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 |