Implementation Guide
TIFlow - Verordnungen für Arzneimittel
Version 2.0.0-ballot.2 - ballot

Resource Profile: GEM ERP PR Communication ( Abstract )

Official URL: https://gematik.de/fhir/tiflow-erezept/StructureDefinition/GEM-ERP-PR-Communication Version: 2.0.0-ballot.2
Active as of 2026-06-30 Computable Name: GEM_ERP_PR_Communication

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

Generische Workflow-Communication

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..* TIFlowCommunication This is an abstract profile. Child profiles: GEM_ERP_PR_Communication_DispReq, GEM_ERP_PR_Communication_Reply
A record of information transmitted from a sender to a receiver
... meta SΣ 0..1 Meta Metadata about the resource
.... versionId SΣ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... 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 S 0..* Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService) Die Entität (z. B. Person, Organisation), die Ziel der Kommunikation war.
... sender S 0..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService) Die Entität (z. B. Person, Organisation), die Quelle der Kommunikation war.
... payload S 0..* BackboneElement Message payload
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... content[x] 1..1 Der tatsächliche Inhalt der Nachricht
..... contentString string
..... contentAttachment Attachment
..... contentReference Reference(Resource)

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()

This structure is derived from TIFlowCommunication

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* TIFlowCommunication This is an abstract profile. Child profiles: GEM_ERP_PR_Communication_DispReq, GEM_ERP_PR_Communication_Reply
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 für E-Rezept) {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
... 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
... reasonCode 0..0 Indication for message
... reasonReference 0..0 Why was communication done?
... note 0..0 Comments made about the communication

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* TIFlowCommunication This is an abstract profile. Child profiles: GEM_ERP_PR_Communication_DispReq, GEM_ERP_PR_Communication_Reply
A record of information transmitted from a sender to a receiver
... id Σ 0..1 id Logical id of this artifact
... meta SΣ 0..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 SΣ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... 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
... 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Unique identifier
... basedOn SΣ 1..1 Reference(Task für E-Rezept) {r} Gibt das E-Rezept-Token gemäß gemSpec_DM_eRp an.
.... 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 S 0..* Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService) Die Entität (z. B. Person, Organisation), die Ziel der Kommunikation war.
... sender S 0..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService) Die Entität (z. B. Person, Organisation), die Quelle der Kommunikation war.
... payload S 0..* BackboneElement Message payload
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... content[x] 1..1 Der tatsächliche Inhalt der Nachricht
..... contentString string
..... contentAttachment Attachment
..... contentReference Reference(Resource)

doco 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.

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()

This structure is derived from TIFlowCommunication

Summary

Mandatory: 2 elements
Must-Support: 2 elements
Prohibited: 15 elements

Structures

This structure refers to these other structures:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* TIFlowCommunication This is an abstract profile. Child profiles: GEM_ERP_PR_Communication_DispReq, GEM_ERP_PR_Communication_Reply
A record of information transmitted from a sender to a receiver
... meta SΣ 0..1 Meta Metadata about the resource
.... versionId SΣ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... 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 S 0..* Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService) Die Entität (z. B. Person, Organisation), die Ziel der Kommunikation war.
... sender S 0..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService) Die Entität (z. B. Person, Organisation), die Quelle der Kommunikation war.
... payload S 0..* BackboneElement Message payload
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... content[x] 1..1 Der tatsächliche Inhalt der Nachricht
..... contentString string
..... contentAttachment Attachment
..... contentReference Reference(Resource)

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()

Differential View

This structure is derived from TIFlowCommunication

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* TIFlowCommunication This is an abstract profile. Child profiles: GEM_ERP_PR_Communication_DispReq, GEM_ERP_PR_Communication_Reply
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 für E-Rezept) {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
... 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
... reasonCode 0..0 Indication for message
... reasonReference 0..0 Why was communication done?
... note 0..0 Comments made about the communication

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* TIFlowCommunication This is an abstract profile. Child profiles: GEM_ERP_PR_Communication_DispReq, GEM_ERP_PR_Communication_Reply
A record of information transmitted from a sender to a receiver
... id Σ 0..1 id Logical id of this artifact
... meta SΣ 0..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 SΣ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... 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
... 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Unique identifier
... basedOn SΣ 1..1 Reference(Task für E-Rezept) {r} Gibt das E-Rezept-Token gemäß gemSpec_DM_eRp an.
.... 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 S 0..* Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService) Die Entität (z. B. Person, Organisation), die Ziel der Kommunikation war.
... sender S 0..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService) Die Entität (z. B. Person, Organisation), die Quelle der Kommunikation war.
... payload S 0..* BackboneElement Message payload
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... content[x] 1..1 Der tatsächliche Inhalt der Nachricht
..... contentString string
..... contentAttachment Attachment
..... contentReference Reference(Resource)

doco 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.

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()

This structure is derived from TIFlowCommunication

Summary

Mandatory: 2 elements
Must-Support: 2 elements
Prohibited: 15 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron