason Code (required)
Communication.reasonReference		0..*	Reference(Condition | Observation) {r}	Why was communication done?
Communication.payload		0..1	BackboneElement	Message payload
Communication.payload.Slices for content[x]		1..1	string	Message part content Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Communication.payload.Slices for content[x].content[x]:contentString		1..1	string	Message part content
Communication.note
Communication.note.Slices for author[x]		0..1	Reference(Practitioner | Patient | RelatedPerson | Organization), string	Individual responsible for the annotation Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Communication.note.Slices for author[x].author[x]:authorReference		0..1	Reference(ehealth-practitioner | ehealth-patient | ehealth-relatedperson)	Individual responsible for the annotation
Communication.note.Slices for author[x].author[x]:authorString		0..1	string	Individual responsible for the annotation
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Communication.category:DkTmCategory.​coding.code	Base	required	MessageCategory	📦11.0.1	This IG
Communication.medium:DkTmMedium.​coding.code	Base	required	MessageMedium	📦11.0.1	This IG
Communication.reasonCode	Base	required	eHealth Message Reason Code	📦11.0.1	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
advice-invariant	error	Communication	Category advice invariant	category.coding.code contains 'advice' implies (recipient.reference.contains('Patient/') or recipient.reference.contains('RelatedPerson/') or extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists()) and ( sender.reference.contains('Device/') or contained.ofType(Device).where('#' + id = %resource.sender.reference).empty().not())
message-invariant	error	Communication	Category message invariant	category.coding.code contains 'message' implies (recipient.reference.contains('Patient/') and ( extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-senderCareTeam').value.as(Reference).exists())) or (( extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists()) and (sender.reference.contains('Patient/')) or (extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists() and extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-senderCareTeam').value.as(Reference).exists() )) or (sender.reference.contains('RelatedPerson/') and extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-on-behalf-of').value.as(Reference).reference.contains('Patient/'))
nemsms-invariant	error	Communication	If communication resource is a NemSMS payload cannot exceed 160	medium.coding.where(code = 'nemsms').exists() implies payload.content.ofType(string).length() <= 160
note-invariant	error	Communication	Category note invariant	category.coding.code contains 'note' implies (recipient.reference contains sender.reference) or (recipient.reference.exists().not() and extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists())
notification-invariant	error	Communication	Category notification invariant	category.coding.code contains 'notification' implies (recipient.reference.contains('Patient/') or extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists()) and ( sender.reference.contains('Device/') or contained.ofType(Device).where('#' + id = %resource.sender.reference).empty().not())

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication	C	0..*	Communication	A record of information transmitted from a sender to a receiver Constraints: nemsms-invariant, note-invariant, notification-invariant, message-invariant, advice-invariant
Communication.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Communication.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Communication.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Communication.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Communication.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
Communication.contained		0..*	Resource	Contained, inline Resources
Communication.Slices for extension		1..*	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
Communication.Slices for extension.extension:episodeOfCare		0..1	(Complex)	Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
Communication.Slices for extension.extension:episodeOfCare.id		0..1	string	Unique id for inter-element referencing
Communication.Slices for extension.extension:episodeOfCare.extension		0..0		Extension Slice: Unordered, Open by value:url
Communication.Slices for extension.extension:episodeOfCare.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare"
Communication.Slices for extension.extension:episodeOfCare.value[x]		1..1	Reference(EpisodeOfCare) {r}	Value of extension
Communication.Slices for extension.extension:recipientCareTeam		0..1	Reference(ehealth-careteam) {r}	CareTeam message recipient URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam
Communication.Slices for extension.extension:senderCareTeam		0..1	Reference(ehealth-careteam) {r}	CareTeam message sender URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-senderCareTeam
Communication.Slices for extension.extension:restrictionCategory		0..*	CodeableConcept	Restriction category URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-restriction-category Binding: Restriction Category (required)
Communication.Slices for extension.extension:threadId		0..1	string	Thread id URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-thread-id
Communication.Slices for extension.extension:period		0..*	Period	Specifies the temporal validity of an ehealth/message instance URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-period
Communication.Slices for extension.extension:administrativeStatus		1..1	Coding	The administrative status of how a message recipient has handled a message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-administrative-status Binding: Administrative Status (required)
Communication.Slices for extension.extension:title		0..1	string	Message title URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-title
Communication.Slices for extension.extension:priority		0..1	code	The priority of a message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-priority Binding: Priority (required)
Communication.Slices for extension.extension:groupId		0..1	string	Logical id identifying a set of messages with the same recipient URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-group-id
Communication.Slices for extension.extension:onBehalfOf	S This element must be supported.	0..1	Reference(ehealth-careteam | ehealth-patient) {r}	On behalf of URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-on-behalf-of
Communication.Slices for extension.extension:author		0..1	Reference(RelatedPerson) {r}	Attorney who authored the message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-message-author
Communication.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Communication.identifier	Σ This element is included in summaries.	0..*	Identifier	Unique identifier
Communication.instantiatesCanonical	Σ This element is included in summaries.	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
Communication.instantiatesUri	Σ This element is included in summaries.	0..*	uri	Instantiates external protocol or definition
Communication.basedOn	Σ This element is included in summaries.	0..*	Reference(Resource)	Request fulfilled by this communication
Communication.partOf	Σ This element is included in summaries.	0..*	Reference(CarePlan) {r}	Part of this action
Communication.inResponseTo		0..*	Reference(Communication)	Reply to
Communication.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication.
