Extensions for Using Data Elements from FHIR R4 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR R4 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR R4 in FHIR R4B - Downloaded Version null See the Directory of published versions
| Official URL: http://hl7.org/fhir/4.0/StructureDefinition/profile-Communication | Version: 0.1.0 | |||
| Standards status: Trial-use | Maturity Level: 0 | Computable Name: Profile_R4_Communication_R4B | ||
This cross-version profile allows R4 Communication content to be represented via FHIR R4B Communication resources.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Communication |
0..* | Communication(4.3.0) | A record of information transmitted from a sender to a receiver | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 |
 status |
?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication. |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Communication.status | Base | required | EventStatus | 📍4.3.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Communication | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Communication | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Communication | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Communication | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Communication | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | Communication.implicitRules, Communication.modifierExtension, Communication.status | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Communication.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Communication
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Communication |
0..* | Communication(4.3.0) | A record of information transmitted from a sender to a receiver | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Communication |
0..* | Communication(4.3.0) | 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): IETF language tag
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources Constraints: dom-r4b | |||||
 extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||
| identifier |
Σ | 0..* | Identifier | Unique identifier | ||||
| instantiatesCanonical |
Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||
 basedOn |
Σ | 0..* | Reference(Resource) | Request fulfilled by this communication | ||||
| partOf |
Σ | 0..* | Reference(Resource) | Part of this action | ||||
| inResponseTo |
0..* | Reference(Communication) | Reply to | |||||
| status |
?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication. | ||||
| statusReason |
Σ | 0..1 | CodeableConcept | Reason for current status Binding: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen. | ||||
| category |
0..* | CodeableConcept | Message category Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc. | |||||
| priority |
Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication. | ||||
| medium |
0..* | CodeableConcept | A channel of communication Binding: ParticipationMode (3.0.0) (example): Codes for communication mediums such as phone, fax, email, in person, etc. | |||||
| subject |
Σ | 0..1 | Reference(Patient | Group) | 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(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService) | Message recipient | |||||
| sender |
0..1 | Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService) | 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(Condition | Observation | DiagnosticReport | DocumentReference) | Why was communication done? | ||||
 payload |
0..* | BackboneElement | Message payload | |||||
 id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
  content[x] |
1..1 | Message part content | ||||||
 contentString |
string | |||||||
| contentAttachment |
Attachment | |||||||
| contentReference |
Reference(Resource) | |||||||
| note |
0..* | Annotation | Comments made about the communication | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Communication.language | Base | preferred | Common Languages | 📍4.3.0 | FHIR Std. |
| Communication.status | Base | required | EventStatus | 📍4.3.0 | FHIR Std. |
| Communication.statusReason | Base | example | CommunicationNotDoneReason | 📍4.3.0 | FHIR Std. |
| Communication.category | Base | example | CommunicationCategory | 📍4.3.0 | FHIR Std. |
| Communication.priority | Base | required | RequestPriority | 📍4.3.0 | FHIR Std. |
| Communication.medium | Base | example | ParticipationMode | 📍3.0.0 | THO v7.1 |
| Communication.topic | Base | example | CommunicationTopic | 📍4.3.0 | FHIR Std. |
| Communication.reasonCode | Base | example | SNOMED CT Clinical Findings | 📍4.3.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Communication | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Communication | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Communication | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Communication | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Communication | A resource should have narrative for robust management |
text.`div`.exists()
|
| dom-r4b | warning | Communication.contained | Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems |
($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
|
| ele-1 | error | Communication.meta, Communication.implicitRules, Communication.language, Communication.text, Communication.extension, Communication.modifierExtension, Communication.identifier, Communication.instantiatesCanonical, Communication.instantiatesUri, Communication.basedOn, Communication.partOf, Communication.inResponseTo, Communication.status, Communication.statusReason, Communication.category, Communication.priority, Communication.medium, Communication.subject, Communication.topic, Communication.about, Communication.encounter, Communication.sent, Communication.received, Communication.recipient, Communication.sender, Communication.reasonCode, Communication.reasonReference, Communication.payload, Communication.payload.extension, Communication.payload.modifierExtension, Communication.payload.content[x], Communication.note | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Communication.extension, Communication.modifierExtension, Communication.payload.extension, Communication.payload.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Communication
