This page is part of the FHIR Specification (v3.0.2: STU 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions
. Page versions: R5 R4B R4 R3 R2
Patient Care Work Group | Maturity Level: 2 | Trial Use | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
Detailed Descriptions for the elements in the Communication resource.
| Communication | |
| Definition | An occurrence of information being transmitted; e.g. an alert that was sent to a responsible provider, a public health agency was notified about a reportable condition. |
| Control | 1..1 |
| Invariants | Defined on this element com-1: Not Done Reason can only be specified if NotDone is "true" (expression : notDone or notDoneReason.exists().not(), xpath: f:notDone/@value=true() or not(exists(f:notDoneReason))) |
| Communication.identifier | |
| Definition | Identifiers associated with this Communication that are defined by business processes and/ or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation). |
| Note | This is a business identifer, not a resource identifier (see discussion) |
| Control | 0..* |
| Type | Identifier |
| Summary | true |
| Communication.definition | |
| Definition | A protocol, guideline, or other definition that was adhered to in whole or in part by this communication event. |
| Control | 0..* |
| Type | Reference(PlanDefinition | ActivityDefinition) |
| Summary | true |
| Communication.basedOn | |
| Definition | An order, proposal or plan fulfilled in whole or in part by this Communication. |
| Control | 0..* |
| Type | Reference(Any) |
| Alternate Names | fulfills |
| Summary | true |
| Comments | This must point to some sort of a 'Request' resource, such as CarePlan, CommunicationRequest, ReferralRequest, MedicationRequest, etc. |
| Communication.partOf | |
| Definition | Part of this action. |
| Control | 0..* |
| Type | Reference(Any) |
| Alternate Names | container |
| Summary | true |
| Communication.status | |
| Definition | The status of the transmission. |
| Control | 1..1 |
| Terminology Binding | EventStatus (Required) |
| Type | code |
| Is Modifier | true |
| Summary | true |
| 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. |
| Communication.notDone | |
| Definition | If true, indicates that the described communication event did not actually occur. |
| Control | 0..1 |
| Type | boolean |
| Is Modifier | true |
| Requirements | Creating a Communication where notDone is true is intended for situations where there's a need for a specific statement in the record about something not being done. If the need is merely to indicate that a request wasn't fulfilled, that should be handled using Task. |
| Summary | true |
| Comments | This element is labeled as a modifier because it marks the communication as a communication that did not occur. The more attributes are populated, the more constrained the negated statement is. |
| Communication.notDoneReason | |
| Definition | Describes why the communication event did not occur in coded and/or textual form. |
| Control | 0..1 |
| Terminology Binding | CommunicationNotDoneReason (Example) |
| Type | CodeableConcept |
| Summary | true |
| Invariants | Affect this element com-1: Not Done Reason can only be specified if NotDone is "true" (expression : notDone or notDoneReason.exists().not(), xpath: f:notDone/@value=true() or not(exists(f:notDoneReason))) |
| Communication.category | |
| Definition | The type of message conveyed such as alert, notification, reminder, instruction, etc. |
| Control | 0..* |
| Terminology Binding | CommunicationCategory (Example) |
| Type | CodeableConcept |
| Comments | There may be multiple axes of categorization and one communication may serve multiple purposes. |
| Communication.medium | |
| Definition | A channel that was used for this communication (e.g. email, fax). |
| Control | 0..* |
| Terminology Binding | v3 Code System ParticipationMode (Example) |
| Type | CodeableConcept |
| Communication.subject | |
| Definition | The patient or group that was the focus of this communication. |
| Control | 0..1 |
| Type | Reference(Patient | Group) |
| Alternate Names | patient |
| Summary | true |
| Communication.recipient | |
| Definition | The entity (e.g. person, organization, clinical information system, or device) which was the target of the communication. If receipts need to be tracked by individual, a separate resource instance will need to be created for each recipient. Multiple recipient communications are intended where either a receipt(s) is not tracked (e.g. a mass mail-out) or is captured in aggregate (all emails confirmed received by a particular time). |
| Control | 0..* |
| Type | Reference(Device | Organization | Patient | Practitioner | RelatedPerson | Group) |
| Communication.topic | |
| Definition | The resources which were responsible for or related to producing this communication. |
| Control | 0..* |
| Type | Reference(Any) |
| Communication.context | |
| Definition | The encounter within which the communication was sent. |
| Control | 0..1 |
| Type | Reference(Encounter | EpisodeOfCare) |
| Alternate Names | encounter |
| Summary | true |
| Communication.sent | |
| Definition | The time when this communication was sent. |
| Control | 0..1 |
| Type | dateTime |
| Communication.received | |
| Definition | The time when this communication arrived at the destination. |
| Control | 0..1 |
| Type | dateTime |
| Communication.sender | |
| Definition | The entity (e.g. person, organization, clinical information system, or device) which was the source of the communication. |
| Control | 0..1 |
| Type | Reference(Device | Organization | Patient | Practitioner | RelatedPerson) |
| Communication.reasonCode | |
| Definition | The reason or justification for the communication. |
| Control | 0..* |
| Terminology Binding | SNOMED CT Clinical Findings (Example) |
| Type | CodeableConcept |
| Summary | true |
| Comments | Textual reasons can be caprued using reasonCode.text. |
| Communication.reasonReference | |
| Definition | Indicates another resource whose existence justifies this communication. |
| Control | 0..* |
| Type | Reference(Condition | Observation) |
| Summary | true |
| Communication.payload | |
| Definition | Text, attachment(s), or resource(s) that was communicated to the recipient. |
| Control | 0..* |
| Communication.payload.content[x] | |
| Definition | A communicated content (or for multi-part communications, one portion of the communication). |
| Control | 1..1 |
| Type | string|Attachment|Reference(Any) |
| [x] Note | See Choice of Data Types for further information about how to use [x] |
| Communication.note | |
| Definition | Additional notes or commentary about the communication by the sender, receiver or other interested parties. |
| Control | 0..* |
| Type | Annotation |