Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication	C	0..*	Communication	A record of information transmitted from a sender to a receiver Constraints: stopped-status-statusReason, only-asap-or-routine, topic-required-when-category-other, practitionerrole-author-coding-xor-text, practitioner-author-must-have-name, priority-category-invariant, uuidv4, atLeastOnePayloadString, payloadAttachment-contentType-required, no-standard-sender, category-not-required-if-dest-TBD
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		4..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(PractitionerRole)	sending practitioner role URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitionerrole-extension
extension:practitioner	S	0..1	Reference(Practitioner)	sending practitioner URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitioner-extension
extension:destination	S	1..1	Reference(Organization)	Organization receiving the message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-destination-extension
extension:origin	S	1..1	Reference(Organization)	Reference to the sending organization of the message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-origin-organization-extension
extension:sender	S	0..1	Reference(CareTeam | PractitionerRole)	Sending actor URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-sending-actor-extension
extension:messageType	S	1..1	code	Message type URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-message-Type-extension Binding: Message Type ValueSet (required)
extension:administrativeStatus		1..1	Coding	The administrative status of how a message recipient has handled a message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-administrative-status Binding: Administrative Status (required)
extension:medComCareCommunicationBundle	S	0..1	Reference(Bundle)	carecommunication bundle URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-Carecommunication-bundle-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	The communication identifier
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
value	SΣ	1..1	string	The value that is unique Example General: 123456
inResponseTo	S	0..1	Reference(Communication)	Reply to
status	?!SΣ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication.
category	S	0..1	CodeableConcept	Message category Binding: eHealth CareCommunication Categories (required)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
priority	SΣ	0..1	code	Shall be present if the message priority is known to be ASAP, but is only allowed when the category is 'regarding referral', see priority-category-invariant Binding: eHealth CareCommunication Priorities (required)
subject	SΣ	1..1	Reference(Patient)	Focus of message
topic	S	0..1	CodeableConcept	Description of the purpose/content Binding: CommunicationTopic (example): Codes describing the purpose or content of the communication.
text	SΣ	1..1	string	Plain text representation of the concept.
encounter	SΣ	0..1	Reference(Encounter)	Encounter created as part of
recipient	S	0..1	Reference(CareTeam | PractitionerRole)	The recieving actor of the message
Slices for payload		1..*	BackboneElement	Message payload Slice: Unordered, Open by type:content[x]
payload:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
content[x]		1..1		Message part content
contentString			string
contentAttachment			Attachment
contentReference			Reference(Resource)
payload:string		1..*	BackboneElement	Message payload
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:date	S	1..1	dateTime	Payload dateTime URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-datetime-extension
extension:authorContact	S	1..1	ContactPoint	Payload author contact URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-contact-extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for content[x]		1..1	string	Message part content Slice: Unordered, Closed by type:$this
content[x]:contentString	S	1..1	string	Message part content
payload:attachment		0..*	BackboneElement	Message payload
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:date	S	1..1	dateTime	Payload dateTime URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-datetime-extension
extension:authorContact	S	0..1	ContactPoint	Payload author contact URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-contact-extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for content[x]		1..1	Attachment	Message part content Slice: Unordered, Closed by type:$this
content[x]:contentAttachment	S	1..1	Attachment	Message part content
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Communication.identifier.​use	Base	required	IdentifierUse	📦4.0.1	FHIR Std.
Communication.status	Base	required	EventStatus	📍4.0.1	FHIR Std.