Communication.statusReason	Σ This element is included in summaries.	0..1	CodeableConcept	Reason for current status Binding: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen.
Communication.Slices for category		1..*	CodeableConcept	Message category Slice: Unordered, Open by value:coding.system Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Communication.Slices for category.category:DkTmCategory		1..1	CodeableConcept	Message category Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc.
Communication.Slices for category.category:DkTmCategory.id		0..1	string	Unique id for inter-element referencing
Communication.Slices for category.category:DkTmCategory.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Communication.Slices for category.category:DkTmCategory.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
Communication.Slices for category.category:DkTmCategory.coding.id		0..1	string	Unique id for inter-element referencing
Communication.Slices for category.category:DkTmCategory.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Communication.Slices for category.category:DkTmCategory.coding.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://ehealth.sundhed.dk/cs/message-category (extensions allowed)
Communication.Slices for category.category:DkTmCategory.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Communication.Slices for category.category:DkTmCategory.coding.code	Σ This element is included in summaries.	0..1	code	Symbol in syntax defined by the system Binding: MessageCategory (required)
Communication.Slices for category.category:DkTmCategory.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Communication.Slices for category.category:DkTmCategory.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Communication.Slices for category.category:DkTmCategory.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Communication.priority	Σ This element is included in summaries.	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication.
Communication.Slices for medium		0..*	CodeableConcept	A channel of communication Slice: Unordered, Open by value:coding.system Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Communication.Slices for medium.medium:DkTmMedium		0..1	CodeableConcept	A channel of communication Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.
Communication.Slices for medium.medium:DkTmMedium.id		0..1	string	Unique id for inter-element referencing
Communication.Slices for medium.medium:DkTmMedium.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Communication.Slices for medium.medium:DkTmMedium.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
Communication.Slices for medium.medium:DkTmMedium.coding.id		0..1	string	Unique id for inter-element referencing
Communication.Slices for medium.medium:DkTmMedium.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Communication.Slices for medium.medium:DkTmMedium.coding.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://ehealth.sundhed.dk/cs/message-medium (extensions allowed)
Communication.Slices for medium.medium:DkTmMedium.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Communication.Slices for medium.medium:DkTmMedium.coding.code	Σ This element is included in summaries.	0..1	code	Symbol in syntax defined by the system Binding: MessageMedium (required)
Communication.Slices for medium.medium:DkTmMedium.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Communication.Slices for medium.medium:DkTmMedium.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Communication.Slices for medium.medium:DkTmMedium.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Communication.subject	Σ This element is included in summaries.	0..1	Reference(Patient | Group)	Focus of message
Communication.topic		0..1	CodeableConcept	Description of the purpose/content Binding: CommunicationTopic (example): Codes describing the purpose or content of the communication.
