Medication Scheme Implementation Guide
1.0.0 - draft Estonia flag

Medication Scheme Implementation Guide, published by TEHIK. 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/TEHIK-EE/ig-ee-medication-scheme/ and changes regularly. See the Directory of published versions

Resource Profile: EETISCommunication - Detailed Descriptions

Draft as of 2025-03-12

Definitions for the ee-tis-communication resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. Communication
Definition

Kommentaar


A clinical or business level record of information being transmitted or shared; e.g. an alert that was sent to a responsible provider, a public health agency communication to a provider/reporter in response to a case report for a reportable condition.

ShortCommentA clinical or business level record of information being transmitted or shared
Control0..*
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Communication.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Communication.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

ShortContained, inline Resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

Control0..*
This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
TypeResource
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate Namesinline resources, anonymous resources, contained resources
6. Communication.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

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

ShortExtensions that cannot be ignored
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Must Supportfalse
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. Communication.identifier
Definition

Kommentaari ID


Business identifiers assigned to this communication by the performer or other systems which remain constant as the resource is updated and propagates from server to server.

ShortID of the commentUnique identifier
Comments

This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Is Modifierfalse
Must Supportfalse
Summarytrue
Requirements

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

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Communication.status
Definition

Kasutusel 2 staatust LISATUD=completed, KUSTUTATUD=stopped. Kui tegu on muutmisega, tuleb see välja note.time elemendi muutmise aja ja teksti kaudu.


The status of the transmission.

ShortStatus of the comment can be completed(LISATUD) or stopped(KUSTUTATUD). If comment is changed the note element is used.preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Comments

This element is labeled as a modifier because the status contains the codes aborted and entered-in-error that mark the communication as not currently valid.

Control1..1
BindingThe codes SHALL be taken from EventStatushttp://hl7.org/fhir/ValueSet/event-status|5.0.0
(required to http://hl7.org/fhir/ValueSet/event-status|5.0.0)

The status of the communication.

Typecode
Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Communication.category
Definition

Kommentaari tüüp, nt neerufunktsiooni mõjutav ravimi puhul on koodiks |alert|


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

ShortThe type of comment this is. Codes |alert| or |notification| are usedMessage category
Comments

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

Control10..1*
BindingFor example codes, see CommunicationCategoryhttp://hl7.org/fhir/ValueSet/communication-category
(example to http://hl7.org/fhir/ValueSet/communication-category)

|alert| is used when there is a renal failure of some degree and the health care professional needs to pay more attention to dosage


Codes for general categories of communications such as alerts, instructions, etc.

TypeCodeableConcept
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. Communication.category.text
Definition

C/D. Siia tuleb hoiatus, kui ravim on neerutoksiline. Kui on tegu muu kommentaariga siis see väli on tühi


A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

ShortDescription of the alertPlain text representation of the concept
Comments

Very often the text is the same as a displayName of one of the codings.

Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Communication.about
Definition

Ravimiskeemi rida, mille kohta kommentaar on tehtud


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

ShortRelated MedicationStatement the comment is aboutResources that pertain to this communication
Comments

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

Control10..1*
TypeReference(MedicationStatement, Resource)
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Communication.sent
Definition

Kommentaari lisamise aeg


The time when this communication was sent.

ShortWhen the comment was added to the MedicationStatementWhen sent
Control10..1
TypedateTime
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Communication.sender
Definition

Tervishoiutöötaja, kes lisas ravimiskeemi reale kommentaari


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

ShortPractitioner who added the commentWho shares the information
Control10..1
TypeReference(EETISPractitioner, EETISPractitionerRole, Device, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson, HealthcareService, Endpoint, CareTeam)
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Communication.reason
Definition

Viide ravimile, ka toimeaine ja tugevus, mille kohta kommentaar on tehtud


The reason or justification for the communication.

ShortReference to a certain medication, its strenght and active ingredient this comment is aboutIndication for message
Comments

Textual reasons can be captured using reason.concept.text.