Communication.category	Base	required	eHealth CareCommunication Categories	📦7.0.0	This IG
Communication.priority	Base	required	eHealth CareCommunication Priorities	📦7.0.0	This IG
Communication.topic	Base	example	CommunicationTopic	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
atLeastOnePayloadString	error	Communication	At least one payload segment shall have a message text (payload.contentString)	payload.contentString.exists()
category-not-required-if-dest-TBD	error	Communication	category may be omitted if extension 'destination' is the reference FUTORGANIZATIONREFERENCETBD, otherwise category must be present	extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-destination-extension').value.as(Reference).reference = 'FUTORGANIZATIONREFERENCETBD' or category.exists()
dom-2	error	Communication	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Communication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Communication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Communication	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Communication	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
no-standard-sender	error	Communication	The standard Communication.sender element SHALL NOT be used. Use the ehealth-sending-actor extension instead.	sender.empty()
only-asap-or-routine	error	Communication	priority must be either 'asap' or 'routine'	priority = 'asap' or priority = 'routine'
payloadAttachment-contentType-required	error	Communication	contentType SHALL be present if data or url is present in Attachment	payload.contentAttachment.data.exists() or payload.contentAttachment.url.exists() implies payload.contentAttachment.contentType.exists()
practitioner-author-must-have-name	error	Communication	If a Practitioner is used as author in a message segment, the referenced Practitioner must have a name.	payload.where(extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitioner').exists()).extension.value.reference.resolve().practitioner.resolve().name.exists()
practitionerrole-author-coding-xor-text	error	Communication	If a PractitionerRole is used as an author (via the Practitioner extension), then either code.coding.code or code.text must exist—but not both.	payload.extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitioner').value.resolve().all(code.coding.code.exists() xor code.text.exists())
priority-category-invariant	error	Communication	Priority must not be present when category is not 'regarding-referral'.	where(category.coding.code != 'regarding-referral').priority.empty()
stopped-status-statusReason	error	Communication	If status is 'stopped', statusReason must be either 'system-error' or 'recipient-unavailable'.	status != 'stopped' or statusReason.coding.where(code = 'system-error' or code = 'recipient-unavailable').exists()
topic-required-when-category-other	error	Communication	topic must be present when category is 'other'.	iif(category.coding.code != 'other', true, category.coding.code = 'other' and topic.exists())
uuidv4	error	Communication	The identifier.value SHALL be a valid UUID v4	identifier.value.matches('^[0-9a-f]{8}-[0-9a-f]{4}-4[0-9a-f]{3}-[89ab][0-9a-f]{3}-[0-9a-f]{12}$')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication	C	0..*	Communication	A record of information transmitted from a sender to a receiver Constraints: stopped-status-statusReason, only-asap-or-routine, topic-required-when-category-other, practitionerrole-author-coding-xor-text, practitioner-author-must-have-name, priority-category-invariant, uuidv4, atLeastOnePayloadString, payloadAttachment-contentType-required, no-standard-sender, category-not-required-if-dest-TBD
Slices for extension		4..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(PractitionerRole)	sending practitioner role URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitionerrole-extension
extension:practitioner	S	0..1	Reference(Practitioner)	sending practitioner URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitioner-extension
extension:destination	S	1..1	Reference(Organization)	Organization receiving the message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-destination-extension
extension:origin	S	1..1	Reference(Organization)	Reference to the sending organization of the message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-origin-organization-extension
extension:sender	S	0..1	Reference(CareTeam | PractitionerRole)	Sending actor URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-sending-actor-extension
extension:messageType	S	1..1	code	Message type URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-message-Type-extension Binding: Message Type ValueSet (required)
extension:administrativeStatus		1..1	Coding	The administrative status of how a message recipient has handled a message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-administrative-status Binding: Administrative Status (required)
extension:medComCareCommunicationBundle	S	0..1	Reference(Bundle)	carecommunication bundle URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-Carecommunication-bundle-extension
identifier	S	1..1	Identifier	The communication identifier
use		0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
value	S	1..1	string	The value that is unique
basedOn		0..0		Request fulfilled by this communication
partOf		0..0		Part of this action
inResponseTo	S	0..1	Reference(Communication)	Reply to
status	S	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
category	S	0..1	CodeableConcept	Message category Binding: eHealth CareCommunication Categories (required)
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
priority	S	0..1	code	Shall be present if the message priority is known to be ASAP, but is only allowed when the category is 'regarding referral', see priority-category-invariant Binding: eHealth CareCommunication Priorities (required)
subject	S	1..1	Reference(Patient)	Focus of message
topic	S	0..1	CodeableConcept	Description of the purpose/content
text	S	1..1	string	Plain text representation of the concept.
encounter	S	0..1	Reference(Encounter)	Encounter created as part of
recipient	S	0..1	Reference(CareTeam | PractitionerRole)	The recieving actor of the message
sender		0..0		Message sender
Slices for payload		1..*	BackboneElement	Message payload Slice: Unordered, Open by type:content[x]
payload:string		1..*	BackboneElement	Message payload
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:date	S	1..1	dateTime	Payload dateTime URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-datetime-extension
extension:authorContact	S	1..1	ContactPoint	Payload author contact URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-contact-extension
Slices for content[x]		1..1	string	Message part content Slice: Unordered, Open by type:$this
content[x]:contentString	S	1..1	string	Message part content
payload:attachment		0..*	BackboneElement	Message payload
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:date	S	1..1	dateTime	Payload dateTime URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-datetime-extension
extension:authorContact	S	0..1	ContactPoint	Payload author contact URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-contact-extension
Slices for content[x]		1..1	Attachment	Message part content Slice: Unordered, Open by type:$this
content[x]:contentAttachment	S	1..1	Attachment	Message part content
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Communication.identifier.​use	Base	required	IdentifierUse	📦4.0.1	FHIR Std.
