Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication		0..*	GEM_ERP_PR_Communication	A record of information transmitted from a sender to a receiver Constraints: dom-2, dom-3, dom-4, dom-5, dom-6
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_Reply|2.0
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 für E-Rezept) {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.
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
identifier	Σ	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	IdentifierKvid10, IdentifierTelematikId	Logical reference, when literal reference is not known
payload	S	1..1	BackboneElement	Message payload
Slices for extension		0..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:OfferedSupplyOptions		0..1	(Complex)	Angebotene Lieferoptionen durch die Apotheke URL: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_SupplyOptionsType
extension:AvailabilityStatus		0..1	Coding	Verfügbarkeitsstatus des abgefragten Medikaments URL: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_AvailabilityState Binding: ValueSet der Verfügbarkeitsstatus-Codes (required): Availability of medication
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
content[x]	S	1..1	string	Der tatsächliche Inhalt der Nachricht
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'))

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication		0..*	GEM_ERP_PR_Communication	A record of information transmitted from a sender to a receiver
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_Reply|2.0
recipient		1..1	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService)	Die Entität (z. B. Person, Organisation), die Ziel der Kommunikation war.
identifier		1..1	IdentifierKvid10	Logical reference, when literal reference is not known
sender
identifier		1..1	IdentifierKvid10, IdentifierTelematikId	Logical reference, when literal reference is not known
payload		1..1	BackboneElement	Message payload
Slices for extension		0..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:OfferedSupplyOptions		0..1	(Complex)	Angebotene Lieferoptionen durch die Apotheke URL: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_SupplyOptionsType
extension:AvailabilityStatus		0..1	Coding	Verfügbarkeitsstatus des abgefragten Medikaments URL: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_AvailabilityState Binding: ValueSet der Verfügbarkeitsstatus-Codes (required): Availability of medication
content[x]	S	1..1	string	Der tatsächliche Inhalt der Nachricht
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication		0..*	GEM_ERP_PR_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	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_Reply|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
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 für E-Rezept) {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	Σ	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	IdentifierKvid10, 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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:OfferedSupplyOptions		0..1	(Complex)	Angebotene Lieferoptionen durch die Apotheke URL: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_SupplyOptionsType
extension:AvailabilityStatus		0..1	Coding	Verfügbarkeitsstatus des abgefragten Medikaments URL: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_AvailabilityState Binding: ValueSet der Verfügbarkeitsstatus-Codes (required): Availability of medication
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
content[x]	S	1..1	string	Der tatsächliche Inhalt der Nachricht
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.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'))

Summary

Mandatory: 6 elements(1 nested mandatory element)
Must-Support: 4 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

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

Extensions

This structure refers to these extensions:

• https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_SupplyOptionsType
• https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_AvailabilityState

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		0..*	GEM_ERP_PR_Communication	A record of information transmitted from a sender to a receiver Constraints: dom-2, dom-3, dom-4, dom-5, dom-6
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_Reply|2.0
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 für E-Rezept) {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.
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
identifier	Σ	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	IdentifierKvid10, IdentifierTelematikId	Logical reference, when literal reference is not known
payload	S	1..1	BackboneElement	Message payload
Slices for extension		0..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:OfferedSupplyOptions		0..1	(Complex)	Angebotene Lieferoptionen durch die Apotheke URL: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_SupplyOptionsType
extension:AvailabilityStatus		0..1	Coding	Verfügbarkeitsstatus des abgefragten Medikaments URL: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_AvailabilityState Binding: ValueSet der Verfügbarkeitsstatus-Codes (required): Availability of medication
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
content[x]	S	1..1	string	Der tatsächliche Inhalt der Nachricht
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'))

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication		0..*	GEM_ERP_PR_Communication	A record of information transmitted from a sender to a receiver
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_Reply|2.0
recipient		1..1	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService)	Die Entität (z. B. Person, Organisation), die Ziel der Kommunikation war.
identifier		1..1	IdentifierKvid10	Logical reference, when literal reference is not known
sender
identifier		1..1	IdentifierKvid10, IdentifierTelematikId	Logical reference, when literal reference is not known
payload		1..1	BackboneElement	Message payload
Slices for extension		0..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:OfferedSupplyOptions		0..1	(Complex)	Angebotene Lieferoptionen durch die Apotheke URL: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_SupplyOptionsType
extension:AvailabilityStatus		0..1	Coding	Verfügbarkeitsstatus des abgefragten Medikaments URL: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_AvailabilityState Binding: ValueSet der Verfügbarkeitsstatus-Codes (required): Availability of medication
content[x]	S	1..1	string	Der tatsächliche Inhalt der Nachricht
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication		0..*	GEM_ERP_PR_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	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_Reply|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
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 für E-Rezept) {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	Σ	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	IdentifierKvid10, 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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:OfferedSupplyOptions		0..1	(Complex)	Angebotene Lieferoptionen durch die Apotheke URL: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_SupplyOptionsType
extension:AvailabilityStatus		0..1	Coding	Verfügbarkeitsstatus des abgefragten Medikaments URL: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_AvailabilityState Binding: ValueSet der Verfügbarkeitsstatus-Codes (required): Availability of medication
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
content[x]	S	1..1	string	Der tatsächliche Inhalt der Nachricht
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.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'))

Summary

Mandatory: 6 elements(1 nested mandatory element)
Must-Support: 4 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

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

Extensions

This structure refers to these extensions:

• https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_SupplyOptionsType
• https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_AvailabilityState

Slices

This structure defines the following Slices:

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