Advance Care Planning (PZP), published by IKNL. This guide is not an authorized publication; it is the continuous build for version 1.0.0-rc1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IKNL/PZP-FHIR-R4/ and changes regularly. See the Directory of published versions

• Content
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Resource Profile: Communication

Communication events that have taken place in context of Advance Care Planning. Based on Communication resource.

Usages:

• Examples for this Profile: Communication/F1-ACP-Communication-01-10-2020 and Communication/P2-ACP-Communication-07-08-2025

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication		0..*	Communication(4.0.1)	A record of information transmitted from a sender to a receiver
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication.
subject	OΣ	0..1	Reference(Patient(1.0.0-rc1))	Focus of message Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
topic	O	0..1	CodeableConcept	Description of the purpose/content Binding: CommunicationTopic (example): Codes describing the purpose or content of the communication. Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
sent	O	0..1	dateTime	When sent Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
recipient	O	0..*	Reference(Patient(1.0.0-rc1))	Message recipient Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
sender	O	0..1	Reference(HealthProfessional PractitionerRole(1.0.0-rc1))	Message sender Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
reasonCode	OΣ	1..1	CodeableConcept	Indication for message Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication. Required Pattern: At least the following Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 713603004
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Communication.status	Base	required	EventStatus	📍4.0.1	FHIR Std.
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
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	Communication.implicitRules, Communication.modifierExtension, Communication.status, Communication.subject, Communication.topic, Communication.sent, Communication.recipient, Communication.sender, Communication.reasonCode	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Communication.modifierExtension	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: Bindings Constraints Obligations
Communication		0..*	Communication(4.0.1)	A record of information transmitted from a sender to a receiver
subject	O	0..1	Reference(Patient(1.0.0-rc1))	Focus of message Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
topic	O	0..1	CodeableConcept	Description of the purpose/content Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
sent	O	0..1	dateTime	When sent Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
recipient	O	0..*	Reference(Patient(1.0.0-rc1))	Message recipient Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
sender	O	0..1	Reference(HealthProfessional PractitionerRole(1.0.0-rc1))	Message sender Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
reasonCode	O	1..1	CodeableConcept	Indication for message Required Pattern: At least the following Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 713603004
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication		0..*	Communication(4.0.1)	A record of information transmitted from a sender to a receiver
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	Σ	0..*	Identifier	Unique identifier
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(Resource)	Request fulfilled by this communication
partOf	Σ	0..*	Reference(Resource)	Part of this action
inResponseTo		0..*	Reference(Communication)	Reply to
status	?!Σ	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		0..*	CodeableConcept	Message category Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication.
medium		0..*	CodeableConcept	A channel of communication Binding: ParticipationMode (3.0.0) (example): Codes for communication mediums such as phone, fax, email, in person, etc.
subject	OΣ	0..1	Reference(Patient(1.0.0-rc1))	Focus of message Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
topic	O	0..1	CodeableConcept	Description of the purpose/content Binding: CommunicationTopic (example): Codes describing the purpose or content of the communication. Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
about		0..*	Reference(Resource)	Resources that pertain to this communication
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
sent	O	0..1	dateTime	When sent Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
received		0..1	dateTime	When received
recipient	O	0..*	Reference(Patient(1.0.0-rc1))	Message recipient Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
sender	O	0..1	Reference(HealthProfessional PractitionerRole(1.0.0-rc1))	Message sender Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
reasonCode	OΣ	1..1	CodeableConcept	Indication for message Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication. Required Pattern: At least the following Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 713603004
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Why was communication done?
payload		0..*	BackboneElement	Message payload
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
content[x]		1..1		Message part content
contentString			string
contentAttachment			Attachment
contentReference			Reference(Resource)
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.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.reasonCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.

Constraints

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	Communication.meta, Communication.implicitRules, Communication.language, Communication.text, Communication.extension, Communication.modifierExtension, Communication.identifier, Communication.instantiatesCanonical, Communication.instantiatesUri, Communication.basedOn, Communication.partOf, Communication.inResponseTo, Communication.status, Communication.statusReason, Communication.category, Communication.priority, Communication.medium, Communication.subject, Communication.topic, Communication.about, Communication.encounter, Communication.sent, Communication.received, Communication.recipient, Communication.sender, Communication.reasonCode, Communication.reasonReference, Communication.payload, Communication.payload.extension, Communication.payload.modifierExtension, Communication.payload.content[x], Communication.note	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Communication.extension, Communication.modifierExtension, Communication.payload.extension, Communication.payload.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Communication

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

• Patient (https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-Patient|1.0.0-rc1)
• HealthProfessional PractitionerRole (https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-HealthProfessional-PractitionerRole|1.0.0-rc1)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication		0..*	Communication(4.0.1)	A record of information transmitted from a sender to a receiver
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication.
subject	OΣ	0..1	Reference(Patient(1.0.0-rc1))	Focus of message Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
topic	O	0..1	CodeableConcept	Description of the purpose/content Binding: CommunicationTopic (example): Codes describing the purpose or content of the communication. Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
sent	O	0..1	dateTime	When sent Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
recipient	O	0..*	Reference(Patient(1.0.0-rc1))	Message recipient Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
sender	O	0..1	Reference(HealthProfessional PractitionerRole(1.0.0-rc1))	Message sender Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
reasonCode	OΣ	1..1	CodeableConcept	Indication for message Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication. Required Pattern: At least the following Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 713603004
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Communication.status	Base	required	EventStatus	📍4.0.1	FHIR Std.
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
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	Communication.implicitRules, Communication.modifierExtension, Communication.status, Communication.subject, Communication.topic, Communication.sent, Communication.recipient, Communication.sender, Communication.reasonCode	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Communication.modifierExtension	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: Bindings Constraints Obligations
Communication		0..*	Communication(4.0.1)	A record of information transmitted from a sender to a receiver
subject	O	0..1	Reference(Patient(1.0.0-rc1))	Focus of message Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
topic	O	0..1	CodeableConcept	Description of the purpose/content Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
sent	O	0..1	dateTime	When sent Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
recipient	O	0..*	Reference(Patient(1.0.0-rc1))	Message recipient Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
sender	O	0..1	Reference(HealthProfessional PractitionerRole(1.0.0-rc1))	Message sender Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
reasonCode	O	1..1	CodeableConcept	Indication for message Required Pattern: At least the following Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 713603004
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication		0..*	Communication(4.0.1)	A record of information transmitted from a sender to a receiver
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	Σ	0..*	Identifier	Unique identifier
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(Resource)	Request fulfilled by this communication
partOf	Σ	0..*	Reference(Resource)	Part of this action
inResponseTo		0..*	Reference(Communication)	Reply to
status	?!Σ	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		0..*	CodeableConcept	Message category Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication.
medium		0..*	CodeableConcept	A channel of communication Binding: ParticipationMode (3.0.0) (example): Codes for communication mediums such as phone, fax, email, in person, etc.
subject	OΣ	0..1	Reference(Patient(1.0.0-rc1))	Focus of message Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
topic	O	0..1	CodeableConcept	Description of the purpose/content Binding: CommunicationTopic (example): Codes describing the purpose or content of the communication. Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
about		0..*	Reference(Resource)	Resources that pertain to this communication
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
sent	O	0..1	dateTime	When sent Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
received		0..1	dateTime	When received
recipient	O	0..*	Reference(Patient(1.0.0-rc1))	Message recipient Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
sender	O	0..1	Reference(HealthProfessional PractitionerRole(1.0.0-rc1))	Message sender Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
reasonCode	OΣ	1..1	CodeableConcept	Indication for message Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication. Required Pattern: At least the following Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 713603004
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Why was communication done?
payload		0..*	BackboneElement	Message payload
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
content[x]		1..1		Message part content
contentString			string
contentAttachment			Attachment
contentReference			Reference(Resource)
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.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.reasonCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.

Constraints

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	Communication.meta, Communication.implicitRules, Communication.language, Communication.text, Communication.extension, Communication.modifierExtension, Communication.identifier, Communication.instantiatesCanonical, Communication.instantiatesUri, Communication.basedOn, Communication.partOf, Communication.inResponseTo, Communication.status, Communication.statusReason, Communication.category, Communication.priority, Communication.medium, Communication.subject, Communication.topic, Communication.about, Communication.encounter, Communication.sent, Communication.received, Communication.recipient, Communication.sender, Communication.reasonCode, Communication.reasonReference, Communication.payload, Communication.payload.extension, Communication.payload.modifierExtension, Communication.payload.content[x], Communication.note	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Communication.extension, Communication.modifierExtension, Communication.payload.extension, Communication.payload.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Communication

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

• Patient (https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-Patient|1.0.0-rc1)
• HealthProfessional PractitionerRole (https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-HealthProfessional-PractitionerRole|1.0.0-rc1)

Other representations of profile: CSV, Excel, Schematron