Communication.about		0..*	Reference(Resource)	Resources that pertain to this communication
Communication.encounter	Σ This element is included in summaries.	0..1	Reference(Encounter)	Encounter created as part of
Communication.sent		0..1	dateTime	When sent
Communication.received		0..1	dateTime	When received
Communication.recipient		0..1	Reference(Patient | Practitioner | ehealth-relatedperson) {r}	Message recipient
Communication.sender		0..1	Reference(Device | Patient | Practitioner | RelatedPerson) {r, c}	Message sender
Communication.reasonCode	Σ This element is included in summaries.	0..*	CodeableConcept	Indication for message Binding: eHealth Message Reason Code (required)
Communication.reasonReference	Σ This element is included in summaries.	0..*	Reference(Condition | Observation) {r}	Why was communication done?
Communication.payload		0..1	BackboneElement	Message payload
Communication.payload.id		0..1	string	Unique id for inter-element referencing
Communication.payload.extension		0..*	Extension	Additional content defined by implementations
Communication.payload.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Communication.payload.Slices for content[x]		1..1	string	Message part content Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Communication.payload.Slices for content[x].content[x]:contentString		1..1	string	Message part content
Communication.note		0..*	Annotation	Comments made about the communication
Communication.note.id		0..1	string	Unique id for inter-element referencing
Communication.note.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Communication.note.Slices for author[x]	Σ This element is included in summaries.	0..1		Individual responsible for the annotation Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Communication.note.Slices for author[x].authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
Communication.note.Slices for author[x].authorString			string
Communication.note.Slices for author[x].author[x]:authorReference	Σ This element is included in summaries.	0..1	Reference(ehealth-practitioner | ehealth-patient | ehealth-relatedperson)	Individual responsible for the annotation
Communication.note.Slices for author[x].author[x]:authorString	Σ This element is included in summaries.	0..1	string	Individual responsible for the annotation
Communication.note.time	Σ This element is included in summaries.	0..1	dateTime	When the annotation was made
Communication.note.text	Σ This element is included in summaries.	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

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	example	CommunicationCategory	📍4.0.1	FHIR Std.
Communication.category:DkTmCategory	Base	example	CommunicationCategory	📍4.0.1	FHIR Std.
Communication.category:DkTmCategory.​coding.code	Base	required	MessageCategory	📦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.medium:DkTmMedium	Base	example	ParticipationMode	📦3.0.0	THO v7.4
Communication.medium:DkTmMedium.​coding.code	Base	required	MessageMedium	📦11.0.1	This IG
Communication.topic	Base	example	CommunicationTopic	📍4.0.1	FHIR Std.
Communication.reasonCode	Base	required	eHealth Message Reason Code	📦11.0.1	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
advice-invariant	error	Communication	Category advice invariant	category.coding.code contains 'advice' implies (recipient.reference.contains('Patient/') or recipient.reference.contains('RelatedPerson/') or extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists()) and ( sender.reference.contains('Device/') or contained.ofType(Device).where('#' + id = %resource.sender.reference).empty().not())
message-invariant	error	Communication	Category message invariant	category.coding.code contains 'message' implies (recipient.reference.contains('Patient/') and ( extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-senderCareTeam').value.as(Reference).exists())) or (( extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists()) and (sender.reference.contains('Patient/')) or (extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists() and extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-senderCareTeam').value.as(Reference).exists() )) or (sender.reference.contains('RelatedPerson/') and extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-on-behalf-of').value.as(Reference).reference.contains('Patient/'))
nemsms-invariant	error	Communication	If communication resource is a NemSMS payload cannot exceed 160	medium.coding.where(code = 'nemsms').exists() implies payload.content.ofType(string).length() <= 160
note-invariant	error	Communication	Category note invariant	category.coding.code contains 'note' implies (recipient.reference contains sender.reference) or (recipient.reference.exists().not() and extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists())
notification-invariant	error	Communication	Category notification invariant	category.coding.code contains 'notification' implies (recipient.reference.contains('Patient/') or extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists()) and ( sender.reference.contains('Device/') or contained.ofType(Device).where('#' + id = %resource.sender.reference).empty().not())

