Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication	C	0..*	Communication	A record of information transmitted from a sender to a receiver Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, workflow-communication-payload-1
meta	SΣ	1..1	Meta	Metadata about the resource
Slices for profile	SΣ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Closed by value:$this
profile:workflowProfile	SΣ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_Communication_DispReq|2.0
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:flowType		1..1	Coding	Extension URL: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_PrescriptionType Binding: ValueSet der Flowtypes in TIFlow Anwendungen (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
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.
recipient	SC	1..1	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService)	Message recipient Constraints: ref-1
identifier	SΣ	1..1	IdentifierTelematikId	Logical reference, when literal reference is not known
sender	C	0..1	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService)	Message sender Constraints: ref-1
identifier	SΣ	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
payload	S	0..1	BackboneElement	Message payload
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
content[x]		1..1	string	Message part content
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.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'))
workflow-communication-payload-1	error	Communication	Payload muss angegeben werden, wenn eine Zuweisung für ein Arzneimittel vorgenommen wird	(extension.where(url = 'https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_PrescriptionType').value.code = '162' implies payload.exists().not()) and (extension.where(url = 'https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_PrescriptionType').value.code != '162' implies payload.exists() and payload.empty().not())

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication	C	0..*	Communication	A record of information transmitted from a sender to a receiver Constraints: workflow-communication-payload-1
meta	S	1..1	Meta	Metadata about the resource
Slices for profile	S	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Closed by value:$this
profile:workflowProfile	S	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_Communication_DispReq|2.0
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:flowType		1..1	Coding	Extension URL: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_PrescriptionType Binding: ValueSet der Flowtypes in TIFlow Anwendungen (required)
recipient	S	1..1	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService)	Message recipient
identifier	S	1..1	IdentifierTelematikId	Logical reference, when literal reference is not known
sender
identifier	S	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
payload	S	0..1	BackboneElement	Message payload
content[x]		1..1	string	Message part content
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
workflow-communication-payload-1	error	Communication	Payload muss angegeben werden, wenn eine Zuweisung für ein Arzneimittel vorgenommen wird	(extension.where(url = 'https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_PrescriptionType').value.code = '162' implies payload.exists().not()) and (extension.where(url = 'https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_PrescriptionType').value.code != '162' implies payload.exists() and payload.empty().not())

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication	C	0..*	Communication	A record of information transmitted from a sender to a receiver Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, workflow-communication-payload-1
id	Σ	0..1	id	Logical id of this artifact
meta	SΣ	1..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
Slices for profile	SΣ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Closed by value:$this
profile:workflowProfile	SΣ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_Communication_DispReq|2.0
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:flowType		1..1	Coding	Extension URL: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_PrescriptionType Binding: ValueSet der Flowtypes in TIFlow Anwendungen (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
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	ΣC	0..*	Reference(Resource)	Request fulfilled by this communication Constraints: ref-1
partOf	ΣC	0..*	Reference(Resource)	Part of this action Constraints: ref-1
inResponseTo	C	0..*	Reference(Communication)	Reply to Constraints: ref-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.
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 (example): Codes for communication mediums such as phone, fax, email, in person, etc.
subject	ΣC	0..1	Reference(Patient | Group)	Focus of message Constraints: ref-1
topic		0..1	CodeableConcept	Description of the purpose/content Binding: CommunicationTopic (example): Codes describing the purpose or content of the communication.
about	C	0..*	Reference(Resource)	Resources that pertain to this communication Constraints: ref-1
encounter	ΣC	0..1	Reference(Encounter)	Encounter created as part of Constraints: ref-1
sent		0..1	dateTime	When sent
received		0..1	dateTime	When received
recipient	SC	1..1	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService)	Message recipient 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	IdentifierTelematikId	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
sender	C	0..1	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService)	Message sender 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
reasonCode	Σ	0..*	CodeableConcept	Indication for message Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication.
reasonReference	ΣC	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Why was communication done? Constraints: ref-1
payload	S	0..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]		1..1	string	Message part content
note		0..*	Annotation	Comments made about the communication
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Communication.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Communication.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Communication.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Communication.status	Base	required	EventStatus	📍4.0.1	FHIR Std.
Communication.statusReason	Base	example	CommunicationNotDoneReason	📍4.0.1	FHIR Std.
Communication.category	Base	example	CommunicationCategory	📍4.0.1	FHIR Std.
Communication.priority	Base	required	Request priority	📍4.0.1	FHIR Std.
Communication.medium	Base	example	ParticipationMode	📦3.0.0	THO v7.1
Communication.topic	Base	example	CommunicationTopic	📍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.
Communication.reasonCode	Base	example	SNOMED CT Clinical Findings	📍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.partOf, Communication.inResponseTo, Communication.subject, Communication.about, Communication.encounter, Communication.recipient, Communication.sender, Communication.reasonReference	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'))
workflow-communication-payload-1	error	Communication	Payload muss angegeben werden, wenn eine Zuweisung für ein Arzneimittel vorgenommen wird	(extension.where(url = 'https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_PrescriptionType').value.code = '162' implies payload.exists().not()) and (extension.where(url = 'https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_PrescriptionType').value.code != '162' implies payload.exists() and payload.empty().not())

Summary

Mandatory: 7 elements(1 nested mandatory element)
Must-Support: 7 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

• Identifier-Profil für die Telematik-ID (http://fhir.de/StructureDefinition/identifier-telematik-id)
• Identifier-Profil für die 10-stellige Krankenversichertennummer (http://fhir.de/StructureDefinition/identifier-kvid-10)

Extensions

This structure refers to these extensions:

• https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_PrescriptionType

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Communication.meta.profile (Closed)

