The initial communication sent by a Requester for a record correction.

When creating an initial correct request, this element SHALL be empty. Subsequent communications in either direction (to or from the patient) SHALL populate this element with a reference to the original communication requesting a correction.

Patient Correction Request Communication that this is in response to. This will only be filled in if it represents a response to another Communication resource. It can be used to query and assemble conversation threads related to the request process.

Equivalent to the subject line in an email thread.

• type @ reference

A server-created Correction Task for servicing this correction request.

When creating an initial correction request, this element SHALL be empty. If a processing system creates a Task resource related to a correction request, the server SHALL add a reference to that Task here. Any subsequent communication requests regarding the same correction request SHALL reference the relevant Task if present.

The date that this particular part of the conversation is sent. On the initial request from the Requestor for either correction or logging a disagreement, this date/time will be used as Task.authoredOn to signify when the process was initiated on the Fulfiller.

Depending on the direction of the patient correction communication, the recipient of the communication may be the Fulfiller or it may be the Requester.

Depending on the direction of the patient correction communication, the sender of the communication may be the Requester or it may be the Fulfiller. If spawning a Task relating to an initial request (for either correction or logging of disagreement), the Fulfiller SHALL use this sender to represent the Task.requester.

The contents of this particular conversation component. If this is the original correction request or logging of a disagreement, then the payload would contain the request. If it is the final outcome of the request, then the payload would contain the final outcome information. Otherwise it contains a single message in back and forth conversation needed to process the initial request. Since it is possible to have a Communication resource reference a conversation held outside of the FHIR Rest protocol (email, mail, portal messaging - see Communication.channel) the minimum cardinality is zero. However, it is expected in most cases payload will be valued.

If there is NOT a Task created to work on a correction request, this element MAY contain notes from those that are working on a correction. Notes from Requestors SHOULD be placed into additional communications, so that Fulfillers review them. This element SHALL NOT contain actionable requests from either Requestors or Fulfillers.

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.

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.

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.

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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

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.

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.

The initial communication sent by a Requester for a record correction.

Part of this action.

When creating an initial correct request, this element SHALL be empty. Subsequent communications in either direction (to or from the patient) SHALL populate this element with a reference to the original communication requesting a correction.

Prior communication that this communication is in response to.

Patient Correction Request Communication that this is in response to. This will only be filled in if it represents a response to another Communication resource. It can be used to query and assemble conversation threads related to the request process.

The status of the transmission.

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.

The status of the communication.

The type of message conveyed such as alert, notification, reminder, instruction, etc.

There may be multiple axes of categorization and one communication may serve multiple purposes.

The patient or group that was the focus of this communication.

Description of the purpose/content, similar to a subject line in an email.

Equivalent to the subject line in an email thread.

Communication.topic.text can be used without any codings.

Codes describing the purpose or content of the communication.

Other resources that pertain to this communication and to which this communication should be associated.

Don't use Communication.about element when a more specific element exists, such as basedOn or reasonReference.

• type @ reference

A server-created Correction Task for servicing this correction request.

Other resources that pertain to this communication and to which this communication should be associated.

When creating an initial correction request, this element SHALL be empty. If a processing system creates a Task resource related to a correction request, the server SHALL add a reference to that Task here. Any subsequent communication requests regarding the same correction request SHALL reference the relevant Task if present.

Don't use Communication.about element when a more specific element exists, such as basedOn or reasonReference.

The time when this communication was sent.

The date that this particular part of the conversation is sent. On the initial request from the Requestor for either correction or logging a disagreement, this date/time will be used as Task.authoredOn to signify when the process was initiated on the Fulfiller.

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).

Depending on the direction of the patient correction communication, the recipient of the communication may be the Fulfiller or it may be the Requester.

The entity (e.g. person, organization, clinical information system, or device) which was the source of the communication.

Depending on the direction of the patient correction communication, the sender of the communication may be the Requester or it may be the Fulfiller. If spawning a Task relating to an initial request (for either correction or logging of disagreement), the Fulfiller SHALL use this sender to represent the Task.requester.

Text, attachment(s), or resource(s) that was communicated to the recipient.

The contents of this particular conversation component. If this is the original correction request or logging of a disagreement, then the payload would contain the request. If it is the final outcome of the request, then the payload would contain the final outcome information. Otherwise it contains a single message in back and forth conversation needed to process the initial request. Since it is possible to have a Communication resource reference a conversation held outside of the FHIR Rest protocol (email, mail, portal messaging - see Communication.channel) the minimum cardinality is zero. However, it is expected in most cases payload will be valued.

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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

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.

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.

A communicated content (or for multi-part communications, one portion of the communication).

Additional notes or commentary about the communication by the sender, receiver or other interested parties.

If there is NOT a Task created to work on a correction request, this element MAY contain notes from those that are working on a correction. Notes from Requestors SHOULD be placed into additional communications, so that Fulfillers review them. This element SHALL NOT contain actionable requests from either Requestors or Fulfillers.

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.

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

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.

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.

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.

The base language in which the resource is written.

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).

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.

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.

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.

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.

May be used to represent additional information that is not part of the basic definition of the resource. 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.

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.

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.

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.

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.

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.

This is a business identifier, not a resource identifier (see discussion). 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.

Allows identification of the communication as it is known by various participating systems and in a way that remains consistent across servers.

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.

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.

This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.

An order, proposal or plan fulfilled in whole or in part by this Communication.

This must point to some sort of a 'Request' resource, such as CarePlan, CommunicationRequest, ServiceRequest, MedicationRequest, etc.

The initial communication sent by a Requester for a record correction.

When creating an initial correct request, this element SHALL be empty. Subsequent communications in either direction (to or from the patient) SHALL populate this element with a reference to the original communication requesting a correction.

Prior communication that this communication is in response to.

Patient Correction Request Communication that this is in response to. This will only be filled in if it represents a response to another Communication resource. It can be used to query and assemble conversation threads related to the request process.

The status of the transmission.

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.

Captures the reason for the current state of the Communication.

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.

The type of message conveyed such as alert, notification, reminder, instruction, etc.

There may be multiple axes of categorization and one communication may serve multiple purposes.

Characterizes how quickly the planned or in progress communication must be addressed. Includes concepts such as stat, urgent, routine.

Used to prioritize workflow (such as which communication to read first) when the communication is planned or in progress.

A channel that was used for this communication (e.g. email, fax).

The patient or group that was the focus of this communication.

Description of the purpose/content, similar to a subject line in an email.

Equivalent to the subject line in an email thread.

Other resources that pertain to this communication and to which this communication should be associated.

Don't use Communication.about element when a more specific element exists, such as basedOn or reasonReference.

• type @ reference

A server-created Correction Task for servicing this correction request.

When creating an initial correction request, this element SHALL be empty. If a processing system creates a Task resource related to a correction request, the server SHALL add a reference to that Task here. Any subsequent communication requests regarding the same correction request SHALL reference the relevant Task if present.

The Encounter during which this Communication was created or to which the creation of this record is tightly associated.

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.

The time when this communication was sent.

The date that this particular part of the conversation is sent. On the initial request from the Requestor for either correction or logging a disagreement, this date/time will be used as Task.authoredOn to signify when the process was initiated on the Fulfiller.

The time when this communication arrived at the destination.

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).

Depending on the direction of the patient correction communication, the recipient of the communication may be the Fulfiller or it may be the Requester.

The entity (e.g. person, organization, clinical information system, or device) which was the source of the communication.

Depending on the direction of the patient correction communication, the sender of the communication may be the Requester or it may be the Fulfiller. If spawning a Task relating to an initial request (for either correction or logging of disagreement), the Fulfiller SHALL use this sender to represent the Task.requester.

The reason or justification for the communication.

Textual reasons can be captured using reasonCode.text.

Indicates another resource whose existence justifies this communication.

Text, attachment(s), or resource(s) that was communicated to the recipient.

The contents of this particular conversation component. If this is the original correction request or logging of a disagreement, then the payload would contain the request. If it is the final outcome of the request, then the payload would contain the final outcome information. Otherwise it contains a single message in back and forth conversation needed to process the initial request. Since it is possible to have a Communication resource reference a conversation held outside of the FHIR Rest protocol (email, mail, portal messaging - see Communication.channel) the minimum cardinality is zero. However, it is expected in most cases payload will be valued.

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

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.

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.

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.

A communicated content (or for multi-part communications, one portion of the communication).

Additional notes or commentary about the communication by the sender, receiver or other interested parties.

If there is NOT a Task created to work on a correction request, this element MAY contain notes from those that are working on a correction. Notes from Requestors SHOULD be placed into additional communications, so that Fulfillers review them. This element SHALL NOT contain actionable requests from either Requestors or Fulfillers.