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Communication |
0..* | Communication(4.3.0) | A record of information transmitted from a sender to a receiver | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 |
| status |
?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication. |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Communication.status | Base | required | EventStatus | 📍4.3.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Communication | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Communication | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Communication | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Communication | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Communication | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | Communication.implicitRules, Communication.modifierExtension, Communication.status | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Communication.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from Communication
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Communication |
0..* | Communication(4.3.0) | A record of information transmitted from a sender to a receiver | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Communication |
0..* | Communication(4.3.0) | 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): IETF language tag
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources Constraints: dom-r4b | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||
| identifier |
Σ | 0..* | Identifier | Unique identifier | ||||
| instantiatesCanonical |
Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn |
Σ | 0..* | Reference(Resource) | Request fulfilled by this communication | ||||
| partOf |
Σ | 0..* | Reference(Resource) | Part of this action | ||||
| inResponseTo |
0..* | Reference(Communication) | Reply to | |||||
| status |
?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication. | ||||
| statusReason |
Σ | 0..1 | CodeableConcept | Reason for current status Binding: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen. | ||||
| category |
0..* | CodeableConcept | Message category Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc. | |||||
| priority |
Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication. | ||||
| medium |
0..* | CodeableConcept | A channel of communication Binding: ParticipationMode (3.0.0) (example): Codes for communication mediums such as phone, fax, email, in person, etc. | |||||
| subject |
Σ | 0..1 | Reference(Patient | Group) | 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(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService) | Message recipient | |||||
| sender |
0..1 | Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService) | 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(Condition | Observation | DiagnosticReport | DocumentReference) | Why was communication done? | ||||
| payload |
0..* | BackboneElement | Message payload | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| content[x] |
1..1 | Message part content | ||||||
| contentString |
string | |||||||
| contentAttachment |
Attachment | |||||||
| contentReference |
Reference(Resource) | |||||||
| note |
0..* | Annotation | Comments made about the communication | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Communication.language | Base | preferred | Common Languages | 📍4.3.0 | FHIR Std. |
| Communication.status | Base | required | EventStatus | 📍4.3.0 | FHIR Std. |
| Communication.statusReason | Base | example | CommunicationNotDoneReason | 📍4.3.0 | FHIR Std. |
| Communication.category | Base | example | CommunicationCategory | 📍4.3.0 | FHIR Std. |
| Communication.priority | Base | required | RequestPriority | 📍4.3.0 | FHIR Std. |
| Communication.medium | Base | example | ParticipationMode | 📍3.0.0 | THO v7.1 |
| Communication.topic | Base | example | CommunicationTopic | 📍4.3.0 | FHIR Std. |
| Communication.reasonCode | Base | example | SNOMED CT Clinical Findings | 📍4.3.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Communication | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Communication | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Communication | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Communication | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Communication | A resource should have narrative for robust management |
text.`div`.exists()
|
| dom-r4b | warning | Communication.contained | Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems |
($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
|
| ele-1 | error | Communication.meta, Communication.implicitRules, Communication.language, Communication.text, Communication.extension, Communication.modifierExtension, Communication.identifier, Communication.instantiatesCanonical, Communication.instantiatesUri, Communication.basedOn, Communication.partOf, Communication.inResponseTo, Communication.status, Communication.statusReason, Communication.category, Communication.priority, Communication.medium, Communication.subject, Communication.topic, Communication.about, Communication.encounter, Communication.sent, Communication.received, Communication.recipient, Communication.sender, Communication.reasonCode, Communication.reasonReference, Communication.payload, Communication.payload.extension, Communication.payload.modifierExtension, Communication.payload.content[x], Communication.note | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Communication.extension, Communication.modifierExtension, Communication.payload.extension, Communication.payload.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Communication
Other representations of profile: CSV, Excel, Schematron
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r4.r4b#0.1.0 based on FHIR 4.3.0. Generated 2026-03-20
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