Control0..*
BindingFor example codes, see SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings
(example to http://hl7.org/fhir/ValueSet/clinical-findings)

Codes for describing reasons for the occurrence of a communication.

TypeCodeableReference(Medication, Resource)
Is Modifierfalse
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Communication.payload
Definition

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

ShortMessage payload
Control10..1*
TypeBackboneElement
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Communication.payload.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

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

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
28. Communication.payload.content[x]
Definition

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

ShortMessage part content
Comments

The content can be codified or textual. As an example of codified content, when working with machine generated communications, the payload may be drawn from a finite, terminology defined set of communications, especially for short, status update kinds of communications where more of a natural language approach isn't appropriate.

If the content isn't codified, contentCodeableConcept.text can be used.

When using contentCodeableConcept, the CodeableConcept is what is being communicated and is not a categorization of the content.

Control1..1
TypeChoice of: Attachment, Reference(Resource), CodeableConcept
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Communication.payload.content[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • type @ $this
  • 30. Communication.payload.content[x]:contentCodeableConcept
    Slice NamecontentCodeableConcept
    Definition

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

    ShortMessage part content
    Comments

    The content can be codified or textual. As an example of codified content, when working with machine generated communications, the payload may be drawn from a finite, terminology defined set of communications, especially for short, status update kinds of communications where more of a natural language approach isn't appropriate.

    If the content isn't codified, contentCodeableConcept.text can be used.

    When using contentCodeableConcept, the CodeableConcept is what is being communicated and is not a categorization of the content.

    Control01..1
    TypeCodeableConcept, Reference(Resource), Attachment
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    32. Communication.payload.content[x]:contentCodeableConcept.text
    Definition

    Kommentaari sisu vabatekstina


    A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

    ShortComment about the MedicationStatement in free form textPlain text representation of the concept
    Comments

    Very often the text is the same as a displayName of one of the codings.

    Control10..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    34. Communication.note
    Definition

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

    ShortComments made about the communication
    Control0..*
    TypeAnnotation(EETISAnnotation)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    36. Communication.note.author[x]
    Definition

    The individual responsible for making the annotation.

    ShortHealthcare professional who added comment. Use string to express the name and role of HCPIndividual responsible for the annotation
    Comments

    Organization is used when there's no need for specific attribution as to who made the comment.

    Control0..1
    TypeChoice of: Reference(Practitioner, PractitionerRole, Patient, RelatedPerson, Organization), string
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingThis element introduces a set of slices on Communication.note.author[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
    • type @ $this
    • 38. Communication.note.author[x]:authorReference
      Slice NameauthorReference
      Definition

      The individual responsible for making the annotation.

      ShortIndividual responsible for the annotation
      Comments

      Organization is used when there's no need for specific attribution as to who made the comment.

      Control0..1
      TypeReference(EETISPractitioner, EETISPractitionerRole, EEBase Organization, Practitioner, PractitionerRole, Patient, RelatedPerson, Organization), string
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      40. Communication.note.author[x]:authorString
      Slice NameauthorString
      Definition

      The individual responsible for making the annotation.

      ShortIndividual responsible for the annotation
      Comments

      Organization is used when there's no need for specific attribution as to who made the comment.

      Control0..1
      Typestring, Reference(Practitioner, PractitionerRole, Patient, RelatedPerson, Organization)
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      42. Communication.note.time
      Definition

      Kommentaari muutmise aeg


      Indicates when this particular annotation was made.

      ShortTime when the comment was changed.When the annotation was made
      Control10..1
      TypedateTime
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      44. Communication.note.text
      Definition

      Kommentaari muutmise põhjendus


      The text of the annotation in markdown format.

      ShortWhy the comment was changedThe annotation - text content (as markdown)
      Control1..1
      Typemarkdown
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

      Guidance on how to interpret the contents of this table can be foundhere

      0. Communication
      Definition

      Kommentaar

      ShortComment
      2. Communication.identifier
      Definition

      Kommentaari ID

      ShortID of the comment
      NoteThis is a business identifier, not a resource identifier (see discussion)
      4. Communication.status
      Definition

      Kasutusel 2 staatust LISATUD=completed, KUSTUTATUD=stopped. Kui tegu on muutmisega, tuleb see välja note.time elemendi muutmise aja ja teksti kaudu.

      ShortStatus of the comment can be completed(LISATUD) or stopped(KUSTUTATUD). If comment is changed the note element is used.
      6. Communication.category
      Definition

      Kommentaari tüüp, nt neerufunktsiooni mõjutav ravimi puhul on koodiks |alert|

      ShortThe type of comment this is. Codes |alert| or |notification| are used
      Control1..1
      BindingFor example codes, see CommunicationCategory
      (example to http://hl7.org/fhir/ValueSet/communication-category)

      |alert| is used when there is a renal failure of some degree and the health care professional needs to pay more attention to dosage

      8. Communication.category.text
      Definition

      C/D. Siia tuleb hoiatus, kui ravim on neerutoksiline. Kui on tegu muu kommentaariga siis see väli on tühi

      ShortDescription of the alert
      10. Communication.about
      Definition

      Ravimiskeemi rida, mille kohta kommentaar on tehtud

      ShortRelated MedicationStatement the comment is about
      Control1..1
      TypeReference(MedicationStatement)
      12. Communication.sent
      Definition

      Kommentaari lisamise aeg

      ShortWhen the comment was added to the MedicationStatement
      Control1..?
      14. Communication.sender
      Definition

      Tervishoiutöötaja, kes lisas ravimiskeemi reale kommentaari

      ShortPractitioner who added the comment
      Control1..?
      TypeReference(EETISPractitioner, EETISPractitionerRole)
      16. Communication.reason
      Definition

      Viide ravimile, ka toimeaine ja tugevus, mille kohta kommentaar on tehtud

      ShortReference to a certain medication, its strenght and active ingredient this comment is about
      TypeCodeableReference(Medication)
      18. Communication.payload
      Control1..1
      20. Communication.payload.content[x]
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      SlicingThis element introduces a set of slices on Communication.payload.content[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • type @ $this
      • 22. Communication.payload.content[x]:contentCodeableConcept
        Slice NamecontentCodeableConcept
        Control0..1
        TypeCodeableConcept
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        24. Communication.payload.content[x]:contentCodeableConcept.text
        Definition

        Kommentaari sisu vabatekstina

        ShortComment about the MedicationStatement in free form text
        Control1..?
        26. Communication.note
        TypeAnnotation(EETISAnnotation)
        28. Communication.note.time
        Definition

        Kommentaari muutmise aeg

        ShortTime when the comment was changed.
        Control1..?
        30. Communication.note.text
        Definition

        Kommentaari muutmise põhjendus

        ShortWhy the comment was changed

        Guidance on how to interpret the contents of this table can be foundhere

        0. Communication
        Definition

        Kommentaar

        ShortComment
        Control0..*
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
        dom-3: 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
        dom-4: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
        dom-6: A resource should have narrative for robust management (text.`div`.exists())
        2. Communication.id
        Definition

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

        ShortLogical id of this artifact
        Comments

        Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

        Control0..1
        Typeid
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        4. Communication.meta
        Definition

        The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

        ShortMetadata about the resource
        Control0..1
        TypeMeta
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        6. Communication.implicitRules
        Definition

        A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

        ShortA set of rules under which this content was created
        Comments

        Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

        Control0..1
        Typeuri
        Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        8. Communication.language
        Definition

        The base language in which the resource is written.

        ShortLanguage of the resource content
        Comments

        Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

        Control0..1
        BindingThe codes SHALL be taken from AllLanguages
        (required to http://hl7.org/fhir/ValueSet/all-languages|5.0.0)

        IETF language tag for a human language

        Typecode
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        10. Communication.text
        Definition

        A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

        ShortText summary of the resource, for human interpretation
        Comments

        Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

        Control0..1
        This element is affected by the following invariants: dom-6
        TypeNarrative
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Alternate Namesnarrative, html, xhtml, display
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        12. Communication.contained
        Definition

        These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

        ShortContained, inline Resources
        Comments

        This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

        Control0..*
        This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
        TypeResource
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Alternate Namesinline resources, anonymous resources, contained resources
        14. Communication.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        16. Communication.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

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

        ShortExtensions that cannot be ignored
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
        Must Supportfalse
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        18. Communication.identifier
        Definition

        Kommentaari ID

        ShortID of the comment
        Comments

        This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.

