eReferralMustSupport - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: CAeReCCommunication

Communication resource is used to achieve the bi-directional communication between two systems. The Communication resource can be used to ask questions regarding a referral, request a referral be updated with missing information, or request additional information not covered by the specific referral dataset.

Usage:

• Use this Resource Profile: CAeReCBundle
• Refer to this Resource Profile: CAeReCMessageHeader and CAeReCServiceRequest

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

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

This structure is derived from Communication

Name	Flags	Card.	Type	Description & Constraints
Communication			Communication
basedOn	S	0..*	Reference(CAeReCServiceRequest)	Request fulfilled by this communication
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
inResponseTo	S	0..*	Reference(Communication)	Reply to
status	S	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Fixed Value: completed
category	S	0..*	CodeableConcept	Message category Binding: Communication Category (extensible)
subject	S	0..1	Reference(CAeReCPatient)	Focus of message
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
sent	S	0..1	dateTime	When sent
received	S	0..1	dateTime	When received
sender	S	0..1	Reference(CAeReCPractitionerRole)	Message sender
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
payload	S	0..*	BackboneElement	Message payload
content[x]	S	1..1		Message part content
contentString			string
contentAttachment			Attachment
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Communication.category	extensible	CommunicationCategory http://hl7.ca/fhir/eReferral/ValueSet/communication-category from this IG

Name	Flags	Card.	Type	Description & Constraints
Communication		0..*	Communication	A record of information transmitted from a sender to a receiver
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
basedOn	SΣ	0..*	Reference(CAeReCServiceRequest)	Request fulfilled by this communication
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
inResponseTo	S	0..*	Reference(Communication)	Reply to
status	?!SΣ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication. Fixed Value: completed
category	S	0..*	CodeableConcept	Message category Binding: Communication Category (extensible)
subject	SΣ	0..1	Reference(CAeReCPatient)	Focus of message
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
sent	S	0..1	dateTime	When sent
received	S	0..1	dateTime	When received
sender	S	0..1	Reference(CAeReCPractitionerRole)	Message sender
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
payload	S	0..*	BackboneElement	Message payload
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
content[x]	S	1..1		Message part content
contentString			string
contentAttachment			Attachment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Communication.basedOn.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Communication.status	required	Fixed Value: completed http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Communication.category	extensible	CommunicationCategory http://hl7.ca/fhir/eReferral/ValueSet/communication-category from this IG
Communication.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Communication.sender.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
Communication		0..*	Communication	A record of information transmitted from a sender to a receiver
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Unique identifier
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	SΣ	0..*	Reference(CAeReCServiceRequest)	Request fulfilled by this communication
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
partOf	Σ	0..*	Reference(Resource)	Part of this action
inResponseTo	S	0..*	Reference(Communication)	Reply to
status	?!SΣ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication. Fixed Value: completed
statusReason	Σ	0..1	CodeableConcept	Reason for current status Binding: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen.
category	S	0..*	CodeableConcept	Message category Binding: Communication Category (extensible)
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication.
medium		0..*	CodeableConcept	A channel of communication Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.
subject	SΣ	0..1	Reference(CAeReCPatient)	Focus of message
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
topic		0..1	CodeableConcept	Description of the purpose/content Binding: CommunicationTopic (example): Codes describing the purpose or content of the communication.
about		0..*	Reference(Resource)	Resources that pertain to this communication
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
sent	S	0..1	dateTime	When sent
received	S	0..1	dateTime	When received
recipient		0..*	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService)	Message recipient
sender	S	0..1	Reference(CAeReCPractitionerRole)	Message sender
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
reasonCode	Σ	0..*	CodeableConcept	Indication for message Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication.
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Why was communication done?
payload	S	0..*	BackboneElement	Message payload
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
content[x]	S	1..1		Message part content
contentString			string
contentAttachment			Attachment
note		0..*	Annotation	Comments made about the communication
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Communication.basedOn.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Communication.basedOn.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Communication.basedOn.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Communication.status	required	Fixed Value: completed http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Communication.statusReason	example	CommunicationNotDoneReason http://hl7.org/fhir/ValueSet/communication-not-done-reason from the FHIR Standard
Communication.category	extensible	CommunicationCategory http://hl7.ca/fhir/eReferral/ValueSet/communication-category from this IG
Communication.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
Communication.medium	example	ParticipationMode http://terminology.hl7.org/ValueSet/v3-ParticipationMode
Communication.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Communication.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Communication.subject.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Communication.topic	example	CommunicationTopic http://hl7.org/fhir/ValueSet/communication-topic from the FHIR Standard
Communication.sender.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Communication.sender.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Communication.sender.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Communication.reasonCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Constraints

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

This structure is derived from Communication

Summary

Mandatory: 0 element(6 nested mandatory elements)
Must-Support: 22 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

