HL7 Czech EMS Implementation Guide
0.0.2 - ci-build
HL7 Czech EMS Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.0.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/cz-ems/ and changes regularly. See the Directory of published versions
Official URL: https://hl7.cz/fhir/cz-ems/StructureDefinition/cz-communication-ems | Version: 0.0.2 | |||
Draft as of 2025-10-14 | Computable Name: CZ_CommunicationEms |
CZ Emergency Medical Service Communication Resource
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
0..* | Communication | A record of information transmitted from a sender to a receiver | |
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() |
SΣ | 0..* | Reference(Task) | Request fulfilled by this communication |
![]() ![]() ![]() |
?!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. Required Pattern: completed |
![]() ![]() ![]() |
S | 1..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | RelatedPerson) | Message recipient |
![]() ![]() ![]() ![]() |
SΣ | 1..1 | Identifier | Logical reference, when literal reference is not known |
![]() ![]() ![]() |
0..1 | Reference(RelatedPerson) | Message sender | |
![]() |
Path | Status | Usage | ValueSet | Version | Source |
Communication.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
Id | Grade | Path(s) | Description | Expression |
dom-2 | error | Communication | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
dom-3 | error | Communication | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
dom-4 | error | Communication | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
dom-5 | error | Communication | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
dom-6 | best practice | Communication | A resource should have narrative for robust management |
text.`div`.exists()
|
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Communication
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
0..* | Communication | A record of information transmitted from a sender to a receiver | |
![]() ![]() ![]() |
S | 0..* | Reference(Task) | Request fulfilled by this communication |
![]() ![]() ![]() |
S | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Required Pattern: completed |
![]() ![]() ![]() |
S | 1..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | RelatedPerson) | Message recipient |
![]() ![]() ![]() ![]() |
S | 1..1 | Identifier | Logical reference, when literal reference is not known |
![]() ![]() ![]() |
0..1 | Reference(RelatedPerson) | Message sender | |
![]() |
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() |
0..* | Communication | A record of information transmitted from a sender to a receiver | |||||
![]() ![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() |
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 | |||||
![]() ![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() |
Σ | 0..* | Identifier | Unique identifier | ||||
![]() ![]() ![]() |
Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
![]() ![]() ![]() |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||
![]() ![]() ![]() |
SΣ | 0..* | Reference(Task) | Request fulfilled by this communication | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(Resource) | Part of this action | ||||
![]() ![]() ![]() |
0..* | Reference(Communication) | Reply to | |||||
![]() ![]() ![]() |
?!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. Required Pattern: completed | ||||
![]() ![]() ![]() |
Σ | 0..1 | CodeableConcept | Reason for current status Binding: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen. | ||||
![]() ![]() ![]() |
0..* | CodeableConcept | Message category Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc. | |||||
![]() ![]() ![]() |
Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication. | ||||
![]() ![]() ![]() |
0..* | CodeableConcept | A channel of communication Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc. | |||||
![]() ![]() ![]() |
Σ | 0..1 | Reference(Patient | Group) | Focus of message | ||||
![]() ![]() ![]() |
0..1 | CodeableConcept | Description of the purpose/content Binding: CommunicationTopic (example): Codes describing the purpose or content of the communication. | |||||
![]() ![]() ![]() |
0..* | Reference(Resource) | Resources that pertain to this communication | |||||
![]() ![]() ![]() |
Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
![]() ![]() ![]() |
0..1 | dateTime | When sent | |||||
![]() ![]() ![]() |
0..1 | dateTime | When received | |||||
![]() ![]() ![]() |
S | 1..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | RelatedPerson) | Message recipient | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
![]() ![]() ![]() ![]() |
SΣ | 1..1 | Identifier | Logical reference, when literal reference is not known | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Text alternative for the resource | ||||
![]() ![]() ![]() |
0..1 | Reference(RelatedPerson) | Message sender | |||||
![]() ![]() ![]() |
Σ | 0..* | CodeableConcept | Indication for message Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication. | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Why was communication done? | ||||
![]() ![]() ![]() |
0..* | BackboneElement | Message payload | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | Message part content | ||||||
![]() ![]() ![]() ![]() ![]() |
string | |||||||
![]() ![]() ![]() ![]() ![]() |
Attachment | |||||||
![]() ![]() ![]() ![]() ![]() |
Reference(Resource) | |||||||
![]() ![]() ![]() |
0..* | Annotation | Comments made about the communication | |||||
![]() |
Path | Status | Usage | ValueSet | Version | Source |
Communication.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
Communication.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
Communication.statusReason | Base | example | CommunicationNotDoneReason | 📍4.0.1 | FHIR Std. |
Communication.category | Base | example | CommunicationCategory | 📍4.0.1 | FHIR Std. |
Communication.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
Communication.medium | Base | example | ParticipationMode | 📦3.0.0 | THO v6.5 |
Communication.topic | Base | example | CommunicationTopic | 📍4.0.1 | FHIR Std. |
Communication.recipient.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
Communication.reasonCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
Id | Grade | Path(s) | Description | Expression |
dom-2 | error | Communication | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