Communication.category	Base	required	eHealth CareCommunication Categories	📦7.0.0	This IG
Communication.priority	Base	required	eHealth CareCommunication Priorities	📦7.0.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
atLeastOnePayloadString	error	Communication	At least one payload segment shall have a message text (payload.contentString)	payload.contentString.exists()
category-not-required-if-dest-TBD	error	Communication	category may be omitted if extension 'destination' is the reference FUTORGANIZATIONREFERENCETBD, otherwise category must be present	extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-destination-extension').value.as(Reference).reference = 'FUTORGANIZATIONREFERENCETBD' or category.exists()
no-standard-sender	error	Communication	The standard Communication.sender element SHALL NOT be used. Use the ehealth-sending-actor extension instead.	sender.empty()
only-asap-or-routine	error	Communication	priority must be either 'asap' or 'routine'	priority = 'asap' or priority = 'routine'
payloadAttachment-contentType-required	error	Communication	contentType SHALL be present if data or url is present in Attachment	payload.contentAttachment.data.exists() or payload.contentAttachment.url.exists() implies payload.contentAttachment.contentType.exists()
practitioner-author-must-have-name	error	Communication	If a Practitioner is used as author in a message segment, the referenced Practitioner must have a name.	payload.where(extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitioner').exists()).extension.value.reference.resolve().practitioner.resolve().name.exists()
practitionerrole-author-coding-xor-text	error	Communication	If a PractitionerRole is used as an author (via the Practitioner extension), then either code.coding.code or code.text must exist—but not both.	payload.extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitioner').value.resolve().all(code.coding.code.exists() xor code.text.exists())
priority-category-invariant	error	Communication	Priority must not be present when category is not 'regarding-referral'.	where(category.coding.code != 'regarding-referral').priority.empty()
stopped-status-statusReason	error	Communication	If status is 'stopped', statusReason must be either 'system-error' or 'recipient-unavailable'.	status != 'stopped' or statusReason.coding.where(code = 'system-error' or code = 'recipient-unavailable').exists()
topic-required-when-category-other	error	Communication	topic must be present when category is 'other'.	iif(category.coding.code != 'other', true, category.coding.code = 'other' and topic.exists())
uuidv4	error	Communication	The identifier.value SHALL be a valid UUID v4	identifier.value.matches('^[0-9a-f]{8}-[0-9a-f]{4}-4[0-9a-f]{3}-[89ab][0-9a-f]{3}-[0-9a-f]{12}$')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication	C	0..*	Communication	A record of information transmitted from a sender to a receiver Constraints: stopped-status-statusReason, only-asap-or-routine, topic-required-when-category-other, practitionerrole-author-coding-xor-text, practitioner-author-must-have-name, priority-category-invariant, uuidv4, atLeastOnePayloadString, payloadAttachment-contentType-required, no-standard-sender, category-not-required-if-dest-TBD
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		4..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(PractitionerRole)	sending practitioner role URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitionerrole-extension
extension:practitioner	S	0..1	Reference(Practitioner)	sending practitioner URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitioner-extension
extension:destination	S	1..1	Reference(Organization)	Organization receiving the message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-destination-extension
extension:origin	S	1..1	Reference(Organization)	Reference to the sending organization of the message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-origin-organization-extension
extension:sender	S	0..1	Reference(CareTeam | PractitionerRole)	Sending actor URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-sending-actor-extension
extension:messageType	S	1..1	code	Message type URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-message-Type-extension Binding: Message Type ValueSet (required)
extension:administrativeStatus		1..1	Coding	The administrative status of how a message recipient has handled a message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-administrative-status Binding: Administrative Status (required)
extension:medComCareCommunicationBundle	S	0..1	Reference(Bundle)	carecommunication bundle URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-Carecommunication-bundle-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	The communication identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
inResponseTo	S	0..1	Reference(Communication)	Reply to
status	?!SΣ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication.
statusReason	Σ	0..1	CodeableConcept	Reason for current status Binding: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen.
category	S	0..1	CodeableConcept	Message category Binding: eHealth CareCommunication Categories (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
priority	SΣ	0..1	code	Shall be present if the message priority is known to be ASAP, but is only allowed when the category is 'regarding referral', see priority-category-invariant Binding: eHealth CareCommunication Priorities (required)
medium		0..*	CodeableConcept	A channel of communication Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.
subject	SΣ	1..1	Reference(Patient)	Focus of message
topic	S	0..1	CodeableConcept	Description of the purpose/content Binding: CommunicationTopic (example): Codes describing the purpose or content of the communication.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	1..1	string	Plain text representation of the concept.
about		0..*	Reference(Resource)	Resources that pertain to this communication
encounter	SΣ	0..1	Reference(Encounter)	Encounter created as part of
sent		0..1	dateTime	When sent
received		0..1	dateTime	When received
recipient	S	0..1	Reference(CareTeam | PractitionerRole)	The recieving actor of the message
reasonCode	Σ	0..*	CodeableConcept	Indication for message Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication.
