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.
Elements / Snapshot
The full effective definition: base Communication with this profile's constraints applied.
| Element | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Communication | 0..* | Nexus EMR Communication Core Invariants: dom-2, dom-3, dom-4, dom-5, dom-6, nexus-note-extension-not-where-native, communication-has-category |
||
| id | 0..1 | http://hl7.org/fhirpath/System.String | Logical id of this artifact i | |
| meta | 0..1 | Meta | Metadata about the resource Invariants: ele-1 |
|
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| versionId | 0..1 | id | Version specific identifier i Invariants: ele-1 |
|
| lastUpdated | 0..1 | instant | When the resource version last changed i Invariants: ele-1 |
|
| source | S | 0..1 | uri | Identifies EMR instance & pipeline version the resource came from i Invariants: ele-1 |
| profile | 0..* | canonical | Profiles this resource claims to conform to i Invariants: ele-1 |
|
| security | 0..* | Coding | Security Labels applied to this resource i Binding: security-labels ( extensible)Invariants: ele-1 |
|
| tag | 0..* | Coding | Tags applied to this resource i Binding: common-tags ( example)Invariants: ele-1 |
|
| implicitRules | ?! | 0..1 | uri | A set of rules under which this content was created i Invariants: ele-1 |
| language | 0..1 | code | Language of the resource content i Binding: languages ( preferred)Invariants: ele-1 |
|
| text | S | 0..1 | Narrative | Narrative i Invariants: ele-1 |
| contained | 0..* | Resource | Contained, inline Resources i | |
| extension | 0..* | Extension | Additional content defined by implementations i Invariants: ele-1, ext-1 |
|
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored i Invariants: ele-1, ext-1 |
| identifier | 0..* | Identifier | Business identifier(s) for the communication i Invariants: ele-1 |
|
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| use | ?! | 0..1 | code | usual | official | temp | secondary | old (If known) i Binding: identifier-use ( required)Invariants: ele-1 |
| type | 0..1 | CodeableConcept | Description of identifier i Binding: identifier-type ( extensible)Invariants: ele-1 |
|
| system | 1..1 | uri | The namespace for the identifier value i Invariants: ele-1 |
|
| value | 1..1 | string | The value that is unique i Invariants: ele-1 |
|
| period | 0..1 | Period | Time period when id is/was valid for use Invariants: ele-1 |
|
| assigner | 0..1 | Reference(Organization) | Organization that issued id (may be just text) i Invariants: ele-1 |
|
| instantiatesCanonical | 0..* | canonical | Instantiates FHIR protocol or definition Invariants: ele-1 |
|
| instantiatesUri | 0..* | uri | Instantiates external protocol or definition i Invariants: ele-1 |
|
| basedOn | 0..* | Reference(Resource) | Request fulfilled by this communication i Invariants: ele-1 |
|
| partOf | 0..* | Reference(Resource) | Part of this action Invariants: ele-1 |
|
| inResponseTo | S | 0..* | Reference(Communication Profile) | The message this one replies to i Invariants: ele-1 |
| status | S ?! | 1..1 | code | preparation | in-progress | not-done | completed | entered-in-error | ... i Binding: event-status ( required)Invariants: ele-1 |
| statusReason | 0..1 | CodeableConcept | Reason for current status i Binding: communication-not-done-reason ( example)Invariants: ele-1 |
|
| category | S | 0..* | CodeableConcept | Which population: internal staff chat, or external eReferral correspondence i Binding: communication-category ( example)Invariants: ele-1 |
| priority | 0..1 | code | routine | urgent | asap | stat i Binding: request-priority ( required)Invariants: ele-1 |
|
| medium | 0..* | CodeableConcept | A channel of communication Binding: v3-ParticipationMode ( example)Invariants: ele-1 |
|
| subject | S | 0..1 | Reference(Patient Profile) | The patient the communication is about i Invariants: ele-1 |
| topic | 0..1 | CodeableConcept | Description of the purpose/content i Binding: communication-topic ( example)Invariants: ele-1 |
|
| about | 0..* | Reference(Resource) | Resources that pertain to this communication i Invariants: ele-1 |
|
| encounter | 0..1 | Reference(Encounter) | Encounter created as part of i Invariants: ele-1 |
|
| sent | S | 0..1 | dateTime | When the message was sent Invariants: ele-1 |
| received | S | 0..1 | dateTime | When the message was received Invariants: ele-1 |
| recipient | S | 0..* | Reference(Practitioner Profile | PractitionerRole Profile | Patient Profile | RelatedPerson Profile | Organization Profile | CareTeam Profile) | Who the message was addressed to Invariants: ele-1 |
| sender | S | 0..1 | Reference(Practitioner Profile | PractitionerRole Profile | Patient Profile | RelatedPerson Profile | Organization Profile | App Device Profile) | Who sent the message i Invariants: ele-1 |
| reasonCode | 0..* | CodeableConcept | Indication for message i Binding: clinical-findings ( example)Invariants: ele-1 |
|
| reasonReference | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Why was communication done? Invariants: ele-1 |
|
| payload | S | 0..* | BackboneElement | The message content i Invariants: ele-1 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Invariants: ele-1, ext-1 |
|
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored even if unrecognized i Invariants: ele-1, ext-1 |
| content[x] | 1..1 | string, Attachment, Reference(Resource) | Message part content Invariants: ele-1 |
|
| note | 0..* | Annotation | Comments made about the communication Invariants: ele-1 |