Communication Profile

Canonical	../StructureDefinition/nexus-emr-core-communication
Status	draft (experimental) · 1.26.0
Base	Communication (constraint)
Source	FSH · JSON

Nexus EMR profile for Communication, covering two distinct populations: WELL-internal staff chat about a patient, and eReferral correspondence passed through from or to external partners. First pass -- the pass-through boundary and message threading are not yet settled.

Examples

Internal Staff Chat About a Patient

WELL-internal chat message about Avery Linwood, distinguished from eReferral pass-through traffic by the category coding

Communication/comm-avery-internal-chat-01 — claims conformance to Communication Profile

{
  "resourceType": "Communication",
  "id": "comm-avery-internal-chat-01",
  "meta": {
    "profile": [
      "../StructureDefinition/nexus-emr-core-communication"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns='http://www.w3.org/1999/xhtml'><p>Internal staff chat message about Avery Linwood: front-desk note to Dr. Navarro that the patient called about the naproxen prescription. WELL-internal chat, not eReferral traffic -- the category coding is what distinguishes the two populations.</p></div>"
  },
  "identifier": [
    {
      "use": "secondary",
      "system": "../NamingSystem/cedarbrook-clinic-communication-raw-code",
      "value": "CHAT-MSG-40817"
    }
  ],
  "status": "completed",
  "category": [
    {
      "text": "internal-chat"
    }
  ],
  "subject": {
    "reference": "Patient/avery-linwood",
    "display": "Avery Linwood"
  },
  "sent": "2025-04-09T14:12:00-06:00",
  "sender": {
    "reference": "PractitionerRole/dr-ben-mrp-role",
    "display": "Dr. Ben"
  },
  "recipient": [
    {
      "reference": "Practitioner/dr-emil-navarro",
      "display": "Dr. Emil Navarro"
    }
  ],
  "payload": [
    {
      "contentString": "Avery called about the naproxen -- says the stomach upset is manageable but wants to know if she should keep taking it with the warfarin. Booked a phone follow-up for tomorrow 10:15. Flagging in case you want to reach her sooner."
    }
  ]
}