{
"description": "Care related communication between two or more parties in Danish healthcare",
"_filename": "StructureDefinition-medcom-careCommunication-communication.json",
"package_name": "medcom.fhir.dk.carecommunication",
"date": "2023-04-14T09:10:05+02:00",
"derivation": "constraint",
"publisher": "MedCom",
"fhirVersion": "4.0.1",
"jurisdiction": [ {
"coding": [ {
"code": "DK",
"system": "urn:iso:std:iso:3166",
"display": "Denmark"
} ]
} ],
"name": "MedComCareCommunication",
"mapping": [ {
"uri": "http://hl7.org/fhir/workflow",
"name": "Workflow Pattern",
"identity": "workflow"
}, {
"uri": "http://hl7.org/fhir/fivews",
"name": "FiveWs Pattern Mapping",
"identity": "w5"
}, {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
} ],
"abstract": false,
"type": "Communication",
"experimental": null,
"resourceType": "StructureDefinition",
"title": null,
"package_version": "2.1.0",
"snapshot": {
"element": [ {
"constraint": [ {
"key": "dom-2",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"xpath": "not(parent::f:contained and f:contained)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.contained.empty()"
}, {
"key": "dom-3",
"human": "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",
"xpath": "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"
}, {
"key": "dom-4",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"
}, {
"key": "dom-5",
"human": "If a resource is contained in another resource, it SHALL NOT have a security label",
"xpath": "not(exists(f:contained/*/f:meta/f:security))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.meta.security.empty()"
}, {
"key": "dom-6",
"human": "A resource should have narrative for robust management",
"xpath": "exists(f:text/h:div)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "warning",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean": true
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
} ],
"expression": "text.`div`.exists()"
}, {
"key": "medcom-careCommunication-5",
"human": "Priority is only allowed when Communication.category = 'regarding-referral'",
"source": "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-careCommunication-communication",
"severity": "error",
"expression": "where(category.coding.code != 'regarding-referral').priority.empty()"
}, {
"key": "medcom-careCommunication-6",
"human": "There shall exist a Communication.topic when Communication.category = 'other'",
"source": "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-careCommunication-communication",
"severity": "error",
"expression": "iif(category.coding.code != 'other', true, category.coding.code = 'other' and topic.exists())"
}, {
"key": "medcom-careCommunication-7",
"human": "There shall exist a practitioner role when using a PractitionerRole as author in a message segment.",
"source": "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-careCommunication-communication",
"severity": "error",
"expression": "payload.where(extension('http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-author-extension').exists()).extension.value.reference.resolve().code.coding.code.exists()"
}, {
"key": "medcom-careCommunication-8",
"human": "There shall exist a practitioner name when using a Practitioner as author in a message segment.",
"source": "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-careCommunication-communication",
"severity": "error",
"expression": "payload.where(extension('http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-author-extension').exists()).extension.value.reference.resolve().practitioner.resolve().name.exists()"
}, {
"key": "medcom-careCommunication-10",
"human": "The status shall be 'unknown' or 'entered-in-error'.",
"source": "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-careCommunication-communication",
"severity": "error",
"expression": "status='unknown' or status='entered-in-error'"
} ],
"path": "Communication",
"min": 0,
"definition": "An occurrence of information being transmitted; e.g. an alert that was sent to a responsible provider, a public health agency that was notified about a reportable condition.",
"isModifier": false,
"short": "A record of information transmitted from a sender to a receiver",
"mapping": [ {
"map": "Entity. Role, or Act",
"identity": "rim"
}, {
"map": "Event",
"identity": "workflow"
} ],
"max": "*",
"id": "Communication",
"base": {
"max": "*",
"min": 0,
"path": "Communication"
},
"isSummary": false
}, {
"path": "Communication.id",
"min": 0,
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"isModifier": false,
"short": "Logical id of this artifact",
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
} ]
} ],
"max": "1",
"id": "Communication.id",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"base": {
"max": "1",
"min": 0,
"path": "Resource.id"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.meta",
"min": 0,
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"isModifier": false,
"short": "Metadata about the resource",
"type": [ {
"code": "Meta"
} ],
"max": "1",
"id": "Communication.meta",
"base": {
"max": "1",
"min": 0,
"path": "Resource.meta"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.implicitRules",
"min": 0,
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"isModifier": true,
"short": "A set of rules under which this content was created",
"type": [ {
"code": "uri"
} ],
"max": "1",
"id": "Communication.implicitRules",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
"base": {
"max": "1",
"min": 0,
"path": "Resource.implicitRules"
},
"isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.language",
"min": 0,
"definition": "The base language in which the resource is written.",
"isModifier": false,
"short": "Language of the resource content",
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/ValueSet/languages",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
} ],
"description": "A human language."
},
"max": "1",
"id": "Communication.language",
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"base": {
"max": "1",
"min": 0,
"path": "Resource.language"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.text",
"min": 0,
"definition": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"isModifier": false,
"short": "Text summary of the resource, for human interpretation",
"mapping": [ {
"map": "Act.text?",
"identity": "rim"
} ],
"type": [ {
"code": "Narrative"
} ],
"alias": [ "narrative", "html", "xhtml", "display" ],
"max": "1",
"id": "Communication.text",
"comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
"base": {
"max": "1",
"min": 0,
"path": "DomainResource.text"
},
"isSummary": false
}, {
"path": "Communication.contained",
"min": 0,
"definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"isModifier": false,
"short": "Contained, inline Resources",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Resource"
} ],
"alias": [ "inline resources", "anonymous resources", "contained resources" ],
"max": "*",
"id": "Communication.contained",
"comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.contained"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Communication.extension",
"min": 0,
"definition": "An Extension",
"isModifier": false,
"short": "Extension",
"slicing": {
"rules": "open",
"ordered": false,
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"max": "*",
"id": "Communication.extension",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Communication.extension",
"min": 0,
"definition": "Reference to a more specfic sender of a CareCommunication message.",
"isModifier": false,
"short": "SenderExtension",
"type": [ {
"code": "Extension",
"profile": [ "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-sender-extension" ]
} ],
"mustSupport": true,
"sliceName": "sender",
"max": "1",
"id": "Communication.extension:sender",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.extension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Communication.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Communication.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.identifier",
"requirements": "Allows identification of the communication as it is known by various participating systems and in a way that remains consistent across servers.",
"min": 0,
"definition": "Business identifiers assigned to this communication by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
"isModifier": false,
"short": "Unique identifier",
"mapping": [ {
"map": "Event.identifier",
"identity": "workflow"
}, {
"map": "FiveWs.identifier",
"identity": "w5"
} ],
"type": [ {
"code": "Identifier"
} ],
"max": "*",
"id": "Communication.identifier",
"comment": "This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.",
"base": {
"max": "*",
"min": 0,
"path": "Communication.identifier"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.instantiatesCanonical",
"min": 0,
"definition": "The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Communication.",
"isModifier": false,
"short": "Instantiates FHIR protocol or definition",
"mapping": [ {
"map": "Event.instantiatesCanonical",
"identity": "workflow"
}, {
"map": ".outboundRelationship[typeCode=DEFN].target",
"identity": "rim"
} ],
"type": [ {
"code": "canonical",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/PlanDefinition", "http://hl7.org/fhir/StructureDefinition/ActivityDefinition", "http://hl7.org/fhir/StructureDefinition/Measure", "http://hl7.org/fhir/StructureDefinition/OperationDefinition", "http://hl7.org/fhir/StructureDefinition/Questionnaire" ]
} ],
"max": "*",
"id": "Communication.instantiatesCanonical",
"base": {
"max": "*",
"min": 0,
"path": "Communication.instantiatesCanonical"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.instantiatesUri",
"min": 0,
"definition": "The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Communication.",
"isModifier": false,
"short": "Instantiates external protocol or definition",
"mapping": [ {
"map": "Event.instantiatesUri",
"identity": "workflow"
}, {
"map": ".outboundRelationship[typeCode=DEFN].target",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"max": "*",
"id": "Communication.instantiatesUri",
"comment": "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.",
"base": {
"max": "*",
"min": 0,
"path": "Communication.instantiatesUri"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.basedOn",
"min": 0,
"definition": "An order, proposal or plan fulfilled in whole or in part by this Communication.",
"isModifier": false,
"short": "Request fulfilled by this communication",
"mapping": [ {
"map": "Event.basedOn",
"identity": "workflow"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource" ]
} ],
"alias": [ "fulfills" ],
"max": "*",
"id": "Communication.basedOn",
"comment": "This must point to some sort of a 'Request' resource, such as CarePlan, CommunicationRequest, ServiceRequest, MedicationRequest, etc.",
"base": {
"max": "*",
"min": 0,
"path": "Communication.basedOn"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.partOf",
"min": 0,
"definition": "Part of this action.",
"isModifier": false,
"short": "Part of this action",
"mapping": [ {
"map": "Event.partOf",
"identity": "workflow"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource" ]
} ],
"alias": [ "container" ],
"max": "*",
"id": "Communication.partOf",
"base": {
"max": "*",
"min": 0,
"path": "Communication.partOf"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.inResponseTo",
"min": 0,
"definition": "Prior communication that this communication is in response to.",
"isModifier": false,
"short": "Reply to",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Communication" ]
} ],
"max": "*",
"id": "Communication.inResponseTo",
"base": {
"max": "*",
"min": 0,
"path": "Communication.inResponseTo"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.status",
"min": 1,
"definition": "The status of the transmission.",
"isModifier": true,
"short": "The status may be 'unknown' or 'entered-in-error', dependning on the type of message. status is required because of basic FHIR profile requirement",
"mapping": [ {
"map": "Event.status",
"identity": "workflow"
}, {
"map": "FiveWs.status",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/event-status|4.0.1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CommunicationStatus"
} ],
"description": "The status of the communication."
},
"max": "1",
"id": "Communication.status",
"comment": "This element is labeled as a modifier because the status contains the codes aborted and entered-in-error that mark the communication as not currently valid.",
"base": {
"max": "1",
"min": 1,
"path": "Communication.status"
},
"isModifierReason": "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.statusReason",
"min": 0,
"definition": "Captures the reason for the current state of the Communication.",
"isModifier": false,
"short": "Reason for current status",
"mapping": [ {
"map": "Event.statusReason",
"identity": "workflow"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"valueSet": "http://hl7.org/fhir/ValueSet/communication-not-done-reason",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CommunicationNotDoneReason"
} ],
"description": "Codes for the reason why a communication did not happen."
