TIFlow - Verordnungen für Digitale Gesundheitsanwendungen (DiGA)
Version 2.0.0-ballot.1 - ci-build

Resource Profile: GEM ERP PR Communication DiGA

Official URL: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_Communication_DiGA Version: 2.0.0-ballot.1
Active as of 2028-04-01 Computable Name: GEM_ERP_PR_Communication_DiGA

Copyright/Legal: gematik GmbH / Dieses Artefakt ist lizenziert unter Apache License, Version 2.0.

Antwort des Leistungserbringers an den Patienten

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* Communication A record of information transmitted from a sender to a receiver
Constraints: dom-2, dom-3, dom-4, dom-5, dom-6
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... basedOn SΣC 1..1 Reference(Task) {r} Gibt das E-Rezept-Token gemäß gemSpec_DM_eRp an.
Constraints: ref-1
.... reference SΣC 1..1 string Gibt das E-Rezept-Token gemäß gemSpec_DM_eRp an.
... sent S 0..1 dateTime Der Zeitpunkt, zu dem diese Kommunikation gesendet wurde.
... received S 0..1 dateTime Der Zeitpunkt, zu dem diese Kommunikation empfangen wurde.
... recipient SC 1..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService) Die Entität (z. B. Person, Organisation), die Ziel der Kommunikation war.
Constraints: ref-1
.... identifier SΣ 1..1 IdentifierKvid10 Logical reference, when literal reference is not known
... sender SC 0..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService) Die Entität (z. B. Person, Organisation), die Quelle der Kommunikation war.
Constraints: ref-1
.... identifier Σ 1..1 IdentifierTelematikId Logical reference, when literal reference is not known
... payload S 1..1 BackboneElement Message payload
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... content[x] S 1..1 string Der tatsächliche Inhalt der Nachricht

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Communication.status Base required EventStatus 📍4.0.1 FHIR Std.

Constraints

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 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(canonical) = '#').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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
ref-1 error Communication.basedOn, Communication.recipient, Communication.sender SHALL have a contained resource if a local reference is provided reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from Communication

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* Communication A record of information transmitted from a sender to a receiver
... instantiatesCanonical 0..0 Instantiates FHIR protocol or definition
... instantiatesUri 0..0 Instantiates external protocol or definition
... basedOn S 1..1 Reference(Task) {r} Gibt das E-Rezept-Token gemäß gemSpec_DM_eRp an.
.... reference S 1..1 string Gibt das E-Rezept-Token gemäß gemSpec_DM_eRp an.
... inResponseTo 0..0 Reply to
... status S 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Fixed Value: unknown
... statusReason 0..0 Reason for current status
... category 0..0 Message category
... priority 0..0 routine | urgent | asap | stat
... medium 0..0 A channel of communication
... subject 0..0 Focus of message
... topic 0..0 Description of the purpose/content
... about 0..0 Resources that pertain to this communication
... encounter 0..0 Encounter created as part of
... sent S 0..1 dateTime Der Zeitpunkt, zu dem diese Kommunikation gesendet wurde.
... received S 0..1 dateTime Der Zeitpunkt, zu dem diese Kommunikation empfangen wurde.
... recipient S 1..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService) Die Entität (z. B. Person, Organisation), die Ziel der Kommunikation war.
.... identifier S 1..1 IdentifierKvid10 Logical reference, when literal reference is not known
... sender S 0..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService) Die Entität (z. B. Person, Organisation), die Quelle der Kommunikation war.
.... identifier 1..1 IdentifierTelematikId Logical reference, when literal reference is not known
... reasonCode 0..0 Indication for message
... reasonReference 0..0 Why was communication done?
... payload S 1..1 BackboneElement Message payload
.... content[x] S 1..1 string Der tatsächliche Inhalt der Nachricht
... note 0..0 Comments made about the communication

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* Communication A record of information transmitted from a sender to a receiver
Constraints: dom-2, dom-3, dom-4, dom-5, dom-6
... 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
... 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
... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... identifier Σ 0..* Identifier Unique identifier
... basedOn SΣC 1..1 Reference(Task) {r} Gibt das E-Rezept-Token gemäß gemSpec_DM_eRp an.
Constraints: ref-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Gibt das E-Rezept-Token gemäß gemSpec_DM_eRp an.
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... status ?!SΣ 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): The status of the communication.
Fixed Value: unknown
... sent S 0..1 dateTime Der Zeitpunkt, zu dem diese Kommunikation gesendet wurde.
... received S 0..1 dateTime Der Zeitpunkt, zu dem diese Kommunikation empfangen wurde.
... recipient SC 1..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService) Die Entität (z. B. Person, Organisation), die Ziel der Kommunikation war.
Constraints: ref-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier SΣ 1..1 IdentifierKvid10 Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... sender SC 0..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService) Die Entität (z. B. Person, Organisation), die Quelle der Kommunikation war.
Constraints: ref-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 1..1 IdentifierTelematikId Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... payload S 1..1 BackboneElement Message payload
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... content[x] S 1..1 string Der tatsächliche Inhalt der Nachricht

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Communication.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Communication.basedOn.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Communication.status Base required EventStatus 📍4.0.1 FHIR Std.
Communication.recipient.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Communication.sender.​type Base extensible ResourceType 📍4.0.1 FHIR Std.