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication	C	0..*	Communication	A record of information transmitted from a sender to a receiver Constraints: nemsms-invariant, note-invariant, notification-invariant, message-invariant, advice-invariant
Communication.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Communication.Slices for extension		1..*	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
Communication.Slices for extension.extension:episodeOfCare		0..1	(Complex)	Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
Communication.Slices for extension.extension:episodeOfCare.extension		0..0		Extension Slice: Unordered, Open by value:url
Communication.Slices for extension.extension:episodeOfCare.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare"
Communication.Slices for extension.extension:episodeOfCare.value[x]		1..1	Reference(EpisodeOfCare) {r}	Value of extension
Communication.Slices for extension.extension:recipientCareTeam		0..1	Reference(ehealth-careteam) {r}	CareTeam message recipient URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam
Communication.Slices for extension.extension:senderCareTeam		0..1	Reference(ehealth-careteam) {r}	CareTeam message sender URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-senderCareTeam
Communication.Slices for extension.extension:restrictionCategory		0..*	CodeableConcept	Restriction category URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-restriction-category Binding: Restriction Category (required)
Communication.Slices for extension.extension:threadId		0..1	string	Thread id URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-thread-id
Communication.Slices for extension.extension:period		0..*	Period	Specifies the temporal validity of an ehealth/message instance URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-period
Communication.Slices for extension.extension:administrativeStatus		1..1	Coding	The administrative status of how a message recipient has handled a message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-administrative-status Binding: Administrative Status (required)
Communication.Slices for extension.extension:title		0..1	string	Message title URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-title
Communication.Slices for extension.extension:priority		0..1	code	The priority of a message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-priority Binding: Priority (required)
Communication.Slices for extension.extension:groupId		0..1	string	Logical id identifying a set of messages with the same recipient URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-group-id
Communication.Slices for extension.extension:onBehalfOf	S This element must be supported.	0..1	Reference(ehealth-careteam | ehealth-patient) {r}	On behalf of URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-on-behalf-of
Communication.Slices for extension.extension:author		0..1	Reference(RelatedPerson) {r}	Attorney who authored the message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-message-author
Communication.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Communication.partOf	Σ This element is included in summaries.	0..*	Reference(CarePlan) {r}	Part of this action
Communication.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication.
Communication.Slices for category		1..*	CodeableConcept	Message category Slice: Unordered, Open by value:coding.system Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Communication.Slices for category.category:DkTmCategory		1..1	CodeableConcept	Message category Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc.
Communication.Slices for medium		0..*	CodeableConcept	A channel of communication Slice: Unordered, Open by value:coding.system Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Communication.Slices for medium.medium:DkTmMedium		0..1	CodeableConcept	A channel of communication Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.
Communication.recipient		0..1	Reference(Patient | Practitioner | ehealth-relatedperson) {r}	Message recipient
Communication.sender		0..1	Reference(Device | Patient | Practitioner | RelatedPerson) {r, c}	Message sender
Communication.reasonCode	Σ This element is included in summaries.	0..*	CodeableConcept	Indication for message Binding: eHealth Message Reason Code (required)
Communication.reasonReference	Σ This element is included in summaries.	0..*	Reference(Condition | Observation) {r}	Why was communication done?
Communication.payload		0..1	BackboneElement	Message payload
Communication.payload.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Communication.payload.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
Communication.payload.Slices for content[x].content[x]:contentString		1..1	string	Message part content
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Communication.status	Base	required	EventStatus	📍4.0.1	FHIR Std.
Communication.category	Base	example	CommunicationCategory	📍4.0.1	FHIR Std.
Communication.category:DkTmCategory	Base	example	CommunicationCategory	📍4.0.1	FHIR Std.