},
"alias": [ "Suspended Reason", "Cancelled Reason" ],
"max": "1",
"id": "Communication.statusReason",
"comment": "This is generally only used for \"exception\" statuses such as \"not-done\", \"suspended\" or \"aborted\". The reason for performing the event at all is captured in reasonCode, not here.",
"base": {
"max": "1",
"min": 0,
"path": "Communication.statusReason"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.category",
"min": 1,
"definition": "The type of message conveyed such as alert, notification, reminder, instruction, etc.",
"isModifier": false,
"short": "The category (Danish: kategori) describes the overall content of the message.",
"mapping": [ {
"map": "FiveWs.class",
"identity": "w5"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://medcomfhir.dk/ig/terminology/ValueSet/medcom-careCommunication-categories"
},
"max": "1",
"id": "Communication.category",
"comment": "There may be multiple axes of categorization and one communication may serve multiple purposes.",
"base": {
"max": "*",
"min": 0,
"path": "Communication.category"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.priority",
"min": 0,
"definition": "Characterizes how quickly the planned or in progress communication must be addressed. Includes concepts such as stat, urgent, routine.",
"isModifier": false,
"short": "Shall be present if the message priority is known to be ASAP, but is only allowed when the category is 'regarding referral', see medcom-careCommunication-5",
"mapping": [ {
"map": "FiveWs.grade",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"mustSupport": true,
"meaningWhenMissing": "If missing, this communication should be treated with normal priority",
"binding": {
"strength": "required",
"valueSet": "http://medcomfhir.dk/ig/terminology/ValueSet/medcom-careCommunication-requestPriority"
},
"max": "1",
"id": "Communication.priority",
"comment": "Used to prioritize workflow (such as which communication to read first) when the communication is planned or in progress.",
"base": {
"max": "1",
"min": 0,
"path": "Communication.priority"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.medium",
"min": 0,
"definition": "A channel that was used for this communication (e.g. email, fax).",
"isModifier": false,
"short": "A channel of communication",
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationMode",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CommunicationMedium"
} ],
"description": "Codes for communication mediums such as phone, fax, email, in person, etc."
},
"max": "*",
"id": "Communication.medium",
"base": {
"max": "*",
"min": 0,
"path": "Communication.medium"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.subject",
"min": 1,
"definition": "The patient or group that was the focus of this communication.",
"isModifier": false,
"short": "Focus of message",
"mapping": [ {
"map": "Event.subject",
"identity": "workflow"
}, {
"map": "FiveWs.subject[x]",
"identity": "w5"
}, {
"map": "FiveWs.subject",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"aggregation": [ "bundled" ],
"targetProfile": [ "http://medcomfhir.dk/ig/core/StructureDefinition/medcom-core-patient" ]
} ],
"mustSupport": true,
"alias": [ "patient" ],
"max": "1",
"id": "Communication.subject",
"base": {
"max": "1",
"min": 0,
"path": "Communication.subject"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.topic",
"min": 0,
"definition": "Description of the purpose/content, similar to a subject line in an email.",
"isModifier": false,
"short": "The topic (Danish: emne) may be added as a supplement to the category.",
"mapping": [ {
"map": "FiveWs.context",
"identity": "w5"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"binding": {
"strength": "example",
"valueSet": "http://hl7.org/fhir/ValueSet/communication-topic",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CommunicationTopic"
} ],
"description": "Codes describing the purpose or content of the communication."
},
"max": "1",
"id": "Communication.topic",
"comment": "Communication.topic.text can be used without any codings.",
"base": {
"max": "1",
"min": 0,
"path": "Communication.topic"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.about",
"min": 0,
"definition": "Other resources that pertain to this communication and to which this communication should be associated.",
"isModifier": false,
"short": "Resources that pertain to this communication",
"mapping": [ {
"map": "FiveWs.context",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource" ]
} ],
"max": "*",
"id": "Communication.about",
"comment": "Don't use Communication.about element when a more specific element exists, such as basedOn or reasonReference.",
"base": {
"max": "*",
"min": 0,
"path": "Communication.about"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.encounter",
"min": 0,
"definition": "The Encounter during which this Communication was created or to which the creation of this record is tightly associated.",
"isModifier": false,
"short": "Shall contain a reference to an Encounter resource with a episodeOfCare-identifier, if the identifier is included in a previous message.",
"mapping": [ {
"map": "Event.context",
"identity": "workflow"
}, {
"map": "FiveWs.context",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"aggregation": [ "bundled" ],
"targetProfile": [ "http://medcomfhir.dk/ig/core/StructureDefinition/medcom-core-encounter" ]
} ],
"mustSupport": true,
"max": "1",
"id": "Communication.encounter",
"comment": "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.",
"base": {
"max": "1",
"min": 0,
"path": "Communication.encounter"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.sent",
"min": 0,
"definition": "The time when this communication was sent.",
"isModifier": false,
"short": "When sent",
"mapping": [ {
"map": "Event.occurrence[x] {Invariant: maps to period.start}",
"identity": "workflow"
}, {
"map": "FiveWs.done[x]",
"identity": "w5"
} ],
"type": [ {
"code": "dateTime"
} ],
"max": "1",
"id": "Communication.sent",
"base": {
"max": "1",
"min": 0,
"path": "Communication.sent"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.received",
"min": 0,
"definition": "The time when this communication arrived at the destination.",
"isModifier": false,
"short": "When received",
"mapping": [ {
"map": "Event.occurrence[x] {Invariant: maps to period.end}",
"identity": "workflow"
}, {
"map": "FiveWs.done[x]",
"identity": "w5"
} ],
"type": [ {
"code": "dateTime"
} ],
"max": "1",
"id": "Communication.received",
"base": {
"max": "1",
"min": 0,
"path": "Communication.received"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.recipient",
"min": 0,
"definition": "The entity (e.g. person, organization, clinical information system, care team or device) which was the target of the communication. If receipts need to be tracked by an individual, a separate resource instance will need to be created for each recipient. Multiple recipient communications are intended where either receipts are not tracked (e.g. a mass mail-out) or a receipt is captured in aggregate (all emails confirmed received by a particular time).",
"isModifier": false,
"short": "Describes a more specific receiver than the MessageHeader.destination.reciever, called a recipient. It may be a careteam a homecare group in the municipality or a named general practitioner.",
"mapping": [ {
"map": "Event.performer.actor",
"identity": "workflow"
}, {
"map": "FiveWs.actor",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"aggregation": [ "bundled" ],
"targetProfile": [ "http://medcomfhir.dk/ig/core/StructureDefinition/medcom-core-practitionerrole", "http://medcomfhir.dk/ig/core/StructureDefinition/medcom-core-careteam" ]
} ],
"mustSupport": true,
"max": "*",
"id": "Communication.recipient",
"base": {
"max": "*",
"min": 0,
"path": "Communication.recipient"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.sender",
"min": 0,
"definition": "The entity (e.g. person, organization, clinical information system, or device) which was the source of the communication.",
"isModifier": false,
"short": "Message sender",
"mapping": [ {
"map": "Event.performer.actor",
"identity": "workflow"
}, {
"map": "FiveWs.actor",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Device", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/HealthcareService" ]
} ],
"max": "1",
"id": "Communication.sender",
"base": {
"max": "1",
"min": 0,
"path": "Communication.sender"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.reasonCode",
"min": 0,
"definition": "The reason or justification for the communication.",
"isModifier": false,
"short": "Indication for message",
"mapping": [ {
"map": "Event.reasonCode",
"identity": "workflow"
}, {
"map": "FiveWs.why[x]",
"identity": "w5"
}, {
"map": ".reasonCode",
"identity": "rim"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"valueSet": "http://hl7.org/fhir/ValueSet/clinical-findings",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CommunicationReason"
} ],
"description": "Codes for describing reasons for the occurrence of a communication."
},
"max": "*",
"id": "Communication.reasonCode",
"comment": "Textual reasons can be captured using reasonCode.text.",
"base": {
"max": "*",
"min": 0,
"path": "Communication.reasonCode"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.reasonReference",
"min": 0,
"definition": "Indicates another resource whose existence justifies this communication.",
"isModifier": false,
"short": "Why was communication done?",
"mapping": [ {
"map": "Event.reasonReference",
"identity": "workflow"
}, {
"map": "FiveWs.why[x]",
"identity": "w5"
}, {
"map": ".outboundRelationship[typeCode=RSON].target",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Condition", "http://hl7.org/fhir/StructureDefinition/Observation", "http://hl7.org/fhir/StructureDefinition/DiagnosticReport", "http://hl7.org/fhir/StructureDefinition/DocumentReference" ]
} ],
"max": "*",
"id": "Communication.reasonReference",
"base": {
"max": "*",
"min": 0,
"path": "Communication.reasonReference"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.payload",
"min": 1,
"definition": "Text, attachment(s), or resource(s) that was communicated to the recipient.",
"isModifier": false,
"short": "Each payload corresponds to a message segment with a signature and a message text or attachment. At least one payload with a message text shall be included.",
"slicing": {
"rules": "open",
"ordered": true,
"discriminator": [ {
"path": "$this.content",
"type": "type"
} ]
},
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "Communication.payload",
"base": {
"max": "*",
"min": 0,
"path": "Communication.payload"
},
"isSummary": false
}, {
"path": "Communication.payload.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Communication.payload.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Communication.payload.extension",
"min": 0,
"definition": "An Extension",
"isModifier": false,
"short": "Extension",
"slicing": {
"rules": "open",
"ordered": false,
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"max": "*",
"id": "Communication.payload.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Communication.payload.extension",
"min": 0,
"definition": "Date and time of this payload",
"isModifier": false,
"short": "PayloadDateTimeExtension",
"type": [ {
"code": "Extension",
"profile": [ "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-datetime-extension" ]
} ],
"sliceName": "date",
"max": "1",
"id": "Communication.payload.extension:date",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Communication.payload.extension",
"min": 0,
"definition": "Reference to author of this payload",
"isModifier": false,
"short": "PayloadAuthorExtension",
"type": [ {
"code": "Extension",
"profile": [ "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-author-extension" ]
} ],
"sliceName": "author",
"max": "1",
"id": "Communication.payload.extension:author",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Communication.payload.extension",
"min": 0,
"definition": "Extension to contain the contact information tha author of the payload",
"isModifier": false,
"short": "PayloadAuthorContactExtension",
"type": [ {
"code": "Extension",
"profile": [ "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-author-contact-extension" ]
} ],
"sliceName": "authorContact",
"max": "1",
"id": "Communication.payload.extension:authorContact",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Communication.payload.extension",
"min": 0,
"definition": "An extension holding an attachment identifier",
"isModifier": false,
"short": "AttachmentIdentifierExtension",
"type": [ {
"code": "Extension",
"profile": [ "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-attachment-identifier-extension" ]
} ],
"sliceName": "identifier",
"max": "1",
"id": "Communication.payload.extension:identifier",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Communication.payload.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Communication.payload.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.payload.content[x]",
"min": 1,
"definition": "A communicated content (or for multi-part communications, one portion of the communication).",
"isModifier": false,
"short": "Message part content",
"type": [ {
"code": "string"
}, {
"code": "Attachment"
}, {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource" ]
} ],
"max": "1",
"id": "Communication.payload.content[x]",
"base": {
"max": "1",
"min": 1,
"path": "Communication.payload.content[x]"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.payload",
"min": 1,
"definition": "xhtml shall be used to markup a text. The xhtml shall be compliant with the narrative text format.",
"isModifier": false,
"short": "xhtml content of the message",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"sliceName": "string",
"max": "*",
"id": "Communication.payload:string",
"base": {
"max": "*",
"min": 0,
"path": "Communication.payload"
},
"isSummary": false
}, {
"path": "Communication.payload.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Communication.payload:string.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Communication.payload.extension",
"min": 3,
"definition": "An Extension",
"isModifier": false,
"short": "Extension",
"slicing": {
"rules": "open",
"ordered": false,
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"max": "*",
"id": "Communication.payload:string.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Communication.payload.extension",
"min": 1,
"definition": "Date and time of this payload",
"isModifier": false,
"short": "PayloadDateTimeExtension",
"type": [ {
"code": "Extension",
"profile": [ "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-datetime-extension" ]
} ],
"mustSupport": true,
"sliceName": "date",
"max": "1",
"id": "Communication.payload:string.extension:date",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Communication.payload.extension",
"min": 1,
"definition": "Reference to author of this payload",
"isModifier": false,
"short": "PayloadAuthorExtension",
"type": [ {
"code": "Extension",
"profile": [ "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-author-extension" ]
} ],
"mustSupport": true,
"sliceName": "author",
"max": "1",
"id": "Communication.payload:string.extension:author",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Communication.payload.extension",
"min": 1,
"definition": "Extension to contain the contact information tha author of the payload",
"isModifier": false,
"short": "PayloadAuthorContactExtension",
"type": [ {
"code": "Extension",
"profile": [ "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-author-contact-extension" ]
} ],
"mustSupport": true,
"sliceName": "authorContact",
"max": "1",
"id": "Communication.payload:string.extension:authorContact",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Communication.payload.extension",
"min": 0,
"definition": "An extension holding an attachment identifier",
"isModifier": false,
"short": "AttachmentIdentifierExtension",
"type": [ {
"code": "Extension",
"profile": [ "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-attachment-identifier-extension" ]
} ],
"sliceName": "identifier",
"max": "0",
"id": "Communication.payload:string.extension:identifier",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Communication.payload.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Communication.payload:string.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.payload.content[x]",
"min": 1,
"definition": "A communicated content (or for multi-part communications, one portion of the communication).",
"isModifier": false,
"short": "Message part content",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "Communication.payload:string.content[x]",
"base": {
"max": "1",
"min": 1,
"path": "Communication.payload.content[x]"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.payload",
"min": 0,
"definition": "Text, attachment(s), or resource(s) that was communicated to the recipient.",
"isModifier": false,
"short": "The payload with an attachment shall contain all links or content attached to the message.",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"sliceName": "attachment",
"max": "*",
"id": "Communication.payload:attachment",
"base": {
"max": "*",
"min": 0,
"path": "Communication.payload"
},
"isSummary": false
}, {
"path": "Communication.payload.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Communication.payload:attachment.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Communication.payload.extension",
"min": 2,
"definition": "An Extension",
"isModifier": false,
"short": "Extension",
"slicing": {
"rules": "open",
"ordered": false,
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"max": "*",
"id": "Communication.payload:attachment.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Communication.payload.extension",
"min": 1,
"definition": "Date and time of this payload",
"isModifier": false,
"short": "PayloadDateTimeExtension",
"type": [ {
"code": "Extension",
"profile": [ "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-datetime-extension" ]
} ],
"mustSupport": true,
"sliceName": "date",
"max": "1",
"id": "Communication.payload:attachment.extension:date",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Communication.payload.extension",
"min": 0,
"definition": "Reference to author of this payload",
"isModifier": false,
"short": "PayloadAuthorExtension",
"type": [ {
"code": "Extension",
"profile": [ "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-author-extension" ]
} ],
"mustSupport": true,
"sliceName": "author",
"max": "1",
"id": "Communication.payload:attachment.extension:author",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Communication.payload.extension",
"min": 0,
"definition": "Extension to contain the contact information tha author of the payload",
"isModifier": false,
"short": "PayloadAuthorContactExtension",
"type": [ {
"code": "Extension",
"profile": [ "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-author-contact-extension" ]
} ],
"mustSupport": true,
"sliceName": "authorContact",
"max": "1",
"id": "Communication.payload:attachment.extension:authorContact",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Communication.payload.extension",
"min": 1,
"definition": "An extension holding an attachment identifier",
"isModifier": false,
"short": "AttachmentIdentifierExtension",
"type": [ {
"code": "Extension",
"profile": [ "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-attachment-identifier-extension" ]
} ],
"mustSupport": true,
"sliceName": "identifier",
"max": "1",
"id": "Communication.payload:attachment.extension:identifier",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Communication.payload.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Communication.payload:attachment.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.payload.content[x]",
"min": 1,
"definition": "A communicated content (or for multi-part communications, one portion of the communication).",
"isModifier": false,
"short": "Message part content",
"slicing": {
"rules": "closed",
"ordered": false,
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
},
"type": [ {
"code": "Attachment"
} ],
"mustSupport": true,
"max": "1",
"id": "Communication.payload:attachment.content[x]",
"base": {
"max": "1",
"min": 1,
"path": "Communication.payload.content[x]"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.payload.content[x]",
"min": 1,
"definition": "A communicated content (or for multi-part communications, one portion of the communication).",
"isModifier": false,
"short": "Message part content",
"type": [ {
"code": "Attachment"
} ],
"mustSupport": true,
"sliceName": "contentAttachment",
"max": "1",
"id": "Communication.payload:attachment.content[x]:contentAttachment",
"base": {
"max": "1",
"min": 1,
"path": "Communication.payload.content[x]"
},
"isSummary": false
}, {
"path": "Communication.payload.content[x].id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Communication.payload:attachment.content[x]:contentAttachment.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Communication.payload.content[x].extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Communication.payload:attachment.content[x]:contentAttachment.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.payload.content[x].contentType",
"requirements": "Processors of the data need to be able to know how to interpret the data.",
"min": 0,
"definition": "Identifies the type of the data in the attachment and allows a method to be chosen to interpret or render the data. Includes mime type parameters such as charset where appropriate.",
"isModifier": false,
"short": "The content type shall be present in case the content is provided as an attached document in the data element.",
"mapping": [ {
"map": "ED.2+ED.3/RP.2+RP.3. Note conversion may be needed if old style values are being used",
"identity": "v2"
}, {
"map": "./mediaType, ./charset",
"identity": "rim"
} ],
"type": [ {
"code": "code"
} ],
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://medcomfhir.dk/ig/terminology/ValueSet/medcom-core-attachmentMimeTypes"
},
"max": "1",
"id": "Communication.payload:attachment.content[x]:contentAttachment.contentType",
"example": [ {
"label": "General",
"valueCode": "text/plain; charset=UTF-8, image/png"
} ],
"base": {
"max": "1",
"min": 0,
"path": "Attachment.contentType"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.payload.content[x].language",
"requirements": "Users need to be able to choose between the languages in a set of attachments.",
"min": 0,
"definition": "The human language of the content. The value can be any valid value according to BCP 47.",
"isModifier": false,
"short": "Human language of the content (BCP-47)",
"mapping": [ {
"map": "./language",
"identity": "rim"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/ValueSet/languages",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
} ],
"description": "A human language."
},
"max": "1",
"id": "Communication.payload:attachment.content[x]:contentAttachment.language",
"example": [ {
"label": "General",
"valueCode": "en-AU"
} ],
"base": {
"max": "1",
"min": 0,
"path": "Attachment.language"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.payload.content[x].data",
"requirements": "The data needs to able to be transmitted inline.",
"min": 0,
"definition": "The actual data of the attachment - a sequence of bytes, base64 encoded.",
"isModifier": false,
"short": "Shall be present and contain the base64 encoded content if the attachment is an attached document",
"mapping": [ {
"map": "ED.5",
"identity": "v2"
}, {
"map": "./data",
"identity": "rim"
} ],
"type": [ {
"code": "base64Binary"
} ],
"mustSupport": true,
"max": "1",
"id": "Communication.payload:attachment.content[x]:contentAttachment.data",
"comment": "The base64-encoded data SHALL be expressed in the same character set as the base resource XML or JSON.",
"base": {
"max": "1",
"min": 0,
"path": "Attachment.data"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.payload.content[x].url",
"requirements": "The data needs to be transmitted by reference.",
"min": 0,
"definition": "A location where the data can be accessed.",
"isModifier": false,
"short": "Shall be present if the attachment is a link to a document or a web page.",
"mapping": [ {
"map": "RP.1+RP.2 - if they refer to a URL (see v2.6)",
"identity": "v2"
}, {
"map": "./reference/literal",
"identity": "rim"
} ],
"type": [ {
"code": "url"
} ],
"mustSupport": true,
"max": "1",
"id": "Communication.payload:attachment.content[x]:contentAttachment.url",
"comment": "If both data and url are provided, the url SHALL point to the same content as the data contains. Urls may be relative references or may reference transient locations such as a wrapping envelope using cid: though this has ramifications for using signatures. Relative URLs are interpreted relative to the service url, like a resource reference, rather than relative to the resource itself. If a URL is provided, it SHALL resolve to actual data.",
"example": [ {
"label": "General",
"valueUrl": "http://www.acme.com/logo-small.png"
} ],
"base": {
"max": "1",
"min": 0,
"path": "Attachment.url"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.payload.content[x].size",
"requirements": "Representing the size allows applications to determine whether they should fetch the content automatically in advance, or refuse to fetch it at all.",
"min": 0,
"definition": "The number of bytes of data that make up this attachment (before base64 encoding, if that is done).",
"isModifier": false,
"short": "Number of bytes of content (if url provided)",
"mapping": [ {
"map": "N/A (needs data type R3 proposal)",
"identity": "rim"
} ],
"type": [ {
"code": "unsignedInt"
} ],
"max": "1",
"id": "Communication.payload:attachment.content[x]:contentAttachment.size",
"comment": "The number of bytes is redundant if the data is provided as a base64binary, but is useful if the data is provided as a url reference.",
"base": {
"max": "1",
"min": 0,
"path": "Attachment.size"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.payload.content[x].hash",
"requirements": "Included so that applications can verify that the contents of a location have not changed due to technical failures (e.g., storage rot, transport glitch, incorrect version).",
"min": 0,
"definition": "The calculated hash of the data using SHA-1. Represented using base64.",
"isModifier": false,
"short": "Hash of the data (sha-1, base64ed)",
"mapping": [ {
"map": ".integrityCheck[parent::ED/integrityCheckAlgorithm=\"SHA-1\"]",
"identity": "rim"
} ],
"type": [ {
"code": "base64Binary"
} ],
"max": "1",
"id": "Communication.payload:attachment.content[x]:contentAttachment.hash",
"comment": "The hash is calculated on the data prior to base64 encoding, if the data is based64 encoded. The hash is not intended to support digital signatures. Where protection against malicious threats a digital signature should be considered, see [Provenance.signature](http://hl7.org/fhir/R4/provenance-definitions.html#Provenance.signature) for mechanism to protect a resource with a digital signature.",
"base": {
"max": "1",
"min": 0,
"path": "Attachment.hash"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.payload.content[x].title",
"requirements": "Applications need a label to display to a human user in place of the actual data if the data cannot be rendered or perceived by the viewer.",
"min": 1,
"definition": "A label or set of text to display in place of the data.",
"isModifier": false,
"short": "Label to display in place of the data",
"mapping": [ {
"map": "./title/data",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"max": "1",
"id": "Communication.payload:attachment.content[x]:contentAttachment.title",
"example": [ {
"label": "General",
"valueString": "Official Corporate Logo"
} ],
"base": {
"max": "1",
"min": 0,
"path": "Attachment.title"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.payload.content[x].creation",
"requirements": "This is often tracked as an integrity issue for use of the attachment.",
"min": 0,
"definition": "The date that the attachment was first created.",
"isModifier": false,
"short": "The time the attachment was created",
"mapping": [ {
"map": "N/A (needs data type R3 proposal)",
"identity": "rim"
} ],
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"max": "1",
"id": "Communication.payload:attachment.content[x]:contentAttachment.creation",
"base": {
"max": "1",
"min": 0,
"path": "Attachment.creation"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Communication.note",
"min": 0,
"definition": "Additional notes or commentary about the communication by the sender, receiver or other interested parties.",