Constraints

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 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(canonical) = '#').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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
ref-1 error Communication.basedOn, Communication.recipient, Communication.sender SHALL have a contained resource if a local reference is provided reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from Communication

Summary

Mandatory: 5 elements(1 nested mandatory element)
Must-Support: 10 elements
Fixed: 1 element
Prohibited: 15 elements

Structures

This structure refers to these other structures:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* Communication A record of information transmitted from a sender to a receiver
Constraints: dom-2, dom-3, dom-4, dom-5, dom-6
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... basedOn SΣC 1..1 Reference(Task) {r} Gibt das E-Rezept-Token gemäß gemSpec_DM_eRp an.
Constraints: ref-1
.... reference SΣC 1..1 string Gibt das E-Rezept-Token gemäß gemSpec_DM_eRp an.
... sent S 0..1 dateTime Der Zeitpunkt, zu dem diese Kommunikation gesendet wurde.
... received S 0..1 dateTime Der Zeitpunkt, zu dem diese Kommunikation empfangen wurde.
... recipient SC 1..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService) Die Entität (z. B. Person, Organisation), die Ziel der Kommunikation war.
Constraints: ref-1
.... identifier SΣ 1..1 IdentifierKvid10 Logical reference, when literal reference is not known
... sender SC 0..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService) Die Entität (z. B. Person, Organisation), die Quelle der Kommunikation war.
Constraints: ref-1
.... identifier Σ 1..1 IdentifierTelematikId Logical reference, when literal reference is not known
... payload S 1..1 BackboneElement Message payload
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... content[x] S 1..1 string Der tatsächliche Inhalt der Nachricht

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Communication.status Base required EventStatus 📍4.0.1 FHIR Std.

Constraints

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 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(canonical) = '#').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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
ref-1 error Communication.basedOn, Communication.recipient, Communication.sender SHALL have a contained resource if a local reference is provided reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Differential View

This structure is derived from Communication

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* Communication A record of information transmitted from a sender to a receiver
... instantiatesCanonical 0..0 Instantiates FHIR protocol or definition
... instantiatesUri 0..0 Instantiates external protocol or definition
... basedOn S 1..1 Reference(Task) {r} Gibt das E-Rezept-Token gemäß gemSpec_DM_eRp an.
.... reference S 1..1 string Gibt das E-Rezept-Token gemäß gemSpec_DM_eRp an.
... inResponseTo 0..0 Reply to
... status S 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Fixed Value: unknown
... statusReason 0..0 Reason for current status
... category 0..0 Message category
... priority 0..0 routine | urgent | asap | stat
... medium 0..0 A channel of communication
... subject 0..0 Focus of message
... topic 0..0 Description of the purpose/content
... about 0..0 Resources that pertain to this communication
... encounter 0..0 Encounter created as part of
... sent S 0..1 dateTime Der Zeitpunkt, zu dem diese Kommunikation gesendet wurde.
... received S 0..1 dateTime Der Zeitpunkt, zu dem diese Kommunikation empfangen wurde.
... recipient S 1..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService) Die Entität (z. B. Person, Organisation), die Ziel der Kommunikation war.
.... identifier S 1..1 IdentifierKvid10 Logical reference, when literal reference is not known
... sender S 0..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService) Die Entität (z. B. Person, Organisation), die Quelle der Kommunikation war.
.... identifier 1..1 IdentifierTelematikId Logical reference, when literal reference is not known
... reasonCode 0..0 Indication for message
... reasonReference 0..0 Why was communication done?
... payload S 1..1 BackboneElement Message payload
.... content[x] S 1..1 string Der tatsächliche Inhalt der Nachricht
... note 0..0 Comments made about the communication

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* Communication A record of information transmitted from a sender to a receiver
Constraints: dom-2, dom-3, dom-4, dom-5, dom-6
... 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
... 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
... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... identifier Σ 0..* Identifier Unique identifier
... basedOn SΣC 1..1 Reference(Task) {r} Gibt das E-Rezept-Token gemäß gemSpec_DM_eRp an.
Constraints: ref-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Gibt das E-Rezept-Token gemäß gemSpec_DM_eRp an.
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... status ?!SΣ 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): The status of the communication.
Fixed Value: unknown
... sent S 0..1 dateTime Der Zeitpunkt, zu dem diese Kommunikation gesendet wurde.
... received S 0..1 dateTime Der Zeitpunkt, zu dem diese Kommunikation empfangen wurde.
... recipient SC 1..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService) Die Entität (z. B. Person, Organisation), die Ziel der Kommunikation war.
Constraints: ref-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier SΣ 1..1 IdentifierKvid10 Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... sender SC 0..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService) Die Entität (z. B. Person, Organisation), die Quelle der Kommunikation war.
Constraints: ref-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 1..1 IdentifierTelematikId Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... payload S 1..1 BackboneElement Message payload
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... content[x] S 1..1 string Der tatsächliche Inhalt der Nachricht

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Communication.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Communication.basedOn.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Communication.status Base required EventStatus 📍4.0.1 FHIR Std.
Communication.recipient.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Communication.sender.​type Base extensible ResourceType 📍4.0.1 FHIR Std.

Constraints

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 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(canonical) = '#').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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
ref-1 error Communication.basedOn, Communication.recipient, Communication.sender SHALL have a contained resource if a local reference is provided reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from Communication

Summary

Mandatory: 5 elements(1 nested mandatory element)
Must-Support: 10 elements
Fixed: 1 element
Prohibited: 15 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron