eHealth Infrastructure
3.3.0 - ci-build Denmark flag

eHealth Infrastructure, published by Den telemedicinske infrastruktur (eHealth Infrastructure). This guide is not an authorized publication; it is the continuous build for version 3.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/fut-infrastructure/implementation-guide/ and changes regularly. See the Directory of published versions

Resource Profile: ehealth-communication

Official URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication Version: 3.3.0
Active as of 2024-11-20 Computable Name: ehealth-communication

Introduction

The FHIR resource Communication is a record of a communication. A communication is a conveyance of information from one entity, a sender, to another entity, a receiver.

This profile, the ehealth-communication, is intended for use of the FHIR Communication for capturing an annotation about a measurement. Such an annotation could for example describe circumstances about a particular Observation, QuestionnaireResponse or Media submitted by a Patient.

Scope and Usage

In the eHealth infrastructure, the annotation is defined using the following elements:

  • sender refers to the creator and owner of the annotation
  • ehealth-communication-senderCareTeam has same function as sender but is used where the creator and owner is one or more CareTeams
  • recipient refers to the entities allowed to read the annotation
  • ehealth-communication-recipientCareTeam has same function as recipient but is used where the allowed reading entity is one or more CareTeams
  • ehealth-restriction-category indicates, when ehealth-communication-senderCareTeam and/or ehealth-communication-recipientCareTeam refer to one or more CareTeams, what workflow areas/responsibilities of members of those CareTeams that the annotation is relevant for.
  • topic refers to the measurement which the annotation is about. This can be zero or more Observation, zero or more QuestionnaireResponse and zero or more Media. At least one of Observation, QuestionnaireResponse or Media should be referred for the annotation to make sense.
  • payload contains the annotation text itself

Boundaries and Relationships

In scope of the eHealth infrastructure, FHIR Communication is also used in the profile ehealth-message where a FHIR Communication captures written communication in the form of messages, notifications and advises. The ehealth-message profile is also used for personal notes.

A personal note differ from an annotation in that the latter is specific for measurements where the former has broader scope.

Usage:

  • This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

This structure is derived from Communication

NameFlagsCard.TypeDescription & Constraintsdoco
.. Communication 0..* Communication A record of information transmitted from a sender to a receiver
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... episodeOfCare 1..1 Reference(EpisodeOfCare) Associated Encounter episode of care
URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
.... recipientCareTeam 0..* Reference(ehealth-careteam) {r} CareTeam message recipient
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam
.... senderCareTeam 0..* Reference(ehealth-careteam) {r} CareTeam message sender
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-senderCareTeam
.... restrictionCategory 1..* CodeableConcept Restriction category
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-restriction-category
Binding: Restriction Category (required)
... basedOn 0..* Reference(Resource) {r} Request fulfilled by this communication
... partOf 0..* Reference(Resource) {r} Part of this action
... subject 1..1 Reference(ehealth-patient) {r} Focus of message
... recipient 0..* Reference(ehealth-device | ehealth-patient | ehealth-practitioner | ehealth-relatedperson) {r} Message recipient
... sender 0..1 Reference(ehealth-device | ehealth-patient | ehealth-practitioner | ehealth-relatedperson) {r} Message sender
... reasonReference 0..* Reference(ehealth-condition | ehealth-observation) {r} Why was communication done?
... payload
.... Slices for content[x] 1..1 string Message part content
Slice: Unordered, Open by type:$this
..... content[x]:contentString 1..1 string Message part content

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Communication.categoryrequiredCommunicationCategory (a valid code from Communication Category)
http://ehealth.sundhed.dk/vs/communication-category
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Communication 0..* Communication A record of information transmitted from a sender to a receiver
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... episodeOfCare 1..1 Reference(EpisodeOfCare) Associated Encounter episode of care
URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
.... recipientCareTeam 0..* Reference(ehealth-careteam) {r} CareTeam message recipient
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam
.... senderCareTeam 0..* Reference(ehealth-careteam) {r} CareTeam message sender
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-senderCareTeam
.... restrictionCategory 1..* CodeableConcept Restriction category
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-restriction-category
Binding: Restriction Category (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... partOf Σ 0..* Reference(Resource) {r} Part of this action
... status ?!Σ 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): The status of the communication.

... category 1..* CodeableConcept Message category
Binding: Communication Category (required)
... subject Σ 1..1 Reference(ehealth-patient) {r} Focus of message
... recipient 0..* Reference(ehealth-device | ehealth-patient | ehealth-practitioner | ehealth-relatedperson) {r} Message recipient
... sender 0..1 Reference(ehealth-device | ehealth-patient | ehealth-practitioner | ehealth-relatedperson) {r} Message sender
... reasonReference Σ 0..* Reference(ehealth-condition | ehealth-observation) {r} Why was communication done?

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Communication.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
from the FHIR Standard
Communication.categoryrequiredCommunicationCategory (a valid code from Communication Category)
http://ehealth.sundhed.dk/vs/communication-category
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Communication 0..* Communication A record of information transmitted from a sender to a receiver
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... episodeOfCare 1..1 Reference(EpisodeOfCare) Associated Encounter episode of care
URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
.... recipientCareTeam 0..* Reference(ehealth-careteam) {r} CareTeam message recipient
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam
.... senderCareTeam 0..* Reference(ehealth-careteam) {r} CareTeam message sender
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-senderCareTeam
.... restrictionCategory 1..* CodeableConcept Restriction category
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-restriction-category
Binding: Restriction Category (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Unique identifier
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(Resource) {r} Request fulfilled by this communication
... partOf Σ 0..* Reference(Resource) {r} Part of this action
... inResponseTo 0..* Reference(Communication) Reply to
... status ?!Σ 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): The status of the communication.

... statusReason Σ 0..1 CodeableConcept Reason for current status
Binding: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen.

... category 1..* CodeableConcept Message category
Binding: Communication Category (required)
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Codes indicating the relative importance of a communication.

... medium 0..* CodeableConcept A channel of communication
Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.


... subject Σ 1..1 Reference(ehealth-patient) {r} Focus of message
... 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 Σ 0..1 Reference(Encounter) Encounter created as part of
... sent 0..1 dateTime When sent
... received 0..1 dateTime When received
... recipient 0..* Reference(ehealth-device | ehealth-patient | ehealth-practitioner | ehealth-relatedperson) {r} Message recipient
... sender 0..1 Reference(ehealth-device | ehealth-patient | ehealth-practitioner | ehealth-relatedperson) {r} Message sender
... reasonCode Σ 0..* CodeableConcept Indication for message
Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication.


... reasonReference Σ 0..* Reference(ehealth-condition | ehealth-observation) {r} Why was communication done?
... payload 0..* BackboneElement Message payload
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Slices for content[x] 1..1 string Message part content
Slice: Unordered, Closed by type:$this
..... content[x]:contentString 1..1 string Message part content
... note 0..* Annotation Comments made about the communication

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Communication.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Communication.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
from the FHIR Standard
Communication.statusReasonexampleCommunicationNotDoneReason
http://hl7.org/fhir/ValueSet/communication-not-done-reason
from the FHIR Standard
Communication.categoryrequiredCommunicationCategory (a valid code from Communication Category)
http://ehealth.sundhed.dk/vs/communication-category
from this IG
Communication.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
Communication.mediumexampleParticipationMode
http://terminology.hl7.org/ValueSet/v3-ParticipationMode
Communication.topicexampleCommunicationTopic
http://hl7.org/fhir/ValueSet/communication-topic
from the FHIR Standard
Communication.reasonCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard

Differential View

This structure is derived from Communication

NameFlagsCard.TypeDescription & Constraintsdoco
.. Communication 0..* Communication A record of information transmitted from a sender to a receiver
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... episodeOfCare 1..1 Reference(EpisodeOfCare) Associated Encounter episode of care
URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
.... recipientCareTeam 0..* Reference(ehealth-careteam) {r} CareTeam message recipient
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam
.... senderCareTeam 0..* Reference(ehealth-careteam) {r} CareTeam message sender
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-senderCareTeam
.... restrictionCategory 1..* CodeableConcept Restriction category
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-restriction-category
Binding: Restriction Category (required)
... basedOn 0..* Reference(Resource) {r} Request fulfilled by this communication
... partOf 0..* Reference(Resource) {r} Part of this action
... subject 1..1 Reference(ehealth-patient) {r} Focus of message
... recipient 0..* Reference(ehealth-device | ehealth-patient | ehealth-practitioner | ehealth-relatedperson) {r} Message recipient
... sender 0..1 Reference(ehealth-device | ehealth-patient | ehealth-practitioner | ehealth-relatedperson) {r} Message sender
... reasonReference 0..* Reference(ehealth-condition | ehealth-observation) {r} Why was communication done?
... payload
.... Slices for content[x] 1..1 string Message part content
Slice: Unordered, Open by type:$this
..... content[x]:contentString 1..1 string Message part content