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Why was communication done?
Slices for payload		1..*	BackboneElement	Message payload Slice: Unordered, Open by type:content[x]
payload:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
content[x]		1..1		Message part content
contentString			string
contentAttachment			Attachment
contentReference			Reference(Resource)
payload:string		1..*	BackboneElement	Message payload
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:date	S	1..1	dateTime	Payload dateTime URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-datetime-extension
extension:authorContact	S	1..1	ContactPoint	Payload author contact URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-contact-extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for content[x]		1..1	string	Message part content Slice: Unordered, Closed by type:$this
content[x]:contentString	S	1..1	string	Message part content
payload:attachment		0..*	BackboneElement	Message payload
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:date	S	1..1	dateTime	Payload dateTime URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-datetime-extension
extension:authorContact	S	0..1	ContactPoint	Payload author contact URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-contact-extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for content[x]		1..1	Attachment	Message part content Slice: Unordered, Closed by type:$this
content[x]:contentAttachment	S	1..1	Attachment	Message part content
note		0..*	Annotation	Comments made about the communication
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Communication.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Communication.identifier.​use	Base	required	IdentifierUse	📦4.0.1	FHIR Std.
Communication.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Communication.status	Base	required	EventStatus	📍4.0.1	FHIR Std.
Communication.statusReason	Base	example	CommunicationNotDoneReason	📍4.0.1	FHIR Std.
Communication.category	Base	required	eHealth CareCommunication Categories	📦7.0.0	This IG
Communication.priority	Base	required	eHealth CareCommunication Priorities	📦7.0.0	This IG
Communication.medium	Base	example	ParticipationMode	📦3.0.0	THO v7.0
Communication.topic	Base	example	CommunicationTopic	📍4.0.1	FHIR Std.
Communication.reasonCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
atLeastOnePayloadString	error	Communication	At least one payload segment shall have a message text (payload.contentString)	payload.contentString.exists()
category-not-required-if-dest-TBD	error	Communication	category may be omitted if extension 'destination' is the reference FUTORGANIZATIONREFERENCETBD, otherwise category must be present	extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-destination-extension').value.as(Reference).reference = 'FUTORGANIZATIONREFERENCETBD' or category.exists()
dom-2	error	Communication	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Communication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Communication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Communication	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Communication	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
no-standard-sender	error	Communication	The standard Communication.sender element SHALL NOT be used. Use the ehealth-sending-actor extension instead.	sender.empty()
only-asap-or-routine	error	Communication	priority must be either 'asap' or 'routine'	priority = 'asap' or priority = 'routine'
payloadAttachment-contentType-required	error	Communication	contentType SHALL be present if data or url is present in Attachment	payload.contentAttachment.data.exists() or payload.contentAttachment.url.exists() implies payload.contentAttachment.contentType.exists()
practitioner-author-must-have-name	error	Communication	If a Practitioner is used as author in a message segment, the referenced Practitioner must have a name.	payload.where(extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitioner').exists()).extension.value.reference.resolve().practitioner.resolve().name.exists()
practitionerrole-author-coding-xor-text	error	Communication	If a PractitionerRole is used as an author (via the Practitioner extension), then either code.coding.code or code.text must exist—but not both.	payload.extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitioner').value.resolve().all(code.coding.code.exists() xor code.text.exists())
priority-category-invariant	error	Communication	Priority must not be present when category is not 'regarding-referral'.	where(category.coding.code != 'regarding-referral').priority.empty()
stopped-status-statusReason	error	Communication	If status is 'stopped', statusReason must be either 'system-error' or 'recipient-unavailable'.	status != 'stopped' or statusReason.coding.where(code = 'system-error' or code = 'recipient-unavailable').exists()
topic-required-when-category-other	error	Communication	topic must be present when category is 'other'.	iif(category.coding.code != 'other', true, category.coding.code = 'other' and topic.exists())
uuidv4	error	Communication	The identifier.value SHALL be a valid UUID v4	identifier.value.matches('^[0-9a-f]{8}-[0-9a-f]{4}-4[0-9a-f]{3}-[89ab][0-9a-f]{3}-[0-9a-f]{12}$')

Summary

Mandatory: 12 elements(7 nested mandatory elements)
Must-Support: 26 elements
Prohibited: 3 elements

Extensions

This structure refers to these extensions:

• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitionerrole-extension
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitioner-extension