Communication.medium	Base	example	ParticipationMode	📦3.0.0	THO v7.4
Communication.medium:DkTmMedium	Base	example	ParticipationMode	📦3.0.0	THO v7.4
Communication.reasonCode	Base	required	eHealth Message Reason Code	📦11.0.1	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
advice-invariant	error	Communication	Category advice invariant	category.coding.code contains 'advice' implies (recipient.reference.contains('Patient/') or recipient.reference.contains('RelatedPerson/') or extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists()) and ( sender.reference.contains('Device/') or contained.ofType(Device).where('#' + id = %resource.sender.reference).empty().not())
message-invariant	error	Communication	Category message invariant	category.coding.code contains 'message' implies (recipient.reference.contains('Patient/') and ( extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-senderCareTeam').value.as(Reference).exists())) or (( extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists()) and (sender.reference.contains('Patient/')) or (extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists() and extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-senderCareTeam').value.as(Reference).exists() )) or (sender.reference.contains('RelatedPerson/') and extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-on-behalf-of').value.as(Reference).reference.contains('Patient/'))
nemsms-invariant	error	Communication	If communication resource is a NemSMS payload cannot exceed 160	medium.coding.where(code = 'nemsms').exists() implies payload.content.ofType(string).length() <= 160
note-invariant	error	Communication	Category note invariant	category.coding.code contains 'note' implies (recipient.reference contains sender.reference) or (recipient.reference.exists().not() and extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists())
notification-invariant	error	Communication	Category notification invariant	category.coding.code contains 'notification' implies (recipient.reference.contains('Patient/') or extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists()) and ( sender.reference.contains('Device/') or contained.ofType(Device).where('#' + id = %resource.sender.reference).empty().not())

Differential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication	C	0..*	Communication	A record of information transmitted from a sender to a receiver Constraints: nemsms-invariant, note-invariant, notification-invariant, message-invariant, advice-invariant
Communication.Slices for extension		1..*	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
Communication.Slices for extension.extension:episodeOfCare		0..1	(Complex)	Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
Communication.Slices for extension.extension:episodeOfCare.value[x]		1..1	Reference(EpisodeOfCare) {r}	Value of extension
Communication.Slices for extension.extension:recipientCareTeam		0..1	Reference(ehealth-careteam) {r}	CareTeam message recipient URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam
Communication.Slices for extension.extension:senderCareTeam		0..1	Reference(ehealth-careteam) {r}	CareTeam message sender URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-senderCareTeam
Communication.Slices for extension.extension:restrictionCategory		0..*	CodeableConcept	Restriction category URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-restriction-category Binding: Restriction Category (required)
Communication.Slices for extension.extension:threadId		0..1	string	Thread id URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-thread-id
Communication.Slices for extension.extension:period		0..*	Period	Specifies the temporal validity of an ehealth/message instance URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-period
Communication.Slices for extension.extension:administrativeStatus		1..1	Coding	The administrative status of how a message recipient has handled a message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-administrative-status Binding: Administrative Status (required)
Communication.Slices for extension.extension:title		0..1	string	Message title URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-title
Communication.Slices for extension.extension:priority		0..1	code	The priority of a message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-priority Binding: Priority (required)
Communication.Slices for extension.extension:groupId		0..1	string	Logical id identifying a set of messages with the same recipient URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-group-id
Communication.Slices for extension.extension:onBehalfOf	S This element must be supported.	0..1	Reference(ehealth-careteam | ehealth-patient) {r}	On behalf of URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-on-behalf-of
Communication.Slices for extension.extension:author		0..1	Reference(RelatedPerson) {r}	Attorney who authored the message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-message-author
Communication.partOf		0..*	Reference(CarePlan) {r}	Part of this action
Communication.Slices for category		1..*	CodeableConcept	Message category Slice: Unordered, Open by value:coding.system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Communication.Slices for category.category:DkTmCategory		1..1	CodeableConcept	Message category
Communication.Slices for category.category:DkTmCategory.coding
Communication.Slices for category.category:DkTmCategory.coding.system		1..1	uri	Identity of the terminology system Required Pattern: http://ehealth.sundhed.dk/cs/message-category (extensions allowed)
Communication.Slices for category.category:DkTmCategory.coding.code		0..1	code	Symbol in syntax defined by the system Binding: MessageCategory (required)
Communication.Slices for medium		0..*	CodeableConcept	A channel of communication Slice: Unordered, Open by value:coding.system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Communication.Slices for medium.medium:DkTmMedium		0..1	CodeableConcept	A channel of communication
Communication.Slices for medium.medium:DkTmMedium.coding
Communication.Slices for medium.medium:DkTmMedium.coding.system		1..1	uri	Identity of the terminology system Required Pattern: http://ehealth.sundhed.dk/cs/message-medium (extensions allowed)
Communication.Slices for medium.medium:DkTmMedium.coding.code		0..1	code	Symbol in syntax defined by the system Binding: MessageMedium (required)
Communication.recipient		0..1	Reference(Patient | Practitioner | ehealth-relatedperson) {r}	Message recipient
Communication.sender		0..1	Reference(Device | Patient | Practitioner | RelatedPerson) {r, c}	Message sender
Communication.reasonCode		0..*	CodeableConcept	Indication for message Binding: eHealth Message Reason Code (required)
Communication.reasonReference		0..*	Reference(Condition | Observation) {r}	Why was communication done?