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Communication.categoryrequiredCommunicationCategory (a valid code from Communication Category)
http://ehealth.sundhed.dk/vs/communication-category
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Communication 0..* Communication A record of information transmitted from a sender to a receiver
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... episodeOfCare 1..1 Reference(EpisodeOfCare) Associated Encounter episode of care
URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
.... recipientCareTeam 0..* Reference(ehealth-careteam) {r} CareTeam message recipient
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam
.... senderCareTeam 0..* Reference(ehealth-careteam) {r} CareTeam message sender
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-senderCareTeam
.... restrictionCategory 1..* CodeableConcept Restriction category
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-restriction-category
Binding: Restriction Category (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... partOf Σ 0..* Reference(Resource) {r} Part of this action
... status ?!Σ 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): The status of the communication.

... category 1..* CodeableConcept Message category
Binding: Communication Category (required)
... subject Σ 1..1 Reference(ehealth-patient) {r} Focus of message
... recipient 0..* Reference(ehealth-device | ehealth-patient | ehealth-practitioner | ehealth-relatedperson) {r} Message recipient
... sender 0..1 Reference(ehealth-device | ehealth-patient | ehealth-practitioner | ehealth-relatedperson) {r} Message sender
... reasonReference Σ 0..* Reference(ehealth-condition | ehealth-observation) {r} Why was communication done?

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Communication.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
from the FHIR Standard
Communication.categoryrequiredCommunicationCategory (a valid code from Communication Category)
http://ehealth.sundhed.dk/vs/communication-category
from this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Communication 0..* Communication A record of information transmitted from a sender to a receiver
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... episodeOfCare 1..1 Reference(EpisodeOfCare) Associated Encounter episode of care
URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
.... recipientCareTeam 0..* Reference(ehealth-careteam) {r} CareTeam message recipient
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-recipientCareTeam
.... senderCareTeam 0..* Reference(ehealth-careteam) {r} CareTeam message sender
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-communication-senderCareTeam
.... restrictionCategory 1..* CodeableConcept Restriction category
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-restriction-category
Binding: Restriction Category (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Unique identifier
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(Resource) {r} Request fulfilled by this communication
... partOf Σ 0..* Reference(Resource) {r} Part of this action
... inResponseTo 0..* Reference(Communication) Reply to
... status ?!Σ 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): The status of the communication.

... statusReason Σ 0..1 CodeableConcept Reason for current status
Binding: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen.

... category 1..* CodeableConcept Message category
Binding: Communication Category (required)
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Codes indicating the relative importance of a communication.

... medium 0..* CodeableConcept A channel of communication
Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.


... subject Σ 1..1 Reference(ehealth-patient) {r} Focus of message
... 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 Σ 0..1 Reference(Encounter) Encounter created as part of
... sent 0..1 dateTime When sent
... received 0..1 dateTime When received
... recipient 0..* Reference(ehealth-device | ehealth-patient | ehealth-practitioner | ehealth-relatedperson) {r} Message recipient
... sender 0..1 Reference(ehealth-device | ehealth-patient | ehealth-practitioner | ehealth-relatedperson) {r} Message sender
... reasonCode Σ 0..* CodeableConcept Indication for message
Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication.


... reasonReference Σ 0..* Reference(ehealth-condition | ehealth-observation) {r} Why was communication done?
... payload 0..* BackboneElement Message payload
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Slices for content[x] 1..1 string Message part content
Slice: Unordered, Closed by type:$this
..... content[x]:contentString 1..1 string Message part content
... note 0..* Annotation Comments made about the communication

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Communication.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Communication.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
from the FHIR Standard
Communication.statusReasonexampleCommunicationNotDoneReason
http://hl7.org/fhir/ValueSet/communication-not-done-reason
from the FHIR Standard
Communication.categoryrequiredCommunicationCategory (a valid code from Communication Category)
http://ehealth.sundhed.dk/vs/communication-category
from this IG
Communication.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
Communication.mediumexampleParticipationMode
http://terminology.hl7.org/ValueSet/v3-ParticipationMode
Communication.topicexampleCommunicationTopic
http://hl7.org/fhir/ValueSet/communication-topic
from the FHIR Standard
Communication.reasonCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard

 

Other representations of profile: CSV, Excel, Schematron