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-destination-extension
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-origin-organization-extension
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-sending-actor-extension
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-message-Type-extension
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-administrative-status
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-Carecommunication-bundle-extension
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-datetime-extension
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-contact-extension

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Communication.payload
• The element 1 is sliced based on the value of Communication.payload.content[x]

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication	C	0..*	Communication	A record of information transmitted from a sender to a receiver Constraints: stopped-status-statusReason, only-asap-or-routine, topic-required-when-category-other, practitionerrole-author-coding-xor-text, practitioner-author-must-have-name, priority-category-invariant, uuidv4, atLeastOnePayloadString, payloadAttachment-contentType-required, no-standard-sender, category-not-required-if-dest-TBD
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		4..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(PractitionerRole)	sending practitioner role URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitionerrole-extension
extension:practitioner	S	0..1	Reference(Practitioner)	sending practitioner URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitioner-extension
extension:destination	S	1..1	Reference(Organization)	Organization receiving the message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-destination-extension
extension:origin	S	1..1	Reference(Organization)	Reference to the sending organization of the message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-origin-organization-extension
extension:sender	S	0..1	Reference(CareTeam | PractitionerRole)	Sending actor URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-sending-actor-extension
extension:messageType	S	1..1	code	Message type URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-message-Type-extension Binding: Message Type ValueSet (required)
extension:administrativeStatus		1..1	Coding	The administrative status of how a message recipient has handled a message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-administrative-status Binding: Administrative Status (required)
extension:medComCareCommunicationBundle	S	0..1	Reference(Bundle)	carecommunication bundle URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-Carecommunication-bundle-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	The communication identifier
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
value	SΣ	1..1	string	The value that is unique Example General: 123456
inResponseTo	S	0..1	Reference(Communication)	Reply to
status	?!SΣ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication.
category	S	0..1	CodeableConcept	Message category Binding: eHealth CareCommunication Categories (required)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
priority	SΣ	0..1	code	Shall be present if the message priority is known to be ASAP, but is only allowed when the category is 'regarding referral', see priority-category-invariant Binding: eHealth CareCommunication Priorities (required)
subject	SΣ	1..1	Reference(Patient)	Focus of message
topic	S	0..1	CodeableConcept	Description of the purpose/content Binding: CommunicationTopic (example): Codes describing the purpose or content of the communication.
text	SΣ	1..1	string	Plain text representation of the concept.
encounter	SΣ	0..1	Reference(Encounter)	Encounter created as part of
recipient	S	0..1	Reference(CareTeam | PractitionerRole)	The recieving actor of the message
Slices for payload		1..*	BackboneElement	Message payload Slice: Unordered, Open by type:content[x]
payload:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
content[x]		1..1		Message part content
contentString			string
contentAttachment			Attachment
contentReference			Reference(Resource)
payload:string		1..*	BackboneElement	Message payload
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:date	S	1..1	dateTime	Payload dateTime URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-datetime-extension
extension:authorContact	S	1..1	ContactPoint	Payload author contact URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-contact-extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for content[x]		1..1	string	Message part content Slice: Unordered, Closed by type:$this
content[x]:contentString	S	1..1	string	Message part content
payload:attachment		0..*	BackboneElement	Message payload
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:date	S	1..1	dateTime	Payload dateTime URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-datetime-extension
extension:authorContact	S	0..1	ContactPoint	Payload author contact URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-contact-extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for content[x]		1..1	Attachment	Message part content Slice: Unordered, Closed by type:$this
content[x]:contentAttachment	S	1..1	Attachment	Message part content
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Communication.identifier.​use	Base	required	IdentifierUse	📦4.0.1	FHIR Std.
Communication.status	Base	required	EventStatus	📍4.0.1	FHIR Std.