"isModifier": false,
"short": "Comments made about the communication",
"mapping": [ {
"map": "Event.note",
"identity": "workflow"
} ],
"type": [ {
"code": "Annotation"
} ],
"max": "*",
"id": "Communication.note",
"base": {
"max": "*",
"min": 0,
"path": "Communication.note"
},
"isSummary": false
} ]
},
"status": "active",
"id": "932e4cdc-4781-4212-aedd-167dda1e9bb8",
"kind": "resource",
"url": "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-careCommunication-communication",
"version": "2.1.0",
"differential": {
"element": [ {
"id": "Communication",
"path": "Communication",
"constraint": [ {
"key": "medcom-careCommunication-5",
"human": "Priority is only allowed when Communication.category = 'regarding-referral'",
"source": "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-careCommunication-communication",
"severity": "error",
"expression": "where(category.coding.code != 'regarding-referral').priority.empty()"
}, {
"key": "medcom-careCommunication-6",
"human": "There shall exist a Communication.topic when Communication.category = 'other'",
"source": "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-careCommunication-communication",
"severity": "error",
"expression": "iif(category.coding.code != 'other', true, category.coding.code = 'other' and topic.exists())"
}, {
"key": "medcom-careCommunication-7",
"human": "There shall exist a practitioner role when using a PractitionerRole as author in a message segment.",
"source": "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-careCommunication-communication",
"severity": "error",
"expression": "payload.where(extension('http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-author-extension').exists()).extension.value.reference.resolve().code.coding.code.exists()"
}, {
"key": "medcom-careCommunication-8",
"human": "There shall exist a practitioner name when using a Practitioner as author in a message segment.",
"source": "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-careCommunication-communication",
"severity": "error",
"expression": "payload.where(extension('http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-author-extension').exists()).extension.value.reference.resolve().practitioner.resolve().name.exists()"
}, {
"key": "medcom-careCommunication-10",
"human": "The status shall be 'unknown' or 'entered-in-error'.",
"source": "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-careCommunication-communication",
"severity": "error",
"expression": "status='unknown' or status='entered-in-error'"
} ]
}, {
"id": "Communication.extension",
"path": "Communication.extension",
"slicing": {
"rules": "open",
"ordered": false,
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Communication.extension:sender",
"max": "1",
"min": 0,
"path": "Communication.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-sender-extension" ]
} ],
"isSummary": true,
"sliceName": "sender",
"mustSupport": true
}, {
"id": "Communication.status",
"path": "Communication.status",
"short": "The status may be 'unknown' or 'entered-in-error', dependning on the type of message. status is required because of basic FHIR profile requirement",
"mustSupport": true
}, {
"id": "Communication.category",
"max": "1",
"min": 1,
"path": "Communication.category",
"short": "The category (Danish: kategori) describes the overall content of the message.",
"binding": {
"strength": "required",
"valueSet": "http://medcomfhir.dk/ig/terminology/ValueSet/medcom-careCommunication-categories"
},
"mustSupport": true
}, {
"id": "Communication.priority",
"path": "Communication.priority",
"short": "Shall be present if the message priority is known to be ASAP, but is only allowed when the category is 'regarding referral', see medcom-careCommunication-5",
"binding": {
"strength": "required",
"valueSet": "http://medcomfhir.dk/ig/terminology/ValueSet/medcom-careCommunication-requestPriority"
},
"mustSupport": true
}, {
"id": "Communication.subject",
"min": 1,
"path": "Communication.subject",
"type": [ {
"code": "Reference",
"aggregation": [ "bundled" ],
"targetProfile": [ "http://medcomfhir.dk/ig/core/StructureDefinition/medcom-core-patient" ]
} ],
"mustSupport": true
}, {
"id": "Communication.topic",
"path": "Communication.topic",
"short": "The topic (Danish: emne) may be added as a supplement to the category.",
"mustSupport": true
}, {
"id": "Communication.encounter",
"path": "Communication.encounter",
"type": [ {
"code": "Reference",
"aggregation": [ "bundled" ],
"targetProfile": [ "http://medcomfhir.dk/ig/core/StructureDefinition/medcom-core-encounter" ]
} ],
"short": "Shall contain a reference to an Encounter resource with a episodeOfCare-identifier, if the identifier is included in a previous message.",
"mustSupport": true
}, {
"id": "Communication.recipient",
"path": "Communication.recipient",
"type": [ {
"code": "Reference",
"aggregation": [ "bundled" ],
"targetProfile": [ "http://medcomfhir.dk/ig/core/StructureDefinition/medcom-core-practitionerrole", "http://medcomfhir.dk/ig/core/StructureDefinition/medcom-core-careteam" ]
} ],
"short": "Describes a more specific receiver than the MessageHeader.destination.reciever, called a recipient. It may be a careteam a homecare group in the municipality or a named general practitioner.",
"mustSupport": true
}, {
"id": "Communication.payload",
"min": 1,
"path": "Communication.payload",
"short": "Each payload corresponds to a message segment with a signature and a message text or attachment. At least one payload with a message text shall be included.",
"slicing": {
"rules": "open",
"ordered": true,
"discriminator": [ {
"path": "$this.content",
"type": "type"
} ]
}
}, {
"id": "Communication.payload.extension",
"path": "Communication.payload.extension",
"slicing": {
"rules": "open",