• CAeReCServiceRequest (http://hl7.ca/fhir/eReferral/StructureDefinition/CAeReCServiceRequest)
• CAeReCPatient (http://hl7.ca/fhir/eReferral/StructureDefinition/CAeReCPatient)
• CAeReCPractitionerRole (http://hl7.ca/fhir/eReferral/StructureDefinition/CAeReCPractitionerRole)

Differential View

This structure is derived from Communication

Name	Flags	Card.	Type	Description & Constraints
Communication			Communication
basedOn	S	0..*	Reference(CAeReCServiceRequest)	Request fulfilled by this communication
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
inResponseTo	S	0..*	Reference(Communication)	Reply to
status	S	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Fixed Value: completed
category	S	0..*	CodeableConcept	Message category Binding: Communication Category (extensible)
subject	S	0..1	Reference(CAeReCPatient)	Focus of message
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
sent	S	0..1	dateTime	When sent
received	S	0..1	dateTime	When received
sender	S	0..1	Reference(CAeReCPractitionerRole)	Message sender
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
payload	S	0..*	BackboneElement	Message payload
content[x]	S	1..1		Message part content
contentString			string
contentAttachment			Attachment
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Communication.category	extensible	CommunicationCategory http://hl7.ca/fhir/eReferral/ValueSet/communication-category from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Communication		0..*	Communication	A record of information transmitted from a sender to a receiver
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
basedOn	SΣ	0..*	Reference(CAeReCServiceRequest)	Request fulfilled by this communication
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
inResponseTo	S	0..*	Reference(Communication)	Reply to
status	?!SΣ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication. Fixed Value: completed
category	S	0..*	CodeableConcept	Message category Binding: Communication Category (extensible)
subject	SΣ	0..1	Reference(CAeReCPatient)	Focus of message
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
sent	S	0..1	dateTime	When sent
received	S	0..1	dateTime	When received
sender	S	0..1	Reference(CAeReCPractitionerRole)	Message sender
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
payload	S	0..*	BackboneElement	Message payload
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
content[x]	S	1..1		Message part content
contentString			string
contentAttachment			Attachment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Communication.basedOn.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Communication.status	required	Fixed Value: completed http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Communication.category	extensible	CommunicationCategory http://hl7.ca/fhir/eReferral/ValueSet/communication-category from this IG
Communication.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Communication.sender.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard

Constraints

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

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Communication		0..*	Communication	A record of information transmitted from a sender to a receiver
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Unique identifier
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	SΣ	0..*	Reference(CAeReCServiceRequest)	Request fulfilled by this communication
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
partOf	Σ	0..*	Reference(Resource)	Part of this action
inResponseTo	S	0..*	Reference(Communication)	Reply to
status	?!SΣ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication. Fixed Value: completed
statusReason	Σ	0..1	CodeableConcept	Reason for current status Binding: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen.
category	S	0..*	CodeableConcept	Message category Binding: Communication Category (extensible)
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication.
medium		0..*	CodeableConcept	A channel of communication Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.
subject	SΣ	0..1	Reference(CAeReCPatient)	Focus of message
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
topic		0..1	CodeableConcept	Description of the purpose/content Binding: CommunicationTopic (example): Codes describing the purpose or content of the communication.
about		0..*	Reference(Resource)	Resources that pertain to this communication
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
sent	S	0..1	dateTime	When sent
received	S	0..1	dateTime	When received
recipient		0..*	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService)	Message recipient
sender	S	0..1	Reference(CAeReCPractitionerRole)	Message sender
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
reasonCode	Σ	0..*	CodeableConcept	Indication for message Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication.
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Why was communication done?
payload	S	0..*	BackboneElement	Message payload
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
content[x]	S	1..1		Message part content
contentString			string
contentAttachment			Attachment
note		0..*	Annotation	Comments made about the communication
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Communication.basedOn.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Communication.basedOn.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Communication.basedOn.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Communication.status	required	Fixed Value: completed http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Communication.statusReason	example	CommunicationNotDoneReason http://hl7.org/fhir/ValueSet/communication-not-done-reason from the FHIR Standard
Communication.category	extensible	CommunicationCategory http://hl7.ca/fhir/eReferral/ValueSet/communication-category from this IG
Communication.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
Communication.medium	example	ParticipationMode http://terminology.hl7.org/ValueSet/v3-ParticipationMode
Communication.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Communication.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Communication.subject.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Communication.topic	example	CommunicationTopic http://hl7.org/fhir/ValueSet/communication-topic from the FHIR Standard
Communication.sender.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Communication.sender.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Communication.sender.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Communication.reasonCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Constraints

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

This structure is derived from Communication

Summary

Mandatory: 0 element(6 nested mandatory elements)
Must-Support: 22 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

• CAeReCServiceRequest (http://hl7.ca/fhir/eReferral/StructureDefinition/CAeReCServiceRequest)
• CAeReCPatient (http://hl7.ca/fhir/eReferral/StructureDefinition/CAeReCPatient)
• CAeReCPractitionerRole (http://hl7.ca/fhir/eReferral/StructureDefinition/CAeReCPractitionerRole)

Other representations of profile: CSV, Excel, Schematron