Communication.category	Base	required	eHealth CareCommunication Categories	📦7.0.0	This IG
Communication.priority	Base	required	eHealth CareCommunication Priorities	📦7.0.0	This IG
Communication.topic	Base	example	CommunicationTopic	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
atLeastOnePayloadString	error	Communication	At least one payload segment shall have a message text (payload.contentString)	payload.contentString.exists()
category-not-required-if-dest-TBD	error	Communication	category may be omitted if extension 'destination' is the reference FUTORGANIZATIONREFERENCETBD, otherwise category must be present	extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-destination-extension').value.as(Reference).reference = 'FUTORGANIZATIONREFERENCETBD' or category.exists()
dom-2	error	Communication	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Communication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Communication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Communication	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Communication	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
no-standard-sender	error	Communication	The standard Communication.sender element SHALL NOT be used. Use the ehealth-sending-actor extension instead.	sender.empty()
only-asap-or-routine	error	Communication	priority must be either 'asap' or 'routine'	priority = 'asap' or priority = 'routine'
payloadAttachment-contentType-required	error	Communication	contentType SHALL be present if data or url is present in Attachment	payload.contentAttachment.data.exists() or payload.contentAttachment.url.exists() implies payload.contentAttachment.contentType.exists()
practitioner-author-must-have-name	error	Communication	If a Practitioner is used as author in a message segment, the referenced Practitioner must have a name.	payload.where(extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitioner').exists()).extension.value.reference.resolve().practitioner.resolve().name.exists()
practitionerrole-author-coding-xor-text	error	Communication	If a PractitionerRole is used as an author (via the Practitioner extension), then either code.coding.code or code.text must exist—but not both.	payload.extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitioner').value.resolve().all(code.coding.code.exists() xor code.text.exists())
priority-category-invariant	error	Communication	Priority must not be present when category is not 'regarding-referral'.	where(category.coding.code != 'regarding-referral').priority.empty()
stopped-status-statusReason	error	Communication	If status is 'stopped', statusReason must be either 'system-error' or 'recipient-unavailable'.	status != 'stopped' or statusReason.coding.where(code = 'system-error' or code = 'recipient-unavailable').exists()
topic-required-when-category-other	error	Communication	topic must be present when category is 'other'.	iif(category.coding.code != 'other', true, category.coding.code = 'other' and topic.exists())
uuidv4	error	Communication	The identifier.value SHALL be a valid UUID v4	identifier.value.matches('^[0-9a-f]{8}-[0-9a-f]{4}-4[0-9a-f]{3}-[89ab][0-9a-f]{3}-[0-9a-f]{12}$')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication	C	0..*	Communication	A record of information transmitted from a sender to a receiver Constraints: stopped-status-statusReason, only-asap-or-routine, topic-required-when-category-other, practitionerrole-author-coding-xor-text, practitioner-author-must-have-name, priority-category-invariant, uuidv4, atLeastOnePayloadString, payloadAttachment-contentType-required, no-standard-sender, category-not-required-if-dest-TBD
Slices for extension		4..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(PractitionerRole)	sending practitioner role URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitionerrole-extension
extension:practitioner	S	0..1	Reference(Practitioner)	sending practitioner URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitioner-extension
extension:destination	S	1..1	Reference(Organization)	Organization receiving the message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-destination-extension
extension:origin	S	1..1	Reference(Organization)	Reference to the sending organization of the message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-origin-organization-extension
extension:sender	S	0..1	Reference(CareTeam | PractitionerRole)	Sending actor URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-sending-actor-extension
extension:messageType	S	1..1	code	Message type URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-message-Type-extension Binding: Message Type ValueSet (required)
extension:administrativeStatus		1..1	Coding	The administrative status of how a message recipient has handled a message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-administrative-status Binding: Administrative Status (required)
extension:medComCareCommunicationBundle	S	0..1	Reference(Bundle)	carecommunication bundle URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-Carecommunication-bundle-extension
identifier	S	1..1	Identifier	The communication identifier
use		0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
value	S	1..1	string	The value that is unique
basedOn		0..0		Request fulfilled by this communication
partOf		0..0		Part of this action
inResponseTo	S	0..1	Reference(Communication)	Reply to
status	S	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
category	S	0..1	CodeableConcept	Message category Binding: eHealth CareCommunication Categories (required)
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
priority	S	0..1	code	Shall be present if the message priority is known to be ASAP, but is only allowed when the category is 'regarding referral', see priority-category-invariant Binding: eHealth CareCommunication Priorities (required)
subject	S	1..1	Reference(Patient)	Focus of message
topic	S	0..1	CodeableConcept	Description of the purpose/content
text	S	1..1	string	Plain text representation of the concept.
encounter	S	0..1	Reference(Encounter)	Encounter created as part of
recipient	S	0..1	Reference(CareTeam | PractitionerRole)	The recieving actor of the message
sender		0..0		Message sender
Slices for payload		1..*	BackboneElement	Message payload Slice: Unordered, Open by type:content[x]
payload:string		1..*	BackboneElement	Message payload
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:date	S	1..1	dateTime	Payload dateTime URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-datetime-extension
extension:authorContact	S	1..1	ContactPoint	Payload author contact URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-contact-extension
Slices for content[x]		1..1	string	Message part content Slice: Unordered, Open by type:$this
content[x]:contentString	S	1..1	string	Message part content
payload:attachment		0..*	BackboneElement	Message payload
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:date	S	1..1	dateTime	Payload dateTime URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-datetime-extension
extension:authorContact	S	0..1	ContactPoint	Payload author contact URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-contact-extension
Slices for content[x]		1..1	Attachment	Message part content Slice: Unordered, Open by type:$this
content[x]:contentAttachment	S	1..1	Attachment	Message part content
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Communication.identifier.​use	Base	required	IdentifierUse	📦4.0.1	FHIR Std.
