Kenya Core Implementation Guide
1.0.0 - release Kenya flag

Kenya Core Implementation Guide, published by Digital Health Agency (DHA), Kenya. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IntelliSOFT-Consulting/Kenya-core-FHIR-IG/ and changes regularly. See the Directory of published versions

Resource Profile: Kenya Core Communication Profile

Official URL: https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-communication Version: 1.0.0
Active as of 2026-08-11 Computable Name: KenyaCoreCommunication

Kenya Core profile for recording a communication that has occurred between a patient, care team members, and/or systems, e.g. referral follow-up calls, SMS notifications, care coordination messages.

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* Communication A record of information transmitted from a sender to a receiver
... id SΣ 1..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to

Required Pattern: https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-communication|1.0.0
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... identifier SΣ 0..* Identifier Unique identifier
.... use ?!SΣ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type SΣ 1..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 SΣ 1..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
... basedOn SΣ 0..* Reference(Kenya Core ServiceRequest Profile) Request fulfilled by this communication
... 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..* CodeableConcept Message category, e.g. alert, notification, reminder
Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc.
.... coding SΣ 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
..... display SΣ 0..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... priority SΣ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Codes indicating the relative importance of a communication.
... subject SΣ 1..1 Reference(KenyaCore Patient Profile) Patient the communication is about
... encounter SΣ 0..1 Reference(Kenya Core Encounter Profile) Encounter created as part of communication
... sent S 0..1 dateTime When sent
... received S 0..1 dateTime When received
... recipient S 0..* Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | KenyaCore Organization Profile | KenyaCore Patient Profile | Kenya Core RelatedPerson Profile) Who the information is shared with
... sender S 0..1 Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | KenyaCore Organization Profile | KenyaCore Patient Profile | Kenya Core RelatedPerson Profile) Who shares the information
... reasonCode SΣ 0..* CodeableConcept Indication for message
Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication.
.... coding SΣ 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
..... display SΣ 0..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... payload S 0..* BackboneElement Message content
.... 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)
... note S 0..* Annotation Comments made about the communication

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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.category Base example CommunicationCategory 📍4.0.1 FHIR Std.
Communication.priority Base required Request priority 📍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 **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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* Communication A record of information transmitted from a sender to a receiver
... id S 1..1 id Logical id of this artifact
... meta S 1..1 Meta Metadata about the resource
.... profile 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
Required Pattern: https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-communication|1.0.0
... identifier S 0..* Identifier Unique identifier
.... use S 0..1 code usual | official | temp | secondary | old (If known)
.... type S 1..1 CodeableConcept Description of identifier
.... system S 1..1 uri The namespace for the identifier value
.... value S 1..1 string The value that is unique
... status S 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
... category S 0..* CodeableConcept Message category, e.g. alert, notification, reminder
.... coding S 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
..... display S 0..1 string Representation defined by the system
.... text S 0..1 string Plain text representation of the concept
... priority S 0..1 code routine | urgent | asap | stat
... subject S 1..1 Reference(KenyaCore Patient Profile) Patient the communication is about
... encounter S 0..1 Reference(Kenya Core Encounter Profile) Encounter created as part of communication
... sent S 0..1 dateTime When sent
... received S 0..1 dateTime When received
... recipient S 0..* Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | KenyaCore Organization Profile | KenyaCore Patient Profile | Kenya Core RelatedPerson Profile) Who the information is shared with
... sender S 0..1 Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | KenyaCore Organization Profile | KenyaCore Patient Profile | Kenya Core RelatedPerson Profile) Who shares the information
... reasonCode S 0..* CodeableConcept Indication for message
.... coding S 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
..... display S 0..1 string Representation defined by the system
.... text S 0..1 string Plain text representation of the concept
... payload S 0..* BackboneElement Message content
... note S 0..* Annotation Comments made about the communication

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* Communication A record of information transmitted from a sender to a receiver
... id SΣ 1..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to

Required Pattern: https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-communication|1.0.0
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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 BindingsPurpose
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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Unique 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 ?!SΣ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type SΣ 1..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 SΣ 1..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
... basedOn SΣ 0..* Reference(Kenya Core ServiceRequest Profile) Request fulfilled by this communication
... partOf Σ 0..* Reference(Resource) Part of this action
... inResponseTo 0..* 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..* CodeableConcept Message category, e.g. alert, notification, reminder
Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc.
.... 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..* 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 SΣ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... priority SΣ 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 (example): Codes for communication mediums such as phone, fax, email, in person, etc.
... subject SΣ 1..1 Reference(KenyaCore Patient Profile) Patient the communication is about
... topic 0..1 CodeableConcept Description of the purpose/content
Binding: CommunicationTopic (example): Codes describing the purpose or content of the communication.
... about 0..* Reference(Resource) Resources that pertain to this communication
... encounter SΣ 0..1 Reference(Kenya Core Encounter Profile) Encounter created as part of communication
... sent S 0..1 dateTime When sent
... received S 0..1 dateTime When received
... recipient S 0..* Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | KenyaCore Organization Profile | KenyaCore Patient Profile | Kenya Core RelatedPerson Profile) Who the information is shared with
... sender S 0..1 Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | KenyaCore Organization Profile | KenyaCore Patient Profile | Kenya Core RelatedPerson Profile) Who shares the information
... reasonCode SΣ 0..* CodeableConcept Indication for message
Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a 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 SΣ 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 SΣ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Why was communication done?
... payload S 0..* BackboneElement Message content
.... 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)
... note S 0..* Annotation Comments made about the communication