Communication.payload		0..1	BackboneElement	Message payload
Communication.payload.Slices for content[x]		1..1	string	Message part content Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Communication.payload.Slices for content[x].content[x]:contentString		1..1	string	Message part content
Communication.note
Communication.note.Slices for author[x]		0..1	Reference(Practitioner | Patient | RelatedPerson | Organization), string	Individual responsible for the annotation Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Communication.note.Slices for author[x].author[x]:authorReference		0..1	Reference(ehealth-practitioner | ehealth-patient | ehealth-relatedperson)	Individual responsible for the annotation
Communication.note.Slices for author[x].author[x]:authorString		0..1	string	Individual responsible for the annotation
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Communication.category:DkTmCategory.​coding.code	Base	required	MessageCategory	📦11.0.1	This IG
Communication.medium:DkTmMedium.​coding.code	Base	required	MessageMedium	📦11.0.1	This IG
Communication.reasonCode	Base	required	eHealth Message Reason Code	📦11.0.1	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
advice-invariant	error	Communication	Category advice invariant	category.coding.code contains 'advice' implies (recipient.reference.contains('Patient/') or recipient.reference.contains('RelatedPerson/') or extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists()) and ( sender.reference.contains('Device/') or contained.ofType(Device).where('#' + id = %resource.sender.reference).empty().not())
message-invariant	error	Communication	Category message invariant	category.coding.code contains 'message' implies (recipient.reference.contains('Patient/') and ( extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-senderCareTeam').value.as(Reference).exists())) or (( extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists()) and (sender.reference.contains('Patient/')) or (extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists() and extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-senderCareTeam').value.as(Reference).exists() )) or (sender.reference.contains('RelatedPerson/') and extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-on-behalf-of').value.as(Reference).reference.contains('Patient/'))
nemsms-invariant	error	Communication	If communication resource is a NemSMS payload cannot exceed 160	medium.coding.where(code = 'nemsms').exists() implies payload.content.ofType(string).length() <= 160
note-invariant	error	Communication	Category note invariant	category.coding.code contains 'note' implies (recipient.reference contains sender.reference) or (recipient.reference.exists().not() and extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists())
notification-invariant	error	Communication	Category notification invariant	category.coding.code contains 'notification' implies (recipient.reference.contains('Patient/') or extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists()) and ( sender.reference.contains('Device/') or contained.ofType(Device).where('#' + id = %resource.sender.reference).empty().not())

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication	C	0..*	Communication	A record of information transmitted from a sender to a receiver Constraints: nemsms-invariant, note-invariant, notification-invariant, message-invariant, advice-invariant
Communication.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Communication.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Communication.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Communication.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Communication.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
Communication.contained		0..*	Resource	Contained, inline Resources
Communication.Slices for extension		1..*	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
Communication.Slices for extension.extension:episodeOfCare		0..1	(Complex)	Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
Communication.Slices for extension.extension:episodeOfCare.id		0..1	string	Unique id for inter-element referencing
Communication.Slices for extension.extension:episodeOfCare.extension		0..0		Extension Slice: Unordered, Open by value:url
Communication.Slices for extension.extension:episodeOfCare.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare"
Communication.Slices for extension.extension:episodeOfCare.value[x]		1..1	Reference(EpisodeOfCare) {r}	Value of extension
Communication.Slices for extension.extension:recipientCareTeam		0..1	Reference(ehealth-careteam) {r}	CareTeam message recipient URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam
Communication.Slices for extension.extension:senderCareTeam		0..1	Reference(ehealth-careteam) {r}	CareTeam message sender URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-senderCareTeam
Communication.Slices for extension.extension:restrictionCategory		0..*	CodeableConcept	Restriction category URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-restriction-category Binding: Restriction Category (required)
Communication.Slices for extension.extension:threadId		0..1	string	Thread id URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-thread-id
Communication.Slices for extension.extension:period		0..*	Period	Specifies the temporal validity of an ehealth/message instance URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-period
Communication.Slices for extension.extension:administrativeStatus		1..1	Coding	The administrative status of how a message recipient has handled a message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-administrative-status Binding: Administrative Status (required)
Communication.Slices for extension.extension:title		0..1	string	Message title URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-title
Communication.Slices for extension.extension:priority		0..1	code	The priority of a message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-priority Binding: Priority (required)
Communication.Slices for extension.extension:groupId		0..1	string	Logical id identifying a set of messages with the same recipient URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-group-id
Communication.Slices for extension.extension:onBehalfOf	S This element must be supported.	0..1	Reference(ehealth-careteam | ehealth-patient) {r}	On behalf of URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-on-behalf-of
Communication.Slices for extension.extension:author		0..1	Reference(RelatedPerson) {r}	Attorney who authored the message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-message-author
Communication.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Communication.identifier	Σ This element is included in summaries.	0..*	Identifier	Unique identifier
Communication.instantiatesCanonical	Σ This element is included in summaries.	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
Communication.instantiatesUri	Σ This element is included in summaries.	0..*	uri	Instantiates external protocol or definition
Communication.basedOn	Σ This element is included in summaries.	0..*	Reference(Resource)	Request fulfilled by this communication
Communication.partOf	Σ This element is included in summaries.	0..*	Reference(CarePlan) {r}	Part of this action
Communication.inResponseTo		0..*	Reference(Communication)	Reply to
Communication.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication.