        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..*
        TypeIdentifier
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Requirements

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

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        20. Communication.instantiatesCanonical
        Definition

        The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Communication.

        ShortInstantiates FHIR protocol or definition
        Control0..*
        Typecanonical(PlanDefinition, ActivityDefinition, Measure, OperationDefinition, Questionnaire)
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        22. Communication.instantiatesUri
        Definition

        The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Communication.

        ShortInstantiates external protocol or definition
        Comments

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

        Control0..*
        Typeuri
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        24. Communication.basedOn
        Definition

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

        ShortRequest fulfilled by this communication
        Comments

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

        Control0..*
        TypeReference(Resource)
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Alternate Namesfulfills
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        26. Communication.partOf
        Definition

        A larger event (e.g. Communication, Procedure) of which this particular communication is a component or step.

        ShortPart of referenced event (e.g. Communication, Procedure)
        Comments

        The event the communication was part of - e.g. if you disclosed as "part" of counselling, it would be partOf that Procedure.

        Control0..*
        TypeReference(Resource)
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Alternate Namescontainer
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        28. Communication.inResponseTo
        Definition

        Prior communication that this communication is in response to.

        ShortReply to
        Control0..*
        TypeReference(Communication)
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        30. Communication.status
        Definition

        Kasutusel 2 staatust LISATUD=completed, KUSTUTATUD=stopped. Kui tegu on muutmisega, tuleb see välja note.time elemendi muutmise aja ja teksti kaudu.

        ShortStatus of the comment can be completed(LISATUD) or stopped(KUSTUTATUD). If comment is changed the note element is used.
        Comments

        This element is labeled as a modifier because the status contains the codes aborted and entered-in-error that mark the communication as not currently valid.

        Control1..1
        BindingThe codes SHALL be taken from EventStatus
        (required to http://hl7.org/fhir/ValueSet/event-status|5.0.0)

        The status of the communication.

        Typecode
        Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        32. Communication.statusReason
        Definition

        Captures the reason for the current state of the Communication.

        ShortReason for current status
        Comments

        This is generally only used for "exception" statuses such as "not-done", "suspended" or "aborted". The reason for performing the event at all is captured in reasonCode, not here.

        Control0..1
        BindingFor example codes, see CommunicationNotDoneReason
        (example to http://hl7.org/fhir/ValueSet/communication-not-done-reason)

        Codes for the reason why a communication did not happen.

        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Alternate NamesSuspended Reason, Cancelled Reason
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        34. Communication.category
        Definition

        Kommentaari tüüp, nt neerufunktsiooni mõjutav ravimi puhul on koodiks |alert|

        ShortThe type of comment this is. Codes |alert| or |notification| are used
        Comments

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

        Control1..1
        BindingFor example codes, see CommunicationCategory
        (example to http://hl7.org/fhir/ValueSet/communication-category)

        |alert| is used when there is a renal failure of some degree and the health care professional needs to pay more attention to dosage

        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        36. Communication.category.id
        Definition

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

        ShortUnique id for inter-element referencing
        Control0..1
        This element is affected by the following invariants: ele-1
        Typeid
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        38. Communication.category.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on Communication.category.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 40. Communication.category.coding
          Definition

          A reference to a code defined by a terminology system.

          ShortCode defined by a terminology system
          Comments

          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

          Control0..*
          TypeCoding
          Is Modifierfalse
          Summarytrue
          Requirements

          Allows for alternative encodings within a code system, and translations to other code systems.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          42. Communication.category.text
          Definition

          C/D. Siia tuleb hoiatus, kui ravim on neerutoksiline. Kui on tegu muu kommentaariga siis see väli on tühi

          ShortDescription of the alert
          Comments

          Very often the text is the same as a displayName of one of the codings.