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Communication.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Communication.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
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 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 v7.3
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 **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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* Communication A record of information transmitted from a sender to a receiver
... id SΣ 1..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to

Required Pattern: https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-communication|1.0.0
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... identifier SΣ 0..* Identifier Unique identifier
.... use ?!SΣ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type SΣ 1..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 SΣ 1..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
... basedOn SΣ 0..* Reference(Kenya Core ServiceRequest Profile) Request fulfilled by this communication
... 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..* CodeableConcept Message category, e.g. alert, notification, reminder
Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc.
.... coding SΣ 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
..... display SΣ 0..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... priority SΣ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Codes indicating the relative importance of a communication.
... subject SΣ 1..1 Reference(KenyaCore Patient Profile) Patient the communication is about
... encounter SΣ 0..1 Reference(Kenya Core Encounter Profile) Encounter created as part of communication
... sent S 0..1 dateTime When sent
... received S 0..1 dateTime When received
... recipient S 0..* Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | KenyaCore Organization Profile | KenyaCore Patient Profile | Kenya Core RelatedPerson Profile) Who the information is shared with
... sender S 0..1 Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | KenyaCore Organization Profile | KenyaCore Patient Profile | Kenya Core RelatedPerson Profile) Who shares the information
... reasonCode SΣ 0..* CodeableConcept Indication for message
Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication.
.... coding SΣ 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
..... display SΣ 0..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... payload S 0..* BackboneElement Message content
.... 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)
... note S 0..* Annotation Comments made about the communication

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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.category Base example CommunicationCategory 📍4.0.1 FHIR Std.
Communication.priority Base required Request priority 📍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 **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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* Communication A record of information transmitted from a sender to a receiver
... id S 1..1 id Logical id of this artifact
... meta S 1..1 Meta Metadata about the resource
.... profile 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
Required Pattern: https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-communication|1.0.0
... identifier S 0..* Identifier Unique identifier
.... use S 0..1 code usual | official | temp | secondary | old (If known)
.... type S 1..1 CodeableConcept Description of identifier
.... system S 1..1 uri The namespace for the identifier value
.... value S 1..1 string The value that is unique
... status S 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
... category S 0..* CodeableConcept Message category, e.g. alert, notification, reminder
.... coding S 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
..... display S 0..1 string Representation defined by the system
.... text S 0..1 string Plain text representation of the concept
... priority S 0..1 code routine | urgent | asap | stat
... subject S 1..1 Reference(KenyaCore Patient Profile) Patient the communication is about
... encounter S 0..1 Reference(Kenya Core Encounter Profile) Encounter created as part of communication
... sent S 0..1 dateTime When sent
... received S 0..1 dateTime When received
... recipient S 0..* Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | KenyaCore Organization Profile | KenyaCore Patient Profile | Kenya Core RelatedPerson Profile) Who the information is shared with
... sender S 0..1 Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | KenyaCore Organization Profile | KenyaCore Patient Profile | Kenya Core RelatedPerson Profile) Who shares the information
... reasonCode S 0..* CodeableConcept Indication for message
.... coding S 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
..... display S 0..1 string Representation defined by the system
.... text S 0..1 string Plain text representation of the concept
... payload S 0..* BackboneElement Message content
... note S 0..* Annotation Comments made about the communication

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* Communication A record of information transmitted from a sender to a receiver
... id SΣ 1..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to

Required Pattern: https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-communication|1.0.0
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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 BindingsPurpose
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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Unique 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 ?!SΣ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type SΣ 1..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 SΣ 1..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
... basedOn SΣ 0..* Reference(Kenya Core ServiceRequest Profile) Request fulfilled by this communication
... partOf Σ 0..* Reference(Resource) Part of this action
... inResponseTo 0..* 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..* CodeableConcept Message category, e.g. alert, notification, reminder
Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc.
.... 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..* 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 SΣ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... priority SΣ 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 (example): Codes for communication mediums such as phone, fax, email, in person, etc.
... subject SΣ 1..1 Reference(KenyaCore Patient Profile) Patient the communication is about
... topic 0..1 CodeableConcept Description of the purpose/content
Binding: CommunicationTopic (example): Codes describing the purpose or content of the communication.
... about 0..* Reference(Resource) Resources that pertain to this communication
... encounter SΣ 0..1 Reference(Kenya Core Encounter Profile) Encounter created as part of communication
... sent S 0..1 dateTime When sent
... received S 0..1 dateTime When received
... recipient S 0..* Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | KenyaCore Organization Profile | KenyaCore Patient Profile | Kenya Core RelatedPerson Profile) Who the information is shared with
... sender S 0..1 Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | KenyaCore Organization Profile | KenyaCore Patient Profile | Kenya Core RelatedPerson Profile) Who shares the information
... reasonCode SΣ 0..* CodeableConcept Indication for message
Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a 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 SΣ 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 SΣ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Why was communication done?
... payload S 0..* BackboneElement Message content
.... 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)
... note S 0..* Annotation Comments made about the communication

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Communication.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Communication.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
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 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 v7.3
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 **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()

 

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