dom-3 | error | Communication | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
dom-4 | error | Communication | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
dom-5 | error | Communication | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
dom-6 | best practice | Communication | A resource should have narrative for robust management |
text.`div`.exists()
|
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Communication
Key Elements View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
0..* | Communication | A record of information transmitted from a sender to a receiver | |
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() |
SΣ | 0..* | Reference(Task) | Request fulfilled by this communication |
![]() ![]() ![]() |
?!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. Required Pattern: completed |
![]() ![]() ![]() |
S | 1..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | RelatedPerson) | Message recipient |
![]() ![]() ![]() ![]() |
SΣ | 1..1 | Identifier | Logical reference, when literal reference is not known |
![]() ![]() ![]() |
0..1 | Reference(RelatedPerson) | Message sender | |
![]() |
Path | Status | Usage | ValueSet | Version | Source |
Communication.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
Id | Grade | Path(s) | Description | Expression |
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()
|
Differential View
This structure is derived from Communication
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
0..* | Communication | A record of information transmitted from a sender to a receiver | |
![]() ![]() ![]() |
S | 0..* | Reference(Task) | Request fulfilled by this communication |
![]() ![]() ![]() |
S | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Required Pattern: completed |
![]() ![]() ![]() |
S | 1..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | RelatedPerson) | Message recipient |
![]() ![]() ![]() ![]() |
S | 1..1 | Identifier | Logical reference, when literal reference is not known |
![]() ![]() ![]() |
0..1 | Reference(RelatedPerson) | Message sender | |
![]() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() |
0..* | Communication | A record of information transmitted from a sender to a receiver | |||||
![]() ![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() |
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 | |||||
![]() ![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() |
Σ | 0..* | Identifier | Unique identifier | ||||
![]() ![]() ![]() |
Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
![]() ![]() ![]() |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||
![]() ![]() ![]() |
SΣ | 0..* | Reference(Task) | Request fulfilled by this communication | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(Resource) | Part of this action | ||||
![]() ![]() ![]() |
0..* | Reference(Communication) | Reply to | |||||
![]() ![]() ![]() |
?!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. Required Pattern: completed | ||||
![]() ![]() ![]() |
Σ | 0..1 | CodeableConcept | Reason for current status Binding: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen. | ||||
![]() ![]() ![]() |
0..* | CodeableConcept | Message category Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc. | |||||
![]() ![]() ![]() |
Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication. | ||||
![]() ![]() ![]() |
0..* | CodeableConcept | A channel of communication Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc. | |||||
![]() ![]() ![]() |
Σ | 0..1 | Reference(Patient | Group) | Focus of message | ||||
![]() ![]() ![]() |
0..1 | CodeableConcept | Description of the purpose/content Binding: CommunicationTopic (example): Codes describing the purpose or content of the communication. | |||||
![]() ![]() ![]() |
0..* | Reference(Resource) | Resources that pertain to this communication | |||||
![]() ![]() ![]() |
Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
![]() ![]() ![]() |
0..1 | dateTime | When sent | |||||
![]() ![]() ![]() |
0..1 | dateTime | When received | |||||
![]() ![]() ![]() |
S | 1..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | RelatedPerson) | Message recipient | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
![]() ![]() ![]() ![]() |
SΣ | 1..1 | Identifier | Logical reference, when literal reference is not known | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Text alternative for the resource | ||||
![]() ![]() ![]() |
0..1 | Reference(RelatedPerson) | Message sender | |||||
![]() ![]() ![]() |
Σ | 0..* | CodeableConcept | Indication for message Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication. | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Why was communication done? | ||||
![]() ![]() ![]() |
0..* | BackboneElement | Message payload | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | Message part content | ||||||
![]() ![]() ![]() ![]() ![]() |
string | |||||||
![]() ![]() ![]() ![]() ![]() |
Attachment | |||||||
![]() ![]() ![]() ![]() ![]() |
Reference(Resource) | |||||||
![]() ![]() ![]() |
0..* | Annotation | Comments made about the communication | |||||
![]() |
Path | Status | Usage | ValueSet | Version | Source |
Communication.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
Communication.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
Communication.statusReason | Base | example | CommunicationNotDoneReason | 📍4.0.1 | FHIR Std. |
Communication.category | Base | example | CommunicationCategory | 📍4.0.1 | FHIR Std. |
Communication.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
Communication.medium | Base | example | ParticipationMode | 📦3.0.0 | THO v6.5 |
Communication.topic | Base | example | CommunicationTopic | 📍4.0.1 | FHIR Std. |
Communication.recipient.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
Communication.reasonCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
Id | Grade | Path(s) | Description | Expression |
dom-2 | error | Communication | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
dom-3 | error | Communication | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
dom-4 | error | Communication | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
dom-5 | error | Communication | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
dom-6 | best practice | Communication | A resource should have narrative for robust management |
text.`div`.exists()
|
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Communication
Other representations of profile: CSV, Excel, Schematron