"ordered": false,
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Communication.payload.extension:date",
"max": "1",
"min": 0,
"path": "Communication.payload.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-datetime-extension" ]
} ],
"sliceName": "date"
}, {
"id": "Communication.payload.extension:author",
"max": "1",
"min": 0,
"path": "Communication.payload.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-author-extension" ]
} ],
"sliceName": "author"
}, {
"id": "Communication.payload.extension:authorContact",
"max": "1",
"min": 0,
"path": "Communication.payload.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-author-contact-extension" ]
} ],
"sliceName": "authorContact"
}, {
"id": "Communication.payload.extension:identifier",
"max": "1",
"min": 0,
"path": "Communication.payload.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-attachment-identifier-extension" ]
} ],
"sliceName": "identifier"
}, {
"id": "Communication.payload:string",
"max": "*",
"min": 1,
"path": "Communication.payload",
"short": "xhtml content of the message",
"sliceName": "string",
"definition": "xhtml shall be used to markup a text. The xhtml shall be compliant with the narrative text format.",
"mustSupport": true
}, {
"id": "Communication.payload:string.extension",
"min": 3,
"path": "Communication.payload.extension"
}, {
"id": "Communication.payload:string.extension:date",
"max": "1",
"min": 1,
"path": "Communication.payload.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-datetime-extension" ]
} ],
"isSummary": true,
"sliceName": "date",
"mustSupport": true
}, {
"id": "Communication.payload:string.extension:author",
"max": "1",
"min": 1,
"path": "Communication.payload.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-author-extension" ]
} ],
"isSummary": true,
"sliceName": "author",
"mustSupport": true
}, {
"id": "Communication.payload:string.extension:authorContact",
"max": "1",
"min": 1,
"path": "Communication.payload.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-author-contact-extension" ]
} ],
"isSummary": true,
"sliceName": "authorContact",
"mustSupport": true
}, {
"id": "Communication.payload:string.extension:identifier",
"max": "0",
"min": 0,
"path": "Communication.payload.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-attachment-identifier-extension" ]
} ],
"sliceName": "identifier"
}, {
"id": "Communication.payload:string.content[x]",
"path": "Communication.payload.content[x]",
"type": [ {
"code": "string"
} ],
"mustSupport": true
}, {
"id": "Communication.payload:attachment",
"max": "*",
"min": 0,
"path": "Communication.payload",
"short": "The payload with an attachment shall contain all links or content attached to the message.",
"sliceName": "attachment",
"mustSupport": true
}, {
"id": "Communication.payload:attachment.extension",
"min": 2,
"path": "Communication.payload.extension"
}, {
"id": "Communication.payload:attachment.extension:date",
"max": "1",
"min": 1,
"path": "Communication.payload.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-datetime-extension" ]
} ],
"isSummary": true,
"sliceName": "date",
"mustSupport": true
}, {
"id": "Communication.payload:attachment.extension:author",
"max": "1",
"min": 0,
"path": "Communication.payload.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-author-extension" ]
} ],
"sliceName": "author",
"mustSupport": true
}, {
"id": "Communication.payload:attachment.extension:authorContact",
"max": "1",
"min": 0,
"path": "Communication.payload.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-author-contact-extension" ]
} ],
"sliceName": "authorContact",
"mustSupport": true
}, {
"id": "Communication.payload:attachment.extension:identifier",
"max": "1",
"min": 1,
"path": "Communication.payload.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-carecommunication-attachment-identifier-extension" ]
} ],
"isSummary": true,
"sliceName": "identifier",
"mustSupport": true
}, {
"id": "Communication.payload:attachment.content[x]",
"path": "Communication.payload.content[x]",
"type": [ {
"code": "Attachment"
} ],
"slicing": {
"rules": "open",
"ordered": false,
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
},
"mustSupport": true
}, {
"id": "Communication.payload:attachment.contentAttachment",
"max": "1",
"min": 1,
"path": "Communication.payload.contentAttachment",
"mustSupport": true
}, {
"id": "Communication.payload:attachment.contentAttachment.contentType",
"path": "Communication.payload.contentAttachment.contentType",
"short": "The content type shall be present in case the content is provided as an attached document in the data element.",
"binding": {
"strength": "required",
"valueSet": "http://medcomfhir.dk/ig/terminology/ValueSet/medcom-core-attachmentMimeTypes"
},
"mustSupport": true
}, {
"id": "Communication.payload:attachment.contentAttachment.data",
"path": "Communication.payload.contentAttachment.data",
"short": "Shall be present and contain the base64 encoded content if the attachment is an attached document",
"mustSupport": true
}, {
"id": "Communication.payload:attachment.contentAttachment.url",
"path": "Communication.payload.contentAttachment.url",
"short": "Shall be present if the attachment is a link to a document or a web page.",
"mustSupport": true
}, {
"id": "Communication.payload:attachment.contentAttachment.title",
"min": 1,
"path": "Communication.payload.contentAttachment.title",
"mustSupport": true
}, {
"id": "Communication.payload:attachment.contentAttachment.creation",
"path": "Communication.payload.contentAttachment.creation",
"short": "The time the attachment was created",
"mustSupport": true
} ]
},
"contact": [ {
"name": "MedCom",
"telecom": [ {
"value": "http://www.medcom.dk",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Communication"
}