Communication.category	Base	required	eHealth CareCommunication Categories	📦7.0.0	This IG
Communication.priority	Base	required	eHealth CareCommunication Priorities	📦7.0.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
atLeastOnePayloadString	error	Communication	At least one payload segment shall have a message text (payload.contentString)	payload.contentString.exists()
category-not-required-if-dest-TBD	error	Communication	category may be omitted if extension 'destination' is the reference FUTORGANIZATIONREFERENCETBD, otherwise category must be present	extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-destination-extension').value.as(Reference).reference = 'FUTORGANIZATIONREFERENCETBD' or category.exists()
no-standard-sender	error	Communication	The standard Communication.sender element SHALL NOT be used. Use the ehealth-sending-actor extension instead.	sender.empty()
only-asap-or-routine	error	Communication	priority must be either 'asap' or 'routine'	priority = 'asap' or priority = 'routine'
payloadAttachment-contentType-required	error	Communication	contentType SHALL be present if data or url is present in Attachment	payload.contentAttachment.data.exists() or payload.contentAttachment.url.exists() implies payload.contentAttachment.contentType.exists()
practitioner-author-must-have-name	error	Communication	If a Practitioner is used as author in a message segment, the referenced Practitioner must have a name.	payload.where(extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitioner').exists()).extension.value.reference.resolve().practitioner.resolve().name.exists()
practitionerrole-author-coding-xor-text	error	Communication	If a PractitionerRole is used as an author (via the Practitioner extension), then either code.coding.code or code.text must exist—but not both.	payload.extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitioner').value.resolve().all(code.coding.code.exists() xor code.text.exists())
priority-category-invariant	error	Communication	Priority must not be present when category is not 'regarding-referral'.	where(category.coding.code != 'regarding-referral').priority.empty()
stopped-status-statusReason	error	Communication	If status is 'stopped', statusReason must be either 'system-error' or 'recipient-unavailable'.	status != 'stopped' or statusReason.coding.where(code = 'system-error' or code = 'recipient-unavailable').exists()
topic-required-when-category-other	error	Communication	topic must be present when category is 'other'.	iif(category.coding.code != 'other', true, category.coding.code = 'other' and topic.exists())
uuidv4	error	Communication	The identifier.value SHALL be a valid UUID v4	identifier.value.matches('^[0-9a-f]{8}-[0-9a-f]{4}-4[0-9a-f]{3}-[89ab][0-9a-f]{3}-[0-9a-f]{12}$')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication	C	0..*	Communication	A record of information transmitted from a sender to a receiver Constraints: stopped-status-statusReason, only-asap-or-routine, topic-required-when-category-other, practitionerrole-author-coding-xor-text, practitioner-author-must-have-name, priority-category-invariant, uuidv4, atLeastOnePayloadString, payloadAttachment-contentType-required, no-standard-sender, category-not-required-if-dest-TBD
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		4..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(PractitionerRole)	sending practitioner role URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitionerrole-extension
extension:practitioner	S	0..1	Reference(Practitioner)	sending practitioner URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitioner-extension
extension:destination	S	1..1	Reference(Organization)	Organization receiving the message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-destination-extension
extension:origin	S	1..1	Reference(Organization)	Reference to the sending organization of the message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-origin-organization-extension
extension:sender	S	0..1	Reference(CareTeam | PractitionerRole)	Sending actor URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-sending-actor-extension
extension:messageType	S	1..1	code	Message type URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-message-Type-extension Binding: Message Type ValueSet (required)
extension:administrativeStatus		1..1	Coding	The administrative status of how a message recipient has handled a message URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-administrative-status Binding: Administrative Status (required)
extension:medComCareCommunicationBundle	S	0..1	Reference(Bundle)	carecommunication bundle URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-Carecommunication-bundle-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	The communication identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
inResponseTo	S	0..1	Reference(Communication)	Reply to
status	?!SΣ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication.
statusReason	Σ	0..1	CodeableConcept	Reason for current status Binding: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen.
category	S	0..1	CodeableConcept	Message category Binding: eHealth CareCommunication Categories (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
priority	SΣ	0..1	code	Shall be present if the message priority is known to be ASAP, but is only allowed when the category is 'regarding referral', see priority-category-invariant Binding: eHealth CareCommunication Priorities (required)
medium		0..*	CodeableConcept	A channel of communication Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.
subject	SΣ	1..1	Reference(Patient)	Focus of message
topic	S	0..1	CodeableConcept	Description of the purpose/content Binding: CommunicationTopic (example): Codes describing the purpose or content of the communication.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	1..1	string	Plain text representation of the concept.
about		0..*	Reference(Resource)	Resources that pertain to this communication
encounter	SΣ	0..1	Reference(Encounter)	Encounter created as part of
sent		0..1	dateTime	When sent
received		0..1	dateTime	When received
recipient	S	0..1	Reference(CareTeam | PractitionerRole)	The recieving actor of the message
reasonCode	Σ	0..*	CodeableConcept	Indication for message Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication.