Communication.statusReason	Σ This element is included in summaries.	0..1	CodeableConcept	Reason for current status Binding: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen.
Communication.Slices for category		1..*	CodeableConcept	Message category Slice: Unordered, Open by value:coding.system Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Communication.Slices for category.category:DkTmCategory		1..1	CodeableConcept	Message category Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc.
Communication.Slices for category.category:DkTmCategory.id		0..1	string	Unique id for inter-element referencing
Communication.Slices for category.category:DkTmCategory.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Communication.Slices for category.category:DkTmCategory.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
Communication.Slices for category.category:DkTmCategory.coding.id		0..1	string	Unique id for inter-element referencing
Communication.Slices for category.category:DkTmCategory.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Communication.Slices for category.category:DkTmCategory.coding.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://ehealth.sundhed.dk/cs/message-category (extensions allowed)
Communication.Slices for category.category:DkTmCategory.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Communication.Slices for category.category:DkTmCategory.coding.code	Σ This element is included in summaries.	0..1	code	Symbol in syntax defined by the system Binding: MessageCategory (required)
Communication.Slices for category.category:DkTmCategory.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Communication.Slices for category.category:DkTmCategory.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Communication.Slices for category.category:DkTmCategory.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Communication.priority	Σ This element is included in summaries.	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication.
Communication.Slices for medium		0..*	CodeableConcept	A channel of communication Slice: Unordered, Open by value:coding.system Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Communication.Slices for medium.medium:DkTmMedium		0..1	CodeableConcept	A channel of communication Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.
Communication.Slices for medium.medium:DkTmMedium.id		0..1	string	Unique id for inter-element referencing
Communication.Slices for medium.medium:DkTmMedium.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Communication.Slices for medium.medium:DkTmMedium.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
Communication.Slices for medium.medium:DkTmMedium.coding.id		0..1	string	Unique id for inter-element referencing
Communication.Slices for medium.medium:DkTmMedium.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Communication.Slices for medium.medium:DkTmMedium.coding.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://ehealth.sundhed.dk/cs/message-medium (extensions allowed)
Communication.Slices for medium.medium:DkTmMedium.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Communication.Slices for medium.medium:DkTmMedium.coding.code	Σ This element is included in summaries.	0..1	code	Symbol in syntax defined by the system Binding: MessageMedium (required)
Communication.Slices for medium.medium:DkTmMedium.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Communication.Slices for medium.medium:DkTmMedium.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Communication.Slices for medium.medium:DkTmMedium.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Communication.subject	Σ This element is included in summaries.	0..1	Reference(Patient | Group)	Focus of message
Communication.topic		0..1	CodeableConcept	Description of the purpose/content Binding: CommunicationTopic (example): Codes describing the purpose or content of the communication.
Communication.about		0..*	Reference(Resource)	Resources that pertain to this communication
Communication.encounter	Σ This element is included in summaries.	0..1	Reference(Encounter)	Encounter created as part of
Communication.sent		0..1	dateTime	When sent
Communication.received		0..1	dateTime	When received
Communication.recipient		0..1	Reference(Patient | Practitioner | ehealth-relatedperson) {r}	Message recipient
Communication.sender		0..1	Reference(Device | Patient | Practitioner | RelatedPerson) {r, c}	Message sender
Communication.reasonCode	Σ This element is included in summaries.	0..*	CodeableConcept	Indication for message Binding: eHealth Message Reason Code (required)
Communication.reasonReference	Σ This element is included in summaries.	0..*	Reference(Condition | Observation) {r}	Why was communication done?