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication	C	0..*	Communication	A record of information transmitted from a sender to a receiver Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, workflow-communication-payload-1
meta	SΣ	1..1	Meta	Metadata about the resource
Slices for profile	SΣ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Closed by value:$this
profile:workflowProfile	SΣ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_Communication_DispReq|2.0
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:flowType		1..1	Coding	Extension URL: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_PrescriptionType Binding: ValueSet der Flowtypes in TIFlow Anwendungen (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
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.
recipient	SC	1..1	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService)	Message recipient Constraints: ref-1
identifier	SΣ	1..1	IdentifierTelematikId	Logical reference, when literal reference is not known
sender	C	0..1	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService)	Message sender Constraints: ref-1
identifier	SΣ	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
payload	S	0..1	BackboneElement	Message payload
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
content[x]		1..1	string	Message part content
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.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'))
workflow-communication-payload-1	error	Communication	Payload muss angegeben werden, wenn eine Zuweisung für ein Arzneimittel vorgenommen wird	(extension.where(url = 'https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_PrescriptionType').value.code = '162' implies payload.exists().not()) and (extension.where(url = 'https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_PrescriptionType').value.code != '162' implies payload.exists() and payload.empty().not())

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication	C	0..*	Communication	A record of information transmitted from a sender to a receiver Constraints: workflow-communication-payload-1
meta	S	1..1	Meta	Metadata about the resource
Slices for profile	S	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Closed by value:$this
profile:workflowProfile	S	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_Communication_DispReq|2.0
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:flowType		1..1	Coding	Extension URL: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_PrescriptionType Binding: ValueSet der Flowtypes in TIFlow Anwendungen (required)
recipient	S	1..1	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService)	Message recipient
identifier	S	1..1	IdentifierTelematikId	Logical reference, when literal reference is not known
sender
identifier	S	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
payload	S	0..1	BackboneElement	Message payload
content[x]		1..1	string	Message part content
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
workflow-communication-payload-1	error	Communication	Payload muss angegeben werden, wenn eine Zuweisung für ein Arzneimittel vorgenommen wird	(extension.where(url = 'https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_PrescriptionType').value.code = '162' implies payload.exists().not()) and (extension.where(url = 'https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_PrescriptionType').value.code != '162' implies payload.exists() and payload.empty().not())

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication	C	0..*	Communication	A record of information transmitted from a sender to a receiver Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, workflow-communication-payload-1
id	Σ	0..1	id	Logical id of this artifact
meta	SΣ	1..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
Slices for profile	SΣ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Closed by value:$this
profile:workflowProfile	SΣ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_Communication_DispReq|2.0
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:flowType		1..1	Coding	Extension URL: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_PrescriptionType Binding: ValueSet der Flowtypes in TIFlow Anwendungen (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
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	ΣC	0..*	Reference(Resource)	Request fulfilled by this communication Constraints: ref-1
partOf	ΣC	0..*	Reference(Resource)	Part of this action Constraints: ref-1
inResponseTo	C	0..*	Reference(Communication)	Reply to Constraints: ref-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.
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 (example): Codes for communication mediums such as phone, fax, email, in person, etc.
subject	ΣC	0..1	Reference(Patient | Group)	Focus of message Constraints: ref-1
topic		0..1	CodeableConcept	Description of the purpose/content Binding: CommunicationTopic (example): Codes describing the purpose or content of the communication.
about	C	0..*	Reference(Resource)	Resources that pertain to this communication Constraints: ref-1
encounter	ΣC	0..1	Reference(Encounter)	Encounter created as part of Constraints: ref-1
sent		0..1	dateTime	When sent
received		0..1	dateTime	When received
recipient	SC	1..1	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService)	Message recipient 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	IdentifierTelematikId	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
sender	C	0..1	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService)	Message sender 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
reasonCode	Σ	0..*	CodeableConcept	Indication for message Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication.
reasonReference	ΣC	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Why was communication done? Constraints: ref-1
payload	S	0..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]		1..1	string	Message part content
note		0..*	Annotation	Comments made about the communication
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Communication.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Communication.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Communication.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Communication.status	Base	required	EventStatus	📍4.0.1	FHIR Std.
Communication.statusReason	Base	example	CommunicationNotDoneReason	📍4.0.1	FHIR Std.
Communication.category	Base	example	CommunicationCategory	📍4.0.1	FHIR Std.
Communication.priority	Base	required	Request priority	📍4.0.1	FHIR Std.
Communication.medium	Base	example	ParticipationMode	📦3.0.0	THO v7.1
Communication.topic	Base	example	CommunicationTopic	📍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.
Communication.reasonCode	Base	example	SNOMED CT Clinical Findings	📍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.partOf, Communication.inResponseTo, Communication.subject, Communication.about, Communication.encounter, Communication.recipient, Communication.sender, Communication.reasonReference	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'))
workflow-communication-payload-1	error	Communication	Payload muss angegeben werden, wenn eine Zuweisung für ein Arzneimittel vorgenommen wird	(extension.where(url = 'https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_PrescriptionType').value.code = '162' implies payload.exists().not()) and (extension.where(url = 'https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_PrescriptionType').value.code != '162' implies payload.exists() and payload.empty().not())

Summary

Mandatory: 7 elements(1 nested mandatory element)
Must-Support: 7 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

• Identifier-Profil für die Telematik-ID (http://fhir.de/StructureDefinition/identifier-telematik-id)
• Identifier-Profil für die 10-stellige Krankenversichertennummer (http://fhir.de/StructureDefinition/identifier-kvid-10)

Extensions

This structure refers to these extensions:

• https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_PrescriptionType

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Communication.meta.profile (Closed)