          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          44. Communication.priority
          Definition

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

          Shortroutine | urgent | asap | stat
          Comments

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

          Control0..1
          BindingThe codes SHALL be taken from RequestPriority
          (required to http://hl7.org/fhir/ValueSet/request-priority|5.0.0)

          Codes indicating the relative importance of a communication.

          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supportfalse
          Summarytrue
          Meaning if MissingIf missing, this communication should be treated with normal priority
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          46. Communication.medium
          Definition

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

          ShortA channel of communication
          Control0..*
          BindingFor example codes, see ParticipationMode
          (example to http://terminology.hl7.org/ValueSet/v3-ParticipationMode)

          Codes for communication mediums such as phone, fax, email, in person, etc.

          TypeCodeableConcept
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          48. Communication.subject
          Definition

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

          ShortFocus of message
          Control0..1
          TypeReference(Patient, Group)
          Is Modifierfalse
          Must Supportfalse
          Summarytrue
          Alternate Namespatient
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          50. Communication.topic
          Definition

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

          ShortDescription of the purpose/content
          Comments

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

          Control0..1
          BindingFor example codes, see CommunicationTopic
          (example to http://hl7.org/fhir/ValueSet/communication-topic)

          Codes describing the purpose or content of the communication.

          TypeCodeableConcept
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          52. Communication.about
          Definition

          Ravimiskeemi rida, mille kohta kommentaar on tehtud

          ShortRelated MedicationStatement the comment is about
          Comments

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

          Control1..1
          TypeReference(MedicationStatement)
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          54. Communication.encounter
          Definition

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

          ShortThe Encounter during which this Communication was created
          Comments

          This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.

          Control0..1
          TypeReference(Encounter)
          Is Modifierfalse
          Must Supportfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          56. Communication.sent
          Definition

          Kommentaari lisamise aeg

          ShortWhen the comment was added to the MedicationStatement
          Control1..1
          TypedateTime
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supportfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          58. Communication.received
          Definition

          The time when this communication arrived at the destination.

          ShortWhen received
          Control0..1
          TypedateTime
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supportfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          60. Communication.recipient
          Definition

          The entity (e.g. person, organization, clinical information system, care team or device) which is the target of the communication.

          ShortWho the information is shared with
          Comments

          If receipts need to be tracked by an individual, a separate resource instance will need to be created for each recipient. Multiple recipient communications are intended where either receipts are not tracked (e.g. a mass mail-out) or a receipt is captured in aggregate (all emails confirmed received by a particular time).

          Control0..*
          TypeReference(CareTeam, Device, Group, HealthcareService, Location, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson, Endpoint)
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          62. Communication.sender
          Definition

          Tervishoiutöötaja, kes lisas ravimiskeemi reale kommentaari

          ShortPractitioner who added the comment
          Control1..1
          TypeReference(EETISPractitioner, EETISPractitionerRole)
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          64. Communication.reason
          Definition

          Viide ravimile, ka toimeaine ja tugevus, mille kohta kommentaar on tehtud

          ShortReference to a certain medication, its strenght and active ingredient this comment is about
          Comments

          Textual reasons can be captured using reason.concept.text.

          Control0..*
          BindingFor example codes, see SNOMEDCTClinicalFindings
          (example to http://hl7.org/fhir/ValueSet/clinical-findings)

          Codes for describing reasons for the occurrence of a communication.

          TypeCodeableReference(Medication)
          Is Modifierfalse
          Must Supportfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          66. Communication.payload
          Definition

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

          ShortMessage payload
          Control1..1
          TypeBackboneElement
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          68. Communication.payload.id
          Definition

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

          ShortUnique id for inter-element referencing
          Control0..1
          This element is affected by the following invariants: ele-1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          70. Communication.payload.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortAdditional content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          72. Communication.payload.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

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

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          74. Communication.payload.content[x]
          Definition

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

          ShortMessage part content
          Comments

          The content can be codified or textual. As an example of codified content, when working with machine generated communications, the payload may be drawn from a finite, terminology defined set of communications, especially for short, status update kinds of communications where more of a natural language approach isn't appropriate.