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Why was communication done?
Slices for payload		1..*	BackboneElement	Message payload Slice: Unordered, Open by type:content[x]
payload:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
content[x]		1..1		Message part content
contentString			string
contentAttachment			Attachment
contentReference			Reference(Resource)
payload:string		1..*	BackboneElement	Message payload
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:date	S	1..1	dateTime	Payload dateTime URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-datetime-extension
extension:authorContact	S	1..1	ContactPoint	Payload author contact URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-contact-extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for content[x]		1..1	string	Message part content Slice: Unordered, Closed by type:$this
content[x]:contentString	S	1..1	string	Message part content
payload:attachment		0..*	BackboneElement	Message payload
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:date	S	1..1	dateTime	Payload dateTime URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-datetime-extension
extension:authorContact	S	0..1	ContactPoint	Payload author contact URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-contact-extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for content[x]		1..1	Attachment	Message part content Slice: Unordered, Closed by type:$this
content[x]:contentAttachment	S	1..1	Attachment	Message part content
note		0..*	Annotation	Comments made about the communication
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Communication.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Communication.identifier.​use	Base	required	IdentifierUse	📦4.0.1	FHIR Std.
Communication.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Communication.status	Base	required	EventStatus	📍4.0.1	FHIR Std.
Communication.statusReason	Base	example	CommunicationNotDoneReason	📍4.0.1	FHIR Std.
Communication.category	Base	required	eHealth CareCommunication Categories	📦7.0.0	This IG
Communication.priority	Base	required	eHealth CareCommunication Priorities	📦7.0.0	This IG
Communication.medium	Base	example	ParticipationMode	📦3.0.0	THO v7.0
Communication.topic	Base	example	CommunicationTopic	📍4.0.1	FHIR Std.
Communication.reasonCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
atLeastOnePayloadString	error	Communication	At least one payload segment shall have a message text (payload.contentString)	payload.contentString.exists()
category-not-required-if-dest-TBD	error	Communication	category may be omitted if extension 'destination' is the reference FUTORGANIZATIONREFERENCETBD, otherwise category must be present	extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-destination-extension').value.as(Reference).reference = 'FUTORGANIZATIONREFERENCETBD' or category.exists()
dom-2	error	Communication	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Communication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Communication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Communication	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Communication	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
no-standard-sender	error	Communication	The standard Communication.sender element SHALL NOT be used. Use the ehealth-sending-actor extension instead.	sender.empty()
only-asap-or-routine	error	Communication	priority must be either 'asap' or 'routine'	priority = 'asap' or priority = 'routine'
payloadAttachment-contentType-required	error	Communication	contentType SHALL be present if data or url is present in Attachment	payload.contentAttachment.data.exists() or payload.contentAttachment.url.exists() implies payload.contentAttachment.contentType.exists()
practitioner-author-must-have-name	error	Communication	If a Practitioner is used as author in a message segment, the referenced Practitioner must have a name.	payload.where(extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitioner').exists()).extension.value.reference.resolve().practitioner.resolve().name.exists()
practitionerrole-author-coding-xor-text	error	Communication	If a PractitionerRole is used as an author (via the Practitioner extension), then either code.coding.code or code.text must exist—but not both.	payload.extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitioner').value.resolve().all(code.coding.code.exists() xor code.text.exists())
priority-category-invariant	error	Communication	Priority must not be present when category is not 'regarding-referral'.	where(category.coding.code != 'regarding-referral').priority.empty()
stopped-status-statusReason	error	Communication	If status is 'stopped', statusReason must be either 'system-error' or 'recipient-unavailable'.	status != 'stopped' or statusReason.coding.where(code = 'system-error' or code = 'recipient-unavailable').exists()
topic-required-when-category-other	error	Communication	topic must be present when category is 'other'.	iif(category.coding.code != 'other', true, category.coding.code = 'other' and topic.exists())
uuidv4	error	Communication	The identifier.value SHALL be a valid UUID v4	identifier.value.matches('^[0-9a-f]{8}-[0-9a-f]{4}-4[0-9a-f]{3}-[89ab][0-9a-f]{3}-[0-9a-f]{12}$')

Summary

Mandatory: 12 elements(7 nested mandatory elements)
Must-Support: 26 elements
Prohibited: 3 elements

Extensions

This structure refers to these extensions:

• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitionerrole-extension
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitioner-extension
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-destination-extension
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-origin-organization-extension
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-sending-actor-extension
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-message-Type-extension
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-administrative-status
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-Carecommunication-bundle-extension
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-datetime-extension
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-contact-extension

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Communication.payload
• The element 1 is sliced based on the value of Communication.payload.content[x]