Communication.payload		0..1	BackboneElement	Message payload
Communication.payload.id		0..1	string	Unique id for inter-element referencing
Communication.payload.extension		0..*	Extension	Additional content defined by implementations
Communication.payload.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Communication.payload.Slices for content[x]		1..1	string	Message part content Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Communication.payload.Slices for content[x].content[x]:contentString		1..1	string	Message part content
Communication.note		0..*	Annotation	Comments made about the communication
Communication.note.id		0..1	string	Unique id for inter-element referencing
Communication.note.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Communication.note.Slices for author[x]	Σ This element is included in summaries.	0..1		Individual responsible for the annotation Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Communication.note.Slices for author[x].authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
Communication.note.Slices for author[x].authorString			string
Communication.note.Slices for author[x].author[x]:authorReference	Σ This element is included in summaries.	0..1	Reference(ehealth-practitioner | ehealth-patient | ehealth-relatedperson)	Individual responsible for the annotation
Communication.note.Slices for author[x].author[x]:authorString	Σ This element is included in summaries.	0..1	string	Individual responsible for the annotation
Communication.note.time	Σ This element is included in summaries.	0..1	dateTime	When the annotation was made
Communication.note.text	Σ This element is included in summaries.	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

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	example	CommunicationCategory	📍4.0.1	FHIR Std.
Communication.category:DkTmCategory	Base	example	CommunicationCategory	📍4.0.1	FHIR Std.
Communication.category:DkTmCategory.​coding.code	Base	required	MessageCategory	📦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.medium:DkTmMedium	Base	example	ParticipationMode	📦3.0.0	THO v7.4
Communication.medium:DkTmMedium.​coding.code	Base	required	MessageMedium	📦11.0.1	This IG
Communication.topic	Base	example	CommunicationTopic	📍4.0.1	FHIR Std.
Communication.reasonCode	Base	required	eHealth Message Reason Code	📦11.0.1	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
advice-invariant	error	Communication	Category advice invariant	category.coding.code contains 'advice' implies (recipient.reference.contains('Patient/') or recipient.reference.contains('RelatedPerson/') or extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists()) and ( sender.reference.contains('Device/') or contained.ofType(Device).where('#' + id = %resource.sender.reference).empty().not())
message-invariant	error	Communication	Category message invariant	category.coding.code contains 'message' implies (recipient.reference.contains('Patient/') and ( extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-senderCareTeam').value.as(Reference).exists())) or (( extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists()) and (sender.reference.contains('Patient/')) or (extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists() and extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-senderCareTeam').value.as(Reference).exists() )) or (sender.reference.contains('RelatedPerson/') and extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-on-behalf-of').value.as(Reference).reference.contains('Patient/'))
nemsms-invariant	error	Communication	If communication resource is a NemSMS payload cannot exceed 160	medium.coding.where(code = 'nemsms').exists() implies payload.content.ofType(string).length() <= 160
note-invariant	error	Communication	Category note invariant	category.coding.code contains 'note' implies (recipient.reference contains sender.reference) or (recipient.reference.exists().not() and extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists())
notification-invariant	error	Communication	Category notification invariant	category.coding.code contains 'notification' implies (recipient.reference.contains('Patient/') or extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam').value.as(Reference).exists()) and ( sender.reference.contains('Device/') or contained.ofType(Device).where('#' + id = %resource.sender.reference).empty().not())

Summary

Mandatory: 4 elements(3 nested mandatory elements)
Must-Support: 1 element

Structures

This structure refers to these other structures:

• ehealth-relatedperson (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-relatedperson)
• ehealth-practitioner (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitioner)
• ehealth-patient (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-patient)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-senderCareTeam
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-restriction-category
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-thread-id
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-period
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-administrative-status
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-title
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-priority
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-group-id
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-on-behalf-of
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-message-author

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Communication.category
• The element 1 is sliced based on the value of Communication.medium
• The element 1 is sliced based on the value of Communication.payload.content[x] (Closed)
• The element 1 is sliced based on the value of Communication.note.author[x]