          If the content isn't codified, contentCodeableConcept.text can be used.

          When using contentCodeableConcept, the CodeableConcept is what is being communicated and is not a categorization of the content.

          Control1..1
          TypeChoice of: Attachment, Reference(Resource), CodeableConcept
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          SlicingThis element introduces a set of slices on Communication.payload.content[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • type @ $this
          • 76. Communication.payload.content[x]:contentCodeableConcept
            Slice NamecontentCodeableConcept
            Definition

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

            ShortMessage part content
            Comments

            The content can be codified or textual. As an example of codified content, when working with machine generated communications, the payload may be drawn from a finite, terminology defined set of communications, especially for short, status update kinds of communications where more of a natural language approach isn't appropriate.

            If the content isn't codified, contentCodeableConcept.text can be used.

            When using contentCodeableConcept, the CodeableConcept is what is being communicated and is not a categorization of the content.

            Control0..1
            TypeCodeableConcept
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            78. Communication.payload.content[x]:contentCodeableConcept.id
            Definition

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

            ShortUnique id for inter-element referencing
            Control0..1
            This element is affected by the following invariants: ele-1
            Typeid
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            80. Communication.payload.content[x]:contentCodeableConcept.extension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            ShortAdditional content defined by implementations
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on Communication.payload.content[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 82. Communication.payload.content[x]:contentCodeableConcept.coding
              Definition

              A reference to a code defined by a terminology system.

              ShortCode defined by a terminology system
              Comments

              Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

              Control0..*
              TypeCoding
              Is Modifierfalse
              Summarytrue
              Requirements

              Allows for alternative encodings within a code system, and translations to other code systems.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              84. Communication.payload.content[x]:contentCodeableConcept.text
              Definition

              Kommentaari sisu vabatekstina

              ShortComment about the MedicationStatement in free form text
              Comments

              Very often the text is the same as a displayName of one of the codings.

              Control1..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              86. Communication.note
              Definition

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

              ShortComments made about the communication
              Control0..*
              TypeAnnotation(EETISAnnotation)
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              88. Communication.note.id
              Definition

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

              ShortUnique id for inter-element referencing
              Control0..1
              This element is affected by the following invariants: ele-1
              Typeid
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              90. Communication.note.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on Communication.note.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 92. Communication.note.author[x]
                Definition

                The individual responsible for making the annotation.

                ShortHealthcare professional who added comment. Use string to express the name and role of HCP
                Comments

                Organization is used when there's no need for specific attribution as to who made the comment.

                Control0..1
                TypeChoice of: Reference(Practitioner, PractitionerRole, Patient, RelatedPerson, Organization), string
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                SlicingThis element introduces a set of slices on Communication.note.author[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                • type @ $this
                • 94. Communication.note.author[x]:authorReference
                  Slice NameauthorReference
                  Definition

                  The individual responsible for making the annotation.

                  ShortIndividual responsible for the annotation
                  Comments

                  Organization is used when there's no need for specific attribution as to who made the comment.

                  Control0..1
                  TypeReference(EETISPractitioner, EETISPractitionerRole, EEBase Organization)
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  Is Modifierfalse
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  96. Communication.note.author[x]:authorString
                  Slice NameauthorString
                  Definition

                  The individual responsible for making the annotation.

                  ShortIndividual responsible for the annotation
                  Comments

                  Organization is used when there's no need for specific attribution as to who made the comment.

                  Control0..1
                  Typestring
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  98. Communication.note.time
                  Definition

                  Kommentaari muutmise aeg

                  ShortTime when the comment was changed.
                  Control1..1
                  TypedateTime
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  100. Communication.note.text
                  Definition

                  Kommentaari muutmise põhjendus

                  ShortWhy the comment was changed
                  Control1..1
                  Typemarkdown
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))